G514 – Diabetes management - each additional month, 1 to 3 contacts

Payment rules: 1. G500 is limited to a maximum of two per patient per lifetime.

Payment rules: 2. G500, G514 and G520 are only eligible for payment when rendered by the physician most responsible for the patient's diabetes care or by a physician substituting for that physician ('the substitute physician').

Payment rules: 3. The clinical decision(s) pertaining to the medical advice, direction or information provided must be formulated personally by the physician or substitute physician.

Payment rules: 4. A contact rendered on the same day as a consultation or assessment by the same physician to the same patient does not constitute a contact for the purpose of G500, G514 or G520.

Payment rules: 5. G500, G514 and G520 are not eligible for payment for reviewing laboratory reports, patient created reports, or for communicating results to a patient when no change in the frequency or dose of insulin therapy is required.

Payment rules: 6. Only one of G500, G514 and G520 is eligible for payment per patient per physician per month.

Medical record requirements: G500/G514/G520 is only eligible for payment when a dated summary of each contact is recorded in the patient's permanent medical record.