Medicare Glucose Test Strip and Lancet Quantity Check (LCD L33822)

Medicare home glucose test strips and lancets against LCD L33822.

Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Does the beneficiary have a non-adjunctive continuous glucose monitor?
No
Insulin treatment
Currently treated with insulin
The two basic coverage criteria
Both are met
Test strips ordered for 3 months
450
Lancets ordered for 3 months
450
Date of the order for the higher quantity
2026-10-01
Date of the treating practitioner's visit that evaluated the need
2026-04-01
Date adherence to the high-use regimen was last verified
2026-04-05
Dispensing date
2026-10-05

Result: Above usual utilization by 150 strips and 150 lancets; criteria (a) to (c) are met on the dates entered.

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Does the beneficiary have a non-adjunctive continuous glucose monitor?
  • Insulin treatment
  • The two basic coverage criteria (diabetes; trained on the device)
  • Test strips ordered for 3 months
  • Lancets ordered for 3 months
  • Or tests per day (used when the two quantities are blank)
  • Date of the order for the higher quantity (YYYY-MM-DD)
  • Date of the treating practitioner's visit that evaluated the need (YYYY-MM-DD)
  • Date adherence to the high-use regimen was last verified (YYYY-MM-DD)
The other 4 fields
  • Dispensing date (YYYY-MM-DD)
  • Spring-powered lancing devices in the last 6 months (optional)
  • Strips to dispense now (optional)
  • Lancets to dispense now (optional)
How this is calculated

Citation

DME MACs, LCD L33822 Glucose Monitors (version 70, revision effective October 1, 2024) and Policy Article A52464 (version 65, effective February 18, 2025): usual utilization of 100 or 300 strips and lancets every 3 months; high-utilization criteria (a) to (c); units and KX or KS. Read the sources: LCD L33822 ↗, Policy Article A52464 ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.