Endocrinology Billing That Pays What You Earn
Endocrinology billing is dominated by diabetes management, thyroid disease, and hormone disorder treatment — all with significant remote monitoring, patient education, and CGM billing opportunities that most practices fail to capture. Continuous glucose monitor billing, diabetes self-management training, and insulin pump coding are among the most underbilled services in endocrinology. 360Solutions helps endocrinology practices capture every billable service while managing prior auth for CGM devices and GLP-1 biologics.
Where Endocrinology Practices Lose Revenue
These are the coding and billing pitfalls that cost endocrinology practices the most — and where our specialised billers add the most value.
CGM & Insulin Pump Billing
Continuous glucose monitor supplies and insulin pump coding (A9276, A9277, K0553, K0554) require coordination between the physician's monitoring codes and the DME supplier's supply codes. Most practices miss the professional monitoring revenue entirely.
Diabetes Education Billing
Diabetes self-management training (G0108/G0109) is a reimbursable service that requires an ADA-recognized program and specific documentation. Many endocrinology practices have eligible patients but no billing workflow for DSMT.
GLP-1 & Biologic Prior Auth
Semaglutide, tirzepatide, and other GLP-1 agents require prior auth with BMI documentation and failed first-line therapy records. Denials for incomplete step therapy documentation are the top auth failure for endocrinology.
Thyroid & Parathyroid Coding
Thyroid ultrasound (76536), thyroid biopsy (60100), and parathyroid scan (78070) require correct professional/technical splits and separate billing from the office visit. Bundling these with the E&M results in missed revenue.
High-Risk CPT Groups
Code ranges payers audit most aggressively in Endocrinology.
Common Denial Patterns
Knowing these before submission is the difference between a 60% and a 96% first-pass rate.
CGM professional monitoring code billed without corresponding supply/device code
DSMT code billed without documentation of ADA-recognized program enrollment
GLP-1 prior auth missing BMI measurement or first-line drug failure documentation
Thyroid ultrasound billed globally when only professional interpretation was provided
RPM code billed without 20 minutes of documented monthly monitoring time
Send us your last 90 days of remittance data — we'll identify your top 3 fixable denial sources at no cost.
Request Free Audit →How 360Solutions Works for Endocrinology Practices
Free 2-Week Billing Audit
We review your last 90 days: denial breakdown by category, AR aging by payer, charge lag, collection rate, and any recurring coding issues specific to your specialty. No commitment required.
Specialty Coder Assignment
You are paired with a coder trained specifically in endocrinology coding. They learn your providers, your documentation patterns, and your payer mix before touching a claim.
Parallel Billing Transition
We run alongside your current billing for 10–14 days with zero cash flow disruption. Claims keep moving during the transition. Your account manager provides daily status updates.
Live KPI Dashboard
Real-time visibility into billed, paid, denied, AR aging, and collection rate — segmented by provider and payer. No black box, no month-end surprises.
Weekly Account Manager Call
Every week your dedicated account manager walks through last week's KPIs, denial trends, and any action items. Critical issues are escalated the same day — not at the next scheduled call.
Questions From Endocrinology Practices
Start With a Free,
No-Obligation Audit
Two weeks, no contract. A certified endocrinology billing specialist reviews your claims, denial patterns, and AR — and shows you exactly what is recoverable.