Diabetes Self-Management Training (DSMT)

HCPCS/CPT Codes

  • G0108 - DSMT, individual, per 30 minutes
  • G0109 - DSMT, group (two or more people), per 30 minutes

Frequency

Initial Year: Up to 10 hours of initial training within a continuous 12-month period

Subsequent Years: Up to two hours of follow-up training each year after the initial year

Coverage

Beneficiary must meet both of the following:

  • Diagnosed with diabetes
  • Receive order for DSMT from physician or qualified non-physician practitioner treating beneficiary's diabetes

Payment

Copayment/coinsurance applies; Deductible applies

Noridian Medicare Portal

No

Resources

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