Diabetes Self-Management Training (DSMT) - JF Part B
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
- DSMT and Medical Nutrition Therapy (MNT) Services
- CMS Internet Only Manual (IOM), Publication 100-02, Medicare Benefit Policy Manual, Chapter 15, Section 300
- CMS IOM, Publication 100-04, Medicare Claims Processing Manual, Chapter 18, Section 120
- CMS Medicare Preventive Services
- CMS National Coverage Determination (NCD) 180.1
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