Skip over navigation

Diabetic, Diabetes Self-Management Training (DSMT) and Medical Nutrition Therapy (MNT) Services

Medicare provides coverage of diabetes screening tests for beneficiaries at risk for diabetes or those diagnosed with pre-diabetes.

Medicare provides coverage of DSMT services for beneficiaries who have been recently diagnosed with diabetes, were determined to be at risk for complications from diabetes, or were previously diagnosed with diabetes before meeting Medicare eligibility requirements and have since become eligible for coverage under the Medicare Program when a certified provider who meets certain quality standards furnishes these services.

Medicare provides coverage of MNT for beneficiaries diagnosed with diabetes or renal disease (except for those receiving dialysis).

DSMT

HCPCS/CPT Codes
  • G0108 – DSMT, individual, per 30 minutes
  • G0109 – DSMT, group (2 or more), per 30 minutes
ICD-9-CM Codes
  • No specific diagnosis code
  • Contact local Medicare Administrative Contractor (MAC) for guidance
Frequency
  • Initial year: Up to 10 hours of initial training within a continuous 12-month period; or
  • Subsequent years: Up to 2 hours of follow-up training each year after initial year
Beneficiary Pays
  • Copayment/coinsurance applies
  • Deductible applies

 

Resources

Last Updated Oct 31, 2016