Diabetes Self-Management Training
Medicare beneficiaries are eligible for diabetes self-management training (DMST) when all the following are true:
- Diagnosed with diabetes
- Received an order for DSMT from the physician or qualified NPP treating the Medicare beneficiary's diabetes
HCPCS/CPT Codes
- G0108 - DSMT, individual, per 30 minutes
- G0109 - DSMT, group (two or more), 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
Note: You cannot bill DSMT and Medical Nutrition Therapy (MNT) on the same date of service for the same beneficiary.
Accreditation
In order for an individual or entity to furnish DSMT for Medicare beneficiaries, a provider must be accredited by a national accreditation organization that has been approved by CMS:
- American Diabetes Association (ADA)
- American Association of Diabetes Educators
- Indian Health Service
Note: DSMT is not a separately recognized provider type, and a person or entity cannot enroll in Medicare for the sole purpose of performing DSMT.
For additional information on accreditation please visit the Diabetic Self-Management Training (DSMT) Accreditation Program.
References