Forum - Questions & Answers

Apr 16th, 2009 - njm2

Diabetes outpatient self management training

For medicare patients can we bill for training a patient on how and when to use the glucose monitor. If we can could you please tell me the correct coding?

thank you

Apr 16th, 2009 -

Might be tricky

G0108- 30 min of DM training; but I don't think that a doctor who is not specially trained to do DM education can bill for this- you may need to be certified as an diabetes educator. If it is "just" the doctor teaching how to use the monitor, use the E&M codes with time documented and if the nurse is doing the training it is a 99211.

See: http://www.cms.hhs.gov/transmittals/downloads/ab0066.pdf

Apr 21st, 2009 - nmaguire   2,606 

Diabetes self management

G0108 Diabetes outpatient self-management training services, individual, per 30 minutes . Individual assessment, check monitoring and insulin skills for diabetes education class
G0109 Diabetes outpatient self-management training services, group session, (2 or more), per 30 minutes. Includes 4 diabetes classes each class 2 hours long. Classes cover all content areas (including nutrition).
Diabetes self Management training
Training includes blood glucose management, nutrition, physical activity, and preventing and treating complications of diabetes.
Must meet Medicare Criteria for Medicare patients.
A total of 10 hours of initial training in 12 months from an ADA recognized diabetes education center (all 10 hours must be completed within the 12 months from the time the patient started training)• An additional 2 hours of follow-up training each year after the year the patient received initial training (the patient must get yearly prescriptions from the doctor)
Nancy Maguire



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