Preventive Services: Diabetes Self-Management Training (DSMT)

by  Find-A-Code
September 1st, 2017

The following information from the Medicare Learning Network provides guidance from the Department of Health and Human Services on Diabetes Self-Management Training: 


G0108 - Diabetes outpatient self-management training services, individual, per 30 minutes
G0109 - Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes

ICD-10 Codes

See the CMS ICD-10 webpage for individual CRs and coding translations for ICD-10, and contact your MAC for guidance.

Who Is Covered

Certain Medicare beneficiaries when all of the following are true:

  • Diagnosed with diabetes
  • Receive an order for DSMT from the physician or qualified NPP treating the Medicare beneficiary's diabetes


  • Initial year: Up to 10 hours of initial training within a continuous 12-month period
  • Subsequent years: Up to 2 hours of follow-up training each year after the initial year

Medicare Beneficiary Pays

  • Copayment/coinsurance applies
  • Deductible applies

Other Notes

Please note: The information in this educational product applies only to the Medicare Fee-For-Service Program (also known as Original Medicare). For additional guidance on using diagnosis codes, go to the Medicare Claims Processing Manual, Chapter 18 on the Centers for Medicare & Medicaid Services (CMS) website.

Watch the CMS Provider Minute: Preventive Services video for pointers to help you submit sufficient documentation when billing for certain preventive services.


Preventive Services: Diabetes Self-Management Training (DSMT). (2017, September 1). Find-A-Code Articles. Retrieved from

© InnoviHealth Systems Inc

Article Tags  (click on a tag to see related articles)

Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


innoviHealth Systems, Inc.
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (8-5 Mountain)
free demo
request yours today
free subscription
for any budget

Thank you for choosing Find-A-Code, please Sign In to remove ads.