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Diabetes Training Program


As of January, 1999, the Balanced Budget Act of 1997 covers training for diabetes outpatient self management. To bill for those services, however, you need to meet the National Diabetes Advisory Board (NDAB) requirements.

 A diabetes outpatient self- management and training service is a program that must include the following three components: 

  1. Education about self- monitoring of blood glucose, diet and exercise

  2. An insulin treatment plan developed specifically for the patient who is insulin-dependent

  3. Motivates patients to use the skills for self-management.

To ensure therapy compliance you'll need physician certification that such services are needed under a comprehensive plan of care related to the patient's diabetic condition.

 Centers for Medicare and Medicaid Services (CMS, formerly HCFA) is designating as a "certified provider" those physicians, individuals, (such as non-physician practitioners) or entities that are paid under the physician fee schedule. These certified providers must meet the NDAB standards. The American Diabetes Association also must recognize certified providers.

To bill, use the following codes: 

  • G0108: Diabetes outpatient self-management training services, individual session, per 60 minutes of training. 

  • G0109: Diabetes outpatient self-management training services, group session, per individual, per 60 minutes of training. 

On the first claim for this service, you must include a "Certificate of Recognition" from the American Diabetes Association that affirms you're a recognized provider. Bill the appropriate E&M code for the initial office visit.

 For 1998, Centers for Medicare and Medicaid Services (CMS, formerly HCFA) allows $55.41 per hour for an individual sessions and $32.62 per patient per hour in a group session.

For more information consult: 

American Diabetes Association

Diabetes Clinical Guidelines 

National Standards for Diabetes Self-Management Education Programs and American Diabetes Association Review Criteria


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