Billing Outpatient Diabetes Self-Management Training (DSMT)
Home health providers may bill Medicare for diabetes self-management training (DSMT) when the service is provided outside of the home health plan of care (034X type of bill). The service will not be reimbursed when furnished to a beneficiary under Part A.
In addition to the usual information that is required on Medicare claims, the following identifies specific information required for HHAs to submit DSMT claims to Medicare.
Field Name |
Description |
---|---|
TOB |
34X |
REV |
0942 (Other therapeutic services; education/training |
HCPC |
G0108 – Diabetes outpatient self-management training services, individual, per 30 minutes Or G0109 – Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
Resources
For additional information about DSMT services refer to the following resources.
Posted: 02.21.18