G0108: ICD-10 Code Not Being Reimbursed?

[Robert Gabriel]

For G0108 – diabetes training: There are specific requirements for a provider to qualify for using this code. Here is what I read (see attached “Medicare – Diabetes Training” guide).

Specific Quality Standards as Billing Prerequisite: National Standards of DSME are in the Diabetes Care journal, 2012, at diabetes.org/pro (Separate Standards of Medical Care in Diabetes also published each year at diabetes.org/pro).

A DSMT program must be certified as meeting all quality standards by either AADE or ADA. Multi-disciplinary team recommended. At least one instructor must be an RN, RD, or pharmacist and program manager must have extensive training and/or experience in diabetes education. In a Rural Health Clinic the DSMT program may have a solo instructor as long as that instructor is an RD-CDE. Certified programs must submit to their MAC a copy of their AADE DEAP™ certificate or their ADA ERP™ certificate. Quality standards are based on the 2012 National Standards of DSME and other specific measures required by the AADE/ADA.

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