How To Use HCPCS Code G0108

HCPCS code G0108 describes diabetes outpatient self-management training services provided on an individual basis, with a duration of 30 minutes per session. This code is used to identify and bill for the specific service of diabetes self-management training, which plays a crucial role in helping individuals with diabetes effectively manage their condition and improve their overall health outcomes.

1. What is HCPCS G0108?

HCPCS code G0108 is used to identify and bill for diabetes outpatient self-management training services provided to individual patients. This code represents a 30-minute session of training, which is aimed at educating patients on various aspects of diabetes management, including blood glucose monitoring, medication management, dietary guidelines, exercise recommendations, and strategies for preventing and managing complications.

2. Official Description

The official description of HCPCS code G0108 is “Diabetes outpatient self-management training services, individual, per 30 minutes.” The short description for this code is “Diab manage trn per indiv.”

3. Procedure

1. The provider begins the diabetes outpatient self-management training session by assessing the patient’s current knowledge and understanding of diabetes management.
2. Based on the assessment, the provider develops an individualized training plan tailored to the patient’s specific needs and goals.
3. The training session includes education on various topics, such as blood glucose monitoring techniques, interpretation of glucose readings, and appropriate actions to take based on the results.
4. The provider also educates the patient on the importance of medication adherence, including proper administration techniques, potential side effects, and the significance of following prescribed dosages.
5. Dietary counseling is an essential component of diabetes self-management training. The provider guides the patient in understanding the role of carbohydrates, fats, and proteins in blood glucose control and provides practical tips for meal planning and portion control.
6. Exercise recommendations are discussed, emphasizing the benefits of regular physical activity in managing diabetes and maintaining overall health. The provider may suggest specific exercises or refer the patient to a qualified exercise specialist.
7. Lastly, the provider addresses the prevention and management of diabetes-related complications, such as foot care, eye care, and the importance of regular medical check-ups.

4. When to use HCPCS code G0108

HCPCS code G0108 should be used when billing for individual diabetes outpatient self-management training services. This code is applicable when the training is provided on a one-on-one basis, tailored to the specific needs of the patient. It is important to note that this code is not intended for group training sessions or general diabetes education programs.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G0108, healthcare providers should ensure that the following documentation requirements are met:

• A detailed record of the training session, including the topics covered, duration of the session, and any specific instructions provided to the patient.
• Documentation of the patient’s current knowledge and understanding of diabetes management, as well as their goals and progress throughout the training program.
• Any educational materials or resources provided to the patient during the session.

6. Historical Information and Code Maintenance

HCPCS code G0108 was added to the Healthcare Common Procedure Coding System on July 01, 1998. It has an effective date of January 01, 2001. As indicated by the action code N, no maintenance actions have been taken for this code since its addition.

7. Medicare and Insurance Coverage

HCPCS code G0108 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code 11 indicates that the price for this service is established using national Relative Value Units (RVUs). The multiple pricing indicator code A signifies that this code is not applicable for pricing under multiple methodologies.

8. Examples

Here are five examples of scenarios in which HCPCS code G0108 should be billed:

1. A 55-year-old patient with newly diagnosed diabetes requires individual diabetes self-management training to learn about blood glucose monitoring, medication management, and lifestyle modifications.
2. A patient with poorly controlled diabetes and a history of complications undergoes individual diabetes self-management training to improve their understanding of the disease and enhance their self-care skills.
3. A pregnant patient with gestational diabetes receives individual diabetes self-management training to ensure proper management of blood glucose levels during pregnancy.
4. A patient with diabetes who recently started using an insulin pump undergoes individual training to learn about pump operation, troubleshooting, and insulin dose adjustments.
5. A patient with diabetes who is planning to travel internationally seeks individual diabetes self-management training to learn about managing their condition while abroad, including medication storage, time zone adjustments, and access to medical care.