Diabetes Self-Management Training CPT G0108 and G0109

 HCPCS/CPT Codes

• G0108 – DSMT, individual, per 30 minutes
• G0109 – DSMT, group (2 or more), per 30 minutes

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

Frequently Used ICD Codes

• E24.4 Alcohol-induced pseudo-Cushing's syndrome
• F10.10 Alcohol abuse, uncomplicated
• F10.120 Alcohol abuse with intoxication, uncomplicated
• F10.121 Alcohol abuse with intoxication delirium
• F10.129 Alcohol abuse with intoxication, unspecified
• F10.14 Alcohol abuse with alcohol-induced mood disorder
• F10.150 Alcohol abuse with alcohol-induced psychotic disorder with delusions
• F10.151 Alcohol abuse with alcohol-induced psychotic disorder with hallucinations
• F10.159 Alcohol abuse with alcohol-induced psychotic disorder, unspecified
• F10.180 Alcohol abuse with alcohol-induced anxiety disorder
• F10.181 Alcohol abuse with alcohol-induced sexual dysfunction
• F10.182 Alcohol abuse with alcohol-induced sleep disorder
• F10.188 Alcohol abuse with other alcohol-induced disorder
• F10.19 Alcohol abuse with unspecified alcohol-induced disorder
• F10.20 Alcohol dependence, uncomplicated
• F10.21 Alcohol dependence, in remission
• F10.220 Alcohol dependence with intoxication, uncomplicated
• F10.221 Alcohol dependence with intoxication delirium
• F10.229 Alcohol dependence with intoxication, unspecified
• F10.230 Alcohol dependence with withdrawal, uncomplicated
• F10.231 Alcohol dependence with withdrawal delirium
• F10.232 Alcohol dependence with withdrawal with perceptual disturbance
• F10.239 Alcohol dependence with withdrawal, unspecified
• F10.24 Alcohol dependence with alcohol-induced mood disorder
• F10.250 Alcohol dependence with alcohol-induced psychotic disorder with delusions
• F10.251 Alcohol dependence with alcohol-induced psychotic disorder with hallucinations
• F10.259 Alcohol dependence with alcohol-induced psychotic disorder, unspecified
• F10.26 Alcohol dependence with alcohol-induced persisting amnestic disorder
• F10.27 Alcohol dependence with alcohol-induced persisting dementia
• F10.280 Alcohol dependence with alcohol-induced anxiety disorder
• F10.281 Alcohol dependence with alcohol-induced sexual dysfunction
• E08.00 Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
• E08.01 Diabetes mellitus due to underlying condition with hyperosmolarity with coma
• E08.10 Diabetes mellitus due to underlying condition with ketoacidosis without coma
• E08.11 Diabetes mellitus due to underlying condition with ketoacidosis with coma
• E08.21 Diabetes mellitus due to underlying condition with diabetic nephropathy
• E08.22 Diabetes mellitus due to underlying condition with diabetic chronic kidney disease
• E08.29 Diabetes mellitus due to underlying condition with other diabetic kidney complication
• E08.311 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema
• E08.319 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy without macular edema
• E08.3211 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, right eye
• E08.3212 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, left eye
• E08.3213 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, bilateral
• E08.3219 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
• E08.3291 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, right eye
• E08.3292 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, left eye
• E08.3293 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, bilateral
• E08.3299 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
• E08.3311 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, right eye
• E08.3312 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, left eye
• E08.3313 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
• E08.3319 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
• E08.3391 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, right eye
• E08.3392 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, left eye
• E08.3393 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
• E08.3399 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
• E08.3411 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, right eye
• E08.3412 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, left eye
• E08.3413 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, bilateral
• E08.3419 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
• E08.3491 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, right eye
• E08.3492 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, left eye
• E08.3493 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, bilateral
• E08.3499 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
• E08.3511 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, right eye
• E08.3512 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, left eye
• E08.3513 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, bilateral
• E08.3519 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, unspecified eye
• E08.3521 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
• E08.3522 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
• E08.3523 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
• E08.3529 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
• E08.3531 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
• E08.3532 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
• E08.3533 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
• E08.3539 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
• E08.3541 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
• E08.3542 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
• E08.3543 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
• E08.3549 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
• E08.3551 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, right eye
• E08.3552 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, left eye
• E08.3553 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, bilateral
• E08.3559 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, unspecified eye
• E08.3591 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, right eye
• E08.3592 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, left eye
• E08.3593 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, bilateral
• E08.3599 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, unspecified eye
• E08.36 Diabetes mellitus due to underlying condition with diabetic cataract
• E08.37X1 Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, right eye
• E08.37X2 Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, left eye
• E08.37X3 Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, bilateral
• E08.37X9 Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, unspecified eye
• E08.39 Diabetes mellitus due to underlying condition with other diabetic ophthalmic complication
• E08.40 Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified
• E08.41 Diabetes mellitus due to underlying condition with diabetic mononeuropathy
• E08.42 Diabetes mellitus due to underlying condition with diabetic polyneuropathy
• E08.43 Diabetes mellitus due to underlying condition with diabetic autonomic (poly)neuropathy
• E08.44 Diabetes mellitus due to underlying condition with diabetic amyotrophy
• E08.49 Diabetes mellitus due to underlying condition with other diabetic neurological complication
• E08.51 Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene
• E08.52 Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene
• E08.59 Diabetes mellitus due to underlying condition with other circulatory complications
• E08.610 Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy
• E08.618 Diabetes mellitus due to underlying condition with other diabetic arthropathy
• E08.620 Diabetes mellitus due to underlying condition with diabetic dermatitis
• E08.621 Diabetes mellitus due to underlying condition with foot ulcer
• E08.622 Diabetes mellitus due to underlying condition with other skin ulcer
• E08.628 Diabetes mellitus due to underlying condition with other skin complications
• E08.630 Diabetes mellitus due to underlying condition with periodontal disease
• E08.638 Diabetes mellitus due to underlying condition with other oral complications
• E08.641 Diabetes mellitus due to underlying condition with hypoglycemia with coma
• E08.649 Diabetes mellitus due to underlying condition with hypoglycemia without coma
• E08.65 Diabetes mellitus due to underlying condition with hyperglycemia
• E08.69 Diabetes mellitus due to underlying condition with other specified complication
• E08.8 Diabetes mellitus due to underlying condition with unspecified complications
• E08.9 Diabetes mellitus due to underlying condition without complications
• E09.00 Drug or chemical induced diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
• E09.01 Drug or chemical induced diabetes mellitus with hyperosmolarity with coma
• E09.10 Drug or chemical induced diabetes mellitus with ketoacidosis without coma
• E09.11 Drug or chemical induced diabetes mellitus with ketoacidosis with coma
• E09.21 Drug or chemical induced diabetes mellitus with diabetic nephropathy
• E09.22 Drug or chemical induced diabetes mellitus with diabetic chronic kidney disease
• E09.29 Drug or chemical induced diabetes mellitus with other diabetic kidney complication
• E09.311 Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy with macular edema
• E09.319 Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy without macular edema
• E09.3211 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
• E09.3212 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
• E09.3213 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral
• E09.3219 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
• E09.3291 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye
• E09.3292 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye
• E09.3293 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
• E09.3299 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
• E09.3311 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye
• E09.3312 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye
• E09.3313 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
• E09.3319 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
• E09.3391 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
• E09.3392 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
• E09.3393 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
• E09.3399 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
• E09.3411 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
• E09.3412 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
• E09.3413 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
• E09.3419 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
• E09.3491 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
• E09.3492 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
• E09.3493 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
• E09.3499 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
• E09.3511 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
• E09.3512 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
• E09.3513 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
• E09.3519 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye
• E09.3521 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
• E09.3522 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
• E09.3523 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
• E09.3529 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
• E09.3531 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
• E09.3532 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
• E09.3533 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
• E09.3539 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
• E09.3541 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
• E09.3542 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
• E09.3543 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
• E09.3549 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
• E09.3551 Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, right eye
• E09.3552 Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, left eye
• E09.3553 Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
• E09.3559 Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye
• E09.3591 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
• E09.3592 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
• E09.3593 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
• E09.3599 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye
• E09.36 Drug or chemical induced diabetes mellitus with diabetic cataract
• E09.37X1 Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, right eye
• E09.37X2 Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, left eye
• E09.37X3 Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral
• E09.37X9 Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye
• E09.39 Drug or chemical induced diabetes mellitus with other diabetic ophthalmic complication
• E09.40 Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified
• E09.41 Drug or chemical induced diabetes mellitus with neurological complications with diabetic mononeuropathy
• E09.42 Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy
• E09.43 Drug or chemical induced diabetes mellitus with neurological complications with diabetic autonomic (poly)neuropathy
• E09.44 Drug or chemical induced diabetes mellitus with neurological complications with diabetic amyotrophy
• E09.49 Drug or chemical induced diabetes mellitus with neurological complications with other diabetic neurological complication
• E09.51 Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy without gangrene
• E09.52 Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene
• E09.59 Drug or chemical induced diabetes mellitus with other circulatory complications
• E09.610 Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy
• E09.618 Drug or chemical induced diabetes mellitus with other diabetic arthropathy
• E09.620 Drug or chemical induced diabetes mellitus with diabetic dermatitis
• E09.621 Drug or chemical induced diabetes mellitus with foot ulcer
• E09.622 Drug or chemical induced diabetes mellitus with other skin ulcer
• E09.628 Drug or chemical induced diabetes mellitus with other skin complications
• E09.630 Drug or chemical induced diabetes mellitus with periodontal disease
• E09.638 Drug or chemical induced diabetes mellitus with other oral complications
• E09.641 Drug or chemical induced diabetes mellitus with hypoglycemia with coma
• E09.649 Drug or chemical induced diabetes mellitus with hypoglycemia without coma
• E09.65 Drug or chemical induced diabetes mellitus with hyperglycemia
• E09.69 Drug or chemical induced diabetes mellitus with other specified complication
• E09.8 Drug or chemical induced diabetes mellitus with unspecified complications
• E09.9 Drug or chemical induced diabetes mellitus without complications
• E10.10 Type 1 diabetes mellitus with ketoacidosis without coma
• E10.11 Type 1 diabetes mellitus with ketoacidosis with coma
• E10.21 Type 1 diabetes mellitus with diabetic nephropathy
• E10.22 Type 1 diabetes mellitus with diabetic chronic kidney disease
• E10.29 Type 1 diabetes mellitus with other diabetic kidney complication
• E10.311 Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema
• E10.319 Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema
• E10.3211 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
• E10.3212 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
• E10.3213 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral
• E10.3219 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
• E10.3291 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye
• E10.3292 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye
• E10.3293 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
• E10.3299 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
• E10.3311 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye
• E10.3312 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye
• E10.3313 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
• E10.3319 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
• E10.3391 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
• E10.3392 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
• E10.3393 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
• E10.3399 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
• E10.3411 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
• E10.3412 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
• E10.3413 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
• E10.3419 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
• E10.3491 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
• E10.3492 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
• E10.3493 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
• E10.3499 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
• E10.3511 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
• E10.3512 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
• E10.3513 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
• E10.3519 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye
• E10.3521 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
• E10.3522 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
• E10.3523 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
• E10.3529 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
• E10.3531 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
• E10.3532 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
• E10.3533 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
• E10.3539 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
• E10.3541 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
• E10.3542 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
• E10.3543 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
• E10.3549 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
• E10.3551 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, right eye
• E10.3552 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, left eye
• E10.3553 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
• E10.3559 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye
• E10.3591 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
• E10.3592 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
• E10.3593 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
• E10.3599 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye
• E10.36 Type 1 diabetes mellitus with diabetic cataract
• E10.37X1 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye
• E10.37X2 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye
• E10.37X3 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral
• E10.37X9 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye
• E10.39 Type 1 diabetes mellitus with other diabetic ophthalmic complication
• E10.40 Type 1 diabetes mellitus with diabetic neuropathy, unspecified
• E10.41 Type 1 diabetes mellitus with diabetic mononeuropathy
• E10.42 Type 1 diabetes mellitus with diabetic polyneuropathy
• E10.43 Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy
• E10.44 Type 1 diabetes mellitus with diabetic amyotrophy
• E10.49 Type 1 diabetes mellitus with other diabetic neurological complication
• E10.51 Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene
• E10.52 Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene
• E10.59 Type 1 diabetes mellitus with other circulatory complications
• E10.610 Type 1 diabetes mellitus with diabetic neuropathic arthropathy
• E10.618 Type 1 diabetes mellitus with other diabetic arthropathy
• E10.620 Type 1 diabetes mellitus with diabetic dermatitis
• E10.621 Type 1 diabetes mellitus with foot ulcer
• E10.622 Type 1 diabetes mellitus with other skin ulcer
• E10.628 Type 1 diabetes mellitus with other skin complications
• E10.630 Type 1 diabetes mellitus with periodontal disease
• E10.638 Type 1 diabetes mellitus with other oral complications
• E10.641 Type 1 diabetes mellitus with hypoglycemia with coma
• E10.649 Type 1 diabetes mellitus with hypoglycemia without coma
• E10.65 Type 1 diabetes mellitus with hyperglycemia
• E10.69 Type 1 diabetes mellitus with other specified complication
• E10.8 Type 1 diabetes mellitus with unspecified complications
• E10.9 Type 1 diabetes mellitus without complications
• E11.00 Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
• E11.01 Type 2 diabetes mellitus with hyperosmolarity with coma
• E11.21 Type 2 diabetes mellitus with diabetic nephropathy
• E11.22 Type 2 diabetes mellitus with diabetic chronic kidney disease
• E11.29 Type 2 diabetes mellitus with other diabetic kidney complication
• E11.311 Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
• E11.319 Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
• E11.3211 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
• E11.3212 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
• E11.3213 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral
• E11.3219 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
• E11.3291 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye
• E11.3292 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye
• E11.3293 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
• E11.3299 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
• E11.3311 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye
• E11.3312 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye
• E11.3313 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
• E11.3319 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
• E11.3391 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
• E11.3392 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
• E11.3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
• E11.3399 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
• E11.3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
• E11.3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
• E11.3413 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
• E11.3419 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
• E11.3491 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
• E11.3492 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
• E11.3493 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
• E11.3499 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
• E11.3511 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
• E11.3512 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
• E11.3513 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
• E11.3519 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye
• E11.3521 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
• E11.3522 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
• E11.3523 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
• E11.3529 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
• E11.3531 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
• E11.3532 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
• E11.3533 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
• E11.3539 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
• E11.3541 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
• E11.3542 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
• E11.3543 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
• E11.3549 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
• E11.3551 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye
• E11.3552 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye
• E11.3553 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
• E11.3559 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye
• E11.3591 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
• E11.3592 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
• E11.3593 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
• E11.3599 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye
• E11.36 Type 2 diabetes mellitus with diabetic cataract
• E11.37X1 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye
• E11.37X2 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye
• E11.37X3 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral
• E11.37X9 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye
• E11.39 Type 2 diabetes mellitus with other diabetic ophthalmic complication
• E11.40 Type 2 diabetes mellitus with diabetic neuropathy, unspecified
• E11.41 Type 2 diabetes mellitus with diabetic mononeuropathy
• E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy
• E11.43 Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy
• E11.44 Type 2 diabetes mellitus with diabetic amyotrophy
• E11.49 Type 2 diabetes mellitus with other diabetic neurological complication
• E11.51 Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
• E11.52 Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
• E11.59 Type 2 diabetes mellitus with other circulatory complications
• E11.610 Type 2 diabetes mellitus with diabetic neuropathic arthropathy
• E11.618 Type 2 diabetes mellitus with other diabetic arthropathy
• E11.620 Type 2 diabetes mellitus with diabetic dermatitis
• E11.621 Type 2 diabetes mellitus with foot ulcer
• E11.622 Type 2 diabetes mellitus with other skin ulcer
• E11.628 Type 2 diabetes mellitus with other skin complications
• E11.630 Type 2 diabetes mellitus with periodontal disease
• E11.638 Type 2 diabetes mellitus with other oral complications
• E11.641 Type 2 diabetes mellitus with hypoglycemia with coma
• E11.649 Type 2 diabetes mellitus with hypoglycemia without coma
• E11.65 Type 2 diabetes mellitus with hyperglycemia
• E11.69 Type 2 diabetes mellitus with other specified complication
• E11.8 Type 2 diabetes mellitus with unspecified complications
• E11.9 Type 2 diabetes mellitus without complications
• E13.00 Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
• E13.01 Other specified diabetes mellitus with hyperosmolarity with coma
• E13.10 Other specified diabetes mellitus with ketoacidosis without coma
• E13.11 Other specified diabetes mellitus with ketoacidosis with coma
• E13.21 Other specified diabetes mellitus with diabetic nephropathy
• E13.22 Other specified diabetes mellitus with diabetic chronic kidney disease
• E13.29 Other specified diabetes mellitus with other diabetic kidney complication
• E13.311 Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema
• E13.319 Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema
• E13.3211 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
• E13.3212 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
• E13.3213 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral
• E13.3219 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
• E13.3291 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye
• E13.3292 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye
• E13.3293 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
• E13.3299 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
• E13.3311 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye
• E13.3312 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye
• E13.3313 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
• E13.3319 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
• E13.3391 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
• E13.3392 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
• E13.3393 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
• E13.3399 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
• E13.3411 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
• E13.3412 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
• E13.3413 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
• E13.3419 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
• E13.3491 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
• E13.3492 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
• E13.3493 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
• E13.3499 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
• E13.3511 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
• E13.3512 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
• E13.3513 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
• E13.3519 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye
• E13.3521 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
• E13.3522 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
• E13.3523 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
• E13.3529 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
• E13.3531 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
• E13.3532 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
• E13.3533 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
• E13.3539 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
• E13.3541 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
• E13.3542 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
• E13.3543 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
• E13.3549 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
• E13.3551 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eye
• E13.3552 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eye
• E13.3553 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
• E13.3559 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye
• E13.3591 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
• E13.3592 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
• E13.3593 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
• E13.3599 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye
• E13.36 Other specified diabetes mellitus with diabetic cataract
• E13.37X1 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, right eye
• E13.37X2 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, left eye
• E13.37X3 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral
• E13.37X9 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye
• E13.39 Other specified diabetes mellitus with other diabetic ophthalmic complication
• E13.40 Other specified diabetes mellitus with diabetic neuropathy, unspecified
• E13.41 Other specified diabetes mellitus with diabetic mononeuropathy
• E13.42 Other specified diabetes mellitus with diabetic polyneuropathy
• E13.43 Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy
• E13.44 Other specified diabetes mellitus with diabetic amyotrophy
• E13.49 Other specified diabetes mellitus with other diabetic neurological complication
• E13.51 Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene
• E13.52 Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene
• E13.59 Other specified diabetes mellitus with other circulatory complications
• E13.610 Other specified diabetes mellitus with diabetic neuropathic arthropathy
• E13.618 Other specified diabetes mellitus with other diabetic arthropathy
• E13.620 Other specified diabetes mellitus with diabetic dermatitis
• E13.621 Other specified diabetes mellitus with foot ulcer
• E13.622 Other specified diabetes mellitus with other skin ulcer
• E13.628 Other specified diabetes mellitus with other skin complications
• E13.630 Other specified diabetes mellitus with periodontal disease
• E13.638 Other specified diabetes mellitus with other oral complications
• E13.641 Other specified diabetes mellitus with hypoglycemia with coma
• E13.649 Other specified diabetes mellitus with hypoglycemia without coma
• E13.65 Other specified diabetes mellitus with hyperglycemia
• E13.69 Other specified diabetes mellitus with other specified complication
• E13.8 Other specified diabetes mellitus with unspecified complications
• E13.9 Other specified diabetes mellitus without complications
• R73.01 Impaired fasting glucose
• R73.02 Impaired glucose tolerance (oral)
• R73.03 Prediabetes
• R73.09 Other abnormal glucose
• R73.9 Hyperglycemia, unspecified
• Z13.1 Encounter for screening for diabetes mellitus
• Z83.3 Family history of diabetes mellitus
• Z86.32 Personal history of gestational diabetes

Frequency

• 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