HCPCS G0109: Diabetes trainingMedicare rate & RVUs in Alaska
Reports timed group diabetes self-management training for patients learning practical skills to manage diabetes in an organized outpatient education program.
Medicare pays $20.54 for G0109 in the office in Alaska (Alaska*). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What G0109 covers
G0109 represents diabetes self-management training delivered to a group of at least two patients, in 30-minute units. The session may cover practical skills such as glucose monitoring, medication use, food choices, physical activity, and recognizing or responding to glucose problems. Registered nurses, dietitians, pharmacists, and other qualified diabetes educators commonly provide this training through an organized outpatient program in a clinic or community setting.
Report the code for the group-training service, not for one-to-one education; individual diabetes training is reported with G0108. The record should support the training date and time, group format, attendance, instructor, topics covered, and each patient’s participation or learning needs. CMS fee-schedule payment is tied to the reported 30-minute units. Keep documentation distinct when a patient also receives medical nutrition therapy, since that service has a different focus and code set.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
G0109 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | $20.54 | Unavailable |
How the G0109 rate is calculated
Each of G0109’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · G0109
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.25Practice expense 0.22Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G0109
G0109 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · G0109
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$16.03
Only one setting is priced for this code.
G0109 compared with similar codes
Compare codes
G0109 vs G0108 vs 97804 vs 98962: national Medicare rates
Swap in your local Medicare rate.
How to choose
- G0108Diabetes training
- G0108 is for individual diabetes self-management training. G0109 is for training delivered to a group of at least two patients.
- 97804Group nutrition therapy
- 97804 represents group medical nutrition therapy focused on nutrition treatment. G0109 represents broader diabetes self-management training.
- 98962Edu&trn pt slf-mgmt nqhp 5-8
- 98962 describes group self-management education that is not diabetes-specific. Use G0109 when the service is diabetes self-management training.
G0109 billing questions
When should G0109 be used instead of G0108?
Use G0109 for diabetes self-management training delivered to at least two patients as a group. G0108 represents individual diabetes training.
How are units determined?
G0109 is reported in 30-minute units. Document the training time and group session details supporting the units submitted.
Can group medical nutrition therapy be reported as G0109?
No. G0109 represents diabetes self-management training; group medical nutrition therapy is a distinct service reported with its own code when furnished and documented.
What documentation supports a G0109 claim?
Record the session’s date and duration, group format and attendance, instructor, topics taught, and the patient’s participation or learning needs.
Can individual and group diabetes training be reported for the same patient?
The formats are represented by different codes. Documentation should show that each separately reported service was actually furnished, including its format and time.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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