$55.43
G0108 is for individual diabetes self-management training. G0109 is for training delivered to a group of at least two patients.
On this page
CMS RVU26D · Effective 2026-10-01
G0109 Diabetes training Medicare reimbursement rates in Wyoming
Reports timed group diabetes self-management training for patients learning practical skills to manage diabetes in an organized outpatient education program. Compare G0109 office and facility rates across CMS payment localities in Wyoming.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for G0109 in Wyoming?
Wyoming has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$15.95
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Diabetes education
About G0109: Group diabetes self-management training
Reports timed group diabetes self-management training for patients learning practical skills to manage diabetes in an organized outpatient education program.
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.
Where the value comes from
- Work RVU0.25 · 52%
- Practice expense (office) RVU0.22 · 46%
- Malpractice RVU0.01 · 2%
42.3K
Medicare services in 2024 · #847 by national volume
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 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$16.95
97804 represents group medical nutrition therapy focused on nutrition treatment. G0109 represents broader diabetes self-management training.
98962
No office rateEdu&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.
Compare G0109 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Wyoming** →
Office / nonfacility
$15.95
Facility
Unavailable
Need rates for a whole code list?
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for G0109 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
15,090
- Code
- G0109
- Physician work
- 0.25
- Practice expense
- 0.22
- Malpractice
- 0.01
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.25 | × 1.000 | 0.2500 |
| Practice expense | 0.22 | × 1.000 | 0.2200 |
| Malpractice | 0.01 | × 0.740 | 0.0074 |
| Total RVUs | 0.4774 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$15.95
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.25 | 1 |
| Practice expense | 0.22 | 1 |
| Malpractice | 0.01 | 0.74 |
(0.25 × 1 + 0.22 × 1 + 0.01 × 0.74) × $33.4009 = $15.95
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
15,087G0105,,Colorectal scrn; hi risk ind,A,,3.18,7.73,,1.34,,0.41,11.32,4.93,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,088G0105,53,Colorectal scrn; hi risk ind,A,,1.59,3.87,,0.67,,0.20,5.66,2.46,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,089G0108,,Diab manage trn per indiv,A,,0.90,0.73,,0.73,NA,0.04,1.67,1.67,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,090G0109,,Diab manage trn ind/group,A,,0.25,0.22,,0.22,NA,0.01,0.48,0.48,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,091G0117,,Glaucoma scrn hgh risk direc,T,,0.44,1.47,,1.47,NA,0.02,1.93,1.93,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,092G0118,,Glaucoma scrn hgh risk direc,T,,0.17,1.03,,1.03,NA,0.01,1.21,1.21,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,093G0121,,Colon ca scrn not hi rsk ind,A,,3.18,7.73,,1.34,,0.42,11.33,4.94,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,