HCPCS Modifier SW
Services provided by a certified diabetes educator.
Guidelines and Instructions
- Submit this modifier when the following services are provided by a Certified Diabetes Educator
- Diabetes Self-Management Training (DSMT): HCPCS codes G0108 through G0109
- Medical Nutrition Therapy (MNT): CPT codes 97802 through 97804, HCPCS codes G0270 through G0271
- Payment for these services will be based on the lesser of the actual charge or 85 percent of the Medicare Physician Fee Schedule (MPFS) payment