HCPCS Modifier SW

Published 07/16/2020

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

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