Reason Code: 59132

Error Description:

TOB 71X (RHC) contains HCPCS code G0108 or G0109 (diabetes self-management training) on a claim for DOS after the effective date. The provider is liable as per NCD 40.1. RHCs are not paid separately for DSMT and MNT services.

Avoiding/Correcting This Error

RHCs should not bill codes G0108 or G0109.

Related Content

• CMS Internet-Only Manual, Publication 100-04, Medicare Claims Processing Manual, Chapter 9, Section 70.5 - Diabetes Self-Management Training (DSMT) and Medical Nutrition Services (MNT)