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Past PRIT Issues


  Details for Diabetes Self Management Training (SMT) NCD
  

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Issue Name Diabetes Self Management Training (SMT) NCD
Issue Medicare does not cover diabetes SMT for some diabetics because their disease is not described by ICD-9 codes 250.00-250.93.
Status See below.
Date Issue Created 12/01/2005

This issue was brought to the PRIT by a hospital reimbursement analyst. The PRIT is discussing with the appropriate OCSQ staff the possibility of expanding SMT coverage to other forms of diabetes such as diabetes caused by pancreatectomy or due to hemochromatosis.
 May 28: Diabetes Self Management training is covered for all Medicare Beneficiaries who suffer from diabetes. This broadening of coverage policy is explained in Change Request 3185, linked below.


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Change Request 3185
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Last Modified Date : 06/15/2006
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