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CMS-1403-FC
PFS final rule with comment period (72 FR 66250), we
committed to continuing to evaluate last year’s request to
add subsequent hospital care to the list of approved
telehealth services. In the CY 2009 PFS proposed rule
(73 FR 38515), we responded to these requests. We did not
propose to add DSMT or critical care services to the list
of Medicare telehealth services. We proposed to create
HCPCS codes specific to follow-up inpatient consultations
delivered via telehealth, and we proposed to revise §410.78
and §414.65 to revise our regulations accordingly. The
following is a summary of the discussion from the proposed
rule and a summary of the comments we received and our
responses.
a. Diabetes Self-Management Training (DSMT)
The American Telemedicine Association (ATA) and the
Marshfield Clinic submitted a request to add individual and
group diabetes self management training (DSMT) (as
represented by Healthcare Common Procedure Coding System
(HCPCS) codes G0108 and G0109) to the list of approved
telehealth services. The requesters believe that DSMT
services can be considered and approved for telehealth as
Category 1 services because they are comparable to medical
nutrition therapy (MNT) services approved for telehealth.
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