G0108 with TRICARE: what the policy says
The short answerTRICARE lists G0108 for diabetes self-management training. A patient can have both DSMT and MNT if medically necessary, but not on the same date of service. DSMT must come from an accredited program.
By Javier Alvarez · Updated · 1 min read
1 row: TRICARE. Public policy, not the member's benefits.
TRICARE
TRICARE East and West · All states
| 97802 | Listed [1][2] |
|---|---|
| 97803 | Listed [1][2] |
| G0270 | Listed [1][2] |
| G0271 | Listed [1][2] |
| Diagnoses | East policy: obesity (BMI 30 or more in adults, 95th percentile in children), diabetes, renal disease, cardiovascular risk factors, medically necessary foods, ketogenic diet for epilepsy, eating disorders and cystic fibrosis. Counseling for general wellness is not covered. [1][3] |
| Other codes | 97804, G0447, G0473 and S9470. [1][2] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Diabetes and renal disease: 3 hours the first year, 2 hours after, more case by case. Obesity interventions: 12 to 26 sessions a year. [1][2] |
| Referral and prior auth | Not published: call the payer. |
| Who can bill | A TRICARE-authorized registered dietitian, licensed in the state, under a supervising physician. [1][3] |
- Humana Military (TRICARE East): MP21-003E Nutritional Counseling (revised 04/24/2024), checked October 30, 2026
- TriWest (TRICARE West): Policy Key Nutrition Counseling Services (revised 6/30/2026), checked October 30, 2026
- TRICARE: Nutritionist or Dietitian Services (covered services), checked September 28, 2026
What TRICARE's policy says about G0108
G0108 is the HCPCS code for diabetes outpatient self-management training services, individual session per 30 minutes of training. At TRICARE it is listed: named in the payer's public policy. Each line below is from TRICARE's own text:
- Where it is listed. Listed in TRICARE East policy MP21-003E under Chapter 8 s.8.1 Diabetes Self-Management Training, with G0109 for group. (Humana Military (TRICARE East), checked October 30, 2026)
- When it pays. Coverage of both DSMT and MNT for the same beneficiary is allowed if medical necessity criteria are met, as long as they are not on the same date of service. (Humana Military (TRICARE East), checked October 30, 2026)
- How often. West: initial training limited to 10 hours in year one (more if medically necessary after a change in condition); follow-up limited to 2 hours per year. (TriWest (TRICARE West), checked October 30, 2026)
- Who can bill it. West: an authorized individual professional provider meeting the National Standards for DSMES recognized by the ADA, or an authorized institutional provider accredited by an organization CMS approves. Prescribed or ordered by a physician for beneficiaries with diabetes. (TriWest (TRICARE West), checked October 30, 2026)
G0108 at other payers
- G0108 with Medicare: limited.
The rest of TRICARE's MNT rules
The TRICARE row has its codes, telehealth rule, limits and referrals, each with its source. Other codes we checked at TRICARE: G0447. What G0108 means at any payer is on the G0108 code page. Before the claim goes out, compare it with the row in the table above, then download the PDF of what you see.