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S0317 Disease management per diem

S Codes

Also known as: DMP per diem, daily DMP charge

Disease management per diem charge. Daily fee for ongoing disease management program services.

In Plain Language

daily disease program cost; program per diem

Clinical Context

Daily rate paid for continuous enrollment in disease management program. Covers coordination, monitoring, education, and intervention by care management team members.

RVU Information

CPT S0317 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.

Billing & Documentation

S-codes are used by private payers (not Medicare) for services without a standard CPT or HCPCS code. Coverage varies significantly between insurers. Verify payer acceptance before billing and document medical necessity thoroughly.

Specialties

Care ManagementNursing

Frequently Asked Questions

What is CPT code S0317?

CPT S0317 (Disease management per diem) is a S Codes code. Disease management per diem charge. Daily fee for ongoing disease management program services.

Is S0317 covered by insurance?

S0317 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Daily rate paid for continuous enrollment in disease management program. Covers coordination, monitoring, education, and intervention by care management team members.

When is CPT S0317 used?

Daily rate paid for continuous enrollment in disease management program. Covers coordination, monitoring, education, and intervention by care management team members.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.