S9455 Diabetic management program,
Also known as: diabetes education class, diabetes management program, DM education
Diabetes management program or group education classes provided by a certified diabetes educator or nurse in an ambulatory or community setting.
In Plain Language
diabetes education program; diabetes support group; blood sugar management class
Clinical Context
Diabetes self-management education used for Type 1 and Type 2 diabetes. Addresses glucose monitoring, medication management, dietary modifications, and complication prevention.
RVU Information
CPT S9455 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
Frequently Asked Questions
What is CPT code S9455?
CPT S9455 (Diabetic management program,) is a S Codes code. Diabetes management program or group education classes provided by a certified diabetes educator or nurse in an ambulatory or community setting.
Is S9455 covered by insurance?
S9455 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Diabetes self-management education used for Type 1 and Type 2 diabetes. Addresses glucose monitoring, medication management, dietary modifications, and complication prevention.
When is CPT S9455 used?
Diabetes self-management education used for Type 1 and Type 2 diabetes. Addresses glucose monitoring, medication management, dietary modifications, and complication prevention.
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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.