S9460 Diabetic management program,
Also known as: diabetes self-management, diabetes support class, DSME program
Diabetes management program or group education classes focusing on self-management techniques provided in an ambulatory or community setting.
In Plain Language
diabetes management program; blood sugar control class; diabetes training
Clinical Context
Supports diabetes self-management education and training for patient empowerment in managing Type 1 or Type 2 diabetes, preventing complications, and optimizing glycemic control.
RVU Information
CPT S9460 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 S9460?
CPT S9460 (Diabetic management program,) is a S Codes code. Diabetes management program or group education classes focusing on self-management techniques provided in an ambulatory or community setting.
Is S9460 covered by insurance?
S9460 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Supports diabetes self-management education and training for patient empowerment in managing Type 1 or Type 2 diabetes, preventing complications, and optimizing glycemic control.
When is CPT S9460 used?
Supports diabetes self-management education and training for patient empowerment in managing Type 1 or Type 2 diabetes, preventing complications, and optimizing glycemic control.
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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.