# HCPCS G0109: Diabetes outpatient self-management training, group

Medicare HCPCS G0109 pays $16.03 in a non-facility setting and $16.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $14.83 in Arkansas to $20.54 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/G0109-hcpcs-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Endocrinology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $16.03 |
| National facility | $16.03 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $20.54 | $20.54 |
| District of Columbia | $17.83 | $17.83 |
| California | $17.52 | $17.52 |
| New Jersey | $17.42 | $17.42 |
| New York | $17.40 | $17.40 |
| Washington | $17.26 | $17.26 |
| Massachusetts | $17.13 | $17.13 |
| Hawaii | $16.90 | $16.90 |
| Connecticut | $16.84 | $16.84 |
| Colorado | $16.53 | $16.53 |
| Maryland | $16.48 | $16.48 |
| Oregon | $16.40 | $16.40 |
| Rhode Island | $16.40 | $16.40 |
| Florida | $16.37 | $16.37 |
| New Hampshire | $16.29 | $16.29 |
| Illinois | $16.12 | $16.12 |
| Puerto Rico | $16.11 | $16.11 |
| Virgin Islands | $16.11 | $16.11 |
| Montana | $16.03 | $16.03 |
| Minnesota | $16.01 | $16.01 |
| Nevada | $15.98 | $15.98 |
| Pennsylvania | $15.98 | $15.98 |
| Delaware | $15.95 | $15.95 |
| Wyoming | $15.95 | $15.95 |
| Texas | $15.94 | $15.94 |
| North Dakota | $15.83 | $15.83 |
| South Dakota | $15.81 | $15.81 |
| Virginia | $15.81 | $15.81 |
| Vermont | $15.79 | $15.79 |
| Georgia | $15.77 | $15.77 |
| Arizona | $15.76 | $15.76 |
| Michigan | $15.72 | $15.72 |
| Maine | $15.58 | $15.58 |
| Utah | $15.56 | $15.56 |
| New Mexico | $15.49 | $15.49 |
| Wisconsin | $15.49 | $15.49 |
| Missouri | $15.42 | $15.42 |
| North Carolina | $15.42 | $15.42 |
| South Carolina | $15.42 | $15.42 |
| Louisiana | $15.41 | $15.41 |
| Ohio | $15.40 | $15.40 |
| Indiana | $15.32 | $15.32 |
| Idaho | $15.27 | $15.27 |
| Nebraska | $15.26 | $15.26 |
| Iowa | $15.21 | $15.21 |
| Tennessee | $15.21 | $15.21 |
| West Virginia | $15.21 | $15.21 |
| Kentucky | $15.19 | $15.19 |
| Oklahoma | $15.17 | $15.17 |
| Kansas | $15.16 | $15.16 |
| Alabama | $14.97 | $14.97 |
| Mississippi | $14.92 | $14.92 |
| Arkansas | $14.83 | $14.83 |

## Related codes

- 0446T: Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor — https://www.med-reveal.com/rates/0446T-cpt-fee-schedule
- 0447T: Removal of implantable interstitial glucose sensor — https://www.med-reveal.com/rates/0447T-cpt-fee-schedule
- 0448T: Removal and reinsertion of implantable interstitial glucose sensor — https://www.med-reveal.com/rates/0448T-cpt-fee-schedule
- 95249: Ambulatory continuous glucose monitoring, patient-provided equipment, sensor placement, calibration, training — https://www.med-reveal.com/rates/95249-cpt-fee-schedule
- 95250: Ambulatory continuous glucose monitoring, physician-provided equipment — https://www.med-reveal.com/rates/95250-cpt-fee-schedule
- 95251: Ambulatory continuous glucose monitoring, analysis and interpretation — https://www.med-reveal.com/rates/95251-cpt-fee-schedule
- G0108: Diabetes outpatient self-management training, individual — https://www.med-reveal.com/rates/G0108-hcpcs-fee-schedule

Commercial negotiated rates for G0109 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules