Four total medicare diabetes prevention program (mdpp) core sessions were attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of th...
HCPCS code
Name of the Procedure:
Medicare Diabetes Prevention Program (MDPP) Core Sessions
Common name(s): Medicare Diabetes Prevention, MDPP Core Sessions
Technical/medical terms: G9874
Summary
This procedure involves attending four core sessions of the Medicare Diabetes Prevention Program (MDPP). These sessions are designed to help Medicare beneficiaries with diabetes make lifestyle changes to improve their health.
Purpose
The MDPP core sessions aim to help individuals with prediabetes or those at high risk of developing type 2 diabetes. The primary goal is to assist participants in adopting healthier eating habits, increasing physical activity, and making other behavioral changes to prevent the onset of diabetes.
Indications
- Prediabetes diagnosis
- High risk of developing type 2 diabetes based on medical history or assessment
- Being a Medicare Part B beneficiary
Preparation
- No specific pre-procedure instructions; however, patients may benefit from discussing their goals and challenges with their MDPP supplier.
- Initial assessment might include measuring blood glucose levels, weight, and other vital statistics to tailor the program to individual needs.
Procedure Description
- Initial Assessment: A thorough evaluation of the patient's health, lifestyle, and diabetes risk.
Core Sessions (Months 1-6):
- Weekly Classes: Patients attend regular meetings, led by trained coaches.
- Education: Informational segments about nutrition, physical activity, and behavior change.
- Group Discussions: Sharing experiences, challenges, and successes with peers.
- Goal Setting: Individual goals for weight loss and increased physical activity.
Tools/Equipment: Instructional materials (e.g., handouts, videos), scales for weight tracking, and pedometers or fitness trackers.
No anesthesia or sedation is required.
Duration
Each core session typically lasts 60-90 minutes, with the four core sessions spread over the first six months of the program.
Setting
MDPP core sessions can be conducted at various settings, including local community centers, hospitals, outpatient clinics, or virtually via online platforms.
Personnel
- Trained MDPP Lifestyle Coaches
- Healthcare providers (e.g., dietitians, exercise specialists)
Risks and Complications
Since the procedure involves educational sessions and lifestyle guidance, there are minimal risks. Potential complications are limited to the usual risks associated with increased physical activity, which are managed by the MDPP coaches through proper screening and monitoring.
Benefits
- Improved awareness and knowledge about diabetes prevention
- Potential weight loss and increased physical activity
- Reduced risk of developing type 2 diabetes
Benefits might start to be realized within a few months and continue to improve with sustained lifestyle changes.
Recovery
- Continuous adherence to program suggestions and lifestyle changes
- Possible follow-up sessions or support groups after the core sessions to maintain progress
- No specific recovery time as this is an educational and lifestyle intervention program
Alternatives
- Individual dietary and lifestyle counseling
- Medication-based approaches for diabetes prevention (consult a healthcare provider)
- Other structured diabetes prevention programs or interventions
Pros and Cons:
- Individual counseling might offer more personalized attention but might lack the group support element.
- Medication can be effective but comes with possible side effects.
Patient Experience
Patients may experience feelings of increased motivation and support from group sessions. Discussions might evoke a range of emotions as participants share their journeys. Physical discomfort may occur when starting a new exercise regimen, but coaches provide tips and support for managing any pain or discomfort.