Nine 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 Session
Common names: MDPP core session, Diabetes prevention session
Technical terms: Medicare Diabetes Prevention Program Core Session - G9875
Summary
The MDPP core sessions are structured educational classes designed to help individuals with prediabetes reduce their risk of developing type 2 diabetes through lifestyle changes. These sessions are part of a series that focuses on healthy eating, physical activity, and weight management.
Purpose
The MDPP core sessions aim to prevent the onset of type 2 diabetes in people who have been diagnosed with prediabetes. The primary goals are:
- To promote weight loss
- To encourage regular physical activity
- To provide knowledge and tools for healthier lifestyle choices
Indications
Specific Symptoms or Conditions:
- Diagnosed with prediabetes (elevated blood sugar levels that are not yet high enough to be classified as diabetes)
Patient Criteria:
- Adults aged 18 or older
- Body Mass Index (BMI) of 25 or higher (23 or higher if Asian)
- Result from a recent blood test indicating prediabetes
Preparation
Pre-procedure instructions:
- No specific fasting or medication adjustments are required for attending sessions.
Participants are encouraged to come prepared with comfortable clothing suitable for light physical activity.
Diagnostic Tests:
Recent blood test confirming prediabetes (e.g., A1C, fasting plasma glucose, or oral glucose tolerance test)
Procedure Description
Step-by-step Explanation:
- Arrival and Registration: Participants sign in and gather for the session.
- Educational Component: The session leader provides information on lifestyle changes, focusing on diet and exercise.
- Group Discussion: Participants discuss their experiences, challenges, and successes.
- Physical Activity: Light group exercise or instruction on at-home activities.
- Goal Setting: Each participant sets personal goals for the upcoming weeks based on the session's focus.
- Q&A: Participants have the opportunity to ask questions.
Tools, Equipment, or Technology:
- Educational materials (booklets, handouts)
- Basic exercise equipment (if physical activity is involved)
Anesthesia or Sedation:
- Not applicable
Duration
Each core session typically lasts about 1 to 2 hours.
Setting
MDPP core sessions are often held in community centers, outpatient clinics, or other accessible community locations.
Personnel
- MDPP suppliers (qualified instructors or coordinators)
- Healthcare professionals with expertise in diabetes prevention and lifestyle coaching
Risks and Complications
Common Risks:
- Minimal risk as sessions are educational and focus on lifestyle changes.
Possible Complications:
- Low risk of injury during physical activity, managed by ensuring all exercises are light and within participants' capabilities.
Benefits
- Reduced risk of progressing to type 2 diabetes.
- Improved overall health through better dietary habits and increased physical activity.
- Weight loss and improved physical fitness.
Recovery
Post-procedure Care:
- Adherence to the lifestyle changes recommended during sessions.
- Regular self-monitoring and goal tracking.
Expected Recovery Time:
- Immediate application of lifestyle changes. Long-term benefits are realized over months and years with consistent effort.
Follow-up:
- Attendance in subsequent core sessions and follow-up sessions to sustain lifestyle changes.
Alternatives
Other Treatment Options:
- Medical management with medications such as metformin.
- Bariatric surgery (in cases of severe obesity).
Pros and Cons of Alternatives:
- Medications: May help manage blood sugar levels but come with potential side effects.
- Bariatric surgery: Effective for significant weight loss and blood sugar control but involves surgical risks and recovery time.
Patient Experience
During the Procedure:
- Participants might feel motivated and supported through group interaction and personalized guidance.
- Light physical discomfort may occur during group exercises.
Pain Management and Comfort Measures:
- Sessions are structured to be supportive and encouraging, minimizing discomfort.
- Participants are encouraged to go at their own pace during physical activities.