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Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 7-9 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp...

HCPCS code

Name of the Procedure:

Medicare Diabetes Prevention Program (MDPP) Core Maintenance Sessions

  • Common Names: MDPP Core Maintenance Sessions, Diabetes Prevention Classes
  • Technical/Medical Term: G9876

Summary

The Medicare Diabetes Prevention Program (MDPP) Core Maintenance Sessions are structured educational sessions aimed at helping individuals manage their risk of developing type 2 diabetes. These sessions are part of a longer program designed to provide ongoing support and education to participants.

Purpose

The MDPP Core Maintenance Sessions are intended to help individuals prevent the onset of type 2 diabetes through lifestyle changes. The primary goals include achieving and maintaining a healthy weight, increasing physical activity levels, and adopting healthier eating habits.

Indications

  • Symptoms or Conditions: Pre-diabetes, high risk of type 2 diabetes
  • Patient Criteria: Must be a Medicare beneficiary who has completed the initial MDPP sessions and is deemed at risk for type 2 diabetes.

Preparation

  • Pre-Procedure Instructions: No specific preparation required.
  • Diagnostic Tests: Initial risk assessment for type 2 diabetes conducted during the earlier stages of the program.

Procedure Description

  1. Introduction and Goal Setting: A trained lifestyle coach introduces the session and sets goals.
  2. Educational Content: Topics may include healthy eating, increasing physical activity, and coping strategies.
  3. Interactive Activities: Group discussions, problem-solving exercises, and real-life application of lessons.
  4. Progress Tracking: Participants review their progress and set new goals for the upcoming months.
  • Tools/Equipment: Educational materials, progress-tracking charts, and sometimes digital tools for tracking activities and goals.
  • Anesthesia/Sedation: Not applicable.

Duration

Typically, each session lasts about 1-2 hours.

Setting

Sessions are often held in community centers, outpatient clinics, or virtually through telehealth platforms.

Personnel

  • Healthcare Professionals Involved: Trained lifestyle coaches, possibly supported by dietitians or nutritionists.

Risks and Complications

  • Common Risks: Minimal to none
  • Rare Risks: Very few, primarily related to physical activity recommendations. Any physical activity should be tailored to individual fitness levels to avoid injury.

Benefits

  • Expected Benefits: Reduced risk of developing type 2 diabetes, enhanced knowledge and skills for a healthier lifestyle, weight loss, improved physical fitness.
  • Timeline for Benefits: Benefits can be seen over the months following the sessions, with longer-term benefits as lifestyle changes are maintained.

Recovery

  • Post-Procedure Care: None required.
  • Recovery Time: Not applicable, as it is an educational program.
  • Follow-Up: Ongoing support sessions and goal tracking.

Alternatives

  • Other Options: Independent lifestyle changes, participation in other diabetes prevention programs offered by community organizations.
  • Pros and Cons: The structured and supportive environment of MDPP is beneficial compared to self-managed approaches, which might lack accountability and comprehensive education.

Patient Experience

  • During Procedure: Patients may feel encouraged, supported, and motivated through interactive and engaging sessions.
  • Post-Procedure: Patients usually feel more informed and empowered to make healthier life choices. Comfort measures include continuous support and access to resources for managing their health.

Medical Policies and Guidelines for Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 7-9 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp...

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