Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 10-12 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdp...
HCPCS code
Name of the Procedure
Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (G9879).
Summary
The Medicare Diabetes Prevention Program (MDPP) helps individuals at risk for diabetes maintain healthy lifestyle changes through support and education. These core maintenance sessions focus on long-term maintenance of healthy behaviors.
Purpose
The MDPP aims to reduce the risk of developing type 2 diabetes by helping participants maintain weight loss and sustain healthy lifestyle changes through continued support.
Indications
The procedure is appropriate for individuals who have completed core sessions of the MDPP and have reached months 10-12 in the program. Participants typically include those who have been diagnosed as prediabetic and who meet specific Medicare criteria for weight and glucose levels.
Preparation
Participants should come prepared to discuss their progress and challenges faced in maintaining lifestyle changes. No special diagnostic tests are generally required beforehand.
Procedure Description
- Enrollment: The beneficiary is enrolled in the MDPP program.
- Core Maintenance Session: Consists of structured support sessions to reinforce and maintain healthy habits.
- Session Activities: Sessions may include educational talks, group discussions, diet and exercise planning, and progress monitoring.
- Tools and Equipment: May include educational materials, scales for weight tracking, and activity tracking tools.
- Instructors: Sessions are typically led by trained lifestyle coaches.
Duration
Each core maintenance session generally lasts about one hour.
Setting
These sessions are usually conducted in outpatient settings such as diabetes education centers, community centers, or virtually.
Personnel
- Trained lifestyle coaches or educators.
- Supporting staff for administrative tasks.
Risks and Complications
- Minimal risks are associated as this involves educational and lifestyle coaching sessions.
- Potential for emotional stress if participants find it challenging to maintain changes.
Benefits
- Reduced risk of developing type 2 diabetes.
- Improved overall health and wellness.
- Establishment and maintenance of healthy lifestyle habits.
- Continuous support to keep on track with weight and glucose management.
Recovery
No physical recovery is necessary. Participants are expected to continue their daily activities and follow the lifestyle recommendations provided by the program.
Alternatives
- Independent diet and exercise programs.
- One-on-one nutritional counseling.
Online diabetes prevention programs.
Pros of MDPP:
- Structured and evidence-based.
Group support.
Cons of alternatives:
- May lack structured and continuous follow-up.
- May not be covered by Medicare.
Patient Experience
Participants might feel encouraged and motivated by group support. The sessions are designed to be interactive and supportive, helping participants feel empowered to maintain healthy behaviors. Pain is not a factor, and discomfort is generally minimal, related more to emotional and motivational aspects rather than physical.