Search all medical codes

Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 13-15 under the mdpp expanded model (em). an ongoing maintenance session is an mdpp service that: (1) is furnished by...

HCPCS code

Name of the Procedure:

Common name(s): Medicare Diabetes Prevention Program ongoing maintenance sessions
Technical/medical term: MDPP Ongoing Maintenance Sessions (HCPCS Code: G9882)

Summary

The Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sessions are part of a structured health program aimed at supporting individuals diagnosed with prediabetes in managing their health. These sessions take place in months 13-15 of the program under the MDPP expanded model.

Purpose

The purpose of these ongoing maintenance sessions is to continue supporting weight loss and healthy lifestyle changes, thereby reducing the risk of progression from prediabetes to type 2 diabetes. The expected outcome is sustained weight management and overall health improvement.

Indications

  • Diagnosed prediabetes (elevated blood glucose levels)
  • Previous participation in the MDPP core sessions
  • Patients who have met weight loss and attendance benchmarks in the first year of the MDPP

Preparation

  • No specific preparation is required for the maintenance sessions.
  • Patients should bring any self-monitoring logs, such as food diaries or physical activity records, if applicable.

Procedure Description

  1. The ongoing maintenance session typically consists of a structured group meeting led by a trained lifestyle coach.
  2. The sessions focus on reinforcing positive behavior changes, problem-solving, and overcoming barriers to maintaining a healthy lifestyle.
  3. Topics may include dietary habits, physical fitness, stress management, and coping strategies.
  4. The tools used can include educational materials, group discussions, and practical activities.

Duration

Each maintenance session generally lasts about 1 hour.

Setting

These sessions are typically conducted in community health settings such as outpatient clinics, wellness centers, or via virtual platforms.

Personnel

  • Trained lifestyle coaches
  • Healthcare educators

Risks and Complications

  • There are minimal risks associated with attending educational and support sessions.
  • Some patients may experience feelings of frustration or discouragement if they do not meet personal goals.

Benefits

  • Improved weight management and reduction in the risk of developing type 2 diabetes.
  • Enhanced knowledge and skills for leading a healthier lifestyle.
  • Peer support and encouragement.

Recovery

  • No recovery period is needed.
  • Patients are encouraged to apply lifestyle changes discussed in the session in their daily life.

Alternatives

  • Independent lifestyle modification programs.
  • Counseling with a dietitian or nutritionist.
  • Medical management of blood glucose levels through pharmacotherapy.

Pros of Alternatives: Personalized attention, tailored interventions. Cons of Alternatives: May lack the structured, peer support environment of the group sessions.

Patient Experience

  • Patients may feel motivated and supported through group discussions and peer interactions.
  • Some individuals might feel challenged by the required lifestyle changes but will receive guidance and encouragement to persevere.
  • Pain management and comfort measures are generally not applicable, as the procedure is non-invasive and educational.

Medical Policies and Guidelines for Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 13-15 under the mdpp expanded model (em). an ongoing maintenance session is an mdpp service that: (1) is furnished by...

Related policies from health plans

Similar Codes