HCPCS codes / G / G9879
G9879
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 mdpp supplier during months 7 through 12 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 10-12
- Code type
- HCPCS Level II
- Coverage
- Carrier judgment
- BETOS category
- Y1
- Pricing indicator
- 00
- Effective date
- 20180401
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.