G9873 HCPCS - FIRST MEDICARE DIABETES PREVENTION PROGRAM (MDPP) CORE SESSION WAS 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 THE MDPP SERVICES PERIOD; (2) IS APPROXIMATELY 1 HOUR IN LENGTH; AND (3) ADHERES TO A CDC-APPROVED DPP CURRICULUM FOR CORE SESSIONS

Code Information

  • HCPCS Code: G9873
  • Sequence Number: 0010
  • Short Description: 1 em core session
  • Long Description: First medicare diabetes prevention program (mdpp) core session was 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 the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for core sessions
  • Date Added: 4/1/2018
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 4/1/2018
  • Classification: Temporary Procedures & Professional Services
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: Y1 - Other - Medicare fee schedule
  • Type Of Service Code:
    • 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Billing Information

  • Pricing Indicator Code:
    • 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
  • Multiple Pricing Indicator Code: 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
  • Coverage Issues Manual Reference Section Number:
      N/A
    • Medicare Carriers Manual Reference Section Number:
        N/A
      • Coverage Code: C - Carrier judgment

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code G9873
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description First medicare diabetes prevention program (mdpp) core session was 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 the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for core sessions
      HCPCS Short Description 1 em core session
      HCPCS Pricing Indicator Code 1 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
      HCPCS Multiple Pricing Indicator Code 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
      HCPCS Coverage Code C - Carrier judgment
      HCPCS Berenson-Eggers Type Of Service Code Y1 - Other - Medicare fee schedule
      HCPCS Type Of Service Code 1 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 4/1/2018
      HCPCS Action Effective Date 4/1/2018
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 7/1/2024