G9885 HCPCS - TWO MEDICARE DIABETES PREVENTION PROGRAM (MDPP) ONGOING MAINTENANCE SESSIONS (MS) WERE ATTENDED BY AN MDPP BENEFICIARY IN MONTHS (MO) 22-24 UNDER THE MDPP EXPANDED MODEL (EM). AN ONGOING MAINTENANCE SESSION IS AN MDPP SERVICE THAT: (1) IS FURNISHED BY AN MDPP SUPPLIER DURING MONTHS 13 THROUGH 24 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 MAINTAINED AT LEAST 5% WEIGHT LOSS (WL) FROM HIS/HER BASELINE WEIGHT, AS MEASURED BY AT LEAST ONE IN-PERSON WEIGHT MEASUREMENT AT AN ONGOING MAINTENANCE SESSION IN MONTHS 22-24

Code Information

HCPCS Code: G9885
Sequence Number: 0010
Short Description: 2 em ongoing ms mo 22-24 wl
Long Description: Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 22-24 under the mdpp expanded model (em). an ongoing maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 13 through 24 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 maintained at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 22-24
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	G9885
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	Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 22-24 under the mdpp expanded model (em). an ongoing maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 13 through 24 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 maintained at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 22-24
HCPCS Short Description	2 em ongoing ms mo 22-24 wl
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

Code Information

Code Type

Billing Information

HCPCS Record

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