G9890 HCPCS - BRIDGE PAYMENT: A ONE-TIME PAYMENT FOR THE FIRST MEDICARE DIABETES PREVENTION PROGRAM (MDPP) CORE SESSION, CORE MAINTENANCE SESSION, OR ONGOING MAINTENANCE SESSION FURNISHED BY AN MDPP SUPPLIER TO AN MDPP BENEFICIARY DURING MONTHS 1-24 OF THE MDPP EXPANDED MODEL (EM) WHO HAS PREVIOUSLY RECEIVED MDPP SERVICES FROM A DIFFERENT MDPP SUPPLIER UNDER THE MDPP EXPANDED MODEL. A SUPPLIER MAY ONLY RECEIVE ONE BRIDGE PAYMENT PER MDPP BENEFICIARY

Code Information

HCPCS Code: G9890
Sequence Number: 0010
Short Description: Em bridge payment
Long Description: Bridge payment: a one-time payment for the first medicare diabetes prevention program (mdpp) core session, core maintenance session, or ongoing maintenance session furnished by an mdpp supplier to an mdpp beneficiary during months 1-24 of the mdpp expanded model (em) who has previously received mdpp services from a different mdpp supplier under the mdpp expanded model. a supplier may only receive one bridge payment per mdpp beneficiary
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

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

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

Field Name	Field Value
Healthcare Common Procedure Coding System Code	G9890
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	Bridge payment: a one-time payment for the first medicare diabetes prevention program (mdpp) core session, core maintenance session, or ongoing maintenance session furnished by an mdpp supplier to an mdpp beneficiary during months 1-24 of the mdpp expanded model (em) who has previously received mdpp services from a different mdpp supplier under the mdpp expanded model. a supplier may only receive one bridge payment per mdpp beneficiary
HCPCS Short Description	Em bridge payment
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