ValueSet-2.16.840.1.113762.1.4.1160.17

This value set contains 47 concepts

Code	System	Display
0403T	http://www.ama-assn.org/go/cpt	Preventive behavior change, intensive program of prevention of diabetes using a standardized diabetes prevention program curriculum, provided to individuals in a group setting, minimum 60 minutes, per day
0488T	http://www.ama-assn.org/go/cpt	Preventive behavior change, online/electronic structured intensive program for prevention of diabetes using a standardized diabetes prevention program curriculum, provided to an individual, per 30 days
1013547	http://www.ama-assn.org/go/cpt	Medical Nutrition Therapy Procedures
1013548	http://www.ama-assn.org/go/cpt	Medical nutrition therapy
103699006	http://snomed.info/sct	Patient referral to dietitian (procedure)
170752001	http://snomed.info/sct	Has seen dietitian - diabetes (finding)
306353006	http://snomed.info/sct	Referral to community-based dietitian (procedure)
306354000	http://snomed.info/sct	Referral to hospital-based dietitian (procedure)
386373004	http://snomed.info/sct	Nutrition therapy (regime/therapy)
398773005	http://snomed.info/sct	Diabetes self-monitoring health education (procedure)
405096004	http://snomed.info/sct	Diabetes self-management behavior (observable entity)
413597006	http://snomed.info/sct	Attended diabetes structured education program (finding)
415270003	http://snomed.info/sct	Referral to diabetes structured education program (procedure)
453691000124103	http://snomed.info/sct	Referral to certified diabetes educator (procedure)
459991000124105	http://snomed.info/sct	Referral to diabetes prevention program (procedure)
460001000124100	http://snomed.info/sct	Referral to CDC-recognized diabetes prevention program (procedure)
698610002	http://snomed.info/sct	Education about self management of diabetes (procedure)
699826006	http://snomed.info/sct	Lifestyle education regarding risk of diabetes (procedure)
97802	http://www.ama-assn.org/go/cpt	Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes
97803	http://www.ama-assn.org/go/cpt	Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes
97804	http://www.ama-assn.org/go/cpt	Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes
G0108	http://www.nlm.nih.gov/research/umls/hcpcs	Diabetes outpatient self-management training services, individual, per 30 minutes
G0109	http://www.nlm.nih.gov/research/umls/hcpcs	Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes
G0270	http://www.nlm.nih.gov/research/umls/hcpcs	Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes
G0271	http://www.nlm.nih.gov/research/umls/hcpcs	Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes
G0447	http://www.nlm.nih.gov/research/umls/hcpcs	Face-to-face behavioral counseling for obesity, 15 minutes
G0473	http://www.nlm.nih.gov/research/umls/hcpcs	Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes
G9873	http://www.nlm.nih.gov/research/umls/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
G9874	http://www.nlm.nih.gov/research/umls/hcpcs	Four total medicare diabetes prevention program (mdpp) core sessions were 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
G9875	http://www.nlm.nih.gov/research/umls/hcpcs	Nine total medicare diabetes prevention program (mdpp) core sessions were 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
G9876	http://www.nlm.nih.gov/research/umls/hcpcs	Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 7-9 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 did not achieve 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 7-9
G9877	http://www.nlm.nih.gov/research/umls/hcpcs	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 did not achieve 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
G9878	http://www.nlm.nih.gov/research/umls/hcpcs	Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 7-9 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 7-9
G9879	http://www.nlm.nih.gov/research/umls/hcpcs	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
G9880	http://www.nlm.nih.gov/research/umls/hcpcs	The mdpp beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight in months 1-12 of the mdpp services period under the mdpp expanded model (em). this is a one-time payment available when a beneficiary first achieves at least 5% weight loss from baseline as measured by an in-person weight measurement at a core session or core maintenance session
G9881	http://www.nlm.nih.gov/research/umls/hcpcs	The mdpp beneficiary achieved at least 9% weight loss (wl) from his/her baseline weight in months 1-24 under the mdpp expanded model (em). this is a one-time payment available when a beneficiary first achieves at least 9% weight loss from baseline as measured by an in-person weight measurement at a core session, core maintenance session, or ongoing maintenance session
G9882	http://www.nlm.nih.gov/research/umls/hcpcs	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 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 13-15
G9883	http://www.nlm.nih.gov/research/umls/hcpcs	Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 16-18 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 16-18
G9884	http://www.nlm.nih.gov/research/umls/hcpcs	Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 19-21 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 19-21
G9885	http://www.nlm.nih.gov/research/umls/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
G9890	http://www.nlm.nih.gov/research/umls/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
G9891	http://www.nlm.nih.gov/research/umls/hcpcs	Mdpp session reported as a line-item on a claim for a payable mdpp expanded model (em) hcpcs code for a session furnished by the billing supplier under the mdpp expanded model and counting toward achievement of the attendance performance goal for the payable mdpp expanded model hcpcs code (this code is for reporting purposes only)
S9449	http://www.nlm.nih.gov/research/umls/hcpcs	Weight management classes, non-physician provider, per session
S9452	http://www.nlm.nih.gov/research/umls/hcpcs	Nutrition classes, non-physician provider, per session
S9470	http://www.nlm.nih.gov/research/umls/hcpcs	Nutritional counseling, dietitian visit
SW	http://www.ama-assn.org/go/cpt	Services provided by a certified diabetic educator
VM	http://www.ama-assn.org/go/cpt	Medicare diabetes prevention program (mdpp) virtual make-up session