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Medicaid Agencies → Coding & Billing

 

Coding & Billing

 
The sustainability of the National Diabetes Prevention Program (National DPP) lifestyle change program in Medicaid will depend on providers’ (CDC-recognized organizations) ability to bill and code for their services within a Medicaid claims system. The purpose of these sections is to provide a framework to ensure the National DPP lifestyle change program is reimbursed appropriately and in a timely manner.

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This section provides information on the diagnoses (ICD) and procedure (CPT) codes that can be used by CDC-recognized organizations. This section will continue to evolve as new codes are developed and processes change over time.

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This section provides information on the claims-based billing model as a guide for Medicaid agencies covering the National DPP lifestyle change program. It also provides details on preparing and transmitting claims and specific compliance considerations.