Diabetes Prevention Program (DPP)

Core Sessions (Months 0–6)

16 Sessions

Core Maintenance Sessions (Months 7–12)

First Interval 3 Sessions

Second Interval

3 Sessions

Attendance Only

1 session G9873*
4 sessions G9874*
9 sessions G9875*

2 sessions without 5% wt. loss G9876*

OR

2 sessions without 5% wt. loss G9877*

OR

Attendance and Wt. Loss

5% wt. loss not required for payment

Attend 2 sessions (with at least 5% wt. loss)

G9878*

Attend 2 sessions (with at least 5% wt. loss)

G9879*

Additional Codes

5% wt. loss achieved G9880*

9% wt. loss achieved G9881*

Bridge payment G9890*

*Must report attendance at sessions that performance goal is not required G9891*

Not applicable

Not applicable

Ongoing Maintenance Sessions Year 2 (Months 13–24)

First Interval 3 Sessions

Second Interval 3 Sessions

Third Interval 3 Sessions

Fourth Interval 3 Sessions

Attend 2 sessions with at least 5% wt. loss
G9882*

Attend 2 sessions with at least 5% wt. loss
G9883*

Attend 2 sessions with at least 5% wt. loss
G9884*

Attend 2 sessions with at least 5% wt. loss
G9885*

Core Sessions

HCPCS G-Code

Description

VM Allowed

G9873

Participant attended the first diabetes prevention program (DPP) core session

No

G9874

Participant attended a total of 4 DPP core sessions

Yes

G9875

Participant attended a total of 9 DPP core sessions

Yes

Core Maintenance Sessions

HCPCS G-Code

Description

VM Allowed

G9876

Participant attended 2 sessions within 7-9 months

Yes

G9877

Participant attended 2 sessions within 10-12 months

Yes

G9878

Participant attended 2 sessions within 7-9 months & achieved 5% weight loss from baseline weight (Use G9878 or G9876)

Yes

G9879

Participant attended 2 DPP sessions within 10-12 months & achieved 5% weight loss from baseline weight (Use G9879 or G9877)

Yes

Ongoing Maintenance Sessions

HCPCS G-Code

Description

VM Allowed

G9882

Participant attended 2 DPP sessions in months 13-15 & achieved 5% weight loss from baseline weight during the interval

Yes

G9883

Participant attended 2 DPP sessions in months 16-18 & achieved 5% weight loss from baseline weight during the interval

Yes

G9884

Participant attended 2 DPP sessions in months 19-21 and achieved the 5% weight loss from baseline weight during the interval

Yes

Additional Codes

HCPS G-Code

Description

VM Allowed

G9871

Behavioral counseling for diabetes prevention, 

online, 60 minutes

No

G9880

Participants achieved at least 5% weight loss from baseline weight in months 1-12. This is a one-time payment available when a participant 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.

No

G9881

Participants achieved at least 9% weight loss from baseline weight in months 1-24. This is a one-time payment available when a participant first achieves at least 9% weight loss from baseline as measured by an in-person weight measurement at a core session or ongoing maintenance session.

No

G9886

Behavioral counseling for diabetes prevention, 

in-person, group, 60 minutes

No

G9890 

Bridge payment: A one-time payment for the first DPP core session, core maintenance, or ongoing maintenance session provided by the provider organization to a participant during months 1-24. This occurs when a participant has received his/her first core session from a different DPP program provider. The provider may only receive one bridge payment per participant.

Yes

G9891 

DPP session reported as a line item on a claim for DPP program. This is a non-payable code for reporting services of the sessions provided by the DPP program to participants. (i.e. core sessions 2-3, 5-8, 10-16 and maintenance sessions before achieve of a performance goal.

Yes