Diabetes Screening and Prevention

Published 03/21/2021

The Centers for Medicare & Medicaid Services (CMS) offers many resources to assist you when billing for diabetes screening and Diabetes Prevention Program (MDPP) services.

  • CMS MLN Medicare Preventive Services Educational Tool — includes codes, who is covered, frequency, and what the beneficiary pays 
  • CMS IOM Pub. 100-04, Medicare Claims Processing Manual, Chapter 18 (PDF, 1.27MB), Section 90 — Diabetes Screening

Diabetes Prevention Program (MDPP) Expanded Model Resources
The Medicare Diabetes Prevention Program expanded model is a structured intervention with the goal of preventing type 2 diabetes in individuals with an indication of prediabetes. To learn more about MDPP please see the resources listed below:

Suppliers new to Medicare billing should go to the New to Medicare section.