Medicare Diabetes Prevention Program 2025 Changes

The MDPP Expanded Model is intended to prevent Medicare beneficiaries with an indication of prediabetes from developing diabetes. Prevention of diabetes among this high-risk group of Medicare beneficiaries is expected to result in significant cost savings to the Medicare Program.

Effective 1/1/2025, CMS has removed the MDPP bridge payment (HCPCS code G9890) from the 2025 fee schedule and updated the payment rates. Claims will be denied for HCPCS code G9890 for dates of service on or 1/1/2025.

Additional updates can be found in the MLN® Booklet: Medicare Diabetes Prevention Program Expanded Model (MLN34893002).

Posted 3/24/2025