0403T Diabetes preventive standard curr
Also known as: diabetes prevention program, lifestyle intervention, DPP
Diabetes prevention program with standardized curriculum and materials. Structured lifestyle intervention program for prediabetes management.
In Plain Language
Diabetes prevention course; Lifestyle change program for high blood sugar
Clinical Context
Used for prediabetic patients at risk for diabetes. Reduces diabetes incidence through weight loss and lifestyle modification.
RVU Information
CPT 0403T does not have a physician work RVU assigned by CMS. Category III codes for emerging technology do not receive RVU assignments. Reimbursement is negotiated with individual payers.
Billing & Documentation
Category III codes are temporary codes for emerging technology, services, and procedures. They are not assigned RVU values by CMS. Coverage and reimbursement vary by payer — check with individual insurers before billing. These codes sunset after 5 years if not converted to Category I.
Specialties
Frequently Asked Questions
What is CPT code 0403T?
CPT 0403T (Diabetes preventive standard curr) is a Category III code. Diabetes prevention program with standardized curriculum and materials. Structured lifestyle intervention program for prediabetes management.
Is 0403T a permanent CPT code?
No — 0403T is a Category III temporary code for emerging technology. It may be converted to a permanent Category I code if widely adopted. Category III codes expire after 5 years without renewal.
When is CPT 0403T used?
Used for prediabetic patients at risk for diabetes. Reduces diabetes incidence through weight loss and lifestyle modification.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.