{"data":{"id":"us/42-cfr-410.130","jurisdiction":"us","citation":"42 CFR 410.130","heading":"Definitions.","body":"For the purposes of this subpart, the following definitions apply:\nChronic renal insufficiency means the stage of renal disease associated with a reduction in renal function not severe enough to require dialysis or transplantation (glomerular filtration rate [GFR] 15-59 ml/min/1.73m 2).\nDiabetes means diabetes mellitus, a condition of abnormal glucose metabolism .\nEpisode of care means services covered in a 12-month time period when coordinated with initial diabetes self-management training (DSMT) and one calendar year for each year thereafter, starting with the assessment and including all covered interventions based on referral(s) from a physician as specified in § 410.132(c). The time period covered for gestational diabetes extends only until the pregnancy ends.\nMedical nutrition therapy services means nutritional diagnostic, therapeutic, and counseling services provided by a registered dietitian or nutrition professional for the purpose of managing diabetes or a renal disease.\nPhysician means a doctor of medicine or osteopathy legally authorized to practice medicine and surgery by the State in which he or she performs such function or action (including a physician within the meaning of section of 1101(a)(7) of the Act).\nRenal disease means chronic renal insufficiency, end-stage renal disease when dialysis is not received, or the medical condition of a beneficiary for 36 months after kidney transplant.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 410—SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS","Subpart G—Medical Nutrition Therapy"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"2f07efc0c11e80b14d2776122684753e70316ae64b719d5063bc32dc76a488e2","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-410.111","next":"us/42-cfr-410.132"},"notice":"GroundRules: Original legal text. Not legal advice."}