42 CFR § 410.130 - Definitions.

---
identifier: "/us/cfr/t42/s410.130"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 410.130 - Definitions."
title_number: 42
title_name: "Public Health"
section_number: "410.130"
section_name: "Definitions."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "B"
subchapter_name: "MEDICARE PROGRAM"
part_number: "410"
part_name: "SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302, 1395m, 1395hh, 1395rr, and 1395ddd."
regulatory_source: "51 FR 41339, Nov. 14, 1986, unless otherwise noted."
cfr_part: "410"
---


# 410.130 Definitions.

For the purposes of this subpart, the following definitions apply:

*Chronic 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 
<sup>2</sup>).

*Diabetes* means diabetes mellitus, a condition of abnormal glucose metabolism .

*Episode 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.

*Medical 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.

*Physician* 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).

*Renal 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.

[66 FR 55331, Nov. 1, 2001, as amended at 68 FR 63261, Nov. 7, 2003; 86 FR 65667, Nov. 19, 2021; 88 FR 79529, Nov. 16, 2023]