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If you already take medications to lower blood sugar, your healthcare provider might lower their dosages to reduce the risk of hypoglycemia

For the CY 2026 OPPS/ASC proposed rule, we proposed to assign CPT code 47384 and CPT code 55877 to APC 5362 and status indicator J1

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Conclusion: GLP-1s are highly effective for managing blood sugar and promoting weight loss, with added cardiovascular and other health benefits including decreasing rate/risk of 14 obesity related cancers (colon, endometrial, etc) as per MD Anderson

Your healthcare provider will need to document that you still meet all four of the aforementioned requirements, plus one new requirement: that youve lost at least 5% of your body weight since starting treatment with Zepbound