Semaglutide injections contain a synthetic version of GLP-1, a natural hormone that regulates hunger and blood sugar
Given our proposal to maintain current New Technology APC assignments for CY 2026 for New Technology APC services with fewer than 10 claims in the 4-year lookback period due to an exception from the universal low-volume APC policy, we proposed, for CY 2026, to continue to assign CPT codes 0723T and 0724T to APC 1511 (New TechnologyLevel 11 ($901-$1000)), with a payment rate of $950.50
The two were paired together on the show, but were unfortunately eliminated after a few weeks
The shift is significant, but it comes with specific eligibility requirements, covered medications, and limitations worth knowing before you assume you qualify for Wegovy or Zepbound
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