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Key Coding Tip Always verify whether the drug is billed under: Medical benefit (buy-and-bill model) Pharmacy benefit (retail or specialty pharmacy) CPT Coding for GLP-1 Related Visits GLP-1 prescriptions are commonly tied to E/M visits, obesity counseling, or diabetes management

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Imaging and biomarker assessments (such as for inflammation or cartilage changes) are typically missing, leaving the underlying mechanisms uncertain

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