icd 10 glp 1 use ICD-10 Coding Clinic Update (Q3 2020): Long Term of GLP-1 Antagonist with Anti-diabetic drugs What You Need to Know

prices starting at $149$299/month for eligible medications Manufacturer patient assistance programs Novo Nordisk and Eli Lilly both offer savings programs for qualifying low-income patients

For obesity alone, coverage follows the same optional state rules as Wegovy 13 states cover it as of early 2026

If you have obesity and heart disease or sleep apnea, Medicaid likely covers a GLP-1 in your state even if it doesnt cover obesity treatment generally

This guide breaks down diagnosis codes, ensuring clean claims and compliant billing for GLP-1 therapy

E11.69 Type 2 diabetes with other specified complications Use when: Diabetes leads to additional complications such as endocrine or metabolic issues requiring Ozempic therapy

The full guide continues with FY2026 ICD-10-CM code sets, CPT surgical coding, MS-DRG mapping, reimbursement guidance, CDI query templates, and an audit checklist all available to CCO Members