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4.5
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Description

They support ongoing nourishment and are suitable for individuals looking for preventative care or maintenance post-treatment

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For women, this means having no more than 1,400 calories a day or 1,900 calories for men

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We also note that our adoption of a market-based methodology does not preclude continued engagement with interested parties to identify further improvements to our payment systems

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After consideration of the public comment, we are finalizing our proposal, without modification, to assign CPT code 68841 to APC 5503 with OPPS status indicator Q1 (STV Packaged Codes) for CY 2026, which typically means there will be a packaged APC payment if this code is billed on the same claims as a HCPCS code assigned to status indictor S, T, or V (Clinic or Emergency Department Visit)

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The Mounjaro FDA prescribing information does not list local injection-site reactions on their own as a reason to discontinue

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