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To develop an estimated impact of this policy, we began with CY 2024 outpatient claims data used, for claim lines with HCPCS codes assigned for payment through drug administration APCs 5691 through 5694 that contained modifier PO because the presence of this modifier indicates that such claims were billed for services furnished by an off-campus department of a hospital paid under the OPPS

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Patients with a personal or family history of medullary thyroid cancer should avoid this combination, as GLP-1 agonists carry a black-box warning for that condition

Understanding what to expect helps you distinguish normal adaptation from problematic reactions