Yet, some patients may not want to stay on injectable versions of GLP-1 weight loss drugs, such as semaglutide and tirzepatide, long term
Non-Facility Reimbursement Differences Non-facility (office): Higher reimbursement Facility-based (hospital outpatient): Often lower due to bundled payment systems Add-On Costs or Related Billable Services You may bill separately for: J-codes (drug supply) Office visits (if medically necessary and separately identifiable) Additional injections using units of 96372 or related codes Payment Variation Based on Place of Service (POS) POS codes strongly impact reimbursement
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GLP-1 analogues, such as semaglutide, are prescribed for people with type 2 diabetes, including those with the condition who have obesity, in order to promote weight loss and improve control of blood sugars
Diabetes Care 43 , 28592869 (2020)