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Cheng-Han Chen, MD, a board certified interventional cardiologist and medical director of the Structural Heart Program at MemorialCare Saddleback Medical Center in Laguna Hills, CA, who was also not involved in the study, said: This study suggests that patients overall receive a benefit to cardiovascular health with semaglutide early in their treatment course even before losing significant body weight

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Therefore, coders should: Verify payer-specific administration requirements Review NCCI edits Confirm medical necessity Validate modifier usage Confirm HCPCS drug codes Furthermore, many payers require detailed drug documentation before reimbursing high-cost injectable medications

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