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Lab testing is part of the initial screening by your medical provider to ensure you are medically eligible for weight loss treatment
This creates a situation where a Medicare patient with both type 2 diabetes and obesity might receive tirzepatide covered as Mounjaro for diabetes, with weight loss as a secondary benefit
Commenters explained that the resulting decrease in payment would not cover the costs to provide the service, especially because the modeling service described by HCPCS code G0562 happens on a different day than the treatment, but on the same high-cost device as the treatment
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