Eligible individuals include: Those with a body mass index (BMI) of 35 or higher, or Those with a BMI of 30 or higher who also have at least one qualifying medical condition, including: High blood pressure Prediabetes A previous heart attack or stroke Blocked arteries Chronic kidney disease Heart failure The pilot marks the first time Medicare has covered medications prescribed specifically for weight loss
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The results from the other three clinical trials have been similarly mixed, and because they did not use the rigorous, controlled-trial methodology used in the 2017 study, it is unwise to integrate or compare results
These medications represent a new frontier in addressing complex metabolic challenges
They're not interchangeable, and the difference between CPT code 96372 and 90471 comes down to one question: is the drug a vaccine or a therapeutic agent