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Switching Medications: In some cases, switching to an alternative diabetes medication that does not have hair loss as a side effect may be an option

Collectively this data sees the higher dose category now as 27.1% of all oral Wegovy scripts, up from 26.2% in week 22

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

Weeks 5-6: Step down to 0.5 mg weekly

Being weighed after a large lunch, while dehydrated from a workout, or in heavy clothing all affect the result