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After designating a single primary service for a claim, we evaluate that service in combination with each of the other procedure codes reported on the claim assigned to status indicator J1 (or certain add-on codes) to determine if there are paired code combinations that meet the complexity adjustment criteria

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For context, semaglutide alone produces roughly 15% in comparable populations

Ideally, although not feasible in a daily clinical practice, DLMO should be determined for each individual, and used as a timing reference for the prescription of melatonin

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