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Many pharmacy benefit managers (PBMs) have implemented edits that flag or deny compounded GLP-1 claims automatically, requiring manual overrides or appeals

The CPT Code 20610 is used for the procedure in which aspiration (removal of fluid) and/or injection into a joint or bursa is performed

Second, we proposed in 424.527(b) that the effective date of the PPEO's commencement is the date on which the new provider or supplier submits its first claim (rather than, for example, the date the first service was performed or the effective date of the ownership change)