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The distinction between CPT 20605 (intermediate joints) and CPT 20610 (major joints) matters most for elbow, wrist, and ankle claims: the primary large articulations at these locations (tibiotalar, humeroulnar, and radiocarpal) qualify for CPT 20610, while smaller associated articulations at the same anatomical region qualify for CPT 20605

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Semaglutide is often preferred for patients with milder weight-loss goals or histories of severe GI side effects, because tirzepatide tends to produce stronger nausea during titration

Patients whose labs improved but fatigue, sleep disruption, or focus issues did not meaningfully change