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VA coverage for Zepbound requires documented BMI criteria, comorbidities, and participation in the MOVE
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The 2026 Medicare rates for CPT 20610 vary by site of service: the physician office rate is $68.81 nationally, the hospital outpatient department rate reaches $313.60 under APC 5441, and the ambulatory surgery center rate is $38.94 under the CMS ASC payment system
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