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May 2025 Updates: Highmark Network Update: Utilization Management (UM) Update for Weight Loss Drugs Carriers continue to assess their standpoint surrounding coverage for GLP-1 medications to determine how Utilization Management policy may need to be structured

Week 14 begins at 0.25 mg weekly, then increases to 0.5 mg for weeks 58, followed by 1.0 mg for weeks 912, and continuing upward by 0.25 mg increments every 4 weeks until your provider determines your therapeutic target

This table shows that while hematochezia is placed firmly in Chapter XI, coders must also be aware of other chapters when the symptom is secondary to neoplasms or trauma

Its often best to rotate between a few different areas

First, convert milligrams (mg) to micrograms (mcg): 10mg = 10,000mcg