icd 10 glp 1 use ICD-10 Coding Clinic Update (Q3 2020): Long Term of GLP-1 Antagonist with Anti-diabetic drugs What are the ICD-10 codes

Clear documentation and accurate coding allow providers to focus more on patient care and less on administrative complications

For obesity alone, coverage follows the same optional state rules as Wegovy 13 states cover it as of early 2026

When a complication of obesity (e.g., OA knee, HTN, DM2) is the reason for the encounter, the complication is principal and E66.xx is secondary

Lack of Medical Necessity: Document A1C levels, prior medication failures, and the clinical rationale for prescribing Ozempic

For obesity alone, only about 13 states cover it under fee-for-service as of 2026

If your practice needs support with Ozempic billing, prior authorization, or ICD-10 accuracy, HMS USA LLC is ready to help