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Description

This is a federal requirement under the Medicaid Drug Rebate Program states cannot exclude FDA-approved diabetes drugs from their formularies

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R., Wefers J., and Meier J

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All codes are verified against the FY2026 ICD-10-CM code set, effective October 1, 2025 through September 30, 2026

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Scand J Public Health 39:3841

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Section 11: HCC Risk Adjustment, Why Your Codes Directly Affect Revenue HCC stands for Hierarchical Condition Category

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Research suggests a complex interplay between diabetes-related factors, such as hyperglycaemia, insulin resistance, and chronic inflammation, contributing to cognitive decline

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