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These policies give CMS the ability to determine that the billing of one or more HCPCS or CPT codes represents significant, anomalous, and highly suspect billing activity for a calendar year that warrants adjustment to calculations made under 42 CFR part 425

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Retatrutide is a triple receptor agonist (CAS 2381089-83-2) that simultaneously stimulates GLP-1, GIP, and glucagon receptors, a fundamentally broader mechanism