icd 10 glp 1 use semaglutide long term icd 10 ICD-10-CM Diabetes Coding Guidelines Simplified GLP-1 receptor agonists' impact on

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

Documenting long-term use

They tell you to use the code if the patient is using an injectable non-insulin antidiabetic drug such as Trulicity or Victoza and any other injectable GLP-1 receptor agonist, in addition to insulin, coded with Z79.4 ( Long term (current) use of insulin ), or oral diabetes drugs, such as metformin, coded to Z79.84 ( Long term (current) use of oral hypoglycemic drugs )

AHA Coding Clinic (Recent Guidance) The following represents coding guidance and principles from AHA Coding Clinic relevant to obesity and BMI coding

When combined with obstructive sleep apnea (G47.33), the resulting condition OHS is a distinct, more severe diagnosis than OSA alone

Indexing Coders should reference the FY2026 ICD-10-CM Tabular and Alphabetic Index (CMS) for the following main terms and subterms: 11