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The combination is considered emerging rather than evidence-based standard care, though practitioners use it in select cases to address metabolic resistance

Skilled nursing facilities (POS 31) and home-based care (POS 12) may also report 20610 when permitted by payer policy and scope-of-practice rules

Many Medicaid programs and some commercial payers require the National Drug Code (NDC) to be reported alongside the HCPCS J-code on the claim

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