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May 2025 Updates: Highmark Network Update: Utilization Management (UM) Update for Weight Loss Drugs Carriers continue to assess their standpoint surrounding coverage for GLP-1 medications to determine how Utilization Management policy may need to be structured

(145(6)):770-775 doi:10.1159/000515012

This table shows that while hematochezia is placed firmly in Chapter XI, coders must also be aware of other chapters when the symptom is secondary to neoplasms or trauma