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Both Mounjaro and Zepbound are billed under J3490 (unclassified drugs) in the physician office setting or C9399 (unclassified drugs or biologicals) in the hospital outpatient setting

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For estimation purposes, similar to the assumptions previously used for the STEMI and Excessive Radiation Dose or Inadequate Image Quality for Diagnostic CT in Adults eCQMs, we estimate 20 percent of HOPDs will voluntarily report one quarter of data for the measure in the CY 2027 reporting period, with 100 percent of HOPDs reporting the measure as required in subsequent years (86 FR 63962 and 63963, and 88 FR 82134)