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This is not usually a problem for Threshold Substances (at least not now see below for historical injustices relating to Threshold Substances), as an adjustment is made, as set out in Technical Document TD2019DL, in order to avoid the risk of false positives arising from an athletes hydration status
Some insurers also demand prior authorization, documentation of failed weight loss attempts, and proof that lifestyle modifications alone have not worked
In addition to obesity, beneficiaries were coded with overweight if the following ICD-10 codes were identified in the claims with the same requirements as the CCW OBESITY flag: E66.3, Z68.25, Z68.26, Z68.27, Z68.28
Breastfeeding mothers should consult their healthcare provider before considering these treatments
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