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For example: Type 2 diabetes: HbA1c result within past 90 days Hypertension: blood pressure readings on at least two separate dates Dyslipidemia: lipid panel within past 12 months Obstructive sleep apnea: sleep study report or CPAP compliance data A diagnosis code alone (ICD-10 E11.9 for type 2 diabetes) without supporting lab data triggers a denial

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Oral thrush, increased risk of infection, and heart-related effects are among the most frequently reported concerns