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Three HCC tiers for diabetes (CMS-HCC V28, current as of 20252026): HCC 36: Diabetes with acute complications (highest risk weight) HCC 37: Diabetes with chronic complications: neuropathy, nephropathy, retinopathy, circulatory problems HCC 38: Diabetes without complications (E11.9), lowest risk weight Note: Older resources may reference V24 numbers (HCC 17, 18, 19)

Absolute contraindications include personal or family history of medullary thyroid cancer or Multiple Endocrine Neoplasia syndrome type 2 (MEN2)

A study in the Journal of Nutrition demonstrated how patients were able to maintain weight loss and metabolic improvements 12-months post-therapy when engaged in regular nutrition coaching