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Prior authorization is often required, and the drug is typically placed in a higher tier, which can affect your out-of-pocket costs
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reserved for massive/limb-threatening DVT (phlegmasia cerulea dolens), PE with hemodynamic instability Compression therapy: Graduated compression stockings reduces post-thrombotic syndrome risk IVC filter placement: CPT 37193 reserved for patients with anticoagulation contraindication or recurrent PE Mechanical thrombectomy: CPT 37187/37188 catheter-directed mechanical thrombectomy for extensive proximal DVT Documentation of anticoagulation therapy triggers the additional code Z79.01 (long-term use of anticoagulants) when the anticoagulant is prescribed for ongoing use beyond the acute episode
Peptide protocols are not always one-size-fits-all
