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For CY 2023, we assigned HCPCS code C9779 to APC 5303 (Level 3 Upper GI Procedures) after receiving public comments that stated that the ESD procedure's resource requirements and geometric mean cost were more similar to the resource requirements and geometric mean costs of procedures found in APC 5303

The addition of glucagon receptor activation in Retatrutide provides an energy expenditure and thermogenic component that the other two lack, making it unique in the lean stack protocol