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  • Iheezo Provided in the Office Setting

    Is Iheezo payable when provided in the office setting?


    • HCPCS code J2403 has been added to the CMS ASP pricing effective April 1, 2024.
    • CMS has indicated to vendors that this confirms separate payment in the office setting.
    • Currently there are no published national coverage determination, local coverage determination, or local coverage article policies, or Medicare Learning Network documents for this treatment.