APR 12, 2024
Iheezo Provided in the Office Setting
Is Iheezo payable when provided in the office setting?
Answer:
- 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.