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Procedure Code J1559 to Become a Benefit of CSHCN

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Effective for dates of service on or after August 1, 2023, procedure code J1559 (Hizentra) will become a benefit of the Children with Special Health Care Needs (CSHCN) Services Program for clients of all ages.

CSHCN Services Program Benefits

Procedure code J1559 will be a benefit for the following provider types and places of service:

Place of Service

Provider Type

Office

Physician, Physician Assistant, Advanced Practice Registered Nurse, Clinical Nurse Specialist, Dentist providers

Home

Medical Supplier (Durable Medical Equipment [DME])

Outpatient Hospital

Hospital

For more information, call the TMHP-CSHCN Services Program Contact Center at 800-568-2413.