While this is a real concern for the patient, the GPs decision is based on the established clinical effectiveness of the injection schedule
For CY 2026, we proposed to designate HCPCS codes G0562 and G0563 as low volume procedures under our universal low volume APC policy, given that there are only 16 claims for C9794 and 28 claims for C9795 during the claims period
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No claims are made regarding biological activity, safety, efficacy, or medical benefit