HCPCS code G0138 — Iv cipaglucosidase alfa-atga.
Status: Active.
Effective Apr 1, 2024.
Source: CMS HCPCS Level II.
G0138
ActiveIv cipaglucosidase alfa-atga
Intravenous infusion of cipaglucosidase alfa-atga, including provider/supplier acquisition and clinical supervision of oral administration of miglustat in preparation of receipt of cipaglucosidase alfa-atga
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Apr 1, 2024
Code type:
alphanumeric
OPPS Status:
S
— Significant procedure — not subject to multiple procedure reduction
OPPS APC:
1508
MUE — Medically Unlikely Edits
Maximum units of G0138 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2024-Q2Iv cipaglucosidase alfa-atga