Question 1

Does G0138 require prior authorization?

Accepted Answer

No, G0138 does not require prior authorization (low confidence). No active coverage policies found for this code.

Question 2

What is the Medicare reimbursement rate for G0138?

Accepted Answer

Medicare facility rate: $196.40. Non-facility rate: $196.40. Work RVU: 0.21.

`G0138` — 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

Prior Authorization