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See a sample rate comparisonHCPCS Q0138 (Feraheme) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-ESRD use)
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Miscellaneous Drugs and Tests |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for Q0138 |
| Medicare Payment Limit | $0.324  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS Q0138 by major payers:
$0.43
$0.48
$0.56
$0.40
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HCPCS Q0138
5 of 25 sample ratesHigher to lower in this preview
Michael Wu
Kelsey-Seybold Medical Group PLLC
$7.24Published rateArchana Chandra
Archana Chandra Md PA
$0.50Published rateBarbara Murphy
Hospice Of Wichita Falls Inc
$0.48Published rateClinica Md LLC
$0.48Published rateDfw Oba PLLC
$0.36Published rate
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See a sample payer proposalHCPCS Q0138 vs. Other Miscellaneous Drugs and Tests Codes
The HCPCS Q0138 code is part of the Temporary Codes services used for Miscellaneous Drugs and Tests. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS Q0138 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| Q0115-HCPCS | Low | Post-coital direct, qualitative examinations of vaginal or cervical mucous |
| Q0138-HCPCS | Low | Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-ESRD use) |
| Q0139-HCPCS | Low | Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for ESRD on dialysis) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q0138. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q0138 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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