HCPCS Q0138 (Feraheme) Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Temporary Codes • Miscellaneous Drugs and Tests |
| Complexity Level | Low |
| 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
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS Q0138 | ||||||
United | Q0138 | $0.50 | 1326125097 - MURRAY SNOOK | 464599729 - LAMIA KADIR MD PA | TX | Family Medicine Physician (207Q00000X) |
United | Q0138 | $0.50 | 1578513933 - JEANNINE HOANG | 463429533 - UNITED DERMATOLOGY ASSOCIATES OF FLOWER MOUND PLLC | TX | Dermatology Physician (207N00000X) |
United | Q0138 | $0.48 | 1356819106 - ARTHRITIS AND RHEUMATOLOGY INSTITUTE, PLLC | 832484186 - ARTHRITIS AND RHEUMATOLOGY INSTITUTE PLLC | TX | Rheumatology Physician (207RR0500X) |
United | Q0138 | $0.48 | 1124069406 - NORA VALDES | 770600362 - NORA I VALDES MD PA | TX | Family Medicine Physician (207Q00000X) |
United | Q0138 | $0.50 | 1447631007 - TCH PEDIATRIC ASSOCIATES, INC. | 760460242 - TCH PEDIATRIC ASSOCIATES INC | TX | Pediatrics Physician (208000000X) |
United | Q0138 | $0.50 | 1922442813 - AUSTIN PLUMLEE | 311692697 - THE CAMELLIA FOUNDATION INC | TX | Family Medicine Physician (207Q00000X) |
United | Q0138 | $0.50 | 1396486619 - HARBOR HEALTH MEDICAL GROUP | 881114150 - HARBOR HEALTH MEDICAL GROUP | TX | Multi-Specialty Group (193200000X) |
United | Q0138 | $0.48 | 1043372055 - MARY BETH HARR | 455532566 - MARY BETH HARR MD PA | TX | Family Medicine Physician (207Q00000X) |
United | Q0138 | $0.37 | 1841855509 - MEMORIAL HERMANN PHYSICIANS | 832803102 - MEMORIAL HERMANN PHYSICIANS | TX | Multi-Specialty Group (193200000X) |
United | Q0138 | $0.48 | 1215270947 - QUILLAN HUANG | 741613878 - BAYLOR COLLEGE OF MEDICINE | TX | Internal Medicine Physician (207R00000X) |
United | Q0138 | $0.50 | 1366509382 - TEXAS HEALTH CARE, P.L.L.C. | 710892430 - TEXAS HEALTH CARE, P.L.L.C. | TX | Family Medicine Physician (207Q00000X) |
United | Q0138 | $0.50 | 1255362448 - GREGORY DAVIS | 461916273 - RATIONAL INTERGRATIVE MEDICINE PLLC | TX | Internal Medicine Physician (207R00000X) |
United | Q0138 | $0.50 | 1073049599 - HELENA JENKINSON | 260362185 - DERMSOUTH PA | TX | Dermatology Physician (207N00000X) |
United | Q0138 | $0.50 | 1538160635 - GAURI DAYAL | 202125997 - DAYAL FAMILY MEDICINE, P.A. | TX | Family Medicine Physician (207Q00000X) |
United | Q0138 | $0.36 | 1326636440 - UT PHYSICIANS | 760459500 - U T PHYSICIANS | TX | Pediatrics Physician (208000000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS 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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