Injection of immune globulin (Cuvitru), 100 mg

Description

Cuvitru is a subcutaneous immune globulin preparation used for patients with primary immunodeficiency. This injection provides 100 mg of immune globulin to help boost the immune response and reduce the risk of infections.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

$16.68

Patient Copayment / Coinsurance

$3.34

Calculation breakdown:

Minimum (20% of rate)$3.34

Medicare Ambulatory Surgical Center Reimbursement (ASC)

ASC Payment Rate

$16.68

Patient Copayment / Coinsurance

$3.34

Standard copayment (20%):$3.34

Top Modifiers

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HCPCS/CPT JBSubcutaneous administration of medication(75.76%)

HCPCS/CPT KXDocumentation requirements met for DMEPOS items(29.63%)

HCPCS/CPT JZZero drug amount discarded or not administered(25.93%)

HCPCS/CPT GAWaiver of liability statement issued per payer policy(7.41%)

HCPCS/CPT GYItem or service excluded from Medicare benefits(5.72%)

HCPCS/CPT CRCatastrophe or disaster-related service modifier(5.72%)

HCPCS/CPT 59Distinct procedural service for non-E/M services(4.04%)

HCPCS/CPT GZItem or service expected to be denied as not reasonable and necessary(2.02%)

HCPCS/CPT EYItem or service without physician order(0.67%)

HCPCS/CPT JAIntravenous administration of medication(0.67%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
HCPCS Quarterly Update, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)