G0138 prior authorization | Cigna

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, is on the Cigna prior authorization list. Not a coverage or referral decision.

Code: G0138
Description: 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
Source: Master Precertification List For Health Care Providers, Pg 74 Original policy

Cigna prior authorization

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