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2025B Ambulatory Payment Classification: 0964
Title: Albumin (human), 25%, 20 ml
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $ 21.23 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 4.25 |
Addendum D1 Information
Status Indicator: K
Item / Code / Service:
(1) Non-Pass-Through Drugs and Biologicals
(2) Therapeutic Radiopharmaceuticals
(3) Brachytherapy Sources
(4) Blood and Blood Products
OPPS Payment Status:
(1) Paid under OPPS; Separate APC payment.
(2) Paid under OPPS; Separate APC payment.
(3) Paid under OPPS; Separate APC payment.
(4) Paid under OPPS; Separate APC payment.
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| 2021 Top 10 OPPS Facility Claims for APC 0964* |
| NPI | Organization | APC 0964 Submitted |
| 1053403402 |
W.A. FOOTE MEMORIAL HOSPITAL, INC.-JACKSON-MI
|
XXX
|
| 1053317362 |
DOCTORS HOSPITAL AT RENAISSANCE, LTD-MCALLEN-TX
|
XXX
|
| 1134144801 |
HENRY FORD HEALTH SYSTEM-DETROIT-MI
|
XXX
|
| 1093744187 |
BAPTIST HOSPITALS OF SOUTHEAST TEXAS-DALLAS-TX
|
XXX
|
| 1932197258 |
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA-MONTEREY-CA
|
XX
|
| 1851390967 |
UHS OF TEXOMA, INC-DENISON-TX
|
XX
|
| 1619115383 |
ASCENSION SETON-AUSTIN-TX
|
XX
|
| 1407867559 |
HENRY FORD HEALTH SYSTEM-WEST BLOOMFIELD-MI
|
XX
|
| 1144228487 |
SAINT FRANCIS HOSPITAL, INC.-TULSA-OK
|
XX
|
| 1235417288 |
SOUTHEASTERN REGIONAL MEDICAL CENTER, INC.-ZION-IL
|
XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
P9046 Albumin (human), 25%, 20 ml
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Sources: Updates of Addendum A and B are posted quarterly to the OPPS website. These addenda are a "snapshot" of HCPCS codes and their status indicators,
APC groups, and OPPS payment rates, that are in effect at the beginning of each quarter. The quarterly updates of Addendum A and Addendum B reflect
the OPPS Pricer changes that are part of the quarterly OPPS recurring update notification transmittals.
http://www.cms.gov/HospitalOutpatientPPS/AU/list.asp#TopOfPage
For more information on the Composite APC payment,
please see CMS Transmittal R2141CP.
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