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2025B Ambulatory Payment Classification: 1492
Title: New Technology - Level 1B ($11-$20)
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $ 15.50 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 3.10 |
Addendum D1 Information
Status Indicator: S
Item / Code / Service:
Procedure or Service, Not Discounted When Multiple
OPPS Payment Status:
Paid under OPPS; Separate APC payment.
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| 2021 Top 10 OPPS Facility Claims for APC 1492* |
| NPI | Organization | APC 1492 Submitted |
| 1386719086 |
CONTRA COSTA COUNTY-MARTINEZ-CA
|
XX,XXX
|
| 1528064409 |
VIRTUA - WEST JERSEY HEALTH SYSTEM, INC.-MARLTON-NJ
|
XX,XXX
|
| 1578778726 |
YALE NEW HAVEN HOSPITAL-NEW HAVEN-CT
|
XX,XXX
|
| 1134144801 |
HENRY FORD HEALTH SYSTEM-DETROIT-MI
|
XX,XXX
|
| 1295789907 |
CAROLINAS MEDICAL CENTER-CHARLOTTE-NC
|
XX,XXX
|
| 1053384776 |
AHS HOSPITAL CORP.-MORRISTOWN-NJ
|
XX,XXX
|
| 1871543215 |
STANFORD HEALTH CARE-STANFORD-CA
|
XX,XXX
|
| 1811973100 |
OCHSNER CLINIC FOUNDATION-NEW ORLEANS-LA
|
XX,XXX
|
| 1174512792 |
TUCSON MEDICAL CENTER-TUCSON-AZ
|
XX,XXX
|
| 1649273434 |
BAYLOR REGIONAL MEDICAL CENTER AT PLANO-DALLAS-TX
|
XX,XXX
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* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
None Listed
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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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