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.
2025B Ambulatory Payment Classification: 1494
Title: New Technology - Level 1D ($31-$40)
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $ 35.50 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 7.10 |
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 1494* |
| NPI | Organization | APC 1494 Submitted |
| 1104859131 |
HOLY NAME MEDICAL CENTER INC.-TEANECK-NJ
|
XXX
|
| 1912964818 |
VNA HEALTH GROUP OF NEW JERSEY, LLC-HOLMDEL-NJ
|
XXX
|
| 1952398810 |
MITCHELL COUNTY-OSAGE-IA
|
XXX
|
| 1265437982 |
VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK, INC.-SYRACUSE-NY
|
XXX
|
| 1366097032 |
INSPIRA MEDICAL CENTERS, INC.-BRIDGETON-NJ
|
XXX
|
| 1720525769 |
ANCHOR HEALTHCARE, LLC-LONG BEACH-CA
|
XX
|
| 1659356061 |
VISITING NURSE SERVICES OF WESTERN MICHIGAN-GRAND RAPIDS-MI
|
XX
|
| 1912291683 |
SECOND GEN VENTURES INCORPORATED-GEORGETOWN-TX
|
XX
|
| 1679624134 |
FUSION HOME HEALTH CARE AGENCY INC-TROY-MI
|
XX
|
| 1205089596 |
OASIS HOME HEALTHCARE, INC.-SOUTH BARRINGTON-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:
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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