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2025B Ambulatory Payment Classification: 1509
Title: New Technology - Level 9 ($701 - $800)
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $750.50 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 0.00 |
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 1509* |
| NPI | Organization | APC 1509 Submitted |
| 1134144801 |
HENRY FORD HEALTH SYSTEM-DETROIT-MI
|
XXX
|
| 1235610908 |
BEST OPTION HEALTHCARE PUERTO RICO-SAN JUAN-PR
|
XXX
|
| 1124136593 |
SINGING RIVER HEALTH SYSTEM-GAUTIER-MS
|
XXX
|
| 1629070149 |
SHORE MEMORIAL HOSPITAL-SOMERS POINT-NJ
|
XXX
|
| 1528138112 |
NSI, INC.-LAFAYETTE-LA
|
XXX
|
| 1598750721 |
HUNT MEMORIAL HOSPITAL DISTRICT-GREENVILLE-TX
|
XX
|
| 1013918960 |
GASTON MEMORIAL HOSPITAL, INCORPORATED-GASTONIA-NC
|
XX
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| 1487707188 |
MEMORIAL HOSPITAL OF SHERIDAN COUNTY-SHERIDAN-WY
|
XX
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| 1073605879 |
MEDICAL UNIVERSITY HOSPITAL AUTHORITY-NEW YORK-NY
|
XX
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| 1710931308 |
ATRIO HOME HEALTH-GRAND RAPIDS-MI
|
XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
M0248 Sotrovimab inf, home admin
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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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