|
|
.
2025B Ambulatory Payment Classification: 1511
Title: New Technology - Level 11 ($901 - $1000)
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $950.50 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $190.10 |
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.
|
| 2021 Top 10 OPPS Facility Claims for APC 1511* |
| NPI | Organization | APC 1511 Submitted |
| 1962504340 |
TEXAS HEART HOSPITAL OF THE SOUTHWEST LLP-DALLAS-TX
|
XXX
|
| 1548387418 |
THE METHODIST HOSPITAL-HOUSTON-TX
|
XXX
|
| 1538185475 |
THE MCLEAN HOSPITAL CORPORATION-BOSTON-MA
|
XXX
|
| 1356307581 |
NEBRASKA MEDICAL CENTER-OMAHA-NE
|
XXX
|
| 1578778726 |
YALE NEW HAVEN HOSPITAL-NEW HAVEN-CT
|
XXX
|
| 1043279565 |
ST. FRANCIS HOSPITAL-ROSLYN-NY
|
XXX
|
| 1841266194 |
MAYO CLINIC HOSPITAL-ROCHESTER-ROCHESTER-MN
|
XXX
|
| 1013912633 |
THE VALLEY HOSPITAL INC.-RIDGEWOOD-NJ
|
XXX
|
| 1023049236 |
THE GENERAL HOSPITAL CORPORATION-SOMERVILLE-MA
|
XXX
|
| 1528064649 |
HENDRICK MEDICAL CENTER-ABILENE-TX
|
XXX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
0625T Auto quan c plaq cptr alys
0648T Quan mr tis wo mri 1orgn
0649T Quan mr tiss w/mri 1orgn
0697T Quan mr tis wo mri mlt orgn
0698T Quan mr tiss w/mri mlt orgn
0723T Qmrcp w/o dx mri sm anat ses
0724T Qmrcp w/dx mri same anatomy
0889T Prsnlz trgt dvl arhfcmrigtbs
|
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.
|
|
