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CMS Transmittals



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1675 Quick jump to APC Code (numbers only eg. 0172):
1685

2025B Ambulatory Payment Classification: 1683

Title: Basiliximab

2025B Relative Weight: 0
2025B Payment Rate: $4687.66
2025B National Unadjusted Copay: $ 0.00
2025B Minimum Unadjusted Copay: $937.54
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.


2021 Top 10 OPPS Facility Claims for APC 1683*
NPIOrganization APC 1683 Submitted
1548315401 ROSWELL PARK CANCER INSTITUTE-BUFFALO-NY XXX
1699874248 SHANDS TEACHING HOSPITAL AND CLINICS, INC.-GAINESVILLE-FL XX
1841266194 MAYO CLINIC HOSPITAL-ROCHESTER-ROCHESTER-MN XX
1457456279 HMH HOSPITALS CORPORATION-HACKENSACK-NJ XX
1073605879 MEDICAL UNIVERSITY HOSPITAL AUTHORITY-NEW YORK-NY XX
1144266024 INDIANA UNIVERSITY HEALTH INC-INDIANAPOLIS-IN XX
1013994359 FAIRVIEW HEALTH SERVICES-MINNEAPOLIS-MN XX
1194832477 THE NEW YORK AND PRESBYTERIAN HOSPITAL-NEW YORK-NY XX
1396837951 CENTRAL IOWA HOSPITAL CORPORATION-KANSAS CITY-MO XX
1679525919 THE CLEVELAND CLINIC FOUNDATION-CLEVELAND-OH XX


* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.


Procedure Codes in this APC:
J0480 Basiliximab


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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