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2025B Ambulatory Payment Classification: 1690
Title: Hemin
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $ 33.07 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 6.62 |
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.
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| 2021 Top 10 OPPS Facility Claims for APC 1690* |
| NPI | Organization | APC 1690 Submitted |
| 1457396079 |
NORTHSIDE HOSPITAL, INC.-ATLANTA-GA
|
XXX
|
| 1053339507 |
DAYTON OSTEOPATHIC HOSPITAL-MIAMISBURG-OH
|
XXX
|
| 1477516466 |
SCOTT & WHITE MEMORIAL HOSPITAL-DALLAS-TX
|
XXX
|
| 1306938071 |
ADVENTIST HEALTH SYSTEM-SUNBELT, INC-ALTAMONTE SPRINGS-FL
|
XXX
|
| 1720022379 |
COMANCHE COUNTY HOSPITAL AUTHORITY-LAWTON-OK
|
XX
|
| 1528064409 |
VIRTUA - WEST JERSEY HEALTH SYSTEM, INC.-MARLTON-NJ
|
XX
|
| 1982621447 |
ST. CHARLES HEALTH SYSTEM, INC.-BEND-OR
|
XX
|
| 1013912633 |
THE VALLEY HOSPITAL INC.-RIDGEWOOD-NJ
|
XX
|
| 1013994359 |
FAIRVIEW HEALTH SERVICES-MINNEAPOLIS-MN
|
XX
|
| 1740215219 |
JOHN MUIR HEALTH-WALNUT CREEK-CA
|
XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
J1640 Hemin, 1 mg
|
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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