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2025B Ambulatory Payment Classification: 1829
Title: Penicillin g benzathine inj
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $ 26.98 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 5.40 |
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 1829* |
| NPI | Organization | APC 1829 Submitted |
| 1164609962 |
CITY & COUNTY OF SAN FRANCISCO-SAN FRANCISCO-CA
|
XX
|
| 1992799050 |
GRADY MEMORIAL HOSPITAL CORPORATION-ATLANTA-GA
|
XX
|
| 1932123247 |
DALLAS COUNTY HOSPITAL DISTRICT-DALLAS-TX
|
XX
|
| 1205900370 |
HARRIS COUNTY HOSPITAL DISTRICT-BELLAIRE-TX
|
XX
|
| 1104982917 |
ST LUKES ROOSEVELT HOSPITAL CENTER-NEW YORK-NY
|
XX
|
| 1346218294 |
BOSTON MEDICAL CENTER CORPORATION-BOSTON-MA
|
XX
|
| 1508835828 |
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO-CINCINNATI-OH
|
XX
|
| 1932103413 |
MOUNT SINAI HOSPITAL-NEW YORK-NY
|
XX
|
| 1184722779 |
REGENTS OF THE UNIVERSITY OF CALIFORNIA-LOS ANGELES-CA
|
XX
|
| 1053359729 |
HARBORVIEW MEDICAL CENTER-SEATTLE-WA
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XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
J0561 Penicillin g benzathine inj
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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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