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2025B Ambulatory Payment Classification: 1832
Title: Dimethyl sulfoxide 50% 50 ml
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $714.72 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $142.95 |
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 1832* |
| NPI | Organization | APC 1832 Submitted |
| 1376544320 |
STATE UNIVERSITY OF IOWA-IOWA CITY-IA
|
XXX
|
| 1366459570 |
NORTH SHORE UNIVERSITY HOSPITAL-WESTBURY-NY
|
XX
|
| 1184670549 |
NORTHSHORE UNIVERSITY HEALTHSYSTEM-EVANSTON-IL
|
XX
|
| 1558392563 |
LAHEY CLINIC HOSPITAL, INC.-BURLINGTON-MA
|
XX
|
| 1801851258 |
VIRGINIA MASON MEDICAL CENTER-LOS ANGELES-CA
|
XX
|
| 1306845557 |
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2-PORT ANGELES-WA
|
XX
|
| 1790789147 |
EASTERN MAINE MEDICAL CENTER-BANGOR-ME
|
XX
|
| 1295071520 |
WENATCHEE VALLEY HOSPITAL-WENATCHEE-WA
|
XX
|
| 1578778726 |
YALE NEW HAVEN HOSPITAL-NEW HAVEN-CT
|
XX
|
| 1770586794 |
ST LUKES REGIONAL MEDICAL CENTER-BOISE-ID
|
XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
J1212 Dimethyl sulfoxide 50% 50 ml
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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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