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1849 Quick jump to APC Code (numbers only eg. 0172):
1851

2025B Ambulatory Payment Classification: 1850

Title: Gamma globulin 1 cc inj

2025B Relative Weight: 0
2025B Payment Rate: $ 48.89
2025B National Unadjusted Copay: $ 0.00
2025B Minimum Unadjusted Copay: $ 9.78
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 1850*
NPIOrganization APC 1850 Submitted
1902844988 PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA-PASADENA-CA XXX
1962784835 WHITE COUNTY MEDICAL CENTER-SEARCY-AR XX
1447230388 OPELOUSAS GENERAL HOSPITAL AUTHORITY-OPELOUSAS-LA XX
1154355188 BANNER THUNDERBIRD MEDICAL CENTER-PHOENIX-AZ XX
1164475711 WARSAW HEALTH SYSTEM LLC-WARSAW-IN XX
1316901937 BAPTIST MEMORIAL HOSPITAL-TIPTON-MEMPHIS-TN XX
1669426631 GRAND ITASCA CLINIC AND HOSPITAL-GRAND RAPIDS-MN XX


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


Procedure Codes in this APC:
J1460 Gamma globulin 1 cc inj


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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