CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-April
2025-January

ASC Fee Schedule

2025-April
2025-January

APC Codes

2025-April
2025-January

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-April
2025-January


CMS Transmittals



.


1908 Quick jump to APC Code (numbers only eg. 0172):
2038

Not available in Addendum A-2025B


2021 Top 10 OPPS Facility Claims for APC 2027*
NPIOrganization APC 2027 Submitted
1376574277 NORTHSIDE HOSPITAL, INC.-CUMMING-GA XX
1609817220 NORTHSHORE UNIVERSITY HEALTHSYSTEM-EVANSTON-IL XX
1548366404 POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM-WOODBRIDGE-VA XX
1194758284 BANNER BAYWOOD MEDICAL CENTER-PHOENIX-AZ XX
1932103413 MOUNT SINAI HOSPITAL-NEW YORK-NY XX
1295173664 ARISE HEALTHCARE SYSTEM, LLC-WEST LAKE HILLS-TX XX
1689857385 PHYSICIANS MEDICAL CENTER LLC-NEW ALBANY-IN XX
1225050396 NORTHSIDE HOSPITAL, INC.-ATLANTA-GA XX
1871543215 STANFORD HEALTH CARE-STANFORD-CA XX
1093714073 SIOUXLAND SURGERY CENTER LIMITED LIABILITY PARTNERSHIP-DAKOTA DUNES-SD XX


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


Procedure Codes in this APC:
None Listed


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.

CodeMap¨ is a Registered Trademark of Wheaton Partners, LLC.