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.
2025B Ambulatory Payment Classification: 5033
Title: Level 3 Type B ED Visits
| 2025B Relative Weight: | 2.0925 |
| 2025B Payment Rate: | $186.59 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 37.32 |
Addendum D1 Information
Status Indicator: V
Item / Code / Service:
Clinic or Emergency Department Visit
OPPS Payment Status:
Paid under OPPS; Separate APC payment.
|
| 2021 Top 10 OPPS Facility Claims for APC 5033* |
| NPI | Organization | APC 5033 Submitted |
| 1982688230 |
SOUTH MIAMI HOSPITAL INC-CORAL GABLES-FL
|
X,XXX
|
| 1528042884 |
BAPTIST HOSPITAL OF MIAMI INC-SOUTH MIAMI-FL
|
X,XXX
|
| 1346251543 |
ST. LUKES EPISCOPAL-PRESBYTERIAN HOSPITAL-CHESTERFIELD-MO
|
X,XXX
|
| 1548393127 |
UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA-LAS VEGAS-NV
|
X,XXX
|
| 1952390239 |
CHARLESTON AREA MEDICAL CENTER INC-CHARLESTON-WV
|
X,XXX
|
| 1043270564 |
THE MEDICAL CENTER OF CENTRAL GEORGIA INC-MACON-GA
|
X,XXX
|
| 1376593442 |
GUNDERSEN LUTHERAN MEDICAL CENTER INC-LA CROSSE-WI
|
X,XXX
|
| 1700092459 |
LAWRENCE AND MEMORIAL HOSPITAL, INC.-NEW LONDON-CT
|
X,XXX
|
| 1700910189 |
DIGNITY COMMUNITY CARE-CHANDLER-AZ
|
X,XXX
|
| 1285715144 |
TRINITY HOSPITAL HOLDING COMPANY-STEUBENVILLE-OH
|
X,XXX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
G0382 Lev 3 hosp type b ed visit
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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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