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|
.
2025B Ambulatory Payment Classification: 5041
Title: Critical Care
| 2025B Relative Weight: | 9.4496 |
| 2025B Payment Rate: | $842.61 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $168.53 |
Addendum D1 Information
Status Indicator: S
Item / Code / Service:
Procedure or Service, Not Discounted When Multiple
OPPS Payment Status:
Paid under OPPS; Separate APC payment.
|
| 2021 Top 10 OPPS Facility Claims for APC 5041* |
| NPI | Organization | APC 5041 Submitted |
| 1639264575 |
CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY-CHATTANOOGA-TN
|
XXX
|
| 1972579837 |
WAKEMED-RALEIGH-NC
|
XXX
|
| 1578620449 |
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC-JACKSONVILLE-FL
|
XXX
|
| 1447275037 |
SOUTHCOAST HOSPITALS GROUP, INC-FALL RIVER-MA
|
XXX
|
| 1447250253 |
BAYLOR UNIVERSITY MEDICAL CENTER-DALLAS-TX
|
XXX
|
| 1710075361 |
GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT-CLINTON-MO
|
XXX
|
| 1043354111 |
REDLANDS COMMUNITY HOSPITAL-REDLANDS-CA
|
XXX
|
| 1265430177 |
BAYLOR MEDICAL CENTER AT WAXAHACHIE-DALLAS-TX
|
XXX
|
| 1659359446 |
SCRIPPS HEALTH-SAN DIEGO-CA
|
XXX
|
| 1316917941 |
NORTHEAST HOSPITAL CORPORATION-BEVERLY-MA
|
XXX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
99291 Critical care first hour
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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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