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2025B Ambulatory Payment Classification: 5182
Title: Level 2 Vascular Procedures
| 2025B Relative Weight: | 17.4213 |
| 2025B Payment Rate: | $1553.44 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $310.69 |
Addendum D1 Information
Status Indicator: J1
Item / Code / Service:
Hospital Part B services paid through a comprehensive APC
OPPS Payment Status:
Paid under OPPS; all covered Part B services on the claim are packaged with the primary "J1" service for the claim, except services with OPPS SI=F,G, H, L and U; ambulance services; diagnostic and screening mammography; all preventive services; and certain Part B inpatient services.
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| 2021 Top 10 OPPS Facility Claims for APC 5182* |
| NPI | Organization | APC 5182 Submitted |
| 1174582050 |
UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER-HOUSTON-TX
|
XXX
|
| 1700887411 |
MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES-NEW YORK-NY
|
XXX
|
| 1649299827 |
BARNES JEWISH HOSPITAL-SAINT LOUIS-MO
|
XXX
|
| 1811984388 |
MIDWESTERN REGIONAL MEDICAL CENTER, INC.-ZION-IL
|
XXX
|
| 1871543215 |
STANFORD HEALTH CARE-STANFORD-CA
|
XXX
|
| 1013981554 |
EISENHOWER MEDICAL CENTER-RANCHO MIRAGE-CA
|
XXX
|
| 1780653618 |
H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.-TAMPA-FL
|
XXX
|
| 1306938071 |
ADVENTIST HEALTH SYSTEM-SUNBELT, INC-ALTAMONTE SPRINGS-FL
|
XXX
|
| 1396882205 |
VANDERBILT UNIVERSITY MEDICAL CENTER-NASHVILLE-TN
|
XXX
|
| 1740208081 |
FIRSTHEALTH OF THE CAROLINAS, INC.-CHARLOTTE-NC
|
XXX
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* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
32551 Insertion of chest tube
32557 Insert cath pleura w/ image
33016 Pericardiocentesis w/imaging
35180 Rpr cgen av fistula head&nck
36568 Insj picc <5 yr w/o imaging
36569 Insj picc 5 yr+ w/o imaging
36573 Insj picc rs&i 5 yr+
36576 Repair tunneled cv cath
36580 Replace cvad cath
36584 Compl rplcmt picc rs&i
36590 Removal tunneled cv cath
36596 Mech remov tunneled cv cath
36597 Reposition venous catheter
36860 External cannula declotting
36901 Intro cath dialysis circuit
75803 Lymph vessel x-ray arms/legs
75820 Vein x-ray arm/leg
75822 Vein x-ray arms/legs
75827 Vein x-ray chest
93503 Insert/place heart catheter
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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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