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.
2025B Ambulatory Payment Classification: 5200
Title: Implantation Wireless PA Pressure Monitor
| 2025B Relative Weight: | 318.814 |
| 2025B Payment Rate: | $28428.33 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $5685.67 |
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 5200* |
| NPI | Organization | APC 5200 Submitted |
| 1043279565 |
ST. FRANCIS HOSPITAL-ROSLYN-NY
|
XX
|
| 1588665566 |
UNIVERSITY HEALTH SERVICES,INC-AUGUSTA-GA
|
XX
|
| 1851346720 |
ASHLAND HOSPITAL CORPORATION-ASHLAND-KY
|
XX
|
| 1962461681 |
PIEDMONT HOSPITAL, INC-ATLANTA-GA
|
XX
|
| 1063494177 |
ST LUKES HOSPITAL OF KANSAS CITY-KANSAS CITY-MO
|
XX
|
| 1821017880 |
SANFORD MEDICAL CENTER-SIOUX FALLS-SD
|
XX
|
| 1760446256 |
ALLINA HEALTH SYSTEM-MINNEAPOLIS-MN
|
XX
|
| 1497859649 |
NORTHWESTERN MEMORIAL HEALTHCARE-CHICAGO-IL
|
XX
|
| 1154373843 |
PRISMA HEALTH-MIDLANDS-GREENVILLE-SC
|
XX
|
| 1003918210 |
MUNSTER MEDICAL RESEARCH FOUNDATION INC-MUNSTER-IN
|
XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
33289 Tcat impl wrls p-art prs snr
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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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