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|
.
2025B Ambulatory Payment Classification: 5401
Title: Dialysis
| 2025B Relative Weight: | 7.8471 |
| 2025B Payment Rate: | $699.72 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $139.95 |
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 5401* |
| NPI | Organization | APC 5401 Submitted |
| 1093275786 |
KND REAL ESTATE 40, LLC-LOUISVILLE-KY
|
X,XXX
|
| 1437155967 |
HEBREW REHABILITATION CENTER-BOSTON-MA
|
X,XXX
|
| 1639140015 |
EVANSTON HOSPITAL CORPORATION-SAN FRANCISCO-CA
|
X,XXX
|
| 1568532273 |
THE COMMONWEALTH OF MASSACHUSETTS-JAMAICA PLAIN-MA
|
XXX
|
| 1306938071 |
ADVENTIST HEALTH SYSTEM-SUNBELT, INC-ALTAMONTE SPRINGS-FL
|
XXX
|
| 1104906569 |
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER-FRESNO-CA
|
XXX
|
| 1851368369 |
BARLOW RESPIRATORY HOSPITAL-LOS ANGELES-CA
|
XXX
|
| 1568461572 |
WILLIS KNIGHTON MEDICAL CENTER, INC.-SHREVEPORT-LA
|
XXX
|
| 1639172372 |
CEDARS-SINAI MEDICAL CENTER-LOS ANGELES-CA
|
XXX
|
| 1689984668 |
KND DEVELOPMENT 52, L.L.C.-BALDWIN PARK-CA
|
XXX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
90935 Hemodialysis one evaluation
G0257 Unsched dialysis esrd pt hos
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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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