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2025B Ambulatory Payment Classification: 5441
Title: Level 1 Nerve Injections
| 2025B Relative Weight: | 3.3105 |
| 2025B Payment Rate: | $295.19 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 59.04 |
Addendum D1 Information
Status Indicator: T
Item / Code / Service:
Procedure or Service, Multiple Procedure Reduction Applies
OPPS Payment Status:
Paid under OPPS; Separate APC payment.
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| 2021 Top 10 OPPS Facility Claims for APC 5441* |
| NPI | Organization | APC 5441 Submitted |
| 1679525919 |
THE CLEVELAND CLINIC FOUNDATION-CLEVELAND-OH
|
XX,XXX
|
| 1013981554 |
EISENHOWER MEDICAL CENTER-RANCHO MIRAGE-CA
|
XX,XXX
|
| 1184670549 |
NORTHSHORE UNIVERSITY HEALTHSYSTEM-EVANSTON-IL
|
X,XXX
|
| 1033759626 |
LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH ALLENTOWN-ALLENTOWN-PA
|
X,XXX
|
| 1477531580 |
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY-DENVER-CO
|
X,XXX
|
| 1528009412 |
SANFORD MEDICAL CENTER FARGO-FARGO-ND
|
X,XXX
|
| 1477516466 |
SCOTT & WHITE MEMORIAL HOSPITAL-DALLAS-TX
|
X,XXX
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| 1932145505 |
MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC-OKLAHOMA CITY-OK
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X,XXX
|
| 1003878539 |
REGENTS OF THE UNIVERSITY OF MICHIGAN-ANN ARBOR-MI
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X,XXX
|
| 1780630608 |
RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA-CHARLOTTESVILLE-VA
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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:
20526 Ther injection carp tunnel
20527 Inj dupuytren cord w/enzyme
20550 Inj tendon sheath/ligament
20551 Inj tendon origin/insertion
20552 Inj trigger point 1/2 muscl
20553 Inject trigger points 3/>
20600 Drain/inj joint/bursa w/o us
20604 Drain/inj joint/bursa w/us
20605 Drain/inj joint/bursa w/o us
20610 Drain/inj joint/bursa w/o us
20611 Drain/inj joint/bursa w/us
20612 Aspirate/inj ganglion cyst
61050 Remove brain canal fluid
61055 Injection into brain canal
64400 Njx aa&/strd trigeminal nrv
64405 Njx aa&/strd gr ocpl nrv
64408 Njx aa&/strd vagus nrv
64455 Njx aa&/strd pltr com dg nrv
64505 N block spenopalatine gangl
64566 Neuroeltrd stim post tibial
64611 Chemodenerv saliv glands
64612 Destroy nerve face muscle
64615 Chemodenerv musc migraine
64616 Chemodenerv musc neck dyston
64632 N block inj common digit
64650 Chemodenerv eccrine glands
64653 Chemodenerv eccrine glands
64999 Unlisted px nervous system
95991 Spin/brain pump refil & main
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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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