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2025B Ambulatory Payment Classification: 5741
Title: Level 1 Electronic Analysis of Devices
| 2025B Relative Weight: | 0.4182 |
| 2025B Payment Rate: | $ 37.29 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 7.46 |
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.
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| 2021 Top 10 OPPS Facility Claims for APC 5741* |
| NPI | Organization | APC 5741 Submitted |
| 1083617005 |
OKLAHOMA HEART HOSPITAL, LLC-OKLAHOMA CITY-OK
|
XX,XXX
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| 1396882205 |
VANDERBILT UNIVERSITY MEDICAL CENTER-NASHVILLE-TN
|
XX,XXX
|
| 1679525919 |
THE CLEVELAND CLINIC FOUNDATION-CLEVELAND-OH
|
XX,XXX
|
| 1043269798 |
ST. CLOUD HOSPITAL-SAINT CLOUD-MN
|
XX,XXX
|
| 1043279565 |
ST. FRANCIS HOSPITAL-ROSLYN-NY
|
XX,XXX
|
| 1053384776 |
AHS HOSPITAL CORP.-MORRISTOWN-NJ
|
X,XXX
|
| 1649259656 |
UNIVERSITY OF KANSAS HOSPITAL AUTHORITY-WESTWOOD-KS
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X,XXX
|
| 1013981554 |
EISENHOWER MEDICAL CENTER-RANCHO MIRAGE-CA
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X,XXX
|
| 1811957681 |
SENTARA HOSPITALS-NORFOLK-VA
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X,XXX
|
| 1508964883 |
CATHOLIC HEALTH INITIATIVES-IOWA CORP-DES MOINES-IA
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X,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:
0417T Prgrmg eval cardiac modulj
0418T Interro eval cardiac modulj
0522T Prgrmg dev eval wcs ip
0528T Prgrmg dev eval iims ip
0529T Interrog dev eval iims ip
0575T Prgrmg dev eval icds ss ip
0576T Interrog dev eval icds ss ip
0579T Rem interrog dev icds tech
0650T Prgrmg dev eval scrms remote
0683T Prgrmg dev eval isdss ip
0685T Interrog dev eval isdss ip
0696T Bdy surf mapg pm/cvdfb f/up
0741T Rem auton alg nsln data coll
0804T Prgrmg evl ldls pm 2chmbr ip
0826T Prgrmg evl ldls pm 1chmbr ip
0926T Prgrmg dev eval ccm-d ip
0927T Interrog dev eval ccm-d ip
0929T Rem interrog dev ccm-d tech
93260 Prgrmg dev eval impltbl sys
93261 Interrogate subq defib
93264 Rem mntr wrls p-art prs snr
93270 Remote 30 day ecg rev/report
93279 Prgrmg dev eval pm/ldls pm
93280 Pm device progr eval dual
93281 Pm device progr eval multi
93282 Prgrmg eval implantable dfb
93283 Prgrmg eval implantable dfb
93284 Prgrmg eval implantable dfb
93285 Prgrmg dev eval scrms ip
93288 Interrog evl pm/ldls pm ip
93289 Interrog device eval heart
93290 Interrog dev eval icpms ip
93292 Wcd device interrogate
93293 Pm phone r-strip device eval
93296 Rem interrog evl pm/ids
93297 Rem interrog dev eval icpms
93298 Rem interrog dev eval scrms
95836 Ecog impltd brn npgt <30 d
95976 Alys smpl cn npgt prgrmg
95982 Io ga n-stim subsq w/reprog
98976 Rem ther mntr dev sply resp
98977 Rem ther mntr dv sply mscskl
98978 Rem ther mntr dev sply cbt
99454 Rem mntr physiol param dev
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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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