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2025B Ambulatory Payment Classification: 5742
Title: Level 2 Electronic Analysis of Devices
| 2025B Relative Weight: | 1.0294 |
| 2025B Payment Rate: | $ 91.79 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 18.36 |
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 5742* |
| NPI | Organization | APC 5742 Submitted |
| 1679525919 |
THE CLEVELAND CLINIC FOUNDATION-CLEVELAND-OH
|
X,XXX
|
| 1831151455 |
UMASS MEMORIAL MEDICAL CENTER, INC.-WORCESTER-MA
|
XXX
|
| 1376544320 |
STATE UNIVERSITY OF IOWA-IOWA CITY-IA
|
XXX
|
| 1548378235 |
MEDSTAR WASHINGTON HOSPITAL CENTER-WASHINGTON-DC
|
XXX
|
| 1821017880 |
SANFORD MEDICAL CENTER-SIOUX FALLS-SD
|
XXX
|
| 1831103654 |
INTEGRIS BAPTIST MEDICAL CENTER INC-OKLAHOMA CITY-OK
|
XXX
|
| 1073605879 |
MEDICAL UNIVERSITY HOSPITAL AUTHORITY-NEW YORK-NY
|
XXX
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| 1871543215 |
STANFORD HEALTH CARE-STANFORD-CA
|
XXX
|
| 1649259656 |
UNIVERSITY OF KANSAS HOSPITAL AUTHORITY-WESTWOOD-KS
|
XXX
|
| 1992703540 |
DUKE UNIVERSITY HEALTH SYSTEM, INC.-DURHAM-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:
0473T Reprgrmg io rta eltrd ra
0589T Elec alys smpl prgrmg iins
0590T Elec alys cplx prgrmg iins
0788T Elec aly smp iins sp/sac nrv
0789T Elec aly cpx iins sp/sac nrv
76018 Mr safety implant elec prepj
93150 Therapy activation ipnss
93151 Interrog&prgrmg ipnss
93153 Interrog w/o prgrmg ipnss
93271 Ecg/monitoring and analysis
93750 Interrogation vad in person
95971 Alys smpl sp/pn npgt w/prgrm
95972 Alys cplx sp/pn npgt w/prgrm
95977 Alys cplx cn npgt prgrmg
95983 Alys brn npgt prgrmg 15 min
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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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