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CMS Transmittals



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5771 Quick jump to APC Code (numbers only eg. 0172):
5791

2025B Ambulatory Payment Classification: 5781

Title: Resuscitation and Cardioversion

2025B Relative Weight: 7.3387
2025B Payment Rate: $654.38
2025B National Unadjusted Copay: $ 0.00
2025B Minimum Unadjusted Copay: $130.88
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 5781*
NPIOrganization APC 5781 Submitted
1083617005 OKLAHOMA HEART HOSPITAL, LLC-OKLAHOMA CITY-OK XXX
1679525919 THE CLEVELAND CLINIC FOUNDATION-CLEVELAND-OH XXX
1134194038 CHRISTIANA CARE HEALTH SERVICES, INC.-NEWARK-DE XXX
1962504340 TEXAS HEART HOSPITAL OF THE SOUTHWEST LLP-DALLAS-TX XXX
1023049236 THE GENERAL HOSPITAL CORPORATION-SOMERVILLE-MA XXX
1629025648 SAINT THOMAS WEST HOSPITAL-NASHVILLE-TN XXX
1780633289 CHRIST HOSPITAL-CINCINNATI-OH XXX
1518951300 HOAG MEMORIAL HOSPITAL PRESBYTERIAN-NEWPORT BEACH-CA XXX
1245294826 SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT-SARASOTA-FL XXX
1760446256 ALLINA HEALTH SYSTEM-MINNEAPOLIS-MN XXX


* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.


Procedure Codes in this APC:
92953 Temporary external pacing
92960 Cardioversion electric ext
92961 Cardioversion electric int
99465 Nb resuscitation


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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