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2025B Ambulatory Payment Classification: 9097
Title: Inj retacrit non-esrd use
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $ 7.07 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 1.42 |
Addendum D1 Information
Status Indicator: K
Item / Code / Service:
(1) Non-Pass-Through Drugs and Biologicals
(2) Therapeutic Radiopharmaceuticals
(3) Brachytherapy Sources
(4) Blood and Blood Products
OPPS Payment Status:
(1) Paid under OPPS; Separate APC payment.
(2) Paid under OPPS; Separate APC payment.
(3) Paid under OPPS; Separate APC payment.
(4) Paid under OPPS; Separate APC payment.
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| 2021 Top 10 OPPS Facility Claims for APC 9097* |
| NPI | Organization | APC 9097 Submitted |
| 1902826779 |
BOCA RATON REGIONAL HOSPITAL, INC.-BOCA RATON-FL
|
X,XXX
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| 1457396079 |
NORTHSIDE HOSPITAL, INC.-ATLANTA-GA
|
X,XXX
|
| 1114984671 |
CAPE COD HOSPITAL INC-HYANNIS-MA
|
X,XXX
|
| 1134194038 |
CHRISTIANA CARE HEALTH SERVICES, INC.-NEWARK-DE
|
X,XXX
|
| 1417941295 |
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-DALLAS-TX
|
X,XXX
|
| 1437230034 |
NYU LANGONE HOSPITALS-NEW YORK-NY
|
X,XXX
|
| 1104875103 |
LANCASTER GENERAL HOSPITAL-LANCASTER-PA
|
X,XXX
|
| 1316901937 |
BAPTIST MEMORIAL HOSPITAL-TIPTON-MEMPHIS-TN
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X,XXX
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| 1497797088 |
REX HOSPITAL INC.-RALEIGH-NC
|
XXX
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| 1982621447 |
ST. CHARLES HEALTH SYSTEM, INC.-BEND-OR
|
XXX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
Q5106 Inj retacrit non-esrd use
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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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