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CMS Transmittals



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9174 Quick jump to APC Code (numbers only eg. 0172):
9179

2025B Ambulatory Payment Classification: 9178

Title: Inj., meropenem, vaborbactam

2025B Relative Weight: 0
2025B Payment Rate: $ 2.11
2025B National Unadjusted Copay: $ 0.00
2025B Minimum Unadjusted Copay: $ 0.43
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.


2021 Top 10 OPPS Facility Claims for APC 9178*
NPIOrganization APC 9178 Submitted
1790785996 VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM-ARLINGTON-VA XXX
1417432840 THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY-CHARLOTTE-NC XX
1083174973 NGMC LUMPKIN, LLC-ATLANTA-GA XX
1619289998 VHS DETROIT RECEIVING HOSPITAL INC-NASHVILLE-TN XX
1689775736 PRESENCE CHICAGO HOSPITALS NETWORK-DES PLAINES-IL XX
1013919315 ATLANTICARE REGIONAL MEDICAL CENTER-POMONA-NJ XX
1689769911 DIGNITY HEALTH-SAN BERNARDINO-CA XX
1205923539 PRESENCE CHICAGO HOSPITALS NETWORK-DES PLAINES-IL XX


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


Procedure Codes in this APC:
J2186 Inj., meropenem, vaborbactam


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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