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2025B Ambulatory Payment Classification: 9187
Title: Injection, burosumab-twza 1m
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $469.74 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 93.95 |
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 9187* |
| NPI | Organization | APC 9187 Submitted |
| 1447359997 |
OHIO STATE UNIVERSITY HOSPITALS-COLUMBUS-OH
|
XX
|
| 1275527889 |
CANDLER HOSPITAL INCORPORATED-SAVANNAH-GA
|
XX
|
| 1881980803 |
GEISINGER WYOMING VALLEY MEDICAL CENTER-DANVILLE-PA
|
XX
|
| 1437119310 |
SENTARA HOSPITALS-NORFOLK-VA
|
XX
|
| 1760510937 |
DIGNITY HEALTH-SAN LUIS OBISPO-CA
|
XX
|
| 1598713745 |
SAMARITAN MEDICAL CENTER-WATERTOWN-NY
|
XX
|
| 1376521575 |
LOYOLA UNIVERSITY MEDICAL CENTER-MAYWOOD-IL
|
XX
|
| 1689772592 |
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO-SAN FRANCISCO-CA
|
XX
|
| 1053361642 |
DEACONESS HOSPITAL, INC.-EVANSVILLE-IN
|
XX
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| 1467447508 |
BROADLAWNS MEDICAL CENTER-DES MOINES-IA
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XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
J0584 Injection, burosumab-twza 1m
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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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