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2025B Ambulatory Payment Classification: 9286
Title: Belatacept injection
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $ 3.89 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 0.78 |
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 9286* |
| NPI | Organization | APC 9286 Submitted |
| 1144203563 |
CRAWFORD LONG HOSPITAL-ATLANTA-GA
|
X,XXX
|
| 1578778726 |
YALE NEW HAVEN HOSPITAL-NEW HAVEN-CT
|
X,XXX
|
| 1194832477 |
THE NEW YORK AND PRESBYTERIAN HOSPITAL-NEW YORK-NY
|
X,XXX
|
| 1023049236 |
THE GENERAL HOSPITAL CORPORATION-SOMERVILLE-MA
|
X,XXX
|
| 1437230034 |
NYU LANGONE HOSPITALS-NEW YORK-NY
|
X,XXX
|
| 1588640692 |
EMORY UNIVERSITY-ATLANTA-GA
|
X,XXX
|
| 1831220714 |
INOVA HEALTH CARE SERVICES-FAIRFAX-VA
|
X,XXX
|
| 1306938071 |
ADVENTIST HEALTH SYSTEM-SUNBELT, INC-ALTAMONTE SPRINGS-FL
|
X,XXX
|
| 1679660617 |
UNIVERSITY OF MIAMI HOSPITAL AND CLINICS-MIAMI-FL
|
XXX
|
| 1437175734 |
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY-PHILADELPHIA-PA
|
XXX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
J0485 Belatacept injection
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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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