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|
.
2025B Ambulatory Payment Classification: 9300
Title: Omalizumab injection
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $ 40.12 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 8.03 |
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 9300* |
| NPI | Organization | APC 9300 Submitted |
| 1437119310 |
SENTARA HOSPITALS-NORFOLK-VA
|
X,XXX
|
| 1750399192 |
MARYVIEW HOSPITAL LLC-CINCINNATI-OH
|
XXX
|
| 1154355188 |
BANNER THUNDERBIRD MEDICAL CENTER-PHOENIX-AZ
|
XXX
|
| 1194790055 |
MARTIN MEMORIAL MEDICAL CENTER INC-STUART-FL
|
XXX
|
| 1295789907 |
CAROLINAS MEDICAL CENTER-CHARLOTTE-NC
|
XXX
|
| 1275527889 |
CANDLER HOSPITAL INCORPORATED-SAVANNAH-GA
|
XXX
|
| 1023049236 |
THE GENERAL HOSPITAL CORPORATION-SOMERVILLE-MA
|
XXX
|
| 1184721722 |
MERCY HOSPITAL OKLAHOMA CITY, INC-OKLAHOMA CITY-OK
|
XXX
|
| 1366547747 |
RIVERSIDE HOSPITAL INC-NEWPORT NEWS-VA
|
XXX
|
| 1851346720 |
ASHLAND HOSPITAL CORPORATION-ASHLAND-KY
|
XXX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
J2357 Omalizumab injection
|
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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