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2025B Ambulatory Payment Classification: 9349
Title: Inj herzuma 10 mg
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $ 73.91 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 14.79 |
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 9349* |
| NPI | Organization | APC 9349 Submitted |
| 1215916002 |
THOMAS JEFFERSON UNIVERSITY HOSPITALS INC-PHILADELPHIA-PA
|
XXX
|
| 1255401519 |
THE MEDICAL CENTER INC-COLUMBUS-GA
|
XXX
|
| 1437259694 |
HEARTLAND REGIONAL MEDICAL CENTER-SAINT JOSEPH-MO
|
XXX
|
| 1730132515 |
TUFTS MEDICAL CENTER, INC.-BOSTON-MA
|
XXX
|
| 1114473212 |
PRISMA HEALTH-UPSTATE-GREENVILLE-SC
|
XXX
|
| 1831116441 |
BRONSON METHODIST HOSPITAL-KALAMAZOO-MI
|
XXX
|
| 1275531956 |
COOKEVILLE REGIONAL MEDICAL CENTER-COOKEVILLE-TN
|
XXX
|
| 1437156247 |
CITY OF WOOSTER-WOOSTER-OH
|
XXX
|
| 1700979465 |
BAPTIST HEALTH CARE, INC-PENSACOLA-FL
|
XXX
|
| 1417935446 |
DELTA COUNTY MEMORIAL HOSPITAL-DELTA-CO
|
XX
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* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
Q5113 Inj herzuma 10 mg
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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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