|
|
.
2025B Ambulatory Payment Classification: 9355
Title: Inj. teprotumumab-trbw 10 mg
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $352.56 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 70.52 |
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 9355* |
| NPI | Organization | APC 9355 Submitted |
| 1184722779 |
REGENTS OF THE UNIVERSITY OF CALIFORNIA-LOS ANGELES-CA
|
XXX
|
| 1194744805 |
WEST PENN ALLEGHENY HEALTH SYSTEM INC-PITTSBURGH-PA
|
XX
|
| 1750399192 |
MARYVIEW HOSPITAL LLC-CINCINNATI-OH
|
XX
|
| 1649259656 |
UNIVERSITY OF KANSAS HOSPITAL AUTHORITY-WESTWOOD-KS
|
XX
|
| 1316901937 |
BAPTIST MEMORIAL HOSPITAL-TIPTON-MEMPHIS-TN
|
XX
|
| 1922032424 |
SACRED HEART HEALTH SYSTEM, INC.-CHICAGO-IL
|
XX
|
| 1508835828 |
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO-CINCINNATI-OH
|
XX
|
| 1609824010 |
OREGON HEALTH & SCIENCE UNIVERSITY-PORTLAND-OR
|
XX
|
| 1891799227 |
NORTON HOSPITALS, INC-CHICAGO-IL
|
XX
|
| 1255334173 |
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.-MENOMONEE FALLS-WI
|
XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
J3241 Inj. teprotumumab-trbw 10 mg
|
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.
|
|
