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2025B Ambulatory Payment Classification: 9374
Title: Mitomycin instillation
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $313.00 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 62.60 |
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 9374* |
| NPI | Organization | APC 9374 Submitted |
| 1376544320 |
STATE UNIVERSITY OF IOWA-IOWA CITY-IA
|
XX
|
| 1346243375 |
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC-NEW BRUNSWICK-NJ
|
XX
|
| 1174582050 |
UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER-HOUSTON-TX
|
XX
|
| 1699769901 |
CURATORS OF THE UNIVERSITY OF MISSOURI-COLUMBIA-MO
|
XX
|
| 1144266024 |
INDIANA UNIVERSITY HEALTH INC-INDIANAPOLIS-IN
|
XX
|
| 1689688988 |
PORTERCARE ADVENTIST HEALTH SYSTEM-KANSAS CITY-MO
|
XX
|
| 1124026273 |
PROVIDENCE SAINT JOHN'S HEALTH CENTER-SANTA MONICA-CA
|
XX
|
| 1508843566 |
NOVANT HEALTH ROWAN MEDICAL CENTER LLC-WINSTON SALEM-NC
|
XX
|
| 1710463146 |
BAPTIST HEALTH REGIONAL HOSPITALS-LITTLE ROCK-AR
|
XX
|
| 1306825997 |
WILLIAM BEAUMONT HOSPITAL-SOUTHFIELD-MI
|
XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
J9281 Mitomycin instillation
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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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