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2025B Ambulatory Payment Classification: 9383
Title: Copper cu 64 dotatate diag
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $595.10 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $119.03 |
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.
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| 2021 Top 10 OPPS Facility Claims for APC 9383* |
| NPI | Organization | APC 9383 Submitted |
| 1710097936 |
OCHSNER MEDICAL CENTER - KENNER, L.L.C.-KENNER-LA
|
XXX
|
| 1871543215 |
STANFORD HEALTH CARE-STANFORD-CA
|
XX
|
| 1689772592 |
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO-SAN FRANCISCO-CA
|
XX
|
| 1649259656 |
UNIVERSITY OF KANSAS HOSPITAL AUTHORITY-WESTWOOD-KS
|
XX
|
| 1780653618 |
H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.-TAMPA-FL
|
XX
|
| 1679660617 |
UNIVERSITY OF MIAMI HOSPITAL AND CLINICS-MIAMI-FL
|
XX
|
| 1679525919 |
THE CLEVELAND CLINIC FOUNDATION-CLEVELAND-OH
|
XX
|
| 1851370910 |
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA-PHILADELPHIA-PA
|
XX
|
| 1689653305 |
WILLIAM BEAUMONT HOSPITAL-SOUTHFIELD-MI
|
XX
|
| 1518911338 |
UNIVERSITY OF KENTUCKY-LEXINGTON-KY
|
XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
A9592 Copper cu 64 dotatate diag
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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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