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2025B Ambulatory Payment Classification: 9388
Title: Inj. fe derisomaltose 10 mg
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $ 20.83 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 4.17 |
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 9388* |
| NPI | Organization | APC 9388 Submitted |
| 1679525919 |
THE CLEVELAND CLINIC FOUNDATION-CLEVELAND-OH
|
XXX
|
| 1700887411 |
MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES-NEW YORK-NY
|
XXX
|
| 1720022379 |
COMANCHE COUNTY HOSPITAL AUTHORITY-LAWTON-OK
|
XXX
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| 1821035940 |
AKRON GENERAL MEDICAL CENTER-AKRON-OH
|
XXX
|
| 1366407603 |
PARKVIEW HOSPITAL, INC.-FORT WAYNE-IN
|
XX
|
| 1386749893 |
FRANCISCAN HEALTH INDIANAPOLIS & MOORESVILLE-INDIANAPOLIS-IN
|
XX
|
| 1598868655 |
GENESIS HEALTHCARE SYSTEM-ZANESVILLE-OH
|
XX
|
| 1376564088 |
MCLAREN OAKLAND-PONTIAC-MI
|
XX
|
| 1366436073 |
BEAUFORT COUNTY MEMORIAL HOSPITAL-BEAUFORT-SC
|
XX
|
| 1205859766 |
WATAUGA MEDICAL CENTER INC-BOONE-NC
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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:
J1437 Inj. fe derisomaltose 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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