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2025B Ambulatory Payment Classification: 9398
Title: Covid-19 Vaccine Admin Dose 2 of 2, Single Dose Product or Additional Dose
| 2025B Relative Weight: | 0.4656 |
| 2025B Payment Rate: | $ 41.52 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 0.00 |
Addendum D1 Information
Status Indicator: S
Item / Code / Service:
Procedure or Service, Not Discounted When Multiple
OPPS Payment Status:
Paid under OPPS; Separate APC payment.
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| 2021 Top 10 OPPS Facility Claims for APC 9398 * |
| NPI | Organization | APC 9398 Submitted |
| 1063406551 |
COUNTY OF SANTA CLARA-PASADENA-CA
|
XX,XXX
|
| 1184612764 |
THE QUEEN'S MEDICAL CENTER-HONOLULU-HI
|
XX,XXX
|
| 1679525919 |
THE CLEVELAND CLINIC FOUNDATION-CLEVELAND-OH
|
XX,XXX
|
| 1134144801 |
HENRY FORD HEALTH SYSTEM-DETROIT-MI
|
XX,XXX
|
| 1528064409 |
VIRTUA - WEST JERSEY HEALTH SYSTEM, INC.-MARLTON-NJ
|
XX,XXX
|
| 1609824010 |
OREGON HEALTH & SCIENCE UNIVERSITY-PORTLAND-OR
|
XX,XXX
|
| 1275620585 |
GEISINGER WYOMING VALLEY MEDICAL CENTER-DANVILLE-PA
|
XX,XXX
|
| 1386719086 |
CONTRA COSTA COUNTY-MARTINEZ-CA
|
XX,XXX
|
| 1053384776 |
AHS HOSPITAL CORP.-MORRISTOWN-NJ
|
XX,XXX
|
| 1184639973 |
THE GRIFFIN HOSPITAL-DERBY-CT
|
XX,XXX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
90480 Admn sarscov2 vacc 1 dose
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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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