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2025B Ambulatory Payment Classification: 9454
Title: Inj, pasireotide long acting
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $526.94 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $105.39 |
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 9454* |
| NPI | Organization | APC 9454 Submitted |
| 1821035940 |
AKRON GENERAL MEDICAL CENTER-AKRON-OH
|
XX
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| 1528009412 |
SANFORD MEDICAL CENTER FARGO-FARGO-ND
|
XX
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| 1891940326 |
CEDARS-SINAI MEDICAL CENTER-WEST HOLLYWOOD-CA
|
XX
|
| 1275531956 |
COOKEVILLE REGIONAL MEDICAL CENTER-COOKEVILLE-TN
|
XX
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| 1477531580 |
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY-DENVER-CO
|
XX
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| 1649259656 |
UNIVERSITY OF KANSAS HOSPITAL AUTHORITY-WESTWOOD-KS
|
XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
J2502 Inj, pasireotide long acting
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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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