|
|
.
2025B Ambulatory Payment Classification: 9456
Title: Injection, isavuconazonium
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $ 0.99 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 0.20 |
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.
|
| 2021 Top 10 OPPS Facility Claims for APC 9456* |
| NPI | Organization | APC 9456 Submitted |
| 1801887013 |
DICKINSON COUNTY HEALTHCARE SYSTEM-MARSHFIELD-WI
|
XXX
|
| 1710918545 |
REGENTS OF THE UNIVERSITY OF CALIFORNIA-RANCHO CORDOVA-CA
|
XX
|
| 1548296106 |
MERCY HEALTH YOUNGSTOWN LLC-CINCINNATI-OH
|
XX
|
| 1043293608 |
BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION-BOWLING GREEN-KY
|
XX
|
| 1356390264 |
SUTTER VALLEY HOSPITALS-SACRAMENTO-CA
|
XX
|
| 1477531580 |
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY-DENVER-CO
|
XX
|
| 1427055839 |
REGENTS OF THE UNIV OF CALIFORNIA-LOS ANGELES-CA
|
XX
|
| 1700887411 |
MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES-NEW YORK-NY
|
XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
J1833 Injection, isavuconazonium
|
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.
|
|
