|
|
.
2025B Ambulatory Payment Classification: 9473
Title: Injection, mepolizumab, 1mg
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $ 30.54 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 6.11 |
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 9473* |
| NPI | Organization | APC 9473 Submitted |
| 1437119310 |
SENTARA HOSPITALS-NORFOLK-VA
|
XXX
|
| 1902826779 |
BOCA RATON REGIONAL HOSPITAL, INC.-BOCA RATON-FL
|
XXX
|
| 1366556227 |
MULTICARE HEALTH SYSTEM-TACOMA-WA
|
XXX
|
| 1871543215 |
STANFORD HEALTH CARE-STANFORD-CA
|
XXX
|
| 1326015777 |
NATIONAL JEWISH HEALTH-DENVER-CO
|
XXX
|
| 1851346720 |
ASHLAND HOSPITAL CORPORATION-ASHLAND-KY
|
XXX
|
| 1881647204 |
THE PRESBYTERIAN HOSPITAL-WINSTON-SALEM-NC
|
XXX
|
| 1932197258 |
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA-MONTEREY-CA
|
XXX
|
| 1295721090 |
JUPITER MEDICAL CENTER, INC.-JUPITER-FL
|
XXX
|
| 1194790055 |
MARTIN MEMORIAL MEDICAL CENTER INC-STUART-FL
|
XXX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
J2182 Injection, mepolizumab, 1mg
|
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.
|
|
