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2025B Ambulatory Payment Classification: 9480
Title: Injection trabectedin 0.1mg
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $363.83 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 72.77 |
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 9480* |
| NPI | Organization | APC 9480 Submitted |
| 1700887411 |
MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES-NEW YORK-NY
|
XX
|
| 1164493847 |
FRED HUTCHINSON CANCER CENTER-SEATTLE-WA
|
XX
|
| 1265820179 |
BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS LLC-PHOENIX-AZ
|
XX
|
| 1851333686 |
DANA-FARBER CANCER INSTITUTE, INC.-BOSTON-MA
|
XX
|
| 1922053107 |
AURORA HEALTH CARE CENTRAL, INC.-SHEBOYGAN-WI
|
XX
|
| 1972507580 |
KADLEC REGIONAL MEDICAL CENTER-RICHLAND-WA
|
XX
|
| 1609824010 |
OREGON HEALTH & SCIENCE UNIVERSITY-PORTLAND-OR
|
XX
|
| 1902803315 |
REGENTS UNIV OF CALIF LOS ANGELES-LOS ANGELES-CA
|
XX
|
| 1194832477 |
THE NEW YORK AND PRESBYTERIAN HOSPITAL-NEW YORK-NY
|
XX
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| 1417901091 |
ENLOE MEDICAL CENTER-CHICO-CA
|
XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
J9352 Injection trabectedin 0.1mg
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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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