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2025B Ambulatory Payment Classification: 9513
Title: Plasma, frz between 8-24hour
| 2025B Relative Weight: | 0.7973 |
| 2025B Payment Rate: | $ 71.09 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 14.22 |
Addendum D1 Information
Status Indicator: R
Item / Code / Service:
Blood and Blood Products
OPPS Payment Status:
Paid under OPPS; separate APC payment.
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| 2021 Top 10 OPPS Facility Claims for APC 9513* |
| NPI | Organization | APC 9513 Submitted |
| 1205818481 |
ST. JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F-SPRINGFIELD-IL
|
XXX
|
| 1578554630 |
SUNY HEALTH SCIENCE CENTER AT SYRACUSE-SYRACUSE-NY
|
XXX
|
| 1629070149 |
SHORE MEMORIAL HOSPITAL-SOMERS POINT-NJ
|
XX
|
| 1437119310 |
SENTARA HOSPITALS-NORFOLK-VA
|
XX
|
| 1073566246 |
PUBLIC HOSPITAL DIST NO 1 SKAGIT-ARLINGTON-WA
|
XX
|
| 1740413798 |
SUTTER BAY HOSPITALS-SANTA ROSA-CA
|
XX
|
| 1467420448 |
COBB HOSPITAL, INC-MARIETTA-GA
|
XX
|
| 1154392231 |
MAYO CLINIC ARIZONA-SCOTTSDALE-AZ
|
XX
|
| 1558575746 |
ST. JOSEPH HOSPITAL OF ORANGE-ORANGE-CA
|
XX
|
| 1033102942 |
CARILION MEDICAL CENTER-ROANOKE-VA
|
XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
P9059 Plasma, frz between 8-24hour
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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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