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CMS Transmittals



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9519 Quick jump to APC Code (numbers only eg. 0172):
9521

2025B Ambulatory Payment Classification: 9520

Title: Blood split unit

2025B Relative Weight: 1.5902
2025B Payment Rate: $141.80
2025B National Unadjusted Copay: $ 0.00
2025B Minimum Unadjusted Copay: $ 28.36
Addendum D1 Information
Status Indicator: R

Item / Code / Service:
Blood and Blood Products

OPPS Payment Status:
Paid under OPPS; separate APC payment.


2021 Top 10 OPPS Facility Claims for APC 9520*
NPIOrganization APC 9520 Submitted
1578778726 YALE NEW HAVEN HOSPITAL-NEW HAVEN-CT XXX
1679525919 THE CLEVELAND CLINIC FOUNDATION-CLEVELAND-OH XX
1871543215 STANFORD HEALTH CARE-STANFORD-CA XX
1598773715 COUNTY OF LOS ANGELES-ALHAMBRA-CA XX
1568435477 THE MILTON S HERSHEY MEDICAL CENTER-HERSHEY-PA XX
1285641514 LONG ISLAND JEWISH MEDICAL CENTER-WESTBURY-NY XX
1487655064 BAYSTATE MEDICAL CENTER INC-SPRINGFIELD-MA XX
1376521575 LOYOLA UNIVERSITY MEDICAL CENTER-MAYWOOD-IL XX
1184670549 NORTHSHORE UNIVERSITY HEALTHSYSTEM-EVANSTON-IL XX
1477574838 COUNTY OF LOS ANGELES-TORRANCE-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:
P9011 Blood split unit


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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