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2025B Ambulatory Payment Classification: 9521
Title: Platelets leukoreduced irrad
| 2025B Relative Weight: | 2.3034 |
| 2025B Payment Rate: | $205.39 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 41.08 |
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 9521* |
| NPI | Organization | APC 9521 Submitted |
| 1932103413 |
MOUNT SINAI HOSPITAL-NEW YORK-NY
|
XXX
|
| 1285798918 |
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS-DALLAS-TX
|
XXX
|
| 1124074273 |
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.-SAN ANTONIO-TX
|
XXX
|
| 1952311508 |
UPMC MAGEE-WOMENS HOSPITAL-PITTSBURGH-PA
|
XXX
|
| 1780653618 |
H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.-TAMPA-FL
|
XXX
|
| 1295789907 |
CAROLINAS MEDICAL CENTER-CHARLOTTE-NC
|
XXX
|
| 1962024026 |
CLHG-RUSTON LLC-SHREVEPORT-LA
|
XX
|
| 1659525236 |
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP-SAN ANTONIO-TX
|
XX
|
| 1689653305 |
WILLIAM BEAUMONT HOSPITAL-SOUTHFIELD-MI
|
XX
|
| 1821017880 |
SANFORD MEDICAL CENTER-SIOUX FALLS-SD
|
XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
P9033 Platelets leukoreduced irrad
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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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