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2025B Ambulatory Payment Classification: 9526
Title: Platelets leukocytes reduced
| 2025B Relative Weight: | 1.4105 |
| 2025B Payment Rate: | $125.77 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 25.16 |
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 9526* |
| NPI | Organization | APC 9526 Submitted |
| 1568460772 |
AVERA MCKENNAN-MINNEAPOLIS-MN
|
XX
|
| 1306938071 |
ADVENTIST HEALTH SYSTEM-SUNBELT, INC-ALTAMONTE SPRINGS-FL
|
XX
|
| 1881690212 |
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER-CAMP HILL-PA
|
XX
|
| 1083644033 |
CLEVELAND CLINIC WESTON HOSPITAL NONPROFIT CORPORATION-INDEPENDENCE-OH
|
XX
|
| 1407813603 |
UPMC PINNACLE HOSPITALS-HARRISBURG-PA
|
XX
|
| 1689107328 |
UPMC CARLISLE-CARLISLE-PA
|
XX
|
| 1194744326 |
SOUTHEAST GEORGIA HEALTH SYSTEM, INC.-SAINT MARYS-GA
|
XX
|
| 1013998426 |
WSNCHS NORTH, INC.-BETHPAGE-NY
|
XX
|
| 1821017880 |
SANFORD MEDICAL CENTER-SIOUX FALLS-SD
|
XX
|
| 1801826912 |
WELLMONT HEALTH SYSTEM-JOHNSON CITY-TN
|
XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
P9031 Platelets leukocytes reduced
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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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