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2025A Ambulatory Payment Classification: 0807
Title: Aldesleukin injection
| 2025A Relative Weight: | 0 |
| 2025A Payment Rate: | $5301.26 |
| 2025A National Unadjusted Copay: | $ 0.00 |
| 2025A Minimum Unadjusted Copay: | $1060.26 |
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 0807* |
| NPI | Organization | APC 0807 Submitted |
| 1750358297 |
CITY OF HOPE NATIONAL MEDICAL CENTER-DUARTE-CA
|
XX
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| 1841266194 |
MAYO CLINIC HOSPITAL-ROCHESTER-ROCHESTER-MN
|
XX
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| 1376544320 |
STATE UNIVERSITY OF IOWA-IOWA CITY-IA
|
XX
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| 1457456279 |
HMH HOSPITALS CORPORATION-HACKENSACK-NJ
|
XX
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| 1376577247 |
ALBANY MEDICAL CENTER HOSPITAL-ALBANY-NY
|
XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
J9015 Aldesleukin injection
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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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