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CMS Transmittals



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4014 Quick jump to APC Code (numbers only eg. 0172):
4016

2025A Ambulatory Payment Classification: 4015

Title: Radiation tx delivery imrt

2025A Relative Weight: 3.7382
2025A Payment Rate: $333.33
2025A National Unadjusted Copay: $ 0.00
2025A Minimum Unadjusted Copay: $ 66.67
Addendum D1 Information
Status Indicator: S

Item / Code / Service:
Procedure or Service, Not Discounted When Multiple

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


2021 Top 10 OPPS Facility Claims for APC 4015*
NPIOrganization APC 4015 Submitted
1376139139 NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC-WINSTON SALEM-NC X,XXX
1548216880 NEW HANOVER REGIONAL MEDICAL CENTER-WILMINGTON-NC X,XXX
1851549273 WEST CHESTER HOSPITAL LLC-WEST CHESTER-OH XXX


* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.


Procedure Codes in this APC:
None Listed


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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