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.
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.
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| 2021 Top 10 OPPS Facility Claims for APC 4015* |
| NPI | Organization | 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
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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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