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LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2026
2025
QW Tests

Physician Fee Schedule

2026
2026-QP
2025

OPPS Fee Schedule

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ASC Fee Schedule

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APC Codes

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DRG Codes

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ASP Drug Pricing Files

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CMS Transmittals




4017 Quick jump to APC Code (numbers only eg. 0172):
4019

2026A Ambulatory Payment Classification: 4018

Title: Radiation tx delivery lvl 2

2026A Relative Weight: 3.4747
2026A Payment Rate: $317.64
2026A National Unadjusted Copay: $ 0.00
2026A Minimum Unadjusted Copay: $ 63.53
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.




* 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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