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Ambulatory Payment Classification (APC) Code List

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APC Code
Description
9487
Ustekinumab, iv inject,1 mg
9489
Inj, nusinersen, 0.1mg
9490
Inj, bezlotoxumab, 10 mg
9491
Injection, avelumab, 10 mg
9492
Inj., durvalumab, 10 mg
9493
Injection, edaravone, 1 mg
9494
Injection, ocrelizumab
9495
Gemtuzumab ozogamicin inj
9496
Inj, faricimab-svoa, 0.1mg
9498
Ciltacabtagene car-pos t
9500
Platelets, irradiated
9501
Platelet pheres leukoreduced
9502
Platelet pheresis irradiated
9503
Fr frz plasma donor retested
9504
RBC deglycerolized
9505
RBC irradiated
9507
Platelets, pheresis
9508
Plasma 1 donor frz w/in 8 hr
9509
Frozen plasma, pooled, sd
9510
Whole blood for transfusion
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