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APC

Ambulatory Payment Classification (APC) Code List

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APC Code
Description
0859
Inj ustekinumab-aekn, 1 mg
0864
Mitoxantrone hydrochl
0865
Inj, hercessi, 10 mg
0870
Inj. calaspargase pegol-mknl
0871
Inj pemetrexed (bluepoint)
0872
Inj. denosumab-bbdz, 1 mg
0874
Synvisc or synvisc-one
0875
Euflexxa inj per dose
0876
Gallium gozellix 1 millicuri
0877
Orthovisc inj per dose
0878
Aztreonam/avibactam 10 mg
0879
Inj ceftobipole medocarl 3mg
0880
Hiv prep, inj, lenacapavir
0881
Hiv prep, oral lenacapavir
0882
Inj glucagon (gvoke) 0.01 mg
0883
Inj, ethacrynate sod, 1 mg
0884
Inj, fosdenopterin, 0.1mg
0885
Inj, isoniazid, 1 mg
0886
Inj. remestemcel-l-rknd/ td
0887
Azathioprine parenteral
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