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Ambulatory Payment Classification (APC) Code List

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APC Code
Description
0730
Inj melphalan (hepzato) 1 mg
0731
Sargramostim injection
0732
Inj, brixadi, 7 days or less
0733
Inj brixadi, more than 7 day
0734
Inj, levothyroxine, freskabi
0736
Amphotericin b liposome inj
0737
Inj, cipaglucosidase, 5 mg
0738
Rasburicase
0739
Inj, rykindo, 0.5 mg
0740
Inj hydroxocobalamin iv 25mg
0741
Inj cyclophosphamd (ingenus)
0743
Inj, cyclophosphamide, nos
0744
Inst tauro 1.35mg/hep 100u
0745
Inj, toripalimab-tpzi, 1 mg
0746
Inj, betibeglogene autotemce
0747
Inj, zolbetuximab-clzb, 2 mg
0748
Inj, lovotibeglogene autotem
0749
Inj travoprost intra impl
0750
Inj, nithiodote, 3mg / 125mg
0752
Dactinomycin injection
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