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APC

Ambulatory Payment Classification (APC) Code List

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APC Code
Description
1829
Penicillin g benzathine inj
1832
Dimethyl sulfoxide 50% 50 ml
1844
Factor viii pegylated recomb
1846
Factor viii nuwiq recomb 1iu
1847
Injection, inflectra
1848
Artiss fibrin sealant
1850
Gamma globulin 1 cc inj
1851
Gamma globulin > 10 cc inj
1853
Minocycline hydrochloride
1854
Pentobarbital sodium inj
1856
Factor viii recomb novoeight
1857
Inj, factor x, (human), 1iu
1859
Argatroban nonesrd use 1mg
1861
Inj., bendeka 1 mg
1862
Gelsyn-3 injection 0.1 mg
1901
New Technology - Level 49 ($100,001-$115,000)
1902
New Technology - Level 49 ($100,001-$115,000)
1903
New Technology - Level 50 ($115,001-$130,000)
1904
New Technology - Level 50 ($115,001-$130,000)
1905
New Technology - Level 51 ($130,001-$145,000)
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