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APC

Ambulatory Payment Classification (APC) Code List

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APC Code
Description
2643
Brachytx, non-stranded,C-131
2645
Brachytx, non-str, Gold-198
2646
Brachytx, non-str, HDR Ir-192
2647
Brachytx, NS, Non-HDRIr-192
2648
Brachytx planar, p-103
2698
Brachytx, stranded, NOS
2699
Brachytx, non-stranded, NOS
2731
Immune globulin, powder
4017
Radiation tx delivery lvl 1
4018
Radiation tx delivery lvl 2
4019
Radiation tx delivery lvl 3
5012
Clinic Visits and Related Services
5021
Level 1 Type A ED Visits
5022
Level 2 Type A ED Visits
5023
Level 3 Type A ED Visits
5024
Level 4 Type A ED Visits
5025
Level 5 Type A ED Visits
5031
Level 1 Type B ED Visits
5032
Level 2 Type B ED Visits
5033
Level 3 Type B ED Visits
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