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APC

Ambulatory Payment Classification (APC) Code List

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APC Code
Description
4006
Radiation treatment delivery, MeV>=20; simple
4007
Radiation treatment delivery, MeV<=5; intermediate
4008
Radiation treatment delivery, 6-10 MeV; intermediate
4009
Radiation treatment delivery, 11-19 MeV; intermediate
4010
Radiation treatment delivery, MeV >=20; intermediate
4011
Radiation treatment delivery, MeV<=5; complex
4012
Radiation treatment delivery, 6-10 MeV; complex
4013
Radiation treatment delivery, 11-19 MeV; complex
4014
Radiation treatment delivery, MeV >=20; complex
4015
Radiation tx delivery imrt
4016
Delivery comp imrt
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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