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APC

Ambulatory Payment Classification (APC) Code List

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APC Code
Description
9046
Inj., fibryga, 1 mg
9048
Inj, alymsys, 10 mg
9049
Inj, oliceridine 0.1 mg
9050
Leuprolide inj, camcevi, 1mg
9051
Inj, lanreotide, (cipla) 1mg
9052
Fluciclovine f-18
9053
Fluorodopa f-18 diag per mci
9054
Lutetium lu 177 vipivotide
9055
Gallium locametz 1 millicuri
9056
Gallium ga-68
9057
Inj nivol relatlimab 3mg/1mg
9059
Vonvendi inj 1 iu vwf:rco
9067
Lutetium lu 177 dotatat ther
9068
Smallpox&monkeypox vac 0.5ml
9070
Inj luxturna 1 billion vec g
9071
Capsaicin 8% patch
9073
Buprenorph xr 100 mg or less
9075
Inj, kovaltry, 1 i.u.
9077
Epoetin beta non esrd
9078
Testosterone undecanoate 1mg
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