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APC

Ambulatory Payment Classification (APC) Code List

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FOR INDIVIDUALS FOR TEAMS
APC Code
Description
9056
Gallium ga-68
9057
Inj nivol relatlimab 3mg/1mg
9059
Vonvendi inj 1 iu vwf:rco
9063
Rh ig minidose im
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.
9078
Testosterone undecanoate 1mg
9079
Genvisc 850, inj, 1mg
9087
Inj, clevidipine, 1 mg
9088
Peng benzathine/procaine inj
9094
Radiesse injection
9095
Inj, sculptra, 0.5mg
9097
Inj retacrit non-esrd use
9099
Inj fosnetupitant, palonoset
9101
Vaccinia vrs vac 0.3 ml perq
9102
Inj, fulvestrant (teva)
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