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Ambulatory Payment Classification (APC) Code List

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APC Code
Description
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
9079
Genvisc 850, inj, 1mg
9080
Fludarabine phosphate inj
9087
Inj, clevidepine, 1 mg
9088
Peng benzathine/procaine inj
9094
Radiesse injection
9095
Inj, sculptra, 0.5mg
9096
Inj retacrit esrd on dialysi
9097
Inj retacrit non-esrd use
9099
Inj fosnetupitant, palonoset
9101
Vaccinia vrs vac 0.3 ml perq
9102
Inj, fulvestrant (teva)
9103
Inj, fulvestrant (fresenius)
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