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APC

Ambulatory Payment Classification (APC) Code List

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APC Code
Description
9484
Inj, eteplirsen, 10 mg
9487
Ustekinumab, iv inject,1 mg
9489
Inj, nusinersen, 0.1mg
9490
Inj, bezlotoxumab, 10 mg
9491
Injection, avelumab, 10 mg
9492
Inj., durvalumab, 10 mg
9493
Injection, edaravone, 1 mg
9494
Injection, ocrelizumab
9495
Gemtuzumab ozogamicin inj
9496
Inj, faricimab-svoa, 0.1mg
9497
Loxapine for inhalation 1 mg
9498
Ciltacabtagene car-pos t
9500
Platelets, irradiated
9501
Platelet pheres leukoreduced
9502
Platelet pheresis irradiated
9503
Fr frz plasma donor retested
9504
RBC deglycerolized
9505
RBC irradiated
9507
Platelets, pheresis
9508
Plasma 1 donor frz w/in 8 hr
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