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Ambulatory Payment Classification (APC) Code List
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APC Code
Description
0743
Inj, cyclophosphamide, nos
0744
Inst tauro 1.35mg/hep 100u
0745
Inj, toripalimab-tpzi, 1 mg
0746
Inj, betibeglogene autotemce
0748
Inj, lovotibeglogene autotem
0749
Inj travoprost intra impl
0750
Inj, nithiodote, 3mg / 125mg
0752
Dactinomycin injection
0753
Inj cefazolin (wg crit care)
0754
Daptomycin (xellia) unrefrig
0755
Oral methotrexate (jylamvo)
0756
Oral methotrexate (xatmep)
0757
Docetaxel (docivyx), 1 mg
0759
Naltrexone, depot form
0760
Tc-99m graphite crucible
0761
Inj, focinvez, 1mg
0765
Inj, donanemab-azbt, 2 mg
0767
Inj, nogapendekin pmln 1 mcg
0768
Inj, tarlatamab-dlle, 1 mg
0772
Inj, pegulicianine, 1 mg
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