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Ambulatory Payment Classification (APC) Code List
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APC Code
Description
0754
Daptomycin (xellia) unrefrig
0755
Oral methotrexate (jylamvo)
0756
Oral methotrexate (xatmep)
0759
Naltrexone, depot form
0760
Tc-99m graphite crucible
0782
Inj, pemrydi rtu, 10 mg
0800
Leuprolide acetate
0802
Etoposide oral
0807
Aldesleukin injection
0810
Goserelin acetate implant
0812
Carmustine injection
0820
Daunorubicin injection
0825
Nelarabine injection
0827
Floxuridine injection
0836
Interferon alfa-2b inj
0840
Inj melpha hydroch nos 50 mg
0843
Pegaspargase injection
0844
Pentostatin injection
0850
Streptozocin injection
0851
Thiotepa injection
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