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Ambulatory Payment Classification (APC) Code List
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APC Code
Description
5821
Level 1 Health and Behavior Services
5822
Level 2 Health and Behavior Services
5823
Level 3 Health and Behavior Services
5851
Intensive Outpatient (3 services) for CMHCs
5852
Intensive Outpatient (4 or more services) for CMHCs
5853
Partial Hospitalization (3 services) for CMHCs
5854
Partial Hospitalization (4 or more services) for CMHCs
5861
Intensive Outpatient (3 services) for Hospital-based IOPs
5862
Intensive Outpatient (4 or more services) for Hospital-based IOPs
5863
Partial Hospitalization (3 services) for Hospital-based PHPs
5864
Partial Hospitalization (4 or more services) for Hospital-based PHPs
5871
Dental Procedures
5881
Ancillary Outpatient Services When Patient Dies
7041
Tirofiban hcl
7043
Infliximab not biosimil 10mg
7046
Doxorubicin inj 10mg
7048
Alteplase recombinant
7308
Aminolevulinic acid hcl top
8004
Ultrasound Composite
8005
CT and CTA without Contrast Composite
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