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Ambulatory Payment Classification (APC) Code List
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APC Code
Description
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
8006
CT and CTA with Contrast Composite
8007
MRI and MRA without Contrast Composite
8008
MRI and MRA with Contrast Composite
8010
Mental Health Services Composite
8011
Comprehensive Observation Services
9002
Tenecteplase injection
9003
Palivizumab
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