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Ambulatory Payment Classification (APC) Code List

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APC Code
Description
9051
Inj, lanreotide, (cipla) 1mg
9052
Fluciclovine f-18
9053
Fluorodopa f-18 diag per mci
9054
Lutetium lu 177 vipivotide
9055
Gallium locametz 1 millicuri
9056
Gallium ga-68
9057
Inj nivol relatlimab 3mg/1mg
9059
Vonvendi inj 1 iu vwf:rco
9063
Rh ig minidose im
9067
Lutetium lu 177 dotatat ther
9068
Smallpox&monkeypox vac 0.5ml
9070
Inj luxturna 1 billion vec g
9071
Capsaicin 8% patch
9073
Buprenorph xr 100 mg or less
9075
Inj, kovaltry, 1 i.u.
9078
Testosterone undecanoate 1mg
9079
Genvisc 850, inj, 1mg
9087
Inj, clevidipine, 1 mg
9088
Peng benzathine/procaine inj
9094
Radiesse injection
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