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APC

Ambulatory Payment Classification (APC) Code List

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APC Code
Description
0843
Pegaspargase injection
0844
Pentostatin injection
0850
Streptozocin injection
0851
Thiotepa injection
0856
Porfimer sodium injection
0858
Inj cladribine
0864
Mitoxantrone hydrochl
0874
Synvisc or synvisc-one
0875
Euflexxa inj per dose
0877
Orthovisc inj per dose
0887
Azathioprine parenteral
0890
Lymphocyte immune globulin
0901
Alpha 1 proteinase inhibitor
0902
Injection,onabotulinumtoxinA
0903
Cytomegalovirus imm IV /vial
0925
Factor viii
0927
Factor viii recombinant
0928
Factor ix complex
0929
Anti-inhibitor
0931
Factor IX non-recombinant
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