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Ambulatory Payment Classification (APC) Code List

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APC Code
Description
9254
Flotufolastat f18 diag 1 mci
9255
Inj, invega sustenna, 1 mg
9256
Dexamethasone intra implant
9257
Inj., emicizumab-kxwh 0.5 mg
9258
Telavancin injection
9259
Pralatrexate injection
9260
Ofatumumab injection
9262
Inj tofersen intrathec 1 mg
9263
Ecallantide injection
9264
Tocilizumab injection
9266
Inj, uzedy, 1 mg
9267
Inj, rezafungin, 1 mg
9268
Inj. acthar gel to 40 units
9269
C-1 esterase, berinert
9270
Gammaplex IVIG
9271
Velaglucerase alfa
9272
Inj, denosumab
9273
Sipuleucel-T auto CD54+
9274
Crotalidae poly immune fab
9275
Inj. (ani), up to 40 units
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