Ambulatory Payment Classifications →
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Drugs and Biologicals (Excluding Cancer/Chemotherapy) →
section notes
Injection(s) →
section notes
0703   Inj daxibotulinumtoxina-lanm
0704   Inj, aflibercept hd, 1 mg
0705   Inj avacincaptad pegol 0.1mg
0709   Flortaucipir inj 1 millicuri
0710   Inj velmanase alfa-tycv 1 mg
0711   Inj, artesunate, 1mg
0714   Inj delandistrogene mox rokl
0715   Pegunigalsidase alfa-iwxj
0721   Inj rozanolixizum-noli 1 mg
0723   Inj efgart-alfa 2mg hya-qvfc
0725   Inj secukinumab intrav 1mg
0726   Dexrazoxane HCl injection
0727   Inj, adzynma, 10 iu
0728   Inj, mirikizumab-mrkz, 1 mg
0731   Sargramostim injection
0732   Inj, brixadi, 7 days or less
0733   Inj brixadi, more than 7 day
0734   Inj, levothyroxine, freskabi
0736   Amphotericin b liposome inj
0737   Inj, cipaglucosidase, 5 mg
0739   Inj, rykindo, 0.5 mg
0740   Inj hydroxocobalamin iv 25mg
0745   Inj, toripalimab-tpzi, 1 mg
0746   Inj, betibeglogene autotemce
0748   Inj, lovotibeglogene autotem
0749   Inj travoprost intra impl
0750   Inj, nithiodote, 3mg / 125mg
0752   Dactinomycin injection
0759   Naltrexone, depot form
0764   Ketorolac tromethamine inj
0765   Inj, donanemab-azbt, 2 mg
0778   Inj, vasopressin (baxter)
0784   Inj, tyenne, 1 mg
0786   Inj, tofidence, 1 mg
0798   Inj, sezaby, 1 mg
0807   Aldesleukin injection
0811   Inj, nyposi 1 mcg
0812   Carmustine injection
0813   Injection, imetelstat, 1 mg
0815   Inj, palonosetron (posfrea)
0817‑0830   Adalimumab Injection
0818   Inj, crovalimab-akkz, 10 mg
0819   Inj, alyglo, 500 mg
0822   Inj, romiplostim 1 microgram
0824   Inj, exagamglogene autotem
0825   Nelarabine injection
0839   Inj axatilimab-csfr 0.1 mg
0840   Inj melpha hydroch nos 50 mg
0843   Pegaspargase injection
0844   Pentostatin injection
0845   Inj, atidarsagene autotemcel
0858   Inj cladribine per 1 mg
0859   Inj ustekinumab-aekn, 1 mg
0866   Inj, sod thiosulfate (hope)
0869   Inj ustekinumab-kfce, 1 mg
0872   Inj. denosumab-bbdz, 1 mg
0875   Euflexxa inj per dose
0877   Orthovisc inj per dose
0878   Aztreonam/avibactam 10 mg
0879   Inj ceftobipole medocarl 3mg
0880   Hiv prep, inj, lenacapavir
0882   Inj glucagon (gvoke) 0.01 mg
0883   Inj, ethacrynate sod, 1 mg
0884   Inj, fosdenopterin, 0.1mg
0885   Inj, isoniazid, 1 mg
0886   Inj. remestemcel-l-rknd/ td
0888   Inj. concizumab-mtci, 0.5 mg
0889   Injection fitusiran 0.04 mg
0891   Inj, denosumab-bmwo, 1 mg
0892   Inj, denosumab-bnht, 1 mg
0893   Inj, nipocalimab-aahu, 3 mg
0895   Inj ustekinumab-aauz 1 mg
0896   Inj, carboprost, 0.1 mg
0898   Inj meloxicam (azurity) 1mg
0900   Inj, liothyronine, 1 mcg
0902   Injection,onabotulinumtoxinA
0905   Inj, posaconazole, 1 mg
0906   Inj elivaldogene autotemecel
0911   Inj pozelimab-bbfg, 1 mg
0912   Inj, wezlana, iv, 1 mg
0919   Inj, zymfentra, 10 mg
0921   Inj, tyruko, 1 mg
0943   Octagam injection
0944   Gammagard liquid injection
0946   Hepagam b im injection
1138   Hepagam b intravenous, inj
1178   Busulfan injection
1203   Verteporfin injection
1207   Octreotide injection, depot
1214   Inj IVIG privigen 500 mg
1232   Mitomycin injection
1237   Inj iron dextran
1253   Triamcinolone a inj prs-free
1263   Antithrombin iii injection
1268   Xyntha inj
1274   Edetate calcium disodium inj
1296   Degarelix injection
1311   Canakinumab injection
1312   Hizentra injection
1327   Imiglucerase injection
1340   Collagenase, clost hist inj
1352   Wilate injection
1353   Belimumab injection
1413   Lumizyme injection
1415   Glassia injection
1420   Aflibercept injection
1421   Imported lipodox inj
1426   Eribulin mesylate injection
1458   Phentolaine mesylate inj
1468   Inj, abilify maintena, 1 mg
1469   Inj filgrastim excl biosimil
1474   Certolizumab pegol inj 1mg
1476   Obinutuzumab inj
1478   Inj human fibrinogen con nos
1480   Elosulfase alfa, injection
1489   Inj vedolizumab iv 1 mg
1490   Inj pembrolizumab
1658   Injection, belinostat, 10mg
1660   Injection, oritavancin
1662   Inj tedizolid phosphate
1694   Ziconotide injection
1696   Palifermin injection
1700   Inj secretin synthetic human
1701   Treprostinil injection
1704   Humate-P, inj
1710   Clofarabine injection
1744   Zidovudine
1747   Monovisc inj per dose
1748   Inj tbo filgrastim 1 microg
1809   Injection, alemtuzumab
1823   Injection, dalbavancin
1824   Ceftaroline fosamil inj
1829   Penicillin g benzathine inj
1831   Chloramphenicol sodium injec
1854   Pentobarbital sodium inj
1861   Inj., bendeka 1 mg
1862   Gelsyn-3 injection 0.1 mg
2064   Inj marstacim-hncq, 0.5 mg
2068   Inj, aflibercept-ayyh, 1 mg
2069   Inj, testosterone, azmiro
2070   Inj, eculizumab, 2 mg
2071   Inj ocrelizumab 1mg hya-ocsq
2073   Inj atezolizumb 5mg hya-tqjs
2075   Inj acetaminoph 10mg/ibu 3mg
2076   Inj, pemetrexed dipotassium
9002‑9496   Injections 9000–9999
9007   Inj cutaquig 100 mg
9031   Inj, etelcalcetide, 0.1 mg
9045   Idursulfase injection
9063   Rh ig minidose im
9087   Inj, clevidipine, 1 mg
9107   Inj, aponvie, 1 mg
9112   Inj teplizumab mzwv 5 mcg
9113   Inj olipudase alfa-rpcp 1mg
9115   Inj, spesolimab-sbzo, 1 mg
9117   Inj, cimerli, 0.1 mg
9119   Inj, pedmark, 100 mg
9130   Inj, imm glob bivigam, 500mg
9138   Inj, hemgenix, per tx dose
9141   Inj onase abepar-xioi treat
9144   Inj, panzyga, 500 mg
9145   Inj, invega hafyera/trinza
9146   Inj, ixinity, 1 i.u.
9149   Inj ublituximab-xiiy, 1 mg
9155   Inj lenacapavir (hiv tx) 1mg
9157   Inj, lecanemab-irmb, 1 mg
9158   Inj, pegcetacoplan, 1mg
9166   Inj, fosaprepitant (teva)
9199   Injection, caplacizumab-yhdp
9219   Procainamide hcl injection
9224   Galsulfase injection
9246   Inj, abilify asimtufii, 1 mg
9247   Inj, amisulpride, 1 mg
9262   Inj tofersen intrathec 1 mg
9266   Inj, uzedy, 1 mg
9267   Inj, rezafungin, 1 mg
9268   Inj. acthar gel to 40 units
9275   Inj. (ani), up to 40 units
9277   Altuviiio per factor viii iu
9285   Inj allopurinol sodium 1 mg
9293   Injection, glucarpidase
9321   Fosphenytoin inj pe
9322   Bcg live intravesical 1mg
9325   Inj., eravacycline, 1 mg
9338   Inj., triluron, 1 mg
9420   Eptifibatide injection
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