Ambulatory Payment Classifications →
section notes
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 ronzanolixizum-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
0735   Inj, levothyroxine, hikma
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
0753   Inj cefazolin (wg crit care)
0759   Naltrexone, depot form
0762   Bupivacaine implant, 1 mg
0764   Ketorolac tromethamine inj
0765   Inj, donanemab-azbt, 2 mg
0778   Inj, vasopressin (baxter)
0784   Inj, tyenne, 1 mg
0786   Inj, tofidence, 1 mg
0788   Inj cefazolin sodium, hikma
0789   Inj daptomycin (xellia)
0790   Inj, methylpred acetate 1 mg
0792   Inj, glycopyrrolate, 0.1 mg
0793   Inj glycopyrrolate fres kabi
0794   Inj, bumetanide, 0.5 mg
0795   Inj, lidocaine in d5w, 1 mg
0796   Inj meropenem (wg crit care)
0797   Inj, immphentiv, 20 mcg
0798   Inj, sezaby, 1 mg
0799   Inj fluphenazine hcl 1.25 mg
0801   Inj, methylpred sod succ 5mg
0803   Hydroxocobalamin im 10mcg
0807   Aldesleukin injection
0811   Inj, nypozi, 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
0820   Daunorubicin injection
0822   Inj, romiplostim 1 microgram
0824   Inj, exagamglogene autotem
0825   Nelarabine injection
0833   Inj, idacio, 1 mg
0834   Inj, abrilada, 1 mg
0840   Inj melpha hydroch nos 50 mg
0843   Pegaspargase injection
0844   Pentostatin injection
0858   Inj cladribine
0875   Euflexxa inj per dose
0877   Orthovisc inj per dose
0902   Injection,onabotulinumtoxinA
0943   Octagam injection
0944   Gammagard liquid injection
0946   Hepagam b im injection
0947   Flebogamma injection
1015   Injection glatiramer acetate
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
1331   Olanzapine long-acting inj
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
1433   Calcitonin salmon injection
1440   Inj desmopressin acetate
1443   Icatibant 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
1608   Etanercept injection
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
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
1836   Penicillin g procaine inj
1849   Foscarnet sodium injection
1852   Interferon beta-1a inj
1861   Inj., bendeka 1 mg
2064   Inj marstacimab, 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 (avyxa) 10mg
9002‑9496   Injections 9000–9999
9045   Idursulfase injection
9087   Inj, clevidipine butyrate
9096   Inj retacrit esrd on dialysi
9106   Inj, bupivacaine (posimir)
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
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, 1 mg
9157   Inj, lecanemab-irmb, 1 mg
9158   Inj, pegcetacoplan, 1mg
9166   Inj, fosaprepitant (teva)
9219   Procainamide hcl 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
9277   Altuviiio per factor viii iu
9285   Inj allopurinol sodium 1 mg
9338   Inj., triluron, 1 mg
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