Ambulatory Payment Classifications

section notes

-/+ Deleted, Replaced, Expanded Codes

section notes
0001 Level I Photochemotherapy
00020005   Deleted Codes - Needle Biopsy/Aspiration
00060008   Deleted Codes - Incision & Drainage
00120017   Deleted Codes - Debridement & Destruction
00190022   Deleted Codes - Excision/ Biopsy
0028 Level I Breast and Skin Surgery
0029 Level II Breast and Skin Surgery
0030 Level III Breast and Skin Surgery
0031 Level I Health and Behavior Services
0034 Mental Health Services Composite
0035 Vascular Puncture and Minor Diagnostic Procedures
0037 Level IV Needle Biopsy/Aspiration Except Bone Marrow
0039 Level III Neurostimulator & Related Procedures
0040 Level I Implantation/Revision/Replacement of Neurostimulator Electrodes
0041 Level I Arthroscopy
0042 Level II Arthroscopy
0045 Bone/Joint Manipulation Under Anesthesia
0047 Arthroplasty
00480056   Deleted Codes - Musculoskeletal Procedures
0048 Level I Arthroplasty or Implantation with Prosthesis
0057 Bunion Procedures
0058 Level II Strapping and Cast Application
0059 Level I Strapping and Cast Application
0060 Manipulation Therapy
0061 Level II Neurostimulator & Related Procedures
0062 Level I Treatment Fracture/Dislocation
0063 Level II Treatment Fracture/Dislocation
0064 Level III Treatment Fracture/Dislocation
0065 IORT, MRgFUS, and MEG
0066 Level V Radiation Therapy
0067 Single Session Cranial Stereotactic Radiosurgery
0069 Thoracoscopy
0070 Thoracentesis/Lavage Procedures
00710075   Deleted Codes - Endoscopy Upper Airway
0076 Level I Endoscopy Lower Airway
0077 Pulmonary Treatment
0078 Level III Pulmonary Treatment
0079 Ventilation Initiation and Management
0080 Diagnostic Cardiac Catheterization
0082 Coronary or Non-Coronary Atherectomy
0083 Level I Endovascular Procedures
0084 Level I Electrophysiologic Procedures
0085 Level II Electrophysiologic Procedures
0086 Level III Electrophysiologic Procedures
0088 Thrombectomy
0089 Level III Pacemaker and Similar Procedures
0090 Level II Pacemaker and Similar Procedures
0091 Level II Vascular Ligation
0092 Level I Vascular Ligation
0093 Vascular Reconstruction/Fistula Repair
0094 Resuscitation and Cardioversion
0095 Cardiac Rehabilitation
0096 Level II Noninvasive Physiologic Studies
0097 Level I Noninvasive Physiologic Studies
0099 Electrocardiograms/Cardiography
0100 Cardiac Stress Tests
0101 Tilt Table Evaluation
0102 Level II Pulmonary Treatment
0103 Miscellaneous Vascular Procedures
0104 Transcatheter Placement of Intracoronary Stents
0105 Level I Pacemaker & Similar Procedures
0106 Insertion/Replacement/Repair of Pacemaker Generator, Leads, and/or Electrodes
0107 Level I ICD and Similar Procedures
0108 Level II ICD and Similar Procedures
0110 Transfusion
0111 Blood Product Exchange
0112 Apheresis and Stem Cell Procedures
0113 Excision Lymphatic System
0114 Thyroid/Lymphadenectomy Procedures
0115 Cannula/Access Device Procedures
0121 Level I Tube or Catheter Changes or Repositioning
0126 Level I Urinary and Anal Procedures
0127 Level IV Stereotactic Radiosurgery, MRgFUS, and MEG
0128 Echocardiogram with Contrast
0129 Level I Closed Treatment Fracture
01300174   Deleted Codes - Laparoscopy
01330137   Deleted Codes - Skin Repair
0138 Level II Closed Treatment Fracture
0139 Level III Closed Treatment Fracture
0140 Esophageal Dilation without Endoscopy
0141 Level I Upper GI Procedures
0142 Level I Small Intestine Endoscopy
0143 Lower GI Endoscopy
0146 Level I Sigmoidoscopy and Anoscopy
0147 Level II Sigmoidoscopy and Anoscopy
01480155   Deleted Codes - Anal/Rectal Procedures
0151 Endoscopic Retrograde Cholangio-Pancreatography (ERCP)
0152 Level I Percutaneous Abdominal and Biliary Procedures
0153 Peritoneal and Abdominal Procedures
0154 Hernia/Hydrocele Procedures
0155 Level II Anal/Rectal Procedures
0156 Level III Urinary and Anal Procedures
01570159   Deleted Codes - Colorectal Cancer Screening
01600163   Deleted Codes - Cystourethroscopy & Other Genitourinary Procedures
01640168   Deleted Codes - Urinary/Anal/Urethral Procedures
0169 Lithotripsy
0170 Dialysis
01720176   Deleted Codes - Partial Hospitalization (CMHCs & PHPs)
0177 Level I Echocardiogram with Contrast
0178 Level II Echocardiogram with Contrast
01810205   Deleted Codes - Male Genital Procedures
01880202   Deleted Codes - Female Procedures
02030207   Deleted Codes - Nerve Injections
0208 Laminotomies and Laminectomies
0209 Level II Extended EEG, Sleep, and Cardiovascular Studies
0213 Level I Extended EEG, Sleep, and Cardiovascular Studies
02150218   Deleted Codes - Nerve & Muscle Services
0219 Vascular Ligation
0220 Level I Nerve Procedures
0221 Level II Nerve Procedures
0222 Level II Implantation of Neurostimulator
0224 Implantation of Catheter/Reservoir/Shunt
0225 Implantation of Neurostimulator Electrodes, Cranial Nerve
0227 Implantation of Drug Infusion Device
0229 Level II Endovascular Procedures
02300255   Deleted Codes - Eye Tests and Procedures related to the Eyes
02500259   Deleted Codes - ENT Procedures
02600337   Deleted Codes - Radiological & Magnetic Resonance Imaging
0288 Bone Density:Axial Skeleton
0293 Level IV Intraocular Procedures
02990313   Deleted Codes - Radiation Treatment & Cancer related treatments
0303 Treatment Device Construction
0315 Level II Implantation of Neurostimulator Generator
0317 Level II Miscellaneous Radiology Procedures
0318 Level IV Neurostimulator & Related Procedures
0319 Level III Endovascular Procedures
03200325   Deleted Codes - Behavioral & Psychotherapy
03260329   Deleted Codes - Skin Procedures
0330 Dental Procedures
0340 Level II Minor Procedures
0341 Skin Tests
0342 Level I Pathology
0343 Level III Pathology
0344 Level IV Pathology
0345 Level I Transfusion Laboratory Procedures
0346 Level II Transfusion Laboratory Procedures
0347 Level III Transfusion Laboratory Procedures
0350 Administration of flu and PPV vaccine
0351 Level V Intraocular Procedures
0360 Level I Alimentary Tests
0361 Level II Alimentary Tests
0363 Otorhinolaryngologic and Related Tests
0364 Level I Audiometry
0365 Level II Audiometry
0366 Level III Audiometry
0367 Level I Pulmonary Tests
0368 Level II Pulmonary Tests
0369 Level II Pulmonary Tests
0370 Multiple Allergy Tests
0373 Neuropsychological Testing
0375 Ancillary Outpatient Services When Patient Expires
0377 Level II Cardiac Imaging
0378 Level II Pulmonary Imaging
0379 Injection adenosine 6 MG
0381 Single Allergy Tests
0382 Level II Neuropsychological Testing
0383 Cardiac Computed Tomographic Imaging
0384 GI Procedures with Stents
0385 Level I Urogenital Procedures
0386 Level II Urogenital Procedures
0387 Level II Hysteroscopy
03880408   Deleted Codes - Imaging
0389 Level I Non-imaging Nuclear Medicine
0392 Level II Non-imaging Nuclear Medicine
0393 Hematologic Processing & Studies
04040413   Deleted Codes - Radionuclide Therapy
0404 Renal and Genitourinary Studies
0409 Red Blood Cell Tests
0412 Level III Radiation Therapy
0415 Level II Endoscopy Lower Airway
0418 Insertion of Left Ventricular Pacing Elect.
0419 Level II Upper GI Procedures
0420 Level III Minor Procedures
0422 Level III Upper GI Procedures
0423 Level II Percutaneous Abdominal and Biliary Procedures
0424 Level II Small Intestine Endoscopy
0425 Level V Musculoskeletal Procedures Except Hand and Foot
0426 Level II Strapping and Cast Application
0427 Level II Tube or Catheter Changes or Repositioning
0428 Level III Sigmoidoscopy and Anoscopy
0429 Level V Cystourethroscopy and other Genitourinary Procedures
0431 Level IV Closed Treatment Fracture
0432 Level II Health and Behavior Services
0433 Level II Pathology
0434 Cardiac Defect Repair
0435 Level III Extended EEG, Sleep, and Cardiovascular Studies
04360442   Deleted Codes - Drug Administration
0442 Dosimetric Drug Administration
0446 Level IV Nerve and Muscle Services
0450 Level I Minor Procedures
06040608   Deleted Codes - Hospital Clinic Visits
06090626   Deleted Codes - Emergency Visits
0617 Critical Care
0618 Trauma Response with Critical Care
06210624   Deleted Codes - Vascular Access Procedures
0631 Level 1 Examinations & Related Services
0632 Level 2 Examinations & Related Services
0633 Level 3 Examinations & Related Services
0634 Hospital Clinic Visits
0648 Level IV Breast and Skin Surgery
0651 Complex Interstitial Radiation Source Application
0652 Insertion of Intraperitoneal and Pleural Catheters
0653 Vascular Reconstruction/Fistula Repair with Device
0654 Level II Insertion/Replacement of Permanent Pacemaker
0655 Level IV Pacemaker and Similar Procedures
0656 Transcatheter Placement of Intracoronary Drug-Eluting Stents
0659 Hyperbaric Oxygen
0660 Level II Otorhinolaryngologic Function Tests
0661 Level III Pathology
0662 CT Angiography
0664 Level I Proton Beam Radiation Therapy
0665 Bone Density:AppendicularSkeleton
0667 Level IV Radiation Therapy
0668 Level I Angiography and Venography
0672 Level III Posterior Segment Eye Procedures
0673 Level III Intraocular Procedures
0674 Prostate Cryoablation
0676 Thrombolysis and Other Device Revisions
0678 External Counterpulsation
0679 Level II Resuscitation and Cardioversion
0680 Insertion of Patient Activated Event Recorders
0681 Knee Arthroplasty
0682 Level V Debridement & Destruction
0683 Level II Photochemotherapy
0685 Level III Needle Biopsy/Aspiration Except Bone Marrow
0687 Revision/Removal of Neurostimulator Electrodes
0688 Level I Neurostimulator & Related Procedures
06890692   Deleted Codes - Electronic Analysis of Devices
0694 Mohs Surgery
0697 Level I Echocardiogram Without Contrast
0698 Level II Eye Tests & Treatments
0699 Level IV Eye Tests & Treatments
0702 Sm 153 lexidronm
07280999   Deleted Codes - Injections
0730 Pamidronate disodium
0732 Mesna injection
0735 Ampho b cholesteryl sulfate
0750 Dolasetron mesylate
0760 Anidulafungin injection
0763 Dolasetron mesylate oral
0764 Granisetron hcl injection
0765 Granisetron hcl 1 mg oral
0768 Ondansetron hcl injection
0769 Ondansetron hcl 8 mg oral
0804 Vivaglobin, inj
0809 Bcg live intravesical 1mg
0814 Asparaginase, NOS
0821 Daunorubicin citrate inj
0827 Floxuridine injection
0828 Gemcitabine hcl injection
0830 Irinotecan injection
0831 Ifosfamide injection
0834 Interferon alfa-2a inj
0835 Cosyntropin injection NOS
0838 Interferon gamma 1-b inj
0842 Fludarabine phosphate inj
0852 Topotecan injection
0855 Vinorelbine tartrate inj
0861 Leuprolide acetate injeciton
0863 Paclitaxel injection
0865 Interferon alfa-n3 inj
0868 Oral aprepitant
0873 Hyalgan supartz visco-3 dose
0878 Gallium nitrate injection
0883 Fondaparinux sodium
0884 Rho d immune globulin inj
0888 Cyclosporine oral
0891 Tacrolimus oral
0898 Gamma globulin 2 CC inj
0899 Gamma globulin 3 CC inj
0900 Alglucerase injection
0904 Gamma globulin 4 CC inj
0906 RSV-ivig
0913 Ganciclovir long act implant
0916 Injection imiglucerase /unit
0917 Adenosine injection
09190933   Deleted Codes – Gamma globulin, inj.
0934 Capecitabine, oral
0935 Clonidine hydrochloride
0945 Rhophylac injection
0949 Frozen plasma, pooled, sd
0950 Whole blood for transfusion
0951 Reclast injection
0952 Cryoprecipitate each unit
0954 RBC leukocytes reduced
0955 Plasma, frz between 8-24hour
0956 Plasma protein fract,5%,50ml
0957 Platelets, each unit
0958 Plaelet rich plasma unit
0959 Red blood cells unit
0960 Washed red blood cells unit
0966 Plasmaprotein fract,5%,250ml
0967 Blood split unit
0968 Platelets leukoreduced irrad
0969 RBC leukoreduced irradiated
0999 Edetate calcium disodium inj
1009 Cryoprecipitatereducedplasma
1010 Blood, l/r, cmv-neg
1011 Platelets, hla-m, l/r, unit
1013 Platelets leukocytes reduced
1016 Blood, l/r, froz/degly/wash
1017 Plt, aph/pher, l/r, cmv-neg
1018 Blood, l/r, irradiated
1019 Plate pheres leukoredu irrad
1020 Plt, pher, l/r cmv-neg, irr
1021 RBC, frz/deg/wsh, l/r, irrad
1022 RBC, l/r, cmv-neg, irrad
1023 Pralidoxime chloride inj
1052 Injection, voriconazole
1084 Denileukin diftitox inj
1086 Temozolomide
1167 Inj, epirubicin hcl
1186 Acetylcysteine injection
1189 Foscarnet sodium injection
1204 Cyclosporin parenteral
1206 Dimecaprol injection
1208 Factor VIII (porcine)
1209 Diethylstilbestrol injection
1211 Oxytetracycline injection
1212 Diphtheria antitoxin
1216 Lyme disease vaccine, im
1217 Penicillin g benzathine inj
1218 Triflupromazine hcl inj
1219 Dtap-ipv vacc 4-6 yr im
1220 Calcitonin salmon injection
1221 Dimethyl sulfoxide 50%
1222 Pentastarch 10% solution
1223 Pentobarbital sodium inj
1224 Sincalide injection
1225 Somatrem injection
1226 Inj streptokinase /250000 IU
1227 Urea injection
1228 Hyaluronidase recombinant
1230 Nabilone oral
1231 Plicamycin (mithramycin) inj
1233 Mitomycin 20 MG inj
1234 Mitomycin 40 MG inj
1238 Topotecan oral
1239 Rotavirus vacc 2 dose oral
12401248   Deleted Codes – Skin Substitutes
1249 Cymetra allograft
1250 Graftjacket express allograf
1251 Integra flowable wound matri
1252 Gammagraft skin sub
1253 Triamcinolone A inj PRS-free
1254 Adenovirus vaccine, type 4
1255 Rotovirus vacc 3 dose, oral
1256 Brompheniramine maleate inj
1257 Enfuvirtide injection
1260 Nandrolone decanoate 100 MG
1266 Interferon alfacon-1 inj
1270 Alloderm skin sub
1271 Cholera vaccine, injectable
1272 Acetylcysteine injection
1273 Dimecaprol injection
1275 Vivaglobin, inj
1276 Fondaparinux sodium
1277 Insulin for insulin pump use
1279 Factor VIII (porcine)
1280 Corticotropin injection
1282 Gamma globulin 2 CC inj
1283 Gamma globulin 3 CC inj
1284 Gamma globulin 5 CC inj
1285 Nandrolone decanoate 50 MG
1286 Nandrolone decanoate 200 MG
1287 Alloskin skin sub
1288 Visualization adjunct
1290 Human fibrinogen conc inj
1291 Rilonacept injection
1292 Cyclosporine oral 100 mg
1293 Bladder calculi irrig sol
1294 Cyclosporine oral 25 mg
1298 Cosyntropin cortrosyn inj
1299 Gadofosveset trisodium inj
1302 Inj benztropine mesylate
1304 Perphenazine injeciton
1306 Urea injection
1307 Oral busulfan
1308 Mecasermin injection
1309 Paclitaxel injection
1310 Pneumococcal vacc, 13 val im
1331 Olanzapine long-acting inj
1332 Antithrombin recombinant
1338 Methyl aminolevulinate, top
1339 Oral fludarabine phosphate
1342 Matristem micromatrix
1343 Ganciclovir sodium injection
1344 Gonadorelin hydroch/ 100 mcg
1345 Theraskin
1346 Penicillin g procaine inj
1347 Oxacillin sodium injeciton
1348 Sincalide injection
1349 Anidulafungin injection
1350 Topotecan injection
1351 Matristem wound matrix
1354 Hydroxyprogesterone caproate
1355 Itraconazole injection
1356 Zoledronic Acid 1mg
1357 Inj protirelin per 250 mcg
1358 Phentolaine mesylate inj
1359 Foscarnet sodium injection
1360 Apomorphine hydrochloride
1361 Enfuvirtide injection
1362 Inj heparin sodium per 10 u
1373 Inj heparin sodium per 1000u
1374 Sumatriptan succinate / 6 MG
1412 Vinorelbine tartrate inj
1414 Human fibrinogen conc inj
1418 Oral everolimus
1419 Dermacell
1422 Anthrax vaccine sc or im
1423 Minocycline hydrochloride
1424 Nabilone oral
1425 Thiethylperazine maleate
1427 Alloskin
1428 Arthroflex
1429 Flexhd/Allopatchhd/matrixhd
1430 Unite biomatrix
1432 Arbutamine hcl injection
1434 Testosterone enanthate inj
1435 Injection estrone per 1 MG
1436 Etidronate disodium inj
1437 Gatifloxacin injection
1438 Diazoxide injection
1439 Aprotonin, 10,000 kiu
1441 Intraocular Fomivirsen na
1444 Oral everolimus
1445 Methylnaltrexone injection
1447 Interferon alfacon-1 inj
1448 Opthalmic mitomycin
1449 Talymed
1452 Memoderm/derma/tranz/integup
1453 hMatrix
1454 Mumps vaccine sc
1455 Foscarnet sodium injection
1456 Pentobarbital sodium inj
1457 Totazoline hcl injection
1459 Urea injection
1460 Interferon alfa-2a inj
1461 Mediskin
1462 EZderm
1463 Tc99 Tilmanocept diag 0.5mci
1464 Factor VIII (porcine)
1465 Tacrol astagraf ex rel oral
1473 Interferon alfa-n3 inj
1477  Inj, tbo-filgrastim, 5 mcg
1479  Theraskin
1481 Factor XIII A-subunit recomb
1484  Pentazocine injection
1487 Testosterone undecanoate 1mg
1605 Abciximab injection
1612 Daclizumab, parenteral
1631 Baclofen intrathecal trial
1633 Alefacept
1645 I131 tositumomab, rx
1657 Puraply or puraply am
1659 Injection, dalbavancin
1661 Gen, neuro, HF, rechg bat
1663 Inj, phenylephrine ketorolac
1664 Florbetapir f18
1665 Capsaicin 8% patch
1666  Tetracyclin injection
1667  Alatrofloxacin mesylate
1668  Chorionic gonadotropin/1000u
1669 Erythro lactobionate /500 mg
1676 P32 chromic phosphate
1682 Aprotonin, 10000 kiu
1693 Lepirudin
1697 Pegaptanib sodium injection
1703 Ovine, 1000 USP units
1716 Brachytx, non-str, Gold-198
1717 Brachytx, non-str, HDR Ir-192
1719 Brachytx, NS, Non-HDRIr-192
1738 Oxaliplatin
1740 Diazoxide injection
1741 Urofollitropin, 75 iu
1742  Gold sodium thiomaleate inj
1743 Nandrolone decanoate 50 mg
1744  Zidovudine
1749 Endo, colon, retro imaging
1807 Menb pr w/omv vaccine im
1808 Menb rlp vaccine im
1828 Carbidopa levodopa ent 100ml
1830 Power bone marrow bx needle
1831  Chloramphenicol sodium injec
1833 Epoetin beta esrd use
1834  Digoxin injection
1835  Ergonovine maleate injection
1836  Penicillin g procaine inj
1837  Methocarbamol injection
1838 Urokinase 250,000 iu inj
1839  Oral busulfan
1840 Telescopic intraocular lens
1841 Retinal prosth int/ext comp      
1842  Leuprolide acetate implant
1843 Menacwy vaccine im
1845 Tacrol envarsus ex rel oral
1855 Pralidoxime chloride inj
1858 Leuprolide acetate injeciton
1860 Monoclonal antibodies
1863 Inj diclofenac sodium 0.5mg
1886 Catheter, ablation
2210 Methyldopate hcl injection
2613 Lung bx plug w/del sys
2623 Cath, translumin, drug-coat
2624 Wireless pressure sensor
2644 Brachytx cesium-131 chloride
3030 Sumatriptan succinate
3041 Bivalirudin
3043 Gamma globulin 1 CC inj
3050 Sermorelin acetate injection
5011 Level 1 Examinations and Related Services
5013 Level 3 Examinations and Related Services
5074 Level 4 Excision/ Biopsy/ Incision and Drainage
5121 Level1 Musculoskeletal Procedures
5122 Level 2 Musculoskeletal Procedures
5123 Level 3 Musculoskeletal Procedures
5124 Level 4 Musculoskeletal Procedures
5125 Level 5 Musculoskeletal Procedures
5141 Thoracoscopy
5188 Diagnostic Cardiac Catheterization
5271 Blood Product Exchange and Related Services
5281 Apheresis/Stem Cell and Related Services
5291 Thrombolysis and Other Device Revisions
5314 Level 4 Lower GI Procedures
5351 Level 1 Percutaneous Abdominal/Biliary Procedures and Related Procedures
5352 Level 2 Percutaneous Abdominal/Biliary Procedures and Related Procedures
5391 Level 1 Tube/Catheter Changes/Thoracentesis/Lavage
5392 Level 2 Tube/Catheter Changes/Thoracentesis/Lavage
5525 Level 5 X-Ray and Related Services
5526 Level 6 X-Ray and Related Services
5531 Level 1 Ultrasound and Related Services
5532 Level 2 Ultrasound and Related Services
5533 Level 3 Ultrasound and Related Services
5534 Level 4 Ultrasound and Related Services
5561 Level 1 Echocardiogram with Contrast
5562 Level 2 Echocardiogram with Contrast
5570 Computed Tomography without Contrast
5581 Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contrast
5582 Magnetic Resonance Imaging and Magnetic Resonance Angiography with Contrast
5614 Level 4 Therapeutic Radiation Treatment Preparation
5681 Transfusion Laboratory Procedures
5695 Level 5 Drug Administration
5701 Dosimetric Drug Administration
5841 Psychotherapy
5851 Level 1 Partial Hospitalization (3 services) for CMHCs
5852 Level 2 Partial Hospitalization (4 or more services) for CMHCs
5861 Level 1 Partial Hospitalization (3 services) for Hospital-based PHPs
5862 Level 2 Partial Hospitalization (4 or more services) for Hospital-based PHPs
7005 Gonadorelin hydroch
7015 Oral busulfan
7034 Somatropin injection
7036 Urokinase 250,000 IU inj
7038 Monoclonal antibodies
7042 Capecitabine, oral
7045 Inj trimetrexate glucoronate
7049 Filgrastim 480 mcg injection
7051 Leuprolide acetate implant
8000 Cardiac Electrophysiologic Evaluation and Ablation Composite
8001 LDR Prostate Brachytherapy Composite
8002 Level I Extended Assessment & Management Composite
8003 Level II Extended Assessment & Management Composite
8009 Extended Assessment & Management Composite
90009999   Deleted Codes – Injections
9019 Caspofungin acetate
9020 Sirolimus, oral
9023 Rho d immune globulin
9052 Fluciciovine F-18
9056 Gallium Ga-68
9077 Epoetin beta non esrd
9081 Tisagenlecleucel car-pos t
9082 Puraply or puraply am
9086 Hepa vacc ped/adol 3 dose
9089 Oral fludarabine phosphate
9090 Melphalan oral 2 mg
9098 Chorionic gonadotropin/1000u
9115 Zoledronic acid
9143 Meningococcal vaccine, sc
9144 Encephalitis vaccine, sc
9145 Meningococcal vaccine, im
9184 Iodine i-131 iobenguane, dx
9285 Patch, lidocaine/tetracaine
9303 Injection, levoleucovorin
9342 Inj, crizanlizumab-tmca
9344 Inj cetirizine hydrochloride
9358 SurgiMend, fetal
9360 SurgiMend, neonatal
9363 Integra Meshed Bil Wound Mat
9365 Oasis tri-layer wound matrix
9366 Epifix
9368 Grafix core
9369 Grafix prime
9406 Iodine I-123 ioflupane
9458 Florbetaben f18 diagnostic
9459 Flutemetamol f18 diagnostic
9461 Choline c-11, diagnostic, per study dose up to 20 millicuries
9497 Loxapine for inhalation 1 mg
9506 Granulocytes, pheresis unit
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