Ambulatory Payment Classifications

section notes

Drugs and Biologicals (Excluding Cancer/Chemotherapy)

section notes
07269495   Injection(s)
0738 Rasburicase
0800 Leuprolide acetate
0810 Goserelin acetate implant
0864 Mitoxantrone hydrochl
0874 Synvisc or synvisc-one
0887 Azathioprine parenteral
0901 Alpha 1 proteinase inhibitor
0903 Cytomegalovirus imm IV /vial
0910 Interferon beta-1b / .25 MG
09259468   Hemophilia Products
0929 Anti-inhibitor
0948 Gamunex-C/Gammaked
09619537   Blood Products
16309135   Immune Globulins, Serum or Recombinant Products
1139 Protein c concentrate
1142 Supprelin LA implant
1289 AbobotulinumtoxinA
1417 Gel-one
1475 Golimumab for iv use 1mg
1482  Darbepoetin alfa, esrd use
1669 Erythro lactobionate /500 mg
1683 Basiliximab
1684 Corticorelin ovine triflutal
1685 Darbepoetin alfa, non-esrd
1686 Epoetin alfa, non-esrd
1688 Ethanolamine oleate
1689 Fomepizole
1690 Hemin
1711 Vantas implant
1712 Paclitaxel protein bound
1739 Pegademase bovine, 25 iu
1825 Ceftazidime and avibactam
1832 Dimethyl sulfoxide 50% 50 ml
1852 Interferon beta-1a inj
1853 Minocycline hydrochloride
1859 Argatroban nonesrd use 1mg
2770 Quinupristin/dalfopristin
56915694   Drug Administration
7000 Amifostine
7041 Tirofiban HCl
7043 Infliximab not biosimil 10mg
7048 Alteplase recombinant
7308 Aminolevulinic acid hcl top
9024 Amphotericin b lipid complex
9042 Glucagon hydrochloride
9058 Buprenorphine implant 74.2mg
9065 Argatroban esrd dialysis 1mg
9071 Capsaicin 8% patch
9074 Makena, 10 mg
9078 Testosterone undecanoate 1mg
9104 Antithymocyte globuln rabbit
9122 Triptorelin pamoate
9217 Leuprolide acetate suspnsion
9256 Dexamethasone intra implant
9269 C-1 esterase, berinert
9270 Gammaplex IVIG
9271 Velaglucerase alfa
9274 Crotalidae Poly Immune Fab
9278 Incobotulinumtoxin A
9301 Aminolevulinic acid, 10% gel
9308 Dexametha opth insert 0.1 mg
9320 Carbidopa levodopa ent 100ml
9346 Mometasone sinus sinuva
9374 Mitomycin instillation
9383 Copper cu 64 dotatate diag
9396 Afamelanotide implant, 1 mg
9448 Oral netupitant, palonosetro
9470 Aripirazole lauroxil 1 mg
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