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
09259468   Hemophilia Products
0929   Anti-inhibitor
0948   Gamunex-C/Gammaked
09619537   Blood Products
16309135   Immune Globulins, Serum or Recombinant Products
1139   Protein c concentrate
1289   AbobotulinumtoxinA
1417   Gel-one
1475   Golimumab for iv use 1mg
1482   Darbepoetin alfa, esrd use
1683   Basiliximab
1685   Darbepoetin alfa, non-esrd
1686   Epoetin alfa, non-esrd
1688   Ethanolamine oleate
1689   Fomepizole
1690   Hemin
1711   Vantas implant
1712   Paclitaxel protein bound
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
7043   Infliximab not biosimil 10mg
7048   Alteplase recombinant
7308   Aminolevulinic acid hcl top
9020   Argatroban nonesrd (accord)
9021   Argatroban dialysis (accord)
9022   Argatroban nonesrd (auromed)
9023   Argatroban dialysis, auromed
9024   Amphotericin b lipid complex
9041   Epoetin beta esrd use
9042   Glucagon hydrochloride
9045   Idursulfase injection
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
9116   Chloroprocaine opht gel, 1mg
9122   Triptorelin pamoate
9132   Prothrombin complex kcentra
9142   Fecal microbiota jslm 1 ml
9202   Difelikefalin, esrd on dialy
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
9320   Carbidopa levodopa ent 100ml
9346   Mometasone sinus sinuva
9374   Mitomycin instillation
9383   Copper cu 64 dotatate diag
9396   Afamelanotide implant, 1 mg
9440   Instill, bupivac and meloxic
9448   Oral netupitant, palonosetro
9470   Aripirazole lauroxil 1 mg
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