Ambulatory Payment Classifications

section notes

Drugs Administered Other Than Oral Method

section notes
07267999   Injection(s)
0738 Rasburicase
0800 Leuprolide acetate
0802 Etoposide oral
0810 Goserelin acetate implant
0864 Mitoxantrone hydrochl
0874 Synvisc or synvisc-one
0887 Azathioprine parenteral
0890 Lymphocyte immune globulin
0901 Alpha 1 proteinase inhibitor
0903 Cytomegalovirus imm IV /vial
0910 Interferon beta-1b / .25 MG
0925 Factor viii
0927 Factor viii recombinant
0928 Factor ix complex
0929 Anti-inhibitor
0931 Factor IX non-recombinant
0932 Factor ix recombinant nos
0948 Gamunex-C/Gammaked
1139 Protein c concentrate
1142 Supprelin LA implant
1213 Antihemophilic viii/vwf comp
1289 AbobotulinumtoxinA
1416 Factor xiii anti-hem factor
1417 Gel-one
1431 Centruroides immune f(ab)
1467 Factor ix recombinan rixubis
1475 Golimumab for iv use 1mg
1482  Darbepoetin alfa, esrd use
1486 Factor ix fc fusion recomb
1609 Rho(D) immune globulin h, sd
1656 Factor viii fc fusion recomb
1683 Basiliximab
1684 Corticorelin ovine triflutal
1685 Darbepoetin alfa, non-esrd
1686 Epoetin alfa, non-esrd
1687 Digoxin immune fab (ovine)
1688 Ethanolamine oleate
1689 Fomepizole
1690 Hemin
1705 Factor viia
1711 Vantas implant
1712 Paclitaxel protein bound
1739 Pegademase bovine, 25 iu
1746 Factor xiii recomb a-subunit
1825 Ceftazidime and avibactam
1826 Hyqvia 100mg immuneglobulin
1827 Factor viii recomb obizur
1832 Dimethyl sulfoxide 50% 50 ml
1844 Factor viii pegylated recomb
1846 Factor viii nuwiq recomb 1iu
1850 Gamma globulin 1 cc inj
1851 Gamma globulin > 10 cc inj
1852 Interferon beta-1a inj
1853 Minocycline hydrochloride
1856 Factor viii recomb novoeight
1857 Inj, factor x, (human), 1iu
1859 Argatroban nonesrd use 1mg
2731 Immune globulin, powder
2770 Quinupristin/dalfopristin
56915694   Drug Administration
7000 Amifostine
7041 Tirofiban HCl
7043 Infliximab not biosimil 10mg
7048 Alteplase recombinant
7308 Aminolevulinic acid hcl top
90009999   Injections 9000–9999
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
9177 Antithrombin recombinant
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
9346 Mometasone furoate (sinuva)
9448 Oral netupitant, palonosetro
9470 Aripirazole lauroxil 1 mg
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