Ambulatory Payment Classifications

section notes

Pathology And Laboratory

section notes

0961				Albumin (human),5%, 50ml
0963				Albumin (human), 5%, 250 ml
0964				Albumin (human), 25%, 20 ml
0965				Albumin (human), 25%, 50ml
5671				Level 1 Pathology
5672				Level 2 Pathology
5673				Level 3 Pathology
5674				Level 4 Pathology
9500				Platelets, irradiated
9501				Platelet pheres leukoreduced
9502				Platelet pheresis irradiated
9503				Fr frz plasma donor retested
9504				RBC deglycerolized
9505				RBC irradiated
9507				Platelets, pheresis
9508				Plasma 1 donor frz w/in 8 hr
9509				Frozen plasma, pooled, sd
9510				Whole blood for transfusion
9511				Cryoprecipitate each unit
9512				RBC leukocytes reduced
9513				Plasma, frz between 8-24hour
9514				Plasma protein fract,5%,50ml
9515				Platelets, each unit
9516				Plaelet rich plasma unit
9517				Red blood cells unit
9518				Washed red blood cells unit
9519				Plasmaprotein fract,5%,250ml
9520				Blood split unit
9521				Platelets leukoreduced irrad
9522				RBC leukoreduced irradiated
9523				Cryoprecipitatereducedplasma
9524				Blood, l/r, cmv-neg
9525				Platelets, hla-m, l/r, unit
9526				Platelets leukocytes reduced
9527				Blood, l/r, froz/degly/wash
9528				Plt, aph/pher, l/r, cmv-neg
9529				Blood, l/r, irradiated
9530				Plate pheres leukoredu irrad
9531				Plt, pher, l/r cmv-neg, irr
9532				RBC, frz/deg/wsh, l/r, irrad
9533				RBC, l/r, cmv-neg, irrad
9534				Pathogen reduced plasma pool
9535				Pathogen reduced plasma sing
9536				Platelets pheresis path redu

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