APC Status Codes and Titles Effective 07-01-2009
Source: CMS OCE/APC V 10.20 Module, July 2009
Notes:
1) There are 835 APC Titles as of July 2009.
APC Status Description
----- - -----------------------------------------------------
00001 S LEVEL I PHOTOCHEMOTHERAPY
00002 T FINE NEEDLE BIOPSY/ASPIRATION
00003 T BONE MARROW BIOPSY/ASPIRATION
00004 T LEVEL I NEEDLE BIOPSY/ ASPIRATION EXCEPT BONE MARROW
00005 T LEVEL II NEEDLE BIOPSY/ASPIRATION EXCEPT BONE MARROW
00006 T LEVEL I INCISION & DRAINAGE
00007 T LEVEL II INCISION & DRAINAGE
00008 T LEVEL III INCISION AND DRAINAGE
00012 T LEVEL I DEBRIDEMENT & DESTRUCTION
00013 T LEVEL II DEBRIDEMENT & DESTRUCTION
00015 T LEVEL III DEBRIDEMENT & DESTRUCTION
00016 T LEVEL IV DEBRIDEMENT & DESTRUCTION
00017 T LEVEL VI DEBRIDEMENT & DESTRUCTION
00019 T LEVEL I EXCISION/ BIOPSY
00020 T LEVEL II EXCISION/ BIOPSY
00021 T LEVEL III EXCISION/ BIOPSY
00022 T LEVEL IV EXCISION/ BIOPSY
00028 T LEVEL I BREAST SURGERY
00029 T LEVEL II BREAST SURGERY
00030 T LEVEL III BREAST SURGERY
00031 X SMOKING CESSATION SERVICES
00034 S MENTAL HEALTH SERVICES COMPOSITE
00035 X VASCULAR PUNCTURE AND MINOR DIAGNOSTIC PROCEDURES
00037 T LEVEL IV NEEDLE BIOPSY/ASPIRATION EXCEPT BONE MARROW
00039 S LEVEL I IMPLANTATION OF NEUROSTIMULATOR
00040 S PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODES
00041 T LEVEL I ARTHROSCOPY
00042 T LEVEL II ARTHROSCOPY
00045 T BONE/JOINT MANIPULATION UNDER ANESTHESIA
00047 T ARTHROPLASTY WITHOUT PROSTHESIS
00048 T LEVEL I ARTHROPLASTY OR IMPLANTATION WITH PROSTHESIS
00049 T LEVEL I MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT
00050 T LEVEL II MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT
00051 T LEVEL III MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT
00052 T LEVEL IV MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT
00053 T LEVEL I HAND MUSCULOSKELETAL PROCEDURES
00054 T LEVEL II HAND MUSCULOSKELETAL PROCEDURES
00055 T LEVEL I FOOT MUSCULOSKELETAL PROCEDURES
00056 T LEVEL II FOOT MUSCULOSKELETAL PROCEDURES
00057 T BUNION PROCEDURES
00058 S LEVEL I STRAPPING AND CAST APPLICATION
00060 S MANIPULATION THERAPY
00061 S LAMINECTOMY, LAPAROSCOPY, OR INCISION FOR IMPLANTATION OF NEUROSTIMULATOR ELECT
00062 T LEVEL I TREATMENT FRACTURE/DISLOCATION
00063 T LEVEL II TREATMENT FRACTURE/DISLOCATION
00064 T LEVEL III TREATMENT FRACTURE/DISLOCATION
00065 S LEVEL I STEREOTACTIC RADIOSURGERY, MRGFUS, AND MEG
00066 S LEVEL II STEREOTACTIC RADIOSURGERY, MRGFUS, AND MEG
00067 S LEVEL III STEREOTACTIC RADIOSURGERY, MRGFUS, AND MEG
00069 T THORACOSCOPY
00070 T THORACENTESIS/LAVAGE PROCEDURES
00071 T LEVEL I ENDOSCOPY UPPER AIRWAY
00072 T LEVEL II ENDOSCOPY UPPER AIRWAY
00073 T LEVEL III ENDOSCOPY UPPER AIRWAY
00074 T LEVEL IV ENDOSCOPY UPPER AIRWAY
00075 T LEVEL V ENDOSCOPY UPPER AIRWAY
00076 T LEVEL I ENDOSCOPY LOWER AIRWAY
00077 S LEVEL I PULMONARY TREATMENT
00078 S LEVEL II PULMONARY TREATMENT
00079 S VENTILATION INITIATION AND MANAGEMENT
00080 T DIAGNOSTIC CARDIAC CATHETERIZATION
00082 T CORONARY OR NON-CORONARY ATHERECTOMY
00083 T CORONARY OR NON-CORONARY ANGIOPLASTY AND PERCUTANEOUS VALVULOPLASTY
00084 S LEVEL I ELECTROPHYSIOLOGIC PROCEDURES
00085 T LEVEL II ELECTROPHYSIOLOGIC PROCEDURES
00086 T LEVEL III ELECTROPHYSIOLOGIC PROCEDURES
00088 T THROMBECTOMY
00089 T INSERTION/REPLACEMENT OF PERMANENT PACEMAKER AND ELECTRODES
00090 T INSERTION/REPLACEMENT OF PACEMAKER PULSE GENERATOR
00091 T LEVEL II VASCULAR LIGATION
00092 T LEVEL I VASCULAR LIGATION
00093 T VASCULAR RECONSTRUCTION/FISTULA REPAIR WITHOUT DEVICE
00094 S LEVEL I RESUSCITATION AND CARDIOVERSION
00095 S CARDIAC REHABILITATION
00096 S NON-INVASIVE VASCULAR STUDIES
00097 X CARDIAC AND AMBULATORY BLOOD PRESSURE MONITORING
00099 S ELECTROCARDIOGRAMS
00100 X CARDIAC STRESS TESTS
00101 S TILT TABLE EVALUATION
00103 T MISCELLANEOUS VASCULAR PROCEDURES
00104 T TRANSCATHETER PLACEMENT OF INTRACORONARY STENTS
00105 T REPAIR/REVISION/REMOVAL OF PACEMAKERS, AICDS, OR VASCULAR DEVICES
00106 T INSERTION/REPLACEMENT OF PACEMAKER LEADS AND/OR ELECTRODES
00107 T INSERTION OF CARDIOVERTER-DEFIBRILLATOR
00108 T INSERTION/REPLACEMENT/REPAIR OF CARDIOVERTER-DEFIBRILLATOR LEADS
00110 S TRANSFUSION
00111 S BLOOD PRODUCT EXCHANGE
00112 S APHERESIS AND STEM CELL PROCEDURES
00113 T EXCISION LYMPHATIC SYSTEM
00114 T THYROID/LYMPHADENECTOMY PROCEDURES
00115 T CANNULA/ACCESS DEVICE PROCEDURES
00121 T LEVEL I TUBE OR CATHETER CHANGES OR REPOSITIONING
00126 T LEVEL I URINARY AND ANAL PROCEDURES
00127 S LEVEL IV STEREOTACTIC RADIOSURGERY, MRGFUS, AND MEG
00128 S ECHOCARDIOGRAM WITH CONTRAST
00129 T LEVEL I CLOSED TREATMENT FRACTURE FINGER/TOE/TRUNK
00130 T LEVEL I LAPAROSCOPY
00131 T LEVEL II LAPAROSCOPY
00132 T LEVEL III LAPAROSCOPY
00133 T LEVEL I SKIN REPAIR
00134 T LEVEL II SKIN REPAIR
00135 T LEVEL III SKIN REPAIR
00136 T LEVEL IV SKIN REPAIR
00137 T LEVEL V SKIN REPAIR
00138 T LEVEL II CLOSED TREATMENT FRACTURE FINGER/TOE/TRUNK
00139 T LEVEL III CLOSED TREATMENT FRACTURE FINGER/TOE/TRUNK
00140 T ESOPHAGEAL DILATION WITHOUT ENDOSCOPY
00141 T LEVEL I UPPER GI PROCEDURES
00142 T SMALL INTESTINE ENDOSCOPY
00143 T LOWER GI ENDOSCOPY
00146 T LEVEL I SIGMOIDOSCOPY AND ANOSCOPY
00147 T LEVEL II SIGMOIDOSCOPY AND ANOSCOPY
00148 T LEVEL I ANAL/RECTAL PROCEDURES
00149 T LEVEL III ANAL/RECTAL PROCEDURES
00150 T LEVEL IV ANAL/RECTAL PROCEDURES
00151 T ENDOSCOPIC RETROGRADE CHOLANGIO-PANCREATOGRAPHY (ERCP)
00152 T LEVEL I PERCUTANEOUS ABDOMINAL AND BILIARY PROCEDURES
00153 T PERITONEAL AND ABDOMINAL PROCEDURES
00154 T HERNIA/HYDROCELE PROCEDURES
00155 T LEVEL II ANAL/RECTAL PROCEDURES
00156 T LEVEL III URINARY AND ANAL PROCEDURES
00157 S COLORECTAL CANCER SCREENING: BARIUM ENEMA
00158 T COLORECTAL CANCER SCREENING: COLONOSCOPY
00159 S COLORECTAL CANCER SCREENING: FLEXIBLE SIGMOIDOSCOPY
00160 T LEVEL I CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES
00161 T LEVEL II CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES
00162 T LEVEL III CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES
00163 T LEVEL IV CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES
00164 T LEVEL II URINARY AND ANAL PROCEDURES
00165 T LEVEL IV URINARY AND ANAL PROCEDURES
00166 T LEVEL I URETHRAL PROCEDURES
00168 T LEVEL II URETHRAL PROCEDURES
00169 T LITHOTRIPSY
00170 S DIALYSIS
00172 P LEVEL I PARTIAL HOSPITALIZATION (3 SERVICES)
00173 P LEVEL II PARTIAL HOSPITALIZATION (4 OR MORE SERVICES)
00174 T LEVEL IV LAPAROSCOPY
00181 T LEVEL II MALE GENITAL PROCEDURES
00183 T LEVEL I MALE GENITAL PROCEDURES
00184 T PROSTATE BIOPSY
00188 T LEVEL II FEMALE REPRODUCTIVE PROC
00189 T LEVEL III FEMALE REPRODUCTIVE PROC
00190 T LEVEL I HYSTEROSCOPY
00191 T LEVEL I FEMALE REPRODUCTIVE PROC
00192 T LEVEL IV FEMALE REPRODUCTIVE PROC
00193 T LEVEL V FEMALE REPRODUCTIVE PROC
00195 T LEVEL VI FEMALE REPRODUCTIVE PROCEDURES
00202 T LEVEL VII FEMALE REPRODUCTIVE PROCEDURES
00203 T LEVEL IV NERVE INJECTIONS
00204 T LEVEL I NERVE INJECTIONS
00206 T LEVEL II NERVE INJECTIONS
00207 T LEVEL III NERVE INJECTIONS
00208 T LAMINOTOMIES AND LAMINECTOMIES
00209 S LEVEL II EXTENDED EEG, SLEEP, AND CARDIOVASCULAR STUDIES
00213 S LEVEL I EXTENDED EEG, SLEEP, AND CARDIOVASCULAR STUDIES
00215 S LEVEL I NERVE AND MUSCLE TESTS
00216 S LEVEL III NERVE AND MUSCLE TESTS
00218 S LEVEL II NERVE AND MUSCLE TESTS
00220 T LEVEL I NERVE PROCEDURES
00221 T LEVEL II NERVE PROCEDURES
00222 S LEVEL II IMPLANTATION OF NEUROSTIMULATOR
00224 T IMPLANTATION OF CATHETER/RESERVOIR/SHUNT
00225 S IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CRANIAL NERVE
00227 T IMPLANTATION OF DRUG INFUSION DEVICE
00229 T TRANSCATHERTER PLACEMENT OF INTRAVASCULAR SHUNTS
00230 S LEVEL I EYE TESTS & TREATMENTS
00231 S LEVEL III EYE TESTS & TREATMENTS
00232 T LEVEL I ANTERIOR SEGMENT EYE PROCEDURES
00233 T LEVEL II ANTERIOR SEGMENT EYE PROCEDURES
00234 T LEVEL III ANTERIOR SEGMENT EYE PROCEDURES
00235 T LEVEL I POSTERIOR SEGMENT EYE PROCEDURES
00237 T LEVEL II POSTERIOR SEGMENT EYE PROCEDURES
00238 T LEVEL I REPAIR AND PLASTIC EYE PROCEDURES
00239 T LEVEL II REPAIR AND PLASTIC EYE PROCEDURES
00240 T LEVEL III REPAIR AND PLASTIC EYE PROCEDURES
00241 T LEVEL IV REPAIR AND PLASTIC EYE PROCEDURES
00242 T LEVEL V REPAIR AND PLASTIC EYE PROCEDURES
00243 T STRABISMUS/MUSCLE PROCEDURES
00244 T CORNEAL AND AMNIOTIC MEMBRANE TRANSPLANT
00245 T LEVEL I CATARACT PROCEDURES WITHOUT IOL INSERT
00246 T CATARACT PROCEDURES WITH IOL INSERT
00247 T LASER EYE PROCEDURES
00249 T LEVEL II CATARACT PROCEDURES WITHOUT IOL INSERT
00250 T LEVEL I ENT PROCEDURES
00251 T LEVEL II ENT PROCEDURES
00252 T LEVEL III ENT PROCEDURES
00253 T LEVEL IV ENT PROCEDURES
00254 T LEVEL V ENT PROCEDURES
00256 T LEVEL VI ENT PROCEDURES
00259 T LEVEL VII ENT PROCEDURES
00260 X LEVEL I PLAIN FILM EXCEPT TEETH
00261 X LEVEL II PLAIN FILM EXCEPT TEETH INCLUDING BONE DENSITY MEASUREMENT
00262 X PLAIN FILM OF TEETH
00263 X LEVEL I MISCELLANEOUS RADIOLOGY PROCEDURES
00265 S LEVEL I DIAGNOSTIC AND SCREENING ULTRASOUND
00266 S LEVEL II DIAGNOSTIC AND SCREENING ULTRASOUND
00267 S LEVEL III DIAGNOSTIC AND SCREENING ULTRASOUND
00269 S LEVEL II ECHOCARDIOGRAM WITHOUT CONTRAST EXCEPT TRANSESOPHAGEAL
00270 S TRANSESOPHAGEAL ECHOCARDIOGRAM WITHOUT CONTRAST
00272 X FLUOROSCOPY
00274 S MYELOGRAPHY
00275 S ARTHROGRAPHY
00276 S LEVEL I DIGESTIVE RADIOLOGY
00277 S LEVEL II DIGESTIVE RADIOLOGY
00278 S DIAGNOSTIC UROGRAPHY
00279 S LEVEL II ANGIOGRAPHY AND VENOGRAPHY
00280 S LEVEL III ANGIOGRAPHY AND VENOGRAPHY
00282 S MISCELLANEOUS COMPUTED AXIAL TOMOGRAPHY
00283 S COMPUTED TOMOGRAPHY WITH CONTRAST
00284 S MAGNETIC RESONANCE IMAGING AND MAGNETIC RESONANCE ANGIOGRAPHY WITH CONTRAST
00288 S BONE DENSITY:AXIAL SKELETON
00293 T LEVEL V ANTERIOR SEGMENT EYE PROCEDURES
00299 S HYPERTHERMIA AND RADIATION TREATMENT PROCEDURES
00300 S LEVEL I RADIATION THERAPY
00301 S LEVEL II RADIATION THERAPY
00303 X TREATMENT DEVICE CONSTRUCTION
00304 X LEVEL I THERAPEUTIC RADIATION TREATMENT PREPARATION
00305 X LEVEL II THERAPEUTIC RADIATION TREATMENT PREPARATION
00307 S MYOCARDIAL POSITRON EMISSION TOMOGRAPHY (PET) IMAGING
00308 S NON-MYOCARDIAL POSITRON EMISSION TOMOGRAPHY (PET) IMAGING
00310 X LEVEL III THERAPEUTIC RADIATION TREATMENT PREPARATION
00312 S RADIOELEMENT APPLICATIONS
00313 S BRACHYTHERAPY
00315 S LEVEL III IMPLANTATION OF NEUROSTIMULATOR
00317 X LEVEL II MISCELLANEOUS RADIOLOGY PROCEDURES
00320 S ELECTROCONVULSIVE THERAPY
00322 S BRIEF INDIVIDUAL PSYCHOTHERAPY
00323 S EXTENDED INDIVIDUAL PSYCHOTHERAPY
00324 S FAMILY PSYCHOTHERAPY
00325 S GROUP PSYCHOTHERAPY
00330 S DENTAL PROCEDURES
00332 S COMPUTED TOMOGRAPHY WITHOUT CONTRAST
00333 S COMPUTED TOMOGRAPHY WITHOUT CONTRAST FOLLOWED BY CONTRAST)
00336 S MAGNETIC RESONANCE IMAGING AND MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST
00337 S MAGNETIC RESONANCE IMAGING AND MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST
00340 X MINOR ANCILLARY PROCEDURES
00341 X SKIN TESTS
00342 X LEVEL I PATHOLOGY
00343 X LEVEL III PATHOLOGY
00344 X LEVEL IV PATHOLOGY
00345 X LEVEL I TRANSFUSION LABORATORY PROCEDURES
00346 X LEVEL II TRANSFUSION LABORATORY PROCEDURES
00347 X LEVEL III TRANSFUSION LABORATORY PROCEDURES
00350 S ADMINISTRATION OF FLU AND PPV VACCINE
00360 X LEVEL I ALIMENTARY TESTS
00361 X LEVEL II ALIMENTARY TESTS
00363 X LEVEL I OTORHINOLARYNGOLOGIC FUNCTION TESTS
00364 X LEVEL I AUDIOMETRY
00365 X LEVEL II AUDIOMETRY
00366 X LEVEL III AUDIOMETRY
00367 X LEVEL I PULMONARY TEST
00368 X LEVEL II PULMONARY TESTS
00369 X LEVEL III PULMONARY TESTS
00370 X ALLERGY TESTS
00373 X LEVEL I NEUROPSYCHOLOGICAL TESTING
00375 S ANCILLARY OUTPATIENT SERVICES WHEN PATIENT EXPIRES
00377 S LEVEL II CARDIAC IMAGING
00378 S LEVEL II PULMONARY IMAGING
00379 K INJECTION ADENOSINE 6 MG
00381 X SINGLE ALLERGY TESTS
00382 X LEVEL II NEUROPSYCHOLOGICAL TESTING
00383 S CARDIAC COMPUTED TOMOGRAPHIC IMAGING
00384 T GI PROCEDURES WITH STENTS
00385 S LEVEL I PROSTHETIC UROLOGICAL PROCEDURES
00386 S LEVEL II PROSTHETIC UROLOGICAL PROCEDURES
00387 T LEVEL II HYSTEROSCOPY
00388 S DISCOGRAPHY
00389 S LEVEL I NON-IMAGING NUCLEAR MEDICINE
00390 S LEVEL I ENDOCRINE IMAGING
00391 S LEVEL II ENDOCRINE IMAGING
00392 S LEVEL II NON-IMAGING NUCLEAR MEDICINE
00393 S HEMATOLOGIC PROCESSING & STUDIES
00394 S HEPATOBILIARY IMAGING
00395 S GI TRACT IMAGING
00396 S BONE IMAGING
00397 S VASCULAR IMAGING
00398 S LEVEL I CARDIAC IMAGING
00400 S HEMATOPOIETIC IMAGING
00401 S LEVEL I PULMONARY IMAGING
00402 S LEVEL II NERVOUS SYSTEM IMAGING
00403 S LEVEL I NERVOUS SYSTEM IMAGING
00404 S RENAL AND GENITOURINARY STUDIES
00406 S LEVEL I TUMOR/INFECTION IMAGING
00407 S LEVEL I RADIONUCLIDE THERAPY
00408 S LEVEL III TUMOR/INFECTION IMAGING
00409 X RED BLOOD CELL TESTS
00412 S IMRT TREATMENT DELIVERY
00413 S LEVEL II RADIONUCLIDE THERAPY
00414 S LEVEL II TUMOR/INFECTION IMAGING
00415 T LEVEL II ENDOSCOPY LOWER AIRWAY
00418 T INSERTION OF LEFT VENTRICULAR PACING ELECT.
00422 T LEVEL II UPPER GI PROCEDURES
00423 T LEVEL II PERCUTANEOUS ABDOMINAL AND BILIARY PROCEDURES
00425 T LEVEL II ARTHROPLASTY OR IMPLANTATION WITH PROSTHESIS
00426 S LEVEL II STRAPPING AND CAST APPLICATION
00427 T LEVEL II TUBE OR CATHETER CHANGES OR REPOSITIONING
00428 T LEVEL III SIGMOIDOSCOPY AND ANOSCOPY
00429 T LEVEL V CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES
00432 S HEALTH AND BEHAVIOR SERVICES
00433 X LEVEL II PATHOLOGY
00434 T CARDIAC DEFECT REPAIR
00436 S LEVEL I DRUG ADMINISTRATION
00437 S LEVEL II DRUG ADMINISTRATION
00438 S LEVEL III DRUG ADMINISTRATION
00439 S LEVEL IV DRUG ADMINISTRATION
00440 S LEVEL V DRUG ADMINISTRATION
00442 S DOSIMETRIC DRUG ADMINISTRATION
00604 V LEVEL 1 HOSPITAL CLINIC VISITS
00605 V LEVEL 2 HOSPITAL CLINIC VISITS
00606 V LEVEL 3 HOSPITAL CLINIC VISITS
00607 V LEVEL 4 HOSPITAL CLINIC VISITS
00608 V LEVEL 5 HOSPITAL CLINIC VISITS
00609 V LEVEL 1 TYPE A EMERGENCY VISITS
00613 V LEVEL 2 TYPE A EMERGENCY VISITS
00614 V LEVEL 3 TYPE A EMERGENCY VISITS
00615 V LEVEL 4 TYPE A EMERGENCY VISITS
00616 V LEVEL 5 EMERGENCY VISITS
00617 S CRITICAL CARE
00618 S TRAUMA RESPONSE WITH CRITICAL CARE
00621 T LEVEL I VASCULAR ACCESS PROCEDURES
00622 T LEVEL II VASCULAR ACCESS PROCEDURES
00623 T LEVEL III VASCULAR ACCESS PROCEDURES
00624 X PHLEBOTOMY AND MINOR VASCULAR ACCESS DEVICE PROCEDURES
00626 V LEVEL 1 TYPE B EMERGENCY VISITS
00627 V LEVEL 2 TYPE B EMERGENCY VISITS
00628 V LEVEL 3 TYPE B EMERGENCY VISITS
00629 V LEVEL 4 TYPE B EMERGENCY VISITS
00648 T LEVEL IV BREAST SURGERY
00651 S COMPLEX INTERSTITIAL RADIATION SOURCE APPLICATION
00652 T INSERTION OF INTRAPERITONEAL AND PLEURAL CATHETERS
00653 T VASCULAR RECONSTRUCTION/FISTULA REPAIR WITH DEVICE
00654 T INSERTION/REPLACEMENT OF A PERMANENT DUAL CHAMBER PACEMAKER
00655 T INSERTION/REPLACEMENT/CONVERSION OF A PERMANENT DUAL CHAMBER PACEMAKER
00656 T TRANSCATHETER PLACEMENT OF INTRACORONARY DRUG-ELUTING STENTS
00659 S HYPERBARIC OXYGEN
00660 X LEVEL II OTORHINOLARYNGOLOGIC FUNCTION TESTS
00661 X LEVEL V PATHOLOGY
00662 S CT ANGIOGRAPHY
00664 S LEVEL I PROTON BEAM RADIATION THERAPY
00665 S BONE DENSITY:APPENDICULARSKELETON
00667 S LEVEL II PROTON BEAM RADIATION THERAPY
00668 S LEVEL I ANGIOGRAPHY AND VENOGRAPHY
00672 T LEVEL III POSTERIOR SEGMENT EYE PROCEDURES
00673 T LEVEL IV ANTERIOR SEGMENT EYE PROCEDURES
00674 T PROSTATE CRYOABLATION
00676 T THROMBOLYSIS AND THROMBECTOMY
00678 T EXTERNAL COUNTERPULSATION
00679 S LEVEL II RESUSCITATION AND CARDIOVERSION
00680 S INSERTION OF PATIENT ACTIVATED EVENT RECORDERS
00681 T KNEE ARTHROPLASTY
00682 T LEVEL V DEBRIDEMENT & DESTRUCTION
00683 S LEVEL II PHOTOCHEMOTHERAPY
00685 T LEVEL III NEEDLE BIOPSY/ASPIRATION EXCEPT BONE MARROW
00687 T REVISION/REMOVAL OF NEUROSTIMULATOR ELECTRODES
00688 T REVISION/REMOVAL OF NEUROSTIMULATOR PULSE GENERATOR RECEIVER
00689 S LEVEL II ELECTRONIC ANALYSIS OF DEVICES
00690 S LEVEL I ELECTRONIC ANALYSIS OF DEVICES
00691 S LEVEL IV ELECTRONIC ANALYSIS OF DEVICES
00692 S LEVEL III ELECTRONIC ANALYSIS OF DEVICES
00694 T MOHS SURGERY
00697 S LEVEL I ECHOCARDIOGRAM WITHOUT CONTRAST EXCEPT TRANSESOPHAGEAL
00698 S LEVEL II EYE TESTS & TREATMENTS
00699 T LEVEL IV EYE TESTS & TREATMENTS
00701 H SR89 STRONTIUM
00702 H SM 153 LEXIDRONM
00726 K DEXRAZOXANE HCL INJECTION
00728 K FILGRASTIM 300 MCG INJECTION
00730 K PAMIDRONATE DISODIUM
00731 K SARGRAMOSTIM INJECTION
00732 K MESNA INJECTION
00735 K AMPHO B CHOLESTERYL SULFATE
00736 K AMPHOTERICIN B LIPOSOME INJ
00738 K RASBURICASE
00747 K CHLOROTHIAZIDE SODIUM INJ
00750 K DOLASETRON MESYLATE
00751 K MECHLORETHAMINE HCL INJ
00752 K DACTINOMYCIN INJECTION
00759 K NALTREXONE, DEPOT FORM
00760 K ANIDULAFUNGIN INJECTION
00763 K DOLASETRON MESYLATE ORAL
00764 K GRANISETRON HCL INJECTION
00765 K GRANISETRON HCL 1 MG ORAL
00768 K ONDANSETRON HCL INJECTION
00769 K ONDANSETRON HCL 8 MG ORAL
00800 K LEUPROLIDE ACETATE
00802 K ETOPOSIDE ORAL
00804 K VIVAGLOBIN, INJ
00807 K ALDESLEUKIN INJECTION
00809 K BCG LIVE INTRAVESICAL VAC
00810 K GOSERELIN ACETATE IMPLANT
00812 K CARMUSTINE INJECTION
00814 K ASPARAGINASE INJECTION
00820 K DAUNORUBICIN INJECTION
00821 K DAUNORUBICIN CITRATE INJ
00823 K DOCETAXEL INJECTION
00825 G NELARABINE INJECTION
00827 K FLOXURIDINE INJECTION
00828 K GEMCITABINE HCL INJECTION
00830 K IRINOTECAN INJECTION
00831 K IFOSFOMIDE INJECTION
00832 K IDARUBICIN HCL INJECTION
00834 K INTERFERON ALFA-2A INJ
00835 K INJ COSYNTROPIN
00836 K INTERFERON ALFA-2B INJ
00838 K INTERFERON GAMMA 1-B INJ
00840 K INJ MELPHALAN HYDROCHL
00842 K FLUDARABINE PHOSPHATE INJ
00843 K PEGASPARGASE INJECTION
00844 K PENTOSTATIN INJECTION
00849 K RITUXIMAB INJECTION
00850 K STREPTOZOCIN INJECTION
00851 K THIOTEPA INJECTION
00852 K TOPOTECAN INJECTION
00855 K VINORELBINE TARTRATE INJ
00856 K PORFIMER SODIUM INJECTION
00858 K INJ CLADRIBINE
00861 K LEUPROLIDE ACETATE INJECITON
00863 K PACLITAXEL INJECTION
00864 K MITOXANTRONE HYDROCHL
00865 K INTERFERON ALFA-N3 INJ
00868 K ORAL APREPITANT
00873 K HYALGAN/SUPARTZ INJ PER DOSE
00874 K SYNVISC INJ PER DOSE
00875 K EUFLEXXA INJ PER DOSE
00877 K ORTHOVISC INJ PER DOSE
00878 K GALLIUM NITRATE INJECTION
00883 K FONDAPARINUX SODIUM
00884 K RHO D IMMUNE GLOBULIN INJ
00887 K AZATHIOPRINE PARENTERAL
00888 K CYCLOSPORINE ORAL
00890 K LYMPHOCYTE IMMUNE GLOBULIN
00891 K TACROLIMUS ORAL
00898 K GAMMA GLOBULIN 2 CC INJ
00899 K GAMMA GLOBULIN 3 CC INJ
00900 K ALGLUCERASE INJECTION
00901 K ALPHA 1 PROTEINASE INHIBITOR
00902 K BOTULINUM TOXIN A PER UNIT
00903 K CYTOMEGALOVIRUS IMM IV /VIAL
00904 K GAMMA GLOBULIN 4 CC INJ
00906 K RSV-IVIG
00910 K INTERFERON BETA-1B / .25 MG
00913 K GANCICLOVIR LONG ACT IMPLANT
00916 K INJECTION IMIGLUCERASE /UNIT
00917 K ADENOSINE INJECTION
00919 K GAMMA GLOBULIN 5 CC INJ
00920 K GAMMA GLOBULIN 6 CC INJ
00921 K GAMMA GLOBULIN 7 CC INJ
00922 K GAMMA GLOBULIN 8 CC INJ
00923 K GAMMA GLOBULIN 9 CC INJ
00924 K GAMMA GLOBULIN 10 CC INJ
00925 K FACTOR VIII
00927 K FACTOR VIII RECOMBINANT
00928 K FACTOR IX COMPLEX
00929 K ANTI-INHIBITOR
00931 K FACTOR IX NON-RECOMBINANT
00932 K FACTOR IX RECOMBINANT
00933 K GAMMA GLOBULIN > 10 CC INJ
00934 K CAPECITABINE, ORAL
00935 K CLONIDINE HYDROCHLORIDE
00943 K OCTAGAM INJECTION
00944 K GAMMAGARD LIQUID INJECTION
00945 K RHOPHYLAC INJECTION
00946 G HEPAGAM B IM INJECTION
00947 K FLEBOGAMMA INJECTION
00948 K GAMUNEX INJECTION
00949 R FROZEN PLASMA, POOLED, SD
00950 R WHOLE BLOOD FOR TRANSFUSION
00951 G RECLAST INJECTION
00952 R CRYOPRECIPITATE EACH UNIT
00954 R RBC LEUKOCYTES REDUCED
00955 R PLASMA, FRZ BETWEEN 8-24HOUR
00956 R PLASMA PROTEIN FRACT,5%,50ML
00957 R PLATELETS, EACH UNIT
00958 R PLAELET RICH PLASMA UNIT
00959 R RED BLOOD CELLS UNIT
00960 R WASHED RED BLOOD CELLS UNIT
00961 K ALBUMIN (HUMAN),5%, 50ML
00963 K ALBUMIN (HUMAN), 5%, 250 ML
00964 K ALBUMIN (HUMAN), 25%, 20 ML
00965 K ALBUMIN (HUMAN), 25%, 50ML
00966 R PLASMAPROTEIN FRACT,5%,250ML
00967 R BLOOD SPLIT UNIT
00968 R PLATELETS LEUKOREDUCED IRRAD
00969 R RBC LEUKOREDUCED IRRADIATED
00999 K EDETATE CALCIUM DISODIUM INJ
01009 R CRYOPRECIPITATEREDUCEDPLASMA
01010 R BLOOD, L/R, CMV-NEG
01011 R PLATELETS, HLA-M, L/R, UNIT
01013 R PLATELETS LEUKOCYTES REDUCED
01015 K INJECTION GLATIRAMER ACETATE
01016 R BLOOD, L/R, FROZ/DEGLY/WASH
01017 R PLT, APH/PHER, L/R, CMV-NEG
01018 R BLOOD, L/R, IRRADIATED
01019 R PLATE PHERES LEUKOREDU IRRAD
01020 R PLT, PHER, L/R CMV-NEG, IRR
01021 R RBC, FRZ/DEG/WSH, L/R, IRRAD
01022 R RBC, L/R, CMV-NEG, IRRAD
01023 K PRALIDOXIME CHLORIDE INJ
01052 K INJECTION, VORICONAZOLE
01064 H I131 IODIDE CAP, RX
01083 K ADALIMUMAB INJECTION
01084 K DENILEUKIN DIFTITOX INJ
01086 K TEMOZOLOMIDE
01138 G HEPAGAM B INTRAVENOUS, INJ
01139 K PROTEIN C CONCENTRATE
01142 G SUPPRELIN LA IMPLANT
01150 H I131 IODIDE SOL, RX
01166 K CYTARABINE LIPOSOME INJ
01167 K INJ, EPIRUBICIN HCL
01168 G INJ, TEMSIROLIMUS
01178 K BUSULFAN INJECTION
01186 K ACETYLCYSTEINE INJECTION
01189 K FOSCARNET SODIUM INJECTION
01203 K VERTEPORFIN INJECTION
01204 K CYCLOSPORIN PARENTERAL
01206 K DIMECAPROL INJECTION
01207 K OCTREOTIDE INJECTION, DEPOT
01208 K FACTOR VIII (PORCINE)
01209 K DIETHYLSTILBESTROL INJECTION
01211 K OXYTETRACYCLINE INJECTION
01212 K DIPHTHERIA ANTITOXIN
01213 K ANTIHEMOPHILIC VIII/VWF COMP
01214 G INJ IVIG PRIVIGEN 500 MG
01216 K LYME DISEASE VACCINE, IM
01217 K PENICILLIN G BENZATHINE INJ
01218 K TRIFLUPROMAZINE HCL INJ
01219 K DTAP-IPV VACC 4-6 YR IM
01220 K CALCITONIN SALMON INJECTION
01221 K DIMETHYL SULFOXIDE 50%
01222 K PENTASTARCH 10% SOLUTION
01223 K PENTOBARBITAL SODIUM INJ
01224 K SINCALIDE INJECTION
01225 K SOMATREM INJECTION
01226 K INJ STREPTOKINASE /250000 IU
01227 K UREA INJECTION
01228 K HYALURONIDASE RECOMBINANT
01230 K NABILONE ORAL
01231 K PLICAMYCIN (MITHRAMYCIN) INJ
01232 K MITOMYCIN 5 MG INJ
01233 K MITOMYCIN 20 MG INJ
01234 K MITOMYCIN 40 MG INJ
01235 K VALRUBICIN INJECTION
01236 G LEVOLEUCOVORIN INJECTION
01237 K INJ IRON DEXTRAN
01238 G TOPOTECAN ORAL
01239 K ROTAVIRUS VACC 2 DOSE ORAL
01240 K APLIGRAF SKIN SUB
01241 K OASIS WOUND MATRIX SKIN SUB
01242 K OASIS BURN MATRIX SKIN SUB
01243 K INTEGRA BMWD SKIN SUB
01244 K INTEGRA DRT SKIN SUB
01245 K DERMAGRAFT SKIN SUB
01246 K GRAFTJACKET SKIN SUB
01247 K INTEGRA MATRIX SKIN SUB
01248 K PRIMATRIX SKIN SUB
01249 K CYMETRA ALLOGRAFT
01250 K GRAFTJACKET EXPRESS ALLOGRAF
01251 G INTEGRA FLOWABLE WOUND MATRI
01252 K GAMMAGRAFT SKIN SUB
01253 K TRIAMCINOLONE A INJ PRS-FREE
01268 K XYNTHA, INJ
01269 K ALLOSKIN SKIN SUB
01270 K ALLODERM SKIN SUB
01280 K CORTICOTROPIN INJECTION
01436 K ETIDRONATE DISODIUM INJ
01491 S NEW TECHNOLOGY - LEVEL IA ($0-$10)
01492 S NEW TECHNOLOGY - LEVEL IB ($10-$20)
01493 S NEW TECHNOLOGY - LEVEL IC ($20-$30)
01494 S NEW TECHNOLOGY - LEVEL ID ($30-$40)
01495 S NEW TECHNOLOGY - LEVEL IE ($40-$50)
01496 T NEW TECHNOLOGY - LEVEL IA ($0-$10)
01497 T NEW TECHNOLOGY - LEVEL IB($10-$20)
01498 T NEW TECHNOLOGY - LEVEL IC ($20-$30)
01499 T NEW TECHNOLOGY - LEVEL ID($30-$40)
01500 T NEW TECHNOLOGY - LEVEL IE ($40-$50)
01502 S NEW TECHNOLOGY - LEVEL II ($50 - $100)
01503 S NEW TECHNOLOGY - LEVEL III ($100 - $200)
01504 S NEW TECHNOLOGY - LEVEL IV ($200 - $300)
01505 S NEW TECHNOLOGY - LEVEL V ($300 - $400)
01506 S NEW TECHNOLOGY - LEVEL VI ($400 - $500)
01507 S NEW TECHNOLOGY - LEVEL VII ($500 - $600)
01508 S NEW TECHNOLOGY - LEVEL VIII ($600 - $700)
01509 S NEW TECHNOLOGY - LEVEL IX ($700 - $800)
01510 S NEW TECHNOLOGY - LEVEL X ($800 - $900)
01511 S NEW TECHNOLOGY - LEVEL XI ($900 - $1000)
01512 S NEW TECHNOLOGY - LEVEL XII ($1000 - $1100)
01513 S NEW TECHNOLOGY - LEVEL XIII ($1100 - $1200)
01514 S NEW TECHNOLOGY - LEVEL XIV ($1200- $1300)
01515 S NEW TECHNOLOGY - LEVEL XV ($1300 - $1400)
01516 S NEW TECHNOLOGY - LEVEL XVI ($1400 - $1500)
01517 S NEW TECHNOLOGY - LEVEL XVII ($1500-$1600)
01518 S NEW TECHNOLOGY - LEVEL XVIII ($1600-$1700)
01519 S NEW TECHNOLOGY - LEVEL IXX ($1700-$1800)
01520 S NEW TECHNOLOGY - LEVEL XX ($1800-$1900)
01521 S NEW TECHNOLOGY - LEVEL XXI ($1900-$2000)
01522 S NEW TECHNOLOGY - LEVEL XXII ($2000-$2500)
01523 S NEW TECHNOLOGY - LEVEL XXIII ($2500-$3000)
01524 S NEW TECHNOLOGY - LEVEL XXIV ($3000-$3500)
01525 S NEW TECHNOLOGY - LEVEL XXV ($3500-$4000)
01526 S NEW TECHNOLOGY - LEVEL XXVI ($4000-$4500)
01527 S NEW TECHNOLOGY - LEVEL XXVII ($4500-$5000)
01528 S NEW TECHNOLOGY - LEVEL XXVIII ($5000-$5500)
01529 S NEW TECHNOLOGY - LEVEL XXIX ($5500-$6000)
01530 S NEW TECHNOLOGY - LEVEL XXX ($6000-$6500)
01531 S NEW TECHNOLOGY - LEVEL XXXI ($6500-$7000)
01532 S NEW TECHNOLOGY - LEVEL XXXII ($7000-$7500)
01533 S NEW TECHNOLOGY - LEVEL XXXIII ($7500-$8000)
01534 S NEW TECHNOLOGY - LEVEL XXXIV ($8000-$8500)
01535 S NEW TECHNOLOGY - LEVEL XXXV ($8500-$9000)
01536 S NEW TECHNOLOGY - LEVEL XXXVI ($9000-$9500)
01537 S NEW TECHNOLOGY - LEVEL XXXVII ($9500-$10000)
01539 T NEW TECHNOLOGY - LEVEL II ($50 - $100)
01540 T NEW TECHNOLOGY - LEVEL III ($100 - $200)
01541 T NEW TECHNOLOGY - LEVEL IV ($200 - $300)
01542 T NEW TECHNOLOGY - LEVEL V ($300 - $400)
01543 T NEW TECHNOLOGY - LEVEL VI ($400 - $500)
01544 T NEW TECHNOLOGY - LEVEL VII ($500 - $600)
01545 T NEW TECHNOLOGY - LEVEL VIII ($600 - $700)
01546 T NEW TECHNOLOGY - LEVEL IX ($700 - $800)
01547 T NEW TECHNOLOGY - LEVEL X ($800 - $900)
01548 T NEW TECHNOLOGY - LEVEL XI ($900 - $1000)
01549 T NEW TECHNOLOGY - LEVEL XII ($1000 - $1100)
01550 T NEW TECHNOLOGY - LEVEL XIII ($1100 - $1200)
01551 T NEW TECHNOLOGY - LEVEL XIV ($1200- $1300)
01552 T NEW TECHNOLOGY - LEVEL XV ($1300 - $1400)
01553 T NEW TECHNOLOGY - LEVEL XVI ($1400 - $1500)
01554 T NEW TECHNOLOGY - LEVEL XVII ($1500-$1600)
01555 T NEW TECHNOLOGY - LEVEL XVIII ($1600-$1700)
01556 T NEW TECHNOLOGY - LEVEL XIX ($1700-$1800)
01557 T NEW TECHNOLOGY - LEVEL XX ($1800-$1900)
01558 T NEW TECHNOLOGY - LEVEL XXI ($1900-$2000)
01559 T NEW TECHNOLOGY - LEVEL XXII ($2000-$2500)
01560 T NEW TECHNOLOGY - LEVEL XXIII ($2500-$3000)
01561 T NEW TECHNOLOGY - LEVEL XXIV ($3000-$3500)
01562 T NEW TECHNOLOGY - LEVEL XXV ($3500-$4000)
01563 T NEW TECHNOLOGY - LEVEL XXVI ($4000-$4500)
01564 T NEW TECHNOLOGY - LEVEL XXVII ($4500-$5000)
01565 T NEW TECHNOLOGY - LEVEL XXVIII ($5000-$5500)
01566 T NEW TECHNOLOGY - LEVEL XXIX ($5500-$6000)
01567 T NEW TECHNOLOGY - LEVEL XXX ($6000-$6500)
01568 T NEW TECHNOLOGY - LEVEL XXXI ($6500-$7000)
01569 T NEW TECHNOLOGY - LEVEL XXXII ($7000-$7500)
01570 T NEW TECHNOLOGY - LEVEL XXXIII ($7500-$8000)
01571 T NEW TECHNOLOGY - LEVEL XXXIV ($8000-$8500)
01572 T NEW TECHNOLOGY - LEVEL XXXV ($8500-$9000)
01573 T NEW TECHNOLOGY - LEVEL XXXVI ($9000-$9500)
01574 T NEW TECHNOLOGY - LEVEL XXXVII ($9500-$10000)
01605 K ABCIXIMAB INJECTION
01607 K EPTIFIBATIDE INJECTION
01608 K ETANERCEPT INJECTION
01609 K RHO(D) IMMUNE GLOBULIN H, SD
01612 K DACLIZUMAB, PARENTERAL
01613 K TRASTUZUMAB INJECTION
01630 K HEP B IG, IM
01631 K BACLOFEN INTRATHECAL TRIAL
01633 K ALEFACEPT
01643 H Y90 IBRITUMOMAB, RX
01645 H I131 TOSITUMOMAB, RX
01670 K TETANUS IMMUNE GLOBULIN INJ
01675 H P32 NA PHOSPHATE
01676 H P32 CHROMIC PHOSPHATE
01682 K APROTONIN, 10,000 KIU
01683 K BASILIXIMAB
01684 K CORTICORELIN OVINE TRIFLUTAL
01685 K DARBEPOETIN ALFA, NON-ESRD
01686 K EPOETIN ALFA, NON-ESRD
01687 K DIGOXIN IMMUNE FAB (OVINE)
01688 K ETHANOLAMINE OLEATE
01689 K FOMEPIZOLE
01690 K HEMIN
01693 K LEPIRUDIN
01694 K ZICONOTIDE INJECTION
01695 K NESIRITIDE INJECTION
01696 K PALIFERMIN INJECTION
01697 K PEGAPTANIB SODIUM INJECTION
01700 K INJ SECRETIN SYNTHETIC HUMAN
01701 K TREPROSTINIL INJECTION
01703 K OVINE, 1000 USP UNITS
01704 K HUMATE-P, INJ
01705 K FACTOR VIIA
01709 K AZACITIDINE INJECTION
01710 K CLOFARABINE INJECTION
01711 G VANTAS IMPLANT
01712 K PACLITAXEL PROTEIN BOUND
01716 U BRACHYTX, NON-STR, GOLD-198
01717 U BRACHYTX, NON-STR, HDR IR-192
01719 U BRACHYTX, NS, NON-HDRIR-192
01738 K OXALIPLATIN
01739 K PEGADEMASE BOVINE, 25 IU
01740 K DIAZOXIDE INJECTION
01741 K UROFOLLITROPIN, 75 IU
02210 K METHYLDOPATE HCL INJECTION
02616 U BRACHYTX, NON-STR,YTTRIUM-90
02632 U IODINE I-125 SODIUM IODIDE
02634 U BRACHYTX, NON-STR, HA, I-125
02635 U BRACHYTX, NON-STR, HA, P-103
02636 U BRACHY LINEAR, NON-STR,P-103
02638 U BRACHYTX, STRANDED, I-125
02639 U BRACHYTX, NON-STRANDED,I-125
02640 U BRACHYTX, STRANDED, P-103
02641 U BRACHYTX, NON-STRANDED,P-103
02642 U BRACHYTX, STRANDED, C-131
02643 U BRACHYTX, NON-STRANDED,C-131
02698 U BRACHYTX, STRANDED, NOS
02699 U BRACHYTX, NON-STRANDED, NOS
02731 K IMMUNE GLOBULIN, POWDER
02770 K QUINUPRISTIN/DALFOPRISTIN
03030 K SUMATRIPTAN SUCCINATE
03041 K BIVALIRUDIN
03043 K GAMMA GLOBULIN 1 CC INJ
03050 K SERMORELIN ACETATE INJECTION
07000 K AMIFOSTINE
07005 K GONADORELIN HYDROCH
07011 K OPRELVEKIN INJECTION
07015 K ORAL BUSULFAN
07034 K SOMATROPIN INJECTION
07035 K TENIPOSIDE
07036 K UROKINASE 250,000 IU INJ
07038 K MONOCLONAL ANTIBODIES
07041 K TIROFIBAN HCL
07042 K CAPECITABINE, ORAL
07043 K INFLIXIMAB INJECTION
07045 K INJ TRIMETREXATE GLUCORONATE
07046 K DOXORUBICIN HCL LIPOSOME INJ
07048 K ALTEPLASE RECOMBINANT
07049 K FILGRASTIM 480 MCG INJECTION
07051 K LEUPROLIDE ACETATE IMPLANT
07308 K AMINOLEVULINIC ACID HCL TOP
08000 T CARDIAC ELECTROPHYSIOLOGIC EVALUATION AND ABLATION COMPOSITE
08001 T LDR PROSTATE BRACHYTHERAPY COMPOSITE
08002 V LEVEL I EXTENDED ASSESSMENT & MANAGEMENT COMPOSITE
08003 V LEVEL II EXTENDED ASSESSMENT & MANAGEMENT COMPOSITE
08004 S ULTRASOUND COMPOSITE
08005 S CT AND CTA WITHOUT CONTRAST COMPOSITE
08006 S CT AND CTA WITH CONTRAST COMPOSITE
08007 S MRI AND MRA WITHOUT CONTRAST COMPOSITE
08008 S MRI AND MRA WITH CONTRAST COMPOSITE
09001 K LINEZOLID INJECTION
09002 K TENECTEPLASE INJECTION
09003 K PALIVIZUMAB
09004 K GEMTUZUMAB OZOGAMICIN INJ
09005 K RETEPLASE INJECTION
09006 K TACROLIMUS INJECTION
09012 K ARSENIC TRIOXIDE INJECTION
09015 K MYCOPHENOLATE MOFETIL ORAL
09018 K BOTULINUM TOXIN TYPE B
09019 K CASPOFUNGIN ACETATE
09020 K SIROLIMUS, ORAL
09022 K IM INJ INTERFERON BETA 1-A
09023 K RHO D IMMUNE GLOBULIN
09024 K AMPHOTERICIN B LIPID COMPLEX
09032 K BACLOFEN 10 MG INJECTION
09033 K CIDOFOVIR INJECTION
09038 K INJ ESTROGEN CONJUGATE
09042 K GLUCAGON HYDROCHLORIDE
09044 K IBUTILIDE FUMARATE INJECTION
09046 K IRON SUCROSE INJECTION
09047 K ITRACONAZOLE INJECTION
09104 K ANTITHYMOCYTE GLOBULN RABBIT
09108 K THYROTROPIN INJECTION
09110 K ALEMTUZUMAB INJECTION
09115 K ZOLEDRONIC ACID
09119 K INJECTION, PEGFILGRASTIM 6MG
09120 K INJECTION, FULVESTRANT
09121 K INJECTION, ARGATROBAN
09122 K TRIPTORELIN PAMOATE
09124 K DAPTOMYCIN INJECTION
09125 K RISPERIDONE, LONG ACTING
09126 K NATALIZUMAB INJECTION
09133 K RABIES IG, IM/SC
09134 K RABIES IG, HEAT TREATED
09135 K VARICELLA-ZOSTER IG, IM
09137 K BCG VACCINE, PERCUT
09139 K RABIES VACCINE, IM
09140 K RABIES VACCINE, ID
09143 K MENINGOCOCCAL VACCINE, SC
09145 K MENINGOCOCCAL VACCINE, IM
09207 K BORTEZOMIB INJECTION
09208 K AGALSIDASE BETA INJECTION
09209 K LARONIDASE INJECTION
09210 K PALONOSETRON HCL
09213 K PEMETREXED INJECTION
09214 K BEVACIZUMAB INJECTION
09215 K CETUXIMAB INJECTION
09216 K ABARELIX INJECTION
09217 K LEUPROLIDE ACETATE SUSPNSION
09219 K MYCOPHENOLIC ACID
09224 K GALSULFASE INJECTION
09225 K FLUOCINOLONE ACETONIDE IMPLT
09227 K MICAFUNGIN SODIUM INJECTION
09228 K TIGECYCLINE INJECTION
09229 K IBANDRONATE SODIUM INJECTION
09230 K ABATACEPT INJECTION
09231 K DECITABINE INJECTION
09232 K IDURSULFASE INJECTION
09233 K RANIBIZUMAB INJECTION
09234 K ALGLUCOSIDASE ALFA INJECTION
09235 K PANITUMUMAB INJECTION
09236 G ECULIZUMAB INJECTION
09237 K INJ, LANREOTIDE ACETATE
09238 G INJ, LEVETIRACETAM
09240 G INJECTION, IXABEPILONE
09241 G INJECTION, DORIPENEM
09242 G INJECTION, FOSAPREPITANT
09243 G BENDAMUSTINE INJECTION
09244 G REGADENOSON INJECTION
09245 G INJECTION, ROMIPLOSTIM
09246 G INJ, GADOXETATE DISODIUM
09247 G INJ, IOBENGUANE, I-123, DX
09248 G INJ, CLEVIDIPINE BUTYRATE
09249 G INJ, CERTOLIZUMAB PEGOL
09250 G ARTISS FIBRIN SEALANT
09251 G INJ, C1 ESTERASE INHIBITOR
09252 G INJECTION, PLERIXAFOR
09253 G INJECTION, TEMOZOLOMIDE
09300 K OMALIZUMAB INJECTION
09354 G VERITAS COLLAGEN MATRIX, CM2
09355 G NEUROMATRIX NERVE CUFF, CM
09356 G TENOGLIDE TENDON PROT, CM2
09358 G SURGIMEND, FETAL
09359 G IMPLNT,BONE VOID FILLER-PUTTY
09360 G SURGIMEND, NEONATAL
09361 G NEUROMEND NERVE WRAP
09362 G IMPLNT,BONE VOID FILLER-STRIP
09363 G INTEGRA MESHED BIL WOUND MAT
09364 G PORCINE IMPLANT, PERMACOL
09500 R PLATELETS, IRRADIATED
09501 R PLATELET PHERES LEUKOREDUCED
09502 R PLATELET PHERESIS IRRADIATED
09503 R FR FRZ PLASMA DONOR RETESTED
09504 R RBC DEGLYCEROLIZED
09505 R RBC IRRADIATED
09506 R GRANULOCYTES, PHERESIS UNIT
09507 R PLATELETS, PHERESIS
09508 R PLASMA 1 DONOR FRZ W/IN 8 HR
