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APC Status Description S LEVEL I PHOTOCHEMOTHERAPY T LEVEL I FINE NEEDLE BIOPSY/ASPIRATION T BONE MARROW BIOPSY/ASPIRATION T

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APC Status Description 00001 S LEVEL I PHOTOCHEMOTHERAPY

00002 T LEVEL I 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

00023 T EXPLORATION PENETRATING WOUND 00028 T LEVEL I BREAST SURGERY

00029 T LEVEL II BREAST SURGERY 00030 T LEVEL III BREAST SURGERY 00031 X SMOKING CESSATION SERVICES 00033 P PARTIAL HOSPITALIZATION

00034 P MENTAL HEALTH SERVICES COMPOSITE 00035 T ARTERIAL/VENOUS PUNCTURE

00037 T LEVEL IV NEEDLE BIOPSY/ASPIRATION EXCEPT BONE MARROW 00039 S LEVEL I IMPLANTATION OF NEUROSTIMULATOR

00040 S PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, EXCLUDING CRANIAL NERV 00041 T LEVEL I ARTHROSCOPY

00042 T LEVEL II ARTHROSCOPY

00043 T CLOSED TREATMENT FRACTURE FINGER/TOE/TRUNK 00045 T BONE/JOINT MANIPULATION UNDER ANESTHESIA 00047 T ARTHROPLASTY WITHOUT PROSTHESIS

00048 T LEVEL I ARTHROPLASTY WITH PROSTHESIS

00049 T LEVEL I MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT 00050 T LEVEL II MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT

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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

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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 00109 T REMOVAL/REPAIR OF IMPLANTED DEVICES

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 CHANGES AND REPOSITIONING 00125 T REFILLING OF INFUSION PUMP

00126 T LEVEL I URINARY AND ANAL PROCEDURES

00127 S LEVEL IV STEREOTACTIC RADIOSURGERY, MRGFUS, AND MEG 00128 S ECHOCARDIOGRAM WITH CONTRAST

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

00140 T ESOPHAGEAL DILATION WITHOUT ENDOSCOPY 00141 T LEVEL I UPPER GI PROCEDURES

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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

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

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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 AND SLEEP STUDIES 00212 T NERVOUS SYSTEM INJECTIONS

00213 S LEVEL I EXTENDED EEG AND SLEEP 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 00236 T LEVEL II POSTERIOR SEGMENT EYE PROCEDURES 00237 T LEVEL III 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

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00250 T NASAL CAUTERIZATION/PACKING 00251 T LEVEL I ENT PROCEDURES 00252 T LEVEL II ENT PROCEDURES 00253 T LEVEL III ENT PROCEDURES 00254 T LEVEL IV ENT PROCEDURES 00256 T LEVEL V ENT PROCEDURES

00258 T TONSIL AND ADENOID PROCEDURES 00259 T LEVEL VI 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

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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) 00335 S MAGNETIC RESONANCE IMAGING, MISCELLANEOUS

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

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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

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00423 T LEVEL II PERCUTANEOUS ABDOMINAL AND BILIARY PROCEDURES 00425 T LEVEL II ARTHROPLASTY WITH PROSTHESIS

00426 S LEVEL II STRAPPING AND CAST APPLICATION 00427 T LEVEL II TUBE CHANGES AND REPOSITIONING 00428 T LEVEL III SIGMOIDOSCOPY AND ANOSCOPY

00429 T LEVEL V CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES 00430 S DRUG PREADMINISTRATION-RELATED SERVICES

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 00441 S LEVEL VI 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 EMERGENCY VISITS 00613 V LEVEL 2 EMERGENCY VISITS 00614 V LEVEL 3 EMERGENCY VISITS 00615 V LEVEL 4 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 00625 T LEVEL IV VASCULAR ACCESS PROCEDURES

00648 T LEVEL IV BREAST SURGERY

00651 S COMPLEX INTERSTITIAL RADIATION SOURCE APPLICATION 00652 T INSERTION OF INTRAPERITONEAL AND PLEURAL CATHETERS

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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

00663 S LEVEL I ELECTRONIC ANALYSIS OF DEVICES 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 IV 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 ELECTRONIC ANALYSIS OF CARDIOVERTER-DEFIBRILLATORS

00690 S ELECTRONIC ANALYSIS OF PACEMAKERS AND OTHER CARDIAC DEVICES 00691 S LEVEL III ELECTRONIC ANALYSIS OF DEVICES

00692 S LEVEL II 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 K SR89 STRONTIUM

00702 K SM 153 LEXIDRONM

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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 00748 K BLEOMYCIN SULFATE INJECTION 00750 K DOLASETRON MESYLATE

00751 K MECHLORETHAMINE HCL INJ 00752 K DACTINOMYCIN ACTINOMYCIN D 00759 K NALTREXONE, DEPOT FORM 00760 G ANADULAFUNGIN INJECTION 00763 K DOLASETRON MESYLATE ORAL 00764 K GRANISETRON HCL INJECTION 00765 K GRANISETRON HCL 1 MG ORAL 00767 K ENFUVIRTIDE INJECTION 00768 K ONDANSETRON HCL INJECTION 00769 K ONDANSETRON HCL 8MG ORAL 00800 K LEUPROLIDE ACETATE 00802 K ETOPOSIDE ORAL 00804 K VIVAGLOBIN, INJ 00805 K MECASERMIN INJECTION 00806 G HYALURONIDASE RECOMBINANT 00807 K ALDESLEUKIN/SINGLE USE VIAL 00808 K NABILONE ORAL

00809 K BCG LIVE INTRAVESICAL VAC 00810 K GOSERELIN ACETATE IMPLANT 00811 K CARBOPLATIN INJECTION 00812 K CARMUS BISCHL NITRO INJ 00814 K ASPARAGINASE INJECTION 00820 K DAUNORUBICIN

00821 K DAUNORUBICIN CITRATE LIPOSOM 00823 K DOCETAXEL

00825 G NELARABINE INJECTION 00827 K FLOXURIDINE INJECTION

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00828 K GEMCITABINE HCL 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/SINGL DOSE VIAL 00844 K PENTOSTATIN INJECTION

00849 K RITUXIMAB CANCER TREATMENT 00850 K STREPTOZOCIN INJECTION 00851 K THIOTEPA INJECTION 00852 K TOPOTECAN 00855 K VINORELBINE TARTRATE 00856 K PORFIMER SODIUM 00858 K INJ CLADRIBINE

00861 K LEUPROLIDE ACETATE INJECITON 00862 K MITOMYCIN 5 MG INJ

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 00880 K PENTASTARCH 10% SOLUTION 00882 K MELPHALAN ORAL

00883 K FONDAPARINUX SODIUM 00884 K RHO D IMMUNE GLOBULIN INJ 00887 K AZATHIOPRINE PARENTERAL 00888 K CYCLOSPORINE ORAL

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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 00911 K INJ STREPTOKINASE /250000 IU 00912 K INTERFERON ALFACON-1

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

00930 K ANTITHROMBIN III INJECTION 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 00941 K MITOMYCIN 20 MG INJ

00942 K MITOMYCIN 40 MG INJ 00943 K OCTAGAM INJECTION

00944 K GAMMAGARD LIQUID INJECTION 00945 K RHOPHYLAC INJECTION

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00947 K FLEBOGAMMA INJECTION 00948 K GAMUNEX INJECTION

00949 K FROZEN PLASMA, POOLED, SD 00950 K WHOLE BLOOD FOR TRANSFUSION 00951 G RECLAST INJECTION

00952 K CRYOPRECIPITATE EACH UNIT 00954 K RBC LEUKOCYTES REDUCED 00955 K PLASMA, FRZ BETWEEN 8-24HOUR 00956 K PLASMA PROTEIN FRACT,5%,50ML 00957 K PLATELETS, EACH UNIT

00958 K PLAELET RICH PLASMA UNIT 00959 K RED BLOOD CELLS UNIT

00960 K 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 K PLASMAPROTEIN FRACT,5%,250ML 00967 K BLOOD SPLIT UNIT

00968 K PLATELETS LEUKOREDUCED IRRAD 00969 K RBC LEUKOREDUCED IRRADIATED 00998 K INJ BIPERIDEN LACTATE/5 MG 00999 K EDETATE CALCIUM DISODIUM INJ 01009 K CRYOPRECIPITATEREDUCEDPLASMA 01010 K BLOOD, L/R, CMV-NEG

01011 K PLATELETS, HLA-M, L/R, UNIT

01013 K PLATELETS LEUKOCYTES REDUCED 01015 K INJECTION GLATIRAMER ACETATE 01016 K BLOOD, L/R, FROZ/DEGLY/WASH 01017 K PLT, APH/PHER, L/R, CMV-NEG 01018 K BLOOD, L/R, IRRADIATED

01019 K PLATE PHERES LEUKOREDU IRRAD 01020 K PLT, PHER, L/R CMV-NEG, IRR 01021 K RBC, FRZ/DEG/WSH, L/R, IRRAD 01022 K RBC, L/R, CMV-NEG, IRRAD 01023 K PRALIDOXIME CHLORIDE INJ 01032 H AUD OSSEO DEV, INT/EXT COMP

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01041 K PLICAMYCIN (MITHRAMYCIN) INJ 01052 K INJECTION, VORICONAZOLE 01064 K I131 IODIDE CAP, RX

01083 K ADALIMUMAB INJECTION 01084 K DENILEUKIN DIFTITOX 01086 K TEMOZOLOMIDE

01138 G HEPAGAM B INTRAVENOUS, INJ 01139 K PROTEIN C CONCENTRATE 01140 K INTEGRA MATRIX TISSUE 01141 G PRIMATRIX TISSUE 01142 G SUPPRELIN LA IMPLANT 01150 K I131 IODIDE SOL, RX 01165 K ARIPIPRAZOLE INJECTION 01166 K CYTARABINE LIPOSOME 01167 K INJ, EPIRUBICIN HCL 01168 G INJ, TEMSIROLIMUS

01169 G NEURAWRAP NERVE PROTECTOR,CM 01178 K BUSULFAN INJECTION

01203 K VERTEPORFIN INJECTION

01207 K OCTREOTIDE INJECTION, DEPOT 01213 K VWF COMPLEX, NOT HUMATE-P 01214 K INJ IVIG PRIVIGEN 500 MG 01215 K INJ IRON DEXTRAN

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)

(16)

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)

(17)

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

01606 K INJECTION ANISTREPLASE 30 U 01607 K EPTIFIBATIDE INJECTION 01608 K ETANERCEPT INJECTION

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01609 K RHO(D) IMMUNE GLOBULIN H, SD 01612 K DACLIZUMAB, PARENTERAL 01613 K TRASTUZUMAB

01629 K NONMETABOLIC ACT D/E TISSUE 01630 K HEP B IG, IM

01631 K BACLOFEN INTRATHECAL TRIAL 01632 K METABOLIC ACTIVE D/E TISSUE 01633 K ALEFACEPT

01643 K Y90 IBRITUMOMAB, RX 01645 K I131 TOSITUMOMAB, RX

01670 K TETANUS IMMUNE GLOBULIN INJ 01675 K P32 NA PHOSPHATE

01676 K 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 K VANTAS IMPLANT

01712 K PACLITAXEL PROTEIN BOUND 01716 K BRACHYTX, NON-STR, GOLD-198

(19)

01717 K BRACHYTX, NON-STR, HDR IR-192 01719 K BRACHYTX, NS, NON-HDRIR-192 01738 K OXALIPLATIN 01739 K PEGADEMASE BOVINE, 25 IU 01740 K DIAZOXIDE INJECTION 01741 K UROFOLLITROPIN, 75 IU 01821 H INTERSPINOUS IMPLANT 02210 K METHYLDOPATE HCL INJECTION 02616 K BRACHYTX, NON-STR,YTTRIUM-90 02632 K IODINE I-125 SODIUM IODIDE 02634 K BRACHYTX, NON-STR, HA, I-125 02635 K BRACHYTX, NON-STR, HA, P-103 02636 K BRACHY LINEAR, NON-STR,P-103 02638 K BRACHYTX, STRANDED, I-125 02639 K BRACHYTX, NON-STRANDED,I-125 02640 K BRACHYTX, STRANDED, P-103 02641 K BRACHYTX, NON-STRANDED,P-103 02642 K BRACHYTX, STRANDED, C-131 02643 K BRACHYTX, NON-STRANDED,C-131 02698 K BRACHYTX, STRANDED, NOS 02699 K BRACHYTX, NON-STRANDED, NOS 02731 K IMMUNE GLOBULIN, POWDER 02770 K QUINUPRISTIN/DALFOPRISTIN 02940 K SOMATREM INJECTION

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 07028 K FOSPHENYTOIN 07034 K SOMATROPIN INJECTION 07035 K TENIPOSIDE 07036 K UROKINASE 250,000 IU INJ 07038 K MONOCLONAL ANTIBODIES

(20)

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 09001 K LINEZOLID INJECTION 09002 K TENECTEPLASE INJECTION 09003 K PALIVIZUMAB 09004 K GEMTUZUMAB OZOGAMICIN 09005 K RETEPLASE INJECTION 09006 K TACROLIMUS INJECTION 09012 K ARSENIC TRIOXIDE

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 09051 K UREA INJECTION

09054 K METABOLICALLY ACTIVE TISSUE 09104 K ANTITHYMOCYTE GLOBULN RABBIT

(21)

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 G 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 09141 K MEASLES-RUBELLA VACCINE, SC 09143 K MENINGOCOCCAL VACCINE, SC 09144 K ENCEPHALITIS VACCINE, SC 09145 K MENINGOCOCCAL VACCINE, IM 09156 K NONMETABOLIC ACTIVE TISSUE 09167 K VALRUBICIN, 200 MG

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

09222 K INJECTABLE HUMAN TISSUE 09224 K GALSULFASE INJECTION

09225 K FLUOCINOLONE ACETONIDE IMPLT 09227 G MICAFUNGIN SODIUM INJECTION 09228 G TIGECYCLINE INJECTION

(22)

09229 G IBANDRONATE SODIUM INJECTION 09230 G ABATACEPT INJECTION

09231 G DECITABINE INJECTION 09232 G IDURSULFASE INJECTION 09233 G RANIBIZUMAB INJECTION

09234 K ALGLUCOSIDASE ALFA INJECTION 09235 G 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 09300 K OMALIZUMAB INJECTION

09350 G NEURAGEN NERVE GUIDE, PER CM 09351 G TISSUEMEND TISSUE

09354 G VERITAS COLLAGEN MATRIX, CM2 09355 G NEUROMATRIX NERVE CUFF, CM 09356 G TENDOGLIDE TENDON PROT, CM2 09357 G FLOWABLE WOUND MATRIX, 1 CC 09358 G SURGIMEND, 0.5CM2

09500 K PLATELETS, IRRADIATED

09501 K PLATELET PHERES LEUKOREDUCED 09502 K PLATELET PHERESIS IRRADIATED 09503 K FR FRZ PLASMA DONOR RETESTED 09504 K RBC DEGLYCEROLIZED

09505 K RBC IRRADIATED

09506 K GRANULOCYTES, PHERESIS UNIT 09507 K PLATELETS, PHERESIS

References

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