APC 00844
Pentostatin injection
Historical IOCE Data
v27.2.0 (2026-07-01 to 2036-06-30)
$2626.33
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2626.33
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v27.1.1 (2026-04-01 to 2026-06-30)
$2537.10
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2537.10
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v27.0.2 (2026-01-01 to 2026-03-31)
$2608.16
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2608.16
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v26.3.3 (2025-10-01 to 2025-12-31)
$2543.89
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2543.89
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v26.2.4 (2025-07-01 to 2025-09-30)
$2673.43
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2673.43
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v26.1.5 (2025-04-01 to 2025-06-30)
$2732.53
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2732.53
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v26.0.6 (2025-01-01 to 2025-03-31)
$2541.77
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2541.77
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v25.3.7 (2024-10-01 to 2024-12-31)
$2537.07
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2537.07
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v25.2.8 (2024-07-01 to 2024-09-30)
$2335.72
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2335.72
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v25.1.9 (2024-04-01 to 2024-06-30)
$2273.15
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2273.15
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v25.0.10 (2024-01-01 to 2024-03-31)
$2336.98
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2336.98
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v24.3.11 (2023-10-01 to 2023-12-31)
$2387.73
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2387.73
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v24.2.12 (2023-07-01 to 2023-09-30)
$2585.41
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2585.41
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v24.1.13 (2023-04-01 to 2023-06-30)
$2320.12
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2320.12
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v24.0.14 (2023-01-01 to 2023-03-31)
$2206.44
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2206.44
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v23.3.15 (2022-10-01 to 2022-12-31)
$2076.08
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2076.08
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v23.2.16 (2022-07-01 to 2022-09-30)
$2065.32
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2065.32
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v23.1.17 (2022-04-01 to 2022-06-30)
$1934.45
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $1934.45
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v23.0.18 (2022-01-01 to 2022-03-31)
$1880.67
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $1880.67
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v22.3.19 (2021-10-01 to 2021-12-31)
$1971.00
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $1971.00
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v22.2.20 (2021-07-01 to 2021-09-30)
$2002.91
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2002.91
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v22.1.21 (2021-04-01 to 2021-06-30)
$2001.90
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2001.90
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v22.0.22 (2021-01-01 to 2021-03-31)
$2060.28
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2060.28
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v21.3.23 (2020-10-01 to 2020-12-31)
$2069.81
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2069.81
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v21.2.24 (2020-07-01 to 2020-09-30)
$2054.65
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2054.65
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v21.1.25 (2020-04-01 to 2020-06-30)
$2109.35
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2109.35
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v21.0.26 (2020-01-01 to 2020-03-31)
$1968.61
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $1968.61
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
v20.3.27 (2019-10-01 to 2019-12-31)
$2020.30
Description
"Pentostatin injection"
Core Attributes
- Payment Amount
- $2020.30
-
Status Indicator Status indicator assigned to the APC
- K
-
Payment Indicator Payment indicator assigned to the APC
- 2
Processing Flags
-
Mental Health APC subject to Mental Health/Partial Hospitalization Program (MH/PHP) logic. Values: 0 = not applicable 1 = applicable
- No
-
Device Offset APC's device offset amount prior to v54. Refer to OFFSET_CODEPAIRS table for device offset amounts after v53.
- 0
-
Comp2 Id APC subject to observation composite APC processing prior to v62 (Note: EA&M composite levels I & II combined in v18.0). Values: 0 = not applicable 1 = possible level II observation composite APC 2 = possible level I observation composite APC
- 0
-
Nuc Rad Fb APC subject to nuclear medicine/radiopharm processing prior to v54. Values: 0 = not applicable 1 = applicable
- 0
-
Er Visit Emergency room visit and critical care APC subject to observation logic. Values: 0 = not applicable 1 = applicable
- No
-
Comp1 Id APC subject to composite APC processing. Values: 0 = not applicable 1 = electrophysiology/ablation composite APC (v15.3) 2 = LDR prostate brachytherapy composite APC (v18.3)
- 0
-
Comp3 Id APC subject to multiple imaging composite APC processing. Values: 0 = not applicable 1 = Ultrasound Composite 2 = CT and CTA without Contrast Composite 3 = CT and CTA with Contrast Composite 4 = MRI and MRA without Contrast Composite 5 = MRI and MRA with Contrast Composite
- 0
-
Capc Srs APC subject to comprehensive APC processing for Stereotactic Radiosurgery (SRS). Values: 0 = not applicable 1 = applicable
- 0
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