APC 01420
Aflibercept injection
Historical IOCE Data
v27.2.0 (2026-07-01 to 2036-06-30)
$731.89
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $731.89
-
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
v27.1.1 (2026-04-01 to 2026-06-30)
$763.90
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $763.90
-
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
v27.0.2 (2026-01-01 to 2026-03-31)
$771.56
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $771.56
-
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)
$790.04
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $790.04
-
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)
$795.86
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $795.86
-
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)
$801.07
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $801.07
-
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
v26.0.6 (2025-01-01 to 2025-03-31)
$821.98
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $821.98
-
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
v25.3.7 (2024-10-01 to 2024-12-31)
$835.40
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $835.40
-
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)
$841.13
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $841.13
-
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)
$862.28
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $862.28
-
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
v25.0.10 (2024-01-01 to 2024-03-31)
$868.24
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $868.24
-
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)
$875.67
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $875.67
-
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
v24.2.12 (2023-07-01 to 2023-09-30)
$893.55
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $893.55
-
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)
$898.33
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $898.33
-
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
v24.0.14 (2023-01-01 to 2023-03-31)
$903.00
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $903.00
-
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
v23.3.15 (2022-10-01 to 2022-12-31)
$912.89
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $912.89
-
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
v23.2.16 (2022-07-01 to 2022-09-30)
$914.20
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $914.20
-
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)
$915.75
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $915.75
-
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)
$917.94
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $917.94
-
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)
$916.41
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $916.41
-
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
v22.2.20 (2021-07-01 to 2021-09-30)
$918.87
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $918.87
-
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)
$921.76
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $921.76
-
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)
$928.24
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $928.24
-
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)
$931.77
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $931.77
-
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
v21.2.24 (2020-07-01 to 2020-09-30)
$938.44
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $938.44
-
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
v21.1.25 (2020-04-01 to 2020-06-30)
$945.03
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $945.03
-
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)
$952.47
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $952.47
-
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)
$957.36
Description
"Aflibercept injection"
Core Attributes
- Payment Amount
- $957.36
-
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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