APGs

If Stand Alone, Do Not Pay APGs Under APG Reimbursement

Revised for July 1, 2012 Updates:

NOTE: Information revised during the quarterly update period stated above is highlighted

APG APG Desc APG Type 2011
APG type		 Date code
added to
ISADNP list		 Date code
removed from
ISADNP list
118 Nutrition Therapy Significant Proc. Physical Therapy & Rehabilitation 1/1/2010 1/1/2011
281 Magnetic Resonance Angiography - Head And/Or Neck Significant Proc. Radiologic Procedure 1/1/2010
282 Magnetic Resonance Angiography - Chest Significant Proc. Radiologic Procedure 1/1/2010
283 Magnetic Resonance Angiography - Other Sites Significant Proc. Radiologic Procedure 1/1/2010
284 Myelography Significant Proc. Radiologic Procedure 12/1/2008
285 Miscellaneous Radiological Procedures With Contrast Significant Proc. Radiologic Procedure 12/1/2008
286 Mammography Significant Proc. Radiologic Procedure 12/1/2008
287 Digestive Radiology Significant Proc. Radiologic Procedure 12/1/2008
288 Diagnostic Ultrasound Except Obstetrical And Vascular Of Lower Extremities Significant Proc. Radiologic Procedure 12/1/2008
289 Vascular Diagnostic Ultrasound Of Lower Extremities Significant Proc. Radiologic Procedure 12/1/2008
290 Pet Scans Significant Proc. Radiologic Procedure 12/1/2008
291 Bone Densitometry Significant Proc. Radiologic Procedure 12/1/2008
292 Mri- Abdomen Significant Proc. Radiologic Procedure 1/1/2010
293 Mri- Joints Significant Proc. Radiologic Procedure 1/1/2010
294 Mri- Back Significant Proc. Radiologic Procedure 1/1/2010
295 Mri- Chest Significant Proc. Radiologic Procedure 1/1/2010
296 Mri- Other Significant Proc. Radiologic Procedure 1/1/2010
297 Mri- Brain Significant Proc. Radiologic Procedure 1/1/2010
298 Cat Scan Back Significant Proc. Radiologic Procedure 12/1/2008
299 Cat Scan - Brain Significant Proc. Radiologic Procedure 12/1/2008
300 Cat Scan - Abdomen Significant Proc. Radiologic Procedure 12/1/2008
301 Cat Scan - Other Significant Proc. Radiologic Procedure 12/1/2008
302 Angiography, Other Significant Proc. Radiologic Procedure 12/1/2008
303 Angiography, Cerebral Significant Proc. Radiologic Procedure 12/1/2008
330 Level I Diagnostic Nuclear Medicine Significant Proc. Radiologic Procedure 12/1/2008
331 Level II Diagnostic Nuclear Medicine Significant Proc. Radiologic Procedure 12/1/2008
332 Level III Diagnostic Nuclear Medicine Significant Proc. Radiologic Procedure 12/1/2008
373 Level I Dental Film Ancillary Ancillary 1/1/2010
374 Level II Dental Film Ancillary Ancillary 1/1/2010
375 Dental Anesthesia Ancillary Ancillary 1/1/2010
380 Anesthesia Ancillary Ancillary 12/1/2008
390 Level I Pathology Ancillary Ancillary 12/1/2008
391 Level II Pathology Ancillary Ancillary 12/1/2008
392 Pap Smears Ancillary Ancillary 12/1/2008
393 Blood And Tissue Typing Ancillary Ancillary 12/1/2008
394 Level I Immunology Tests Ancillary Ancillary 12/1/2008
395 Level II Immunology Tests Ancillary Ancillary 12/1/2008
396 Level I Microbiology Tests Ancillary Ancillary 12/1/2008
397 Level II Microbiology Tests Ancillary Ancillary 12/1/2008
398 Level I Endocrinology Tests Ancillary Ancillary 12/1/2008
399 Level II Endocrinology Tests Ancillary Ancillary 12/1/2008
400 Level I Chemistry Tests Ancillary Ancillary 12/1/2008
401 Level II Chemistry Tests Ancillary Ancillary 12/1/2008
402 Basic Chemistry Tests Ancillary Ancillary 12/1/2008
403 Organ Or Disease Oriented Panels Ancillary Ancillary 12/1/2008
404 Toxicology Tests Ancillary Ancillary 12/1/2008
405 Therapeutic Drug Monitoring Ancillary Ancillary 12/1/2008
406 Level I Clotting Tests Ancillary Ancillary 12/1/2008
407 Level II Clotting Tests Ancillary Ancillary 12/1/2008
408 Level I Hematology Tests Ancillary Ancillary 12/1/2008
409 Level II Hematology Tests Ancillary Ancillary 12/1/2008
410 Urinalysis Ancillary Ancillary 12/1/2008
411 Blood And Urine Dipstick Tests Ancillary Ancillary 12/1/2008
413 Cardiogram Ancillary Ancillary 12/1/2008
414 Level I Immunization And Allergy Immunotherapy Ancillary Ancillary 12/1/2008 4/1/2009
415 Level II Immunization Ancillary Ancillary 12/1/2008 4/1/2009
416 Level III Immunization Ancillary Ancillary 12/1/2008 4/1/2009
420 Pacemaker And Other Electronic Analysis Ancillary Ancillary 12/1/2008 4/1/2009
435 Class I Pharmacotherapy Drug Drug 12/1/2008
436 Class II Pharmacotherapy Drug Drug 12/1/2008
437 Class III Pharmacotherapy Drug Drug 12/1/2008
438 Class IV Pharmacotherapy Drug Drug 12/1/2008
439 Class V Pharmacotherapy Drug Drug 12/1/2008
440 Class VI Pharmacotherapy Drug Drug 1/1/2010
444 CLASS VII PHARMACOTHERAPY Drug Drug 7/1/2011
448 After Hours Services Ancillary Ancillary 12/1/2008
451 Smoking Cessation Treatment Ancillary Ancillary 12/1/2008 4/1/2011
455 Implanted Tissue Of Any Type DME DME 12/1/2008
457 Venipuncture Ancillary Ancillary 12/1/2008
460 CLASS VIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY 7/1/2011
461 CLASS IX COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY Drug Drug 7/1/2011
462 CLASS X COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY Drug Drug 7/1/2011
463 CLASS XI COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY Drug Drug 7/1/2011
464 CLASS XII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY Drug Drug 7/1/2011
465 CLASS XIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY Drug Drug 7/1/2011
470 Obstetrical Ultrasound Ancillary Ancillary 12/1/2008
471 Plain Film Ancillary Ancillary 12/1/2008
472 Ultrasound Guidance Ancillary Ancillary 12/1/2008
473 Ct Guidance Ancillary Ancillary 12/1/2008
490 INCIDENTAL TO MEDICAL, SIGNIFICANT PROCEDURE OR THERAPY VISIT Incidental Incidental 4/1/2011
496 MINOR PHARMACOTHERAPY Drug 7/1/2012

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