Statewide Base Rate APGs

Revised for January 1, 2014 Updates:

Information revised since the last update is highlighted.

APG APG Description Date
added
to list
97 AICD IMPLANT 1/1/2011
218 LEVEL II NERVE PROCEDURES 1/1/2012
223 LEVEL III NERVE PROCEDURES 4/1/2011
250 COCHLEAR DEVICE IMPLANTATION 1/1/2011
281 MAGNETIC RESONANCE ANGIOGRAPHY - HEAD AND/OR NECK 1/1/2011
282 MAGNETIC RESONANCE ANGIOGRAPHY - CHEST 1/1/2011
283 MAGNETIC RESONANCE ANGIOGRAPHY - OTHER SITES 1/1/2011
286 MAMMOGRAPHY 1/1/2011
287 DIGESTIVE RADIOLOGY 1/1/2011
290 PET SCANS 1/1/2011
291 BONE DENSITOMETRY 1/1/2011
292 MRI- ABDOMEN 1/1/2011
293 MRI- JOINTS 1/1/2011
294 MRI- BACK 1/1/2011
295 MRI- CHEST 1/1/2011
296 MRI- OTHER 1/1/2011
297 MRI- BRAIN 1/1/2011
298 CAT SCAN BACK 1/1/2011
299 CAT SCAN - BRAIN 1/1/2011
300 CAT SCAN - ABDOMEN 1/1/2011
301 CAT SCAN - OTHER 1/1/2011
302 ANGIOGRAPHY, OTHER 1/1/2011
303 ANGIOGRAPHY, CEREBRAL 1/1/2011
385 MOLECULAR AND GENETIC TESTS 1/1/2014
390 LEVEL I PATHOLOGY 1/1/2011
391 LEVEL II PATHOLOGY 1/1/2011
392 PAP SMEARS 1/1/2011
393 BLOOD AND TISSUE TYPING 1/1/2011
394 LEVEL I IMMUNOLOGY TESTS 1/1/2011
395 LEVEL II IMMUNOLOGY TESTS 1/1/2011
396 LEVEL I MICROBIOLOGY TESTS 1/1/2011
397 LEVEL II MICROBIOLOGY TESTS 1/1/2011
398 LEVEL I ENDOCRINOLOGY TESTS 1/1/2011
399 LEVEL II ENDOCRINOLOGY TESTS 1/1/2011
400 LEVEL I CHEMISTRY TESTS 1/1/2011
401 LEVEL II CHEMISTRY TESTS 1/1/2011
402 BASIC CHEMISTRY TESTS 1/1/2011
403 ORGAN OR DISEASE ORIENTED PANELS 1/1/2011
404 TOXICOLOGY TESTS 1/1/2011
405 THERAPEUTIC DRUG MONITORING 1/1/2011
406 LEVEL I CLOTTING TESTS 1/1/2011
407 LEVEL II CLOTTING TESTS 1/1/2011
408 LEVEL I HEMATOLOGY TESTS 1/1/2011
409 LEVEL II HEMATOLOGY TESTS 1/1/2011
410 URINALYSIS 1/1/2011
411 BLOOD AND URINE DIPSTICK TESTS 1/1/2011
414 LEVEL I IMMUNIZATION AND ALLERGY IMMUNOTHERAPY 1/1/2011
415 LEVEL II IMMUNIZATION 1/1/2011
416 LEVEL III IMMUNIZATION 1/1/2011
430 CLASS I CHEMOTHERAPY DRUGS 1/1/2011
431 CLASS II CHEMOTHERAPY DRUGS 1/1/2011
432 CLASS III CHEMOTHERAPY DRUGS 1/1/2011
433 CLASS IV CHEMOTHERAPY DRUGS 1/1/2011
434 CLASS V CHEMOTHERAPY DRUGS 1/1/2011
435 CLASS I PHARMACOTHERAPY 1/1/2011
436 CLASS II PHARMACOTHERAPY 1/1/2011
437 CLASS III PHARMACOTHERAPY 1/1/2011
438 CLASS IV PHARMACOTHERAPY 1/1/2011
439 CLASS V PHARMACOTHERAPY 1/1/2011
440 CLASS VI PHARMACOTHERAPY 1/1/2011
441 CLASS VI CHEMOTHERAPY DRUGS 1/1/2011
443 CLASS VII CHEMOTHERAPY DRUGS 1/1/2011
444 CLASS VII PHARMACOTHERAPY 1/1/2011
455 IMPLANTED TISSUE OF ANY TYPE 1/1/2011
460 CLASS VIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY 1/1/2011
461 CLASS IX COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY 1/1/2011
462 CLASS X COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY 1/1/2011
463 CLASS XI COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY 1/1/2011
464 CLASS XII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY 1/1/2011
465 CLASS XIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY 1/1/2011
471 PLAIN FILM 1/1/2011