Uniform Packaged Ancillaries in APGs

Revised for January 1, 2012 Updates:

Information revised since the last update is highlighted.

ANCILLARY PACKAGING

A patient with a significant procedure or a medical visit may have ancillary services performed as part of the visit. Ancillary packaging refers to the inclusion of certain ancillary services into the APG payment for a significant procedure or medical visit. Below is a uniform list of ancillary APGs that are always packaged into a significant procedure or medical visit.

APG APG Description Date
Added
380 ANESTHESIA
390 LEVEL I PATHOLOGY
394 LEVEL I IMMUNOLOGY TESTS
396 LEVEL I MICROBIOLOGY TESTS
398 LEVEL I ENDOCRINOLOGY TESTS
400 LEVEL I CHEMISTRY TESTS
402 BASIC CHEMISTRY TESTS
404 TOXICOLOGY TESTS
405 THERAPEUTIC DRUG MONITORING 1/1/2012
406 LEVEL I CLOTTING TESTS
408 LEVEL I HEMATOLOGY TESTS
410 URINALYSIS
411 BLOOD AND URINE DIPSTICK TESTS
412 SIMPLE PULMONARY FUNCTION TESTS
413 CARDIOGRAM
423 INTRODUCTION OF NEEDLE AND CATHETER
424 DRESSINGS AND OTHER MINOR PROCEDURES
425 OTHER MISCELLANEOUS ANCILLARY PROCEDURES
427 BIOFEEDBACK AND OTHER TRAINING
435 CLASS I PHARMACOTHERAPY
457 VENIPUNCTURE
471 PLAIN FILM
495 MINOR CHEMOTHERAPY DRUGS 1/1/2012
496 MINOR PHARMACOTHERAPY 1/1/2012