Non-50% Discounting APG List

Revised for July 1, 2017 Updates:

Information revised since the last update is highlighted.

Note: This list was first implemented in April 2010, retroactive to January 2010.

APG APG Description Discount
Percent
if not 50%
Effective Date Notes
118 NUTRITION THERAPY 25% Effective 1–1–10  
257 AUDIOMETRY 25% Effective 1–1–10  
270 OCCUPATIONAL THERAPY 25% Effective 1–1–10  
271 PHYSICAL THERAPY 25% Effective 1–1–10  
272 SPEECH THERAPY AND EVALUATION 25% Effective 1–1–10  
274 OCCUPATIONAL/PHYSICAL THERAPY, GROUP 25% Effective 1–1–10  
275 SPEECH THERAPY & EVALUATION, GROUP 25% Effective 1–1–10  
310 DEVELOPMENTAL & NEUROPSYCHOLOGICAL TESTING 10% Effective 1–1–10 Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134. Effective 4/1/16, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1000, 1003, 1060, 1062, 1064, 1066, 1102, 1104, 1106, 1108, 1110, 1112, 1114, 1116, 1118, 1120. Effective 7/1/17, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1042, 1045, 1048, 1051.
312 FULL DAY PARTIAL HOSPITALIZATION FOR BEHAVIORAL HEALTH 10% Effective 1–1–10  
315 COUNSELLING OR INDIVIDUAL BRIEF PSYCHOTHERAPY 10% Effective 1–1–10 Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134. Effective 4/1/16, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1000, 1003, 1060, 1062, 1064, 1066, 1102, 1104, 1106, 1108, 1110, 1112, 1114, 1116, 1118, 1120. Effective 7/1/17, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1042, 1045, 1048, 1051.
316 INDIVIDUAL COMPREHENSIVE PSYCHOTHERAPY 10% Effective 1–1–10 Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134. Effective 4/1/16, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1000, 1003, 1060, 1062, 1064, 1066, 1102, 1104, 1106, 1108, 1110, 1112, 1114, 1116, 1118, 1120. Effective 7/1/17, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1042, 1045, 1048, 1051.
317 FAMILY PSYCHOTHERAPY 10% Effective 1–1–10 Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134. Effective 4/1/16, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1000, 1003, 1060, 1062, 1064, 1066, 1102, 1104, 1106, 1108, 1110, 1112, 1114, 1116, 1118, 1120. Effective 7/1/17, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1042, 1045, 1048, 1051.
318 GROUP PSYCHOTHERAPY 10% Effective 1–1–10 Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134. Effective 4/1/16, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1000, 1003, 1060, 1062, 1064, 1066, 1102, 1104, 1106, 1108, 1110, 1112, 1114, 1116, 1118, 1120. Effective 7/1/17, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1042, 1045, 1048, 1051.
320 BEHAVIORAL HEALTH – CASE MANAGEMENT AND TREATMENT PLAN DEVELOPMENT 10% Effective 1–1–10 Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134. Effective 4/1/16, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1000, 1003, 1060, 1062, 1064, 1066, 1102, 1104, 1106, 1108, 1110, 1112, 1114, 1116, 1118, 1120. Effective 7/1/17, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1042, 1045, 1048, 1051.
321 CRISIS INTERVENTION 10% Effective 1–1–10 Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134. Effective 4/1/16, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1000, 1003, 1060, 1062, 1064, 1066, 1102, 1104, 1106, 1108, 1110, 1112, 1114, 1116, 1118, 1120. Effective 7/1/17, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1042, 1045, 1048, 1051.
322 MEDICATION ADMINISTRATION & OBSERVATION 0% Changed from 10% to 0% for July 2010. Changed from 0% to 50% for October 2011. Changed from 50% to 0% for July 2012.  
323 BEHAVIORAL HEATLH ASSESSMENT 10% Effective 1–1–10 Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134. Effective 4/1/16, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1000, 1003, 1060, 1062, 1064, 1066, 1102, 1104, 1106, 1108, 1110, 1112, 1114, 1116, 1118, 1120. Effective 7/1/17, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1042, 1045, 1048, 1051.
324 BEHAVIORAL HEALTH SCREENING AND BRIEF ASSESSMENT 10% Changed from 0% to 25% Jan 1, 2012. Changed from 25% to 10% July 1, 2012 Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134. Effective 4/1/16, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1000, 1003, 1060, 1062, 1064, 1066, 1102, 1104, 1106, 1108, 1110, 1112, 1114, 1116, 1118, 1120. Effective 7/1/17, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1042, 1045, 1048, 1051.
350 LEVEL I ADJUNCTIVE GENERAL DENTAL SERVICES 25% Effective 7–1–11  
351 LEVEL II ADJUNCTIVE GENERAL DENTAL SERVICES 25% Effective 7–1–11  
352 LEVEL I PERIODONTICS 25% Effective 7–1–11  
353 LEVEL I PROSTHODONTICS, FIXED 25% Effective 7–1–11  
354 LEVEL II PROSTHODONTICS, FIXED 25% Effective 7–1–11  
355 LEVEL III PROSTHODONTICS, FIXED 25% Effective 7–1–11  
356 LEVEL I PROSTHODONTICS, REMOVABLE 25% Effective 7–1–11  
357 LEVEL II PROSTHODONTICS, REMOVABLE 25% Effective 7–1–11  
358 LEVEL III PROSTHODONTICS, REMOVABLE 25% Effective 7–1–11  
359 LEVEL I MAXILLOFACIAL PROSTHETICS 25% Effective 7–1–11  
360 LEVEL II MAXILLOFACIAL PROSTHETICS 25% Effective 7–1–11  
361 LEVEL I DENTAL RESTORATIONS 25% Effective 7–1–11  
362 LEVEL II DENTAL RESTORATIONS 25% Effective 7–1–11  
363 LEVEL III DENTAL RESTORATION 25% Effective 7–1–11  
364 LEVEL I ENDODONTICS 25% Effective 7–1–11  
365 LEVEL II ENDODONTICS 25% Effective 7–1–11  
366 LEVEL III ENDODONTICS 25% Effective 7–1–11  
367 LEVEL I ORAL AND MAXILLOFACIAL SURGERY 25% Effective 7–1–11  
368 LEVEL II ORAL AND MAXILLOFACIAL SURGERY 25% Effective 7–1–11  
369 LEVEL III ORAL AND MAXILLOFACIAL SURGERY 25% Effective 7–1–11  
370 LEVEL IV ORAL AND MAXILLOFACIAL SURGERY 25% Effective 7–1–11  
372 SEALANT 25% Effective 7–1–11  
373 LEVEL I DENTAL FILM 25% Effective 10–1–11  
374 LEVEL II DENTAL FILM 25% Effective 10–1–11  
377 PREVENTIVE DENTAL PROCEDURES 10% Effective 10–1–11  
426 PSYCHOTROPIC MEDICATION MANAGEMENT 10% Effective 4–4–13 Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134. Effective 4/1/16, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1000, 1003, 1060, 1062, 1064, 1066, 1102, 1104, 1106, 1108, 1110, 1112, 1114, 1116, 1118, 1120. Effective 7/1/17, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1042, 1045, 1048, 1051.