If Stand Alone, Do Not Pay APGs Under APG Reimbursement
- Also available in Excel Format (XLSX) and Portable Document Format (PDF)
Revised for January 1, 2015 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 |
280 | LEVEL II VASCULAR RADIOLOGICAL PROCEDURES | Significant Proc. | Radiologic Procedure | 12/1/2008 | 1/1/2010 |
281 | MAGNETIC RESONANCE ANGIOGRAPHY - HEAD AND/OR NECK | Significant Proc. | Radiologic Procedure | 1/1/2010 | |
282 | MAGNETIC RESONANCE ANGIOGRAPHY | 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 & OTHER RELATED PROCEDURES | Significant Proc. | Radiologic Procedure | 12/1/2008 | |
287 | DIGESTIVE RADIOLOGY | Significant Proc. | Radiologic Procedure | 12/1/2008 | |
288 | LEVEL I DIAGNOSTIC ULTRASOUND | Significant Proc. | Radiologic Procedure | 12/1/2008 | |
289 | LEVEL II DIAGNOSTIC ULTRASOUND | 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 | MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST | Significant Proc. | Radiologic Procedure | 1/1/2010 | |
294 | MRI- BACK | Significant Proc. | Radiologic Procedure | 1/1/2010 | |
295 | MAGNETIC RESONANCE IMAGING WITH CONTRAST | Significant Proc. | Radiologic Procedure | 1/1/2010 | |
296 | MRI- OTHER | Significant Proc. | Radiologic Procedure | 1/1/2010 | |
297 | MAGNETOCEPHALOGRAPHY/CARDIOGRAPHY MCG | Significant Proc. | Radiologic Procedure | 1/1/2010 | |
298 | CAT SCAN BACK | Significant Proc. | Radiologic Procedure | 12/1/2008 | |
299 | LEVEL I COMPUTED TOMOGRAPHY | Significant Proc. | Radiologic Procedure | 12/1/2008 | |
300 | LEVEL II COMPUTED TOMOGRAPHY | Significant Proc. | Radiologic Procedure | 12/1/2008 | |
301 | COMPUTED TOMOGRAPHY- OTHER | Significant Proc. | Radiologic Procedure | 12/1/2008 | |
302 | COMPUTED TOMOGRAPHIC ANGIOGRAPHY | 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 I DIAGNOSTIC NUCLEAR MEDICINE | Significant Proc. | Radiologic Procedure | 12/1/2008 | |
332 | LEVEL II 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 TESTS | Ancillary | Ancillary | 12/1/2008 | |
392 | PAP SMEARS | Ancillary | Ancillary | 12/1/2008 | |
393 | LEVEL II BLOOD AND TISSUE TYPING TESTS | 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 | 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 | ELECTRONIC ANALYSIS FOR PACEMAKERS AND OTHER DEVICES | 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 | EXPANDED HOURS ACCESS | Ancillary | Ancillary | 12/1/2008 | 1/1/2015 |
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 | LEVEL I CONVENTIONAL RADIOLOGY | 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 VISIT OR SIGNIFICANT PROCEDURE | Incidental | Incidental | 4/1/2011 | |
496 | MINOR PHARMACOTHERAPY | Drug | 7/1/2012 |