NYS DOH - Uniform Packaged Ancillaries in APGs

Revised for January 1, 2019 Updates:

Note: 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 EAPG payment for a significant procedure or medical visit. Below is a uniform list of ancillary EAPGs that are always packaged into a significant procedure or medical visit.


APG APG Description Date
Added
Date
Removed
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 1/1/2011  
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   1/1/2019
412 SIMPLE PULMONARY FUNCTION TESTS    
413 CARDIOGRAM    
423 VASCULAR ACCESS BY NEEDLE OR CATHETER    
424 DRESSINGS AND OTHER MINOR PROCEDURES    
425 LEVEL I OTHER MISCELLANEOUS ANCILLARY SERVICES    
426 PSYCHOTROPIC MEDICATION MANAGEMENT 1/1/2011* 7/1/2010, 1/1/2013**
427 BIOFEEDBACK AND OTHER TRAINING    
435 CLASS I PHARMACOTHERAPY    
457 VENIPUNCTURE 1/1/2011 1/1/2019
471 LEVEL I CONVENTIONAL RADIOLOGY    
495 MINOR CHEMOTHERAPY DRUGS 1/1/2012  
496 MINOR PHARMACOTHERAPY 1/1/2012  

* Does not package with therapies & mental hygiene.
** 1/1/2013 changed APG type to 22, Mental Health Counseling, and no longer packages.