NYS DOH - Uniform Packaged Ancillaries in APGs
Revised for January 1, 2023 Updates:
- Also available in Excel Format (XLS) and Portable Document Format (PDF)
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 |
---|---|---|---|
130 | MINOR GASTROINTESTINAL PROCEDURES INCLUDING TUBE INSERTION OR PLACEMENT | 1/1/2022 | |
157 | REPRODUCTIVE PATHOLOGY TESTS | 7/1/2021 | |
158 | PATHOLOGY CONSULTATION AND INTERPRETATION | 7/1/2021 | |
177 | MINOR DERMATOLOGY SERVICES | 7/1/2021 | |
213 | NERVE AND MUSCLE TESTS | 1/1/2022 | |
226 | SLEEP STUDIES UNATTENDED | 1/1/2022 | |
230 | MINOR OPHTHALMOLOGICAL PROCEDURES AND DIAGNOSTIC SERVICES | 1/1/2022 | |
243 | CLASS I THERAPEUTIC RADIOPHARMACEUTICALS | 1/1/2020 | |
249 | MINOR EAR, NOSE, MOUTH AND THROAT PROCEDURES | 1/1/2022 | |
288 | LEVEL I DIAGNOSTIC ULTRASOUND | 1/1/2022 | |
291 | BONE DENSITY AND RELATED PROCEDURES | 1/1/2022 | |
305 | LEVEL I SURGICAL PATHOLOGY TESTS | 7/1/2021 | |
308 | LEVEL III PATHOLOGY TESTS | 1/1/2022 | |
350 | ADJUNCTIVE DENTAL SERVICES | 7/1/2021 | |
380 | ANESTHESIA | ||
384 | LEVEL III CHEMISTRY TESTS | 1/1/2022 | |
385 | LEVEL I COMPLEX LABORATORY, MOLECULAR PATHOLOGY AND GENETIC TESTS | 1/1/2022 | |
390 | LEVEL I PATHOLOGY TESTS | ||
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 | MINOR PULMONARY TESTS AND SERVICES | ||
413 | CARDIOGRAM | ||
417 | MINOR FEMALE REPRODUCTIVE PROCEDURES | 1/1/2022 | |
420 | ELECTRONIC ANALYSIS FOR CARDIAC, NEUROLOGICAL AND OTHER DEVICES | 1/1/2022 | |
423 | VASCULAR ACCESS BY NEEDLE OR CATHETER | ||
424 | DRESSINGS AND OTHER MINOR PROCEDURES | 1/12020 | |
425 | LEVEL I OTHER MISCELLANEOUS ANCILLARY SERVICES | 1/1/2020 | |
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 | |
499 | BLOOD PROCESSING, STORAGE AND RELATED SERVICES | 7/1/2021 | |
900 | AUTOPSY AND POST-MORTEM EXAMINATION SERVICES | 1/1/2023 | |
2020 | NONINVASIVE VENTILATION SUPPORT | 7/1/2021 | |
2040 | LEVEL I DRUG SCREENING AND DEFINITIVE TESTS | 1/1/2022 | |
2070 | MONTHLY CARE AND CASE MANAGEMENT SERVICES | 1/1/2023 | |
2071 | MONTHLY BEHAVIORAL HEALTH CARE AND CASE MANAGEMENT SERVICES | 1/1/2023 | |
2072 | MONTHLY TREATMENT MANAGEMENT SERVICES | 1/1/2023 | |
* Does not package with therapies & mental hygiene.
** 1/1/2013 changed APG type to 22, Mental Health Counseling, and no longer packages.