**Ad dendum M.-Proposed HCPCS Codes for A**  **ssignment to Composite A PCs for CY 2013** 

**CPT codes and descriptions only are copyright 2011 American Medical**  **Association. All Rights Reserved. Applicable FARS/DFARS Apply.** 

**HCPCS Code**  **Short Descriptor CI**  **SI Single Code**  **AP C**  **As signment**  90801 Psy

dx interview Q3 0323 90802 Intac psy

dx interview Q3 0323 90804 Psy

tx office 20-30 min Q3 0322 90805 Psy

tx off 20-30 min w/e&m Q3 0322 90806 Psy

tx off 45-50 min Q3 0323 90807 Psy

tx off 45-50 min w/e&m Q3 0323 90808 Psy

tx office 75-80 min Q3 0323 90809 Psy

tx off 75-80 w/e&m Q3 0323 90810 Intac psy

tx off 20-30 min Q3 0322 90811 Intac psy

tx 20-30 w/e&m Q3 0322 90812 Intac psy

tx off 45-50 min Q3 0323 90813 Intac psy

tx 45-50 min w/e&m Q3 0323 90814 Intac psy

tx off 75-80 min Q3 0323 90815 Intac psy

tx 75-80 w/e&m Q3 0323 90845 Psy choanalysis Q3 0323 90846 Family

psy tx w/o patient Q3 0324 90847 Family

psy tx w/patient Q3 0324 90849 Multiple family group psy

tx Q3 0325 90853 Group psy chotherapy Q3 0325 90857 Intac group psy tx Q3 0325 90862 Medication management Q3 0605 90865 Narcosy nthesis Q3 0323 90880 Hy pnotherapy Q3 0323 90899 Psy chiatric service/therapy Q3 0322 96101 Psy cho testing by psy ch/phys Q3 0382 96102 Psy cho testing by technician Q3 0373 96103 Psy cho testing admin by comp Q3 0373 96111 Developm ental test extend Q3 0373 96116 Neurobehavioral status exam Q3 0382 96118 Neuropsy ch tst by psy ch/phys Q3 0382 96119 Neuropsy ch testing by tec Q3 0382 96120 Neuropsy ch tst admin w/comp CH Q3 0373 96150 Assess hlth/behave init Q3 0432 96151 Assess hlth/behave subseq Q3 0432 96152 Intervene hlth/behave indiv Q3 0432 96153 Intervene hlth/behave group CH Q3 0031 96154 Interv hlth/behav fam w/pt Q3 0432 G0451 Devlopm ent test interpt&rep Q3 0432 M0064 Visit for drug monitoring CH Q3 0606 33225 L ventric pacing lead add-on Q3 0655 33249 Nsert pace-defib w/lead Q3 0108 36600 Wi thdrawal of arterial blood Q3 003543752 Nasal/orogastric w/stent Q3 0272

71010 Chest x-ray Q3 0260 71015 Chest x-ray Q3 0260 71020 Chest x-ray Q3 0260 92953 Temporary

external pacing Q3 0094 94002 Vent m gm t inpat init day Q3 0079 94003 Vent m gm t inpat subq day Q3 0079 94660 Pos airway

pressure cpap Q3 0078 94662 Neg press ventilation cnp Q3 0079 94762 Measure blood oxygen level Q3 0097 93619 Electrophysiology evaluation Q3 0085 93620 Electrophysiology evaluation Q3 0085 93650 Ablate heart dysrhy thm focus Q3 0085 93651 Ablate heart dysrhy thm focus Q3 0086 93652 Ablate heart dysrhy thm focus Q3 0086 55875 Transperi needle place pros Q3 0163 77778 Apply

interstit radiat compl Q3 0651 99205 Office/outpatient visit new Q3 0608 99215 Office/outpatient visit est Q3 0607 G0379 Direct refer hospital observ Q3 0604 99284 Em ergency

dept visit Q3 0615 99285 Em ergency

dept visit Q3 0616 99291 Critical care first hour Q3 0617 G0384 Lev 5 hosp ty pe B ED visit Q3 0630 76604 Us exam chest Q3 0265 76700 Us exam abdom complete Q3 0266 76705 Echo exam of abdomen Q3 0266 76770 Us exam abdo back wall comp Q3 0266 76775 Us exam abdo back wall lim Q3 0266 76776 Us exam k transpl w/doppler Q3 0266 76831 Echo exam uterus Q3 0267 76856 Us exam pelvic complete Q3 0266 76857 Us exam pelvic limited Q3 0265 76870 Us exam scrotum Q3 0266 74176 Ct abd & pelvis Q3 0331 70450 Ct head/brain w/o dye Q3 0332 70480 Ct orbit/ear/fossa w/o dye Q3 0332 70486 Ct maxillofacial w/o dye Q3 0332 70490 Ct soft tissue neck w/o dye Q3 0332 71250 Ct thorax w/o dye Q3 0332 72125 Ct neck spine w/o dye Q3 0332 72128 Ct chest spine w/o dye Q3 0332 72131 Ct lumbar spine w/o dye Q3 0332 72192 Ct pelvis w/o dye Q3 0332 73200 Ct upper extremity w/o dye Q3 0332 73700 Ct lower extremity w/o dye Q3 0332 74150 Ct abdomen w/o dye Q3 0332 74261 Ct colonography dx Q3 0332 70460 Ct head/brain w/dye Q3 0283 70470 Ct head/brain w/o & w/dye Q3 033370481 Ct orbit/ear/fossa w/dye Q3 0283

70482 Ct orbit/ear/fossa w/o&w/dye Q3 0333 70487 Ct maxillofacial w/dye Q3 0283 70488 Ct maxillofacial w/o & w/dy e Q3 0333 70491 Ct soft tissue neck w/dy e Q3 0283 70492 Ct sft tsue nck w/o & w/dy e Q3 0333 70496 Ct angiography head Q3 0662 70498 Ct angiography neck Q3 0662 71260 Ct thorax w/dye Q3 0283 71270 Ct thorax w/o & w/dye Q3 0333 71275 Ct angiography chest Q3 0662 72126 Ct neck spine w/dye Q3 0283 72127 Ct neck spine w/o & w/dye Q3 0333 72129 Ct chest spine w/dye Q3 0283 72130 Ct chest spine w/o & w/dye Q3 0333 72132 Ct lumbar spine w/dye Q3 0283 72133 Ct lumbar spine w/o & w/dy e Q3 0333 72191 Ct angiograph pelv w/o&w/dy e Q3 0662 72193 Ct pelvis w/dye Q3 0283 72194 Ct pelvis w/o & w/dy e Q3 0333 73201 Ct upper extremity w/dye Q3 0283 73202 Ct uppr extremity w/o&w/dye Q3 0333 73206 Ct angio upr extrm w/o&w/dye Q3 0662 73701 Ct lower extremity w/dye Q3 0283 73702 Ct lwr extremity w/o&w/dye Q3 0333 73706 Ct angio lwr extr w/o&w/dy e Q3 0662 74160 Ct abdomen w/dy e Q3 0283 74170 Ct abdomen w/o & w/dy e Q3 0333 74175 Ct angio abdom w/o & w/dy e Q3 0662 74177 Ct abd & pelv w/contrast Q3 0334 74178 Ct abd & pelv 1/> regns Q3 0334 74262 Ct colonography dx w/dye Q3 0283 75635 Ct angio abdominal arteries Q3 0662 70336 Magnetic image jaw joint Q3 0336 70540 Mri orbit/face/neck w/o dy e Q3 0336 70544 Mr angiography head w/o dye Q3 0336 70547 Mr angiography neck w/o dye Q3 0336 70551 Mri brain w/o dy e Q3 0336 70554 Fmri brain by

tech Q3 0336 71550 Mri chest w/o dye Q3 0336 72141 Mri neck spine w/o dy e Q3 0336 72146 Mri chest spine w/o dy e Q3 0336 72148 Mri lum bar spine w/o dy e Q3 0336 72195 Mri pelvis w/o dye Q3 0336 73218 Mri upper extremity w/o dye Q3 0336 73221 Mri joint upr extrem w/o dy e Q3 0336 73718 Mri lower extremity w/o dye Q3 0336 73721 Mri jnt of lwr extre w/o dye Q3 0336 74181 Mri abdomen w/o dye Q3 0336 75557 Cardiac mri for morph Q3 033675559 Cardiac mri w/stress img Q3 0336

C8901 MRA w/o cont, abd Q3 0336 C8904 MRI w/o cont, breast, uni Q3 0336 C8907 MRI w/o cont, breast, bi Q3 0336 C8910 MRA w/o cont, chest Q3 0336 C8913 MRA w/o cont, lwr ext Q3 0336 C8919 MRA w/o cont, pelvis Q3 0336 C8932 MRA, w/o dye, spinal canal Q3 0336 C8935 MRA, w/o dye, upper extr Q3 0336 70542 Mri orbit/face/neck w/dy e Q3 0284 70543 Mri orbt/fac/nck w/o & w/dye Q3 0337 70545 Mr angiography head w/dye Q3 0284 70546 Mr angiograph head w/o&w/dy e Q3 0337 70548 Mr angiography neck w/dy e Q3 0284 70549 Mr angiograph neck w/o&w/dye Q3 0337 70552 Mri brain w/dy e Q3 0284 70553 Mri brain w/o & w/dye Q3 0337 71551 Mri chest w/dye Q3 0284 71552 Mri chest w/o & w/dye Q3 0337 72142 Mri neck spine w/dy e Q3 0284 72147 Mri chest spine w/dye Q3 0284 72149 Mri lum bar spine w/dy e Q3 0284 72156 Mri neck spine w/o & w/dye Q3 0337 72157 Mri chest spine w/o & w/dye Q3 0337 72158 Mri lum bar spine w/o & w/dye Q3 0337 72196 Mri pelvis w/dy e Q3 0284 72197 Mri pelvis w/o & w/dy e Q3 0337 73219 Mri upper extremity w/dye Q3 0284 73220 Mri uppr extremity w/o&w/dye Q3 0337 73222 Mri joint upr extrem w/dy e Q3 0284 73223 Mri joint upr extr w/o&w/dye Q3 0337 73719 Mri lower extremity w/dye Q3 0284 73720 Mri lwr extremity w/o&w/dye Q3 0337 73722 Mri joint of lwr extr w/dye Q3 0284 73723 Mri joint lwr extr w/o&w/dye Q3 0337 74182 Mri abdomen w/dye Q3 0284 74183 Mri abdomen w/o & w/dye Q3 0337 75561 Cardiac mri for morph w/dy e Q3 0337 75563 Card mri w/stress img & dy e Q3 0337 C8900 MRA w/cont, abd Q3 0284 C8902 MRA w/o fol w/cont, abd Q3 0337 C8903 MRI w/cont, breast, uni Q3 0284 C8905 MRI w/o fol w/cont, brst, un Q3 0337 C8906 MRI w/cont, breast, bi Q3 0284 C8908 MRI w/o fol w/cont, breast, Q3 0337 C8909 MRA w/cont, chest Q3 0284 C8911 MRA w/o fol w/cont, chest Q3 0337 C8912 MRA w/cont, lwr ext Q3 0284 C8914 MRA w/o fol w/cont, lwr ext Q3 0337 C8918 MRA w/cont, pelvis Q3 0284C8920 MRA w/o fol w/cont, pelvis Q3 0337

C8931 MRA, w/dye, spinal canal Q3 0284 C8933 MRA, w/o&w/dye, spinal canal Q3 0337 C8934 MRA, w/dye, upper extremity Q3 0284 C8936 MRA, w/o&w/dye, upper extr Q3 0337**Ad dendum M.-Proposed HCPCS Codes for A**  **ssignment to Composite A PCs for CY 2013** 

**Composite A PC**  **As signment**  0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0034 0108 0108 0617, 0618, or 80030617, 0618, or 8003

0617, 0618, or 8003 0617, 0618, or 8003 0617, 0618, or 8003 0617, 0618, or 8003 0617, 0618, or 8003 0617, 0618, or 8003 0617, 0618, or 8003 0617, 0618, or 8003 0617, 0618, or 8003 8000 8000 8000 8000 8000 8001 8001 8002 8002 8002 8003 8003 8003 8003 8004 8004 8004 8004 8004 8004 8004 8004 8004 8004 8005 8005 or 8006 8005 or 8006 8005 or 8006 8005 or 8006 8005 or 8006 8005 or 8006 8005 or 8006 8005 or 8006 8005 or 8006 8005 or 8006 8005 or 8006 8005 or 8006 8005 or 8006 8006 80068006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8006 8007 or 8008 8007 or 8008 8007 or 8008 8007 or 8008 8007 or 8008 8007 or 8008 8007 or 8008 8007 or 8008 8007 or 8008 8007 or 8008 8007 or 8008 8007 or 8008 8007 or 8008 8007 or 8008 8007 or 8008 8007 or 8008 8007 or 80088007 or 8008

8007 or 8008 8007 or 8008 8007 or 8008 8007 or 8008 8007 or 8008 8007 or 8008 8007 or 8008 8007 or 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 8008 80088008 8008 8008 8008 8008