**Ad dendum M.-Proposed HCPCS Codes for A**  **ssignment to Composite A PCs for CY 2012** 

**HCPCS Code**  **Short Descriptor CI**  **SI Single Code**  **AP C**  **As signment**  **Composite A PC** 

**As signment**  90801 Psy

dx interview Q3 0323 0034 90802 Intac psy

dx interview Q3 0323 0034 90804 Psy

tx office 20-30 min Q3 0322 0034 90805 Psy

tx off 20-30 min w/e&m Q3 0322 0034 90806 Psy

tx off 45-50 min Q3 0323 0034 90807 Psy

tx off 45-50 min w/e&m Q3 0323 0034 90808 Psy

tx office 75-80 min Q3 0323 0034 90809 Psy

tx off 75-80 w/e&m Q3 0323 0034 90810 Intac psy

tx off 20-30 min Q3 0322 0034 90811 Intac psy

tx 20-30 w/e&m Q3 0322 0034 90812 Intac psy

tx off 45-50 min Q3 0323 0034 90813 Intac psy

tx 45-50 min w/e&m Q3 0323 0034 90814 Intac psy

tx off 75-80 min Q3 0323 0034 90815 Intac psy

tx 75-80 w/e&m Q3 0323 0034 90845 Psy choanalysis Q3 0323 0034 90846 Family

psy tx w/o patient Q3 0324 0034 90847 Family

psy tx w/patient Q3 0324 0034 90849 Multiple family group psy

tx Q3 0325 0034 90853 Group psy chotherapy Q3 0325 0034 90857 Intac group psy tx Q3 0325 0034 90862 Medication management Q3 0605 0034 90865 Narcosy nthesis Q3 0323 0034 90880 Hy pnotherapy Q3 0323 0034 90899 Psy chiatric service/therapy Q3 0322 0034 96101 Psy cho testing by psy ch/phys Q3 0382 0034 96102 Psy cho testing by technician Q3 0382 0034 96103 Psy cho testing admin by comp Q3 0373 0034 96110 Developm ental test lim Q3 0373 0034 96111 Developm ental test extend Q3 0373 0034 96116 Neurobehavioral status exam Q3 0382 0034 96118 Neuropsy ch tst by psy ch/phys Q3 0382 0034 96119 Neuropsy ch testing by tec Q3 0382 0034 96120 Neuropsy ch tst admin w/comp Q3 0382 0034 96150 Assess hlth/behave init Q3 0432 0034 96151 Assess hlth/behave subseq Q3 0432 0034 96152 Intervene hlth/behave indiv Q3 0432 0034 96153 Intervene hlth/behave group Q3 0432 0034 96154 Interv hlth/behav fam w/pt Q3 0432 0034 M0064 Visit for drug monitoring Q3 0607 0034 36600 Wi thdrawal of arterial blood Q3 0035 0617, 0618, or 43752 Nasal/orogastric w/stent Q3 0272 0617, 0618, or 71010 Chest x-ray Q3 0260 0617, 0618, or 71015 Chest x-ray Q3 0260 0617, 0618, or 71020 Chest x-ray Q3 0260 0617, 0618, or 92953 Temporary

external pacing Q3 0094 0617, 0618, or 94002 Vent m gm t inpat init day Q3 0079 0617, 0618, or 94003 Vent m gm t inpat subq day Q3 0079 0617, 0618, or 94660 Pos airway

pressure cpap Q3 0078 0617, 0618, or 94662 Neg press ventilation cnp Q3 0079 0617, 0618, or 94762 Measure blood oxygen level Q3 0097 0617, 0618, or93619 Electrophysiology evaluation Q3 0085 8000 93620 Electrophysiology evaluation Q3 0085 8000 93650 Ablate heart dysrhy thm focus Q3 0085 8000 93651 Ablate heart dysrhy thm focus Q3 0086 8000 93652 Ablate heart dysrhy thm focus Q3 0086 8000 55875 Transperi needle place pros Q3 0163 8001 77778 Apply

interstit radiat compl Q3 0651 8001 99205 Office/outpatient visit new Q3 0608 8002 99215 Office/outpatient visit est Q3 0607 8002 G0379 Direct refer hospital observ Q3 0604 8002 99284 Em ergency

dept visit Q3 0615 8003 99285 Em ergency

dept visit Q3 0616 8003 99291 Critical care first hour Q3 0617 8003 G0384 Lev 5 hosp ty pe B ED visit Q3 0630 8003 76604 Us exam chest Q3 0265 8004 76700 Us exam abdom complete Q3 0266 8004 76705 Echo exam of abdomen Q3 0266 8004 76770 Us exam abdo back wall comp Q3 0266 8004 76775 Us exam abdo back wall lim Q3 0266 8004 76776 Us exam k transpl w/doppler Q3 0266 8004 76831 Echo exam uterus Q3 0267 8004 76856 Us exam pelvic complete Q3 0266 8004 76857 Us exam pelvic limited Q3 0265 8004 76870 Us exam scrotum Q3 0266 8004 74176 Ct abd & pelvis w/o contrast CH Q3 0331 8005 70450 Ct head/brain w/o dye Q3 0332 8005 or 8006 70480 Ct orbit/ear/fossa w/o dye Q3 0332 8005 or 8006 70486 Ct maxillofacial w/o dye Q3 0332 8005 or 8006 70490 Ct soft tissue neck w/o dye Q3 0332 8005 or 8006 71250 Ct thorax w/o dye Q3 0332 8005 or 8006 72125 Ct neck spine w/o dye Q3 0332 8005 or 8006 72128 Ct chest spine w/o dye Q3 0332 8005 or 8006 72131 Ct lumbar spine w/o dye Q3 0332 8005 or 8006 72192 Ct pelvis w/o dye Q3 0332 8005 or 8006 73200 Ct upper extremity w/o dye Q3 0332 8005 or 8006 73700 Ct lower extremity w/o dye Q3 0332 8005 or 8006 74150 Ct abdomen w/o dye Q3 0332 8005 or 8006 74261 Ct colonography dx Q3 0332 8005 or 8006 70460 Ct head/brain w/dye Q3 0283 8006 70470 Ct head/brain w/o & w/dye Q3 0333 8006 70481 Ct orbit/ear/fossa w/dye Q3 0283 8006 70482 Ct orbit/ear/fossa w/o&w/dye Q3 0333 8006 70487 Ct maxillofacial w/dye Q3 0283 8006 70488 Ct maxillofacial w/o & w/dye Q3 0333 8006 70491 Ct soft tissue neck w/dy e Q3 0283 8006 70492 Ct sft tsue nck w/o & w/dye Q3 0333 8006 70496 Ct angiography head Q3 0662 8006 70498 Ct angiography neck Q3 0662 8006 71260 Ct thorax w/dye Q3 0283 8006 71270 Ct thorax w/o & w/dye Q3 0333 8006 71275 Ct angiography chest Q3 0662 8006 72126 Ct neck spine w/dye Q3 0283 8006 72127 Ct neck spine w/o & w/dye Q3 0333 8006 72129 Ct chest spine w/dye Q3 0283 8006 72130 Ct chest spine w/o & w/dye Q3 0333 800672132 Ct lumbar spine w/dye Q3 0283 8006

72133 Ct lumbar spine w/o & w/dye Q3 0333 8006 72191 Ct angiograph pelv w/o&w/dy e Q3 0662 8006 72193 Ct pelvis w/dye Q3 0283 8006 72194 Ct pelvis w/o & w/dye Q3 0333 8006 73201 Ct upper extremity w/dye Q3 0283 8006 73202 Ct uppr extremity w/o&w/dye Q3 0333 8006 73206 Ct angio upr extrm w/o&w/dye Q3 0662 8006 73701 Ct lower extremity w/dye Q3 0283 8006 73702 Ct lwr extremity w/o&w/dye Q3 0333 8006 73706 Ct angio lwr extr w/o&w/dye Q3 0662 8006 74160 Ct abdomen w/dye Q3 0283 8006 74170 Ct abdomen w/o & w/dye Q3 0333 8006 74175 Ct angio abdom w/o & w/dye Q3 0662 8006 74177 Ct abdomen&pelvis w/contrast CH Q3 0334 8006 74178 Ct abd&pelv 1+ section/regns CH Q3 0334 8006 74262 Ct colonography dx w/dye Q3 0283 8006 75635 Ct angio abdominal arteries Q3 0662 8006 70336 Magnetic image jaw joint Q3 0336 8007 or 8008 70540 Mri orbit/face/neck w/o dy e Q3 0336 8007 or 8008 70544 Mr angiography head w/o dye Q3 0336 8007 or 8008 70547 Mr angiography neck w/o dye Q3 0336 8007 or 8008 70551 Mri brain w/o dye Q3 0336 8007 or 8008 70554 Fmri brain by

tech Q3 0336 8007 or 8008 71550 Mri chest w/o dye Q3 0336 8007 or 8008 72141 Mri neck spine w/o dye Q3 0336 8007 or 8008 72146 Mri chest spine w/o dye Q3 0336 8007 or 8008 72148 Mri lum bar spine w/o dye Q3 0336 8007 or 8008 72195 Mri pelvis w/o dye Q3 0336 8007 or 8008 73218 Mri upper extremity w/o dye Q3 0336 8007 or 8008 73221 Mri joint upr extrem w/o dy e Q3 0336 8007 or 8008 73718 Mri lower extremity w/o dye Q3 0336 8007 or 8008 73721 Mri jnt of lwr extre w/o dye Q3 0336 8007 or 8008 74181 Mri abdomen w/o dye Q3 0336 8007 or 8008 75557 Cardiac mri for morph Q3 0336 8007 or 8008 75559 Cardiac mri w/stress img Q3 0336 8007 or 8008 C8901 MRA w/o cont, abd Q3 0336 8007 or 8008 C8904 MRI w/o cont, breast, uni Q3 0336 8007 or 8008 C8907 MRI w/o cont, breast, bi Q3 0336 8007 or 8008 C8910 MRA w/o cont, chest Q3 0336 8007 or 8008 C8913 MRA w/o cont, lwr ext Q3 0336 8007 or 8008 C8919 MRA w/o cont, pelvis Q3 0336 8007 or 8008 C8932 MRA, w/o dye, spinal canal Q3 0336 8007 or 8008 C8935 MRA, w/o dye, upper extr Q3 0336 8007 or 8008 70542 Mri orbit/face/neck w/dy e Q3 0284 8008 70543 Mri orbt/fac/nck w/o & w/dye Q3 0337 8008 70545 Mr angiography head w/dye Q3 0284 8008 70546 Mr angiograph head w/o&w/dye Q3 0337 8008 70548 Mr angiography neck w/dye Q3 0284 8008 70549 Mr angiograph neck w/o&w/dye Q3 0337 8008 70552 Mri brain w/dye Q3 0284 8008 70553 Mri brain w/o & w/dye Q3 0337 8008 71551 Mri chest w/dye Q3 0284 8008 71552 Mri chest w/o & w/dye Q3 0337 8008 72142 Mri neck spine w/dye Q3 0284 800872147 Mri chest spine w/dye Q3 0284 8008

72149 Mri lum bar spine w/dye Q3 0284 8008 72156 Mri neck spine w/o & w/dye Q3 0337 8008 72157 Mri chest spine w/o & w/dye Q3 0337 8008 72158 Mri lum bar spine w/o & w/dye Q3 0337 8008 72196 Mri pelvis w/dye Q3 0284 8008 72197 Mri pelvis w/o & w/dye Q3 0337 8008 73219 Mri upper extremity w/dye Q3 0284 8008 73220 Mri uppr extremity w/o&w/dye Q3 0337 8008 73222 Mri joint upr extrem w/dy e Q3 0284 8008 73223 Mri joint upr extr w/o&w/dye Q3 0337 8008 73719 Mri lower extremity w/dye Q3 0284 8008 73720 Mri lwr extremity w/o&w/dye Q3 0337 8008 73722 Mri joint of lwr extr w/dye Q3 0284 8008 73723 Mri joint lwr extr w/o&w/dye Q3 0337 8008 74182 Mri abdomen w/dye Q3 0284 8008 74183 Mri abdomen w/o & w/dye Q3 0337 8008 75561 Cardiac mri for morph w/dy e Q3 0337 8008 75563 Card mri w/stress img & dye Q3 0337 8008 C8900 MRA w/cont, abd Q3 0284 8008 C8902 MRA w/o fol w/cont, abd Q3 0337 8008 C8903 MRI w/cont, breast, uni Q3 0284 8008 C8905 MRI w/o fol w/cont, brst, un Q3 0337 8008 C8906 MRI w/cont, breast, bi Q3 0284 8008 C8908 MRI w/o fol w/cont, breast, Q3 0337 8008 C8909 MRA w/cont, chest Q3 0284 8008 C8911 MRA w/o fol w/cont, chest Q3 0337 8008 C8912 MRA w/cont, lwr ext Q3 0284 8008 C8914 MRA w/o fol w/cont, lwr ext Q3 0337 8008 C8918 MRA w/cont, pelvis Q3 0284 8008 C8920 MRA w/o fol w/cont, pelvis Q3 0337 8008 C8931 MRA, w/dye, spinal canal Q3 0284 8008 C8933 MRA, w/o&w/dye, spinal canal Q3 0337 8008 C8934 MRA, w/dye, upper extremity Q3 0284 8008 C8936 MRA, w/o&w/dye, upper extr Q3 0337 8008 33225 L ventric pacing lead add-on CH Q3 0108 8009 33249 Eltrd/insert pace-defib CH Q3 0108 8009