Addendum M.-Proposed HCPCS Codes for Assignment to Composite APCs 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 

APC 

Assignment 

90801 Psy dx interview Q3 0323

90802 Intac psy dx interview Q3 0323

90804 Psytx office 20-30 min Q3 0322

90805 Psytx off 20-30 min w/e&m Q3 0322

90806 Psytx off 45-50 min Q3 0323

90807 Psytx off 45-50 min w/e&m Q3 0323

90808 Psytx office 75-80 min Q3 0323

90809 Psytx off 75-80 w/e&m Q3 0323

90810 Intac psytx off 20-30 min Q3 0322

90811 Intac psytx 20-30 w/e&m Q3 0322

90812 Intac psytx off 45-50 min Q3 0323

90813 Intac psytx 45-50 min w/e&m Q3 0323

90814 Intac psytx off 75-80 min Q3 0323

90815 Intac psytx 75-80 w/e&m Q3 0323

90845 Psychoanalysis Q3 0323

90846 Family psytx w/o patient Q3 0324

90847 Family psytx w/patient Q3 0324

90849 Multiple family group psytx Q3 0325

90853 Group psychotherapy Q3 0325

90857 Intac group psytx Q3 0325

90862 Medication management Q3 0605

90865 Narcosynthesis Q3 0323

90880 Hypnotherapy Q3 0323

90899 Psychiatric service/therapy Q3 0322

96101 Psycho testing by psych/phys Q3 0382

96102 Psycho testing by technician Q3 0373

96103 Psycho testing admin by comp Q3 0373

96111 Developmental test extend Q3 0373

96116 Neurobehavioral status exam Q3 0382

96118 Neuropsych tst by psych/phys Q3 0382

96119 Neuropsych testing by tec Q3 0382

96120 Neuropsych 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 Devlopment 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 Withdrawal of arterial blood Q3 0035
43752 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 mgmt inpat init day Q3 0079

94003 Vent mgmt 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 dysrhythm focus Q3 0085

93651 Ablate heart dysrhythm focus Q3 0086

93652 Ablate heart dysrhythm 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 Emergency dept visit Q3 0615

99285 Emergency dept visit Q3 0616

99291 Critical care first hour Q3 0617

G0384 Lev 5 hosp type 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 0333
70481 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/dye Q3 0333

70491 Ct soft tissue neck w/dye Q3 0283

70492 Ct sft tsue nck w/o & w/dye 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/dye Q3 0333

72191 Ct angiograph pelv w/o&w/dye Q3 0662

72193 Ct pelvis w/dye Q3 0283

72194 Ct pelvis w/o & w/dye 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/dye Q3 0662

74160 Ct abdomen w/dye Q3 0283

74170 Ct abdomen w/o & w/dye Q3 0333

74175 Ct angio abdom w/o & w/dye 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 dye 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 dye Q3 0336

70554 Fmri brain by tech Q3 0336

71550 Mri chest w/o dye Q3 0336

72141 Mri neck spine w/o dye Q3 0336

72146 Mri chest spine w/o dye Q3 0336

72148 Mri lumbar spine w/o dye 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 dye 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 0336
75559 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/dye 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/dye Q3 0337

70548 Mr angiography neck w/dye Q3 0284

70549 Mr angiograph neck w/o&w/dye Q3 0337

70552 Mri brain w/dye 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/dye Q3 0284

72147 Mri chest spine w/dye Q3 0284

72149 Mri lumbar spine w/dye Q3 0284

72156 Mri neck spine w/o & w/dye Q3 0337

72157 Mri chest spine w/o & w/dye Q3 0337

72158 Mri lumbar spine w/o & w/dye Q3 0337

72196 Mri pelvis w/dye Q3 0284

72197 Mri pelvis w/o & w/dye 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/dye 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/dye Q3 0337

75563 Card mri w/stress img & dye 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 0284
C8920 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
mposite APCs for CY 2013

 Composite APC 

Assignment 

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0108

0108

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 

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

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

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 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

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
8008

8008

8008

8008

8008