If SP services have been provided, then an APG will be assigned for each significant procedure performed, as illustrated in the following case scenario. A patient is seen in the ER after cutting himself while installing new glass in a storm door. Repair of the injuries include layer closure of a 2.5 cm hand laceration and a 1.8 cm complex repair for a laceration of the right arm. CPT code 12041 is assigned for the intermediate repair of the hand, with 13120 assigned for the complex repair. If significant procedures are assigned to different APGs, as in Figure 3, then SP consolidation may also occur depending on the assigned APGs.
Ancillary packaging applies to ancillary APGs that are assigned to a visit.
Most frequently, ancillary APGs encompass laboratory or radiological procedures such as plain film x-rays, fluoroscopy, multichannel chemistry tests and urinalysis. The following case scenario provides an example of ancillary packaging. The patient is seen in the ER complaining of lower back pain after being accidentally hit in the back with a golf club by his five year old. The patient is evaluated by a physician. Urinalysis and lumbar spine are ordered.