If Stand Alone, Do Not Pay APGs Under APG Reimbursement

Revised for January 1, 2015 Updates:

NOTE: Information revised during the quarterly update period stated above is highlighted

APG APG Desc APG Type 2011
APG type		 Date code
added to
ISADNP list		 Date code
removed from
ISADNP list
118 NUTRITION THERAPY Significant Proc. Physical Therapy & Rehabilitation 1/1/2010 1/1/2011
280 LEVEL II VASCULAR RADIOLOGICAL PROCEDURES Significant Proc. Radiologic Procedure 12/1/2008 1/1/2010
281 MAGNETIC RESONANCE ANGIOGRAPHY - HEAD AND/OR NECK Significant Proc. Radiologic Procedure 1/1/2010  
282 MAGNETIC RESONANCE ANGIOGRAPHY Significant Proc. Radiologic Procedure 1/1/2010  
283 MAGNETIC RESONANCE ANGIOGRAPHY - OTHER SITES Significant Proc. Radiologic Procedure 1/1/2010  
284 MYELOGRAPHY Significant Proc. Radiologic Procedure 12/1/2008  
285 MISCELLANEOUS RADIOLOGICAL PROCEDURES WITH CONTRAST Significant Proc. Radiologic Procedure 12/1/2008  
286 MAMMOGRAPHY & OTHER RELATED PROCEDURES Significant Proc. Radiologic Procedure 12/1/2008  
287 DIGESTIVE RADIOLOGY Significant Proc. Radiologic Procedure 12/1/2008  
288 LEVEL I DIAGNOSTIC ULTRASOUND Significant Proc. Radiologic Procedure 12/1/2008  
289 LEVEL II DIAGNOSTIC ULTRASOUND Significant Proc. Radiologic Procedure 12/1/2008  
290 PET SCANS Significant Proc. Radiologic Procedure 12/1/2008  
291 BONE DENSITOMETRY Significant Proc. Radiologic Procedure 12/1/2008  
292 MRI- ABDOMEN Significant Proc. Radiologic Procedure 1/1/2010  
293 MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST Significant Proc. Radiologic Procedure 1/1/2010  
294 MRI- BACK Significant Proc. Radiologic Procedure 1/1/2010  
295 MAGNETIC RESONANCE IMAGING WITH CONTRAST Significant Proc. Radiologic Procedure 1/1/2010  
296 MRI- OTHER Significant Proc. Radiologic Procedure 1/1/2010  
297 MAGNETOCEPHALOGRAPHY/CARDIOGRAPHY MCG Significant Proc. Radiologic Procedure 1/1/2010  
298 CAT SCAN BACK Significant Proc. Radiologic Procedure 12/1/2008  
299 LEVEL I COMPUTED TOMOGRAPHY Significant Proc. Radiologic Procedure 12/1/2008  
300 LEVEL II COMPUTED TOMOGRAPHY Significant Proc. Radiologic Procedure 12/1/2008  
301 COMPUTED TOMOGRAPHY- OTHER Significant Proc. Radiologic Procedure 12/1/2008  
302 COMPUTED TOMOGRAPHIC ANGIOGRAPHY Significant Proc. Radiologic Procedure 12/1/2008  
303 ANGIOGRAPHY, CEREBRAL Significant Proc. Radiologic Procedure 12/1/2008  
330 LEVEL I DIAGNOSTIC NUCLEAR MEDICINE Significant Proc. Radiologic Procedure 12/1/2008  
331 LEVEL I DIAGNOSTIC NUCLEAR MEDICINE Significant Proc. Radiologic Procedure 12/1/2008  
332 LEVEL II DIAGNOSTIC NUCLEAR MEDICINE Significant Proc. Radiologic Procedure 12/1/2008  
373 LEVEL I DENTAL FILM Ancillary Ancillary 1/1/2010  
374 LEVEL II DENTAL FILM Ancillary Ancillary 1/1/2010  
375 DENTAL ANESTHESIA Ancillary Ancillary 1/1/2010  
380 ANESTHESIA Ancillary Ancillary 12/1/2008  
390 LEVEL I PATHOLOGY Ancillary Ancillary 12/1/2008  
391 LEVEL II PATHOLOGY TESTS Ancillary Ancillary 12/1/2008  
392 PAP SMEARS Ancillary Ancillary 12/1/2008  
393 LEVEL II BLOOD AND TISSUE TYPING TESTS Ancillary Ancillary 12/1/2008  
394 LEVEL I IMMUNOLOGY TESTS Ancillary Ancillary 12/1/2008  
395 LEVEL II IMMUNOLOGY TESTS Ancillary Ancillary 12/1/2008  
396 LEVEL I MICROBIOLOGY TESTS Ancillary Ancillary 12/1/2008  
397 LEVEL II MICROBIOLOGY TESTS Ancillary Ancillary 12/1/2008  
398 LEVEL I ENDOCRINOLOGY TESTS Ancillary Ancillary 12/1/2008  
399 LEVEL II ENDOCRINOLOGY TESTS Ancillary Ancillary 12/1/2008  
400 LEVEL I CHEMISTRY TESTS Ancillary Ancillary 12/1/2008  
401 LEVEL II CHEMISTRY TESTS Ancillary Ancillary 12/1/2008  
402 BASIC CHEMISTRY TESTS Ancillary Ancillary 12/1/2008  
403 ORGAN OR DISEASE ORIENTED PANELS Ancillary Ancillary 12/1/2008  
404 TOXICOLOGY TESTS Ancillary Ancillary 12/1/2008  
405 THERAPEUTIC DRUG MONITORING Ancillary Ancillary 12/1/2008  
406 LEVEL I CLOTTING TESTS Ancillary Ancillary 12/1/2008  
407 LEVEL II CLOTTING TESTS Ancillary Ancillary 12/1/2008  
408 LEVEL I HEMATOLOGY TESTS Ancillary Ancillary 12/1/2008  
409 LEVEL II HEMATOLOGY TESTS Ancillary Ancillary 12/1/2008  
410 URINALYSIS Ancillary Ancillary 12/1/2008  
411 BLOOD AND URINE DIPSTICK TESTS Ancillary Ancillary 12/1/2008  
413 CARDIOGRAM Ancillary Ancillary 12/1/2008  
414 LEVEL I IMMUNIZATION Ancillary Ancillary 12/1/2008 4/1/2009
415 LEVEL II IMMUNIZATION Ancillary Ancillary 12/1/2008 4/1/2009
416 LEVEL III IMMUNIZATION Ancillary Ancillary 12/1/2008 4/1/2009
420 ELECTRONIC ANALYSIS FOR PACEMAKERS AND OTHER DEVICES Ancillary Ancillary 12/1/2008 4/1/2009
435 CLASS I PHARMACOTHERAPY Drug Drug 12/1/2008  
436 CLASS II PHARMACOTHERAPY Drug Drug 12/1/2008  
437 CLASS III PHARMACOTHERAPY Drug Drug 12/1/2008  
438 CLASS IV PHARMACOTHERAPY Drug Drug 12/1/2008  
439 CLASS V PHARMACOTHERAPY Drug Drug 12/1/2008  
440 CLASS VI PHARMACOTHERAPY Drug Drug 1/1/2010  
444 CLASS VII PHARMACOTHERAPY Drug Drug 7/1/2011  
448 EXPANDED HOURS ACCESS Ancillary Ancillary 12/1/2008 1/1/2015
451 SMOKING CESSATION TREATMENT Ancillary Ancillary 12/1/2008 4/1/2011
455 IMPLANTED TISSUE OF ANY TYPE DME DME 12/1/2008  
457 VENIPUNCTURE Ancillary Ancillary 12/1/2008  
460 CLASS VIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY     7/1/2011  
461 CLASS IX COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY Drug Drug 7/1/2011  
462 CLASS X COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY Drug Drug 7/1/2011  
463 CLASS XI COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY Drug Drug 7/1/2011  
464 CLASS XII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY Drug Drug 7/1/2011  
465 CLASS XIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY Drug Drug 7/1/2011  
470 OBSTETRICAL ULTRASOUND Ancillary Ancillary 12/1/2008  
471 LEVEL I CONVENTIONAL RADIOLOGY Ancillary Ancillary 12/1/2008  
472 ULTRASOUND GUIDANCE Ancillary Ancillary 12/1/2008  
473 CT GUIDANCE Ancillary Ancillary 12/1/2008  
490 INCIDENTAL TO MEDICAL VISIT OR SIGNIFICANT PROCEDURE Incidental Incidental 4/1/2011  
496 MINOR PHARMACOTHERAPY   Drug 7/1/2012