NYS DOH - Uniform Packaged Ancillaries in APGs

Revised for January 1, 2023 Updates:

Note: Information revised since the last update is highlighted.

ANCILLARY PACKAGING

A patient with a significant procedure or a medical visit may have ancillary services performed as part of the visit. Ancillary packaging refers to the inclusion of certain ancillary services into the EAPG payment for a significant procedure or medical visit. Below is a uniform list of ancillary EAPGs that are always packaged into a significant procedure or medical visit.


APG APG Description Date Added Date Removed
130 MINOR GASTROINTESTINAL PROCEDURES INCLUDING TUBE INSERTION OR PLACEMENT 1/1/2022  
157 REPRODUCTIVE PATHOLOGY TESTS 7/1/2021  
158 PATHOLOGY CONSULTATION AND INTERPRETATION 7/1/2021  
177 MINOR DERMATOLOGY SERVICES 7/1/2021  
213 NERVE AND MUSCLE TESTS 1/1/2022  
226 SLEEP STUDIES UNATTENDED 1/1/2022  
230 MINOR OPHTHALMOLOGICAL PROCEDURES AND DIAGNOSTIC SERVICES 1/1/2022  
243 CLASS I THERAPEUTIC RADIOPHARMACEUTICALS 1/1/2020  
249 MINOR EAR, NOSE, MOUTH AND THROAT PROCEDURES 1/1/2022  
288 LEVEL I DIAGNOSTIC ULTRASOUND 1/1/2022  
291 BONE DENSITY AND RELATED PROCEDURES 1/1/2022  
305 LEVEL I SURGICAL PATHOLOGY TESTS 7/1/2021  
308 LEVEL III PATHOLOGY TESTS 1/1/2022  
350 ADJUNCTIVE DENTAL SERVICES 7/1/2021  
380 ANESTHESIA    
384 LEVEL III CHEMISTRY TESTS 1/1/2022  
385 LEVEL I COMPLEX LABORATORY, MOLECULAR PATHOLOGY AND GENETIC TESTS 1/1/2022  
390 LEVEL I PATHOLOGY TESTS    
394 LEVEL I IMMUNOLOGY TESTS    
396 LEVEL I MICROBIOLOGY TESTS    
398 LEVEL I ENDOCRINOLOGY TESTS    
400 LEVEL I CHEMISTRY TESTS    
402 BASIC CHEMISTRY TESTS    
404 TOXICOLOGY TESTS 1/1/2011  
405 THERAPEUTIC DRUG MONITORING 1/1/2012  
406 LEVEL I CLOTTING TESTS    
408 LEVEL I HEMATOLOGY TESTS    
410 URINALYSIS    
411 BLOOD AND URINE DIPSTICK TESTS   1/1/2019
412 MINOR PULMONARY TESTS AND SERVICES    
413 CARDIOGRAM    
417 MINOR FEMALE REPRODUCTIVE PROCEDURES 1/1/2022  
420 ELECTRONIC ANALYSIS FOR CARDIAC, NEUROLOGICAL AND OTHER DEVICES 1/1/2022  
423 VASCULAR ACCESS BY NEEDLE OR CATHETER    
424 DRESSINGS AND OTHER MINOR PROCEDURES   1/12020
425 LEVEL I OTHER MISCELLANEOUS ANCILLARY SERVICES   1/1/2020
426 PSYCHOTROPIC MEDICATION MANAGEMENT 1/1/2011* 7/1/2010, 1/1/2013**
427 BIOFEEDBACK AND OTHER TRAINING    
435 CLASS I PHARMACOTHERAPY    
457 VENIPUNCTURE 1/1/2011 1/1/2019
471 LEVEL I CONVENTIONAL RADIOLOGY    
495 MINOR CHEMOTHERAPY DRUGS 1/1/2012  
496 MINOR PHARMACOTHERAPY 1/1/2012  
499 BLOOD PROCESSING, STORAGE AND RELATED SERVICES 7/1/2021  
900 AUTOPSY AND POST-MORTEM EXAMINATION SERVICES 1/1/2023  
2020 NONINVASIVE VENTILATION SUPPORT 7/1/2021  
2040 LEVEL I DRUG SCREENING AND DEFINITIVE TESTS 1/1/2022  
2070 MONTHLY CARE AND CASE MANAGEMENT SERVICES 1/1/2023  
2071 MONTHLY BEHAVIORAL HEALTH CARE AND CASE MANAGEMENT SERVICES 1/1/2023  
2072 MONTHLY TREATMENT MANAGEMENT SERVICES 1/1/2023  

* Does not package with therapies & mental hygiene.
** 1/1/2013 changed APG type to 22, Mental Health Counseling, and no longer packages.