	Addendum M.- Final HCPCS Codes for Assignment to Composite APCs for CY 2021				
	CPT codes and descriptions only are copyright 2020 American Medical Association.  All Rights Reserved.  Applicable FARS/DFARS Apply. 				
HCPCS Code	Short Descriptor	CI	SI	Single Code APC Assignment 	 Composite APC Assignment 
71045	X-ray exam chest 1 view		Q3	5521	"5041, 5045"
71046	X-ray exam chest 2 views		Q3	5521	"5041, 5045"
92953	Temporary external pacing		Q3	5781	"5041, 5045"
94002	Vent mgmt inpat init day		Q3	5801	"5041, 5045"
94003	Vent mgmt inpat subq day		Q3	5801	"5041, 5045"
94662	Neg press ventilation cnp		Q3	5801	"5041, 5045"
94762	Measure blood oxygen level		Q3	5721	"5041, 5045"
76700	Us exam abdom complete		Q3	5522	8004
76705	Echo exam of abdomen		Q3	5522	8004
76770	Us exam abdo back wall comp		Q3	5522	8004
76776	Us exam k transpl w/doppler		Q3	5522	8004
76831	Echo exam uterus		Q3	5523	8004
76856	Us exam pelvic complete		Q3	5522	8004
76857	Us exam pelvic limited		Q3	5522	8004
76981	Use parenchyma		Q3	5522	8004
76982	Use 1st target lesion		Q3	5522	8004
0633T	Ct breast w/3d uni c-	NC	Q3	5522	8005
0636T	Ct breast w/3d bi c-	NC	Q3	5523	8005
70450	Ct head/brain w/o dye		Q3	5522	8005 or 8006
70480	Ct orbit/ear/fossa w/o dye		Q3	5522	8005 or 8006
70486	Ct maxillofacial w/o dye		Q3	5522	8005 or 8006
70490	Ct soft tissue neck w/o dye		Q3	5522	8005 or 8006
71250	Ct thorax w/o dye		Q3	5522	8005 or 8006
72125	Ct neck spine w/o dye		Q3	5522	8005 or 8006
72128	Ct chest spine w/o dye		Q3	5522	8005 or 8006
72131	Ct lumbar spine w/o dye		Q3	5522	8005 or 8006
72192	Ct pelvis w/o dye		Q3	5522	8005 or 8006
73200	Ct upper extremity w/o dye		Q3	5522	8005 or 8006
73700	Ct lower extremity w/o dye		Q3	5522	8005 or 8006
74150	Ct abdomen w/o dye		Q3	5522	8005 or 8006
74176	Ct abd & pelvis w/o contrast		Q3	5523	8005 or 8006
74261	Ct colonography dx		Q3	5522	8005 or 8006
0634T	Ct breast w/3d uni c+	NC	Q3	5571	8006
0635T	Ct breast w/3d uni c-/c+	NC	Q3	5571	8006
0637T	Ct breast w/3d bi c+	NC	Q3	5572	8006
0638T	Ct breast w/3d bi c-/c+	NC	Q3	5572	8006
70460	Ct head/brain w/dye		Q3	5571	8006
70470	Ct head/brain w/o & w/dye		Q3	5571	8006
70481	Ct orbit/ear/fossa w/dye		Q3	5571	8006
70482	Ct orbit/ear/fossa w/o&w/dye		Q3	5571	8006
70487	Ct maxillofacial w/dye		Q3	5571	8006
70488	Ct maxillofacial w/o & w/dye		Q3	5571	8006
70491	Ct soft tissue neck w/dye		Q3	5571	8006
70492	Ct sft tsue nck w/o & w/dye		Q3	5571	8006
70496	Ct angiography head		Q3	5571	8006
70498	Ct angiography neck		Q3	5571	8006
71260	Ct thorax w/dye		Q3	5571	8006
71270	Ct thorax w/o & w/dye		Q3	5571	8006
71275	Ct angiography chest		Q3	5571	8006
72126	Ct neck spine w/dye		Q3	5572	8006
72127	Ct neck spine w/o & w/dye		Q3	5571	8006
72129	Ct chest spine w/dye		Q3	5571	8006
72130	Ct chest spine w/o & w/dye		Q3	5571	8006
72132	Ct lumbar spine w/dye		Q3	5572	8006
72133	Ct lumbar spine w/o & w/dye		Q3	5571	8006
72191	Ct angiograph pelv w/o&w/dye		Q3	5571	8006
72193	Ct pelvis w/dye		Q3	5571	8006
72194	Ct pelvis w/o & w/dye		Q3	5571	8006
73201	Ct upper extremity w/dye		Q3	5572	8006
73202	Ct uppr extremity w/o&w/dye		Q3	5571	8006
73206	Ct angio upr extrm w/o&w/dye		Q3	5571	8006
73701	Ct lower extremity w/dye		Q3	5571	8006
73702	Ct lwr extremity w/o&w/dye		Q3	5571	8006
73706	Ct angio lwr extr w/o&w/dye		Q3	5571	8006
74160	Ct abdomen w/dye		Q3	5571	8006
74170	Ct abdomen w/o & w/dye		Q3	5571	8006
74175	Ct angio abdom w/o & w/dye		Q3	5571	8006
74177	Ct abd & pelv w/contrast		Q3	5572	8006
74178	Ct abd & pelv 1/> regns		Q3	5572	8006
74262	Ct colonography dx w/dye		Q3	5571	8006
75635	Ct angio abdominal arteries		Q2	5571	8006
76391	Mr elastography		Q3	5523	8007
77046	Mri breast c- unilateral		Q3	5523	8007
77047	Mri breast c- bilateral		Q3	5523	8007
0609T	Mrs disc pain acquisj data	NC	Q3	5523	8007
C9762	Cardiac mri seg dys strain	NC	Q3	5524	8007
C9763	Cardiac mri seg dys stress	NC	Q3	5524	8007
70336	Magnetic image jaw joint		Q3	5523	8007 or 8008
70540	Mri orbit/face/neck w/o dye		Q3	5523	8007 or 8008
70544	Mr angiography head w/o dye		Q3	5523	8007 or 8008
70547	Mr angiography neck w/o dye		Q3	5523	8007 or 8008
70551	Mri brain stem w/o dye		Q3	5523	8007 or 8008
70554	Fmri brain by tech		Q3	5523	8007 or 8008
71550	Mri chest w/o dye		Q3	5523	8007 or 8008
72141	Mri neck spine w/o dye		Q3	5523	8007 or 8008
72146	Mri chest spine w/o dye		Q3	5523	8007 or 8008
72148	Mri lumbar spine w/o dye		Q3	5523	8007 or 8008
72195	Mri pelvis w/o dye		Q3	5523	8007 or 8008
73218	Mri upper extremity w/o dye		Q3	5523	8007 or 8008
73221	Mri joint upr extrem w/o dye		Q3	5523	8007 or 8008
73718	Mri lower extremity w/o dye		Q3	5523	8007 or 8008
73721	Mri jnt of lwr extre w/o dye		Q3	5523	8007 or 8008
74181	Mri abdomen w/o dye		Q3	5523	8007 or 8008
75557	Cardiac mri for morph		Q3	5523	8007 or 8008
75559	Cardiac mri w/stress img		Q3	5524	8007 or 8008
C8901	"Mra w/o cont, abd"		Q3	5523	8007 or 8008
C8910	"Mra w/o cont, chest"		Q3	5523	8007 or 8008
C8913	"Mra w/o cont, lwr ext"		Q3	5523	8007 or 8008
C8919	"Mra w/o cont, pelvis"		Q3	5523	8007 or 8008
C8932	"Mra, w/o dye, spinal canal"		Q3	5523	8007 or 8008
C8935	"Mra, w/o dye, upper extr"		Q3	5523	8007 or 8008
70542	Mri orbit/face/neck w/dye		Q3	5572	8008
70543	Mri orbt/fac/nck w/o &w/dye		Q3	5572	8008
70545	Mr angiography head w/dye		Q3	5572	8008
70546	Mr angiograph head w/o&w/dye		Q3	5572	8008
70548	Mr angiography neck w/dye		Q3	5572	8008
70549	Mr angiograph neck w/o&w/dye		Q3	5572	8008
70552	Mri brain stem w/dye		Q3	5572	8008
70553	Mri brain stem w/o & w/dye		Q3	5572	8008
71551	Mri chest w/dye		Q3	5573	8008
71552	Mri chest w/o & w/dye		Q3	5572	8008
72142	Mri neck spine w/dye		Q3	5572	8008
72147	Mri chest spine w/dye		Q3	5572	8008
72149	Mri lumbar spine w/dye		Q3	5572	8008
72156	Mri neck spine w/o & w/dye		Q3	5572	8008
72157	Mri chest spine w/o & w/dye		Q3	5572	8008
72158	Mri lumbar spine w/o & w/dye		Q3	5572	8008
72196	Mri pelvis w/dye		Q3	5572	8008
72197	Mri pelvis w/o & w/dye		Q3	5572	8008
73219	Mri upper extremity w/dye		Q3	5572	8008
73220	Mri uppr extremity w/o&w/dye		Q3	5572	8008
73222	Mri joint upr extrem w/dye		Q3	5573	8008
73223	Mri joint upr extr w/o&w/dye		Q3	5572	8008
73719	Mri lower extremity w/dye		Q3	5572	8008
73720	Mri lwr extremity w/o&w/dye		Q3	5572	8008
73722	Mri joint of lwr extr w/dye		Q3	5573	8008
73723	Mri joint lwr extr w/o&w/dye		Q3	5572	8008
74182	Mri abdomen w/dye		Q3	5572	8008
74183	Mri abdomen w/o & w/dye		Q3	5572	8008
75561	Cardiac mri for morph w/dye		Q3	5572	8008
75563	Card mri w/stress img & dye		Q3	5573	8008
C8900	"Mra w/cont, abd"		Q3	5572	8008
C8902	"Mra w/o fol w/cont, abd"		Q3	5572	8008
C8903	"Mri w/cont, breast,  uni"		Q3	5571	8008
C8905	"Mri w/o fol w/cont, brst, un"		Q3	5572	8008
C8906	"Mri w/cont, breast,  bi"		Q3	5572	8008
C8908	"Mri w/o fol w/cont, breast,"		Q3	5572	8008
C8909	"Mra w/cont, chest"		Q3	5572	8008
C8911	"Mra w/o fol w/cont, chest"		Q3	5572	8008
C8912	"Mra w/cont, lwr ext"		Q3	5572	8008
C8914	"Mra w/o fol w/cont, lwr ext"		Q3	5572	8008
C8918	"Mra w/cont, pelvis"		Q3	5572	8008
C8920	"Mra w/o fol w/cont, pelvis"		Q3	5572	8008
C8931	"Mra, w/dye, spinal canal"		Q3	5572	8008
C8933	"Mra, w/o&w/dye, spinal canal"		Q3	5572	8008
C8934	"Mra, w/dye, upper extremity"		Q3	5572	8008
C8936	"Mra, w/o&w/dye, upper extr"		Q3	5572	8008
0362T	Bhv id suprt assmt ea 15 min		Q3	5821 	8010
0373T	Adapt bhv tx ea 15 min		Q3	5821 	8010
90791	Psych diagnostic evaluation		Q3	5823	8010
90792	Psych diag eval w/med srvcs		Q3	5823	8010
90832	Psytx w pt 30 minutes		Q3	5823	8010
90834	Psytx w pt 45 minutes		Q3	5823	8010
90837	Psytx w pt 60 minutes		Q3	5823	8010
90839	Psytx crisis initial 60 min		Q3	5823	8010
90845	Psychoanalysis		Q3	5823	8010
90846	Family psytx w/o pt 50 min		Q3	5823	8010
90847	Family psytx w/pt 50 min		Q3	5823	8010
90849	Multiple family group psytx		Q3	5823	8010
90853	Group psychotherapy		Q3	5822	8010
90865	Narcosynthesis		Q3	5823	8010
90880	Hypnotherapy		Q3	5822	8010
90899	Psychiatric service/therapy		Q3	5821	8010
96112	Devel tst phys/qhp 1st hr	CH	Q3	5722	8010
96116	Nubhvl xm phys/qhp 1st hr		Q3	5722	8010
96130	Psycl tst eval phys/qhp 1st	CH	Q3	5722	8010
96132	Nrpsyc tst eval phys/qhp 1st	CH	Q3	5722	8010
96136	Psycl/nrpsyc tst phy/qhp 1st	CH	Q3	5734	8010
96138	Psycl/nrpsyc tech 1st	CH	Q3	5735	8010
96146	Psycl/nrpsyc tst auto result		Q3	5731	8010
96156	Hlth bhv assmt/reassessment		Q3	5822	8010
96158	Hlth bhv ivntj indiv 1st 30		Q3	5822	8010
96164	Hlth bhv ivntj grp 1st 30		Q3	5821	8010
96167	Hlth bhv ivntj fam 1st 30		Q3	5821	8010
97151	Bhv id assmt by phys/qhp	CH	Q3	5822	8010
97152	Bhv id suprt assmt by 1 tech	CH	Q3	5822	8010
97153	Adaptive behavior tx by tech	CH	Q3	5822	8010
97154	Grp adapt bhv tx by tech		Q3	5821	8010
97155	Adapt behavior tx phys/qhp	CH	Q3	5822	8010
97156	Fam adapt bhv tx gdn phy/qhp		Q3	5821	8010
97157	Mult fam adapt bhv tx gdn		Q3	5821	8010
97158	Grp adapt bhv tx by phy/qhp		Q3	5821	8010
G0451	Devlopment test interpt&rep		Q3	5822	8010
