	Addendum M.-Proposed HCPCS Codes for Assignment to Composite APCs for CY 2014				
	CPT codes and descriptions only are copyright 2012 American Medical Association.  All Rights Reserved.  Applicable FARS/DFARS Apply. 				
 HCPCS Code 	Short Descriptor	CI	 SI	Single Code APC Assignment 	 Composite APC Assignment 
90791	Psych diagnostic evaluation		Q3	0323	0034
90792	Psych diag eval w/med srvcs		Q3	0323	0034
90832	Psytx pt&/family 30 minutes		Q3	0322	0034
90834	Psytx pt&/family 45 minutes		Q3	0323	0034
90837	Psytx pt&/family 60 minutes		Q3	0323	0034
90839	Psytx crisis initial 60 min		Q3	0323	0034
90845	Psychoanalysis		Q3	0323	0034
90846	Family psytx w/o patient		Q3	0324	0034
90847	Family psytx w/patient		Q3	0324	0034
90849	Multiple family group psytx		Q3	0325	0034
90853	Group psychotherapy		Q3	0325	0034
90865	Narcosynthesis		Q3	0323	0034
90880	Hypnotherapy		Q3	0323	0034
90899	Psychiatric service/therapy		Q3	0322	0034
96101	Psycho testing by psych/phys		Q3	0382	0034
96102	Psycho testing by technician		Q3	0373	0034
96103	Psycho testing admin by comp		Q3	0373	0034
96111	Developmental test extend		Q3	0373	0034
96116	Neurobehavioral status exam		Q3	0382	0034
96118	Neuropsych tst by psych/phys		Q3	0382	0034
96119	Neuropsych testing by tec		Q3	0382	0034
96120	Neuropsych tst admin w/comp		Q3	0373	0034
96150	Assess hlth/behave init		Q3	0432	0034
96151	Assess hlth/behave subseq		Q3	0432	0034
96152	Intervene hlth/behave indiv		Q3	0432	0034
96153	Intervene hlth/behave group	CH 	Q3	0432	0034
96154	Interv hlth/behav fam w/pt		Q3	0432	0034
G0451	Devlopment test interpt&rep		Q3	0432	0034
M0064	Visit for drug monitoring	CH	Q3	0632	0034
36600	Withdrawal of arterial blood	CH	Q3	0340	"0617, 0618"
43752	Nasal/orogastric w/stent	CH 	Q3	0277	"0617, 0618"
71010	Chest x-ray 1 view frontal		Q3	0260	"0617, 0618"
71015	Chest x-ray stereo frontal		Q3	0260	"0617, 0618"
71020	Chest x-ray 2vw frontal&latl		Q3	0260	"0617, 0618"
92953	Temporary external pacing		Q3	0094	"0617, 0618"
94002	Vent mgmt inpat init day		Q3	0079	"0617, 0618"
94003	Vent mgmt inpat subq day		Q3	0079	"0617, 0618"
94660	Pos airway pressure cpap	CH	Q3	0102	"0617, 0618"
94662	Neg press ventilation cnp		Q3	0079	"0617, 0618"
94762	Measure blood oxygen level		Q3	0097	"0617, 0618"
93619	Electrophysiology evaluation		Q3	0085	8000
93620	Electrophysiology evaluation		Q3	0085	8000
93650	Ablate heart dysrhythm focus		Q3	0085	8000
93653	Ep & ablate supravent arrhyt		Q3	8000	8000
93654	Ep & ablate ventric tachy		Q3	8000	8000
93656	Tx atrial fib pulm vein isol		Q3	8000	8000
55875	Transperi needle place pros		Q3	0163	8001
77778	Apply interstit radiat compl		Q3	0651	8001
76604	Us exam chest		Q3	0265	8004
76700	Us exam abdom complete		Q3	0266	8004
76705	Echo exam of abdomen		Q3	0266	8004
76770	Us exam abdo back wall comp		Q3	0266	8004
76775	Us exam abdo back wall lim		Q3	0266	8004
76776	Us exam k transpl w/doppler		Q3	0266	8004
76831	Echo exam uterus		Q3	0267	8004
76856	Us exam pelvic complete		Q3	0266	8004
76857	Us exam pelvic limited		Q3	0265	8004
76870	Us exam scrotum		Q3	0266	8004
74176	Ct abd & pelvis		Q3	0331	8005 or 8006
70450	Ct head/brain w/o dye		Q3	0332	8005 or 8006
70480	Ct orbit/ear/fossa w/o dye		Q3	0332	8005 or 8006
70486	Ct maxillofacial w/o dye		Q3	0332	8005 or 8006
70490	Ct soft tissue neck w/o dye		Q3	0332	8005 or 8006
71250	Ct thorax w/o dye		Q3	0332	8005 or 8006
72125	Ct neck spine w/o dye		Q3	0332	8005 or 8006
72128	Ct chest spine w/o dye		Q3	0332	8005 or 8006
72131	Ct lumbar spine w/o dye		Q3	0332	8005 or 8006
72192	Ct pelvis w/o dye		Q3	0332	8005 or 8006
73200	Ct upper extremity w/o dye		Q3	0332	8005 or 8006
73700	Ct lower extremity w/o dye		Q3	0332	8005 or 8006
74150	Ct abdomen w/o dye		Q3	0332	8005 or 8006
74261	Ct colonography dx		Q3	0332	8005 or 8006
70460	Ct head/brain w/dye		Q3	0283	8006
70470	Ct head/brain w/o & w/dye		Q3	0333	8006
70481	Ct orbit/ear/fossa w/dye		Q3	0283	8006
70482	Ct orbit/ear/fossa w/o&w/dye		Q3	0333	8006
70487	Ct maxillofacial w/dye		Q3	0283	8006
70488	Ct maxillofacial w/o & w/dye		Q3	0333	8006
70491	Ct soft tissue neck w/dye		Q3	0283	8006
70492	Ct sft tsue nck w/o & w/dye		Q3	0333	8006
70496	Ct angiography head		Q3	0662	8006
70498	Ct angiography neck		Q3	0662	8006
71260	Ct thorax w/dye		Q3	0283	8006
71270	Ct thorax w/o & w/dye		Q3	0333	8006
71275	Ct angiography chest		Q3	0662	8006
72126	Ct neck spine w/dye		Q3	0283	8006
72127	Ct neck spine w/o & w/dye		Q3	0333	8006
72129	Ct chest spine w/dye		Q3	0283	8006
72130	Ct chest spine w/o & w/dye		Q3	0333	8006
72132	Ct lumbar spine w/dye		Q3	0283	8006
72133	Ct lumbar spine w/o & w/dye		Q3	0333	8006
72191	Ct angiograph pelv w/o&w/dye		Q3	0662	8006
72193	Ct pelvis w/dye		Q3	0283	8006
72194	Ct pelvis w/o & w/dye		Q3	0333	8006
73201	Ct upper extremity w/dye		Q3	0283	8006
73202	Ct uppr extremity w/o&w/dye		Q3	0333	8006
73206	Ct angio upr extrm w/o&w/dye		Q3	0662	8006
73701	Ct lower extremity w/dye		Q3	0283	8006
73702	Ct lwr extremity w/o&w/dye		Q3	0333	8006
73706	Ct angio lwr extr w/o&w/dye		Q3	0662	8006
74160	Ct abdomen w/dye		Q3	0283	8006
74170	Ct abdomen w/o & w/dye		Q3	0333	8006
74175	Ct angio abdom w/o & w/dye		Q3	0662	8006
74177	Ct abd & pelv w/contrast		Q3	0334	8006
74178	Ct abd & pelv 1/> regns		Q3	0334	8006
74262	Ct colonography dx w/dye		Q3	0283	8006
75635	Ct angio abdominal arteries		Q3	0662	8006
70336	Magnetic image jaw joint		Q3	0336	8007 or 8008
70540	Mri orbit/face/neck w/o dye		Q3	0336	8007 or 8008
70544	Mr angiography head w/o dye		Q3	0336	8007 or 8008
70547	Mr angiography neck w/o dye		Q3	0336	8007 or 8008
70551	Mri brain stem w/o dye		Q3	0336	8007 or 8008
70554	Fmri brain by tech		Q3	0336	8007 or 8008
71550	Mri chest w/o dye		Q3	0336	8007 or 8008
72141	Mri neck spine w/o dye		Q3	0336	8007 or 8008
72146	Mri chest spine w/o dye		Q3	0336	8007 or 8008
72148	Mri lumbar spine w/o dye		Q3	0336	8007 or 8008
72195	Mri pelvis w/o dye		Q3	0336	8007 or 8008
73218	Mri upper extremity w/o dye		Q3	0336	8007 or 8008
73221	Mri joint upr extrem w/o dye		Q3	0336	8007 or 8008
73718	Mri lower extremity w/o dye		Q3	0336	8007 or 8008
73721	Mri jnt of lwr extre w/o dye		Q3	0336	8007 or 8008
74181	Mri abdomen w/o dye		Q3	0336	8007 or 8008
75557	Cardiac mri for morph		Q3	0336	8007 or 8008
75559	Cardiac mri w/stress img		Q3	0336	8007 or 8008
C8901	"MRA w/o cont, abd"		Q3	0336	8007 or 8008
C8904	"MRI w/o cont, breast, uni"		Q3	0336	8007 or 8008
C8907	"MRI w/o cont, breast, bi"		Q3	0336	8007 or 8008
C8910	"MRA w/o cont, chest"		Q3	0336	8007 or 8008
C8913	"MRA w/o cont, lwr ext"		Q3	0336	8007 or 8008
C8919	"MRA w/o cont, pelvis"		Q3	0336	8007 or 8008
C8932	"MRA, w/o dye, spinal canal "		Q3	0336	8007 or 8008
C8935	"MRA, w/o dye, upper extr"		Q3	0336	8007 or 8008
70542	Mri orbit/face/neck w/dye		Q3	0284	8008
70543	Mri orbt/fac/nck w/o &w/dye		Q3	0337	8008
70545	Mr angiography head w/dye		Q3	0284	8008
70546	Mr angiograph head w/o&w/dye		Q3	0337	8008
70548	Mr angiography neck w/dye		Q3	0284	8008
70549	Mr angiograph neck w/o&w/dye		Q3	0337	8008
70552	Mri brain stem w/dye		Q3	0284	8008
70553	Mri brain stem w/o & w/dye		Q3	0337	8008
71551	Mri chest w/dye		Q3	0284	8008
71552	Mri chest w/o & w/dye		Q3	0337	8008
72142	Mri neck spine w/dye		Q3	0284	8008
72147	Mri chest spine w/dye		Q3	0284	8008
72149	Mri lumbar spine w/dye		Q3	0284	8008
72156	Mri neck spine w/o & w/dye		Q3	0337	8008
72157	Mri chest spine w/o & w/dye		Q3	0337	8008
72158	Mri lumbar spine w/o & w/dye		Q3	0337	8008
72196	Mri pelvis w/dye		Q3	0284	8008
72197	Mri pelvis w/o & w/dye		Q3	0337	8008
73219	Mri upper extremity w/dye		Q3	0284	8008
73220	Mri uppr extremity w/o&w/dye		Q3	0337	8008
73222	Mri joint upr extrem w/dye		Q3	0284	8008
73223	Mri joint upr extr w/o&w/dye		Q3	0337	8008
73719	Mri lower extremity w/dye		Q3	0284	8008
73720	Mri lwr extremity w/o&w/dye		Q3	0337	8008
73722	Mri joint of lwr extr w/dye		Q3	0284	8008
73723	Mri joint lwr extr w/o&w/dye		Q3	0337	8008
74182	Mri abdomen w/dye		Q3	0284	8008
74183	Mri abdomen w/o & w/dye		Q3	0337	8008
75561	Cardiac mri for morph w/dye		Q3	0337	8008
75563	Card mri w/stress img & dye		Q3	0337	8008
C8900	"MRA w/cont, abd"		Q3	0284	8008
C8902	"MRA w/o fol w/cont, abd"		Q3	0337	8008
C8903	"MRI w/cont, breast,  uni"		Q3	0284	8008
C8905	"MRI w/o fol w/cont, brst, un"		Q3	0337	8008
C8906	"MRI w/cont, breast,  bi"		Q3	0284	8008
C8908	"MRI w/o fol w/cont, breast,"		Q3	0337	8008
C8909	"MRA w/cont, chest"		Q3	0284	8008
C8911	"MRA w/o fol w/cont, chest"		Q3	0337	8008
C8912	"MRA w/cont, lwr ext"		Q3	0284	8008
C8914	"MRA w/o fol w/cont, lwr ext"		Q3	0337	8008
C8918	"MRA w/cont, pelvis"		Q3	0284	8008
C8920	"MRA w/o fol w/cont, pelvis"		Q3	0337	8008
C8931	"MRA, w/dye, spinal canal"		Q3	0284	8008
C8933	"MRA, w/o&w/dye, spinal canal"		Q3	0337	8008
C8934	"MRA, w/dye, upper extremity"		Q3	0284	8008
C8936	"MRA, w/o&w/dye, upper extr"		Q3	0337	8008
99291	Critical care first hour	CH	Q3	0617	8009
G0379	Direct refer hospital observ	CH	Q3	0633	8009
