	Addendum M.-Proposed HCPCS Codes for Assignment to Composite APCs for CY 2016																																																																																																																																																																																																																											
	CPT codes and descriptions only are copyright 2014 American Medical Association.  All Rights Reserved.  Applicable FARS/DFARS Apply. 																																																																																																																																																																																																																											
 HCPCS Code 	Short Descriptor	CI	 SI	Single Code APC Assignment 	 Composite APC Assignment 																																																																																																																																																																																																																							
43752	"	Nasal/orogastric w/tube plmt"	CH 	Q3	5523	"5041, 5045"																																																																																																																																																																																																																							
71010	"	Chest x-ray 1 view frontal"		Q3	5521	"5041, 5045"																																																																																																																																																																																																																							
71015	"	Chest x-ray stereo frontal"		Q3	5521	"5041, 5045"																																																																																																																																																																																																																							
71020	"	Chest x-ray 2vw frontal&latl"		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"	CH	Q3	5721	"5041, 5045"																																																																																																																																																																																																																							
55875	"	Transperi needle place pros"		Q3	5374	8001																																																																																																																																																																																																																							
77778	"	Apply interstit radiat compl"	CH	Q3	5641	8001																																																																																																																																																																																																																							
76700	"	Us exam abdom complete"	CH	Q3	5532	8004																																																																																																																																																																																																																							
76705	"	Echo exam of abdomen"	CH 	Q3	5532	8004																																																																																																																																																																																																																							
76770	"	Us exam abdo back wall comp"	CH 	Q3	5532	8004																																																																																																																																																																																																																							
76776	"	Us exam k transpl w/doppler"	CH 	Q3	5532	8004																																																																																																																																																																																																																							
76831	"	Echo exam uterus"		Q3	5532	8004																																																																																																																																																																																																																							
76856	"	Us exam pelvic complete"	CH 	Q3	5532	8004																																																																																																																																																																																																																							
76857	"	Us exam pelvic limited"		Q3	5531	8004																																																																																																																																																																																																																							
70450	"	Ct head/brain w/o dye"		Q3	5570	8005 or 8006																																																																																																																																																																																																																							
70480	"	Ct orbit/ear/fossa w/o dye"		Q3	5570	8005 or 8006																																																																																																																																																																																																																							
70486	"	Ct maxillofacial w/o dye"		Q3	5570	8005 or 8006																																																																																																																																																																																																																							
70490	"	Ct soft tissue neck w/o dye"		Q3	5570	8005 or 8006																																																																																																																																																																																																																							
71250	"	Ct thorax w/o dye"		Q3	5570	8005 or 8006																																																																																																																																																																																																																							
72125	"	Ct neck spine w/o dye"		Q3	5570	8005 or 8006																																																																																																																																																																																																																							
72128	"	Ct chest spine w/o dye"		Q3	5570	8005 or 8006																																																																																																																																																																																																																							
72131	"	Ct lumbar spine w/o dye"		Q3	5570	8005 or 8006																																																																																																																																																																																																																							
72192	"	Ct pelvis w/o dye"		Q3	5570	8005 or 8006																																																																																																																																																																																																																							
73200	"	Ct upper extremity w/o dye"		Q3	5570	8005 or 8006																																																																																																																																																																																																																							
73700	"	Ct lower extremity w/o dye"		Q3	5570	8005 or 8006																																																																																																																																																																																																																							
74150	"	Ct abdomen w/o dye"		Q3	5570	8005 or 8006																																																																																																																																																																																																																							
74176	"	Ct abd & pelvis w/o contrast"	CH 	Q3	5523	8005 or 8006																																																																																																																																																																																																																							
74261	"	Ct colonography dx"	CH	Q3	5521	8005 or 8006																																																																																																																																																																																																																							
70460	"	Ct head/brain w/dye"		Q3	5571	8006																																																																																																																																																																																																																							
70470	"	Ct head/brain w/o & w/dye"	CH	Q3	5571	8006																																																																																																																																																																																																																							
70481	"	Ct orbit/ear/fossa w/dye"		Q3	5571	8006																																																																																																																																																																																																																							
70482	"	Ct orbit/ear/fossa w/o&w/dye"	CH	Q3	5571	8006																																																																																																																																																																																																																							
70487	"	Ct maxillofacial w/dye"		Q3	5571	8006																																																																																																																																																																																																																							
70488	"	Ct maxillofacial w/o & w/dye"	CH	Q3	5571	8006																																																																																																																																																																																																																							
70491	"	Ct soft tissue neck w/dye"		Q3	5571	8006																																																																																																																																																																																																																							
70492	"	Ct sft tsue nck w/o & w/dye"	CH	Q3	5571	8006																																																																																																																																																																																																																							
70496	"	Ct angiography head"	CH	Q3	5571	8006																																																																																																																																																																																																																							
70498	"	Ct angiography neck"	CH	Q3	5571	8006																																																																																																																																																																																																																							
71260	"	Ct thorax w/dye"		Q3	5571	8006																																																																																																																																																																																																																							
71270	"	Ct thorax w/o & w/dye"	CH	Q3	5572	8006																																																																																																																																																																																																																							
71275	"	Ct angiography chest"	CH	Q3	5571	8006																																																																																																																																																																																																																							
72126	"	Ct neck spine w/dye"	CH	Q3	5572	8006																																																																																																																																																																																																																							
72127	"	Ct neck spine w/o & w/dye"	CH	Q3	5571	8006																																																																																																																																																																																																																							
72129	"	Ct chest spine w/dye"		Q3	5571	8006																																																																																																																																																																																																																							
72130	"	Ct chest spine w/o & w/dye"	CH	Q3	5571	8006																																																																																																																																																																																																																							
72132	"	Ct lumbar spine w/dye"	CH	Q3	5572	8006																																																																																																																																																																																																																							
72133	"	Ct lumbar spine w/o & w/dye"	CH	Q3	5571	8006																																																																																																																																																																																																																							
72191	"	Ct angiograph pelv w/o&w/dye"	CH	Q3	5571	8006																																																																																																																																																																																																																							
72193	"	Ct pelvis w/dye"		Q3	5571	8006																																																																																																																																																																																																																							
72194	"	Ct pelvis w/o & w/dye"	CH	Q3	5571	8006																																																																																																																																																																																																																							
73201	"	Ct upper extremity w/dye"	CH	Q3	5572	8006																																																																																																																																																																																																																							
73202	"	Ct uppr extremity w/o&w/dye"	CH	Q3	5571	8006																																																																																																																																																																																																																							
73206	"	Ct angio upr extrm w/o&w/dye"	CH	Q3	5571	8006																																																																																																																																																																																																																							
73701	"	Ct lower extremity w/dye"		Q3	5571	8006																																																																																																																																																																																																																							
73702	"	Ct lwr extremity w/o&w/dye"	CH	Q3	5571	8006																																																																																																																																																																																																																							
73706	"	Ct angio lwr extr w/o&w/dye"	CH	Q3	5571	8006																																																																																																																																																																																																																							
74160	"	Ct abdomen w/dye"		Q3	5571	8006																																																																																																																																																																																																																							
74170	"	Ct abdomen w/o & w/dye"	CH	Q3	5571	8006																																																																																																																																																																																																																							
74175	"	Ct angio abdom w/o & w/dye"	CH	Q3	5571	8006																																																																																																																																																																																																																							
74177	"	Ct abd & pelv w/contrast"	CH	Q3	5572	8006																																																																																																																																																																																																																							
74178	"	Ct abd & pelv 1/> regns"	CH	Q3	5572	8006																																																																																																																																																																																																																							
74262	"	Ct colonography dx w/dye"		Q3	5571	8006																																																																																																																																																																																																																							
75635	"	Ct angio abdominal arteries"	CH	Q3	5571	8006																																																																																																																																																																																																																							
70336	"	Magnetic image jaw joint"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
70540	"	Mri orbit/face/neck w/o dye"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
70544	"	Mr angiography head w/o dye"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
70547	"	Mr angiography neck w/o dye"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
70551	"	Mri brain stem w/o dye"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
70554	"	Fmri brain by tech"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
71550	"	Mri chest w/o dye"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
72141	"	Mri neck spine w/o dye"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
72146	"	Mri chest spine w/o dye"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
72148	"	Mri lumbar spine w/o dye"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
72195	"	Mri pelvis w/o dye"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
73218	"	Mri upper extremity w/o dye"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
73221	"	Mri joint upr extrem w/o dye"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
73718	"	Mri lower extremity w/o dye"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
73721	"	Mri jnt of lwr extre w/o dye"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
74181	"	Mri abdomen w/o dye"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
75557	"	Cardiac mri for morph"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
75559	"	Cardiac mri w/stress img"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
C8901	"Mra w/o cont, abd"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
C8904	"Mri w/o cont, breast, uni"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
C8907	"Mri w/o cont, breast, bi"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
C8910	"Mra w/o cont, chest"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
C8913	"Mra w/o cont, lwr ext"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
C8919	"Mra w/o cont, pelvis"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
C8932	"Mra, w/o dye, spinal canal"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
C8935	"Mra, w/o dye, upper extr"		Q3	5581	8007 or 8008																																																																																																																																																																																																																							
70542	"	Mri orbit/face/neck w/dye"		Q3	5582	8008																																																																																																																																																																																																																							
70543	"	Mri orbt/fac/nck w/o &w/dye"	CH	Q3	5582	8008																																																																																																																																																																																																																							
70545	"	Mr angiography head w/dye"		Q3	5582	8008																																																																																																																																																																																																																							
70546	"	Mr angiograph head w/o&w/dye"	CH	Q3	5582	8008																																																																																																																																																																																																																							
70548	"	Mr angiography neck w/dye"		Q3	5582	8008																																																																																																																																																																																																																							
70549	"	Mr angiograph neck w/o&w/dye"	CH	Q3	5582	8008																																																																																																																																																																																																																							
70552	"	Mri brain stem w/dye"		Q3	5582	8008																																																																																																																																																																																																																							
70553	"	Mri brain stem w/o & w/dye"	CH	Q3	5582	8008																																																																																																																																																																																																																							
71551	"	Mri chest w/dye"		Q3	5582	8008																																																																																																																																																																																																																							
71552	"	Mri chest w/o & w/dye"	CH	Q3	5582	8008																																																																																																																																																																																																																							
72142	"	Mri neck spine w/dye"		Q3	5582	8008																																																																																																																																																																																																																							
72147	"	Mri chest spine w/dye"		Q3	5582	8008																																																																																																																																																																																																																							
72149	"	Mri lumbar spine w/dye"		Q3	5582	8008																																																																																																																																																																																																																							
72156	"	Mri neck spine w/o & w/dye"	CH	Q3	5582	8008																																																																																																																																																																																																																							
72157	"	Mri chest spine w/o & w/dye"	CH	Q3	5582	8008																																																																																																																																																																																																																							
72158	"	Mri lumbar spine w/o & w/dye"	CH	Q3	5582	8008																																																																																																																																																																																																																							
72196	"	Mri pelvis w/dye"		Q3	5582	8008																																																																																																																																																																																																																							
72197	"	Mri pelvis w/o & w/dye"	CH	Q3	5582	8008																																																																																																																																																																																																																							
73219	"	Mri upper extremity w/dye"		Q3	5582	8008																																																																																																																																																																																																																							
73220	"	Mri uppr extremity w/o&w/dye"	CH	Q3	5582	8008																																																																																																																																																																																																																							
73222	"	Mri joint upr extrem w/dye"		Q3	5582	8008																																																																																																																																																																																																																							
73223	"	Mri joint upr extr w/o&w/dye"	CH	Q3	5582	8008																																																																																																																																																																																																																							
73719	"	Mri lower extremity w/dye"		Q3	5582	8008																																																																																																																																																																																																																							
73720	"	Mri lwr extremity w/o&w/dye"	CH	Q3	5582	8008																																																																																																																																																																																																																							
73722	"	Mri joint of lwr extr w/dye"		Q3	5582	8008																																																																																																																																																																																																																							
73723	"	Mri joint lwr extr w/o&w/dye"	CH	Q3	5582	8008																																																																																																																																																																																																																							
74182	"	Mri abdomen w/dye"		Q3	5582	8008																																																																																																																																																																																																																							
74183	"	Mri abdomen w/o & w/dye"	CH	Q3	5582	8008																																																																																																																																																																																																																							
75561	"	Cardiac mri for morph w/dye"	CH	Q3	5582	8008																																																																																																																																																																																																																							
75563	"	Card mri w/stress img & dye"	CH	Q3	5592	8008																																																																																																																																																																																																																							
C8900	"Mra w/cont, abd"		Q3	5582	8008																																																																																																																																																																																																																							
C8902	"Mra w/o fol w/cont, abd"	CH	Q3	5582	8008																																																																																																																																																																																																																							
C8903	"Mri w/cont, breast,  uni"		Q3	5582	8008																																																																																																																																																																																																																							
C8905	"Mri w/o fol w/cont, brst, un"	CH	Q3	5582	8008																																																																																																																																																																																																																							
C8906	"Mri w/cont, breast,  bi"		Q3	5582	8008																																																																																																																																																																																																																							
C8908	"Mri w/o fol w/cont, breast,"	CH	Q3	5582	8008																																																																																																																																																																																																																							
C8909	"Mra w/cont, chest"		Q3	5582	8008																																																																																																																																																																																																																							
C8911	"Mra w/o fol w/cont, chest"	CH	Q3	5582	8008																																																																																																																																																																																																																							
C8912	"Mra w/cont, lwr ext"		Q3	5582	8008																																																																																																																																																																																																																							
C8914	"Mra w/o fol w/cont, lwr ext"	CH	Q3	5582	8008																																																																																																																																																																																																																							
C8918	"Mra w/cont, pelvis"		Q3	5582	8008																																																																																																																																																																																																																							
C8920	"Mra w/o fol w/cont, pelvis"	CH	Q3	5582	8008																																																																																																																																																																																																																							
C8931	"Mra, w/dye, spinal canal"		Q3	5582	8008																																																																																																																																																																																																																							
C8933	"Mra, w/o&w/dye, spinal canal"	CH	Q3	5582	8008																																																																																																																																																																																																																							
C8934	"Mra, w/dye, upper extremity"		Q3	5582	8008																																																																																																																																																																																																																							
C8936	"Mra, w/o&w/dye, upper extr"	CH	Q3	5582	8008																																																																																																																																																																																																																							
90791	"	Psych diagnostic evaluation"	CH	Q3	5841	8010																																																																																																																																																																																																																							
90792	"	Psych diag eval w/med srvcs"	CH	Q3	5841	8010																																																																																																																																																																																																																							
90832	"	Psytx pt&/family 30 minutes"	CH	Q3	5822	8010																																																																																																																																																																																																																							
90834	"	Psytx pt&/family 45 minutes"	CH	Q3	5841	8010																																																																																																																																																																																																																							
90837	"	Psytx pt&/family 60 minutes"	CH	Q3	5841	8010																																																																																																																																																																																																																							
90839	"	Psytx crisis initial 60 min"	CH	Q3	5841	8010																																																																																																																																																																																																																							
90845	"	Psychoanalysis"	CH	Q3	5841	8010																																																																																																																																																																																																																							
90846	"	Family psytx w/o patient"	CH	Q3	5841	8010																																																																																																																																																																																																																							
90847	"	Family psytx w/patient"	CH	Q3	5841	8010																																																																																																																																																																																																																							
90849	"	Multiple family group psytx"	CH	Q3	5841	8010																																																																																																																																																																																																																							
90853	"	Group psychotherapy"	CH	Q3	5822	8010																																																																																																																																																																																																																							
90865	"	Narcosynthesis"	CH	Q3	5841	8010																																																																																																																																																																																																																							
90880	"	Hypnotherapy"	CH	Q3	5841	8010																																																																																																																																																																																																																							
90899	"	Psychiatric service/therapy"		Q3	5841	8010																																																																																																																																																																																																																							
96101	"	Psycho testing by psych/phys"	CH 	Q3	5722	8010																																																																																																																																																																																																																							
96102	"	Psycho testing by technician"	CH 	Q3	5722	8010																																																																																																																																																																																																																							
96111	"	Developmental test extend"		Q3	5011	8010																																																																																																																																																																																																																							
96116	"	Neurobehavioral status exam"	CH	Q3	5722	8010																																																																																																																																																																																																																							
96118	"	Neuropsych tst by psych/phys"	CH	Q3	5722	8010																																																																																																																																																																																																																							
96119	"	Neuropsych testing by tec"	CH	Q3	5722	8010																																																																																																																																																																																																																							
96120	"	Neuropsych tst admin w/comp"	CH	Q3	5721	8010																																																																																																																																																																																																																							
96150	"	Assess hlth/behave init"		Q3	5822	8010																																																																																																																																																																																																																							
96151	"	Assess hlth/behave subseq"		Q3	5822	8010																																																																																																																																																																																																																							
96152	"	Intervene hlth/behave indiv"		Q3	5822	8010																																																																																																																																																																																																																							
96153	"	Intervene hlth/behave group"		Q3	5821	8010																																																																																																																																																																																																																							
96154	"	Interv hlth/behav fam w/pt"		Q3	5822	8010																																																																																																																																																																																																																							
G0451	"	Devlopment test interpt&rep"		Q3	5822	8010																																																																																																																																																																																																																							
