	Addendum M.-Final HCPCS Codes for Assignment to Composite APCs for CY 2017																																																																																																																																																																																																																			
	CPT codes and descriptions only are copyright 2016 American Medical Association.  All Rights Reserved.  Applicable FARS/DFARS Apply. 																																																																																																																																																																																																																			
 HCPCS Code 	Short Descriptor	CI	 SI	Single Code APC Assignment 	 Composite APC Assignment 																																																																																																																																																																																																															
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		Q3	5721	"5041, 5045"																																																																																																																																																																																																															
55875	Transperi needle place pros		Q3	5374	8001																																																																																																																																																																																																															
77778	Apply interstit radiat compl		Q3	5624	8001																																																																																																																																																																																																															
76700	Us exam abdom complete	CH	Q3	5522	8004																																																																																																																																																																																																															
76705	Echo exam of abdomen	CH	Q3	5522	8004																																																																																																																																																																																																															
76770	Us exam abdo back wall comp	CH	Q3	5522	8004																																																																																																																																																																																																															
76776	Us exam k transpl w/doppler	CH	Q3	5522	8004																																																																																																																																																																																																															
76831	Echo exam uterus	CH	Q3	5523	8004																																																																																																																																																																																																															
76856	Us exam pelvic complete	CH	Q3	5522	8004																																																																																																																																																																																																															
76857	Us exam pelvic limited	CH	Q3	5522	8004																																																																																																																																																																																																															
70450	Ct head/brain w/o dye	CH	Q3	5522	8005 or 8006																																																																																																																																																																																																															
70480	Ct orbit/ear/fossa w/o dye	CH	Q3	5522	8005 or 8006																																																																																																																																																																																																															
70486	Ct maxillofacial w/o dye	CH	Q3	5522	8005 or 8006																																																																																																																																																																																																															
70490	Ct soft tissue neck w/o dye	CH	Q3	5522	8005 or 8006																																																																																																																																																																																																															
71250	Ct thorax w/o dye	CH	Q3	5522	8005 or 8006																																																																																																																																																																																																															
72125	Ct neck spine w/o dye	CH	Q3	5522	8005 or 8006																																																																																																																																																																																																															
72128	Ct chest spine w/o dye	CH	Q3	5522	8005 or 8006																																																																																																																																																																																																															
72131	Ct lumbar spine w/o dye	CH	Q3	5522	8005 or 8006																																																																																																																																																																																																															
72192	Ct pelvis w/o dye	CH	Q3	5522	8005 or 8006																																																																																																																																																																																																															
73200	Ct upper extremity w/o dye	CH	Q3	5522	8005 or 8006																																																																																																																																																																																																															
73700	Ct lower extremity w/o dye	CH	Q3	5522	8005 or 8006																																																																																																																																																																																																															
74150	Ct abdomen w/o dye	CH	Q3	5522	8005 or 8006																																																																																																																																																																																																															
74176	Ct abd & pelvis w/o contrast		Q3	5523	8005 or 8006																																																																																																																																																																																																															
74261	Ct colonography dx	CH	Q3	5522	8005 or 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	CH	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	CH	Q3	5571	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	CH	Q3	5571	8006																																																																																																																																																																																																															
74178	Ct abd & pelv 1/> regns		Q3	5572	8006																																																																																																																																																																																																															
74262	Ct colonography dx w/dye		Q3	5571	8006																																																																																																																																																																																																															
75635	Ct angio abdominal arteries		Q3	5571	8006																																																																																																																																																																																																															
70336	Magnetic image jaw joint	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
70540	Mri orbit/face/neck w/o dye	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
70544	Mr angiography head w/o dye	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
70547	Mr angiography neck w/o dye	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
70551	Mri brain stem w/o dye	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
70554	Fmri brain by tech	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
71550	Mri chest w/o dye	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
72141	Mri neck spine w/o dye	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
72146	Mri chest spine w/o dye	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
72148	Mri lumbar spine w/o dye	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
72195	Mri pelvis w/o dye	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
73218	Mri upper extremity w/o dye	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
73221	Mri joint upr extrem w/o dye	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
73718	Mri lower extremity w/o dye	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
73721	Mri jnt of lwr extre w/o dye	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
74181	Mri abdomen w/o dye	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
75557	Cardiac mri for morph	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
75559	Cardiac mri w/stress img	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
C8901	"Mra w/o cont, abd"	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
C8904	"Mri w/o cont, breast, uni"	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
C8907	"Mri w/o cont, breast, bi"	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																															
C8910	"Mra w/o cont, chest"	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
C8913	"Mra w/o cont, lwr ext"	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
C8919	"Mra w/o cont, pelvis"	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
C8932	"Mra, w/o dye, spinal canal"	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
C8935	"Mra, w/o dye, upper extr"	CH	Q3	5523	8007 or 8008																																																																																																																																																																																																															
70542	Mri orbit/face/neck w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
70543	Mri orbt/fac/nck w/o &w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
70545	Mr angiography head w/dye	CH	Q3	5571	8008																																																																																																																																																																																																															
70546	Mr angiograph head w/o&w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
70548	Mr angiography neck w/dye	CH	Q3	5571	8008																																																																																																																																																																																																															
70549	Mr angiograph neck w/o&w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
70552	Mri brain stem w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
70553	Mri brain stem w/o & w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
71551	Mri chest w/dye	CH	Q3	5573	8008																																																																																																																																																																																																															
71552	Mri chest w/o & w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
72142	Mri neck spine w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
72147	Mri chest spine w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
72149	Mri lumbar spine w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
72156	Mri neck spine w/o & w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
72157	Mri chest spine w/o & w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
72158	Mri lumbar spine w/o & w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
72196	Mri pelvis w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
72197	Mri pelvis w/o & w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
73219	Mri upper extremity w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
73220	Mri uppr extremity w/o&w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
73222	Mri joint upr extrem w/dye	CH	Q3	5573	8008																																																																																																																																																																																																															
73223	Mri joint upr extr w/o&w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
73719	Mri lower extremity w/dye	CH	Q3	5571	8008																																																																																																																																																																																																															
73720	Mri lwr extremity w/o&w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
73722	Mri joint of lwr extr w/dye	CH	Q3	5573	8008																																																																																																																																																																																																															
73723	Mri joint lwr extr w/o&w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
74182	Mri abdomen w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
74183	Mri abdomen w/o & w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
75561	Cardiac mri for morph w/dye	CH	Q3	5572	8008																																																																																																																																																																																																															
75563	Card mri w/stress img & dye	CH	Q3	5573	8008																																																																																																																																																																																																															
C8900	"Mra w/cont, abd"	CH	Q3	5571	8008																																																																																																																																																																																																															
C8902	"Mra w/o fol w/cont, abd"	CH	Q3	5572	8008																																																																																																																																																																																																															
C8903	"Mri w/cont, breast,  uni"	CH	Q3	5571	8008																																																																																																																																																																																																															
C8905	"Mri w/o fol w/cont, brst, un"	CH	Q3	5572	8008																																																																																																																																																																																																															
C8906	"Mri w/cont, breast,  bi"	CH	Q3	5572	8008																																																																																																																																																																																																															
C8908	"Mri w/o fol w/cont, breast,"	CH	Q3	5572	8008																																																																																																																																																																																																															
C8909	"Mra w/cont, chest"	CH	Q3	5571	8008																																																																																																																																																																																																															
C8911	"Mra w/o fol w/cont, chest"	CH	Q3	5572	8008																																																																																																																																																																																																															
C8912	"Mra w/cont, lwr ext"	CH	Q3	5572	8008																																																																																																																																																																																																															
C8914	"Mra w/o fol w/cont, lwr ext"	CH	Q3	5572	8008																																																																																																																																																																																																															
C8918	"Mra w/cont, pelvis"	CH	Q3	5571	8008																																																																																																																																																																																																															
C8920	"Mra w/o fol w/cont, pelvis"	CH	Q3	5572	8008																																																																																																																																																																																																															
C8931	"Mra, w/dye, spinal canal"	CH	Q3	5572	8008																																																																																																																																																																																																															
C8933	"Mra, w/o&w/dye, spinal canal"	CH	Q3	5572	8008																																																																																																																																																																																																															
C8934	"Mra, w/dye, upper extremity"	CH	Q3	5571	8008																																																																																																																																																																																																															
C8936	"Mra, w/o&w/dye, upper extr"	CH	Q3	5572	8008																																																																																																																																																																																																															
90791	Psych diagnostic evaluation	CH 	Q3	5823	8010																																																																																																																																																																																																															
90792	Psych diag eval w/med srvcs	CH 	Q3	5823	8010																																																																																																																																																																																																															
90832	Psytx w pt 30 minutes		Q3	5822	8010																																																																																																																																																																																																															
90834	Psytx w pt 45 minutes	CH 	Q3	5823	8010																																																																																																																																																																																																															
90837	Psytx w pt 60 minutes	CH 	Q3	5823	8010																																																																																																																																																																																																															
90839	Psytx crisis initial 60 min	CH 	Q3	5823	8010																																																																																																																																																																																																															
90845	Psychoanalysis	CH 	Q3	5823	8010																																																																																																																																																																																																															
90846	Family psytx w/o pt 50 min	CH 	Q3	5823	8010																																																																																																																																																																																																															
90847	Family psytx w/pt 50 min	CH 	Q3	5823	8010																																																																																																																																																																																																															
90849	Multiple family group psytx	CH 	Q3	5823	8010																																																																																																																																																																																																															
90853	Group psychotherapy		Q3	5822	8010																																																																																																																																																																																																															
90865	Narcosynthesis	CH 	Q3	5823	8010																																																																																																																																																																																																															
90880	Hypnotherapy	CH 	Q3	5823	8010																																																																																																																																																																																																															
90899	Psychiatric service/therapy	CH 	Q3	5823	8010																																																																																																																																																																																																															
96101	Psycho testing by psych/phys	CH	Q3	5721	8010																																																																																																																																																																																																															
96102	Psycho testing by technician		Q3	5722	8010																																																																																																																																																																																																															
96111	Developmental test extend		Q3	5721	8010																																																																																																																																																																																																															
96116	Neurobehavioral status exam		Q3	5722	8010																																																																																																																																																																																																															
96118	Neuropsych tst by psych/phys		Q3	5722	8010																																																																																																																																																																																																															
96119	Neuropsych testing by tec		Q3	5722	8010																																																																																																																																																																																																															
96120	Neuropsych tst admin w/comp		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																																																																																																																																																																																																															
