 	Addendum M.-Proposed HCPCS Codes for Assignment to Composite APCs for CY 2018																																																																																																																																																																																																																								
	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 																																																																																																																																																																																																																				
92953	Temporary external pacing		Q3	5781	"5041, 5045"																																																																																																																																																																																																																				
94002	Vent mgmt inpat init day		Q3	5801	"5041, 5045"																																																																																																																																																																																																																				
94003	Vent mgmt inpat subq day		Q3	5801	"5041, 5045"																																																																																																																																																																																																																				
94662	Neg press ventilation cnp		Q3	5801	"5041, 5045"																																																																																																																																																																																																																				
94762	Measure blood oxygen level		Q3	5721	"5041, 5045"																																																																																																																																																																																																																				
76700	Us exam abdom complete	CH	Q3	5523	8004																																																																																																																																																																																																																				
76705	Echo exam of abdomen	CH	Q3	5523	8004																																																																																																																																																																																																																				
76770	Us exam abdo back wall comp	CH	Q3	5523	8004																																																																																																																																																																																																																				
76776	Us exam k transpl w/doppler	CH	Q3	5523	8004																																																																																																																																																																																																																				
76831	Echo exam uterus	CH	Q3	5524	8004																																																																																																																																																																																																																				
76856	Us exam pelvic complete	CH	Q3	5523	8004																																																																																																																																																																																																																				
76857	Us exam pelvic limited		Q3	5522	8004																																																																																																																																																																																																																				
70450	Ct head/brain w/o dye		Q3	5522	8005 or 8006																																																																																																																																																																																																																				
70480	Ct orbit/ear/fossa w/o dye		Q3	5522	8005 or 8006																																																																																																																																																																																																																				
70486	Ct maxillofacial w/o dye		Q3	5522	8005 or 8006																																																																																																																																																																																																																				
70490	Ct soft tissue neck w/o dye		Q3	5522	8005 or 8006																																																																																																																																																																																																																				
71250	Ct thorax w/o dye		Q3	5522	8005 or 8006																																																																																																																																																																																																																				
72125	Ct neck spine w/o dye	CH	Q3	5523	8005 or 8006																																																																																																																																																																																																																				
72128	Ct chest spine w/o dye	CH	Q3	5523	8005 or 8006																																																																																																																																																																																																																				
72131	Ct lumbar spine w/o dye	CH	Q3	5523	8005 or 8006																																																																																																																																																																																																																				
72192	Ct pelvis w/o dye		Q3	5522	8005 or 8006																																																																																																																																																																																																																				
73200	Ct upper extremity w/o dye		Q3	5522	8005 or 8006																																																																																																																																																																																																																				
73700	Ct lower extremity w/o dye		Q3	5522	8005 or 8006																																																																																																																																																																																																																				
74150	Ct abdomen w/o dye	CH	Q3	5523	8005 or 8006																																																																																																																																																																																																																				
74176	Ct abd & pelvis w/o contrast		Q3	5523	8005 or 8006																																																																																																																																																																																																																				
74261	Ct colonography dx		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		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	5572	8006																																																																																																																																																																																																																				
73202	Ct uppr extremity w/o&w/dye		Q3	5571	8006																																																																																																																																																																																																																				
73206	Ct angio upr extrm w/o&w/dye		Q3	5571	8006																																																																																																																																																																																																																				
73701	Ct lower extremity w/dye		Q3	5571	8006																																																																																																																																																																																																																				
73702	Ct lwr extremity w/o&w/dye		Q3	5571	8006																																																																																																																																																																																																																				
73706	Ct angio lwr extr w/o&w/dye		Q3	5571	8006																																																																																																																																																																																																																				
74160	Ct abdomen w/dye		Q3	5571	8006																																																																																																																																																																																																																				
74170	Ct abdomen w/o & w/dye		Q3	5571	8006																																																																																																																																																																																																																				
74175	Ct angio abdom w/o & w/dye		Q3	5571	8006																																																																																																																																																																																																																				
74177	Ct abd & pelv w/contrast	CH	Q3	5572	8006																																																																																																																																																																																																																				
74178	Ct abd & pelv 1/> regns		Q3	5572	8006																																																																																																																																																																																																																				
74262	Ct colonography dx w/dye		Q3	5571	8006																																																																																																																																																																																																																				
75635	Ct angio abdominal arteries		Q3	5571	8006																																																																																																																																																																																																																				
70336	Magnetic image jaw joint		Q3	5523	8007 or 8008																																																																																																																																																																																																																				
70540	Mri orbit/face/neck w/o dye	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
70544	Mr angiography head w/o dye	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
70547	Mr angiography neck w/o dye	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
70551	Mri brain stem w/o dye	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
70554	Fmri brain by tech	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
71550	Mri chest w/o dye	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
72141	Mri neck spine w/o dye	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
72146	Mri chest spine w/o dye	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
72148	Mri lumbar spine w/o dye	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
72195	Mri pelvis w/o dye	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
73218	Mri upper extremity w/o dye	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
73221	Mri joint upr extrem w/o dye	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
73718	Mri lower extremity w/o dye	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
73721	Mri jnt of lwr extre w/o dye	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
74181	Mri abdomen w/o dye	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
75557	Cardiac mri for morph	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
75559	Cardiac mri w/stress img	CH	Q3	5525	8007 or 8008																																																																																																																																																																																																																				
C8901	"Mra w/o cont, abd"	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
C8904	"Mri w/o cont, breast, uni"	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
C8907	"Mri w/o cont, breast, bi"		Q3	5524	8007 or 8008																																																																																																																																																																																																																				
C8910	"Mra w/o cont, chest"	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
C8913	"Mra w/o cont, lwr ext"	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
C8919	"Mra w/o cont, pelvis"	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
C8932	"Mra, w/o dye, spinal canal"		Q3	5523	8007 or 8008																																																																																																																																																																																																																				
C8935	"Mra, w/o dye, upper extr"	CH	Q3	5524	8007 or 8008																																																																																																																																																																																																																				
70542	Mri orbit/face/neck w/dye		Q3	5572	8008																																																																																																																																																																																																																				
70543	Mri orbt/fac/nck w/o &w/dye	CH	Q3	5573	8008																																																																																																																																																																																																																				
70545	Mr angiography head w/dye	CH	Q3	5572	8008																																																																																																																																																																																																																				
70546	Mr angiograph head w/o&w/dye		Q3	5572	8008																																																																																																																																																																																																																				
70548	Mr angiography neck w/dye	CH	Q3	5572	8008																																																																																																																																																																																																																				
70549	Mr angiograph neck w/o&w/dye		Q3	5572	8008																																																																																																																																																																																																																				
70552	Mri brain stem w/dye		Q3	5572	8008																																																																																																																																																																																																																				
70553	Mri brain stem w/o & w/dye	CH	Q3	5573	8008																																																																																																																																																																																																																				
71551	Mri chest w/dye		Q3	5573	8008																																																																																																																																																																																																																				
71552	Mri chest w/o & w/dye	CH	Q3	5573	8008																																																																																																																																																																																																																				
72142	Mri neck spine w/dye		Q3	5572	8008																																																																																																																																																																																																																				
72147	Mri chest spine w/dye		Q3	5572	8008																																																																																																																																																																																																																				
72149	Mri lumbar spine w/dye		Q3	5572	8008																																																																																																																																																																																																																				
72156	Mri neck spine w/o & w/dye	CH	Q3	5573	8008																																																																																																																																																																																																																				
72157	Mri chest spine w/o & w/dye	CH	Q3	5573	8008																																																																																																																																																																																																																				
72158	Mri lumbar spine w/o & w/dye	CH	Q3	5573	8008																																																																																																																																																																																																																				
72196	Mri pelvis w/dye		Q3	5572	8008																																																																																																																																																																																																																				
72197	Mri pelvis w/o & w/dye	CH	Q3	5573	8008																																																																																																																																																																																																																				
73219	Mri upper extremity w/dye		Q3	5572	8008																																																																																																																																																																																																																				
73220	Mri uppr extremity w/o&w/dye		Q3	5572	8008																																																																																																																																																																																																																				
73222	Mri joint upr extrem w/dye		Q3	5573	8008																																																																																																																																																																																																																				
73223	Mri joint upr extr w/o&w/dye	CH	Q3	5573	8008																																																																																																																																																																																																																				
73719	Mri lower extremity w/dye	CH	Q3	5572	8008																																																																																																																																																																																																																				
73720	Mri lwr extremity w/o&w/dye		Q3	5572	8008																																																																																																																																																																																																																				
73722	Mri joint of lwr extr w/dye		Q3	5573	8008																																																																																																																																																																																																																				
73723	Mri joint lwr extr w/o&w/dye		Q3	5572	8008																																																																																																																																																																																																																				
74182	Mri abdomen w/dye		Q3	5572	8008																																																																																																																																																																																																																				
74183	Mri abdomen w/o & w/dye	CH	Q3	5573	8008																																																																																																																																																																																																																				
75561	Cardiac mri for morph w/dye		Q3	5572	8008																																																																																																																																																																																																																				
75563	Card mri w/stress img & dye		Q3	5573	8008																																																																																																																																																																																																																				
C8900	"Mra w/cont, abd"	CH	Q3	5572	8008																																																																																																																																																																																																																				
C8902	"Mra w/o fol w/cont, abd"		Q3	5572	8008																																																																																																																																																																																																																				
C8903	"Mri w/cont, breast,  uni"		Q3	5571	8008																																																																																																																																																																																																																				
C8905	"Mri w/o fol w/cont, brst, un"		Q3	5572	8008																																																																																																																																																																																																																				
C8906	"Mri w/cont, breast,  bi"		Q3	5572	8008																																																																																																																																																																																																																				
C8908	"Mri w/o fol w/cont, breast,"		Q3	5572	8008																																																																																																																																																																																																																				
C8909	"Mra w/cont, chest"	CH	Q3	5572	8008																																																																																																																																																																																																																				
C8911	"Mra w/o fol w/cont, chest"		Q3	5572	8008																																																																																																																																																																																																																				
C8912	"Mra w/cont, lwr ext"		Q3	5572	8008																																																																																																																																																																																																																				
C8914	"Mra w/o fol w/cont, lwr ext"		Q3	5572	8008																																																																																																																																																																																																																				
C8918	"Mra w/cont, pelvis"		Q3	5571	8008																																																																																																																																																																																																																				
C8920	"Mra w/o fol w/cont, pelvis"		Q3	5572	8008																																																																																																																																																																																																																				
C8931	"Mra, w/dye, spinal canal"		Q3	5572	8008																																																																																																																																																																																																																				
C8933	"Mra, w/o&w/dye, spinal canal"		Q3	5572	8008																																																																																																																																																																																																																				
C8934	"Mra, w/dye, upper extremity"		Q3	5571	8008																																																																																																																																																																																																																				
C8936	"Mra, w/o&w/dye, upper extr"		Q3	5572	8008																																																																																																																																																																																																																				
90791	Psych diagnostic evaluation		Q3	5823	8010																																																																																																																																																																																																																				
90792	Psych diag eval w/med srvcs		Q3	5823	8010																																																																																																																																																																																																																				
90832	Psytx w pt 30 minutes	CH	Q3	5823	8010																																																																																																																																																																																																																				
90834	Psytx w pt 45 minutes		Q3	5823	8010																																																																																																																																																																																																																				
90837	Psytx w pt 60 minutes		Q3	5823	8010																																																																																																																																																																																																																				
90839	Psytx crisis initial 60 min		Q3	5823	8010																																																																																																																																																																																																																				
90845	Psychoanalysis		Q3	5823	8010																																																																																																																																																																																																																				
90846	Family psytx w/o pt 50 min		Q3	5823	8010																																																																																																																																																																																																																				
90847	Family psytx w/pt 50 min		Q3	5823	8010																																																																																																																																																																																																																				
90849	Multiple family group psytx		Q3	5823	8010																																																																																																																																																																																																																				
90853	Group psychotherapy		Q3	5822	8010																																																																																																																																																																																																																				
90865	Narcosynthesis		Q3	5823	8010																																																																																																																																																																																																																				
90880	Hypnotherapy	CH	Q3	5822	8010																																																																																																																																																																																																																				
90899	Psychiatric service/therapy	CH	Q3	5821	8010																																																																																																																																																																																																																				
96101	Psycho testing by psych/phys		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																																																																																																																																																																																																																				
