	Addendum M.-HCPCS Codes for Assignment to Composite APCs for CY 2019				
	CPT codes and descriptions only are copyright 2018 American Medical Association.  All Rights Reserved.  Applicable FARS/DFARS Apply. 				
 HCPCS Code 	Short Descriptor	CI	 SI	Single Code APC Assignment 	 Composite APC Assignment 
71045	"	X-ray exam chest 1 view"		Q3	5521	"5041, 5045"
71046	"	X-ray exam chest 2 views"		Q3	5521	"5041, 5045"
92953	"	Temporary external pacing"		Q3	5781	"5041, 5045"
94002	"	Vent mgmt inpat init day"		Q3	5801	"5041, 5045"
94003	"	Vent mgmt inpat subq day"		Q3	5801	"5041, 5045"
94662	"	Neg press ventilation cnp"		Q3	5801	"5041, 5045"
94762	"	Measure blood oxygen level"		Q3	5721	"5041, 5045"
76700	"	Us exam abdom complete"		Q3	5522	8004
76705	"	Echo exam of abdomen"		Q3	5522	8004
76770	"	Us exam abdo back wall comp"		Q3	5522	8004
76776	"	Us exam k transpl w/doppler"		Q3	5522	8004
76831	"	Echo exam uterus"		Q3	5523	8004
76856	"	Us exam pelvic complete"		Q3	5522	8004
76857	"	Us exam pelvic limited"		Q3	5522	8004
76981	Use parenchyma	NC	Q3	5522	8004
76982	Use 1st target lesion	NC	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"		Q3	5522	8005 or 8006
72128	"	Ct chest spine w/o dye"		Q3	5522	8005 or 8006
72131	"	Ct lumbar spine w/o dye"		Q3	5522	8005 or 8006
72192	"	Ct pelvis w/o dye"		Q3	5522	8005 or 8006
73200	"	Ct upper extremity w/o dye"		Q3	5522	8005 or 8006
73700	"	Ct lower extremity w/o dye"		Q3	5522	8005 or 8006
74150	"	Ct abdomen w/o dye"		Q3	5522	8005 or 8006
74176	"	Ct abd & pelvis w/o contrast"		Q3	5523	8005 or 8006
74261	"	Ct colonography dx"		Q3	5522	8005 or 8006
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"	CH	Q3	5572	8006
74262	"	Ct colonography dx w/dye"		Q3	5571	8006
75635	"	Ct angio abdominal arteries"		Q3	5571	8006
76391	Mr elastography	NC	Q3	5523	8007
77046	Mri breast c- unilateral	NC	Q3	5523	8007
77047	Mri breast c- bilateral	NC	Q3	5523	8007
70336	"	Magnetic image jaw joint"		Q3	5523	8007 or 8008
70540	"	Mri orbit/face/neck w/o dye"		Q3	5523	8007 or 8008
70544	"	Mr angiography head w/o dye"		Q3	5523	8007 or 8008
70547	"	Mr angiography neck w/o dye"		Q3	5523	8007 or 8008
70551	"	Mri brain stem w/o dye"		Q3	5523	8007 or 8008
70554	"	Fmri brain by tech"		Q3	5523	8007 or 8008
71550	"	Mri chest w/o dye"		Q3	5523	8007 or 8008
72141	"	Mri neck spine w/o dye"		Q3	5523	8007 or 8008
72146	"	Mri chest spine w/o dye"		Q3	5523	8007 or 8008
72148	"	Mri lumbar spine w/o dye"		Q3	5523	8007 or 8008
72195	"	Mri pelvis w/o dye"		Q3	5523	8007 or 8008
73218	"	Mri upper extremity w/o dye"		Q3	5523	8007 or 8008
73221	"	Mri joint upr extrem w/o dye"		Q3	5523	8007 or 8008
73718	"	Mri lower extremity w/o dye"		Q3	5523	8007 or 8008
73721	"	Mri jnt of lwr extre w/o dye"		Q3	5523	8007 or 8008
74181	"	Mri abdomen w/o dye"		Q3	5523	8007 or 8008
75557	"	Cardiac mri for morph"		Q3	5523	8007 or 8008
75559	"	Cardiac mri w/stress img"	CH	Q3	5524	8007 or 8008
C8901	"Mra w/o cont, abd"		Q3	5523	8007 or 8008
C8910	"Mra w/o cont, chest"		Q3	5523	8007 or 8008
C8913	"Mra w/o cont, lwr ext"		Q3	5523	8007 or 8008
C8919	"Mra w/o cont, pelvis"		Q3	5523	8007 or 8008
C8932	"Mra, w/o dye, spinal canal"		Q3	5523	8007 or 8008
C8935	"Mra, w/o dye, upper extr"		Q3	5523	8007 or 8008
70542	"	Mri orbit/face/neck w/dye"		Q3	5572	8008
70543	"	Mri orbt/fac/nck w/o &w/dye"		Q3	5572	8008
70545	"	Mr angiography head w/dye"	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"	CH	Q3	5572	8008
70553	"	Mri brain stem w/o & w/dye"		Q3	5572	8008
71551	"	Mri chest w/dye"		Q3	5573	8008
71552	"	Mri chest w/o & w/dye"		Q3	5572	8008
72142	"	Mri neck spine w/dye"		Q3	5572	8008
72147	"	Mri chest spine w/dye"		Q3	5572	8008
72149	"	Mri lumbar spine w/dye"		Q3	5572	8008
72156	"	Mri neck spine w/o & w/dye"		Q3	5572	8008
72157	"	Mri chest spine w/o & w/dye"		Q3	5572	8008
72158	"	Mri lumbar spine w/o & w/dye"		Q3	5572	8008
72196	"	Mri pelvis w/dye"		Q3	5572	8008
72197	"	Mri pelvis w/o & w/dye"		Q3	5572	8008
73219	"	Mri upper extremity w/dye"		Q3	5572	8008
73220	"	Mri uppr extremity w/o&w/dye"		Q3	5572	8008
73222	"	Mri joint upr extrem w/dye"		Q3	5573	8008
73223	"	Mri joint upr extr w/o&w/dye"		Q3	5572	8008
73719	"	Mri lower extremity w/dye"	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"		Q3	5572	8008
75561	"	Cardiac mri for morph w/dye"		Q3	5572	8008
75563	"	Card mri w/stress img & dye"		Q3	5573	8008
C8900	"Mra w/cont, abd"	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"	CH	Q3	5572	8008
C8920	"Mra w/o fol w/cont, pelvis"		Q3	5572	8008
C8931	"Mra, w/dye, spinal canal"		Q3	5572	8008
C8933	"Mra, w/o&w/dye, spinal canal"	CH	Q3	5572	8008
C8934	"Mra, w/dye, upper extremity"	CH	Q3	5572	8008
C8936	"Mra, w/o&w/dye, upper extr"	CH	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"		Q3	5823	8010
90834	"	Psytx w pt 45 minutes"		Q3	5823	8010
90837	"	Psytx w pt 60 minutes"		Q3	5823	8010
90839	"	Psytx crisis initial 60 min"		Q3	5823	8010
90845	"	Psychoanalysis"		Q3	5823	8010
90846	"	Family psytx w/o pt 50 min"		Q3	5823	8010
90847	"	Family psytx w/pt 50 min"		Q3	5823	8010
90849	"	Multiple family group psytx"		Q3	5823	8010
90853	"	Group psychotherapy"		Q3	5822	8010
90865	"	Narcosynthesis"		Q3	5823	8010
90880	"	Hypnotherapy"		Q3	5822	8010
90899	"	Psychiatric service/therapy"		Q3	5821	8010
96112	Devel tst phys/qhp 1st hr	NC	Q3	5721	8010
96116	"	Nubhvl xm phys/qhp 1st hr"		Q3	5722	8010
96130	Psycl tst eval phys/qhp 1st	NC	Q3	5721	8010
96132	Nrpsyc tst eval phys/qhp 1st	NC	Q3	5721	8010
96136	Psycl/nrpsyc tst phy/qhp 1st	NC	Q3	5731	8010
96138	Psycl/nrpsyc tech 1st	NC	Q3	5731	8010
96146	Psycl/nrpsyc tst auto result	NC	Q3	5731	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
97151	Bhv id assmt by phys/qhp	NC	Q3	5821	8010
97152	Bhv id suprt assmt by 1 tech	NC	Q3	5821	8010
97153	Adaptive behavior tx by tech	NC	Q3	5821	8010
97154	Grp adapt bhv tx by tech	NC	Q3	5821	8010
97155	Adapt behavior tx phys/qhp	NC	Q3	5821	8010
97156	Fam adapt bhv tx gdn phy/qhp	NC	Q3	5821	8010
97157	Mult fam adapt bhv tx gdn	NC	Q3	5821	8010
97158	Grp adapt bhv tx by phy/qhp	NC	Q3	5821	8010
0362T	"	Bhv id suprt assmt ea 15 min"	CH 	Q3	5821 	8010
0373T	"	Adapt bhv tx ea 15 min"	CH 	Q3	5821 	8010
G0451	Devlopment test interpt&rep		Q3	5822	8010
