	Addendum M.-Proposed HCPCS Codes for Assignment to Composite APCs for CY 2020																																																																																																																																																																																																																																																														
	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		Q3	5522	8004																																																																																																																																																																																																																																																										
76982	Use 1st target lesion		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"		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"		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"		Q2	5571	8006																																																																																																																																																																																																																																																										
76391	Mr elastography		Q3	5523	8007																																																																																																																																																																																																																																																										
77046	Mri breast c- unilateral		Q3	5523	8007																																																																																																																																																																																																																																																										
77047	Mri breast c- bilateral		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"		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"		Q3	5572	8008																																																																																																																																																																																																																																																										
70546	"	Mr angiograph head w/o&w/dye"		Q3	5572	8008																																																																																																																																																																																																																																																										
70548	"	Mr angiography neck w/dye"		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"		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"		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"		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"		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	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"		Q3	5572	8008																																																																																																																																																																																																																																																										
C8934	"Mra, w/dye, upper extremity"		Q3	5572	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"		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		Q3	5721	8010																																																																																																																																																																																																																																																										
96116	"	Nubhvl xm phys/qhp 1st hr"		Q3	5722	8010																																																																																																																																																																																																																																																										
96130	Psycl tst eval phys/qhp 1st		Q3	5721	8010																																																																																																																																																																																																																																																										
96132	Nrpsyc tst eval phys/qhp 1st		Q3	5721	8010																																																																																																																																																																																																																																																										
96136	Psycl/nrpsyc tst phy/qhp 1st		Q3	5731	8010																																																																																																																																																																																																																																																										
96138	Psycl/nrpsyc tech 1st		Q3	5731	8010																																																																																																																																																																																																																																																										
96146	Psycl/nrpsyc tst auto result		Q3	5731	8010																																																																																																																																																																																																																																																										
97151	Bhv id assmt by phys/qhp		Q3	5821	8010																																																																																																																																																																																																																																																										
97152	Bhv id suprt assmt by 1 tech		Q3	5821	8010																																																																																																																																																																																																																																																										
97153	Adaptive behavior tx by tech		Q3	5821	8010																																																																																																																																																																																																																																																										
97154	Grp adapt bhv tx by tech		Q3	5821	8010																																																																																																																																																																																																																																																										
97155	Adapt behavior tx phys/qhp		Q3	5821	8010																																																																																																																																																																																																																																																										
97156	Fam adapt bhv tx gdn phy/qhp		Q3	5821	8010																																																																																																																																																																																																																																																										
97157	Mult fam adapt bhv tx gdn		Q3	5821	8010																																																																																																																																																																																																																																																										
97158	Grp adapt bhv tx by phy/qhp		Q3	5821	8010																																																																																																																																																																																																																																																										
0362T	"	Bhv id suprt assmt ea 15 min"		Q3	5821 	8010																																																																																																																																																																																																																																																										
0373T	"	Adapt bhv tx ea 15 min"		Q3	5821 	8010																																																																																																																																																																																																																																																										
G0451	Devlopment test interpt&rep		Q3	5822	8010																																																																																																																																																																																																																																																										
961X0	Hlth bhv assmt/reassessment	NP	Q3	5822	8010																																																																																																																																																																																																																																																										
961X1	Hlth bhv ivntj indiv 1st 30	NP	Q3	5822	8010																																																																																																																																																																																																																																																										
961X3	Hlth bhv ivntj grp 1st 30	NP	Q3	5821	8010																																																																																																																																																																																																																																																										
961X5	Hlth bhv ivntj fam 1st 30	NP	Q3	5821	8010																																																																																																																																																																																																																																																										
GYYY1	Off base opioid tx 70min	NP	Q3	5823	8010																																																																																																																																																																																																																																																										
GYYY2	"Off  base opioid tx, 60 m"	NP	Q3	5823	8010																																																																																																																																																																																																																																																										
