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NYS APG Types and Categories in Version 3.5 Updated: January 2011

APG APG Description APG Type APG Category 1 PHOTOCHEMOTHERAPY Significant Procedure and procedures 2 SUPERFICIAL NEEDLE AND ASPIRATION Significant Procedure Skin and integumentary system procedures 3 LEVEL I SKIN INCISION AND DRAINAGE Significant Procedure Skin and integumentary system procedures 4 LEVEL II SKIN INCISION AND DRAINAGE Significant Procedure Skin and integumentary system procedures 5 NAIL PROCEDURES Significant Procedure Skin and integumentary system procedures 6 LEVEL I SKIN DEBRIDEMENT AND DESTRUCTION Significant Procedure Skin and integumentary system procedures 7 LEVEL II SKIN DEBRIDEMENT AND DESTRUCTION Significant Procedure Skin and integumentary system procedures 8 LEVEL III SKIN DEBRIDEMENT AND DESTRUCTION Significant Procedure Skin and integumentary system procedures 9 LEVEL I EXCISION AND BIOPSY OF SKIN AND SOFT TISSUE Significant Procedure Skin and integumentary system procedures 10 LEVEL II EXCISION AND BIOPSY OF SKIN AND SOFT TISSUE Significant Procedure Skin and integumentary system procedures 11 LEVEL III EXCISION AND BIOPSY OF SKIN AND SOFT TISSUE Significant Procedure Skin and integumentary system procedures 12 LEVEL I SKIN REPAIR Significant Procedure Skin and integumentary system procedures 13 LEVEL II SKIN REPAIR Significant Procedure Skin and integumentary system procedures 14 LEVEL III SKIN REPAIR Significant Procedure Skin and integumentary system procedures 15 LEVEL IV SKIN REPAIR Significant Procedure Skin and integumentary system procedures 20 LEVEL I PROCEDURES Significant Procedure Breast procedures 21 LEVEL II BREAST PROCEDURES Significant Procedure Breast procedures 22 LEVEL III BREAST PROCEDURES Significant Procedure Breast procedures 30 LEVEL I MUSCULOSKELETAL PROCEDURES EXCLUDING HAND AND FOOT Significant Procedure Musculoskeletal system procedures

31 LEVEL II MUSCULOSKELETAL PROCEDURES EXCLUDING HAND AND FOOT Significant Procedure Musculoskeletal system procedures

32 LEVEL III MUSCULOSKELETAL PROCEDURES EXCLUDING HAND AND FOOT Significant Procedure Musculoskeletal system procedures

33 LEVEL I HAND PROCEDURES Significant Procedure Musculoskeletal system procedures 34 LEVEL II HAND PROCEDURES Significant Procedure Musculoskeletal system procedures 35 LEVEL I FOOT PROCEDURES Significant Procedure Musculoskeletal system procedures 36 LEVEL II FOOT PROCEDURES Significant Procedure Musculoskeletal system procedures 37 LEVEL I ARTHROSCOPY Significant Procedure Musculoskeletal system procedures 38 LEVEL II ARTHROSCOPY Significant Procedure Musculoskeletal system procedures 39 REPLACEMENT OF CAST Significant Procedure Musculoskeletal system procedures 40 SPLINT, STRAPPING AND CAST REMOVAL Significant Procedure Musculoskeletal system procedures 41 CLOSED TREATMENT FX & DISLOCATION OF FINGER, TOE & TRUNK Significant Procedure Musculoskeletal system procedures 42 CLOSED TREATMENT FX & DISLOCATION EXC FINGER, TOE & TRUNK Significant Procedure Musculoskeletal system procedures 43 OPEN OR PERCUTANEOUS TREATMENT OF FRACTURES Significant Procedure Musculoskeletal system procedures 44 OR MANIPULATION UNDER ANESTHESIA Significant Procedure Musculoskeletal system procedures 45 BUNION PROCEDURES Significant Procedure Musculoskeletal system procedures 46 LEVEL I ARTHROPLASTY Significant Procedure Musculoskeletal system procedures 47 LEVEL II ARTHROPLASTY Significant Procedure Musculoskeletal system procedures

Page 1 of 17 APG APG Description APG Type APG Category 48 HAND AND FOOT TENOTOMY Significant Procedure Musculoskeletal system procedures 49 ARTHROCENTESIS AND LIGAMENT OR Significant Procedure Musculoskeletal system procedures 60 PULMONARY TESTS Other Diagnostic Respiratory procedures Procedure 61 NEEDLE AND CATHETER BIOPSY, ASPIRATION, LAVAGE AND INTUBATION Significant Procedure Respiratory procedures

62 LEVEL I ENDOSCOPY OF THE UPPER AIRWAY Significant Procedure Respiratory procedures 63 LEVEL II ENDOSCOPY OF THE UPPER AIRWAY Significant Procedure Respiratory procedures 64 ENDOSCOPY OF THE LOWER AIRWAY Significant Procedure Respiratory procedures 65 RESPIRATORY THERAPY Physical Therapy & Respiratory procedures Rehab 66 PULMONARY REHABILITATION Physical Therapy & Respiratory procedures Rehab 67 VENTILATION ASSISTANCE AND MANAGEMENT Significant Procedure Respiratory procedures 80 EXERCISE TOLERANCE TESTS Other Diagnostic Cardiovascular procedures Procedure 81 ECHOCARDIOGRAPHY Other Diagnostic Cardiovascular procedures Procedure 82 CARDIAC ELECTROPHYSIOLOGIC TESTS Other Diagnostic Cardiovascular procedures Procedure 83 PLACEMENT OF TRANSVENOUS CATHETERS Significant Procedure Cardiovascular procedures 84 DIAGNOSTIC CARDIAC CATHETERIZATION Other Diagnostic Cardiovascular procedures Procedure 85 ANGIOPLASTY AND TRANSCATHETER PROCEDURES Significant Procedure Cardiovascular procedures 86 PACEMAKER INSERTION AND REPLACEMENT Significant Procedure Cardiovascular procedures 87 REMOVAL AND REVISION OF PACEMAKER AND VASCULAR DEVICE Significant Procedure Cardiovascular procedures 88 LEVEL I CARDIOTHORACIC PROCEDURES Significant Procedure Cardiovascular procedures 89 LEVEL II CARDIOTHORACIC PROCEDURES Significant Procedure Cardiovascular procedures 90 SECONDARY VARICOSE AND VASCULAR INJECTION Significant Procedure Cardiovascular procedures 91 VASCULAR LIGATION AND RECONSTRUCTION Significant Procedure Cardiovascular procedures 92 RESUSCITATION Significant Procedure Cardiovascular procedures 93 CARDIOVERSION Significant Procedure Cardiovascular procedures 94 CARDIAC REHABILITATION Physical Therapy & Cardiovascular procedures Rehab 95 THROMBOLYSIS Significant Procedure Cardiovascular procedures 96 ATRIAL AND VENTRICULAR RECORDING AND PACING Significant Procedure Cardiovascular procedures 97 AICD IMPLANT Significant Procedure Cardiovascular procedures 110 PHARMACOTHERAPY BY EXTENDED INFUSION Significant Procedure Hematologic, lymphatic, and endocrine procedures

111 PHARMACOTHERAPY EXCEPT BY EXTENDED INFUSION Significant Procedure Hematologic, lymphatic, and endocrine procedures

Page 2 of 17 APG APG Description APG Type APG Category 112 PHLEBOTOMY Significant Procedure Hematologic, lymphatic, and endocrine procedures

113 LEVEL I BLOOD AND BLOOD PRODUCT EXCHANGE Significant Procedure Hematologic, lymphatic, and endocrine procedures

114 LEVEL II BLOOD AND BLOOD PRODUCT EXCHANGE Significant Procedure Hematologic, lymphatic, and endocrine procedures

115 DEEP LYMPH STRUCTURE AND PROCEDURES Significant Procedure Hematologic, lymphatic, and endocrine procedures

116 ALLERGY TESTS Other Diagnostic Hematologic, lymphatic, and endocrine procedures Procedure 117 HOME INFUSION Significant Procedure Hematologic, lymphatic, and endocrine procedures

118 NUTRITION THERAPY Physical Therapy & Hematologic, lymphatic, and endocrine procedures Rehab 130 ALIMENTARY TESTS AND SIMPLE TUBE PLACEMENT Other Diagnostic Gastrointestinal system procedures Procedure 131 ESOPHAGEAL DILATION WITHOUT ENDOSCOPY Significant Procedure Gastrointestinal system procedures 132 ANOSCOPY WITH BIOPSY AND DIAGNOSTIC PROCTOSIGMOIDOSCOPY Significant Procedure Gastrointestinal system procedures 133 PROCTOSIGMOIDOSCOPY WITH EXCISION OR BIOPSY Significant Procedure Gastrointestinal system procedures 134 DIAGNOSTIC UPPER GI ENDOSCOPY OR INTUBATION Other Diagnostic Gastrointestinal system procedures Procedure 135 THERAPEUTIC UPPER GI ENDOSCOPY OR INTUBATION Significant Procedure Gastrointestinal system procedures 136 DIAGNOSTIC LOWER GASTROINTESTINAL ENDOSCOPY Other Diagnostic Gastrointestinal system procedures Procedure 137 THERAPEUTIC COLONOSCOPY Significant Procedure Gastrointestinal system procedures 138 ERCP AND MISCELLANEOUS GI ENDOSCOPY PROCEDURES Significant Procedure Gastrointestinal system procedures 139 LEVEL I HERNIA REPAIR Significant Procedure Gastrointestinal system procedures 140 LEVEL II HERNIA REPAIR Significant Procedure Gastrointestinal system procedures 141 LEVEL I ANAL AND RECTAL PROCEDURES Significant Procedure Gastrointestinal system procedures 142 LEVEL II ANAL AND RECTAL PROCEDURES Significant Procedure Gastrointestinal system procedures 143 LEVEL I GASTROINTESTINAL PROCEDURES Significant Procedure Gastrointestinal system procedures 144 LEVEL II GASTROINTESTINAL PROCEDURES Significant Procedure Gastrointestinal system procedures 145 LEVEL I LAPAROSCOPY Significant Procedure Gastrointestinal system procedures 146 LEVEL II LAPAROSCOPY Significant Procedure Gastrointestinal system procedures 147 LEVEL III LAPAROSCOPY Significant Procedure Gastrointestinal system procedures 148 LEVEL IV LAPAROSCOPY Significant Procedure Gastrointestinal system procedures 160 EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY Significant Procedure Genitourinary system procedures 161 URINARY STUDIES AND PROCEDURES Significant Procedure Genitourinary system procedures 162 URINARY CATHETERIZATION AND DILATATION Significant Procedure Genitourinary system procedures 163 LEVEL I BLADDER AND PROCEDURES Significant Procedure Genitourinary system procedures 164 LEVEL II BLADDER AND KIDNEY PROCEDURES Significant Procedure Genitourinary system procedures 165 LEVEL III BLADDER AND KIDNEY PROCEDURES Significant Procedure Genitourinary system procedures

Page 3 of 17 APG APG Description APG Type APG Category 166 LEVEL I AND PROCEDURES Significant Procedure Genitourinary system procedures 167 LEVEL II URETHRA AND PROSTATE PROCEDURES Significant Procedure Genitourinary system procedures 168 HEMODIALYSIS Significant Procedure Genitourinary system procedures 169 PERITONEAL DIALYSIS Significant Procedure Genitourinary system procedures 180 TESTICULAR AND EPIDIDYMAL PROCEDURES Significant Procedure Male procedures 181 CIRCUMCISION Significant Procedure procedures 182 INSERTION OF PENILE PROSTHESIS Significant Procedure Male Reproductive system procedures 183 LEVEL I PENILE AND PROSTATE PROCEDURES Significant Procedure Male Reproductive system procedures 184 LEVEL II PENILE AND PROSTATE PROCEDURES Significant Procedure Male Reproductive system procedures 185 PROSTATE NEEDLE AND PUNCH BIOPSY Significant Procedure Male Reproductive system procedures 190 ARTIFICIAL FERTILIZATION Significant Procedure Female Reproductive system procedures 191 LEVEL I FETAL PROCEDURES Significant Procedure Female Reproductive system procedures 192 LEVEL II FETAL PROCEDURES Significant Procedure Female Reproductive system procedures 193 TREATMENT OF INCOMPLETE ABORTION Significant Procedure Female Reproductive system procedures 194 THERAPEUTIC ABORTION Significant Procedure Female Reproductive system procedures 195 VAGINAL DELIVERY Significant Procedure Female Reproductive system procedures 196 LEVEL I FEMALE REPRODUCTIVE PROCEDURES Significant Procedure Female Reproductive system procedures 197 LEVEL II FEMALE REPRODUCTIVE PROCEDURES Significant Procedure Female Reproductive system procedures 198 LEVEL III FEMALE REPRODUCTIVE PROCEDURES Significant Procedure Female Reproductive system procedures 199 DILATION AND CURETTAGE Significant Procedure Female Reproductive system procedures 200 HYSTEROSCOPY Significant Procedure Female Reproductive system procedures 201 COLPOSCOPY Significant Procedure Female Reproductive system procedures 210 EXTENDED EEG STUDIES Significant Procedure Neurologic system procedures 211 ELECTROENCEPHALOGRAM Other Diagnostic Neurologic system procedures Procedure 212 ELECTROCONVULSIVE THERAPY Significant Procedure Neurologic system procedures 213 AND MUSCLE TESTS Other Diagnostic Neurologic system procedures Procedure 214 INJECTIONS, STIMULATIONS OR CRANIAL TAP Significant Procedure Neurologic system procedures 215 LEVEL I REVISION OR REMOVAL OF NEUROLOGICAL DEVICE Significant Procedure Neurologic system procedures 216 LEVEL II REVISION OR REMOVAL OF NEUROLOGICAL DEVICE Significant Procedure Neurologic system procedures 217 LEVEL I NERVE PROCEDURES Significant Procedure Neurologic system procedures 218 LEVEL II NERVE PROCEDURES Significant Procedure Neurologic system procedures 219 SPINAL TAP Significant Procedure Neurologic system procedures 220 INJECTION OF ANESTHETIC AND NEUROLYTIC AGENTS Significant Procedure Neurologic system procedures 221 LAMINOTOMY AND LAMINECTOMY Significant Procedure Neurologic system procedures 222 SLEEP STUDIES Other Diagnostic Neurologic system procedures Procedure 223 LEVEL III NERVE PROCEDURES Significant Procedure Neurologic system procedures 230 MINOR OPHTHALMOLOGICAL TESTS AND PROCEDURES Significant Procedure Ophthalmologic system procedures 231 FITTING OF CONTACT LENSES Significant Procedure Ophthalmologic system procedures 232 LASER EYE PROCEDURES Significant Procedure Ophthalmologic system procedures

Page 4 of 17 APG APG Description APG Type APG Category 233 CATARACT PROCEDURES Significant Procedure Ophthalmologic system procedures 234 LEVEL I ANTERIOR SEGMENT EYE PROCEDURES Significant Procedure Ophthalmologic system procedures 235 LEVEL II ANTERIOR SEGMENT EYE PROCEDURES Significant Procedure Ophthalmologic system procedures 236 LEVEL III ANTERIOR SEGMENT EYE PROCEDURES Significant Procedure Ophthalmologic system procedures 237 LEVEL I POSTERIOR SEGMENT EYE PROCEDURES Significant Procedure Ophthalmologic system procedures 238 LEVEL II POSTERIOR SEGMENT EYE PROCEDURES Significant Procedure Ophthalmologic system procedures 239 STRABISMUS AND MUSCLE EYE PROCEDURES Significant Procedure Ophthalmologic system procedures 240 LEVEL I REPAIR AND PLASTIC PROCEDURES OF EYE Significant Procedure Ophthalmologic system procedures 241 LEVEL II REPAIR AND PLASTIC PROCEDURES OF EYE Significant Procedure Ophthalmologic system procedures 250 COCHLEAR DEVICE IMPLANTATION Significant Procedure Otolaryngologic system procedures 251 OTORHINOLARYNGOLOGIC FUNCTION TESTS Other Diagnostic Otolaryngologic system procedures Procedure 252 LEVEL I FACIAL AND ENT PROCEDURES Significant Procedure Otolaryngologic system procedures 253 LEVEL II FACIAL AND ENT PROCEDURES Significant Procedure Otolaryngologic system procedures 254 LEVEL III FACIAL AND ENT PROCEDURES Significant Procedure Otolaryngologic system procedures 255 LEVEL IV FACIAL AND ENT PROCEDURES Significant Procedure Otolaryngologic system procedures 256 TONSIL AND ADENOID PROCEDURES Significant Procedure Otolaryngologic system procedures 257 AUDIOMETRY Other Diagnostic Otolaryngologic system procedures Procedure 270 OCCUPATIONAL THERAPY Physical Therapy & Rehabilitation Rehab 271 PHYSICAL THERAPY Physical Therapy & Rehabilitation Rehab 272 SPEECH THERAPY AND EVALUATION Physical Therapy & Rehabilitation Rehab 273 MANIPULATION THERAPY Physical Therapy & Rehabilitation Rehab 274 OCCUPATIONAL/PHYSICAL THERAPY, GROUP Physical Therapy & Rehabilitation Rehab 275 SPEECH THERAPY & EVALUATION, GROUP Physical Therapy & Rehabilitation Rehab 280 VASCULAR EXCEPT VENOGRAPHY OF EXTREMITY Radiologic Procedure Radiologic procedures 281 MAGNETIC RESONANCE ANGIOGRAPHY - HEAD AND/OR NECK Radiologic Procedure Radiologic procedures 282 MAGNETIC RESONANCE ANGIOGRAPHY - CHEST Radiologic Procedure Radiologic procedures 283 MAGNETIC RESONANCE ANGIOGRAPHY - OTHER SITES Radiologic Procedure Radiologic procedures 284 MYELOGRAPHY Radiologic Procedure Radiologic procedures 285 MISCELLANEOUS RADIOLOGICAL PROCEDURES WITH CONTRAST Radiologic Procedure Radiologic procedures 286 MAMMOGRAPHY Radiologic Procedure Radiologic procedures 287 DIGESTIVE RADIOLOGY Radiologic Procedure Radiologic procedures 288 DIAGNOSTIC ULTRASOUND EXCEPT OBSTETRICAL AND VASCULAR OF Radiologic Procedure Radiologic procedures LOWER EXTREMITIES 289 VASCULAR DIAGNOSTIC ULTRASOUND OF LOWER EXTREMITIES Radiologic Procedure Radiologic procedures

Page 5 of 17 APG APG Description APG Type APG Category 290 PET SCANS Radiologic Procedure Radiologic procedures 291 BONE DENSITOMETRY Radiologic Procedure Radiologic procedures 292 MRI- ABDOMEN Radiologic Procedure Radiologic procedures 293 MRI- Radiologic Procedure Radiologic procedures 294 MRI- BACK Radiologic Procedure Radiologic procedures 295 MRI- CHEST Radiologic Procedure Radiologic procedures 296 MRI- OTHER Radiologic Procedure Radiologic procedures 297 MRI- BRAIN Radiologic Procedure Radiologic procedures 298 CAT SCAN BACK Radiologic Procedure Radiologic procedures 299 CAT SCAN - BRAIN Radiologic Procedure Radiologic procedures 300 CAT SCAN - ABDOMEN Radiologic Procedure Radiologic procedures 301 CAT SCAN - OTHER Radiologic Procedure Radiologic procedures 302 ANGIOGRAPHY, OTHER Radiologic Procedure Radiologic procedures 303 ANGIOGRAPHY, CEREBRAL Radiologic Procedure Radiologic procedures 310 DEVELOPMENTAL & NEUROPSYCHOLOGICAL TESTING Mental Health & Mental illness and substance abuse therapies Counseling 311 FULL DAY PARTIAL HOSPITALIZATION FOR SUBSTANCE ABUSE Per Diem Mental illness and substance abuse therapies 312 FULL DAY PARTIAL HOSPITALIZATION FOR MENTAL ILLNESS Per Diem Mental illness and substance abuse therapies 313 HALF DAY PARTIAL HOSPITALIZATION FOR SUBSTANCE ABUSE Per Diem Mental illness and substance abuse therapies 314 HALF DAY PARTIAL HOSPITALIZATION FOR MENTAL ILLNESS Per Diem Mental illness and substance abuse therapies 315 COUNSELLING OR INDIVIDUAL BRIEF PSYCHOTHERAPY Mental Health & Mental illness and substance abuse therapies Counseling 316 INDIVIDUAL COMPREHENSIVE PSYCHOTHERAPY Mental Health & Mental illness and substance abuse therapies Counseling 317 FAMILY PSYCHOTHERAPY Mental Health & Mental illness and substance abuse therapies Counseling 318 GROUP PSYCHOTHERAPY Mental Health & Mental illness and substance abuse therapies Counseling 319 ACTIVITY THERAPY Mental Health & Mental illness and substance abuse therapies Counseling 320 CASE MANAGEMENT & TREATMENT PLAN DEVELOPMENT - MENTAL HEALTH Mental Health & Mental illness and substance abuse therapies OR SUBSTANCE ABUSE Counseling 321 CRISIS INTERVENTION Mental Health & Mental illness and substance abuse therapies Counseling 322 ADMINISTRATION & OBSERVATION Mental Health & Mental illness and substance abuse therapies Counseling 323 MENTAL HYGIENE ASSESSMENT Mental Health & Mental illness and substance abuse therapies Counseling 324 MENTAL HEALTH SCREENING & BRIEF ASSESSMENT Mental Health & Mental illness and substance abuse therapies Counseling 327 INTENSIVE OUTPATIENT PSYCHIATRIC TREATMENT Mental Health & Mental illness and substance abuse therapies Counseling

Page 6 of 17 APG APG Description APG Type APG Category 328 DAY REHABILITATION, HALF DAY Mental Health & Mental illness and substance abuse therapies Counseling 329 DAY REHABILITATION, FULL DAY Mental Health & Mental illness and substance abuse therapies Counseling 330 LEVEL I DIAGNOSTIC NUCLEAR MEDICINE Radiologic Procedure Nuclear Medicine 331 LEVEL II DIAGNOSTIC NUCLEAR MEDICINE Radiologic Procedure Nuclear Medicine 332 LEVEL III DIAGNOSTIC NUCLEAR MEDICINE Radiologic Procedure Nuclear Medicine 340 THERAPEUTIC NUCLEAR MEDICINE Significant Procedure Nuclear Medicine 341 RADIATION THERAPY AND HYPERTHERMIA Significant Procedure Radiation Oncology 342 LEVEL I AFTERLOADING BRACHYTHERAPY Significant Procedure Radiation Oncology 343 RADIATION TREATMENT DELIVERY Significant Procedure Radiation Oncology 344 INSTILLATION OF RADIOELEMENT Significant Procedure Radiation Oncology 345 HYPERTHERMIC THERAPIES Significant Procedure Radiation Oncology 346 RADIOSURGERY Significant Procedure Radiation Oncology 347 HIGH ENERGY NEUTRON RADIATION TREATMENT DELIVERY Significant Procedure Radiation Oncology 348 PROTON TREATMENT DELIVERY Significant Procedure Radiation Oncology 349 LEVEL II AFTERLOADING BRACHYTHERAPY Significant Procedure Radiation Oncology 350 LEVEL I ADJUNCTIVE GENERAL DENTAL SERVICES Dental Procedure Dental procedures 351 LEVEL II ADJUNCTIVE GENERAL DENTAL SERVICES Dental Procedure Dental procedures 352 PERIODONTICS Dental Procedure Dental procedures 353 LEVEL I PROSTHODONTICS, FIXED Dental Procedure Dental procedures 354 LEVEL II PROSTHODONTICS, FIXED Dental Procedure Dental procedures 355 LEVEL III PROSTHODONTICS, FIXED Dental Procedure Dental procedures 356 LEVEL I PROSTHODONTICS, REMOVABLE Dental Procedure Dental procedures 357 LEVEL II PROSTHODONTICS, REMOVABLE Dental Procedure Dental procedures 358 LEVEL III PROSTHODONTICS, REMOVABLE Dental Procedure Dental procedures 359 LEVEL I MAXILLOFACIAL PROSTHETICS Dental Procedure Dental procedures 360 LEVEL II MAXILLOFACIAL PROSTHETICS Dental Procedure Dental procedures 361 LEVEL I DENTAL RESTORATIONS Dental Procedure Dental procedures 362 LEVEL II DENTAL RESTORATIONS Dental Procedure Dental procedures 363 LEVEL III DENTAL RESTORATION Dental Procedure Dental procedures 364 LEVEL I ENDODONTICS Dental Procedure Dental procedures 365 LEVEL II ENDODONTICS Dental Procedure Dental procedures 366 LEVEL III ENDODONTICS Dental Procedure Dental procedures 367 LEVEL I ORAL AND MAXILLOFACIAL SURGERY Dental Procedure Dental procedures 368 LEVEL II ORAL AND MAXILLOFACIAL SURGERY Dental Procedure Dental procedures 369 LEVEL III ORAL AND MAXILLOFACIAL SURGERY Dental Procedure Dental procedures 370 LEVEL IV ORAL AND MAXILLOFACIAL SURGERY Dental Procedure Dental procedures 371 ORTHODONTICS Dental Procedure Dental procedures 372 SEALANT Dental Procedure Dental procedures 373 LEVEL I DENTAL FILM Ancillary Dental procedures 374 LEVEL II DENTAL FILM Ancillary Dental procedures

Page 7 of 17 APG APG Description APG Type APG Category 375 DENTAL ANESTHESIA Ancillary Dental procedures 376 DIAGNOSTIC DENTAL PROCEDURES Ancillary Dental procedures 377 PREVENTIVE DENTAL PROCEDURES Ancillary Dental procedures 380 ANESTHESIA Ancillary Anesthesia 390 LEVEL I Ancillary Pathology 391 LEVEL II PATHOLOGY Ancillary Pathology 392 PAP SMEARS Ancillary Pathology 393 BLOOD AND TISSUE TYPING Ancillary Laboratory 394 LEVEL I IMMUNOLOGY TESTS Ancillary Laboratory 395 LEVEL II IMMUNOLOGY TESTS Ancillary Laboratory 396 LEVEL I MICROBIOLOGY TESTS Ancillary Laboratory 397 LEVEL II MICROBIOLOGY TESTS Ancillary Laboratory 398 LEVEL I ENDOCRINOLOGY TESTS Ancillary Laboratory 399 LEVEL II ENDOCRINOLOGY TESTS Ancillary Laboratory 400 LEVEL I CHEMISTRY TESTS Ancillary Laboratory 401 LEVEL II CHEMISTRY TESTS Ancillary Laboratory 402 BASIC CHEMISTRY TESTS Ancillary Laboratory 403 OR ORIENTED PANELS Ancillary Laboratory 404 TOXICOLOGY TESTS Ancillary Laboratory 405 THERAPEUTIC DRUG MONITORING Ancillary Laboratory 406 LEVEL I CLOTTING TESTS Ancillary Laboratory 407 LEVEL II CLOTTING TESTS Ancillary Laboratory 408 LEVEL I HEMATOLOGY TESTS Ancillary Laboratory 409 LEVEL II HEMATOLOGY TESTS Ancillary Laboratory 410 URINALYSIS Ancillary Laboratory 411 BLOOD AND URINE DIPSTICK TESTS Ancillary Laboratory 412 SIMPLE PULMONARY FUNCTION TESTS Ancillary Laboratory 413 CARDIOGRAM Ancillary Other ancillary tests and procedures 414 LEVEL I IMMUNIZATION AND ALLERGY IMMUNOTHERAPY Ancillary Other ancillary tests and procedures 415 LEVEL II IMMUNIZATION Ancillary Other ancillary tests and procedures 416 LEVEL III IMMUNIZATION Ancillary Other ancillary tests and procedures 417 MINOR REPRODUCTIVE PROCEDURES Ancillary Other ancillary tests and procedures 418 MINOR CARDIAC AND VASCULAR TESTS Ancillary Other ancillary tests and procedures 419 MINOR OPHTHALMOLOGICAL INJECTION, SCRAPING AND TESTS Ancillary Other ancillary tests and procedures 420 PACEMAKER AND OTHER ELECTRONIC ANALYSIS Ancillary Other ancillary tests and procedures 421 TUBE CHANGE Ancillary Other ancillary tests and procedures 422 PROVISION OF VISION AIDS Ancillary Other ancillary tests and procedures 423 INTRODUCTION OF NEEDLE AND CATHETER Ancillary Other ancillary tests and procedures 424 DRESSINGS AND OTHER MINOR PROCEDURES Ancillary Other ancillary tests and procedures 425 OTHER MISCELLANEOUS ANCILLARY PROCEDURES Ancillary Other ancillary tests and procedures 426 PSYCHOTROPIC MEDICATION MANAGEMENT Ancillary Other ancillary tests and procedures 427 BIOFEEDBACK AND OTHER TRAINING Ancillary Other ancillary tests and procedures

Page 8 of 17 APG APG Description APG Type APG Category 428 PATIENT EDUCATION, INDIVIDUAL Ancillary Other ancillary tests and procedures 429 PATIENT EDUCATION, GROUP Ancillary Other ancillary tests and procedures 430 CLASS I CHEMOTHERAPY DRUGS Drug Chemotherapy and other drugs 431 CLASS II CHEMOTHERAPY DRUGS Drug Chemotherapy and other drugs 432 CLASS III CHEMOTHERAPY DRUGS Drug Chemotherapy and other drugs 433 CLASS IV CHEMOTHERAPY DRUGS Drug Chemotherapy and other drugs 434 CLASS V CHEMOTHERAPY DRUGS Drug Chemotherapy and other drugs 435 CLASS I PHARMACOTHERAPY Drug Chemotherapy and other drugs 436 CLASS II PHARMACOTHERAPY Drug Chemotherapy and other drugs 437 CLASS III PHARMACOTHERAPY Drug Chemotherapy and other drugs 438 CLASS IV PHARMACOTHERAPY Drug Chemotherapy and other drugs 439 CLASS V PHARMACOTHERAPY Drug Chemotherapy and other drugs 440 CLASS VI PHARMACOTHERAPY Drug Chemotherapy and other drugs 441 CLASS VI CHEMOTHERAPY DRUGS Drug Chemotherapy and other drugs 443 CLASS VII CHEMOTHERAPY DRUGS Drug Chemotherapy and other drugs 444 CLASS VII PHARMACOTHERAPY Drug Chemotherapy and other drugs 448 EXPANDED HOURS ACCESS Ancillary Other ancillary tests and procedures 449 ADDITIONAL UNDIFFERENTIATED MEDICAL VISITS/SERVICES Ancillary Other ancillary tests and procedures 450 OBSERVATION Ancillary Other ancillary tests and procedures 451 CESSATION TREATMENT Ancillary Other ancillary tests and procedures 452 DIABETES SUPPLIES DME Other ancillary tests and procedures 453 MOTORIZED WHEELCHAIR DME Other ancillary tests and procedures 454 TPN FORMULAE DME Other ancillary tests and procedures 455 IMPLANTED TISSUE OF ANY TYPE DME Other ancillary tests and procedures 456 MOTORIZED WHEELCHAIR ACCESSORIES DME Other ancillary tests and procedures 457 VENIPUNCTURE Ancillary Other ancillary tests and procedures 460 CLASS VIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY Drug Chemotherapy and other drugs 461 CLASS IX COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY Drug Chemotherapy and other drugs 462 CLASS X COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY Drug Chemotherapy and other drugs 463 CLASS XI COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY Drug Chemotherapy and other drugs 464 CLASS XII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY Drug Chemotherapy and other drugs 465 CLASS XIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY Drug Chemotherapy and other drugs 470 OBSTETRICAL ULTRASOUND Ancillary Radiology 471 PLAIN FILM Ancillary Radiology 472 ULTRASOUND GUIDANCE Ancillary Radiology 473 CT GUIDANCE Ancillary Radiology 474 RADIOLOGICAL GUIDANCE FOR THERAPEUTIC OR DIAGNOSTIC Ancillary Radiology PROCEDURES 475 MRI GUIDANCE Ancillary Radiology 476 LEVEL I THERAPEUTIC RADIATION TREATMENT PREPARATION Ancillary Radiology 477 LEVEL II THERAPEUTIC RADIATION TREATMENT PREPARATION Ancillary Radiology 478 MEDICAL RADIATION PHYSICS Ancillary Radiology

Page 9 of 17 APG APG Description APG Type APG Category 479 TREATMENT DEVICE DESIGN AND CONSTRUCTION Ancillary Radiology 480 TELETHERAPY/BRACHYTHERAPY CALCULATION Ancillary Radiology 481 THERAPEUTIC RADIOLOGY SIMULATION FIELD SETTING Ancillary Radiology 482 RADIOELEMENT APPLICATION Ancillary Radiology 483 RADIATION THERAPY MANAGEMENT Ancillary Radiology 484 THERAPEUTIC RADIOLOGY TREATMENT PLANNING Ancillary Radiology 490 INCIDENTAL TO MEDICAL, SIGNIFICANT PROCEDURE OR THERAPY VISIT Incidental Incidental procedures and services 491 MEDICAL VISIT INDICATOR Incidental Incidental procedures and services 492 ENCOUNTER/REFERRAL FOR OBSERVATION INDICATOR Incidental Incidental procedures and services 500 ENCOUNTER/REFERRAL FOR OBSERVATION - OBSTETRICAL Medical Visit Observation 501 ENCOUNTER/REFERRAL FOR OBSERVATION - OTHER DIAGNOSES Medical Visit Observation 502 ENCOUNTER/REFERRAL FOR OBSERVATION - BEHAVIORAL HEALTH Medical Visit Observation 510 MAJOR SIGNS, SYMPTOMS AND FINDINGS Medical Visit Major signs, symptoms and findings 520 SPINAL DISORDERS & INJURIES Medical Visit and disorders of the nervous system 521 NERVOUS SYSTEM MALIGNANCY Medical Visit Diseases and disorders of the nervous system 522 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS Medical Visit Diseases and disorders of the nervous system 523 MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES Medical Visit Diseases and disorders of the nervous system 524 LEVEL I CNS DISORDERS Medical Visit Diseases and disorders of the nervous system 525 LEVEL II CNS DISORDERS Medical Visit Diseases and disorders of the nervous system 526 TRANSIENT ISCHEMIA Medical Visit Diseases and disorders of the nervous system 527 PERIPHERAL NERVE DISORDERS Medical Visit Diseases and disorders of the nervous system 528 NONTRAUMATIC STUPOR & COMA Medical Visit Diseases and disorders of the nervous system 529 SEIZURE Medical Visit Diseases and disorders of the nervous system 530 HEADACHES OTHER THAN MIGRAINE Medical Visit Diseases and disorders of the nervous system 531 MIGRAINE Medical Visit Diseases and disorders of the nervous system 532 HEAD TRAUMA Medical Visit Diseases and disorders of the nervous system 533 AFTEREFFECTS OF CEREBROVASCULAR ACCIDENT Medical Visit Diseases and disorders of the nervous system 534 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARC Medical Visit Diseases and disorders of the nervous system 535 CVA & PRECEREBRAL OCCLUSION W INFARCT Medical Visit Diseases and disorders of the nervous system 536 CEREBRAL PALSY Medical Visit Diseases and disorders of the nervous system 550 ACUTE MAJOR EYE INFECTIONS Medical Visit Diseases and disorders of the eye 551 CATARACTS Medical Visit Diseases and disorders of the eye 552 GLAUCOMA Medical Visit Diseases and disorders of the eye 553 LEVEL I OPHTHALMIC DIAGNOSES Medical Visit Diseases and disorders of the eye 554 LEVEL II OPHTHALMIC DIAGNOSES Medical Visit Diseases and disorders of the eye 555 CONJUNCTIVITIS Medical Visit Diseases and disorders of the eye 560 , NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES Medical Visit Ear, nose, mouth, throat and craniofacial diseases and disorders 561 VERTIGINOUS DISORDERS EXCEPT FOR BENIGN VERTIGO Medical Visit Ear, nose, mouth, throat and craniofacial diseases and disorders 562 INFECTIONS OF UPPER Medical Visit Ear, nose, mouth, throat and craniofacial diseases and disorders

Page 10 of 17 APG APG Description APG Type APG Category 563 DENTAL & ORAL DISEASES & INJURIES Medical Visit Ear, nose, mouth, throat and craniofacial diseases and disorders 564 LEVEL I OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES Medical Visit Ear, nose, mouth, throat and craniofacial diseases and disorders 565 LEVEL II OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES Medical Visit Ear, nose, mouth, throat and craniofacial diseases and disorders 570 CYSTIC FIBROSIS - PULMONARY DISEASE Medical Visit Diseases and disorders of the

571 RESPIRATORY MALIGNANCY Medical Visit Diseases and disorders of the respiratory system

572 BRONCHIOLITIS & RSV PNEUMONIA Medical Visit Diseases and disorders of the respiratory system

573 COMMUNITY ACQUIRED PNUEMONIA Medical Visit Diseases and disorders of the respiratory system

574 CHRONIC OBSTRUCTIVE PULMONARY DISEASE Medical Visit Diseases and disorders of the respiratory system

575 ASTHMA Medical Visit Diseases and disorders of the respiratory system

576 LEVEL I OTHER RESPIRATORY DIAGNOSES Medical Visit Diseases and disorders of the respiratory system

577 LEVEL II OTHER RESPIRATORY DIAGNOSES Medical Visit Diseases and disorders of the respiratory system

578 PNEUMONIA EXCEPT FOR COMMUNITY ACQUIRED PNEUMONIA Medical Visit Diseases and disorders of the respiratory system

579 STATUS ASTHMATICUS Medical Visit Diseases and disorders of the respiratory system

591 ACUTE MYOCARDIAL INFARCTION Medical Visit Diseases and disorders of the

592 LEVEL I CARDIOVASCULAR DIAGNOSES Medical Visit Diseases and disorders of the circulatory system

593 LEVEL II CARDIOVASCULAR DIAGNOSES Medical Visit Diseases and disorders of the circulatory system

594 FAILURE Medical Visit Diseases and disorders of the circulatory system

595 CARDIAC ARREST Medical Visit Diseases and disorders of the circulatory system

596 PERIPHERAL & OTHER VASCULAR DISORDERS Medical Visit Diseases and disorders of the circulatory system

597 PHLEBITIS Medical Visit Diseases and disorders of the circulatory system

598 ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS Medical Visit Diseases and disorders of the circulatory system

Page 11 of 17 APG APG Description APG Type APG Category 599 HYPERTENSION Medical Visit Diseases and disorders of the circulatory system

600 CARDIAC STRUCTURAL & VALVULAR DISORDERS Medical Visit Diseases and disorders of the circulatory system

601 LEVEL I CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS Medical Visit Diseases and disorders of the circulatory system

602 ATRIAL FIBRILLATION Medical Visit Diseases and disorders of the circulatory system

603 LEVEL II CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS Medical Visit Diseases and disorders of the circulatory system

604 CHEST PAIN Medical Visit Diseases and disorders of the circulatory system

605 SYNCOPE & COLLAPSE Medical Visit Diseases and disorders of the circulatory system

620 DIGESTIVE MALIGNANCY Medical Visit Diseases and disorders of the digestive system 621 PEPTIC ULCER & GASTRITIS Medical Visit Diseases and disorders of the digestive system 623 ESOPHAGITIS Medical Visit Diseases and disorders of the digestive system 624 LEVEL I GASTROINTESTINAL DIAGNOSES Medical Visit Diseases and disorders of the digestive system 625 LEVEL II GASTROINTESTINAL DIAGNOSES Medical Visit Diseases and disorders of the digestive system 626 INFLAMMATORY BOWEL DISEASE Medical Visit Diseases and disorders of the digestive system 627 NON-BACTERIAL , NAUSEA & VOMITING Medical Visit Diseases and disorders of the digestive system 628 Medical Visit Diseases and disorders of the digestive system 629 MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE Medical Visit Diseases and disorders of the digestive system

630 CONSTIPATION Medical Visit Diseases and disorders of the digestive system 631 HERNIA Medical Visit Diseases and disorders of the digestive system 632 Medical Visit Diseases and disorders of the digestive system 633 ALCOHOLIC DISEASE Medical Visit Diseases and disorders of the hepatobiliary system and 634 MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS Medical Visit Diseases and disorders of the hepatobiliary system and pancreas 635 DISORDERS OF PANCREAS EXCEPT MALIGNANCY Medical Visit Diseases and disorders of the hepatobiliary system and pancreas 636 HEPATITIS WITHOUT COMA Medical Visit Diseases and disorders of the hepatobiliary system and pancreas 637 DISORDERS OF GALLBLADDER & Medical Visit Diseases and disorders of the hepatobiliary system and pancreas 638 CHOLECYSTITIS Medical Visit Diseases and disorders of the hepatobiliary system and pancreas 639 LEVEL I HEPATOBILIARY DIAGNOSES Medical Visit Diseases and disorders of the hepatobiliary system and pancreas

Page 12 of 17 APG APG Description APG Type APG Category 640 LEVEL II HEPATOBILIARY DIAGNOSES Medical Visit Diseases and disorders of the hepatobiliary system and pancreas 650 FRACTURE OF Medical Visit Diseases and disorders of the musculoskeletal system and connective tissue 651 FRACTURE OF OR DISLOCATION OF HIP Medical Visit Diseases and disorders of the musculoskeletal system and connective tissue 652 FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK Medical Visit Diseases and disorders of the musculoskeletal system and connective tissue 653 MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL Medical Visit Diseases and disorders of the musculoskeletal MALIG system and connective tissue 654 OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL Medical Visit Diseases and disorders of the musculoskeletal INFECTIONS system and connective tissue 655 CONNECTIVE TISSUE DISORDERS Medical Visit Diseases and disorders of the musculoskeletal system and connective tissue 656 BACK & NECK DISORDERS EXCEPT LUMBAR DISC DISEASE Medical Visit Diseases and disorders of the musculoskeletal system and connective tissue 657 LUMBAR DISC DISEASE Medical Visit Diseases and disorders of the musculoskeletal system and connective tissue 658 LUMBAR DISC DISEASE WITH SCIATICA Medical Visit Diseases and disorders of the musculoskeletal system and connective tissue 659 MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR Medical Visit Diseases and disorders of the musculoskeletal PROCEDURE system and connective tissue 660 LEVEL I OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE Medical Visit Diseases and disorders of the musculoskeletal DIAGNOSES system and connective tissue 661 LEVEL II OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE Medical Visit Diseases and disorders of the musculoskeletal DIAGNOSES system and connective tissue 662 OSTEOPOROSIS Medical Visit Diseases and disorders of the musculoskeletal system and connective tissue 663 PAIN Medical Visit Diseases and disorders of the musculoskeletal system and connective tissue 670 SKIN ULCERS Medical Visit Diseases and disorders of the skin, and breast 671 MAJOR SKIN DISORDERS Medical Visit Diseases and disorders of the skin, subcutaneous tissue and breast 672 MALIGNANT BREAST DISORDERS Medical Visit Diseases and disorders of the skin, subcutaneous tissue and breast 673 CELLULITIS & OTHER BACTERIAL SKIN INFECTIONS Medical Visit Diseases and disorders of the skin, subcutaneous tissue and breast 674 CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS Medical Visit Diseases and disorders of the skin, subcutaneous TISSUE tissue and breast 675 OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS Medical Visit Diseases and disorders of the skin, subcutaneous tissue and breast

Page 13 of 17 APG APG Description APG Type APG Category 676 DECUBITUS ULCER Medical Visit Diseases and disorders of the skin, subcutaneous tissue and breast 690 MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS Medical Visit Endocrine, nutritional and metabolic diseases and disorders 691 INBORN ERRORS OF METABOLISM Medical Visit Endocrine, nutritional and metabolic diseases and disorders 692 LEVEL I ENDOCRINE DISORDERS Medical Visit Endocrine, nutritional and metabolic diseases and disorders 693 LEVEL II ENDOCRINE DISORDERS Medical Visit Endocrine, nutritional and metabolic diseases and disorders 694 ELECTROLYTE DISORDERS Medical Visit Endocrine, nutritional and metabolic diseases and disorders 695 OBESITY Medical Visit Endocrine, nutritional and metabolic diseases and disorders 710 DIABETES WITH OPHTHALMIC MANIFESTATIONS Medical Visit Diabetes Mellitus 711 DIABETES WITH CIRCULATORY DIAGNOSES Medical Visit Diabetes Mellitus 712 DIABETES WITH NEUROLOGIC MANIFESTATIONS Medical Visit Diabetes Mellitus 713 DIABETES WITHOUT COMPLICATIONS Medical Visit Diabetes Mellitus 714 DIABETES WITH RENAL MANIFESTATIONS Medical Visit Diabetes Mellitus 720 RENAL FAILURE Medical Visit Diseases and disorders of the kidney and urinary tract 721 KIDNEY & URINARY TRACT MALIGNANCY Medical Visit Diseases and disorders of the kidney and urinary tract 722 NEPHRITIS & NEPHROSIS Medical Visit Diseases and disorders of the kidney and urinary tract 723 KIDNEY AND CHRONIC URINARY TRACT INFECTIONS Medical Visit Diseases and disorders of the kidney and urinary tract 724 URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION Medical Visit Diseases and disorders of the kidney and urinary tract 725 MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC Medical Visit Diseases and disorders of the kidney and urinary tract 726 OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS Medical Visit Diseases and disorders of the kidney and urinary tract 727 ACUTE LOWER URINARY TRACT INFECTIONS Medical Visit Diseases and disorders of the kidney and urinary tract 740 MALIGNANCY, MALE REPRODUCTIVE SYSTEM Medical Visit Diseases and disorders of the male reproductive system 741 MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Medical Visit Diseases and disorders of the male reproductive system 742 OF THE MALE REPRODUCTIVE SYSTEM Medical Visit Diseases and disorders of the male reproductive system

Page 14 of 17 APG APG Description APG Type APG Category 743 PROSTATITIS Medical Visit Diseases and disorders of the male reproductive system 744 MALE REPRODUCTIVE INFECTIONS Medical Visit Diseases and disorders of the male reproductive system 750 FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Medical Visit Diseases and disorders of the female reproductive system 751 FEMALE REPRODUCTIVE SYSTEM INFECTIONS Medical Visit Diseases and disorders of the female reproductive system 752 LEVEL I MENSTRUAL AND OTHER FEMALE DIAGNOSES Medical Visit Diseases and disorders of the female reproductive system 753 LEVEL II MENSTRUAL AND OTHER FEMALE DIAGNOSES Medical Visit Diseases and disorders of the female reproductive system 760 VAGINAL DELIVERY Medical Visit Pregnancy, childbirth and the puerperium 761 POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE Medical Visit Pregnancy, childbirth and the puerperium 762 THREATENED ABORTION Medical Visit Pregnancy, childbirth and the puerperium 763 ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Medical Visit Pregnancy, childbirth and the puerperium 764 FALSE LABOR Medical Visit Pregnancy, childbirth and the puerperium 765 OTHER ANTEPARTUM DIAGNOSES Medical Visit Pregnancy, childbirth and the puerperium 766 ROUTINE PRENATAL CARE Medical Visit Pregnancy, childbirth and the puerperium 770 NORMAL NEONATE Medical Visit Neonates 771 LEVEL I NEONATAL DIAGNOSES Medical Visit Neonates 772 LEVEL II NEONATAL DIAGNOSES Medical Visit Neonates 780 OTHER HEMATOLOGICAL DISORDERS Medical Visit Diseases and disorders of blood, blood forming organs and immunologic disorders 781 COAGULATION & PLATELET DISORDERS Medical Visit Diseases and disorders of blood, blood forming organs and immunologic disorders 782 CONGENITAL FACTOR DEFICIENCIES Medical Visit Diseases and disorders of blood, blood forming organs and immunologic disorders 783 SICKLE CELL ANEMIA CRISIS Medical Visit Diseases and disorders of blood, blood forming organs and immunologic disorders 784 SICKLE CELL ANEMIA Medical Visit Diseases and disorders of blood, blood forming organs and immunologic disorders 785 ANEMIA EXCEPT FOR IRON DEFICIENCY ANEMIA AND SICKLE CELL ANEMIA Medical Visit Diseases and disorders of blood, blood forming organs and immunologic disorders 786 IRON DEFICIENCY ANEMIA Medical Visit Diseases and disorders of blood, blood forming organs and immunologic disorders 800 ACUTE LEUKEMIA Medical Visit Lymphatic, hematopoietic, other malignancies, chemotherapy and radiotherapy 801 LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA Medical Visit Lymphatic, hematopoietic, other malignancies, chemotherapy and radiotherapy 802 RADIOTHERAPY Medical Visit Lymphatic, hematopoietic, other malignancies, chemotherapy and radiotherapy

Page 15 of 17 APG APG Description APG Type APG Category 803 CHEMOTHERAPY Medical Visit Lymphatic, hematopoietic, other malignancies, chemotherapy and radiotherapy 804 LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN Medical Visit Lymphatic, hematopoietic, other malignancies, BEHAVIOR chemotherapy and radiotherapy 805 SEPTICEMIA & DISSEMINATED INFECTIONS Medical Visit Infectious and parasitic diseases, systemic or unspecified sites 806 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Medical Visit Infectious and parasitic diseases, systemic or unspecified sites 807 FEVER Medical Visit Infectious and parasitic diseases, systemic or unspecified sites 808 VIRAL ILLNESS Medical Visit Infectious and parasitic diseases, systemic or unspecified sites 809 OTHER INFECTIOUS & PARASITIC DISEASES Medical Visit Infectious and parasitic diseases, systemic or unspecified sites 810 H. PYLORI INFECTION Medical Visit Infectious and parasitic diseases, systemic or unspecified sites 820 SCHIZOPHRENIA Medical Visit Mental diseases and disorders 821 MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES Medical Visit Mental diseases and disorders 822 DISORDERS OF PERSONALITY & IMPULSE CONTROL Medical Visit Mental diseases and disorders 823 BIPOLAR DISORDERS Medical Visit Mental diseases and disorders 824 DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER Medical Visit Mental diseases and disorders 825 ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES Medical Visit Mental diseases and disorders

826 ACUTE ANXIETY & DELIRIUM STATES Medical Visit Mental diseases and disorders 827 ORGANIC MENTAL HEALTH DISTURBANCES Medical Visit Mental diseases and disorders 828 MENTAL RETARDATION Medical Visit Mental diseases and disorders 829 CHILDHOOD BEHAVIORAL DISORDERS Medical Visit Mental diseases and disorders 830 EATING DISORDERS Medical Visit Mental diseases and disorders 831 OTHER MENTAL HEALTH DISORDERS Medical Visit Mental diseases and disorders 840 OPIOID ABUSE & DEPENDENCE Medical Visit Alcohol/drug use and alcohol/drug induced organic mental disorders 841 COCAINE ABUSE & DEPENDENCE Medical Visit Alcohol/drug use and alcohol/drug induced organic mental disorders 842 ALCOHOL ABUSE & DEPENDENCE Medical Visit Alcohol/drug use and alcohol/drug induced organic mental disorders 843 OTHER DRUG ABUSE & DEPENDENCE Medical Visit Alcohol/drug use and alcohol/drug induced organic mental disorders 850 ALLERGIC REACTIONS Medical Visit Poisonings, toxic effects, other injuries and other complications of treatment 851 POISONING OF MEDICINAL AGENTS Medical Visit Poisonings, toxic effects, other injuries and other complications of treatment

Page 16 of 17 APG APG Description APG Type APG Category 852 OTHER COMPLICATIONS OF TREATMENT Medical Visit Poisonings, toxic effects, other injuries and other complications of treatment 853 OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES Medical Visit Poisonings, toxic effects, other injuries and other complications of treatment 854 TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Medical Visit Poisonings, toxic effects, other injuries and other complications of treatment 860 EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT Medical Visit Burns 861 PARTIAL THICKNESS BURNS W OR W/O SKIN GRAFT Medical Visit Burns 870 REHABILITATION Medical Visit Rehabilitation, aftercare, other factors influencing health status and other health services

871 SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS Medical Visit Rehabilitation, aftercare, other factors influencing health status and other health services

872 OTHER AFTERCARE & CONVALESCENCE Medical Visit Rehabilitation, aftercare, other factors influencing health status and other health services

873 NEONATAL AFTERCARE Medical Visit Rehabilitation, aftercare, other factors influencing health status and other health services

874 JOINT REPLACEMENT Medical Visit Rehabilitation, aftercare, other factors influencing health status and other health services

880 HIV INFECTION Medical Visit Human immunodeficiency virus infections 881 AIDS Medical Visit Human immunodeficiency virus infections 993 INPATIENT ONLY PROCEDURES Unassigned No APG assigned 994 USER CUSTOMIZABLE INPATIENT PROCEDURES Unassigned No APG assigned 999 UNASSIGNED Unassigned No APG assigned

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