Last Updated: Saturday, March 16, 1996APG 1.0 Types and Titles
APG 1.0 Weights, including Iowa Medicaid
Legend:Type S is Significant Procedure
Type C is Ancillary
Type M is Medical Visit
APG TYPE Title === === ============================================== 1 S Photochemotherapy 2 S Superficial Needle Biopsy or Aspirations 3 S Simple Incision and Drainage 4 S Complex Incision and Drainage 5 S Debridement of Nails 6 S Simple Debridements and Destructions 7 S Simple Excisions and Biopsies 8 S Complex Excisions, Biopsies and Debridements 9 S Lipectomy and Excisions with Reconstructions 10 S Simple Skin Repairs 11 S Complex Skin Repairs 12 S Skin and Integument Grafts, Transfers and Rearrangements 27 S Simple Incisions and Excisions of Breast 28 S Breast Reconstructions and Mastectomies 53 S Occupational Therapy 54 S Physical Therapy 55 S Diagnostic Arthroscopies 56 S Therapeutic Arthroscopies 57 S Replacement of Casts 58 S Splints, Strapping and Cast Removals 59 S Simple Closed Fractures and Dislocations of Fingers, Toes and Ribs 60 S Closed Fractures and Dislocations Except Fingers, Toes, and Ribs 62 S Open Fractures and Dislocations Except Face 63 S Joint Manipulation Under Anesthesia 64 S Simple Maxillofacial Procedures 65 S Complex Maxillofacial Procedures 66 S Incisions of Bones, Joints and Tendons 67 S Bunion Procedures 68 S Excisions of Bones, Joints and Tendons of the hand and foot 69 S Excisions Except Arthrotomies of Bones, Joints and Tendons Except Hand and Foot 70 S Arthroplasty 71 S Hand and Foot Tenotomy 72 S Simple Hand and Foot Repairs Except Tenotomy 73 S Complex Hand and Foot Repairs 74 S Repairs of Bones Joints and Tendons Except Hand and Foot 75 S Arthrotomy Except Hand and Foot 76 S Arthrocentesis and Ligament or Tendon Injection 77 S Speech Therapy 79 S Pulmonary Tests and Therapies Except Spirometry 80 S Needle or Catheter Biopsies, Aspirations, Lavage and Intubation 81 S Simple Endoscopy of the Upper Airway 82 S Complex Endoscopy of the Upper Airway 83 S Simple Endoscopy of the Lower Airway 84 S Complex Endoscopy of the Lower Airway 85 S Nasal Cauterizations and Packings 86 S Simple Lib, Mouth and Salivary Gland Procedures 87 S Complex Lip, Mouth and Salivary Gland Procedures 88 S Miscellaneous Sinus, Tracheal and Lung Procedures 105 S Exercise Tolerance Tests 106 S Echocardiography 107 S Phonocardiograms 108 S Cardiac Electrophysiologic Tests 109 S Vascular Cannulation with Needle or Catheter 110 S Diagnostic Cardiac Catheterization 111 S Angioplasty and Transcatheter Procedures 112 S Pacemaker Insertion and Replacement 113 S Removal and Revisions of Pacemaker and Vascular Devices 114 S Minor Vascular Repair and Fistula Construction 115 S Secondary Varicose Veins and Vascular Injection 116 S Vascular Ligation 117 S CPR and Intubation 131 S Chemotherapy by Infusion 132 S Chemotherapy Except by Infusion 133 S Transfusions and Phlebotomies 134 S Blood and Blood Product Exchanges 135 S Deep Lymph Structure and Thyroid Procedures 136 S Allergy Tests and Immunotherapy 157 S Alimentary Tests and Simple Tube Placements 158 S Esophageal Dilation without Endoscopy 159 S Percutaneous and Other Simple Gastrointestinal Biopsies 160 S Diagnostic Proctosigmoidoscopy and Anoscopy with Biopsy 161 S Proctosigmoidoscopy with Excision or Biopsy 162 S Diagnostic Upper GI Endoscopy 163 S Therapeutic Upper GI Endoscopy 164 S Diagnostic Lower GI Endoscopy 165 S Therapeutic Lower GI Endoscopy 166 S Other Gastro Intestinal Endoscopy Procedures 167 S Tonsil and Adenoid Procedures 168 S Hernia and Hydrocele Procedures 169 S Simple Hemorrhoid Procedures 170 S Simple Anal and Rectal Procedures Except Hemorrhoidectomy 171 S Complex Anal and rectal Procedures 172 S Peritoneal Procedures and Changes of Intra-Abdominal Tubes 173 S Miscellaneous Digestive Procedures 183 S Simple Urinary Studies and Procedures 184 S Renal ESWL 185 S Urinary Catheterization and Dilation 186 S Hemodialysis 187 S Peritoneal Dialysis 188 S Simple Cystourethroscopy 189 S Complex Cystourethroscopy and Litholapaxy 190 S Percutaneous Renal Endoscopy, Catheterization, or Ureteral Endoscopy 191 S Cystotomy 192 S Simple Urethral Procedures 193 S Complex Urethral Procedures 209 S Testicular and Epididymal Procedures 210 S Penile Prosthesis 211 S Complex Penile Procedures 212 S Simple Penile Procedures 213 S Prostate Needle or Punch Biopsy 214 S TURP and Other Prostate Procedures 235 S Artificial Fertilization 236 S Procedures for Pregnancy and Neonatal Care 237 S Treatment of Spontaneous Abortion 238 S Therapeutic Abortion 239 S Vaginal Delivery 240 S Female Genital Endoscopy 241 S Colposcopy 242 S Miscellaneous Female Reproductive Procedures 243 S D & C 244 S Female Genital Excision and Repair 261 S EEG 262 S Electroconvulsive Therapy 263 S Nerve and Muscle Tests 264 S Injection Substance Spinal Cord 265 S Subdural and Subarachnoid Tap 266 S Nerve Injection and Stimulation 267 S Revision or Removal of Neurological Devices 268 S Nerve Stimulator and Ventricular Shunt Implantation 269 S Carpal Tunnel Release 270 S Nerve Repairs and Destructions 271 S Complex Nerve Repairs 272 S Spinal Tap 287 S Ophthalmological Tests and Minor Procedures 288 S Fitting of Contact Lenses 289 S Simple Laser Eye Procedures 290 S Complex Laser Eye Procedures 291 S Cataract Procedures 292 S Simple Anterior Segment Eye Procedure for Glaucoma 293 S Complex Anterior Segment Eye Procedures for Glaucoma 294 S Simple Anterior Segment Eye Procedures 295 S Moderate Anterior Segment Eye Procedures 296 S Complex Anterior Segment Eye Procedures 297 S Simple Posterior Segment Eye Procedures 298 S Complex Posterior Segment Eye Procedures 299 S Strabismus and Muscle Eye Procedures 300 S Simple Repairs and Plastic Eye Procedures 301 S Complex Repairs and Plastic Eye Procedures 313 S Otorhinolryngologic Function Tests 314 S Major External Ear Procedures 315 S Tympanostomy and Other Simple Middle Ear Procedures 316 S Tympanoplasty and Other Complex Middle Ear Procedures 317 S Inner Ear Procedures 318 S Simple Audiometry 319 S Remove Impacted Cerumen 341 C Simple Diagnostic Nuclear Medicine 342 C Complex Diagnostic Nuclear Medicine 343 S Therapeutic Nuclear Medicine by Injection 344 S Radiation Therapy 345 C Obstetrical Ultrasound 346 C Other Ultrasound 347 S Hyperthermia 348 C Magnetic Resonance Imaging 349 C Computerized Axial Tomography 350 C Mammography 351 C Plain Film 352 C Fluoroscopy 353 C Cerebral, Pulmonary, Cervical and Spinal Angiography 354 C Venography of Extremities 355 C Non-Cardiac, Non-Cerebral Vascular Radiology 356 C Digestive Radiology 357 C Urography and Genital radiology 358 C Arthrography 359 C Myelography 360 C Miscellaneous Radiology 365 C Anesthesia 391 C Simple Surgical Pathology 392 C Complex Surgical Pathology 417 C Tissue Typing 418 C Human Tissue Culture 419 C Simple Immunology Test 420 C Complex Immunology Test 421 C Simple Microbiology 422 C Complex Microbiology 423 C Simple Endocrinology 424 C Complex Endocrinology 425 C Basic Chemistry 426 C Simple Chemistry 427 C Complex Chemistry 428 C Multichannel Chemistry 429 C Simple Toxicology 430 C Complex Toxicology 431 C Urinalysis 432 C Therapeutic Drug Monitoring 433 C Radioimmunoassay Tests 434 C Simple Clotting Tests 435 C Complex Clotting Tests 436 C Simple Hematology Tests 437 C Complex Hematology Tests 439 C Lithium Level Monitoring 440 C Blood and Urine Dipstick Tests 443 C Spirometry and Respiratory Therapy 444 C Infusion Therapy Except Chemotherapy 447 C Cardiogram 449 C Simple Immunization 450 C Moderate Immunization 451 C Complex Immunization 452 S Minor Gynecological Procedures 454 C Minor doppler, Electrocardiographic and Ambulatory Blood Pressure Monitoring Tes 455 C Minor Ophthalmological Injections, Scrapings and Tests 456 C Vestibular Function Tests 457 S Minor Urinary Tube Change 458 C Simple Anoscopy 459 C Biofeedback and Hypnotherapy 460 C Provision of Vision Aids 461 C Introduction of Needles and Catheters 469 C Professional Service 470 C Individual Psychotherapy 471 C Group Psychotherapy 472 C Psychotropic Medication Management 473 C Comprehensive Psychiatric Evaluation and Treatment 474 C Family Psychotherapy 475 M Radiological Supervision and Interpretation Only 478 M Therapeutic Radiology Planning and Device Construction 495 M Inpatient Procedures 500 M Class one Chemotherapy Drugs 501 M Class Two Chemotherapy Drugs 502 M Class Three Chemotherapy Drugs 521 M Not Applicable Procedure ** Error ** 601 M Hematological Malignancies 602 M Prostatic Malignancy 603 M Lung Malignancy 604 M Skin Malignancy 605 M Other Malignancies 616 M Poisoning 631 M Head and Spine Injuries 632 M Burns and Skin, Soft Tissue Injuries 633 M Fractures, Dislocations and Sprains 634 M Other Injuries 654 M Individual Supportive Treatment for Senility, Dementia and Mental Retardation 655 M Psychotropic Medication Management or Brief Psychotherapy 656 M Comprehensive Psychiatric Evaluation and Treatment Age > 17 657 M Comprehensive Psychiatric Evaluation and Treatment Age 0-17 668 M Medication Management for Brief Psychotherapy for Drug Abuse 669 M Family Therapy for Drug Abuse 670 M Group Therapy for Drug Abuse 676 M Neonate and Congenital Anomalies 691 M Routing Prenatal Care 692 M Maternal Antepartum Complications 693 M Routine Postpartum Care 694 M Maternal Postpartum Complications 721 M Systemic Infectious Diseases 723 M Sexually Transmitted Diseases in Males 724 M Sexually Transmitted Diseases in Females 736 M TIA, CVA and Other Cerebrovascular Events 737 M Headache 738 M Other CNS Diseases 751 M Cataracts 752 M Refraction Disorders 753 M Conjunctivitis and Other Simple External Eye Inflammations 754 M Other Diseases of the Eye 766 M Dental Diseases 767 M Acute Infectious ENT Diseases Age > 17 768 M Acute Infectious ENT Diseases age 0 - 17 769 M Acute Non Infectious ENT Diseases 771 M Hearing Loss 772 M Other ENT Diseases 781 M Emphysema, Chronic Bronchitis and Asthma age > 17 782 M Emphysema, Chronic Bronchitis and Asthma Age 0-17 783 M Pneumonia 784 M Other Respiratory Disease 796 M Congestive Heart Failure and Ischemic Heart Disease 797 M Hypertension 800 M Other Cardiovascular Disease 811 M Non Infectious Gastroenteritis 812 M Ulcers, Gastritis and Esophagitis 813 M Functional Gastrointestinal Disease and Irritable Bowel Syndrome 814 M Hepatobiliary Disease 816 M Hemorrhoids and Other Anal/Rectal Diseases 817 M Other Gastrointestinal Diseases 827 M Major Sign, Symptoms or Findings 841 M Back Disorders 842 M Other Musculoskeletal Diseases 856 M Disease of Nails 857 M Chronic Skin Ulcers 858 M Cellulitis, Impetigo and Lymphangitis 859 M Breast Diseases 860 M Other Skin and Soft Tissue Diseases 871 M Diabetes 872 M Obesity 873 M Other Endocrine Nutritional and Metabolic Diseases 886 M Urinary Tract Infections 887 M Renal Failure 888 M Other Urinary Diseases 901 M Benign Prostatic Hypertrophy 902 M Other Male Reproductive Diseases 916 M Female Gynecologic Diseases 932 M AIDS related Complex and HIV with complications 933 M Other Immunologic and Hematologic Diseases 946 M Adult Medical Examination 947 M Well Child Care 948 M Counselling 949 M Contraception and Procreative Management 950 M Repeat Prescription 951 M Non Specific Signs and Symptoms and Other Contacts with Health Services 959 M Admitted or dead 961 M No APG Assigned, Procedure or Ancillary Required 976 M No APG Assigned 977 Ungroupable 999 *** ERROR ***
