The Hospital Outpatient Prospective Payment System (OPPS) Limited Data Set does not include APC assignments. AHD assigns APC by using a cross walk of HCPCs/CPT to addendum B of the final rule for the fiscal year. This methodology, however, does not assign the recently introduced "composite APCs" which are a combination of multiple HCPCs/CPT codes that, when billed together under certain circumstances, are bundled together. An algorithm to reliably make composite APC assignments is under development and APC statistics will be updated upon its completion. In the meantime, the APC information in the APC table on the Outpatient Report does not include composite APCs.
Examples of Composite APCs for FY 2010 are:
- 0034 Mental Health Services Composite
- 0172 Level I Partial Hospitalization Composite
- 0173 Level II Partial Hospitalization Composite
- 8000 Cardiac Electrophysiologic Evaluation and Ablation Composite
- 8001 Low Dose Rate Prostate Brachytherapy Composite
- 8002 Level I Extended Assessment and Management Composite
- 8003 Level II Extended Assessment and Management Composite
- 8004 Ultrasound Composite
- 8005 CT and CTA without Contrast Composite
- 8006 CT and CTA with Contrast Composite
- 8007 MRI and MRA without Contrast Composite
- 8008 MRI and MRA with Contrast Composite