Non‐50% Discounting APG List
NYS Department of Health
Revised for July 1, 2015 Updates:
Informationrevisedsincethelastupdateishighlighted.
Note: This list was first implemented in April 2010, retroactive to January 2010
APG APG Description
118
257
270
271
272
274
275
NUTRITION THERAPY
AUDIOMETRY
OCCUPATIONAL THERAPY
PHYSICAL THERAPY
SPEECH THERAPY AND EVALUATION
PHYSICAL THERAPY, GROUP
SPEECH THERAPY & EVALUATION, GROUP
Discount Percent if not 50%
25%
25%
25%
25%
25%
25%
25%
Effective Date
Effective 1‐1‐10
Effective 1‐1‐10
Effective 1‐1‐10
Effective 1‐1‐10
Effective 1‐1‐10
Effective 1‐1‐10
Effective 1‐1‐10
310 DEVELOPMENTAL & NEUROPSYCHOLOGICAL TESTING
10%
Effective 1‐1‐10
312 FULL DAY PARTIAL HOSPITALIZATION FOR MENTAL ILLNESS
10%
Effective 1‐1‐10
315 COUNSELLING OR INDIVIDUAL BRIEF PSYCHOTHERAPY
316 INDIVIDUAL COMPREHENSIVE PSYCHOTHERAPY
317 FAMILY PSYCHOTHERAPY
318 GROUP PSYCHOTHERAPY
320 CASE MANAGEMENT & TREATMENT PLAN DEVELOPMENT ‐ MH/SA
321 CRISIS INTERVENTION
322 MEDICATION ADMINISTRATION & OBSERVATION
Notes
Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134.
Effective 1‐1‐10
Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134.
Effective 1‐1‐10
Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134.
Effective 1‐1‐10
Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134.
Effective 1‐1‐10
Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134.
Effective 1‐1‐10
Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134.
10%
Effective 1‐1‐10
Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134.
0%
Changed from 10% to 0% for July 2010. Changed from 0% to 50% for October 2011. Changed from 50% to 0% for July 2012.
10%
10%
10%
10%
10%
Non‐50% Disc
APG APG Description
323 MENTAL HYGIENE ASSESSMENT
Discount Percent if not 50%
10%
324 MENTAL HEALTH SCREENING & BRIEF ASSESSMENT
10%
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
372
373
374
377
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
10%
LEVEL I ADJUNCTIVE GENERAL DENTAL SERVICES
LEVEL II ADJUNCTIVE GENERAL DENTAL SERVICES
PERIODONTICS
LEVEL I PROSTHODONTICS, FIXED
LEVEL II PROSTHODONTICS, FIXED
LEVEL III PROSTHODONTICS, FIXED
LEVEL I PROSTHODONTICS, REMOVABLE
LEVEL II PROSTHODONTICS, REMOVABLE
LEVEL III PROSTHODONTICS, REMOVABLE
LEVEL I MAXILLOFACIAL PROSTHETICS
LEVEL II MAXILLOFACIAL PROSTHETICS
LEVEL I DENTAL RESTORATIONS
LEVEL II DENTAL RESTORATIONS
LEVEL III DENTAL RESTORATION
LEVEL I ENDODONTICS
LEVEL II ENDODONTICS
LEVEL III ENDODONTICS
LEVEL I ORAL AND MAXILLOFACIAL SURGERY
LEVEL II ORAL AND MAXILLOFACIAL SURGERY
LEVEL III ORAL AND MAXILLOFACIAL SURGERY
LEVEL IV ORAL AND MAXILLOFACIAL SURGERY
SEALANT
LEVEL I DENTAL FILM
LEVEL II DENTAL FILM
PREVENTIVE DENTAL PROCEDURES
426 PSYCHOTROPIC MEDICATION MANAGEMENT
10%
Effective Date
Effective 1‐1‐10
Changed from 0% to 25% Jan 1, 2012. Changed from 25% to 10% July 1, 2012
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 7‐1‐11
Effective 10‐1‐11
Effective 10‐1‐11
Effective 10‐1‐11
Effective 4‐1‐13
Notes
Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134.
Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134.
Effective 7/1/15, "Discount" would not be applied (100% will be paid) to the following APG rate codes; 1480, 1483, 1486, 1594, 1597, 1122, 1124, 1130, 1132, 1134.
Non‐50% Disc