Ambulatory Patient Group (APG)

What is an ambulatory patient group (APG)?

An ambulatory patient group (APG) is a group of outpatient procedures, ancillary services, or encounters that are similar and thus combined based on patient clinical characteristics and the resources expected. 

An APG incorporates: 

What role do APGs have in healthcare?

APGs are a part of Medicare’s prospective payment system for outpatient procedures and services. 

APGs differ from diagnosis-related group (DRG) reimbursement for inpatient care because inpatient care condenses medical events into one DRG, whereas an outpatient visit may combine several APGs.