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Procedure Code Category
CPT Codes
Procedure Code Descriptions
Code Status
PVBY
35587
In-situ vein bypass; popliteal-tibial, peroneal
No Change
PVBY
35616
Bypass graft, with other than vein; subclavian-axillary
No Change
PVBY
35621
Bypass graft, with other than vein; axillary-femoral
No Change
PVBY
35623
Bypass graft, with other than vein; axillary-popliteal or -tibial
No Change
PVBY
35650
Bypass graft, with other than vein; axillary-axillary
No Change
PVBY
35654
Bypass graft, with other than vein; axillary-femoral-femoral
No Change
PVBY
35656
Bypass graft, with other than vein; femoral-popliteal
No Change
PVBY
35661
Bypass graft, with other than vein; femoral-femoral
No Change
PVBY
35666
Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery
No Change
PVBY
35671
Bypass graft, with other than vein; popliteal-tibial or -peroneal artery
No Change
PVBY
35686
Creation of distal arteriovenous fistula during lower extremity bypass surgery (non-hemodialysis)
No Change
REC
45110
Proctectomy; complete, combined abdominoperineal, with colostomy
No Change
CPT CODE
PROCEDURE
PRICE
73220
MRI UPPER EXT NON JOINT w/ & w/o contrast
0
73221
MRI UPPER EXT JOINT w/o contrast
0
73222
MRI UPPER EXT JOINT w/ contrast
0
73223
MRI UPPER JOINT w/ & w/o contrast
0
73225
MRA UPPER EXTREMITY
0
74183
MR UROGRAMY w/ & w/o contrast with 72197
0
PET
0
0
CPT CODE
PROCEDURE
PRICE
78608
PET BRAIN IMAG
0
78814
PET SCAN WITH CT Limited
0
78815
PET SCAN with CT Skull to mid thigh
0
78816
PET SCAN with CT full body
0
TEST ID
Test Name
CPT Code
MPEP
Monoclonal Protein Study, Expanded Panel, Serum
83521 x 2 84155 84165 86334 86334-Immunofixation Delta and Epsilon (if appropriate)
TERTD
TERT Promoter Mutation Analysis, Droplet Digital PCR, Tumor
81345 88381-Microdissection, manual
EDN
Eosinophil Derived Neurotoxin, Serum
83520
BMIPB
Borrelia miyamotoi Detection, PCR, Blood
87478
BPRPV
Bordetella pertussis and Bordetella parapertussis, Molecular Detection, PCR, Varies
87798 x 2 87999 (if appropriate for government payers)
EPCRB
Ehrlichia/Anaplasma, Molecular Detection, PCR, Blood
87468 87484 87798 x 2 87999 ( if appropriate for government payers)
BABPB
Babesia species, Molecular Detection, PCR, Blood
87798 x2          87469   87999 (if appropriate for government payers)
JCPCR
JC Virus, Molecular Detection, PCR, Spinal Fluid
87798
EBVPV
Epstein-Barr Virus (EBV), Molecular Detection, PCR, Varies
87798
HSVPV
Herpes Simplex Virus (HSV), Molecular Detection, PCR, Varies
87529 x 2 87529 (if appropriate for government payers)
HSVPB
Herpes Simplex Virus (HSV), Molecular Detection, PCR, Blood
87529 x 2 87529 (if appropriate for government payers)
VZVPV
Varicella-Zoster Virus, Molecular Detection, PCR, Varies
87798
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