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Procedure Code Category
CPT Codes
Procedure Code Descriptions
Code Status
PRST
55831
Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal
No Change
PRST
55840
Prostatectomy, retropubic radical, with or without nerve sparing;
No Change
PRST
55842
Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy)
No Change
PRST
55845
Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes
No Change
PRST
55866
Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed
No Change
PVBY
33889
Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision, unilateral
No Change
PVBY
35501
Bypass graft, with vein; common carotid-ipsilateral internal carotid
No Change
PVBY
35506
Bypass graft, with vein; carotid-subclavian or subcalvian-carotid
No Change
PVBY
35508
Bypass graft, with vein; carotid-vertebral
No Change
PVBY
35509
Bypass graft, with vein; carotid-contralateral carotid
No Change
PVBY
35510
Bypass graft, with vein; carotid-brachial
No Change
PVBY
35511
Bypass graft, with vein; subclavian-subclavian
No Change
CPT CODE
PROCEDURE
PRICE
74400
FLUORO IVP
0
74250
FLUORO SMALL BOWEL SERIES
0
74249
FLUORO UGI & SB with AIR
0
74210
FLUORO UPPER ESOPHAGRAM
0
74241
FLUORO UPPER GI SERIES
0
74245
FLUORO UPPER GI with SMALL BOWEL
0
74247
FLUORO UPPER GI TRACT with AIR
0
CT
0
0
CPT CODE
PROCEDURE
PRICE
74150
CT ABDOMEN w/o contrast
0
74160
CT ABDOMEN w/ contrast
0
74170
CT ABDOMEN w/ & w/o contrast
0
TEST ID
Test Name
CPT Code
CTNBT
B-Catenin Mutation Analysis, Next-Generation Sequencing, Tumor
88381-Microdissection, manual 81479
ESR1T
ESR1 Mutation Analysis, Next-Generation Sequencing, Tumor
88381 - Microdissection, manual 81479
XL2T
FOXL2 Mutation Analysis, Next-Generation Sequencing, Tumor
88381 - Microdissection, manual 81479
AMGEN
Mycoplasma genitalium, Transcription-Mediated Amplification, Urine or Urogenital Swab
87563
CSTB
CSTB Gene, Repeat Expansion Analysis, Varies
81188
HMEP
Hemiplegic Migraine With or Without Epilepsy Gene Panel, Varies
81185 81405 81406 x 2 81407 81408 81479 (if appropriate for government payers) 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate)
TSCP
Tuberous Sclerosis Gene Panel, Varies
81406 81407 81265-Maternal cell contamination (if appropriate) 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88235-Amniotic Fluid culture (if appropriate) 88240-Cryopreservation (if appropriate) 81479 (if appropriate for government payers)
EPPAN
Comprehensive Epilepsy With or Without Encephalopathy Gene Panel, Varies
81419
NTC3Z
NOTCH3 Gene, Full Gene Analysis, Varies
81479 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate)
MCP2Z
MECP2 Gene, Full Gene Analysis, Varies
81302 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate)
LAPYP
Lactate Pyruvate Panel, Plasma
83605 84210
MMPP
Mitochondrial Metabolites, Plasma
82542
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