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Procedure Code Category
CPT Codes
Procedure Code Descriptions
Code Status
NECK
69155
Radical excision external auditory canal lesion; with neck dissection
No Change
NEPH
50010
Renal exploration, not necessitating other specific procedures
No Change
NEPH
50020
Drainage of perirenal or renal abscess, open
No Change
NEPH
50040
Nephrostomy, nephrotomy with drainage
No Change
NEPH
50045
Nephrotomy, with exploration
No Change
NEPH
50060
Nephrolithotomy; removal of calculus
No Change
NEPH
50065
Nephrolithotomy; secondary surgical operation for calculus
No Change
NEPH
50070
Nephrolithotomy; complicated by congenital kidney abnormality
No Change
NEPH
50075
Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy)
No Change
NEPH
50120
Pyelotomy; with exploration
No Change
NEPH
50125
Pyelotomy; with drainage, pyelostomy
No Change
NEPH
50130
Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy)
No Change
CPT CODE
PROCEDURE
PRICE
0
CT LIVER PELVIS w/ & w/o contrast,
0
0
CT UROGRAM w/ & w/o contrast
0
73700
CT LOWER EXTREMITY w/o contrast
0
73701
CT LOWER EXTREMITY w/ contrast
0
73702
CT LOWER EXTREMITY w/ & w/o contrast
0
72131
CT LUMBAR SPINE w/o contrast
0
72132
CT LUMBAR SPINE w/ contrast
0
G0297
CT LUNG SCREENING w/o contrast
0
70486
CT MAXILLOFACIAL w/o contrast
0
70490
CT NECK SOFT TISSUE w/o contrast
0
TEST ID
Test Name
CPT Code
SPPC
Stiff-Person Spectrum Disorders Evaluation, including Progressive Encephalomyelitis with Rigidity and Myoclonus, Spinal Fluid
86255 x 3 86341 84182-AMIBC (if appropriate) 86256 APHTC (if appropriate) 86256-DPPTC (if appropriate)
SPPSI
Stiff-Person Spectrum Disorders, including Progressive Encephalomyelitis with Rigidity and Myoclonus, Interpretation, Serum
SPPCI
Stiff-Person Spectrum Disorders including Progressive Encephalomyelitis with Rigidity and Myoclonus, Interpretation, Spinal Fluid
2HGA
2-Hydroxyglutaric Acid Chiral Analysis, Quantitative, Random, Urine
83921 x 2
CMPRG
Family Member Comparator Specimen for Genome Sequencing, Varies
WGSR
Whole Genome Sequencing Reanalysis, Varies
First reanalysis: No charge 81427-For all subsequent reanalysis requests
EGFRS
EGFR Gene, Targeted Mutation Analysis, 51 Mutation Panel, Tumor
81235-EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) 88381-Microdissection, manual
EGFRW
EGFR Targeted Mutation Analysis with ALK Reflex, Tumor
81235-EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants(eg, exon 19 deletions, L858R, T790M, G719S, L861Q) 88381-Microdissection, manual 88271 x 2-DNA Probe (if appropriate) 88274-Interphase in situ hybridization (if appropriate) 88291-Interpretation and report (if appropriate)
PIK3T
PIK3CA Mutation Analysis, Tumor
81309
PIK3B
Cell-Free DNA PIK3CA Test, Blood
81309
SORBU
Sorbitol and Mannitol, Quantitative, Random, Urine
82542
MCLBP
MayoComplete Liquid Biopsy Panel, Next-Generation Sequencing, Cell-Free DNA
81445
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