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Procedure Code Category
CPT Codes
Procedure Code Descriptions
Code Status
LAM
63195
Laminectomy with cordotomy, with section of 1 spinothalamic tract, 1 stage; thoracic
No Change
LAM
63196
Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage; cervical
No Change
LAM
63197
Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage; thoracic
No Change
LAM
63198
Laminectomy with cordotomy with section of both spinothalamic tracts, 2 stages within 14 days; cervical
No Change
LAM
63199
Laminectomy with cordotomy with section of both spinothalamic tracts, 2 stages within 14 days; thoracic
No Change
LAM
63200
Laminectomy, with release of tethered spinal cord, lumbar
No Change
LAM
63250
Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical
No change
LAM
63251
Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic
No change
LAM
63252
Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar
No change
LAM
63265
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical
No change
LAM
63266
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic
No change
LAM
63267
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar
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
ZNUCR
Zinc/Creatinine Ratio, Random, Urine
84630 82570
ZNCU
Zinc/Creatinine Ratio, Urine
84630
HEG1
HEG1 Immunostain, Technical Component Only
88342-TC, primary 88341-TC, if additional IHC
CHBVS
Chronic Hepatitis B Screen, Serum
87340 G0499-(if appropriate)
HBPES
Hepatitis B Virus Past Exposure Panel, Serum
86706 86704 87340 G0499 (if appropriate)
LDPU
Limited Drug Profile, 3 Drug Classes, Immunoassay, Random, Urine
80307
CSMTU
Controlled Substance Monitoring Targeted Profile, 17 Drug Classes, Mass Spectrometry, Random, Urine
80347 80364 80326 G0482 (if appropriate)
CSMHU
Controlled Substance Monitoring Hybrid Drug Profile, 20 Drug Classes, High-Resolution Mass Spectrometry and Immunoassay Screen, Random, Urine
80307 80347 80364 80326 G0482 (if appropriate)
EBVQN
Epstein-Barr Virus DNA Detection and Quantification, Plasma
87799
MSCG
Collagenofibrotic Glomerulopathy Confirmation, Mass Spectrometry
82542 88380
MSFNG
Fibronectin Glomerulopathy Confirmation, Mass Spectrometry
82542 88380
GDUCR
Gadolinium/Creatinine Ratio, Random, Urine
83018 82570
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