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Procedure Code Category
CPT Codes
Procedure Code Descriptions
Code Status
HYST
58180
Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s)
No Change
HYST
58200
Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s)
No Change
HYST
58210
Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s)
No Change
HYST
58240
Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of blNo changeer and ureteral transplantations, and/or abdominoperineal resection of rectum and colon and colostomy, or any combination thereof
No Change
HYST
58541
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;
No Change
HYST
58542
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)
No Change
HYST
58543
Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;
No Change
HYST
58544
Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)
No Change
HYST
58548
Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed
No Change
HYST
58550
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less
No Change
HYST
58552
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tubes(s) and /or ovary(s)
No Change
HYST
58553
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g
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
CSTCE
Cystatin C with Estimated Glomerular Filtration Rate (eGFR), Serum
82610
BFLA1
Lipid Analysis, Body Fluid
82664-Electrophoretic technique, not elsewhere specified (Chylomicrons and lipoproteins) 84311-Spectrophotometry, analyte not specified (Cholesterol) 84478-Triglycerides
CILPF
Congenital Infantile Leukemia, FISH, Tissue
88271 x2, 88291-DNA probe, each (first probe set), interpretation and report 88271 x2-DNA probe, each; each additional probe set (if appropriate) 88271-DNA probe, each; coverage for sets containing 3 probes (if appropriate) 88271 x 2-DNA probe, each; coverage for sets containing 4 probes (if appropriate) 88271 x 3-DNA probe, each; coverage for sets containing 5 probes (if appropriate) 88274 w/modifier 52-Interphase in situ hybridization,
COVNG
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Lineage, Clade, and Spike Gene Mutation Detection, Next-Generation Sequencing, Varies
87913
AMLAB
Probe, Each Additional (AMLAF) (Bill Only)
88271x2 88275
AMLMF
Acute Myeloid Leukemia (AML), Specified FISH, Varies
88271x2, 88275x1, 88291x1- FISH Probe, Analysis, Interpretation; 1 probe set 88271x2, 88275x1-FISH Probe, Analysis; each additional probe set (if appropriate)
AMLMB
Probe, Each Additional (AMLMF) (Bill Only)
88271x2 88275
AMLPB
Probe, Each Additional (AMLPF) (Bill Only)
88271x2 88275
BALMF
B-Cell Acute Lymphoblastic Leukemia/Lymphoma (ALL), Specified FISH, Varies
88271 x2, 88275 x1, 88291 x1- FISH Probe, Analysis, Interpretation; 1 probe sets 88271 x2, 88275 x1 - FISH Probe, Analysis; each additional probe set (if appropriate) 88271 x1 –-FISH Probe; coverage for sets containing 3 probes (if appropriate)
BLPMF
B-Cell Lymphoma, Specified FISH, Varies
88271 x 2, 88275, 88291-FISH Probe, Analysis, Interpretation; 1 probe set 88271 x 2, 88275-FISH Probe, Analysis; each additional probe set (if appropriate)
CILMF
Congenital Infantile Leukemia, Specified FISH, Varies
88271 x2, 88275 x1, 88291 x1-FISH Probe, Analysis, Interpretation; 1 probe set 88271 x2, 88275 x1-FISH Probe, Analysis; each additional probe set (if appropriate)
CILMB
Probe, Each Additional (CILMF) (Bill Only)
88271 x 2 88275
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