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Procedure Code Category
CPT Codes
Procedure Code Descriptions
Code Status
GAST
43634
Gastrectomy, partial, distal; with formation of intestinal pouch
No Change
GAST
43640
Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective
No Change
GAST
43641
Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)
No Change
GAST
43644
Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)
No Change
GAST
43645
Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption
No Change
GAST
43770
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components)
No Change
GAST
43771
Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only
No Change
GAST
43772
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only
No Change
GAST
43773
Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only
No Change
GAST
43774
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components
No Change
GAST
43775
Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)
No Change
GAST
43800
Pyloroplasty
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
RAVU
Ravulizumab, Serum
80299
BETV2
BET v2 (Profilin), IgE, Serum
86008
MUXF3
MUXF3 (Cross-reactive Carbohydrate Determinant), IgE, Serum
86008
PERAM
Perampanel, Serum
80299
DEXA
Dexamethasone, Serum
80299
RB24
Retinol-Binding Protein, 24 Hour, Urine
83883
BLBLF
B-Cell Lymphoblastic Leukemia/Lymphoma, FISH, Tissue
88271 x 2, 88291-DNA probe, each (first probe set), interpretation and report 88271 x 2-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,
USTEK
Ustekinumab Quantitation with Antibodies, Serum
80299 83520
ELASF
Pancreatic Elastase, Feces
82653
RAVUM
Ravulizumab Complement Blockage Monitoring, Serum
86161
SCAP
Spinocerebellar Ataxia Repeat Expansion Panel, Varies
81178 81179 81180 81181 81184 81479 (if appropriate for government payers)
SMAS
Smooth Muscle Antibody Screen, Serum
86015
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