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Procedure Code Category
CPT Codes
Procedure Code Descriptions
Code Status
GAST
43810
Gastroduodenostomy
No Change
GAST
43820
Gastrojejunostomy; without vagotomy
No Change
GAST
43825
Gastrojejunostomy; with vagotomy, any type
No Change
GAST
43840
Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury
No Change
GAST
43842
Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty
No Change
FUSN
22812
Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments
No Change
FUSN
27280
Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when performed
No Change
FX
23615
Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed;
No Change
FX
23616
Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed; with proximal humeral prosthetic replacement
No Change
FX
23630
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed
No Change
FX
23670
Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed
No Change
FX
23680
Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when performed
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
AMLAF
Acute Myeloid Leukemia (AML), FISH, Adult, Varies
88271x8, 88275x4, 88291x1-FISH Probe, Analysis, Interpretation; 4 probe sets 88271x2, 88275x1-FISH Probe, Analysis; each additional probe set (if appropriate)
AMLPF
Acute Myeloid Leukemia (AML), FISH, Pediatric, Varies
88271x26, 88275x13, 88291 x1-FISH Probe, Analysis, Interpretation; 13 probe sets 88271x2, 88275x1-FISH Probe, Analysis; each additional probe set (if appropriate)
BALAF
B-Cell Acute Lymphoblastic Leukemia/Lymphoma (ALL), FISH, Adult, Varies
88271 x4,88275 x2, 88291 - FISH Probe, Analysis, Interpretation; 2 probe sets 88271 x2, 88275 - FISH Probe, Analysis; each additional probe set (if appropriate) 88271 - FISH Probe (if appropriate)
BALPF
B-Cell Acute Lymphoblastic Leukemia/Lymphoma (ALL), Pediatric, FISH, Varies
88271 x 23, 88275 x 11, 88291 x 1-FISH Probe, Analysis, Interpretation; 11 probe sets 88271 x 2, 88275 x 1-FISH Probe, Analysis; each additional probe set (if appropriate)
TALAF
T-Cell Acute Lymphoblastic Leukemia/Lymphoma (ALL), FISH, Adult, Varies
88271x20, 88275x10, 88291x1-FISH Probe, Analysis, Interpretation; 10 probe sets 88271x2, 88275x1-FISH Probe, Analysis; each additional probe set (if appropriate)
TALPF
T-Cell Acute Lymphoblastic Leukemia/Lymphoma (ALL), FISH, Pediatric, Varies
88271x18, 88275x9, 88291x1- FISH Probe, Analysis, Interpretation; 9 probe sets 88271x2, 88275x1-FISH Probe, Analysis; each additional probe set (if appropriate)
PHLDF
Philadelphia Chromosome-like Acute Lymphoblastic Leukemia (Ph-like ALL), Diagnostic FISH, Varies
88271x14, 88275x7, 88291 x1-FISH Probe, Analysis, Interpretation; 7 probe sets 88271x2, 88275x1-FISH Probe, Analysis; each additional probe set (if appropriate)
EOSDF
Chronic Eosinophilia, Diagnostic FISH, Varies
88271 x11, 88275 x5, 88291 x1-FISH Probe, Analysis, Interpretation; 5 probe sets 88271 x2, 88275 x1–FISH Probe, Analysis; each additional probe set (if appropriate)
CILDF
Congenital Infantile Leukemia, Diagnostic FISH, Varies
88271 x 8, 88275 x 4, 88291-FISH Probe, Analysis, Interpretation; 4 probe sets 88271 x 2, 88275-FISH Probe, Analysis; each additional probe set (if appropriate)
PGDBS
Plasmalogens, Blood Spot
82542
PGRBC
Plasmalogens, Blood
82542
METRN
Metanephrines, Fractionated, Random, Urine
83835 82570
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