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Procedure Code Category
CPT Codes
Procedure Code Descriptions
Code Status
CARD
33670
Repair of complete atrioventricular canal, with or without prosthetic valve
No Change
CARD
33675
Closure of multiple ventricular septal defects;
No Change
CARD
33676
Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic)
No Change
CARD
33677
Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset
No Change
CARD
33681
Closure of single ventricular septal defect, with or without patch;
No Change
CARD
33684
Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic)
No Change
CARD
33688
Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset
No Change
BRST
19340
Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction
No Change
BRST
19342
Delayed insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction
No Change
BRST
19350
Nipple/areola reconstruction
No Change
BRST
19355
Correction of inverted nipples
No Change
BRST
19357
Breast reconstruction, immediate or delayed, with tissue expander, including subsequent expansion
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
VITAP
Vitamin A, Serum
84590
MAS1
Myelopathy, Autoimmune/Paraneoplastic Evaluation, Serum
86255 x 15 86053 84182 86363 86341 84182 AGNBS (if appropriate) 86256 AGNTS (if appropriate) 86255 AINCS (if appropriate) 84182 AMIBS (if appropriate) 84182 AN1BS (if appropriate) 86256 AN1TS (if appropriate) 84182 AN2BS (if appropriate) 86256 AN2TS (if appropriate) 86256 AN3TS (if appropriate) 86255 APBCS (if appropriate) 86256 APBTS (if appropriate) 86256 APHTS (if appropriate) 86256 CRMTS (if appropriate) 86255 DPPCS (if appropriate) 86256 DPPTS (if appropriate) 86256 GABIS (if appropriate) 86255 GFACS (if appropriate) 86256 GFATS (if appropriate) 86255 GL1CS (if appropriate) 86256 GL1TS (if appropriate) 86363 MOGTS (if appropriate) 86255 NCDCS (if appropriate) 86256 NCDTS (if appropriate) 86255 NFHCS (if appropriate) 86255 NFLCS (if appropriate) 86256 NIFTS (if appropriate) 86053 NMOTS (if appropriate) 84182 PC1BS (if appropriate) 86256 PC1TS (if appropriate) 86256 PC2TS (if appropriate) 86255 SP7CS (if appropriate) 86256 SP7TS (if appropriate)
MAC1
Myelopathy, Autoimmune/Paraneoplastic Evaluation, Spinal Fluid
86255 x 15 86053 86341 84182 84182 AGNBC (if appropriate) 86256 AGNTC (if appropriate) 86255 AINCC (if appropriate) 84182 AMIBC (if appropriate) 84182 AN1BC (if appropriate) 86256 AN1TC (if appropriate) 84182 AN2BC (if appropriate) 86256 AN2TC (if appropriate) 86256 AN3TC (if appropriate) 86255 APBCC (if appropriate) 86256 APBTC (if appropriate) 86256 APHTC (if appropriate) 86256 CRMTC (if appropriate) 86255 DPPCC (if appropriate) 86256 DPPTC (if appropriate) 86256 GABIC (if appropriate) 86255 GFACC (if appropriate) 86256 GFATC (if appropriate) 86255 GL1CC (if appropriate) 86256 GL1TC (if appropriate) 86255 NCDCC (if appropriate) 86256 NCDTC (if appropriate) 86255 NFHCC (if appropriate) 86255 NFLCC (if appropriate) 86256 NIFTC (if appropriate) 86255-NMDCC (if appropriate) 86256-NMDIC (if appropriate) 86053 NMOTC (if appropriate) 84182 PC1BC (if appropriate) 86256 PC1TC (if appropriate) 86256 PC2TC (if appropriate) 86255 SP7CC (if appropriate) 86256 SP7TC (if appropriate)
PCDES
Pediatric Autoimmune Encephalopathy/CNS Disorder Evaluation, Serum
86341 86363 86053 86255 x 10 84182 AN1BS (if appropriate) 86256 AN1TS (if appropriate) 84182 AN2BS (if appropriate) 86255 DPPCS (if appropriate) 86256 DPPTS (if appropriate) 86256 GABIS (if appropriate) 86255 GFACS (if appropriate) 86256 GFATS (if appropriate) 86255 GL1CS (if appropriate) 86256 GL1TS (if appropriate) 86363 MOGTS (if appropriate) 86255 NCDCS (if appropriate) 86256 NCDTS (if appropriate) 86256 NMDIS (if appropriate) 86053 NMOTS (if appropriate) 84182 PCTBS (if appropriate) 86256 PCTTS (if appropriate)
PCDEC
Pediatric Autoimmune Encephalopathy/CNS Disorder Evaluation, Spinal Fluid
86255 x 10 86341 86053 84182 AN1BC (if appropriate) 86256 AN1TC (if appropriate) 84182 AN2BC (if appropriate) 86255 DPPCC (if appropriate) 86256 DPPTC (if appropriate) 86256 GABIC (if appropriate) 86255 GFACC (if appropriate) 86256 GFATC (if appropriate) 86255 GL1CC (if appropriate) 86256 GL1TC (if appropriate) 86255 NCDCC (if appropriate) 86256 NCDTC (if appropriate) 86256 NMDIC (if appropriate) 86053 NMOTC (if appropriate) 84182 PCTBC (if appropriate) 86256 PCTTC (if appropriate)
GFATS
Glial Fibrillary Acidic Protein Alpha Subunit Antibody, Immunofluorescence Titer Assay, Serum
86256
GFATC
Glial Fibrillary Acidic Protein Alpha Subunit Antibody, Immunofluorescence Titer Assay, Spinal Fluid
86256
NMH24
N-Methylhistamine, 24 Hour, Urine
82542
CLIR
CLIR Supplemental Report
NMH1D
N-Methylhistamine, 24 Hour, Urine
82542
BTIA1
T-Cell Intracellular Antigen 1 (TIA-1) Immunostain, Bone Marrow, Technical Component Only
88342-TC, primary 88341-TC, if additional IHC
MTAP
Methylthioadenosine Phosphorylase (MTAP) Immunostain, Tech Only
88342-TC, primary 88341-TC, if additional IHC
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