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Procedure Code Category
CPT Codes
Procedure Code Descriptions
Code Status
BRST
19361
Breast reconstruction with latissimus dorsi flap, without prosthetic implant
No Change
BRST
19364
Breast reconstruction with free flap
No Change
BRST
19366
Breast reconstruction with other technique
No Change
BRST
19367
Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), single pedicle, including closure of donor site;
No Change
BRST
19368
Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), single pedicle, including closure of donor site; with microvascular anastomosis (supercharging)
No Change
BRST
19369
Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), double pedicle, including closure of donor site
No Change
BRST
19370
Open periprosthetic capsulotomy, breast
No Change
BRST
19371
Periprosthetic capsulectomy, breast
No Change
BRST
19380
Revision of reconstructed breast
No Change
CARD
32658
Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac
No Change
CARD
32659
Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage
No Change
CARD
32661
Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass
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
G158
Lysosomal Storage Disease Panel (Bill Only)
81443
G159
Neuronal Ceroid Lipofuscinosis (Batten Disease) Panel (Bill Only)
81443
G160
Peroxisomal Disorder Panel (Bill Only)
81443
G161
Glycogen Storage Disease Panel (Bill Only)
81443
G162
CGO Custom Gene Panel (LPGD) (Bill Only)
CFMP
Cystic Fibrosis, CFTR Gene, Variant Panel, Varies
81220 81222 81479 (if appropriate for government payers)
CGPH
Custom Gene Panel, Hereditary, Next-Generation Sequencing, Varies
CPT codes are based on the gene content of the custom gene panel. Refer to the Custom Gene Ordering Tool for custom gene panel specific CPT code information. 81165 (if appropriate) 81166 (if appropriate) 81167 (if appropriate) 81162 (if appropriate) 81201 (if appropriate) 81216 (if appropriate) 81223 (if appropriate) 81249 (if appropriate) 81252 (if appropriate) 81286 (if appropriate) 81292 (if appropriate) 81295 (if appropriate) 81298 (if appropriate) 81307 (if appropriate) 81319 (if appropriate) 81321 (if appropriate) 81351 (if appropriate) 81403 (if appropriate) 81404 (if appropriate) 81405 (if appropriate) 81406 (if appropriate) 81407 (if appropriate) 81408 (if appropriate) 81430 (if appropriate) 81431 (if appropriate) 81440 (if appropriate) 81443 (if appropriate) 81479 (if appropriate) 81188 (if appropriate) 81419 (if appropriate)
THSIF
Thrombospondin Type 1 Domain Containing 7A (THSD7A), Immunofluorescence
88346-Primary IF 88350-If additional IF
APOL1
APOL1 Genotype, Varies
81479
BTB46
ZBTB46 Immunostain, Technical Component Only
88342-TC, primary 88341-TC, if additional IHC
BCOR
BCOR Immunostain, Technical Component Only
88342-TC, primary 88341-TC, if additional IHC
ML20C
COG Metaphases, 1-19 (Bill Only)
88264
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