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Procedure Code Category
CPT Codes
Procedure Code Descriptions
Code Status
BRST
19302
Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy
No Change
BRST
19303
Mastectomy, simple, complete
No Change
BRST
19305
Mastectomy, radical, including pectoral muscles, axillary lymph nodes
No Change
BRST
19306
Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)
No Change
BRST
19307
Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle
No Change
BRST
19316
Mastopexy
No Change
BRST
19318
Reduction mammaplasty
No Change
BRST
19324
Mammaplasty, augmentation; without prosthetic implant
No Change
BRST
19325
Mammaplasty, augmentation; with prosthetic implant
No Change
BRST
19328
Removal of intact mammary implant
No Change
BRST
19330
Removal of mammary implant material
No Change
AMP
28825
Amputation, toe; interphalangeal joint
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
APTSC
Activated Partial Thromboplastin Time (APTT), Plasma
85730
CLFIB
Fibrinogen, Clauss, Plasma
85384
DIMER
D-Dimer, Plasma
85379
SOLFM
Soluble Fibrin Monomer, Plasma
85366
DRV1
Dilute Russell Viper Venom Time (DRVVT), Plasma
85613-DRVVT 85613-DRVVT mix (if appropriate) 85613-DRVVT confirmation (if appropriate)
DRV2
Dilute Russell Viper Venom Time (DRVVT) Mix, Plasma
85613
DRV3
Dilute Russell Viper Venom Time (DRVVT) Confirmation, Plasma
85613
DRVI1
Dilute Russell Viper Venom Time (DRVVT), with Reflex, Plasma
85613-DRVVT 85613-DRVVT mix (if appropriate) 85613-DRVVT confirmation (if appropriate)
DRVI2
Dilute Russell Viper Venom Time (DRVVT) Mix Ratio, Plasma
85613
DRVI3
Dilute Russell Viper Venom Time (DRVVT) Confirmation Ratio, Plasma
85613
APMSC
Activated Partial Thromboplastin Time (APTT) Mix 1:1, Plasma
85732
PTMSC
Prothrombin Time Mix 1:1, Plasma
85611
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