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Procedure Code Category
CPT Codes
Procedure Code Descriptions
Code Status
BILI
47765
Anastomosis, of intrahepatic ducts and gastrointestinal tract
No Change
AAA
34830
Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; tube prosthesis
No Change
AAA
34831
Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bi-iliac prosthesis
No Change
AAA
34832
Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bifemoral prosthesis
No Change
AAA
35081
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta
No Change
AAA
35082
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta
No Change
AAA
35091
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta involving visceral vessels (mesenteric, celiac, renal)
No Change
AAA
35092
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving visceral vessels (mesenteric, celiac, renal)
No Change
AAA
35102
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta involving iliac vessels (common, hypogastric, external)
No Change
AAA
35103
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving iliac vessels (common, hypogastric, external)
No Change
AMP
23900
Interthoracoscapular amputation (forequarter)
No Change
AMP
23920
Disarticulation of shoulder
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
A1R
A1 Antigen Subtype, Blood
86905
CTXWB
Cerebrotendinous Xanthomatosis, Blood
82542
DCTR
Direct Antiglobulin Test (Polyspecific), Blood
86880
ABOMR
ABO/Rh, Blood
86900-ABO 86901-Rh
ABONR
ABO/Rh Newborn, Blood
86900 86901
ICOSI
ICOS (CD278), Immunostain, Technical Component Only
88342-TC, primary 88341-TC, if additional IHC
LGBBS
Globotriaosylsphingosine, Blood Spot
82542
COGMF
Acute Myeloid Leukemia (AML), Children's Oncology Group Enrollment Testing, FISH, Varies
88271 x 2, 88275, 88291-FISH Probe, Analysis, Interpretation; 1 probe set 88271 x 2, 88275-FISH Probe, Analysis; each additional probe set (if appropriate)
COGTF
T-Cell Acute Lymphoblastic Leukemia/Lymphoma (ALL), Children's Oncology Group Enrollment Testing, FISH, Varies
88271 x2, 88275 x1, 88291 x1- FISH Probe, Analysis, Interpretation; 1 probe set 88271 x2, 88275x1 – FISH Probe, Analysis; each additional probe set (if appropriate)
COGBF
B-Cell Acute Lymphoblastic Leukemia/Lymphoma (ALL), Children's Oncology Group Enrollment Testing, FISH, Varies
88271 x 2, 88275, 88291-FISH Probe, Analysis, Interpretation; 1 probe set 88271 x 2, 88275-FISH Probe, Analysis; each additional probe set (if appropriate)
COGBM
Chromosome Analysis, Hematologic Disorders, Children's Oncology Group Enrollment Testing, Bone Marrow
88237, 88291-Tissue culture for neoplastic disorders; bone marrow, blood, Interpretation and report 88264 w/ modifier 52-Chromosome analysis with less than 20 cells (if appropriate) 88264-Chromosome analysis with 20 to 25 cells (if appropriate) 88264, 88285-Chromosome analysis with greater than 25 cells (if appropriate) 88283-Additional specialized banding technique (if appropriate)
COGBL
Chromosome Analysis, Hematologic Disorders, Children's Oncology Group Enrollment Testing, Blood
88237, 88291-Tissue culture for neoplastic disorders; bone marrow, blood, Interpretation and report 88264 w/ modifier 52-Chromosome analysis with less than 20 cells (if appropriate) 88264-Chromosome analysis with 20 to 25 cells (if appropriate) 88264, 88285-Chromosome analysis with greater than 25 cells (if appropriate) 88283-Additional specialized banding technique (if appropriate)
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