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Procedure Code Category
CPT Codes
Procedure Code Descriptions
Code Status
AMP
24900
Amputation, arm through humerus; with primary closure
No Change
AMP
24920
Amputation, arm through humerus; open, circular (guillotine)
No Change
AMP
24930
Amputation, arm through humerus; re-amputation
No Change
AMP
24931
Amputation, arm through humerus; with implant
No Change
AMP
25900
Amputation, forearm, through radius and ulna
No Change
AMP
25905
Amputation, forearm, through radius and ulna; open, circular (guillotine)
No Change
AMP
25909
Amputation, forearm, through radius and ulna; re-amputation
No Change
AMP
25920
Disarticulation through wrist
No Change
AMP
25922
Disarticulation through wrist; secondary closure or scar revision
No Change
AMP
25924
Disarticulation through wrist; re-amputation
No Change
AMP
25927
Transmetacarpal amputation;
No Change
AMP
25929
Transmetacarpal amputation; secondary closure or scar revision
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
QFT4
QuantiFERON-TB Gold Plus, Blood
86480
HIVQN
HIV-1 RNA Detection and Quantification, Plasma
87536
DHES1
Dehydroepiandrosterone Sulfate, Serum
82627
SSTR2
Somatostatin Receptor 2 (SSTR2), Immunostain, Technical Component Only
88342-TC, primary 88341-TC, if additional IHC
BMAMA
Basic Metabolic Panel, Serum
84132 84295 82435 82374 84520 82565 82310 82947
CMAMA
Comprehensive Metabolic Panel, Serum
KS-84132 NAS-84295 CL-82435 HCO3-82374 BUN-84520 CRTS1-82565 CA-82310 GLURA-82947 TP-84155 ALB-82040 AST-84450 ALP-84075 ALT-84460 BILIT-82247
ELPSR
Electrolyte Panel, Serum
80051-Electrolyte Panel (if all 4 are performed) 82435-Chloride (if all 4 are not performed) 84295- Sodium (if all 4 are not performed) 84132-Potassium (if all 4 are not performed) 82374-Bicarbonate (if all 4 are not performed)
LIVPR
Liver Profile, Serum
82247 82248 84450 84460 84075 82040 84155 80076 (if appropriate if all analytes performed)
RFAMA
Renal Function Panel, Serum
KS: 84132 NAS: 84295 CL: 82435 HCO3: 82374 BUN: 84520 CRTS1: 82565 CA: 82310 GLURA: 82947 ALB: 82040 PHOS: 84100
CXCFX
MYD88 Reflex to CXCR4 Mutation Detection, Varies
81479-Unlisted molecular pathology procedure
CA
Calcium, Total, Serum
82310
HSMBS
Hepatosplenomegaly Panel, Blood Spot
82542
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