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Procedure Code Category
CPT Codes
Procedure Code Descriptions
Code Status
AMP
27598
Disarticulation at knee
No Change
AMP
27880
Amputation, leg, through tibia and fibula;
No Change
AMP
27881
Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast
No change
AMP
27882
Amputation, leg, through tibia and fibula; open, circular (guillotine)
No Change
AMP
27884
Amputation, leg, through tibia and fibula; secondary closure or scar revision
No Change
AMP
27886
Amputation, leg, through tibia and fibula; re-amputation
No Change
AMP
27888
Amputation, ankle, through malleoli of tibia and fibula (e.g., Syme, Pirogoff type procedures), with plastic closure and resection of nerves
No Change
AMP
27889
Ankle disarticulation
No Change
AMP
28124
Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe
No Change
AMP
28126
Resection, partial or complete, phalangeal base, each toe
No Change
AMP
28160
Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each
No Change
AMP
28800
Amputation, foot; midtarsal (e.g., Chopart type procedure)
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
IFPCA
IF Additional (Bill Only)
88350
ISPCI
ISH Initial (Bill Only)
88365
ISPCA
ISH Additional (Bill Only)
88364
ISH26
ISH Initial, Professional Only (Bill Only)
88365-26
ISA26
ISH Additional, Professional Only (Bill Only)
88364-26
LEV1P
Level 1 Gross only (Bill Only)
88300
LEV2P
Level 2 Gross and microscopic (Bill Only)
88302
LEV3P
Level 3 Gross and microscopic (Bill Only)
88304
LEV4P
Level 4 Gross and microscopic (Bill Only)
88305
LV4RP
Level 4 Gross and Microscopic, RB (Bill Only)
88305
LEV5P
Level 5 Gross and microscopic (Bill Only)
88307
LEV6P
Level 6 Gross and microscopic (Bill Only)
88309
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