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Procedure Code Category
CPT Codes
Procedure Code Descriptions
Code Status
AMP
28805
Amputation, foot; transmetatarsal
No Change
AMP
28810
Amputation, metatarsal, with toe, single
No Change
AMP
28820
Amputation, toe; metatarsophalangeal 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
CHRGB
Chimerism-Recipient Germline (Pretransplant), Varies
81265-Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient germline [eg, buccal swab or other germline tissue sample] and donor testing, twin zygosity testing or maternal cell contamination of fetal cells)
BUAUC
Busulfan, Intravenous Dose, Area Under the Curve, Plasma
80299 x 4
GM1B
Ganglioside Antibody Panel, Serum
83516 x 6 83520 x 6 (if applicable)
TICKS
Tick-Borne Disease Antibodies Panel, Serum
86618 86666 x 2 86753 86617 x 2-Lyme disease Western blot (if appropriate)
ARBOP
Arbovirus Antibody Panel, IgG and IgM, Serum
86651 x 2-California virus (La Crosse) encephalitis antibody, IgG and IgM 86652 x 2-Eastern equine encephalitis antibody, IgG and IgM 86653 x 2-St. Louis encephalitis antibody, IgG and IgM 86654 x 2-Western equine encephalitis antibody, IgG and IgM
HTLVL
Human T-Cell Lymphotropic Virus Types I and II (HTLV-I/-II) Antibody Confirmation, Serum
86689
IGFB3
Insulin-Like Growth Factor-Binding Protein 3, Serum
83520
FC9K
Factor IX Known Mutation Sequencing
 
BA190
BCR/ABL1, p190, mRNA Detection, Reverse Transcription-PCR (RT-PCR), Quantitative, Monitoring Assay, Varies
81207
PAS3
Pediatric Allergy Screen <3 Years, Serum
86003 x 5
PAS38
Pediatric Allergy Screen 3 to 8 Years, Serum
86003 x 6
PAS8
Pediatric Allergy Screen >8 Years, Serum
86003 x 5
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