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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
CTXP
Cerebrotendinous Xanthomatosis, Plasma
82542
GPSYP
Glucopsychosine, Plasma
82542
CEE49
CD49d Cell Expression Evaluation, Varies
88184-Flow cytometry; first cell surface, cytoplasmic or nuclear marker 88185 x 3-Flow cytometry; additional cell surface, cytoplasmic or nuclear marker 88187-Flow Cytometry Interpretation, 2 to 8 Markers
CEE52
CD52 Cell Expression Evaluation, Varies
88184-Flow cytometry; first cell surface, cytoplasmic or nuclear marker 88185 x 3-Flow cytometry; additional cell surface, cytoplasmic or nuclear marker 88187-Flow Cytometry Interpretation, 2 to 8 Markers
CEE20
CD20 Cell Expression Evaluation, Varies
88184-Flow cytometry; first cell surface, cytoplasmic or nuclear marker 88185 x 3-Flow cytometry; additional cell surface, cytoplasmic or nuclear marker 88187-Flow Cytometry Interpretation, 2 to 8 Markers
NGAMT
MayoComplete Acute Myeloid Leukemia, Therapeutic Gene Mutation Panel (FLT3, IDH1, IDH2, TP53), Next-Generation Sequencing, Varies
81120 81121 81245 81246 81352
ECULI
Eculizumab, Serum
80299
HSMP
Hepatosplenomegaly Panel, Plasma
82542
HSMWB
Hepatosplenomegaly Panel, Blood
82542
PBALP
Porphobilinogen and Aminolevulinic Acid, Plasma
82542 82135
PSPT
Phosphatidylserine/Prothrombin Antibody, IgG and IgM, Serum
86148 x 2
PCRID
Identification by PCR (Bill Only)
87150
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