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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
TBIDS
Culture Referred for Identification, Mycobacterium and Nocardia with Antimicrobial Susceptibility Testing, Varies
Culture Referred for Identification, Mycobacterium 87118-Identificaiton of mycobacteria 87158-Identification of mycobacteria by other methods (if appropriate) 87118 -Id MALDI-TOF Mass Spec AFB (if appropriate) 87153-Mycobacteria Identification by Sequencing (if appropriate) 87150-Mycobacteria Probe Ident, Solid (if appropriate) 87150-Mycobacteria Probe Ident, Broth (if appropriate) 87150-Id, Mtb Speciation, PCR (if appropriate) 87186-Susceptibility Rapid Grower (if appropriate) 87186-Susceptibility Slow Grower (if appropriate) 87186-Susceptibility Nocardia species (if appropriate) 87188 x 3-Antimicrobial Susceptibility, Mycobacterium tuberculosis Complex, Broth Method (if appropriate) 87186-Suscetpbility, Mtb Cx, 2nd Line (if appropriate) 87188-Susceptibility, Mycobacterium tuberculosis Complex, Pyrazinamide (if appropriate) 87153-Mtb PZA Confirmation, pncA Sequencing (if appropriate) 87150- Id, MTB complex Rapid PCR (if appropriate)
ACARP
Acanthamoeba species Molecular Detection, PCR, Ocular
87798
FLARP
Free-Living Amebae, Molecular Detection, PCR, Varies
87798 x 3 87999 (if appropriate for government payers)
ECUMP
Eculizumab Monitoring Panel, Serum
86160 86161
SZMON
Sezary Monitoring Flow Cytometry, Blood
88184-Flow cytometry; first cell surface, cytoplasmic or nuclear marker x 1 88185-Flow cytometry; additional cell surface, cytoplasmic or nuclear marker (each) 88188-Flow Cytometry Interpretation, 9 to15 markers (if appropriate) 88189-Flow Cytometry Interpretation, 16 or more markers (if appropriate)
SZDIA
Sezary Diagnostic Flow Cytometry, Blood
88184-Flow cytometry; first cell surface, cytoplasmic or nuclear marker x 1 88185-Flow cytometry; additional cell surface, cytoplasmic or nuclear marker (each) 88188-Flow Cytometry Interpretation, 9 to15 markers (if appropriate) 88189-Flow Cytometry Interpretation, 16 or more markers (if appropriate)
PEANT
Peanut, IgE with Reflex to Peanut Components, IgE, Serum
86003
CXLPL
CXCR4 Mutation Analysis, Somatic, Lymphoplasmacytic Lymphoma/Waldenstrom Macroglobulinemia, Varies
81479-Unlisted molecular pathology procedure
PRKAF
Fibrolamellar Carcinoma, 19p13.1 (PRKACA) Rearrangement, FISH, Tissue
88271x2, 88291-DNA probe, each (first probe set), Interpretation and report 88271x2-DNA probe, each; each additional probe set (if appropriate) 88271x1-DNA probe, each; coverage for sets containing 3 probes (if appropriate) 88271x2-DNA probe, each; coverage for sets containing 4 probes (if appropriate) 88271x3-DNA probe, each; coverage for sets containing 5 probes (if appropriate) 88274-w/modifier 52 -Interphase in situ hybridization,
EXHD
Hematologic Disorders, DNA Extract and Hold, Varies
 
BORDG
Bordetella pertussis Antibody, IgG, Serum
86615
ADALX
Adalimumab Quantitative with Reflex to Antibody, Serum
80145 83520 (if appropriate)
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