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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
DHR
Dihydrorhodamine Flow Cytometric Test, Blood
86352 x2
DHRP
Dihydrorhodamine Flow Cytometric Phorbol Myristate Acetate Test, Blood
86352
DHRF
Dihydrorhodamine Flow Cytometric N-Formyl-Methionyl-Leucyl-Phenylalanine Test, Blood
86352
HELIS
Helicobacter pylori Culture with Antimicrobial Susceptibilities, Varies
87081-Helicobacter pylori culture 87077-Bacteria identification (if appropriate) 87153-Aerobe Ident by Sequencing (if appropriate) 87176-Tissue processing (if appropriate) 87181-Susceptibility per drug and per organism for drugs not in routine battery (if appropriate) 87186-Antimicrobial Susceptibility, Aerobic Bacteria, MIC-per organism for routine battery (if appropriate) 87150-H pylori + Clarithro Resistance PCR (if appropriate)
HTG2
Thyroglobulin, Tumor Marker, Serum
84432 86800
DENVP
Dengue Virus Antibody/Antigen Panel, Serum
86790 x 3
LACO
Lacosamide, Serum
80235
PN10X
Pain Clinic Survey 10, Chain of Custody, Random, Urine
80307
CALR
CALR Mutation Analysis, Myeloproliferative Neoplasm (MPN), Varies
81219-CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9
CRITH
DNA Double-Stranded (dsDNA) Antibodies by Crithidia luciliae IFA, IgG, Serum
86255
B2GMG
Beta-2 Glycoprotein 1 Antibodies, IgG and IgM, Serum
86146 x 2
MYD88
MYD88, L265P, Somatic Gene Mutation, DNA Allele-Specific PCR, Varies
81305
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