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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
CALPR
Calprotectin, Feces
83993
VEGF
Vascular Endothelial Growth Factor, Plasma
83520
TNFA
Tumor Necrosis Factor, Plasma
83520
RUFI
Rufinamide, Serum
80210
MPNR
Myeloproliferative Neoplasm, JAK2 V617F with Reflex to CALR and MPL, Varies
81270-JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant 81219-CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 (if appropriate) 81339-MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 (if appropriate)
FMTT
Familial Mutation, Targeted Testing, Varies
The applicable CPT code will be applied on a case-by-case basis   Gene CPT Code (as appropriate) Any gene not listed below 81403 APC 81202 AR 81174 BRCA1 81215 BRCA2 81217 CACNA1A 81186 CFTR 81221 CSTB 81190 FXN 81289 G6PD 81248 GJB2 81253 HBA1 81258 HBA2 81258 HBB 81362 MECP2 81303 MLH1 81293 MSH2 81296 MSH6 81299 PALB2 81308 PMP22 81326 PMS2 81318 PTEN 81322 SMN1 81337 TP53 81353   81265-Maternal cell contamination (if appropriate) 88233-Tissue culture, skin or solid tissue biopsy (if appropriate) 88235-Tissue culture for amniotic fluid (if appropriate) 88240-Cryopreservation (if appropriate)
CMAPC
Chromosomal Microarray, Autopsy, Products of Conception, or Stillbirth
81229
MDM2F
MDM2 (12q15) Amplification, Well-Differentiated Liposarcoma/Atypical Lipomatous Tumor, 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,
FENS
Fentanyl Screen, Random, Urine
80307
FENR
Fentanyl Screen with Reflex, Random, Urine
80307
HCVL
Hepatitis C Virus Antibody Confirmation, Serum
86804
ADNAR
DNA Double-Stranded (dsDNA) Antibodies with Reflex, IgG, Serum
86225 86225-CRITH (if appropriate)
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