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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
ADLTX
Adulterants Survey, Chain of Custody, Random, Urine
81005
AMPHX
Amphetamines Confirmation, Chain of Custody, Random, Urine
80324 80359 G0480 (if appropriate)
AMPMX
Amphetamine-Type Stimulants Confirmation, Chain of Custody, Meconium
80324 80359 G0480 (if appropriate)
BARBX
Barbiturates Confirmation, Chain of Custody, Random, Urine
80345 G0480 (if appropriate)
CDA5X
Drug Abuse Survey with Confirmation, Panel 5, Chain of Custody, Random, Urine
80307
CDA7X
Drug Abuse Survey with Confirmation, Panel 9, Chain of Custody, Random, Urine
80307
CDAUX
Drug Abuse Panel with Confirmation, Chain of Custody, Random, Urine
80307
COKEX
Cocaine and Metabolite Confirmation, Chain of Custody, Random, Urine
80353 G0480 (if appropriate)
COKMX
Cocaine and Metabolite Confirmation, Chain of Custody, Meconium
80353 G0480 (if appropriate)
DSM4X
Drugs of Abuse Screen 4, Chain of Custody, Meconium
80307
DSM5X
Drugs of Abuse Screen 5, Chain of Custody, Meconium
80307
DSSX
Drug Screen, Prescription/Over the Counter, Chain of Custody, Serum
80307
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