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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
APCRR
Activated Protein C Resistance V, with Reflex to Factor V Leiden, Blood and Plasma
85307
DASM4
Drugs of Abuse Screen, Meconium 4
80307 See individual reflex tests for appropriate CPT codes
F822B
Hemophilia A F8 Gene, Intron 22 Inversion Known Mutation, Whole Blood
81403
F81B
Hemophilia A F8 Gene, Intron 1 Inversion Known Mutation, Whole Blood
81403
SEMB
Semen Analysis with Strict Morphology, Semen
89310-Semen Analysis 89398-Strict Criteria Sperm Morphology If both components performed, 89322-Semen Analysis with Strict Morphology
CFRCS
Bacterial Culture, Cystic Fibrosis with Antimicrobial Susceptibilities, Varies
87070-Bacterial, Culture, cystic fibrosis, respiratory 87077-Identification commercial kit (if appropriate) 87077-Ident by MALDI-TOF mass spec (if appropriate) 87077-Bacteria Identification (if appropriate) 87077-Additional Identification procedure (if appropriate) 87077-Identification Staphylococcus (if appropriate) 87077-Identification Streptococcus (if appropriate) 87147 x 1-3-Serologic agglut method 1 ident (if appropriate) 87147-Serologic agglut method 2 ident (if appropriate) 87147 x 4-Serologic agglut method 3 ident (if appropriate) 87147 x 2-6-Serologic Agglut Method 4 Ident (if appropriate) 87153-Aerobe ident by sequencing (if appropriate) 87150-Identification by PCR (if appropriate) 87185-Beta lactamase (if appropriate) 87186-Antimicrobial Susceptibility, Aerobic Bacteria, MIC-per organism for routine battery (if appropriate) 87181-Susceptibility per drug and per organism for drugs not in routine battery (if appropriate) 87150-mec A PCR (if appropriate)
LPMGF
Lymphocyte Proliferation to Mitogens, Blood
86353 86353 (if appropriate)  
LPAGF
Lymphocyte Proliferation to Antigens, Blood
86353 86353 (if appropriate)  
PQNRU
Porphyrins, Quantitative, Random, Urine
84110-Porphobilinogen, quantitative 84120-Porphyrins, quantitation and fractionation
QNKS
Natural Killer (NK)/Natural Killer T-Cell Subsets, Quantitative, Blood
86356 x3 86359 86357
ALBFL
Albumin, Body Fluid
82042
FFSPG
Fish and Shellfish Panel IgG
86001 x 12
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