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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
VALPG
Valproic Acid, Free and Total, Serum
VALPA-80164 VALPF-80165
VALPF
Valproic Acid, Free, Serum
80165
VANPA
Vancomycin, Peak, Serum
80202
VANTA
Vancomycin, Trough, Serum
80202
VANRA
Vancomycin, Random, Serum
80202
CHIKI
Chikungunya Interpretation
LMALP
Malaria PCR with Parasitemia Reflex, Varies
87798 87207 (if applicable)
NOTRP
Nortriptyline, Serum
80335 G0480 (if appropriate)
DESPR
Desipramine, Serum
80335 G0480 (if appropriate)
SMPB
Peripheral Blood Smear Review
85060
PAC1
Paraneoplastic, Autoantibody Evaluation, Spinal Fluid
86255 x 9 84182-AGNBC (if appropriate) 86256-AGNTC (if appropriate) 84182-AMIBC (if appropriate) 84182-AN1BC (if appropriate) 86256-AN1TC (if appropriate) 84182-AN2BC (if appropriate) 86256-AN2TC (if appropriate) 86256-AN3TC (if appropriate) 86256-APHTC (if appropriate) 86256-CRMTC (if appropriate) 84182-CRMWC (if appropriate) 84182-PC1BC (if appropriate) 86256-PC1TC (if appropriate) 86256-PC2TC (if appropriate) 84182-PCTBC (if appropriate) 86256-PCTTC (if appropriate)
CYPZ
21-Hydroxylase Gene, CYP21A2, Full Gene Analysis, Varies
81405-CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide2) (eg, steroid 21-hydroxylase isoform, congenital adrenal hyperplasia), full gene sequence 81402-CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) 88233-Tissue culture, skin or solid tissue biopsy (if appropriate) 88235-Tissue culture for amniotic fluid (if appropriate) 88240-Cryopreservation (if appropriate) 81265-Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient germline [eg, buccal swab or other germline tissue sample] and donor testing, twin zygosity testing or maternal cell contamination of fetal cells (if appropriate) 81479 (if appropriate for government payers)
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