top of page
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 |
|---|---|---|
FIBTP | Fibrinogen, Plasma | 85384 |
HEPTP | Heparin Anti-Xa, Plasma | 85520 |
BAIPD | Bile Acids for Peroxisomal Disorders, Serum | 82542 |
SLIRV | Slide Review in Molecular Genetics (Bill Only) | 88381 |
UNIPD | Uniparental Disomy, Varies | 81402 |
VLCZ | Very Long Chain Acyl-CoA Dehydrogenase Deficiency, Full Gene Analysis, Varies | 81406-ACADV (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence |
XALDZ | X-Linked Adrenoleukodystrophy, Full Gene Analysis, Varies | 81405-ABCD1 (ATP-binding cassette, sub-family D [ALD] member 1) (eg, adrenoleukodystrophy) full gene sequence
88233-Tissue culture, skin or solid tissue biopsy (if appropriate)
88240-Cryopreservation (if appropriate) |
YMCRO | Y Chromosome Microdeletions, Molecular Detection, Varies | 81403-DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) |
MULT | Zygosity Testing (Multiple Births), Varies | 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
88233-Tissue culture, skin or solid tissue biopsy (if appropriate)
88235-Tissue culture for amniotic fluid (if appropriate)
88240-Cryopreservation (if appropriate)
81266-Each additional specimen (eg additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in multiple birth pregnancies) (as needed) |
BLAST | Blastomyces Antibody, Enzyme Immunoassay, Serum | 86612
86612 (if applicable) |
PLABN | Platelet Antibody Screen, Serum | 86022 |
HCYSS | Homocysteine, Total, Serum | 83090 |
bottom of page