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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 |
|---|---|---|
SCTF | Sex Chromosome Determination, FISH, Tissue | 88271 x 2, 88291-DNA probe, each (first probe set), Interpretation and report
88271 x 2-DNA probe, each; each additional probe set (if appropriate)
88271-DNA probe, each; coverage for sets containing 3 probes (if appropriate)
88271 x 2-DNA probe, each; coverage for sets containing 4 probes (if appropriate)
88271 x 3-DNA probe, each; coverage for sets containing 5 probes (if appropriate)
88274 w/modifier 52-Interphase in situ hybridization, |
MSTF | Myeloid Sarcoma, FISH, Tissue | 88291
88271 x 2 (if appropriate)
88271 x 2 (if appropriate)
88271 (if appropriate)
88271 x 2 (if appropriate)
88271 x 3 (if appropriate)
88274 w/modifier 52 (if appropriate)
88274 (if appropriate)
88275 (if appropriate) |
ROS1F | Lung Cancer, ROS1 (6q22) Rearrangement, 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, |
RETF | Lung Cancer, RET (10q11) Rearrangement, 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, |
HOLDF | Hematologic Disorders, Fluorescence In Situ Hybridization (FISH) Hold, Varies | See individual reflex tests |
HOLDC | Hematologic Disorders, Chromosome Hold, Varies | See individual reflex tests |
ESTUF | Endometrial Stromal Tumors (EST), 7p15 (JAZF1), 6p21.32 (PHF1), 17p13.3 (YWHAE) Rearrangement, 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, |
MASF | Angiosarcoma, MYC (8q24) Amplification, 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, |
SGTF | MYB (6q23) Rearrangement 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, |
BBRAF | BRAF Analysis (Bill Only) | 81210-BRAF (v-raf murine sarcoma viral oncogene homolog B1) (eg, colon cancer), gene analysis, V600E variant |
BMLHH | MLH1 Hypermethylation Analysis (Bill Only) | 81288-MLH1 promoter methylation analysis |
CMAP | Chromosomal Microarray, Prenatal, Amniotic Fluid/Chorionic Villus Sampling | 81229 |
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