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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
KRABZ
Krabbe Disease, Full Gene Analysis and Large (30 kb) Deletion, Varies
81406 GALC (galactosylceramidase) (eg, Krabbe disease), full gene sequence 88233-Tissue culture, skin or solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate)
GBAZ
Gaucher Disease, Full Gene Analysis, Varies
81479-Unlisted molecular pathology procedure code 88233-Tissue culture, skin, or solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate)
HAD
Huntington Disease, Molecular Analysis, Varies
81271-HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles
HEXAZ
Tay-Sachs Disease, HEXA Gene, Full Gene Analysis, Varies
81406
MPS2Z
Hunter Syndrome, Full Gene Analysis, Varies
81405-IDS (iduronate 2-sulfatase) (eg, mucopolysacchridosis, type II), full gene sequence 88233-Tissue culture, skin, or solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate)
MPS1Z
Hurler Syndrome, Full Gene Analysis, Varies
81406 IDUA (iduronidase, alpha-L-) (eg, mucopolysaccharidosis type I), full gene sequence 88233-Tissue culture, skin or solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate)
IHC
Mismatch Repair (MMR) Protein Immunohistochemistry Only, Tumor
MLH-1, Immunostain 88341 (if appropriate)   MSH-2, Immunostain 88341 (if appropriate)   MSH-6, Immunostain 88341 (if appropriate)   PMS-2, Immunostain 88342 (if appropriate)
MCADZ
Medium-Chain Acyl-CoA Dehydrogenase (MCAD) Deficiency Full Gene Analysis, Varies
81479-Unlisted molecular pathology procedure   Fibroblast Culture for Genetic Test 88233-Tissue culture, skin or solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate)  
MATCC
Maternal Cell Contamination, Molecular Analysis, Varies
81265   Fibroblast Culture for Genetic Test 88233-(if appropriate) 88240-(if appropriate)   Amniotic Fluid Culture/Genetic Test 88235-(if appropriate) 88240-(if appropriate)   Each additional specimen 81266
BRMLH
MLH1 Hypermethylation and BRAF Mutation Analysis, Tumor
Slide Review 88381-Microdissection, manual   81210-BRAF (v-raf murine sarcoma viral oncogene homolog B1) (eg, colon cancer), gene analysis, V600E variant, if appropriate 81288-MLH1 promoter methylation analysis, if appropriate
MLH1I
MLH-1, Immunostain (Bill Only)
88341
ML1HM
MLH1 Hypermethylation Analysis, Tumor
81288 88381
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