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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
MLHPB
MLH1 Hypermethylation Analysis, Blood
81288
MSH2I
MSH-2, Immunostain (Bill Only)
88341
MSH6I
MSH-6, Immunostain (Bill Only)
88341
PMS2I
PMS-2, Immunostain (Bill Only)
88342
PRSSZ
PRSS1 Gene, Full Gene Analysis, Varies
81404-PRSS1 (protease, serine, 1 [trypsin 1]) (eg, hereditary pancreatitis), full gene sequence
PWAS
Prader-Willi/Angelman Syndrome, Molecular Analysis, Varies
81331-SNRPN/UBE3A, (small nuclear ribonucleoprotein polypeptide Nand ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis 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)
SBULB
Spinobulbar Muscular Atrophy (Kennedy Disease), Molecular Analysis, Varies
81204-AR (androgen receptor)(eg, spinal and bulba muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status)
NSIP
Non-Seasonal Inhalant Allergen Profile, Serum
86003 x 10
SEAFP
Seafood Allergen Profile, Serum
86003 x 5
NUTSP
Nuts Allergen Profile, Serum
86003 x 5
PPFWE
Protoporphyrins, Fractionation, Washed Erythrocytes
82542
UPGDW
Uroporphyrinogen Decarboxylase, Washed Erythrocytes
82657
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