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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
CHRAF
Chromosome Analysis, Amniotic Fluid
88235, 88291-Tissue culture for amniotic fluid or chorionic villus cells, Interpretation and report 88269 w/modifier 52-Chromosome analysis, in situ for amniotic fluid cells,
CULAF
Culture for Genetic Testing, Amniotic Fluid
88235 88240
CHRBM
Chromosome Analysis, Hematologic Disorders, Bone Marrow
88237, 88291-Tissue culture for neoplastic disorders; bone marrow, blood, Interpretation and report 88264 w/ modifier 52-Chromosome analysis with less than 20 cells (if appropriate) 88264-Chromosome analysis with 20 to 25 cells (if appropriate) 88264, 88285-Chromosome analysis with greater than 25 cells (if appropriate) 88283-Additional specialized banding technique (if appropriate)
DD22F
22q11.2 Deletion/Duplication, FISH, Varies
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 x 1-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) 88273 w/modifier 52-Chromosomal in situ hybridization, less than 10 cells (if appropriate) 88273-Chromosomal in situ hybridization, 10-30 cells (if appropriate) 88274 w/modifier 52-Interphase in situ hybridization,
CMACB
Chromosomal Microarray, Congenital, Blood
81229
CHRCB
Chromosome Analysis, Congenital Disorders, Blood
88230, 88291- Tissue culture for Lymphocytes, Interpretation and report 88262 w/modifier 52-Chromosome analysis less than15 cells (if appropriate) 88262-Chromosome analysis with 15 to 20 cells (if appropriate) 88262, 88285-Chromosome analysis with greater than 20 cells (if appropriate) 88280-Chromosome analysis, greater than 2 karyotypes (if appropriate) 88283-Additional specialized banding technique (if appropriate)
CHRTI
Chromosome Analysis, Skin Biopsy
88233, 88291- Tissue culture for skin/biopsy, Interpretation and report 88262 w/modifier 52-Chromosome analysis less than 15 cells(if appropriate) 88262-Chromosome analysis with 15 to 120 cells (if appropriate) 88262, 88285-Chromosome analysis with greater than 20 cells (if appropriate) 88280-Chromosome analysis, greater than 2 karyotypes (if appropriate) 88283-Additional specialized banding technique (if appropriate)
CHRCV
Chromosome Analysis, Chorionic Villus Sampling
88235, 88291-Tissue culture for amniotic fluid or chorionic villus cells, Interpretation and report 88267 w/modifier 52-Chromosome analysis, amniotic fluid or chorionic villus,
CULFB
Fibroblast Culture for Biochemical or Molecular Testing, Chorionic Villi/Products of Conception/Tissue
88233 88240
PBLI
Plasma Cell Assessment, Blood
88184-Flow cytometry, cell surface, cytoplasmic 88185 x 5-Each additional marker 88187-Flow cytometry, interpretation; 2 to 8 markers
IFBA
Intrinsic Factor Blocking Antibody, Serum
86340
TBBS
Quantitative Lymphocyte Subsets: T, B, and Natural Killer (NK) Cells, Blood
86355 86357 86359 86360
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