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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
FXIII	Factor XIII (13), Screen, Plasma	85291
F_12	Coagulation Factor XII Activity Assay, Plasma	85280
F8A	Coagulation Factor VIII Activity Assay, Plasma	85240
PSGN	Plasminogen Activity, Plasma	85420
MONOS	Infectious Mononucleosis, Rapid Test, Serum	86308
UNHB	Hemoglobin Stability, Blood	83068
PLHBB	Plasma Free Hemoglobin, Plasma	83051
RTIC	Reticulocytes, Blood	85045
CBC	Complete Blood Cell Count (CBC) with Differential, Blood	85025 85007 (if appropriate) 85060 (if appropriate)
F_2	Coagulation Factor II Activity Assay, Plasma	85210
PCAG	Protein C Antigen, Plasma	85302
LYME	Lyme Disease Serology, Serum	86618 86617 x 2-Lyme disease confirmation (if appropriate)