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Procedure Code Category
CPT Codes
Procedure Code Descriptions
Code Status
XLAP
49250
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure)
No Change
XLAP
49255
Omentectomy, epiploectomy, resection of omentum (separate procedure)
No Change
XLAP
49320
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)
No Change
XLAP
49321
Laparoscopy, surgical; with biopsy (single or multiple)
No Change
XLAP
49324
Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter
No Change
XLAP
49325
Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed
No Change
XLAP
49326
Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in No changeition to code for primary procedure)
No Change
XLAP
49402
Removal of peritoneal foreign body from peritoneal cavity
No Change
XLAP
49412
Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed, single or multiple (List separately in No changeition to code for primary procedure)
No Change
XLAP
49419
Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable)
No Change
XLAP
49421
Insertion of tunneled intraperitoneal catheter for dialysis, open
No Change
XLAP
49425
Insertion of peritoneal-venous shunt
No Change
XLAP
49426
Revision of peritoneal-venous shunt
No Change
XLAP
49900
Suture, secondary, of abdominal wall for evisceration or dehiscence
No Change
XLAP
49905
Omental flap, intra-abdominal (List separately in No changeition to code for primary procedure)
No Change
XLAP
49906
Free omental flap with microvascular anastomosis
No Change
XLAP
58960
Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diaphragmatic assessment with pelvic and limited para-aortic lymphadenectomy
No Change
VHYS
51925
Closure of vesicouterine fistula; with hysterectomy
No Change
VHYS
58260
Vaginal hysterectomy, for uterus 250 g or less
No Change
VHYS
58262
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s)
No Change
VHYS
58263
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele
No Change
VHYS
58267
Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control
No Change
VHYS
58270
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele
No Change
VHYS
58275
Vaginal hysterectomy, for uterus 250 g or less;
No Change
VHYS
58280
Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele
No Change
VHYS
58285
Vaginal hysterectomy, radical (Schauta type operation)
No Change
VHYS
58290
Vaginal hysterectomy, for uterus greater than 250 g
No Change
VHYS
58291
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)
No Change
VHYS
58292
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele
No Change
VHYS
58293
Vaginal hysterectomy, for uterus greater than 250 g; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control
No Change
VHYS
58294
Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele
No Change
VSHN
62160
Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in No changeition to code for primary procedure)
No Change
VSHN
62180
Ventriculocisternostomy (Torkildsen type operation)
No Change
VSHN
62190
Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular
No Change
VSHN
62192
Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus
No Change
VSHN
62194
Replacement or irrigation, subarachnoid/subdural catheter
No Change
VSHN
62220
Creation of shunt; ventriculo-atrial, -jugular, -auricular
No Change
VSHN
62223
Creation of shunt; ventriculo-peritoneal, -pleural, other terminus
No Change
VSHN
62225
Replacement or irrigation, ventricular catheter
No Change
VSHN
62230
Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system
No Change
VSHN
62256
Removal of complete cerebrospinal fluid shunt system; without replacement
No Change
VSHN
62258
Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation
No Change
XLAP
20102
Exploration of penetrating wound (separate procedure); abdomen/flank/back
No Change
XLAP
35840
Exploration for postoperative hemorrhage, thrombosis or infection; abdomen
No Change
XLAP
39503
Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia
No Change
XLAP
39540
Repair, diaphragmatic hernia (other than neonatal), traumatic; acute
No Change
XLAP
39541
Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic
No Change
XLAP
43332
Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis
No Change
XLAP
43333
Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis
No Change
XLAP
44005
Enterolysis (freeing of intetinal adhesions) (separate procedure)
No Change
XLAP
44180
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)
No Change
XLAP
44700
Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, blNo changeer or omentum)
No Change
XLAP
44820
Excision of lesion of mesentery (separate procedure)
No Change
XLAP
44850
Suture of mesentery (separate procedure)
No Change
XLAP
49000
Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)
No Change
XLAP
49002
Reopening of recent laparotomy
No Change
XLAP
49010
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure)
No Change
XLAP
49013
Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration
No change
XLAP
49014
Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed
No change
XLAP
49020
Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open
No Change
XLAP
49040
Drainage of subdiaphragmatic or subphrenic abscess, open
No Change
XLAP
49060
Drainage of retroperitoneal abscess, open
No Change
XLAP
49203
Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less
No Change
XLAP
49204
Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter
No Change
XLAP
49205
Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diameter
No Change
XLAP
49215
Excision of presacral or sacrococcygeal tumor
No Change
XLAP
49220
Staging laparotomy for Hodgkin's disease or lymphoma (includes splenectomy, needle or open biopsies of both liver lobes, possibly also removal of abdominal nodes, abdominal node and/or bone marrow biopsies, ovarian repositioning)
No Change
THOR
32506
Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each No changeitional resection, ipsilateral (List separately in No changeition to code for primary procedure)
No Change
THOR
32507
Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in No changeition to code for primary procedure)
No Change
THOR
32540
Extrapleural enucleation of empyema (empyemectomy)
No Change
THOR
32553
Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intrathoracic, single or multiple
No Change
THOR
32607
Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral
No Change
THOR
32608
Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral
No Change
THOR
32609
Thoracoscopy; with biopsy(ies) of pleura
No Change
THOR
32651
Thoracoscopy, surgical; with partial pulmonary decortication
No Change
THOR
32652
Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis
No Change
THOR
32655
Thoracoscopy, surgical; with resection-plication of bullae, includes any pleural procedure when performed
No Change
THOR
32662
Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass
No Change
THOR
32663
Thoracoscopy, surgical; with lobectomy (single lobe)
No Change
THOR
32666
Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral
No Change
THOR
32667
Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each No changeitional resection, ipsilateral (List separately in No changeition to code for primary procedure)
No Change
THOR
32668
Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in No changeition to code for primary procedure)
No Change
THOR
32669
Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)
No Change
THOR
32670
Thoracoscopy, surgical; with removal of two lobes (bilobectomy)
No Change
THOR
32671
Thoracoscopy, surgical; with removal of lung (pneumonectomy)
No Change
THOR
32672
Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reduction (LVRS), unilateral includes any pleural procedure, when performed
No Change
THOR
32800
Repair lung hernia through chest wall
No Change
THOR
32815
Open closure of major bronchial fistula
No Change
THOR
32905
Thoracoplasty, Schede type or extrapleural (all stages);
No Change
THOR
32906
Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula
No Change
THOR
32940
Pneumonolysis, extraperiosteal, including filling or packing procedures
No Change
THOR
32960
Pneumothorax, therapeutic, intrapleural injection of air
No Change
THOR
39000
Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach
No Change
THOR
39010
Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy
No Change
THOR
39200
Resection of mediastinal cyst
No Change
THOR
39220
Resection of mediastinal tumor
No Change
THOR
39501
Repair, laceration of diaphragm, any approach
No Change
THOR
39545
Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic
No Change
THOR
39560
Resection, diaphragm; with simple repair (eg, primary suture)
No Change
THOR
39561
Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)
No Change
THOR
64746
Transection or avulsion of; phrenic nerve
No Change
THYR
60000
Incision and drainage of thyroglossal duct cyst, infected
No Change
THYR
60200
Excision of cyst or adenoma of thyroid, or transection of isthmus
No Change
THYR
60210
Partial thyroid lobectomy, unilateral; with or without isthmusectomy
No Change
THYR
60212
Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy
No Change
THYR
60220
Total thyroid lobectomy, unilateral; with or without isthmusectomy
No Change
THYR
60225
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy
No Change
THYR
60240
Thyroidectomy, total or complete
No Change
THYR
60252
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection
No Change
THYR
60254
Thyroidectomy, total or subtotal for malignancy; with radical neck dissection
No Change
THYR
60260
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid
No Change
THYR
60270
Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach
No Change
THYR
60271
Thyroidectomy, including substernal thyroid; cervical approach
No Change
THYR
60500
Parathyroidectomy or exploration of parathyroid(s)
No Change
THYR
60502
Parathyroidectomy or exploration of parathyroid(s); re-exploration
No Change
THYR
60505
Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach
No Change
THYR
60512
Parathyroid autotransplantation (List separately in No changeition to code for primary procedure)
No Change
SB
44202
Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis
No Change
SB
44300
Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure)
No Change
SB
44310
Ileostomy or jejunostomy, non-tube
No Change
SB
44312
Revision of ileostomy; simple (release of superficial scar) (separate procedure)
No Change
SB
44314
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure)
No Change
SB
44316
Continent ileostomy (Kock procedure) (separate procedure)
No Change
SB
44602
Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation
No Change
SB
44603
Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations
No Change
SB
44615
Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction
No Change
SB
44640
Closure of intestinal cutaneous fistula
No Change
SB
44650
Closure of enteroenteric or enterocolic fistula
No Change
SB
44800
Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct
No Change
SB
45136
Excision of ileoanal reservoir with ileostomy
No Change
SPLE
38100
Splenectomy; total (separate procedure)
No Change
SPLE
38101
Splenectomy; partial (separate procedure)
No Change
SPLE
38102
Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in No changeition to code for primary procedure)
No Change
SPLE
38115
Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy
No Change
SPLE
38120
Laparoscopy, surgical, splenectomy
No Change
THOR
20101
Exploration of penetrating wound (separate procedure); chest
No Change
THOR
21603
Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy
No change
THOR
31770
Bronchoplasty; graft repair
No Change
THOR
31775
Bronchoplasty; excision stenosis and anastomosis
No Change
THOR
32096
Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral
No Change
THOR
32097
Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral
No Change
THOR
32100
Thoracotomy; with exploration
No Change
THOR
32110
Thoracotomy; with control of traumatic hemorrhage and/or repair of lung tear
No Change
THOR
32120
Thoracotomy; for postoperative complications
No Change
THOR
32124
Thoracotomy; with open intrapleural pneumonolysis
No Change
THOR
32140
Thoracotomy; with cyst(s) removal, includes pleural procedure when performed
No Change
THOR
32141
Thoracotomy; with resection-plication of bullae, includes any pleural procedure when performed
No Change
THOR
32151
Thoracotomy; with removal of intrapulmonary foreign body
No Change
THOR
32200
Pneumonostomy, with open drainage of abscess or cyst
No Change
THOR
32215
Pleural scarification for repeat pneumothorax
No Change
THOR
32220
Decortication, pulmonary (separate procedure); total
No Change
THOR
32225
Decortication, pulmonary (separate procedure); partial
No Change
THOR
32310
Pleurectomy, parietal (separate procedure)
No Change
THOR
32320
Decortication and parietal pleurectomy
No Change
THOR
32440
Removal of lung, pneumonectomy;
No Change
THOR
32442
Removal of lung, pneumonectomy; with resection of segment of trachea followed by broncho-tracheal anastomosis (sleeve pneumonectomy)
No Change
THOR
32445
Removal of lung, pneumonectomy; extrapleural
No Change
THOR
32480
Removal of lung, other than pneumonectomy; single lobe (lobectomy)
No Change
THOR
32482
Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy)
No Change
THOR
32484
Removal of lung, other than pneumonectomy; single segment (segmentectomy)
No Change
THOR
32486
Removal of lung, other than pneumonectomy; with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy)
No Change
THOR
32488
Removal of lung, other than pneumonectomy; with all remaining lung following previous removal of a portion of lung (completion pneumonectomy)
No Change
THOR
32491
Removal of lung, other than pneumonectomy; with resection-plication of emphysematous lung(s) (bullous or non-bullous) for lung volume reduction, sternal split or transthoracic approach, includes any pleural procedure, when performed
No Change
THOR
32501
Resection and repair of portion of bronchus (bronchoplasty) when performed at time of lobectomy or segmentectomy (List separately in No changeition to code for primary procedure)
No Change
THOR
32503
Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; without chest wall reconstruction(s)
No Change
THOR
32504
Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; with chest wall reconstruction
No Change
THOR
32505
Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial
No Change
PVBY
35518
Bypass graft, with vein; axillary-axillary
No Change
PVBY
35521
Bypass graft, with vein; axillary-femoral
No Change
PVBY
35522
Bypass graft, with vein; axillary-brachial
No Change
PVBY
35523
Bypass graft, with vein; brachial-ulnar or -radial
No Change
PVBY
35525
Bypass graft, with vein; brachial-brachial
No Change
PVBY
35533
Bypass graft, with vein; axillary-femoral-femoral
No Change
PVBY
35556
Bypass graft, with vein; femoral-popliteal
No Change
PVBY
35558
Bypass graft, with vein; femoral-femoral
No Change
PVBY
35566
Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels
No Change
PVBY
35570
Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial
No Change
PVBY
35571
Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels
No Change
PVBY
35583
In-situ vein bypass; femoral-popliteal
No Change
PVBY
35585
In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery
No Change
PVBY
35587
In-situ vein bypass; popliteal-tibial, peroneal
No Change
PVBY
35616
Bypass graft, with other than vein; subclavian-axillary
No Change
PVBY
35621
Bypass graft, with other than vein; axillary-femoral
No Change
PVBY
35623
Bypass graft, with other than vein; axillary-popliteal or -tibial
No Change
PVBY
35650
Bypass graft, with other than vein; axillary-axillary
No Change
PVBY
35654
Bypass graft, with other than vein; axillary-femoral-femoral
No Change
PVBY
35656
Bypass graft, with other than vein; femoral-popliteal
No Change
PVBY
35661
Bypass graft, with other than vein; femoral-femoral
No Change
PVBY
35666
Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery
No Change
PVBY
35671
Bypass graft, with other than vein; popliteal-tibial or -peroneal artery
No Change
PVBY
35686
Creation of distal arteriovenous fistula during lower extremity bypass surgery (non-hemodialysis)
No Change
REC
45110
Proctectomy; complete, combined abdominoperineal, with colostomy
No Change
REC
45111
Proctectomy; partial resection of rectum, transabdominal approach
No Change
REC
45112
Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis)
No Change
REC
45113
Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy
No Change
REC
45114
Proctectomy, partial, with anastomosis; abdominal and transsacral approach
No Change
REC
45116
Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type)
No Change
REC
45119
Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed
No Change
REC
45120
Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation)
No Change
REC
45121
Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies
No Change
CPT CODE
PROCEDURE
PRICE
73620
X-RAY FOOT L / R 2 VIEWS
0
73630
X-RAY FOOT L / R / BILATERAL 3 VIEWS COMPLETE
0
73120
X-RAY HAND L / R 2 VIEWS
0
73130
X-RAY HAND L / R / BILATERAL MIN 3 VIEWS
0
73650
X-RAY HEEL / CALCANEUS L / R / BILATERAL 2 VIEWS
0
73501
X-RAY HIP UNILATERAL with PELVIS 1 VIEW
0
73502
X-RAY HIP L / R with or without PELVIS MIN 2-3 VIEWS
0
73503
X-RAY HIP L / R with or without PELVIS MIN 4 VIEWS
0
X-RAY
0
0
CPT CODE
PROCEDURE
PRICE
73521
X-RAY HIPS BILATERAL with PELVIS 2 VIEWS
0
73522
X-RAY HIPS BILATERAL with PELVIS 3-4 VIEWS
0
73523
X-RAY HIPS BILATERAL with PELVIS MIN 5 VIEWS
0
73060
X-RAY HUMERUS L / R 2 VIEWS
0
74400
X-RAY IVP
0
73560
X-RAY KNEE L / R / BILATERAL 2 VIEWS
0
73562
X-RAY KNEE L / R / BILATERAL 3 VIEWS
0
72100
X-RAY LUMBAR SPINE < 4 VIEWS
0
72110
X-RAY LUMBAR SPINE 4 VIEWS
0
72114
X-RAY LUMBAR SPINE 6 VIEWS
0
70130
X-RAY MASTOIDS
0
70160
X-RAY NASAL BONES 3 VIEWS+
0
70360
X-RAY NECK SOFT TISSUE
0
70200
X-RAY ORBITS
0
72170
X-RAY PELVIS 1 or 2 VIEWS
0
71100
X-RAY RIBS L / R / BILATERAL 3 VIEWS
0
71101
X-RAY RIBS L / R / BILATERAL INCL CHEST 4 VIEWS
0
71110
X-RAY RIBS (BILATERAL)
0
72200
X-RAY SACROILIAC JOINTS L / R 3 VIEWS
0
72202
X-RAY SACROILIAC JOINTS BILATERAL 3 VIEWS
0
70210
X-RAY SINUSES < 3 VIEWS
0
70220
X-RAY SINUSES 3 or MORE VIEWS
0
70260
X-RAY SKULL 4 VIEWS
0
72052
X-RAY SPINE CERV INCL OBLI FLEX and EXT 6 VIEWS
0
72082
X-RAY SPINE ENTIRE SURVEY / SCOLIOSIS STUDY
0
71120
X-RAY STERNUM 2 VIEWS
0
71130
X-RAY STERNO CLAVI JOINT 3 VIEWS
0
72070
X-RAY THORACIC SPINE 2 VIEWS
0
73010
X-RAY SCAPULA, COMPLETE
0
73030
X-RAY SHOULDER L / R / BILATERAL 3 VIEWS
0
76010
X-RAY SINGLE FILM to R / O FB
0
77077
X-RAY SMITH AND NEPHEW / VISIONAIRE (lowe ext)
0
73590
X-RAY TIBIA/FIBULA L / R / BILATERAL
0
70330
X-RAY TMJ
0
73660
X-RAY TOE(S) L / R 2 VIEWS
0
73100
X-RAY WRIST R / L 2 VIEWS
0
73110
X-RAY WRIST R / L MIN 3 VIEWS
0
0
0
0
78315
NUCLEAR BONE SCAN 3 PHASE
0
78607
NUCLEAR Brain Spect (DaTscan)
0
78012
NUCLEAR EXAM THYROID (UPTAKE only)
0
78014
NUCLEAR EXAM THYROID (with UPTAKE)
0
0
(single or muliple quantitative measurements)
0
78070
NUCLEAR EXAM PARATHYROID SCAN
0
78071
NUCLEAR EXAM PARATHYROID SCAN with SPECT
0
78800
NUCLEAR GALLIUM SCAN with 78803
0
78226
NUCLEAR HEPATOBILIARY SCAN
0
78227
NUCLEAR HEPATOBILIARY SCAN with PHARM
0
78206
NUCLEAR LIVER SCAN SPECT (HEMANGIOMA)
0
78215
NUCLEAR LIVER / SPLEEN SCAN static
0
78290
NUCLEAR MECKELS SCAN
0
78472
NUCLEAR MUGA SCAN CARDIA IMAGING
0
78804
NUCLEAR OCTREO SCAN with 78803
0
78707
NUCLEAR RENAL SCAN with MAG 3
0
78708
NUCLEAR RENAL SCAN with LASIX or CAPTOPRIL
0
0
0
0
X-RAY
0
0
CPT CODE
PROCEDURE
PRICE
74018
X-RAY ABDOMEN KUB 1 VIEW
0
74019
X-RAY ABDOMEN 2 VIEWS
0
73050
X-RAY ACOMIOCLAVICULAR JOINTS
0
73600
X-RAY ANKLE R / L / BILATERAL 2 VIEWS
0
73610
X-RAY ANKLE L / R / BILATERAL 3 VIEWS
0
77072
X-RAY BONE AGE
0
77076
X-RAY BONE EVALUATION INFANT
0
77073
X-RAY BONE LENGTH STUDY
0
77075
X-RAY BONE SURVEY ADULT COMPLETE
0
72040
X-RAY CERVICAL SPINE < 4 VIEWS
0
72050
X-RAY CERVICAL SPINE 4 or 5 VIEWS
0
71045
X-RAY CHEST 1 VIEW
0
71046
X-RAY CHEST 2 VIEWS
0
71047
X-RAY CHEST with APICAL LORDO
0
71048
X-RAY CHEST with OBLIQUE PROJEC
0
73000
X-RAY CLAVICLE 2 VIEWS
0
72220
X-RAY COCCYX / SACRUM 2 VIEWS
0
77085
X-RAY DEXA (hips, pelvis, spine) with FRAX
0
0
(all patients 40-90)
0
77080
X-RAY DEXA / BONE DENSITY STUDY
0
0
(hips, pelvis, spine) (patients <40 or >90)
0
73070
X-RAY ELBOW L / R 2 VIEWS
0
70030
X-RAY EYE for FOREIGN BOD
0
74021
X-RAY EXAM of ABDOMEN KUB with OBLIQUE
0
73564
X-RAY EXAM of KNEE L / R / BILATERAL ANIKA 4 VIEWS
0
70110
X-RAY EXAM of MANDIBLE 4 VIEWS
0
70150
X-RAY FACIAL BONES 3 VIEWS
0
73552
X-RAY FEMUR L / R / BILATERAL 2 VIEWS
0
73140
X-RAY FINGERS L / R / BILATERAL MIN 2 VIEWS
0
73090
X-RAY FOREARM L / R TWO VIEWS
0
76705
US ABDOMINAL WALL
0
76775
US AORTA
0
76706
US AORTA, AAA SCREENING
0
76882
US AXILLA
0
19083
US BREAST BIOPSY
0
19084
US BREAST BIOPSY - each additional lesion
0
10005
US BREAST FNA/FINE NEEDLE ASPIRATION
0
0
including Ultrasound Guidance - First lesion
0
10006
US BREAST FNA/FINE NEEDLE ASPIRATION -
0
0
additional lesions
0
76642
US BREAST LIMITED DIAGNOSTIC EXAM
0
76641
US BREAST SCREENING OR DIAGNOSTIC
0
93880
US DOPPLER CAROTID ARTERY
0
93970
US DOPPLER LOWER EXTREMITY VENOUS - BILATERAL
0
93971
US DOPPLER LOWER EXTREMITY VENOUS - UNILATERAL
0
93970
US DOPPLER UPPER EXTREMITY VENOUS - BILATERAL
0
93971
US DOPPLER UPPER EXTREMITY VENOUS - UNILATERAL
0
93975
US DOPPLER, ABDOMINAL/PELVIC
0
93926
US DUPLEX SCAN LOW EXT ARTERY - r/o pseudoaneurysm
0
76981
US ELASTOGRAPHY
0
76881
US EXTREMITY NON VASCULAR
0
76882
US EXTREMITY NON VASCULAR LIMITED
0
76705
US INGUINAL CANAL
0
76817
US OB 1st TRIMESTER TRANSVAGINAL
0
76801
US OB FIRST TRIMESTER
0
76812
US OB FIRST TRIMESTER - additional fetus
0
76536
US PARATHYROID
0
76856
US PELVIS MALE
0
76830
US PELVIS - TRANSVAGINAL
0
76830
US PELVIS - TRANSVAGINAL with Doppler with 93975
0
76856
US PELVIS - NON OB
0
76857
US PELVIS - NON OB LIMITED
0
76856
US PELVIS - NON OB with Doppler with 93975
0
76770
US RENAL
0
76770
US RENAL with Doppler with 93975
0
76536
US Soft Tissue Neck (thyroid, parathyroid, etc.)
0
76870
US TESTICULAR
0
76870
US TESTICULAR with Doppler with 93975
0
76536
US THYROID
0
10005
US THYROID FNA/FINE NEEDLE ASPIRATION
0
0
including Ultrasound Guidance - First lesion\
0
10006
US THYROID FNA/FINE NEEDLE ASPIRATION -
0
0
additional lesions
0
76776
US TRANSPLANTED KIDNEY
0
NUCLEAR
0
0
CPT CODE
PROCEDURE
PRICE
78452
MYOCARDIAL PERFUSION Imaging/Exercisewith 93015
0
78452
MYOCARDIAL PERFUSION Imaging/Pharmacologic
0
0
with 93015
0
78306
NUCLEAR BONE SCAN WHOLE BODY
0
74183
MR ENTEROGRAPHY w/ & w/o contrast with 72197
0
70544
MRA HEAD w/o contrast
0
70545
MRA HEAD w/ contrast
0
70546
MRA HEAD w/ & w/o contrast
0
73723
MRI JOINT LOW EXTREMITY w/ & w/o contrast
0
MRI (PT. 2 )
0
0
CPT CODE
PROCEDURE
PRICE
73718
MRI LOWER EXT w/o contrast
0
73719
MRI LOWER EXT w/ contrast
0
73720
LOWER EXT w/ & w/o contrast
0
73721
MRI LOWER EXT JOINT w/o contrast
0
73722
MRI LOWER EXT JOINT w/ contrast
0
72148
MR LUMBAR PLEXUS w/o contrast
0
72158
MR LUMBAR PLEXUS w/ & w/o contrast
0
72148
MRI LUMBAR SPINE w/o contrast
0
72149
MRI LUMBAR SPINE w/ contrast
0
72158
MRI LUMBAR SPINE w/ & w/o contrast
0
70543
MRI NECK, ORBIT w/ & w/o contrast
0
70547
MRA NECK w/o contrast
0
70549
MRA NECK w/ & w/o contrast
0
72195
MRI PELVIS w/o contrast
0
72196
MRI PELVIS w/ contrast
0
72197
MRI PELVIS w/ & w/o contrast
0
72198
MRA PELVIS
0
70540
MRI SOFT TISSUE NECK, ORBIT w/o contrast
0
72159
MRI SPINE Angiography
0
70336
MRI TEMPOROMANDIBULAR JOI
0
72146
MRI THORACIC w/o contrast
0
72147
MRI THORACIC w/ contrast
0
72157
MRI THORACIC w/ & w/o contrast
0
73218
MRI UPPER EXT NON JOINT w/o contrast
0
73219
MRI UPPER EXT NON JOINT w/ contrast
0
73220
MRI UPPER EXT NON JOINT w/ & w/o contrast
0
73221
MRI UPPER EXT JOINT w/o contrast
0
73222
MRI UPPER EXT JOINT w/ contrast
0
73223
MRI UPPER JOINT w/ & w/o contrast
0
73225
MRA UPPER EXTREMITY
0
74183
MR UROGRAMY w/ & w/o contrast with 72197
0
PET
0
0
CPT CODE
PROCEDURE
PRICE
78608
PET BRAIN IMAG
0
78814
PET SCAN WITH CT Limited
0
78815
PET SCAN with CT Skull to mid thigh
0
78816
PET SCAN with CT full body
0
US
0
0
CPT CODE
PROCEDURE
PRICE
91200
FIBROSCAN
0
76700
US ABDOMEN COMPLETE
0
76705
US ABDOMEN LIMITED
0
76700
US ABDOMEN with Doppler with 93975
0
70491
CT NECT SOFT TISSUE w/ contrast
0
70480
CT ORBIT / SKULL w/o contrast
0
TEST ID
Test Name
CPT Code
HPANP
Hereditary Pancreatitis Gene Panel, Varies
81223 81404 x2 81405 81479 (if appropriate for government payers) 88223- Tissue culture, skin, solid tissue biopsy (if appropriate) 88240- Cryopreservation (if appropriate)
IMMAU
Inborn Errors of Immunity with Immune Dysregulation and Autoimmunity Gene Panel, Varies
81443 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate)
SCCNP
Severe Congenital and Cyclic Neutropenia Gene Panel, Varies
81443 88233- Tissue culture, skin, solid tissue biopsy (if appropriate) 88240- Cryopreservation (if appropriate)
TELDP
Telomere Biology Disorders Gene Panel, Varies
81443 88233- Tissue culture, skin, solid tissue biopsy (if appropriate) 88240- Cryopreservation (if appropriate)
VIRID
Viral Susceptibility, Defects in Intrinsic and Innate Immunity, Gene Panel, Varies
81443 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate)
BAMRP
Bile Acids Malabsorption Panel, Serum and Feces
82542 x2
PN23M
Streptococcus pneumoniae IgG Antibodies, 23 Serotypes, Serum
86317 x 23
FERR1
Ferritin, Serum
82728
BRTP
Rapid Hereditary Breast Cancer Treatment Decision Panel, Varies
81405 81406 81307 81408 81162 81321 81351 81479 81479 (if appropriate for government payers)
SDLDL
Small Dense Low Density Lipoprotein Cholesterol, Serum
83722
G234
CPT 81430 (CGO) (Bill Only)
81430
G235
CPT 81431 (CGO) (Bill Only)
81431
HRTVC
Heartland Virus, RNA, Molecular Detection, PCR, Spinal Fluid
87798
HRTVS
Heartland Virus, RNA, Molecular Detection, PCR, Serum
87798
IRF8
Interferon Regulatory Factor 8 (IRF8) Immunostain, Technical Component Only
88342-TC, primary 88341-TC, if additional IHC
AUTOG
Autoinflammatory Disorders Gene Panel, Varies
81443 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate)
BCELL
B-Cell and Antibody Deficiency Gene Panel, Varies
81443 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate)
EOIBD
Early Onset Monogenic Inflammatory Bowel Disease (IBD) Gene Panel, Varies
81443 88233- Tissue culture, skin, solid tissue biopsy (if appropriate) 88240- Cryopreservation (if appropriate)
SCIDP
Severe Combined Immunodeficiency (SCID) Gene Panel, Varies
81443 88233- Tissue culture, skin, solid tissue biopsy (if appropriate) 88240- Cryopreservation (if appropriate)
G236
CPT 81252 (CGO) (Bill Only)
81252
CARBI
Carbapenem Resistance Genes, Molecular Detection, PCR, Varies
87150
CRPCR
Carbapenem Resistance Genes, Molecular Detection, PCR, Rectal Swab
87798
MESOP
Mesothelioma Panel (WT1/KRT5/TTF1/pCEA) Immunostain, Technical Component Only
88344-TC
AMPIP
Amyloid Protein Identification, Paraffin, Mass Spectrometry
88313 82542 (if appropriate) 88380 (if appropriate)
MSFGN
Fibrillary Glomerulonephritis Confirmation, Mass Spectrometry, Paraffin Tissue
82542 88380
23FBG
Fibroblast Growth Factor-23 (FGF23), In Situ Hybridization
88365-Primary
RFCWT
Renal Pathology Tissue Consultation, Wet Tissue
88305 (If appropriate) 88348 (If appropriate) 88313 (If appropriate) 88346 (If appropriate) 88350&nbsp;(If appropriate)
MMGEN
Mycoplasma genitalium, Transcription-Mediated Amplification, Post-Prostatic Massage Fluid/Urine or Peritoneal Fluids
87563
PSRCH
Short Renal Clearance, Iohexol, Preparation
36415 x2-Blood 81050 x3-Urine 96372-Injection Q9961-Contrast dye
LHSV
Herpes Simplex Virus (HSV), Molecular Detection, PCR, Varies
87529 x 2 87529 (if appropriate for government payers)
LCMV
Cytomegalovirus (CMV), Molecular Detection, PCR, Varies
87496
HAV
Hepatitis A Total Antibodies, Serum
86708
LVZV
Varicella-Zoster Virus, Molecular Detection, PCR, Varies
87798
LCJC
JC Virus, Molecular Detection, PCR, Spinal Fluid
87798
LEBV
Epstein-Barr Virus (EBV), Molecular Detection, PCR, Varies
87798
HPSAF
Helicobacter pylori Antigen, Feces
87338
PEL
Electrophoresis, Protein, Serum
84155 84165 86334-Immunofixation (if appropriate) 86334-Immunofixation Delta and Epsilon (if appropriate)
MPSS
Monoclonal Protein Study, Serum
84155 84165 86334 86334-Immunofixation Delta and Epsilon (if appropriate)
IMFX
Immunofixation, Serum
86334
CGRNA
Chlamydia trachomatis and Neisseria gonorrhoeae, Nucleic Acid Amplification, Varies
87491-Chlamydia trachomatis 87591-Neisseria gonorrhoeae
CTRNA
Chlamydia trachomatis, Nucleic Acid Amplification, Varies
87491
LHSVZ
Herpes Simplex Virus (HSV) and Varicella-Zoster Virus (VZV), Molecular Detection, PCR, Varies
87529 x2 HSV-1 and HSV-2 87798-VZV
IMFXO
Immunofixation Only, Serum
86334 86334-Immunofixation Delta and Epsilon (if appropriate)
LLPB
Leukemia/Lymphoma Immunophenotyping, Flow Cytometry, Blood
88184-Flow cytometry; first cell surface, cytoplasmic or nuclear marker x 1 88185-Flow cytometry; additional cell surface, cytoplasmic or nuclear marker (each) 88187-Flow Cytometry Interpretation, 2 to 8 Markers (if appropriate) 88188-Flow Cytometry Interpretation, 9 to 15 Markers (if appropriate) 88189-Flow Cytometry Interpretation, 16 or More Markers (if appropriate)
HGB
Hemoglobin, Blood
85018
MIC
Susceptibility, MIC (Bill Only)
87186
LHSVB
Herpes Simplex Virus (HSV), Molecular Detection, PCR, Blood
87529 x 2 87529 (if appropriate for government payers)
GNPFD
Platelet Function Defect Gene Panel, Next-Generation Sequencing, Varies
81443
AHLP
AudioloGene Hearing Loss Panel, Varies
81430 81431 81479 (if appropriate for government payers) 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate)
CHLAP
Chlamydia IgM and IgG Panel, Immunofluorescence, Serum
86632 x 2 86631 x 2
CHLM
Chlamydia IgM, Immunofluorescence, Serum
86632 x 2
CHLG
Chlamydia IgG, Immunofluorescence, Serum
86631 x 2
VHPV
Human Papillomavirus (HPV) Vaginal Detection with Genotyping for High-Risk Types by PCR
87624 G0476 (if appropriate)
SC018
Whole Blood
WNDZ
Wilson Disease, ATP7B Full Gene Sequencing with Deletion/Duplication, Varies
81406
SPIRO
Spirochete Immunostain, Technical Component Only
88342-TC, primary 88341-TC, if additional IHC
VZIKU
Zika Virus, PCR, Molecular Detection, Random, Urine
87662
VZIKS
Zika Virus, PCR, Molecular Detection, Serum
87662
0752T
Digitization glass micro slide lv 3 (Bill Only)
0752T
0753T
Digitization glass micro slide lv 4 (Bill Only)
0753T
0754T
Digitization glass micro slide lv 5 (Bill Only)
0754T
0755T
Digitization glass micro slide lv 6 (Bill Only)
0755T
0756T
Digitize glass micro slide SS grp I (Bill Only)
0756T
0757T
Digitize glass micro slide SS grp 2 (Bill Only)
0757T
0758T
Digitize glass micro slide SS Frozn (Bill Only)
0758T
0759T
Digitize glass micro slide SS grp 3 (Bill Only)
0759T
0760T
Digitize glass micro slide IHC intl (Bill Only)
0760T
0761T
Digitize glass micro slide IHC addl (Bill Only)
0761T
0763T
Digitize glass micro slide IHC mrph (Bill Only)
0763T
MEF2B
Myocyte Enhancer Factor 2 (MEF2B) Immunostain, Technical Component Only
88342-TC, primary 88341-TC, if additional IHC
TILAP
Tilapia, IgE, Serum
86003
ALDG2
Autoimmune Liver Disease Panel, Serum
86381 86039 86015 86015-Titer (if appropriate)
CD200
CD200 (OX2) Immunostain, Technical Component Only
88342-TC, primary 88341-TC, if additional IHC
HISGT
Histone Genes Mutation Analysis, Next-Generation Sequencing, Tumor
88381-Microdissection, manual 81445
MCKCP
MayoComplete Kidney Cancer Panel, Next-Generation Sequencing, Tumor
88381-Microdissection, manual 81445
MCBPP
MayoComplete Bladder and Prostate Cancer Panel, Next-Generation Sequencing, Tumor
88381-Microdissection, manual 81445
MCFRC
MayoComplete Renal Cell Carcinoma with Fibromyomatous Stroma Panel, Next-Generation Sequencing, Tumor
88381-Microdissection, manual 81479 81406 81407 81404 81479 (if appropriate for government payers)
MCGYN
MayoComplete Gynecological Cancer Panel, Next-Generation Sequencing, Tumor
88381-Microdissection, manual 81445
MCECP
MayoComplete Endometrial Carcinoma Panel, Next-Generation Sequencing, Tumor
88381-Microdissection, manual 81445
MCOCP
MayoComplete Ovarian, Fallopian Tube, and Peritoneal Cancer Panel, Next-Generation Sequencing, Tumor
88381-Microdissection, manual 81445
IDTRT
IDH1, IDH2, and TERT Mutation Analysis, Next-Generation Sequencing, Tumor
88381-Microdissection, manual 81345 81479 81479 (if appropriate for government payers)
TFH
FH Mutation Analysis, Next-Generation Sequencing, Tumor
88381-Microdissection, manual 81405
DICET
DICER1 Mutation Analysis, Next-Generation Sequencing, Tumor
88381-Microdissection, manual 81479
POLET
POLE Mutation Analysis, Next-Generation Sequencing, Tumor
88381-Microdissection, manual 81479
MYODT
MYOD1 Mutation Analysis, Next-Generation Sequencing, Tumor
88381-Microdissection, manual 81479
ALKT
ALK Mutation Analysis, Next-Generation Sequencing, Tumor
88381-Microdissection, manual 81479
NTRKM
NTRK Genes Mutation Analysis, Next-Generation Sequencing, Tumor
88381-Microdissection, manual 81479
SDHMP
SDH Genes Mutation Analysis, Next-Generation Sequencing, Tumor
88381-Microdissection, manual 81404 81405 x2 81406 81479 (if appropriate for government payers)
HIAAP
5-Hydroxyindoleacetic Acid, Plasma
83497
OPE
Ova and Parasite, Travel History or Immunocompromised, Feces
87177-Concentration (any type), for infectious agents 87209-Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hematoxylin) for ova and parasites
ALPSG
Autoimmune Lymphoproliferative Syndrome (ALPS) Gene Panel, Varies
81443 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate)
BTKSG
Bruton Tyrosine Kinase, BTK Full Gene Analysis, Varies
81406 88233- Tissue culture, skin, solid tissue biopsy (if appropriate) 88240- Cryopreservation (if appropriate)
CFTRN
Cystic Fibrosis Transmembrane Conductance Regulator, CFTR, Full Gene Analysis, Varies
81223 88233- Tissue culture, skin, solid tissue biopsy (if appropriate) 88240- Cryopreservation (if appropriate)
EBLPD
Epstein Barr Virus (EBV) Susceptibility and Lymphoproliferative Disorders Gene Panel, Varies
81443 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate)
GATAS
GATA-Binding Protein 2, GATA2, Full Gene Analysis, Next-Generation Sequencing, Varies
81479 88233- Tissue culture, skin, solid tissue biopsy (if appropriate) 88240- Cryopreservation (if appropriate)
HIESG
Hyper-IgE Syndrome Gene Panel, Varies
81443 88233- Tissue culture, skin, solid tissue biopsy (if appropriate) 88240- Cryopreservation (if appropriate)
HLHGP
Primary Hemophagocytic Lymphohistiocytosis Gene Panel, Varies
81443 88233- Tissue culture, skin, solid tissue biopsy (if appropriate) 88240- Cryopreservation (if appropriate)
POU2F
POU2F3 Immunostain, Technical Component Only
88342-TC, primary 88341-TC, if additional IHC
CDPCR
Clostridioides difficile Toxin, PCR, Feces
87493
DMITO
Mitochondrial DNA Deletion Heteroplasmy, ddPCR, Varies
81479
VZIKM
Zika Virus, IgM Antibody Capture ELISA, Serum
86794
CRTFR
Creatinine, Random, Urine
82570
DIS
Human Leukocyte Antigens (HLA) Class I and II Disease Association Typing, Low Resolution, Blood
81370 81376 x3
H1083
HIK1083 Immunostain, Technical Component Only
88342-TC, primary 88341-TC, if additional IHC
CSPMM
Plasma Cell Myeloma Pre-Analysis Cell Sorting, Bone Marrow
88184-Flow Cytometry; first cell surface, cytoplasmic or nuclear marker 88185 x 5-Flow Cytometry, additional cell surface, cytoplasmic or nuclear marker (each)
HIBAG
Histoplasma and Blastomyces Antigen, Enzyme Immunoassay, Serum
87449
MSUSC
Branched-Chain Amino Acids, Self-Collect, Blood Spot
0381U
GMCSF
Granulocyte Monocyte-Colony Stimulating Factor, Plasma
83520
IL6DX
Interleukin-6, Serum
83529
SV40
SV40 Immunostain, Technical Component Only
88342-TC, primary 88341-TC, if additional IHC
REVE2
Erythrocytosis Evaluation, Blood
83020-26 83020 83021 83789 83068 (if appropriate) 82664 (if appropriate) 88184 (if appropriate)
CASHR
Cashew, IgE with Reflex to Cashew Component, IgE, Serum
86003
CASHX
Cashew Component, IgE, Serum
86008
NUTHR
Hazelnut-Food, IgE with Reflex to Hazelnut-Food Components, IgE, Serum
86003
NUTHX
Hazelnut-Food Components, IgE, Serum
86003 86008 x 3
BLWRF
Walnut-Food, IgE, with Reflex to Walnut-Food Components, IgE, Serum
86003
BLWX
Walnut-Food Components, IgE, Serum
86008 x2
BRAZR
Brazil Nut, IgE with Reflex to Brazil Nut Component, IgE, Serum
86003
BRAZX
Brazil Nut Component, IgE, Serum
86008
CMVPV
Cytomegalovirus (CMV) Molecular Detection, PCR, Varies
87496
NCYB
Recessive Congenital Methemoglobinemia, CYB5 and CYB5 Reductase Genetic Analysis, Next-Generation Sequencing, Varies
81479
NHEM
Hereditary Erythrocytosis Focused Gene Panel, Next-Generation Sequencing, Varies
81404 81479 81479 (if appropriate for government payers)
GNANT
Antithrombin Deficiency, SERPINC1 Gene, Next-Generation Sequencing, Varies
81479
NHEP
Hereditary Erythrocytosis Gene Panel, Next-Generation Sequencing, Varies
81404 81405 81479 81479 (if appropriate for government payers)
NHHA
Hereditary Hemolytic Anemia Gene Panel, Next-Generation Sequencing, Varies
81443
NENZ
Red Blood Cell Enzyme Disorders Gene Panel, Next-Generation Sequencing, Varies
81443
NMEM
Red Blood Cell Membrane Disorders Gene Panel, Next-Generation Sequencing, Varies
81405 81479 81479 (if appropriate for government payers)
NCDA
Congenital Dyserythropoietic Anemia Gene Panel, Next-Generation Sequencing, Varies
81479
GNF7
Factor VII Deficiency, F7 Gene, Next-Generation Sequencing, Varies
81479 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate) 88235-Amniotic fluid culture (if appropriate)
GNHMA
Hemophilia A, F8 Gene, Next-Generation Sequencing, Varies
81407 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate) 88235-Amniotic fluid culture (if appropriate) 81265-Maternal cell contamination (if appropriate)
GNHMB
Hemophilia B, F9 Gene, Next-Generation Sequencing, Varies
81238 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate) 88235-Amniotic fluid culture (if appropriate) 81265-Maternal cell contamination (if appropriate)
GNF11
Hemophilia C (Factor XI Deficiency), F11 Gene, Next-Generation Sequencing, Varies
81479 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate) 88235-Amniotic fluid culture (if appropriate)
GNF13
Factor XIII Deficiency, F13A1 and F13B Genes, Next-Generation Sequencing, Varies
81479 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate) 88235-Amniotic fluid culture (if appropriate) 81265-Maternal cell contamination (if appropriate)
GNFIB
Congenital Fibrinogen Disorders, FGA, FGB, and FGG Genes, Next-Generation Sequencing, Varies
81479 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate) 88235-Amniotic fluid culture (if appropriate) 81265-Maternal cell contamination (if appropriate)
GNPRC
Protein C Deficiency, PROC Gene, Next-Generation Sequencing, Varies
81479
GNPRS
Protein S Deficiency, PROS1 Gene, Next-Generation Sequencing, Varies
81479
GNVWD
von Willebrand Disease, VWF and GP1BA Genes, Next-Generation Sequencing, Varies
81408 81479 81479 (if appropriate for government payers) 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate) 88235-Amniotic fluid culture (if appropriate) 81265-Maternal cell contamination (if appropriate)
GNANG
Hereditary Angioedema Focused Gene Panel, Next-Generation Sequencing, Varies
81479
GNADM
Hereditary Thrombotic Thrombocytopenic Purpura, ADAMTS13 Gene, Next-Generation Sequencing, Varies
81479
GNBLF
Bleeding Disorders, Focused Gene Panel, Next-Generation Sequencing, Varies
81238 81407 81408 81479 81479 (if appropriate for government payers) 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate) 88235-Amniotic fluid culture (if appropriate) 81265-Maternal cell contamination (if appropriate)
GNBLC
Bleeding Disorders, Comprehensive Gene Panel, Next-Generation Sequencing, Varies
81443 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate) 88235-Amniotic fluid culture (if appropriate) 81265-Maternal cell contamination (if appropriate)
GNTHR
Thrombosis Disorders, Comprehensive Gene Panel, Next-Generation Sequencing, Varies
81443
GNPLT
Platelet Disorders, Comprehensive Gene Panel, Next-Generation Sequencing, Varies
81443 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate)
GNMY9
MYH9-Related Disorders, MYH9 Gene, Next-Generation Sequencing, Varies
81479
GNMTC
Macro/Microthrombocytopenia Gene Panel, Next-Generation Sequencing, Varies
81443 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate)
GNSPD
Platelet Storage Pool Deficiency Gene Panel, Next-Generation Sequencing, Varies
81443
GNHTC
Hereditary Thrombocytopenia Gene Panel, Next-Generation Sequencing, Varies
81443 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88240-Cryopreservation (if appropriate)
PEPAN
Comprehensive Peripheral Neuropathy Gene Panel, Varies
81448
RABMP
Inherited Rhabdomyolysis and Metabolic Myopathy Panel, Varies
81443
SEP9Z
SEPTIN9 Gene, Full Gene Analysis, Varies
81479
SMCP
Inherited Skeletal Muscle Channelopathy Gene Panel, Varies
81403 81406 x 3 81479 81479 (if appropriate for government payers)
SOD1Z
SOD1 Gene, Full Gene Analysis, Varies
81404
TTRZ
TTR Gene, Full Gene Analysis, Varies
81404
ORTHP
Orthostatic Proteinuria, Random, Urine
CRETR- 82570 PRCON- 84156
PRCON
Protein, Total, Random, Urine
84156
RATO2
Protein/Creatinine, Random, Urine
KLF1
KLF1 Full Gene Sequencing, Varies
81479
SFX
Protein S Activity, Plasma
85306
MEASR
Measles Virus, Molecular Detection, PCR, Throat
87798
MEASU
Measles Virus, Molecular Detection, PCR, Urine
87798
MUMPR
Mumps Virus, Molecular Detection, PCR, Buccal
87798
MUMPU
Mumps Virus, Molecular Detection, PCR, Urine
87798
HIVDS
HIV-1 and HIV-2 Antigen and Antibody Diagnostic Evaluation, Serum
87389
HIVSS
HIV-1 and HIV-2 Antigen and Antibody Routine Screen, Serum
87389 G0475 (if appropriate)
HVPRS
HIV Antigen and Antibody Prenatal Routine Screen, Serum
87389 G0475 (if appropriate)
HVPPS
HIV-1 and HIV-2 Antibody Confirmation and Differentiation Prenatal, Serum
86701 86702
HEXLA
Hexagonal Lupus Anticoagulant, Plasma
85598
ADPKP
Focused Autosomal Dominant Polycystic Kidney Disease Gene Panel, Varies
81405 81406 x 2 81407 81479 (if appropriate for government payers)
AHUGP
Atypical Hemolytic Uremic Syndrome (aHUS)/Thrombotic Microangiopathy (TMA) /Complement 3 Glomerulopathy (C3G) Gene Panel, Varies
81404 81479 81479 (if appropriate for government payers)&nbsp;
ALAGP
Alagille Syndrome Gene Panel, Varies
81407 81479 81479 (if appropriate for government payers)
ALPGP
Alport Syndrome Gene Panel, Varies
81407 81408 x 2 81479 (if appropriate for government payers)
CASRG
CASR Full Gene Sequencing with Deletion/Duplication, Varies
81405
CKDGP
Cystic Kidney Disease Gene Panel, Varies
81404 81405 81406 x 6 81407 x 4 81408 x 3 81479 81265-Maternal cell contamination (if appropriate) 88233-Tissue culture, skin, solid tissue biopsy (if appropriate) 88235-Amniotic Fluid culture (if appropriate) 81479 (if appropriate for government payers)
NEPHP
Comprehensive Nephrology Gene Panel, Varies
81401 x 2 81404 x 12 81405 x 8 81406 x 22 81407 x 13 81408 x 5 81479 81479 (if appropriate for government payers)
RBART
Bartter Syndrome Gene Panel, Varies
81404 81406 81407 81479 81479 (if appropriate for government payers)
RFSGS
Focal Segmental Glomerulosclerosis (FSGS) and Nephrotic Syndrome Gene Panel, Varies
81408 x 2 81405 x 2 81406 x 4 81407 x 4 81479 81479 (if appropriate for government payers)
RSCGP
Nephrocalcinosis, Nephrolithiasis, and Renal Electrolyte Imbalance Gene Panel, Varies
81404 x 4 81405 x 2 81406 x 8 81407 x 2 81479 81479 (if appropriate for government payers)
CRT2F
Creatinine, 24 Hour, Urine
APHTC
Amphiphysin Antibody Titer Assay, Spinal Fluid
86256
APHTS
Amphiphysin Antibody Titer Assay, Serum
86256
MPEP
Monoclonal Protein Study, Expanded Panel, Serum
83521 x 2 84155 84165 86334 86334-Immunofixation Delta and Epsilon (if appropriate)
TERTD
TERT Promoter Mutation Analysis, Droplet Digital PCR, Tumor
81345 88381-Microdissection, manual
EDN
Eosinophil Derived Neurotoxin, Serum
83520
BMIPB
Borrelia miyamotoi Detection, PCR, Blood
87478
BPRPV
Bordetella pertussis and Bordetella parapertussis, Molecular Detection, PCR, Varies
87798 x 2 87999 (if appropriate for government payers)
EPCRB
Ehrlichia/Anaplasma, Molecular Detection, PCR, Blood
87468 87484 87798 x 2 87999 ( if appropriate for government payers)
BABPB
Babesia species, Molecular Detection, PCR, Blood
87798 x2&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 87469&nbsp;&nbsp; 87999 (if appropriate for government payers)
JCPCR
JC Virus, Molecular Detection, PCR, Spinal Fluid
87798
EBVPV
Epstein-Barr Virus (EBV), Molecular Detection, PCR, Varies
87798
HSVPV
Herpes Simplex Virus (HSV), Molecular Detection, PCR, Varies
87529 x 2 87529 (if appropriate for government payers)
HSVPB
Herpes Simplex Virus (HSV), Molecular Detection, PCR, Blood
87529 x 2 87529 (if appropriate for government payers)
VZVPV
Varicella-Zoster Virus, Molecular Detection, PCR, Varies
87798
LYMPV
Lyme Disease, Molecular Detection, PCR, Varies
87476 87798 x 2 87999 (if appropriate for government payers)
TIKLB
Tick-Borne Panel, Molecular Detection, PCR, Blood
87798 x4 87469 87468 87484 87478 87999 (if appropriate for government payers)
MALP
Malabsorption Evaluation Panel, Feces
82103 83993 82653 84376
NGPCM
MayoComplete Plasma Cell Myeloma, Next-Generation Sequencing, Varies
81450
HBZ
Human T-cell Lymphotropic Virus Type 1 (HTLV-1) bZIP Factor (HBZ), In Situ Hybridization, Technical Component Only
88365-TC, Primary 88364-TC, if additional ISH
CLDL1
Cholesterol, Low-Density Lipoprotein (LDL), Calculated, Serum
INTC1
Fasting (8 Hours or more)
SEMA3
Semaphorin 3B (SEMA3B) Immunostain, Technical Component Only
88342-TC, primary 88341-TC, if additional IHC
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