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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 (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) |
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
87469
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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