TEST MENU UPDATE
Clinical Laboratory Partners, LLC
129 Patricia M. Genova Drive
Newington, CT 06111
April, 2015
Table of Contents
Test Code
(to build
or update)
62142
60064
60634
60890
Former
Test Code
(to delete)
Update
Update
61077
62323
62324
Update
Update
60891
Update
60067
Update
62183
Update
62442
8315
New
New
62185
62215
Update
22102
14200
8072
New
62444
62135
62074
61024
10773
60536
62447
60546
60796
Update
Update
35040
Update
Test Name (Abbreviated)
Effective Date
Page
#
Acylglycines, Quantitative, Urine
Alpha-Subunit
Antidepressants Panel, Urine
Antiviral Susceptability, Acyclovir
Antiviral Susceptibility, Foscarnet
Apolipoprotein A-1
Apolipoprotein B
Apolipoprotein Evaluation (A1,B, &
Ratio)
Bartonella henselae, IgG, IgM Rflx Titer
Bartonella henselae, quintana, IgG, IgM
Rflx Titer
Blastomyces Antibody, CF, ID
BRAF Gene Mutation Panel
California Encephalitis Antibody, IgG
California Encephalitis Antibody, IgM
C. difficile Toxin and NAP1 PCR
Cholesteryl Esters
Chromosomal Microarray Analysis Congenital
Culture, Bartonella, Blood
12/16/2014
1/25/2015
2/24/2015
1/13/2015
1/13/2015
2/9/2015
2/9/2015
4
4
4
4
4
4
5
2/9/2015
5
1/23/2015
5
1/23/2015
5
1/13/2015
1/6/2015
3/16/2015
3/16/2015
3/4/2015
1/27/2015
5
6
6
6
6
6
12/16/2014
6
2/11/2015
1/2/2015
7
7
12/22/2014
7
1/27/2015
4/6/2015
3/11/2015
3/10/2015
2/9/2015
7
7
8
8
8
Donor, Chagas Screen
Eastern Equine Encephalitis Ab, IgG,
IgM
EBV DNA, Quantitative PCR
Estrogen, Total
Factor VIII Inhibitor Panel with Rflx
Fluorocarbon Screen, Blood
Growth Hormone (hGH)
-1-
April 2015
Table of Contents
Test Code
(to build
or update)
Former
Test Code
(to delete)
62438
62310
62357
Update
62445
62437
62439
11720
60819
62054
60906
60907
Update
60137
Update
60549
16068
11722
62446
62102
Update
Update
60585
Update
New
Update
62434
62311
61059
27290
11438
27109
27127
62097
10876
60107
Update
27770
27760
Update
10785
Update
Update
Update
New
Update
8336
New
8334
New
8335
New
8333
New
8340
New
8338
New
8339
New
8337
New
Test Name (Abbreviated)
Glycogen Storage Type Ia, DNA
Mutation
Histoplasma galactomannan Antigen,
Urine
HIV-1 Direct Antigen (ICD)
HLA-B*5701 Typing
HLA-DQ Class II DNA, PCR, Typing
HLA-DR Class II DNA, PCR, Typing
Immunoglobulin A (IgA), Total
Immunoglobulin A, Total and
Subclasses
Immunoglobulin D, Total
Immunoglobulin E (IgE), Total
Immunoglobulin G (IgG) Subclasses
Immunoglobulin G (IgG), Total
Immunoglobulin G Subclasses
Insulin-Like Growth Factor I
Maple Syrup Disease (MSUD),DNA
Mutation
Melatonin
Mephobarbital and Phenobarbital
Meprobamate
Nitrazepam
Norovirus PCR
Oxycodone, Quantitative
PCB Screen Reflex Confirmation
Posaconazole Level
Staph Screen PCR
Sulfonylurea Hypoglycemics Panel
ThinPrep Pap(Imager)GC/CT HPV Scr
Rfx HPV 16,18/45
ThinPrep Pap(Imager)GC/CT Rfx HPV
Rfx HPV 16,18/45
ThinPrep Pap(Imager) HPV Scr Rfx
HPV 16,18/45
ThinPrep Pap(Imager) Rfx HPV Rfx
HPV 16,18/45
ThinPrep Pap(Manual)GC/CT HPV Scr
Rfx HPV 16,18/45
ThinPrep Pap(Manual)GC/CT Rfx HPV
Rfx HPV 16,18/45
ThinPrep Pap(Manual) HPV Scr Rfx
HPV 16,18/45
ThinPrep Pap (Manual) Rfx HPV Rfx
HPV 16,18/45
-2-
Effective Date
Page
#
1/6/2015
8
11/18/2014
8
3/2/2015
1/13/2015
1/6/2015
1/6/2015
1/23/2015
9
9
9
9
9
1/23/2015
9
3/30/2015
1/23/2015
1/23/2015
1/23/2015
3/10/2015
2/16/2015
10
10
10
10
10
11
12/16/2014
11
1/24/2015
1/24/2015
2/17/2015
4/1/2015
2/10/2015
4/1/2015
3/5/2015
4/13/2015
2/10/2015
2/2/2015
11
11
11
11
11
11
12
12
12
12
1/9/2015
12
1/9/2015
13
1/9/2015
13
1/9/2015
13
1/9/2015
13
1/9/2015
14
1/9/2015
14
1/9/2015
14
April 2015
Table of Contents
Test Code
(to build
or update)
62450
62363
Former
Test Code
(to delete)
62173
Update
Test Name (Abbreviated)
Thrombin Time Reflex Mixing Study
Voriconazole Level, HPLC
Toxicology CPT code and Test Name Update
Effective Date
Page
#
4/15/2015
4/13/2015
14
14
Effective January 1, 2015
Pages 15-18
The CPT Codes provided in this document are based on AMA guidelines and are for informational
purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions
regarding coding to the payor being billed. Any profile/panel component may be ordered separately.
Reflex tests are performed at an additional charge.
-3-
April 2015
Acylglycines, Quantitative, Urine
Effective Date:
Test Code:
Turnaround Time:
December 16, 2014
62142
5-14 days
Alpha-Subunit
Effective Date:
Test Code:
CPT Code:
Specimen Requirements:
Reference Ranges:
Turnaround Time:
January 25, 2015
60064
82397
1 mL serum
Males
Premenopausal Females
Postmenopausal Females
Pregnancy (1st, 2nd Trimesters
Hypothyroidism
6-15 days
(ng/mL)
0.1-0.5
0.4-0.6
0.1-1.5
35.0-186.0
0.2-3.2
Antidepressants Panel, Urine
Effective Date:
Test Code:
Additional Information:
February 24, 2015
61077
Test code inactivated based on low utilization. No
replacement code.
Antiviral Susceptability, Acyclovir
Effective Date:
Test Code:
Additional Information:
January 13, 2015
62323
Test inactivated at reference lab with no replacement
code.
Antiviral Susceptability, Foscarnet
Effective Date:
Test Code:
Additional Information:
January 13, 2015
62324
Test inactivated at reference lab with no replacement
code.
Apolipoprotein A1
Effective Date:
Test Code:
Reference Ranges:
Additional Information:
February 9, 2015
60634
Risk Category
Male (mg/dL)
Female (mg/dL)
Optimal
> o r = 115
> or = 125
High
<115
<125
Update also included in 60891 Apolipoprotein Evaluation
(A1,B, & Ratio)
-4-
April 2015
Apolipoprotein B
Effective Date:
Test Code:
Reference Ranges:
February 9, 2015
60890
Risk Category
Male (mg/dL)
Female (mg/dL)
Optimal
<80
<80
Moderate
80-119
80-119
High
> or = 120
> or = 120
Update also included in 60891 Apolipoprotein Evaluation
(A1, B & Ratio) and 62435 Advanced Lipid Panel Reflex
Direct LDL
Additional Information:
Apolipoprotein Evaluation (A1,B, & Ratio)
Effective Date:
Test Code:
Reference Ranges:
February 9, 2015
60891
Apolipoprotein B/A1 Ratio
Risk Category
Male (mg/dL)
Optimal
<0.77
Moderate
0.77-0.95
High
>0.95
Female (mg/dL)
<0.63
0.63-0.78
> 0.78
Bartonella henselae, IgG, IgM Rflx Titer
Effective Date:
Test Code:
Additional Information:
January 23, 2015
60067
Test name update
Bartonella henselae, quintana, IgG, IgM Rflx Titer
Effective Date:
Test Code:
Additional Information:
January 23, 2015
62183
Test name update
Blastomyces Antibody, CF, ID
Effective Date:
Test Code:
CPT Code:
Specimen Requirements:
Transport Temperature:
Turnaround Time:
Reference Ranges:
Methodology:
January 13, 2015
62442
86612x2
1 mL serum
Refrigerated
5-8 days
Blastomyces Ab, CF
Blastomyces Ab, ID
Immunodiffusion
Complement Fixation
-5-
1:8
Negative
April 2015
BRAF Gene Mutation Panel
Effective Date:
Test Code:
CPT Code:
Specimen Requirements:
Transport Temperature:
Turnaround Time:
Reference Ranges:
Methodology:
January 6, 2015
8315
81210, 88381
Paraffin block and/or 5 micron sections on slide and one H&E
slide
Room temperature
5 days
Interpretive report
Polymerase Chain Reaction
Luminex
California Encephalitis Antibody, IgG
Effective Date:
Test Code:
Additional Information:
March 16, 2015
62185
Test code inactivated due to national reagent shortage.
California Encephalitis Antibody, IgM
Effective Date:
Test Code:
Additional Information:
March 16, 2015
62215
Test code inactivated due to national reagent shortage.
C. difficile Toxin and NAP1 PCR
Effective Date:
Test Code:
CPT Code:
March 4, 2015
14200
87493
Cholesteryl Esters
Effective Date:
Test Code:
Additional Information:
January 27, 2015
22102
Test code inactivated based on low utilization.
Chromosomal Microarray Analysis, Congenital
Effective Date:
Test Code:
CPT Code:
Specimen Requirements:
Transport Temperature:
Turnaround Time:
Reference Ranges:
Methodology:
December 16, 2014
8072
81228
3 mL peripheral blood in lavender EDTA or buccal swab
collected with provided collection kit or POC in saline are
acceptable specimen types
Refrigerated
10 days
Interpretive report
Single Nucleotide Polymorphism Microarray
-6-
April 2015
Culture, Bartonella, Blood
Effective Date:
Test Code:
Additional Information:
February 11, 2015
62135
Test code inactivated at reference lab. Suggested
replacement test(s) is Bartonella Antibody testing.
Donor, Chagas Screen
Effective Date:
Test Code:
CPT Code:
Specimen Requirements:
Transport Temperature:
Turnaround Time:
Reference Ranges:
Methodology:
January 2, 2015
62444
86753
1 mL serum. If possible, send original tube along with serum
aliquot.
Refrigerated
4-6 days
Non-Reactive
Enzyme-Linked Immunosorbent Assay
Eastern Equine Encephalitis Ab, IgG, IgM
Effective Date:
Test Code:
Additional Information:
December 22, 2014
61024
Test code inactivated due to national reagent shortage.
EBV DNA, Quantitative PCR
Effective Date:
Test Code:
CPT Code:
Specimen Requirements:
Transport Temperature:
Turnaround Time:
Reference Ranges:
Methodology:
January 27, 2015
10773
87799
4 mL lavender EDTA plasma
Refrigerated
2-8 days
EBV PCR (IU/mL)
EBV PCR (log10)
Real Time Polymerase Chain Reaction
Not detected
Not detected
Estrogen, Total
Effective Date:
Test Code:
Specimen Requirements:
Reference range:
Methodology:
April 6, 2015
60536
2 mL serum
Adult Female (pg/mL)
Follicular Phase (1-12 days)
Luteal Phase
Postmenopausal
Adult Male (pg/mL)
Extraction
-7-
90-59
130-460
50-170
60-190
April 2015
Factor VIII Inhibitor Panel with Rflx
Effective Date:
Test Code:
CPT Code:
Specimen Requirements:
Transport Temperature:
Turnaround Time:
Reference Ranges:
Methodology:
Additional Information:
March 11, 2015
62447
85240, 85335
6 mL citrate platelet poor plasma divided equally in each of 3
vials, frozen immediately
Frozen
3-11 days
Factor VIII Inhibitor, EIA
Negative
Factor VIII Activity
50-80% Normal
Photometric Clot
Enzyme Immunoassay
Please note, if the Factor VIII Inhibitor, EIA is positive, a
Nijmegen Assay (CPT 85335) will be performed at an
additional charge.
Fluorocarbon Screen, Blood
Effective Date:
Test Code:
Additional Information:
March 10, 2015
35040
Test code inactivated based on low utilization.
Growth Hormone
Effective Date:
Test Code:
Reference Ranges:
Additional Information:
January 9, 2015
60546
< 20 years
> or = 20 years
< or = 10.1 ng/mL
> or = 7.1 ng/mL
Update also included in the following tests:
62431 Growth Hormone, 10 Specimens
609110 Growth Hormone, 2 Specimens
606280 Growth Hormone, 5 Specimens
62423 Growth Hormone, 7 Specimens
62424 Growth Hormone, 8 Specimens
62425 Growth Hormone, 9 Specimens
Glycogen Storage Type Ia, DNA Mutation
Effective Date:
Test Code:
January 6, 2015
62438
Histoplasma galactomannan Antigen, Urine
Effective Date:
Test Code:
Turnaround Time:
November 18, 2014
62357
6-9 days
-8-
April 2015
HIV-1 Direct Antigen
Effective Date:
Test Code:
Additional Information:
March 2, 2015
60819
Test code inactivated. Replacement code is 11200 HIV 1/2
Ag/Ab CMIA Reflex to Confirmation.
HLA-B*5701 Typing
Effective Date:
Test Code:
CPT Code:
Specimen Requirements:
Transport Temperature:
Turnaround Time:
Reference Ranges:
Methodology:
January 13, 2015
62445
81381
5 mL lavender EDTA whole blood
Room temperature
8-10 days
Negative
Polymerase Chain Reaction
HLA-DQ Class II DNA, PCR, Typing
Effective Date:
Test Code:
CPT Code:
Specimen Requirements:
Transport Temperature:
Turnaround Time:
Reference Ranges:
Methodology:
January 6, 2015
62437
81376
14 mL lavender EDTA whole blood
Room temperature
9-14 days
Interpretive report
Polymerase Chain Reaction followed by Sequence Specific
Oligonucleotide
HLA-DR Class II DNA, PCR, Typing
Effective Date:
Test Code:
Specimen Requirements:
Transport Temperature:
Turnaround Time:
Reference Ranges:
Methodology:
January 6, 2015
62439
14 mL lavender EDTA whole blood
Room temperature
9-14 days
Interpretive report
Polymerase Chain Reaction followed by Sequence Specific
Oligonucleotide
Immunoglobulin A (IgA), Total
Effective Date:
Test Code:
Additional Information:
January 23, 2015
11720
Test name update
Immunoglobulin A, Total and Subclasses
Effective Date:
Test Code:
Additional Information:
January 23, 2015
60137
Test name update
-9-
April 2015
Immunoglobulin D (IgD)
Effective Date:
Test Code:
Additional Information:
March 30, 2015
60549
Test name update
Immunoglobulin E (IgE), Total
Effective Date:
Test Code:
Additional Information:
January 23, 2015
16068
Test name update
Immunoglobulin G (IgG) Subclasses
Effective Date:
Test Code:
Additional Information:
January 23, 2015
60585
Test code inactivated. Replacement code is 62446
Immunglobulin G Subclasses
Immunoglobulin G (IgG), Total
Effective Date:
Test Code:
Additional Information:
January 23, 2015
11722
Test name update
Immunoglobulin G Subclasses
Effective Date:
Test Code:
CPT Code:
Specimen Requirements:
Turnaround Time:
Reference range:
Methodology:
January 23, 2015
62446
82787x4
1 mL serum
3-5 days
Age (years) (mg/dL)
IgG1
IgG2
0-1
194-942
23-300
2-3
315-945
38-225
4-5
308-945
61-345
6-7
288-918
44-375
8-9
432-1020 72-430
10-11
423-1080 78-355
12-13
342-1150 100-455
14-17
315-855
64-495
Adult
382-929
241-700
Nephelometry
- 10 -
IgG3
19-85
17-68
10-122
16-85
13-85
17-173
28-125
23-198
22-178
IgG4
0.5-78.0
1.0-54.0
2.0-112.0
0.4-98.0
2.0-95.0
2.0 115.0
4.0-136.0
11.0-157.0
4.0-86.0
April 2015
Insulin-Like Growth Factor I
Effective Date:
Test Code:
Reference range:
February 16, 2015
62102
Age (years)
<1
1-1.9
2-2.9
Male (ng/mL)
16-142
16-134
16-135
Female (ng/mL)
17-185
16-175
16-178
Maple Syrup Disease (MSUD), DNA Mutation
Effective Date:
Test Code:
December 16, 2014
62434
Melatonin
Effective Date:
Test Code:
Additional Information:
January 24, 2015
61059
Test code inactivated based on low utilization.
Mephobarbital & Phenobarbital
Effective Date:
Test Code:
Additional Information:
January 24, 2015
27770
Test code inactivated based on low utilization.
Meprobamate
Effective Date:
Test Code:
Additional Information:
February 17, 2015
27760
Test code inactivated based on low utilization.
Nitrazepam
Effective Date:
Test Code:
Specimen Requirements:
April 1, 2015
27290
3 mL red top non-gel barrier serum
Norovirus PCR
Effective Date:
Test Code:
February 10, 2015
11438
Oxycodone, Quantitative
Effective Date:
Test Code:
Specimen Requirements:
April 1, 2015
27109
10 mL red top non-gel barrier serum
- 11 -
April 2015
PCB Screen Reflex Confirmation
Effective Date:
Test Code:
Specimen Requirements:
March 5, 2015
27127
5 mL red top non-gel barrier serum
Posaconazole Level
Effective Date:
Test Code:
Reference range:
April 13, 2015
62097
Theraputic range (Trough)
>0.7 mcg/mL
Staph Screen PCR
Effective Date:
Test Code:
CPT Code:
Turnaround Time:
Reference range:
Methodology:
February 10, 2015
10876
87640, 87641
1-2 days
Negative
Real-Time Polymerase Chain Reaction
Sulfonylurea Hypoglycemics Panel
Effective Date:
Test Code:
CPT Code:
Turnaround Time:
Reference range:
Additional Information:
February 2, 2015
60107
83788
7-10 days
Rosiglitazone: Peak plasma concentrations of
approximately 70-430 ng/mL and 240-830 ng/mL were
achieved 1 hour after administration of 4 mg and 8 mg
daily doses, respectively,
Tolazamide: No plasma concentrations have been
reported in the literature.
Pioglitazone: Peak plasma concentrations of
approximately 130-200 ng/mL following a single 5 mg
dose have been reported. A group of ten diabetics given
daily oral 2.5 mg doses for 6 weeks attained peak plasma
glyburide concentrations averaging 140 ng/mL at 3 hours
after the first dose and 240 ng/mL at 2.4 hours after the
last dose.
Please note, Acetohexamide will no longer be performed.
ThinPrep Pap(Imager)GC/CT HPV Scr Rfx HPV 16,18/45
Effective Date:
Test Code:
CPT Code:
Specimen Requirements:
Transport Temperature:
Reference range:
Methodology:
January 9, 2012
8336
87491, 87591, 87624, 88175
7 mL ThinPrep PAP vial fluid
Room temperature
PAP
Interpretive report
Papanicolaou Staining/Bethesda System for Reporting
Transcription Mediated Amplification
Image-guided ThinPrep
- 12 -
April 2015
ThinPrep Pap(Imager)GC/CT Rfx HPV Rfx HPV 16,18/45
Effective Date:
Test Code:
CPT Code:
Specimen Requirements:
Transport Temperature:
Reference range:
Methodology:
January 9, 2012
8334
87491, 87591, 88175
7 mL ThinPrep PAP vial fluid
Room temperature
PAP
Interpretive report
Papanicolaou Staining/Bethesda System for Reporting
Transcription Mediated Amplification
ThinPrep Pap(Imager) HPV Scr Rfx HPV 16,18/45
Effective Date:
Test Code:
CPT Code:
Specimen Requirements:
Transport Temperature:
Reference range:
Methodology:
January 9, 2012
8335
87624, 88175
6 mL ThinPrep PAP vial fluid
Room temperature
PAP
Interpretive report
Papanicolaou Staining/Bethesda System for Reporting
Transcription Mediated Amplification
Image-guided ThinPrep
ThinPrep Pap(Imager) Rfx HPV Rfx HPV 16,18/45
Effective Date:
Test Code:
CPT Code:
Specimen Requirements:
Transport Temperature:
Reference range:
Methodology:
January 9, 2012
8333
88175
6 mL ThinPrep PAP vial fluid
Room temperature
PAP
Interpretive report
Papanicolaou Staining/Bethesda System for Reporting
Image-guided ThinPrep
ThinPrep Pap(Manual)GC/CT HPV Scr Rfx HPV 16,18/45
Effective Date:
Test Code:
CPT Code:
Specimen Requirements:
Transport Temperature:
Reference range:
Methodology:
January 9, 2012
8340
87491, 87591, 87624, 88142
7 mL ThinPrep Pap vial fluid
Room temperature
PAP
Interpretive report
Papanicolaou Staining/Bethesda System for Reporting
Transcription Mediated Amplification
- 13 -
April 2015
ThinPrep Pap(Manual)GC/CT Rfx HPV Rfx HPV 16,18/45
Effective Date:
Test Code:
CPT Code:
Specimen Requirements:
Transport Temperature:
Reference range:
Methodology:
January 9, 2012
8338
87491, 87591, 88142
7 mL ThinPrep pap vial fluid
Room temperature
PAP
Interpretive report
Papanicolaou Staining/Bethesda System for Reporting
Transcription Mediated Amplification
ThinPrep Pap(Manual) HPV Scr Rfx HPV 16,18/45
Effective Date:
Test Code:
CPT Code:
Specimen Requirements:
Transport Temperature:
Reference range:
Methodology:
January 9, 2012
8339
87624, 88142
6 mL ThinPrep Pap vial fluid
Room temperature
PAP
Interpretive report
Papanicolaou Staining/Bethesda System for Reporting
Transcription Mediated Amplification
ThinPrep Pap (Manual) Rfx HPV Rfx HPV 16,18/45
Effective Date:
Test Code:
CPT Code:
Specimen Requirements:
Transport Temperature:
Reference Ranges:
Methodology:
January 9, 2012
8337
88142
6 mL ThinPrep Pap vial fluid
Room temperature
PAP
Interpretive report
Papanicolaou Staining/Bethesda System for Reporting
Thrombin Time Reflex Mixing Study
Effective Date:
Test Code:
April 15, 2015
62450
Voriconazole Level, HPLC
Effective Date:
Test Code:
Turnaround Time:
Reference Ranges:
April 13, 2015
62363
3-5 days
Theraputic range (trough)
- 14 -
2.0-5.0 mcg/mL
April 2015
Toxicology: CPT codes and test name updates effective January 1, 2015
Test Code
60750
10133
27680
60626
60057
62364
12458
11224
10136
10146
27320
62249
62157
12459
11227
10132
10145
27050
58064
62158
12460
11228
10135
62159
10872
11232
10598
10873
62270
27830
62161
12455
10747
11244
10137
10143
35220
62245
60520
62348
60081
60905
60521
62203
62160
12353
Test name
5-Flucytosine
Acetaminophen, Quantitative
Alprazolam, Quantitative
Amiodarone
Amitriptyline
Amphetamine, Confirmation, Urine
Amphetamine Screen, Reflex Semi-Quantitative
Amphetamine Screen Rflx Semi-Quant & Conf, Urine
Amphetamine Screen, Urine
Amphetamine Screen, Urine, Reflex Confirmation
Anti-Histamine Screen
Aripirazole (Abilify)
Barbiturate, Confirmation, Urine
Barbiturate Screen, Reflex Semi-Quantitative
Barbiturate Screen, Rflx Semi-Quant & Conf, Urine
Barbiturate Screen, Urine
Barbiturate Screen, Urine, Reflex Confirm
Benzene, Occupational Exposure, Blood
Benzodiazepine, Confirmation, Comp Panel
Benzodiazepine, Confirmation, Urine
Benzodiazepines Screen, Reflex Semi-Quantitative
Benzodiazepine Screen, Rflx Semi-Quant & Conf, Ur
Benzodiazepine Screen, Urine
Buprenorphine, Confirmation, Urine
Buprenorphine Screen, Reflex Semi-Quantitative
Buprenorphine Screen, Rflx Semi-Quant & Conf, Ur
Buprenorphine Screen, Urine
Buprenorphine Screen, Urine, Reflex Confirmation
Bupropion and Metabolite
Butabarbital
Cannabinoid Metabolite, Confirmation, Urine
Cannabinoid Screen, Reflex Semi-Quantitative
Cannabinoid Screen, Reflex to Trend
Cannabinoid Screen, Rflx Semi-Quant & Conf, Urine
Cannabinoid Screen, Urine
Cannabinoid Screen, Urine, Reflex Confirm
Canrenone
Carbamazepine-10, 11-Epoxide
Clomipramine
Clonazepam, 7 amino Clonazepam, Urine
Clonazepam (Klonopin)
Chlorpromazine, Quant
Clozapine (Clozaril)
Cocaine and Metabolites (Blood, S/P)
Cocaine Metabolite, Confirmation, Urine
Cocaine Screen, Reflex Semi-Quantitative
- 15 -
New CPT code Name Update
80375
Name update
80324
Name update
80346
80299
80335
80324, 80359
80301
80301
80301
80301
80302
80342
80345
80301
80301
80301
80301
84600
80346
83046
80301
80301
80301
80348
80301
80301
80301
80301
80338
82205
80349
80301
80301
80301
80301
80301
80375
80339
80335
80346
80346
80342
80342
80353
80353
80301
April 2015
Test Code
Test name
New CPT code Name Update
10746
11245
10139
10142
27270
60530
62416
35170
60531
60694
62214
27260
11746
10128
61016
62251
35040
62347
60621
60813
27108
60953
60693
35010
62289
62190
10372
60100
27350
61014
35140
27650
62164
12466
11256
112246
10129
60883
70581
62387
62275
27290
60058
62179
62163
61069
Cocaine Screen, Reflex to Trend
Cocaine Screen, Rflx Semi-Quant & Conf, Urine
Cocaine Screen, Urine
Cocaine Screen, Urine, Reflex Confirm
Codeine, Serum, Quant
Desipramine
Dextro/LevoMethorphan, Urine, Random
Dichloromethane, Blood
Dihydrotestosterone. Quant
Doxepin and Desmethyldoxepin, Qt
Ecstasy, Confirmation, Urine
Effexor
Ethanol, Blood
Ethanol, Urine
Ethchlorvynol, Quantitative
Fentanyl Scr,Ur,Random,Rflx Conf
Fluorocarbon Screen, Blood
Fluoxetine and Metabolite
Fluphenazine, Quantitative
Gold, Quantitative
Hydrocodone, Quantitative
Hydrocodone and Metab, Ur, Qt
Imipramine, Quantitative
Isoniazide
Lacosamide (Vimpat)
Lorazepam
LSD Screen, Urine, Reflex Confirmation
Meconium Drug Abuse Screen
Meperidine and Normeperidine, Qt
Mephenytoin and Metabolite
Mescalin
Mesoridazine
Methadone and Metabolite, Confirmation, Urine
Methadone Screen, Reflex Semi-Quantitative
Methadone Screen, Reflex to Confirmation
Methadone Screen, Rflx Semi-Quant & Conf., Urine
Methadone Screen, Urine
Methadone, Serum, Quant
Methaqualone Screen, Urine, Reflex Confirmation
Nicotine, Cotinine, Serum
Nicotine, Cotinine, Urine, Random
Nitrazepam
Nortriptyline
Olanzapine
Opiate, Confirmation, Urine
Opiate Metabolites by GCMS
80301
80301
80301
80301
80361
80335
80362
82241
80327
80335
80359
80338
80320
80320
80320
80302
84600
80332
80342
80375
80361
80361
80335
80375
80339
80346
80302
80301
80362
80339
80323
80342
80358
80301
80301
80301
80301
80358
80301
80323
80323
80346
80335
80342
80361, 80365
80361
- 16 -
Name update
Name update
Name update
Name update
Name update
Name update
Name update
Name update
Name update
Name update
Name update
April 2015
Test Code
Test name
New CPT code Name Update
10197
12366
11247
10138
10141
60950
27109
62329
62165
11259
10869
11248
10596
27340
11255
12464
10739
11249
10147
61055
27720
62170
62166
11258
12502
11275
10127
61067
61005
60607
27300
10134
60649
62246
60640
60107
62351
27114
60862
27051
62177
60861
27110
62162
12461
10148
Opiate Screen (2000 ng/mL), Urine
Opiate Screen, Reflex Semi-Quantitative
Opiate Screen, Rflx Semi-Quant & Conf, Urine
Opiate Screen, Urine
Opiate Screen, Urine, Reflex Confirm
Oxazepam, Quantitative
Oxycodone, Quantitative
Oxycodone and Metabolite, Ur, Random
Oxycodone, Confirmation, Urine
Oxycodone Screen Reflex to Confirmation
Oxycodone Screen, Reflex Semi-Quantitative
Oxycodone Screen, Rflx Semi-Quant & Conf, Urine
Oxycodone Screen, Urine
Paroxetine
PCP Screen, Reflex Confirmation
PCP Screen, Reflex Semi-Quantitative
PCP Screen, Reflex to Trend
PCP Screen, Rflx Semi-Quant & Conf, Urine
PCP Screen, Urine
Perphenazine
Propoxyphene and Norpropoxyphene, Quant
Pregabalin
Propoxyphene, Confirmation, Urine
Propoxyphene Screen, Reflex Confirmation
Propoxyphene Screen, Reflex Semi-Quantitative
Propoxyphene Screen, Rflx Semi-Quant & Conf, Ur
Propoxyphene Screen, Urine
Protriptyline
Quetiapine (Seroquel)
Risperidone and Metabolite
Ritalin, Serum
Salicylate
Sertraline (Zoloft)
Sotalol, Serum/Plasma
Steroid Screen
Sulfonylurea Hypoglycemics Panel
Tapentadol, Confirmation, Urine
Temazepam, Quantitative
Thioridazine and Metabolite, Quant
Toluene, Occupational Exposure, Blood
Tramadol, Urine, Random
Trazodone
Triazolam, Quantitative
Tricyclic, Confirmation, Urine
Tricyclic Screen, Reflex Semi-Quantitative
Tricyclic Screen, Urine
80301
80301
80301
80301
80301
80346
80365
80365
80365
80301
80301
80301
80301
80332
80301
80301
80301
80301
80301
80342
80367
80366
80367
80301
80301
80301
80301
80335
80342
80342
80360
80329
80332
80375
80328
83788
80372
80346
80342
84600
80373
60861
80346
80335
80301
80301
- 17 -
Name update
Name update
Name update
Name update
Name update
April 2015
Test Code
Test name
New CPT code Name Update
27250
27240
60855
27052
61032
62276
Trifluoperazine, Quant
Tylox (Acetaminophen and Oxycodone), Quant
Valproic Acid, Free
Xylene, Occupational Exposure, Blood
Ziprasidone
Zolpidem
80342
80329, 80365
80165
84600
80342
80368
- 18 -
Name update
April 2015