| Code |
Description |
| 80048 |
Basic metabolic panel
This panel must include the following: Calcium, total (82310), Carbon dioxide (82374), Chloride (82435), Creatinine (82565), Glucose (82947), Potassium (84132), Sodium (84295), Urea nitrogen (BUN) (84520) |
| 80053 |
Comprehensive metabolic panel
This panel must include the following: Albumin (82040), Bilirubin, total (82247), Calcium, total (82310), Carbon dioxide (bicarbonate) (82374), Chloride (82435), Creatinine (82565), Glucose (82947), Phosphatase, alkaline (84075), Potassium (84132), Protein, total (84155), Sodium (84295), Transferase, alanine amino (ALT) (SGPT) (84460), Transferase, aspartate amino (AST) (SGOT) (84450), Urea nitrogen (BUN) (84520) |
| 80061 |
Lipid panel |
| 80101 |
Drug screen, qualitative; single drug class method (eg, immunoassay, enzyme assay), each drug class |
| 81000 |
Urinalysis w/micro |
| 81001 |
Urinalysis, automated, w/micro |
| 81002* |
Urinalysis w/o micro |
| 81003 |
Urinalysis, dip stic/tab, automated w/o micro |
| 81015 |
Urinalysis, micro only |
| 81025* |
Urine pregnancy, color comparison |
| 81050 |
Urinalysis, volume measurement for timed collection, each |
| 82042 |
Albumin; urine or other source, quantitative, each specimen |
| 82043 |
Albumin; urine, microalbumin, quantitative |
| 82044 |
Albumin; urine, microalbumin, semiquantitative (eg, reagent strip assay) |
| 82270* |
Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided three cards or single triple card for consecutive collection) |
| 82272 |
Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, single specimen (eg, from digital rectal exam) |
| 82274 |
Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations |
| G0107 |
Colorectal cancer screening; fecal-occult blood test, 1-3 simultaneous determinations |
| 82570 |
Creatinine; other source |
| 82947 |
Glucose; quantitative, blood (except reagent strip) |
| 82948 |
Glucose, reagent strip |
| 82950 |
Post-glucose dose |
| 82962* |
Glucose, home use device |
| 83026* |
Hemoglobin, copper sulfate method |
| 83036 |
Hemoglobin; glycosylated (A1C) |
| 83037 |
Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use |
| 83655 |
Lead testing |
| 83721 |
Lipoprotein, direct measurement; direct measurement, LDL cholesterol |
| 84132 |
Potassium; serum |
| 84155 |
Protein, total, except by refractometry; serum |
| 84160 |
Protein, total, by refractometry, any source |
| 84165 |
Protein, electrophoretic fractionation & quantitation |
| 85007 |
Blood smear w/manual diff |
| 85013* |
Spun microhematocrit |
| 85014 |
Non-spun microhematocrit |
| 85018 |
Hemoglobin |
| 85025 |
CBC, automated and automated differential |
| 85027 |
Complete CBC, automated |
| 85610 |
Prothrombin time |
| 85651* |
Sedimentation rate, non-automated |
| 86308 |
Heterophile antibodies, screening |
| 86403 |
Particle agglutination, screen/mononucleosis |
| 86580 |
Tuberculosis, intradermal |
| 86585 |
Tuberculosis, tine test |
| 87077 |
Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate |
| 87101 |
Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail |
| 87210 |
Wet mount, bacteria/fungi (wet prep) |
| 87220 |
Tissue exam for fungi (KOH) |
| 87275 |
Influenza B (immunofluorescent) |
| 87276 |
Influenza A (immunofluorescent) |
| 87400 |
Influenza A or B (enzyme immunoassay) |
| 87430 |
Streptococcus, group A |
| 87804 |
Influenza - infectious agent (immunoassay) w/direct optical observation |
| 87807 |
Infectious agent antigen detection by immunoassay with direct optical observation; respiratory syncytial virus |
| 87808 |
Infectious agent antigen detection by immunoassay with direct optical observation; Trichomonas vaginalis |
| 87880 |
Streptococcus group A |
| 87905 |
Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) |
| 89190 |
Nasal smear for eosinophils |
| Tests generally performed only by specialist physicians: |
| 83861 |
Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity |
| 87168 |
Macroscopic examination; arthropod (approved for dermatologists only) |
| 88161 |
Cytopathology, smears, any other source; preparation, screening and interpretation (approved for dermatologists only) |
| 88173 |
Eval fine needle aspirate, interpretation & report |
| 88300 |
Surgical pathology, Level I |
| 88302 |
Surgical pathology, Level II |
| 88304 |
Surgical pathology, Level III (skin - cyst/tag/debridement) |
| 88305 |
Surgical pathology, Level IV (skin - other than cyst/tag/debridement) |
| 88342 |
Immunohistochemistry (including tissue immunoperoxidase), each antibody |
| 85097 |
Smear interpretation only (to be billed with 85095) |
| 89060 |
Crystal identification, micro |
| 89300 |
Semen analysis, presence & motility |
| 89310 |
Sperm count & motility |
| 89320 |
Semen analysis; complete (volume, count, motility, and differential) |
| 89322 |
Semen analysis; volume, count, motility, and differential using strict morphologic criteria (e.g., Kruger) |
| 89325 |
Sperm antibodies |
