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
|
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:
|
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
|