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Lab Code Test Name Cpt4 Code LAB CODE TEST NAME CPT4 CODE LRH U3METH 3-METHYLGLUTACONIC, URINE LRH 5HIAA 5-HIAA, PLASMA LRH U5HIA24 5-HYDROXYINDOLEACETIC ACID 24HR URINE LRH APHAG A. PHAGOCYTOPHILUM PCR LRH A1CGMK A1c w/GLYCOMARK(R) REFLEX LRH ABG ABG 82803 Container:Sodium or Lithium heparin syringe or Capillary collection device Temperature:Ambient LRH ABGHGB ABG WITH HGB STUDIES 82803 Container:Sodium or Lithium heparin syringe Temperature:Room temperature LRH ACET ACETAMINOPHEN 80307 Container:Green-top (heparin) tube or Red-Top Tube Temperature:Ambient, Refrigerated, or Frozen LRH ACHRB ACETYLCHOLINE RECEPTOR BINDING AUTOABS LRH ACHRBL ACETYLCHOLINE RECEPTOR BLOCKING AUTOABS LRH ACHRM AChR MODULATING ABS, SERUM LRH ADAPER ADA, PERITONEAL LRH HUMIRA ADALIMUMAB and AB LRH ADENOAG ADENO/ROTO VIRUS AG DETECTION LRH ADAPL ADENOSINE DEAMINASE,PLEURAL FL LRH ADENOAB ADENOVIRUS ANTIBODY LRH VASO ADH (VASOPRESSIN) LRH AD21OH ADRENAL 21-HYDROXYLASE AUTOABS LRH ADRENAB ADRENAL TOTAL AUTOABS LRH ACTH ADRENOCORTICOTROPIC HORMONE LRH AERID AEROBE ID + SUSCEPT LRH AFBUVB AFB CULTURE, BLOOD 87116 87015 Container:UVMC Blood Culture/Fungal Isolater Tube (1.5-10mL) Temperature:Ambient LRH AFBUV AFB CULTURE, RESPIRATORY and FLUIDS 87116 87015 Temperature:Refrigerated LRH AFBUVU AFB CULTURE, URINE 87116 87015 Container:STERILE CONTAINER Temperature:Refrigerated LRH AFSM AFB SMEAR ONLY 87206 Container:STERILE CONTAINER LRH AFFIRM AFFIRM VPIII 87660 87510 87480 Container:AFFIRM VPIII transport system Temperature:Ambient or Refrigerated LRH ALB ALBUMIN 82040 Container:Light Green (PST) tube; Green-top (heparin) tube, Serum separator-tube, or Red-Top Tube Temperature:Ambient, Refrigerated, or Frozen LRH ALBBF ALBUMIN, BODY FLUID LRH ALC ALCOHOL 80307 Container:Light Green (PST) tube; Green-top (heparin) tube, Serum separator-tube, or Red-Top Tube Temperature:Ambient, Refrigerated, or Frozen LRH ALDOL ALDOLASE Page 1 of 254 LAB CODE TEST NAME CPT4 CODE LRH ALDOS ALDOSTERONE LRH UALD ALDOSTERONE, URINE 24 HR LRH ALDOSRR ALDOSTERONE/RENIN RATIO LRH ALKPHBS ALKALINE PHOSPHATASE BONE SPECIFIC LRH ALKPHI ALKALINE PHOSPHATASE ISOENZYME LRH ALKP ALKALINE PHOSPHATASE, TOTAL 84075 Container:Light Green (PST) tube; Green-top (heparin) tube, Serum separator-tube, or Red-Top Tube Temperature:Ambient, Refrigerated, or Frozen LRH RSTACAC ALLERGEN - ACACIA GUM IgG LRH RSTACTH ALLERGEN - ACTH IGE LRH RSTASG ALLERGEN - ALDER, SMOOTH IGG LRH RASTALM ALLERGEN - ALMOND IGE LRH RSTALMG ALLERGEN - ALMOND IGG LRH RSTALPA ALLERGEN - ALPHA-AMYLASE IGE LRH RASTALT ALLERGEN - ALTERNARIA TENUIS IGE LRH RSTATG ALLERGEN - ALTERNARIA TENUIS IgG LRH RSTAMPE ALLERGEN - AMPICILLIN, IgE LRH RSTANCH ALLERGEN - ANCHOVY IGE LRH RSTANIS ALLERGEN - ANISEED IGE LRH RASTAPP ALLERGEN - APPLE IGE LRH RSTAPLG ALLERGEN - APPLE IGG LRH RSTAPRI ALLERGEN - APRICOT IGE LRH RSTACOT ALLERGEN - APRICOT IGG LRH RSTAW ALLERGEN - ASH, WHITE IGE LRH RSTAWG ALLERGEN - ASH, WHITE IGG LRH RSTASPA ALLERGEN - ASPARAGUS IGE LRH RSTASPR ALLERGEN - ASPARAGUS IGG LRH RASTASP ALLERGEN - ASPERGILLUS FUMIGATUS IGE LRH RSTASFG ALLERGEN - ASPERGILLUS FUMIGATUS IgG LRH RSTASNG ALLERGEN - ASPERGILLUS NIGER IGG LRH RSTPULL ALLERGEN - AUREOBASIDI PULLULANS IGE LRH RSTAPG ALLERGEN - AUREOBASIDI PULLULANS IGG LRH RSTAVAC ALLERGEN - AVOCADO IGE LRH RSTAVAG ALLERGEN - AVOCADO IGG LRH RSTBAHG ALLERGEN - BAHIA GRASS IgG LRH RSTBKYG ALLERGEN - BAKERS YEAST IGG LRH RSTBANE ALLERGEN - BANANA IGE LRH RSTBANG ALLERGEN - BANANA IGG LRH RSTBARG ALLERGEN - BARLEY IGG Page 2 of 254 LAB CODE TEST NAME CPT4 CODE LRH RASTBAR ALLERGEN - BARLEY, WHOLE GRAIN IgE LRH RSTBASL ALLERGEN - BASIL IGE LRH RSTBASG ALLERGEN - BASIL IgG LRH RSTBAYG ALLERGEN - BAYLEAF (LAUREL) IgG LRH RSTBAYL ALLERGEN - BAYLEAF IGE LRH RSTGBE ALLERGEN - BEAN, GREEN IGE LRH RSTGBG ALLERGEN - BEAN, GREEN IGG LRH RSTBNK ALLERGEN - BEAN, KIDNEY IGE LRH RSTBKG ALLERGEN - BEAN, KIDNEY IGG LRH RSTBNL ALLERGEN - BEAN, LIMA IGE LRH RSTLBG ALLERGEN - BEAN, LIMA IGG LRH RSTWHBN ALLERGEN - BEAN, WHITE IGE LRH RSTWBNG ALLERGEN - BEAN, WHITE IGG LRH RSTBCH ALLERGEN - BEECH, AMERICAN IGE LRH RSTBEFE ALLERGEN - BEEF IGE LRH RSTBFG ALLERGEN - BEEF IGG LRH RSTBER ALLERGEN - BERMUDA GRASS IGE LRH RSTBNGG ALLERGEN - BING CHERRY IGG LRH RSTBIP ALLERGEN - BIPOLARIS IGE LRH RSTBBER ALLERGEN - BLACKBERRY IGE LRH RSTBBG ALLERGEN - BLACKBERRY IGG LRH RSTBCHG ALLERGEN - BLUE CHEESE MOLD IGG LRH RSTBCHS ALLERGEN - BLUE CHEESE MOLD, IGE LRH RSTBLUE ALLERGEN - BLUEBERRY IGE LRH RSTBLUG ALLERGEN - BLUEBERRY IGG LRH RSTBGRS ALLERGEN - BLUEGRASS, KENTUCKY IGE LRH RSTBCG ALLERGEN - BOTRYTIS CINEREA IgG LRH RSTBRAZ ALLERGEN - BRAZIL NUT IGE LRH RSTBRZG ALLERGEN - BRAZIL NUT IGG LRH RSTBROC ALLERGEN - BROCCOLI IGE LRH RSTBRCG ALLERGEN - BROCCOLI IGG LRH RSTBRUS ALLERGEN - BRUSSEL SPROUTS IGE LRH RSTBSPG ALLERGEN - BRUSSEL SPROUTS IGG LRH RSTBWHT ALLERGEN - BUCKWHEAT IgE LRH RSTBWG ALLERGEN - BUCKWHEAT IGG LRH RSTBUDD ALLERGEN - BUDGERIGAR DROPPINGS IGE LRH RSTBUDG ALLERGEN - BUDGERIGAR FEATHERS IGE LRH RSTBUMB ALLERGEN - BUMBLEBEE IGE Page 3 of 254 LAB CODE TEST NAME CPT4 CODE LRH RSTBUMG ALLERGEN - BUMBLEBEE IgG LRH RSTCBG ALLERGEN - CABBAGE IGE LRH RSTCBGG ALLERGEN - CABBAGE IGG LRH RASTCAN ALLERGEN - CANARY FEATHERS IGE LRH RSTCALB ALLERGEN - CANDIDA ALBICANS IGE LRH RSTCAG ALLERGEN - CANDIDA ALBICANS IgG LRH RSTCARA ALLERGEN - CARAGEENAN GUM IGE LRH RSTCARB ALLERGEN - CAROB BEAN FLOUR IGE LRH RASTCAR ALLERGEN - CARROT IGE LRH RSTCARG ALLERGEN - CARROT IGG LRH RASTCAS ALLERGEN - CASEIN IGE LRH RSTCASG ALLERGEN - CASEIN IGG LRH RSTCASE ALLERGEN - CASHEW NUT IGE LRH RSTCASH ALLERGEN - CASHEW NUT IGG LRH RSTCATE ALLERGEN - CAT EPITHELIUM/DANDER IGE LRH RSTCATG ALLERGEN - CAT HAIR/DANDER IGG LRH RSTCFE ALLERGEN - CATFISH IGE LRH RSTCFG ALLERGEN - CATFISH IgG LRH RSTCLFW ALLERGEN - CAULIFLOWER IGE LRH RSTCFRG ALLERGEN - CAULIFLOWER IGG LRH RASTCED ALLERGEN - CEDAR, MOUNTAIN IGE LRH RSTCMG ALLERGEN - CEDAR, MOUNTAIN IGG LRH RSTCED ALLERGEN - CEDAR, RED IGE LRH RSTCELR ALLERGEN - CELERY IGE LRH RSTCELG ALLERGEN - CELERY IGG LRH RSTCEPH ALLERGEN - CEPHALOSPORIN DRUG IGE LRH RSTCGG ALLERGEN - CHAETOMIUM GLOBOSUM IGG LRH RSTCHES ALLERGEN - CHEESE, AMERICAN IGE LRH RASTCHS ALLERGEN - CHEESE, CHEDDAR IGE LRH RSTCHDG ALLERGEN - CHEESE, CHEDDAR IGG LRH RSTCHER ALLERGEN - CHERRY IGE LRH RSTCHKP ALLERGEN - CHICK PEA IGE LRH RSTCKPG ALLERGEN - CHICK PEA IgG LRH RSTCHF ALLERGEN - CHICKEN FEATHERS IGE LRH RASTCHK ALLERGEN - CHICKEN IGE LRH RSTCHKG ALLERGEN - CHICKEN IGG LRH RSTCHOG ALLERGEN - CHOCOLATE IGG LRH RSTCHC ALLERGEN - CHOCOLATE/COCOA IGE Page 4 of 254 LAB CODE TEST NAME CPT4 CODE LRH RSTCINN ALLERGEN - CINNAMON IGE LRH RSTCING ALLERGEN - CINNAMON IGG LRH RSTCLDE ALLERGEN - CLADOSPORIUM HERBARUM IGE LRH RSTCHG ALLERGEN - CLADOSPORIUM HERBARUM IGG LRH RSTCLAM ALLERGEN - CLAM IGE LRH RSTCLMG ALLERGEN - CLAM IGG LRH RSTCLOV ALLERGEN - CLOVES IGE LRH RSTCLVG ALLERGEN - CLOVES IgG LRH RSTCBUR ALLERGEN - COCKLEBUR IGE LRH RSTCRE ALLERGEN - COCKROACH, AMERICAN IGE LRH RSTGCR ALLERGEN - COCKROACH, GERMAN IGE LRH RSTCNUT ALLERGEN - COCONUT IGE LRH RSTCOCG ALLERGEN - COCONUT IGG LRH RASTCOD ALLERGEN - CODFISH IGE LRH RSTCODG ALLERGEN - CODFISH IGG LRH RSTCOFF ALLERGEN - COFFEE IGE LRH RSTCOFG ALLERGEN - COFFEE IGG LRH RSTCORN ALLERGEN - CORN IGE LRH RSTCRNG ALLERGEN - CORN IGG LRH RSTCLU ALLERGEN - COTTON LINTERS (UNTREATED) IGE LRH RSTCSED ALLERGEN - COTTONSEED IGE LRH RSTCTNG ALLERGEN - COTTONSEED IGG LRH RSTCOTT ALLERGEN - COTTONWOOD TREE IGE LRH RSTCWTG ALLERGEN - COTTONWOOD TREE IGG LRH RSTCOWE ALLERGEN - COW EPITHELIUM IGE LRH RSTCRAB ALLERGEN - CRAB IGE LRH RSTCRBG ALLERGEN - CRAB IGG LRH RSTCBRY ALLERGEN - CRANBERRY IGE LRH RSTCBRG ALLERGEN - CRANBERRY IGG LRH RSTCFSH ALLERGEN - CRAYFISH IGE LRH RSTCRFG ALLERGEN - CRAYFISH IgG LRH RASTCUC ALLERGEN - CUCUMBER IGE LRH RSTCUCG ALLERGEN - CUCUMBER IGG LRH RSTCUMN ALLERGEN - CUMIN IGE LRH RSTCUMG ALLERGEN - CUMIN IgG LRH RSTCURR ALLERGEN - CURRY IGE LRH RSTCURG ALLERGEN - CURRY IgG LRH RSTCLG ALLERGEN - CURVULARIA LUNATA IGG Page 5 of 254 LAB CODE TEST NAME CPT4 CODE LRH RASTCB ALLERGEN - CYPRESS, BALD IGE LRH RASTDF ALLERGEN - D. FARINAE IGE LRH RASTDPE ALLERGEN - D. PTERONYSSINUS IGE LRH RSTDATE ALLERGEN - DATE IGE LRH RSTDATG ALLERGEN - DATE IGG LRH RSTDILL ALLERGEN - DILL IGE LRH RSTDILG ALLERGEN - DILL IgG LRH RSTDOCW ALLERGEN - DOCKWEED, YELLOW IGE LRH RASTDOG ALLERGEN - DOG DANDER IGE LRH RSTDUCK ALLERGEN - DUCK FEATHERS IGE LRH RSTEGYW ALLERGEN - EGG (YOLK & WHITE) IGE LRH RSTEGWE ALLERGEN - EGG WHITE IGE LRH RSTEGWG ALLERGEN - EGG WHITE IGG LRH RASTEGY ALLERGEN - EGG YOLK IGE LRH RSTEGYG ALLERGEN - EGG YOLK IGG LRH RSTEWG ALLERGEN - EGG, WHOLE IGG LRH RSTEWWG ALLERGEN - EGG, WHOLE IgG4 LRH RSTEGGP ALLERGEN - EGGPLANT IGE LRH RSTEGPG ALLERGEN - EGGPLANT IgG LRH RSTEA ALLERGEN - ELM, AMERICAN IGE LRH RSTEAG ALLERGEN - ELM, AMERICAN IGG LRH RSTENPL ALLERGEN - ENGLISH PLANTAIN IGE LRH RSTEPIC ALLERGEN - EPICOCCUM PURPUR IGE LRH RSTEPG ALLERGEN - EPICOCCUM PURPUR IGG LRH RSTETOX ALLERGEN - ETHYLENE OXIDE IGE LRH RSTFESC ALLERGEN - FESCUE, MEADOW IGE LRH RSTFINC ALLERGEN - FINCH FEATHERS IGE LRH RASTFD ALLERGEN - FIR, DOUGLAS IGE LRH RSTFLXG ALLERGEN - FLAXSEED IGG LRH RSTFLOU ALLERGEN - FLOUNDER IGE LRH RSTFLG ALLERGEN - FLOUNDER IGG LRH FOOD19R ALLERGEN - FOOD IGE (19) PANEL w REFLEX LRH FOOD20 ALLERGEN - FOOD IGE (20) PANEL LRH 22FOOD ALLERGEN - FOOD IGE (22) PANEL LRH RTFOOD ALLERGEN - FOOD IGE (6) PANEL LRH FOOD20G ALLERGEN - FOOD IGG (20) PANEL LRH RSTFORM ALLERGEN - FORMALDEHYDE IGE LRH RSTFUSO ALLERGEN - FUSARIUM PROLIFERATUM IGE Page 6 of 254 LAB CODE TEST NAME CPT4 CODE LRH
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