EML Standard Lab Description 1

EML Standard Lab Description

√ Ordered Item CPT Add’l Codes √ Ordered Item CPT Add’l Codes √ Ordered Item CPT Add’l Codes Varicella-Zoster Virus Antibody FLOW IMMUNOLOGY HLA Monthly Antibody Profile 86828 86832 86787 IgG Bone Marrow Aspirate 85097 HLA Class I Antibody Specificity 86830 86833 Urine Electrophoresis Interp 84166 Differential CD4/CD8 Ratio by Flow 86359 HLA Class II Antibody Specificity 86831 Rubella Antibody IgG 86762 Cytometry CD4/T Help Only by Flow 86361 HLA Class II Molecular Typing 81375 Hepatitis A Antibody Total + IgM 86790 86709 Cytometry Congenital Immunodeficiency 86355 HLA Class I Molecular Typing 81372 C4 Complement Level 86160 Profile by Flow Cytometry HLA Post Transplant Monitoring Anti-Nuclear Antibody Screen 86225-DNA Post Allo Congen 86357 86828 83832 DSA with Reflex 86235-ENA Quant CD34 86367 HLA Freeze 88240 83633 C3 Complement Level 86160 T/B/NK Cells by flow to monitor 86355 antiCD20 HLA Allo Flow Crossmatch 86825 86826 Rheumatoid Factor 86431 HLA HLA Donor Specific Antibody 86829 Serum Immunofixation 82784 HLA DRB1 MOL. High 81382 Resolution HLA DRB1 MOL. High Protein Electrophoresis Urine 81382 84166 Resolution Timed HLA ABC Sequencing 81379 HLA ABC Sequencing 81379 Immunofixation Urine 86335 HLA B27 DNA Low Res 81374 Protein Electrophoresis Urine HLA Chimerism Study T (CD3) 84166 HLA Chimerism Study 81268 88240 Random 81268 Cell Analysis Myeloid(CD33) Analysis HLA Class I Antibody Specificity Anti-double stranded DNA 86225 HLA Chimerism Study T (CD3) 86830 81268 Dilution Study Cell Analysis Cytomegalovirus Antibody IgG 86644 HLA Class II Antibody Specificity HLA Chimerism Study Complete 86831 81267 Dilution Study Hepatitis B Core Antibody Total 86704 Analysis HLA Chimerism Study 81268 88240 Epstein Barr Virus Antibodies HLA Bone Marrow Report Myeloid(CD33) Analysis 86665x2 86664 VCA IgG+EBNA IgG+VCA IgM IMMUNOLOGY HLA Single Antigen Type Class I 81380 Immunoglobulin IgG Level Total 82784 HIV Antigen Antibody Combo 87389 HLA Single Antigen Type Class II 81383 86593- Haptoglobin Level 83010 Rapid Plasma Reagin Test 86592-screen HLA Deceased Donor Type titer 81370 Cytomegalovirus Antibody IgM 86645 Report Hepatitis C Antibody 86803 Anti-Cyclic Citrullinated Peptide HLA Donor Specific Antibody 86829 x2 Serum Electrophoresis Interp 84165 86200 AB IgG HLA Chimerism Initial Post 86334- 81265 Immun Fixation Interp 86335-urine Immunoglobulin IgE Level Total 82785 Transplant Assessment serum Immunoglobulin IgA Level 82784 HLA Class I Antibody Specificity Free Light Chains 83883x2 86830 Phenotype Panel Immunoglobulin IgM Level Total 82784 Hepatitis B Surface Antigen 87340 HLA Class II Antibody Specificity 86831 MOLECULAR Phenotype Panel Beta 2 Microglobulin Level 87340 HLA Narcolepsy Panel 81383 Protein Electrophoresis with CSF Herpes Simplex DNA 87529 86334 84165 HLA BM Crossmatch Report 86829x2 Immunofixation Hepatitis B Surface Antibody Herpes Simplex DNA 87529 HLA Post Transplant Monitoring 86706 86828 86832 86832 Quantification DSA HSV DNA MISC 87529 Hepatitis B Diagnostic Profile 86704 87340 86706 87340 86706 HLA Auto Flow Crossmatch 86825 86833 Respiratory Virus Panel by PCR 87633

EML Standard Lab Description

√ Ordered Item CPT Add’l Codes √ Ordered Item CPT Add’l Codes √ Ordered Item CPT Add’l Codes CP Comp (Includes: Albumin, CSF Herpes Simplex DNA 87529 Cyclosporine Level 80158 ALT, AST, SLP(alkaline Herpes Simplex DNA 87529 phosphatase), Chloride(CL), Rapamycin Level 80299 CO2, Glucose, BUN, Creatinine, HEMATOLOGY Calcium, Sodium (Na), Nicotine Urine Random 83887 Potassium (K), Estimated GFR CBC (Includes: WBC count, 80053 (glomerular filtration rate), Total platelet count, hemoglobin(Hgb), Busulfan Level 80299 hematocrit (Hct), RBC protein, Total bilirubin, Calculated Osmo, Anion Gap, BUN/Creat count,MPV(mean platelet vol., Uric Acid 84550 MCV(mean corpuscular vol.), 85027 ratio

MCH (mean corpuscular Prostate Specific Antigen 84153 hemoglobin), MCHC(mean Creatinine (incl in CP Comp and corpuscular hemoglobin 82565 Coagulation concentration) BMP) CBC w/ Autodiff Includes all of Urea 84520 Factor IX (9) Level 85250 the indices above along w/Neutrophil %, lymphocyte %, Triglyceride 84478 Factor V (5) Level 85220 monocyte %, eosinophil %, basophil %, immature Magnesium 83735 Factor VII (7) Level 85230 granulocyte %, abs(absolute) 85506 neutrophil count, abs lymphocyte Phosphorus 84100 Factor VIII (8) Level 85240 count, abs monocyte count, abs Alanine Transferase (incl in CP basophil count, abs eosinophil 84460 Factor VIII Assay 85245 count, abs immature granulocyte Comp) Asparate Transferase (incl in CP count 84450 Heparin Level 85520 Reticulocyte count (includes Comp) Glucose (incl in CP Comp and Thromboplastin time, partial, RBC count, Hgb(hemoglobin), 82947 85732 Reticulocyte %, Absolute 85044 BMP) substitution fraction Reticulocyte count, Reticulocyte LDH 83615 Dimer 85379 production index) HCG Urine 84703 Amylase 82150 P2Y12 Verify Now Assay 85576 Pregnancy(qualitative) Partial Thromboplastin Time 85730 Sed rate (ESR) 85652 Lipase 83690 (PTT) Prothrombin Time (PT): includes Bilirubin 82247 85610 Urinalysis (UA) dipstick INR (includes: Specific gravity, pH, HCG Urine Nitrite, Protein, Urobilinogen, 84702 Prothrombin Time Mixing Study 85611 81003 Pregnancy(quantitative) Hemoglobin, Ketone, Glucose, ALP (Alkaline Phosphatase (incl Bilirubin, Leukocyte esterase 84075 Thrombin Time 85670 in CP Comp) (white blood cells)) Von Willebrand Factor Antigen 85246 Microscopic, urine (includes: Albumin (incl in CP Comp) 82043 Activated Partial Thromboplastin WBC and RBC count, possible Potassium (incl in CP Comp 85732 presence of casts or crystals, 81015 84132 Time Mixing Study

mucus, renal tubular or and BMP) Antithrombin III 85300 Calcium (incl in CP Comp and transitional epithelial cells) 82310 BMP) Apixaban Level 80299 Chemistry Chloride (incl in CP Comp and 82435 ) Bethesda Inhibitor Human 85335 Basic Metabolic Panel BMP (Includes: Sodium (Na), Total Protein (incl in CP Comp) 84155 bo Heparin Neutralization 85525 Potassium(K), Chloride(CL), Dabigatran Level 85300 CO2, BUN/Creat ratio, Glucose, 80048 Hemoglobin A1C 83036 Calcium, BUN, Creatinine, Anion Prograf Serum Level 80197 Gap, Estimated GFR (glomerular

filtration rate), Calculated Osmo

EML Standard Lab Description

Add’l √ Ordered Item CPT Add’l Codes √ Ordered Item CPT Add’l Codes √ Ordered Item CPT Codes CSF Meningitis/Encephalitis 87483 Microbiology Eye Fluid Culture Aerobic and 87070 Pathogen Panel PCR Cerebrospinal Fluid Cryptococcal Anaerobic 87899 Gastrointestinal Pathogen Panel 87507 Antigen Fecal Examination Acid Fast 87181 Respiratory Aerobic/Anaerobic Bacilli 87070 HIV Rapid Ag+Ab Combo 87806 Sinus Culture Respiratory Culture YEAST 87102 Catheter Tip Culture Tissue Culture Aerobic and 87070 87075 Bacterial/Yeast Anaerobic Bacterial Blood Culture Bacterial/Yeast 87040 Cerebrospinal Fluid Culture Blood Neonate Bacterial/Yeast 87102 87040 FUNGAL Culture Urine Culture + Colony Count 87086

Blood Culture Acid Fast Bacilli 87116 Body Fluid Culture Aerobic + Respiratory Bacterial Culture 87070 87070 87070 87205 Fecal Microsporidium Exam 87206 Anaerobic BACTERIAL Cerebrospinal Fluid Culture 87070 Respiratory Acid Fast Bacilli Bacterial 87116 Culture Cerebrospinal Fluid Culture Acid Bacterial Vaginosis Gram Stain 87205 87116 Respiratory Beta Streptococcus Fast Bacilli 87081 Culture Blood Culture Systemic FUNGAL 87103 Body Fluid Culture FUNGAL 87102 Fecal Ova and Parasite Exam 87209 87177 Skin or Hair or Nail Culture Tissue FUNGAL Culture 87102 87101 Wound/Abscess Aerobic and FUNGAL 87070 87075 Anaerobic Bacterial Culture Methicillin Resistant Genital Yeast Culture 87102 87081 Respiratory Culture Bacterial Staphylococcus Aureus 87071 Quantitative Tissue Culture Legionella Tissue Culture TB/AFB 87116 Fecal Culture Bacterial 87045 87206 Body Fluid Culture Acid Fast 87116 Eye Culture FUNGAL 87102 Bacilli Respiratory FUNGAL Culture 87102 Fecal Qualitative Fat Stain 89125 Chlamydia and Gonorrhea RNA 87491 Body Fluid Culture VIRAL 87252 Chlamydia, Gonorrhoeae, Eye Donor Cornea Rim Culture 87661 87798x9 87070 Trichomonas RNA Bacterial Wound/Abscess VIRAL Culture 87252 Eye Culture Bacterial Aerobic 87070 C difficile Toxin Assay Fecal 87324 87591 Only Sterility Check 87081 Blood Parasite Exam 87207 Influenza/RSV by PCR 87631 87491 Eye Culture VIRAL 87252 Feces Occult Blood 82274 Fecal Culture Yersinia 87046 Immunoassay Screen Eye Culture Acid Fast Bacilli 87116 CSF Mycobacterium Body Fluid Culture in Bottles 87070 Gram Stain 87205 Tuberculosis 87556

Fecal Culture Vibrio 87046 Bacterial Screen Culture 87081 M. Tuberculosis DNA Misc. Cerebrospinal Fluid Enterovirus Specimen 87556 MRSA/MSSA Surgical Screen 87081 87498 PCR Tissue Culture VIRAL 87252 Neisseria gonorrhoeae RNA 87591 Referral Section Trichomonas vaginalis RNA 87661 Cancer Antigen GI 19 9 86301 Fecal Culture Yeast 87102 Herpes Simplex VIRAL DFA Malaria Screen Adrenocorticotropic Hormone 82024 87299 87899 Direct Antigen Test Level Chlamydia trachomatis RNA Quantiferon (R) TB Gold Plus 86480 Neisseria Gonorrhoeae Culture 87081 87491

Varicella Zoster Virus Direct 87290 Whole Blood Vitamin B1 Level 84425 Upper Respiratory Pathogen 87633 Fluorescent Antigen Panel Triiodothyronine Free 84481

Miscellaneous ARUP 84999

EML Standard Lab Description

√ Ordered Item CPT Add’l Codes Vitamin B6 Level 84207

Zinc Level 84630

T-Spot Tuberculosis Test 86481

Testosterone Free 84402 84403

Copper Level 82525

Anti Hep2 Nuclear IgG 86039

Cancer Antigen 27.29 86300

Anti-Neutrophil Cytoab Pan 86255 If reflexed

83516x2 86256 Hemoglobin Electrophoresis 83021 if reflexed

83020 85660 Tissue Transglutaminase IgA 83516

Drug Screen Whole Blood 80307 80365 80348 if reflexed 80349 80361 80324 80353 80359 80345 80358 80348 80346 80324 Smooth Muscle AB, IGG 83516

if reflexed 86256 Aldosterone 82088 Fibrinogen Antigen 85385 Antithrombin III Antigen 85301 Human Immunodeficiency Virus- 87901

1 Genotype Enterovirus RNA 87498 Eye Culture Amoeba 87081 Euglobulin Lysis Time 85360

PATHOLOGY

AML Panel FISH 88377 x5 MICROARRAY 81229 SNAPSHOT 81407 T-CELL (TCR) 81342