2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 0010B Acecainide, Blood 82491 80375 0011U 2‐Butoxyethanol Metabolite (2‐Butoxyacetic Acid ‐ 82542 83921 Total), Urine 0012B Acebutolol, Blood 83789 80375 0012SP Acebutolol, Serum/Plasma 83789 80375 0013SP Acamprosate, Serum/Plasma 83789 80375 0017B Acepromazine, Blood 84022 80342 0017SP Acepromazine, Serum/Plasma 84022 80342 0017U Acepromazine, Urine 84022 80342 0021B Acetaldehyde, Blood 82000 80320 0021SP Acetaldehyde, Serum/Plasma 82000 80320 0021U Acetaldehyde, Urine 82000 80320 0030B Acetaminophen, Blood 82003 80329 0030FL Acetaminophen, Fluid 82003 80329 0030SP Acetaminophen, Serum/Plasma 82003 80329 0030TI Acetaminophen, Tissue 82003, 80103 80329 0030U Acetaminophen, Urine 82003 80329 0032B Acetaminophen Screen, Blood 80101 80302 0032SP Acetaminophen Screen, Serum/Plasma 80101 80302 0032U Acetaminophen Screen, Urine 80101 80302 0050B Acetazolamide, Blood 82491 80375 0050SP Acetazolamide, Serum/Plasma 82491 80375 0050U Acetazolamide, Urine 82491 80375 0070SP Acetohexamide, Serum/Plasma 82491 80375 0080B Acetone, Blood 82010 80320 0080FL Acetone, Fluid 82010 80320 0080SP Acetone, Serum/Plasma 82010 80320 0080U Acetone, Urine 82010 80320 0088B Acetonitrile Exposure Profile, Blood 82600, 82000 82600, 80320 0100B Acetophenazine, Blood 82491 80342 0100SP Acetophenazine, Serum/Plasma 82491 80342 0148B Acrylonitrile Exposure Profile, Blood 84600, 83789 82600, 80320 0158SP Acyclovir, Serum/Plasma 83789 80375 0158U Acyclovir, Urine 83789 80375 0165B Albuterol, Blood 83789 80375 0165FL Albuterol, Fluid 83789 80375 0165SP Albuterol, Serum/Plasma 83789 80375

Page 1 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 0165TI Albuterol, Tissue 83789, 80103 80375 0166B Acyclovir, Blood 83789 80375 0169B Screen, Blood (Forensic) (CSA) 80102, 82055 80301, 80320 0170B Alcohol Panel, Blood 82055 80320 0170FL Alcohol Panel, Fluid 82055 80320 0170SP Alcohol Panel, Serum/Plasma 82055 80320 0170TI Alcohol Panel, Tissue 82055, 80103 80320 0170U Alcohol Panel, Urine 82055 80320 0171B Alcohol Screen, Blood 82055 80301 0171FL Alcohol Screen, Fluid 82055 80301 0171SP Alcohol Screen, Serum/Plasma 82055 80301 0171TI Alcohol Screen, Tissue 80101, 80103 80301 0171U Alcohol Screen, Urine 82055 80301 0175B Alcohol (Police), Blood (Forensic) 80102, 82055 80301, 80320 0175SP Alcohol (Police), Serum/Plasma (Forensic) 80102, 82055 80301, 80320 0175U Alcohol (Police), Urine (Forensic) 80102, 82055 80301, 80320 0176B Alcohol, Blood (Forensic) 80102, 82055 80301, 80320 0176SP Alcohol, Serum/Plasma (Forensic) 80102, 82055 80301, 80320 0176U Alcohol, Urine (Forensic) 80102, 82055 80301, 80320 0195B Alcohol, with Statement of Certainty® (Police), Blood 80102, 82055 80301, 80320 (Forensic) 0200B Alfentanil, Blood 83925 80354 0200SP Alfentanil, Serum/Plasma 83925 80354 0205B Acetyl Fentanyl, Blood 83925 80354 0205SP Acetyl Fentanyl, Serum/Plasma 83925 80354 0205U Acetyl Fentanyl, Urine 83925 80354 0210SP Allobarbital, Serum/Plasma 82205 80345 0213B Allopurinol and Metabolite, Blood 82492 80375 0213SP Allopurinol and Metabolite, Serum/Plasma 82492 80375 0245B Alpha PVP, Blood 83789 80371 0245SP Alpha PVP, Serum/Plasma 83789 80371 0245U Alpha PVP, Urine 83789 80371 0260B Alprazolam, Blood 80154 80346 0260FL Alprazolam, Fluid 80154 80346 0260SP Alprazolam, Serum/Plasma 80154 80346 0260TI Alprazolam, Tissue 80154, 80103 80346 0265B Amantadine, Blood 82491 80375

Page 2 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 0265FL Amantadine, Fluid 82491 80375 0265SP Amantadine, Serum/Plasma 82491 80375 0265U Amantadine, Urine 82491 80375 0267B , Blood 82491 80375 0267SP Amiloride, Serum/Plasma 82491 80375 0268B Aminobenzoic Acid, Blood 84311 83921 0268SP Aminobenzoic Acid, Serum/Plasma 84311 83921 0269SP Aminocaproic Acid, Serum/Plasma 83789 83921 0275SP Dalfampridine, Serum/Plasma 83789 80375 0275U Dalfampridine, Urine 83789 80375 0278B DMAA, Blood 83789 80371 0278SP DMAA, Serum/Plasma 83789 80371 0278U DMAA, Urine 83789 80371 0307B Amiodarone and Metabolite, Blood 83789 80375 0307SP Amiodarone and Metabolite, Serum/Plasma 83789 80375 0310B Amitriptyline and Metabolite, Blood 80152 80335 0310FL Amitriptyline and Metabolite, Fluid 80152 80335 0310SP Amitriptyline and Metabolite, Serum/Plasma 80152 80335 0310TI Amitriptyline and Metabolite, Tissue 80152, 80103 80335 0310U Amitriptyline and Metabolite, Urine 80152 80335 0315B Amlodipine, Blood 82491 80375 0315SP Amlodipine, Serum/Plasma 82491 80375 0320SP Amobarbital, Serum/Plasma 82205 80345 0320U Amobarbital, Urine 82205 80345 0325B Amoxapine and Metabolite, Blood 82492 80335 0325SP Amoxapine and Metabolite, Serum/Plasma 82492 80335 0325U Amoxapine and Metabolite, Urine 82492 80335 0329B Amphetamines (D/L Ratio), Blood 82145 80324 0329FL Amphetamines (D/L Ratio), Fluid 82145 80324 0329SP Amphetamines (D/L Ratio), Serum/Plasma 82145 80324 0329U Amphetamines (D/L Ratio), Urine 82145 80324 0337B Amphetamines Screen, Blood 80101x2 80301 0337FL Amphetamines Screen, Fluid 80101x2 80301 0337SP Amphetamines Screen, Serum/Plasma 80101x2 80301 0337U Amphetamines Screen, Urine 80101x2 80301 0395SP Armodafinil, Serum/Plasma 82491 80371 0406B Anticoagulant Poisoning Panel (Qualitative), Blood 83788 80377

Page 3 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 0406SP Anticoagulant Poisoning Panel (Qualitative), 83788 80377 Serum/Plasma 0406TI Anticoagulant Poisoning Panel (Qualitative), Tissue 83788, 80103 80377 0413SP Brodifacoum (Qualitative), Serum/Plasma 83788 80375 0414SP Bromadiolone (Qualitative), Serum/Plasma 83788 80375 0415SP Chlorophacinone (Qualitative), Serum/Plasma 83788 80375 0416SP Dicumarol (Qualitative), Serum/Plasma 83788 80375 0417SP Difenacoum (Qualitative), Serum/Plasma 83788 80375 0418SP Diphacinone (Qualitative), Serum/Plasma 83788 80375 0419SP Warfarin (Qualitative), Serum/Plasma 83788 80375 0425B Antipyrine, Blood 83789 80329 0425SP Antipyrine, Serum/Plasma 83789 80329 0430U Aromatic Solvents Metabolites Panel 2, Urine 82570, 84600, 83789 82570, 84600, 83921 0448SP Apixaban, Serum/Plasma 83789 80375 0450SP Aprobarbital, Serum/Plasma 82205 80345 0450U Aprobarbital, Urine 82205 80345 0451B Aripiprazole, Blood 83789 80342 0451SP Aripiprazole, Serum/Plasma 83789 80342 0457U Aromatic Solvents Panel, Urine 82570, 84600, 83789, 82570, 84600, 83921 83921x2 0474SP Asenapine, Serum/Plasma 83789 80342 0483B Atenolol, Blood 83789 80375 0483FL Atenolol, Fluid 83789 80375 0483SP Atenolol, Serum/Plasma 83789 80375 0483TI Atenolol, Tissue 83789, 80103 80375 0483U Atenolol, Urine 83789 80375 0486B Atomoxetine, Blood 82542 80338 0486SP Atomoxetine, Serum/Plasma 82542 80338 0486U Atomoxetine, Urine 82542 80338 0487SP Atovaquone, Serum/Plasma 82491 80375 0490B Atropine, Blood 83789 80323 0490SP Atropine, Serum/Plasma 83789 80323 0490U Atropine, Urine 83789 80323 0495B Avanafil, Blood 83789 80375 0495SP Avanafil, Serum/Plasma 83789 80375 0498B Bactrim®, Blood 84311, 83789 80375x2 0498SP Bactrim®, Serum/Plasma 84311, 83789 80375x2

Page 4 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 0500B Barbital, Blood 82205 80345 0500SP Barbital, Serum/Plasma 82205 80345 0500U Barbital, Urine 82205 80345 0505SP Bedaquiline, Serum/Plasma 83789 80375 0512B Screen, Blood 80101 80301 0512SP Barbiturates Screen, Serum/Plasma 80101 80301 0512TI Barbiturates Screen, Tissue 80101, 80103 80301 0512U Barbiturates Screen, Urine 80101 80301 0520B Belladonna Panel, Blood 83789 80323 0520FL Belladonna Alkaloids Panel, Fluid 83789 80323 0520SP Belladonna Alkaloids Panel, Serum/Plasma 83789 80323 0520U Belladonna Alkaloids Panel, Urine 83789 80323 0529U Bentiromide ‐ PABA Test, Urine 84311 80375 0530B Benzaldehyde, Blood 82491 83921 0560P Benzocaine, Plasma 82542 80375 0560U Benzocaine, Urine 82542 80375 0568B Screen, Blood 80101 80301 0568FL Benzodiazepines Screen, Fluid 80101 80301 0568SP Benzodiazepines Screen, Serum/Plasma 80101 80301 0568TI Benzodiazepines Screen, Tissue 80101, 80103 80301 0568U Benzodiazepines Screen, Urine 80101 80301 0585B Benzonatate, Blood 82491 80375 0585FL Benzonatate, Fluid 82491 80375 0585SP Benzonatate, Serum/Plasma 82491 80375 0585U Benzonatate, Urine 82491 80375 0606B Cocaine and Metabolites Screen, Blood 80101 80301 0606FL Cocaine and Metabolites Screen, Fluid 80101 80301 0606SP Cocaine and Metabolites Screen, Serum/Plasma 80101 80301 0606TI Cocaine and Metabolites Screen, Tissue 80101, 80103 80301 0606U Cocaine and Metabolites Screen, Urine 80101 80301 0610B Benzphetamine as Metabolites, Blood 82145 80324 0610SP Benzphetamine as Metabolites, Serum/Plasma 82145 80324 0610U Benzphetamine as Metabolites, Urine 82145 80324, 80359 0620B Benztropine, Blood 83789 80375 0620FL Benztropine, Fluid 83789 80375 0620SP Benztropine, Serum/Plasma 83789 80375 0620TI Benztropine, Tissue 83789, 80103 80375

Page 5 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 0620U Benztropine, Urine 83789 80375 0641B Sotalol, Blood 83789 80375 0641SP Sotalol, Serum/Plasma 83789 80375 0649SP Methotrexate, Serum/Plasma 83789 80375 0650B Biperiden, Blood 82491 80375 0650SP Biperiden, Serum/Plasma 82491 80375 0715B Bretylium, Blood 82491 80375 0715SP Bretylium, Serum/Plasma 82491 80375 0715U Bretylium, Urine 82491 80375 0751SP Bromocriptine, Serum/Plasma 83789 80375 0770B Brompheniramine, Blood 82491 80375 0770SP Brompheniramine, Serum/Plasma 82491 80375 0770U Brompheniramine, Urine 82491 80375 0775SP Budesonide, Serum/Plasma 83789 80375 0796B Bumetanide, Blood 83789 80375 0796SP Bumetanide, Serum/Plasma 83789 80375 0800B Bupivacaine, Blood 82491 80375 0800FL Bupivacaine, Fluid 82491 80375 0800SP Bupivacaine, Serum/Plasma 82491 80375 0800TI Bupivacaine, Tissue 82491, 80103 80375 0800U Bupivacaine, Urine 82491 80375 0801B Buprenorphine and Metabolite ‐ Free (Unconjugated), 83925 80348 Blood 0801SP Buprenorphine and Metabolite ‐ Free (Unconjugated), 83925 80348 Serum/Plasma 0801U Buprenorphine and Metabolite ‐ Total 83925 80348 (Conjugated/Unconjugated), Urine 0802B Buprenorphine and Metabolite ‐ Free (Unconjugated) 80101 80301 Screen, Blood 0802SP Buprenorphine and Metabolite ‐ Free (Unconjugated) 80101 80301 Screen, Serum/Plasma 0802U Buprenorphine Screen, Urine 80101 80301 0803B and Metabolite, Blood 83789 80338 0803FL Bupropion and Metabolite, Fluid 83789 80338 0803SP Bupropion and Metabolite, Serum/Plasma 83789 80338 0803TI Bupropion and Metabolite, Tissue 83789, 80103 80338 0803U Bupropion and Metabolite, Urine 83789 80338

Page 6 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 0805B Buspirone, Blood 83789 80375 0805SP Buspirone, Serum/Plasma 83789 80375 0805U Buspirone, Urine 83789 80375 0810B Butabarbital, Blood 82205 80345 0810SP Butabarbital, Serum/Plasma 82205 80345 0810U Butabarbital, Urine 82205 80345 0820SP Busulfan, Serum/Plasma 83789 80375 0830B Butalbital, Blood 82205 80345 0830SP Butalbital, Serum/Plasma 82205 80345 0830TI Butalbital, Tissue 82205, 80103 80345 0830U Butalbital, Urine 82205 80345 0871B Solvent Exposure Profile, Blood 84600x2, 82441 84600, 82441x2 0872U Solvent Profile, Urine 82570, 84600, 83789, 82570, 84600, 82441, 82441, 83921x2 83921x3 0885B Butorphanol ‐ Free (Unconjugated), Blood 83925 80362 0885SP Butorphanol ‐ Free (Unconjugated), Serum/Plasma 83925 80362 0885U Butorphanol ‐ Total (Conjugated/Unconjugated), Urine 80100 80362 0960B Cannabinoids Panel, Blood 82542 80349 0960FL Cannabinoids Panel, Fluid 82542 80349 0960ME Cannabinoids Panel (Qualitative), Meconium 80100, 80103 80349 0960SP Cannabinoids Panel, Serum/Plasma 82542 80349 0960TI Cannabinoid Metabolite, Tissue 82542, 80103 80349 0962B Cannabidiol, Blood 82542 80349 0962SP Cannabidiol, Serum/Plasma 82542 80349 0964U Cannabinoid Metabolite, Urine 82542 80349 0972SP and Metabolite ‐ Free/Bound, 80157 80156, 80157 Serum/Plasma 0982SP Carbidopa, Serum/Plasma 82491 80375 0985B Carbinoxamine, Blood 82491 80375 0995U Carbon Disulfide Exposure (TTCA), Urine 82570, 83789 82570, 83921 10000SP Antidepressants Panel (SSRI/SNRI), Serum (CSA) 83788 80334, 80338 10001U Benzoylecgonine, Urine (CSA) 82520 80353 10002U Benzodiazepines Panel, Urine (CSA) 80154 80347 10003U Amphetamines Panel, Urine (CSA) 82145 80326 10008SP Vitamin K, Serum/Plasma (CSA) 83789 84597 10009SP Low Leflunomide Metabolite, Serum/Plasma (CSA) 83789 80375 1000B Carboxy‐, Met‐ and Sulf‐Hemoglobin, Blood 82375, 80101 83050, 83060, 80302

Page 7 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 1033ST Cathartic Laxatives Profile, Stool 80103x2, 83735, 80375, 84100 84100

10010B Drug Impaired Driving/DRE Custom Toxicology Panel, 80101x2, 80101 80301, 80304 Blood (Forensic) (CSA) ‐ IN State Tox Lab 10010U Drug Impaired Driving/DRE Custom Toxicology Panel, 80101x2, 80101 80301, 80304 Urine (Forensic) (CSA) ‐ IN State Tox Lab 10011SP Drugs of Abuse Screen (6 Panel), Serum/Plasma (CSA) 80101x6 80301 10013U Ethyl Sulfate, Urine (CSA) 83789 80321 10014SP , Serum/Plasma (CSA) 83789 80201 10015U Barbiturates, Urine (CSA) 82205 80345 10016U Ethyl Glucuronide, Urine (CSA) 83789 80321 10017U Opiates ‐ Total with 6‐MAM ‐ Free (Qualitative), Urine 83925x2 80361, 80365, 80356, (CSA) 80361, 80365 10018U Ethyl Glucuronide and Ethyl Sulfate, Urine (CSA) 83789x2 80321x2 10020SP Lacosamide, Serum/Plasma (CSA) 83789 80339 10022U Barbiturates Panel (Qualitative), Urine (CSA) 82205 80345 10023OF Nicotine and Metabolite, Oral Fluid (Saliva) (CSA) 83887 80323 10024B Drug Impaired Driving/DRE Custom Toxicology Panel, 80101, 80100 80301, 80304 Blood (Forensic) (CSA) ‐ IN State Tox Lab 10024U Drug Impaired Driving/DRE Custom Toxicology Panel, 80101, 80100 80301, 80304 Urine (Forensic) (CSA) ‐ IN State Tox Lab 10025U Synthetic Cannabinoid Metabolites (Qualitative), Urine 83788 80350 (CSA) 10026SP Mirtazapine, Serum/Plasma (CSA) 82491 80335 10027U Bath Salts Panel, Urine (CSA) 83789 80371 1002B Carbon Monoxide Exposure Biouptake Screen, Blood 80101 80302 10031B Amphetamines (Drug Impaired Driving‐DRE 82145 80326, 80359 Toxicology), Blood (Forensic) (CSA) 10031SP Amphetamines (Drug Impaired Driving‐DRE 82145 80326, 80359 Toxicology), Serum/Plasma (Forensic) (CSA) 10032B Barbiturates Panel (Drug Impaired Driving‐DRE 82205 80345 Toxicology), Blood (Forensic) (CSA) 10032SP Barbiturates Panel (Drug Impaired Driving‐DRE 82205 80345 Toxicology), Serum/Plasma (Forensic) (CSA) 10033B Benzodiazepines Panel (Drug Impaired Driving‐DRE 80154 80347 Toxicology), Blood (Forensic) (CSA)

Page 8 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 10033SP Benzodiazepines Panel (Drug Impaired Driving‐DRE 80154 80347 Toxicology), Serum/Plasma (Forensic) (CSA) 10034B Cannabinoids Panel (Drug Impaired Driving‐DRE 82542 80349 Toxicology), Blood (Forensic) (CSA) 10034SP Cannabinoids Panel (Drug Impaired Driving‐DRE 82542 80349 Toxicology), Serum/Plasma (Forensic) (CSA) 10035B Carisoprodol and Metabolite (Drug Impaired Driving‐ 82542 80369 DRE Toxicology), Blood (Forensic) (CSA) 10035SP Carisoprodol and Metabolite (Drug Impaired Driving‐ 82542 80369 DRE Toxicology), Serum/Plasma (Forensic) (CSA) 10036B Cocaine and Metabolites (Drug Impaired Driving‐DRE 82520 80353 Toxicology), Blood (Forensic) (CSA) 10036SP Cocaine and Metabolites (Drug Impaired Driving‐DRE 82520 80353 Toxicology), Serum/Plasma (Forensic) (CSA) 10037B Fentanyl and Metabolite (Drug Impaired Driving‐DRE 83925 80354 Toxicology), Blood (Forensic) (CSA) 10037SP Fentanyl and Metabolite (Drug Impaired Driving‐DRE 83925 80354 Toxicology), Serum/Plasma (Forensic) (CSA) 10038B Methadone and Metabolite (Drug Impaired Driving‐ 83840 80358 DRE Toxicology), Blood (Forensic) (CSA) 10038SP Methadone and Metabolite (Drug Impaired Driving‐ 83840 80358 DRE Toxicology), Serum/Plasma (Forensic) (CSA) 10039B Opiates ‐ Free (Unconjugated) (Drug Impaired Driving‐ 83925 80356, 80361, 80365 DRE Toxicology), Blood (Forensic) (CSA) 10039SP Opiates ‐ Free (Unconjugated) (Drug Impaired Driving‐ 83925 80356, 80361, 80365 DRE Toxicology), Serum/Plasma (Forensic) (CSA) 10040B (Drug Impaired Driving‐DRE Toxicology), 83789 80368 Blood (Forensic) (CSA) 10040SP Zolpidem (Drug Impaired Driving‐DRE Toxicology), 83789 80368 Serum/Plasma (Forensic) (CSA) 10041B Drug Impaired Driving/DRE Custom Toxicology Panel, 80101x2, 80100 80301, 80304 Blood (Forensic) (CSA) ‐ NC SCL 10042B Drugs of Abuse (8 Panel) Screen, Blood (CSA) 80101x8 80301 10050U Postmortem Toxicology ‐ Urine Screen Add‐on (6‐MAM 80101x10 80301 Quantification only) (CSA) 10051B Postmortem Toxicology ‐ Basic with Vitreous Alcohol 82055, 80101x11 80301x2 Confirmation, Blood (Forensic) (CSA)

Page 9 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 10052B Postmortem Toxicology ‐ Expanded with Vitreous 80100, 82055, 80301x2, 80304 Alcohol Confirmation, Blood (Forensic) (CSA) 80101x3 10053U GC/MS Drug Screen, Urine (CSA) 80100x2 80304x2 10054SP Drug Panel (Qualitative), Serum/Plasma (CSA) 80194, 83788x7, 80360, 80338x2, 82541, 83840, 80156, 80194, 80358, 80185, 83789, 82486x5, 80173, 80332, 80335, 80184x2 80156, 80184, 80332x3, 80377 10055B Postmortem Toxicology ‐ Basic, Blood (Forensic) (CSA) 82055, 80101x12 80301x2 10058U Drug Panel Creatinine Corrected, Urine (CSA) 83925x2, 82570, 80354, 82570, 80358, 83840 80361, 80365 1005B Carbon Monoxide Profile, Blood (Forensic) 80101 80302 10064UH Cortisol, Urine (CSA) 82350 82570, 82533 10070SP Perfluorooctanoic Acid (Low Level), Serum/Plasma 83789 83921 (CSA) 10071U Buprenorphine (Qualitative), Urine (CSA) 83788 80348 10073U Fentanyl and Metabolite, Urine (CSA) 83925 80354 10074SP Drugs of Abuse Screen 9, Serum/Plasma (CSA) 80101x11 80301 10075SP Drugs of Abuse Screen 9 (Qualitative), Serum/Plasma 80101x9 80301 (CSA) 10092B Postmortem Toxicology ‐ Expert with Vitreous Alcohol 80100x2, 82055, 80301x2, 80304x2 Confirmation, Blood (Forensic) (CSA) 80101x7 1009B Carbon Monoxide Exposure, Blood 82376 82375 1010B Carbon Tetrachloride, Blood 84600 82241 1010SP Carbon Tetrachloride, Serum/Plasma 84600 82241 1010U Carbon Tetrachloride, Urine 84600 82241 1019B Carbrital Profile, Blood 82491, 82205 80345 1019SP Carbrital Profile, Serum/Plasma 82491, 82205 80345 1030B Carisoprodol and Metabolite, Blood 82542 80369 1030FL Carisoprodol and Metabolite, Fluid 82542 80369 1030SP Carisoprodol and Metabolite, Serum/Plasma 82542 80369 1030TI Carisoprodol and Metabolite, Tissue 82542, 80103 80369 1030U Carisoprodol and Metabolite, Urine 82542 80369 1040B Cetirizine, Blood 83789 80375 1040SP Cetirizine, Serum/Plasma 83789 80375 1040U Cetirizine, Urine 83789 80375 1050SP Chloramphenicol, Serum/Plasma 82415 80375 1055B Celecoxib, Blood 82491 80329

Page 10 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 1055SP Celecoxib, Serum/Plasma 82491 80329 1055U Celecoxib, Urine 82491 80329 1063B Chlorcyclizine, Blood 82491 80375 1080B Chlordiazepoxide and Metabolite, Blood 80154 80346 1080SP Chlordiazepoxide and Metabolite, Serum/Plasma 80154 80346 1080U Chlordiazepoxide and Metabolite, Urine 80154 80346 1130B , Blood 84600 82241 1130SP Chloroform, Serum/Plasma 84600 82241 1138B meta‐Chlorophenylpiperazine (mCPP), Blood (Forensic) 82542 80371

1138SP meta‐Chlorophenylpiperazine (mCPP), Serum/Plasma 82542 80371 (Forensic) 1138U meta‐Chlorophenylpiperazine (mCPP), Urine (Forensic) 82542 80371

1140B Chloroquine, Blood (Forensic) 83789 80375 1140FL Chloroquine, Fluid 83789 80375 1140P Chloroquine, Plasma 83789 80375 1140U Chloroquine, Urine 83789 80375 1180B Chlorothiazide, Blood 83789 80375 1180SP Chlorothiazide, Serum/Plasma 83789 80375 1190B Chlorpheniramine, Blood 83789 80375 1190SP Chlorpheniramine, Serum/Plasma 83789 80375 1190TI Chlorpheniramine, Tissue 83789, 80103 80375 1190U Chlorpheniramine, Urine 83789 80375 1210B Chlorpromazine, Blood 84022 80342 1210FL Chlorpromazine, Fluid 84022 80342 1210SP Chlorpromazine, Serum/Plasma 84022 80342 1210TI Chlorpromazine, Tissue 84022, 80103 80342 1210U Chlorpromazine, Urine 84022 80342 1220B Chlorpropamide, Blood 82491 80375 1220SP Chlorpropamide, Serum/Plasma 82491 80375 1220U Chlorpropamide, Urine 82491 80375 1250B Chlorthalidone, Blood 83789 80375 1250SP Chlorthalidone, Serum/Plasma 83789 80375 1255B Chlorzoxazone, Blood 82491 80369 1255SP Chlorzoxazone, Serum/Plasma 82491 80369 1255U Chlorzoxazone, Urine 82491 80369

Page 11 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 1262B Cimetidine, Blood 82491 80375 1262SP Cimetidine, Serum/Plasma 82491 80375 1262U Cimetidine, Urine 82491 80375 1266B Clemastine, Blood 82491 80375 1266SP Clemastine, Serum/Plasma 82491 80375 1267B Clobazam, Blood 80154 80339 1267SP Clobazam, Serum/Plasma 80154 80339 1267U Clobazam, Urine 80154 80339 1268B Clomipramine and Metabolite, Blood 82492 80335 1268SP Clomipramine and Metabolite, Serum/Plasma 82492 80335 1268TI Clomipramine and Metabolite, Tissue 82492, 80103 80335 1268U Clomipramine and Metabolite, Urine 82492 80335 1270B Clonazepam and Metabolite, Blood 80154 80346 1270FL Clonazepam and Metabolite, Fluid 80154 80346 1270SP Clonazepam and Metabolite, Serum/Plasma 80154 80346 1270TI Clonazepam and Metabolite, Tissue 80154, 80103 80346 1270U Clonazepam and Metabolite, Urine 80154 80346 1272B Citalopram, Blood 83789 80332 1272FL Citalopram, Fluid 83789 80332 1272SP Citalopram, Serum/Plasma 83789 80332 1272TI Citalopram, Tissue 83789, 80103 80332 1272U Citalopram, Urine 83789 80332 1275B Clonidine, Blood 83789 80375 1275FL Clonidine, Fluid 83789 80375 1275SP Clonidine, Serum/Plasma 83789 80375 1275TI Clonidine, Tissue 83789, 80103 80375 1275U Clonidine, Urine 83789 80375 1280B Clorazepate as Metabolite, Blood 80154 80346 1280SP Clorazepate as Metabolite, Serum/Plasma 80154 80346 1280U Clorazepate as Metabolite, Urine 80154 80346 1300B Cocaine and Metabolites, Blood 82520 80353 1300FL Cocaine and Metabolites, Fluid 82520 80353 1300H Cocaine and Metabolites (Qualitative), Hair 82520, 80101, 80301, 80353 80103x2 1300ME Cocaine and Metabolites (Qualitative), Meconium 80100, 80103 80353 1300SP Cocaine and Metabolites, Serum/Plasma 82520 80353 1300TI Cocaine and Metabolites, Tissue 82520, 80103 80353

Page 12 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 1300U Cocaine and Metabolites, Urine 82520 80353 1303B Cocaine and Products Panel, Blood 82520 80353 1303SP Cocaine and Products Panel, Serum/Plasma 82520 80353 1303U Cocaine and Products Panel, Urine 82520 80353 1306U Codeine ‐ Total (Conjugated/Unconjugated) Screen, 83925 80304 Urine 1320B Colchicine, Blood 83789 80375 1320SP Colchicine, Serum/Plasma 83789 80375 1320U Colchicine, Urine 83789 80375 1342B Coricidin®, Blood 82003, 83789 80329, 80375 1342SP Coricidin®, Serum/Plasma 82003, 83789 80329, 80375 1342U Coricidin®, Urine 82003, 83789 80329, 80375 1390B Cyclizine, Blood 82491 80375 1405B Cyclobenzaprine, Blood 83789 80369 1405FL Cyclobenzaprine, Fluid 83789 80369 1405SP Cyclobenzaprine, Serum/Plasma 83789 80369 1405TI Cyclobenzaprine, Tissue 83789, 80103 80369 1405U Cyclobenzaprine, Urine 83789 80369 1425B Cyproheptadine, Blood 82491 80375 1425SP Cyproheptadine, Serum/Plasma 82491 80375 1425U Cyproheptadine, Urine 82491 80375 1439SP Dantrolene, Serum/Plasma 80299 80369 1440B Dapsone and Metabolite, Blood 82492 80375 1440SP Dapsone and Metabolite, Serum/Plasma 82492 80375 1443B Darvocet®, Blood 82542, 82003 80329, 80367 1443SP Darvocet®, Serum/Plasma 82542, 82003 80329, 80367 1443U Darvocet®, Urine 82542, 82003 80329, 80367 1445SP Dabigatran, Serum/Plasma 83789 80375 1450SP Drug‐Facilitated Sexual Assault Screen, Serum/Plasma 80100x4, 80154, 80347, 80301x2, (Forensic) 82055, 80101x5 80304x3 1452B Drug‐Facilitated Sexual Assault Survey 2, Blood 80100x4, 80154, 80347, 80301x2, (Forensic) 82055, 80101x5 80304x4 1452U Drug‐Facilitated Sexual Assault Survey 2, Urine 80101, 80100x4, 80347, 80301x3, (Forensic) 80154, 82055, 80304x4 80101x4 1475SP Dechlorane, Serum/Plasma 82491 82241 1490B Desipramine, Blood 80160 80335

Page 13 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 1490SP Desipramine, Serum/Plasma 80160 80335 1490U Desipramine, Urine 80160 80335 1491B Desvenlafaxine, Blood 83789 80338 1491FL Desvenlafaxine, Fluid 83789 80338 1491SP Desvenlafaxine, Serum/Plasma 83789 80338 1491TI Desvenlafaxine, Tissue 83789, 80103 80338 1491U Desvenlafaxine, Urine 83789 80338 1495B Desomorphine, Blood 83789 80362 1495SP Desomorphine, Serum/Plasma 83789 80362 1501B and Metabolites, Blood 80154 80346 1501SP Diazepam and Metabolites, Serum/Plasma 80154 80346 1501TI Diazepam and Metabolites, Tissue 80154, 80103 80346 1502SP Diazepam and Metabolites, Serum/Plasma (CSA) 80154 80346 1515B Diazoxide, Blood 83789 80375 1515SP Diazoxide, Serum/Plasma 83789 80375 1546B Dichlorobenzenes, Blood 84600 82241 1546SP Dichlorobenzenes, Serum/Plasma 84600 82241 1550B Dichloroethane, Blood 84600 82241 1550SP Dichloroethane, Serum/Plasma 84600 82241 1550U Dichloroethane, Urine 84600 82241 1560B Dichloromethane and Carboxyhemoglobin, Blood 84600, 80101 82441, 80302 1561B Dichloromethane, Blood 84600 82241 1561SP Dichloromethane, Serum/Plasma 84600 82241 1561U Dichloromethane, Urine 84600 82241 1569B Diclofenac, Blood 82491 80329 1569SP Diclofenac, Serum/Plasma 82491 80329 1569U Diclofenac, Urine 82491 80329 1570B Dicumarol, Blood 82491 80375 1570SP Dicumarol, Serum/Plasma 82491 80375 1575B Dicyclomine, Blood 82491 80375 1575SP Dicyclomine, Serum/Plasma 82491 80375 1575U Dicyclomine, Urine 82491 80375 1600B Diethylpropion, Blood 82491 80375 1600SP Diethylpropion, Serum/Plasma 82491 80375 1600U Diethylpropion, Urine 82491 80375 1610B Diflunisal, Blood 82491 80329 1610SP Diflunisal, Serum/Plasma 82491 80329

Page 14 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 1611B Tetrafluoroethane and Difluoroethane Panel, Blood 82542 84600 1613SP Digitoxin, Serum/Plasma 83520 80375 1640B Diltiazem, Blood 83789 80375 1640SP Diltiazem, Serum/Plasma 83789 80375 1640TI Diltiazem, Tissue 83789, 80103 80375 1640U Diltiazem, Urine 83789 80375 1683SP Dimethadione, Serum/Plasma 82654 80339 1693B Dimethyltryptamine, Blood 82491 80323 1693SP Dimethyltryptamine, Serum/Plasma 82491 80323 1693U Dimethyltryptamine, Urine 82491 80323 1760B Diphenhydramine, Blood 83789 80375 1760FL Diphenhydramine, Fluid 83789 80375 1760SP Diphenhydramine, Serum/Plasma 83789 80375 1760TI Diphenhydramine, Tissue 83789, 80103 80375 1760U Diphenhydramine, Urine 83789 80375 1770B Diphenoxylate, Blood 82491 80375 1770SP Diphenoxylate, Serum/Plasma 82491 80375 1770U Diphenoxylate, Urine 82491 80375 1777B Dipyridamole, Blood 82491 80375 1777SP Dipyridamole, Serum/Plasma 82491 80375 1777U Dipyridamole, Urine 82491 80375 1788SP Acetaminophen, Serum/Plasma 82003 80329 1804SP Diuretics Panel, Serum/Plasma 83789 80375 1809B Doxapram, Blood 82491 80375 1809SP Doxapram, Serum/Plasma 82491 80375 1810B Doxepin and Metabolite, Blood 80166 80335 1810FL Doxepin and Metabolite, Fluid 80166 80335 1810SP Doxepin and Metabolite, Serum/Plasma 80166 80335 1810TI Doxepin and Metabolite, Tissue 80166, 80103 80335 1810U Doxepin and Metabolite, Urine 80166 80335 1812B Donepezil, Blood 83789 80375 1812FL Donepezil, Fluid 83789 80375 1812SP Donepezil, Serum/Plasma 83789 80375 1812TI Donepezil, Tissue 83789, 80103 80375 1815B Doxazosin, Blood 82491 80375 1815SP Doxazosin, Serum/Plasma 82491 80375 1815U Doxazosin, Urine 82491 80375

Page 15 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 1817B Doxylamine, Blood 82491 80375 1817FL Doxylamine, Fluid 82491 80375 1817SP Doxylamine, Serum/Plasma 82491 80375 1817TI Doxylamine, Tissue 82491, 80103 80375 1817U Doxylamine, Urine 82491 80375 1826SP Dronabinol, Serum/Plasma 82542 80349 1828B Dronedarone, Blood 83789 80375 1828SP Dronedarone, Serum/Plasma 83789 80375 1830B Droperidol, Blood 82491 80342 1830SP Droperidol, Serum/Plasma 82491 80342 1830U Droperidol, Urine 82491 80342 1853SP Drugs of Abuse Screen (11 Panel), Serum/Plasma (CSA) 80101x11 80301 1858B Drugs of Abuse (11 Panel) and Alcohol Screen, Blood 82055, 80101x11 80301x2 1858FL Drugs of Abuse (11 Panel) and Alcohol Screen, Fluid 82055, 80101x11 80301x2 1858SP Drugs of Abuse (11 Panel) and Alcohol Screen, 82055, 80101x11 80301x2 Serum/Plasma 1858TI Drugs of Abuse (11 Panel) and Alcohol Screen, Tissue 82055, 80103x2, 80301x2 80101x11 1858U Drugs of Abuse (10 Panel) and Alcohol Screen, Urine 80101x10, 82055 80301x2 1861B Drugs of Abuse Screen (7 Panel), Blood 80101x7 80301 1861U Drugs of Abuse Screen (6 Panel), Urine 80101x6 80301 1864B Drugs of Abuse Screen (11 Panel), Blood 80101x11 80301 1864FL Drugs of Abuse Screen (11 Panel), Fluid 80101x11 80301 1864ME Drugs of Abuse Screen (10 Panel), Meconium 80101x10, 80103 80301 1864SP Drugs of Abuse Screen (11 Panel), Serum/Plasma 80101x11 80301 1864TI Drugs of Abuse Screen (11 Panel), Tissue 80101x11, 80103 80301 1864U Drugs of Abuse Screen (10 Panel), Urine 80101x10 80301 1874B Drug Screen (11 Panel), Blood 80101x11 80301 1874U Drug Screen (10 Panel), Urine 80101x10 80301 1876B Drug Screen ‐ Expanded, Blood 80100, 80101x3 80301, 80304 1876FL Drug Screen ‐ Expanded, Fluid 80100x2 80304x2 1876SP Drug Screen ‐ Expanded, Serum/Plasma 80100, 80101x3 80301, 80304 1876U Drug Screen ‐ Expanded, Urine 80101x2, 80101, 80301, 80304, 80302 80100 1900B Dyazide, Blood 83789 80375 1900SP Dyazide, Serum/Plasma 83789 80375 1902B Duexis®, Blood 82491x2 80329, 80375 1902SP Duexis®, Serum/Plasma 82491x2 80329, 80375

Page 16 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 1905B Dothiepin, Blood 82491 80335 1910B Dyphylline, Blood 82491 80329 1910SP Dyphylline, Serum/Plasma 82491 80329 1910U Dyphylline, Urine 82491 80329 1925SP Entacapone and Tolcapone, Serum/Plasma 82492 80375 1926SP Entacapone, Serum/Plasma 82491 80375 1935SP Exemestane, Serum/Plasma 83789 80375 1950B Ephedrine, Blood 83789 80324 1950SP Ephedrine, Serum/Plasma 83789 80324 1950U Ephedrine, Urine 83789 80324 1955U Esgic®, Urine 80155, 82003, 82205 80155, 80329, 82205 1956B Ergotamine, Blood 82491 80323 1956SP Ergotamine, Serum/Plasma 82491 80323 1956U Ergotamine, Urine 82491 80323 1957SP Ethacrynic Acid, Serum/Plasma 82491 83921 1957U Ethacrynic Acid, Urine 82491 83921 1958B Estazolam, Blood 80154 80346 1958SP Estazolam, Serum/Plasma 80154 80346 1958U Estazolam, Urine 80154 80346 1959SP Ethambutol, Serum/Plasma 83789 80375 1965B Escitalopram, Blood 83789 80332 1965FL Escitalopram, Fluid 83789 80332 1965SP Escitalopram, Serum/Plasma 83789 80332 1965U Escitalopram, Urine 83789 80332 1968B Eszopiclone/, Blood 83789 80368 1968SP Eszopiclone/Zopiclone, Serum/Plasma 83789 80368 1968TI Eszopiclone/Zopiclone, Tissue 83789, 80103 80368 1968U Eszopiclone/Zopiclone, Urine 83789 80368 1970SP Ethchlorvynol, Serum/Plasma 82690 80320 1970U Ethchlorvynol Overdose, Urine 82690 80320 1980B Ethinamate, Blood 82491 80368 1980SP Ethinamate, Serum/Plasma 82491 80368 2010B Ethotoin, Blood 82491 80339 2010SP Ethotoin, Serum/Plasma 82491 80339 2022SP Eplerenone, Serum/Plasma 83789 80375 2053U 2‐Butoxyethanol Occupational Exposure Monitoring, 82542, 82570 82570, 83921 Urine

Page 17 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 2054U Ethylene Glycol Monomethyl Ether, Urine 82542, 82570 82570, 83921 2056U Ethylene Glycol Monoethyl Ether, Urine 82542, 82570 82570, 83921 2063B , Blood 82542 80375 2063P Etomidate, Plasma 82542 80375 2064SP Ethylmorphine, Serum/Plasma 83925 80361 2067B Etodolac, Blood 82491 80329 2067SP Etodolac, Serum/Plasma 82491 80329 2067U Etodolac, Urine 82491 80329 2068B Famotidine, Blood 82491 80375 2068SP Famotidine, Serum/Plasma 82491 80375 2069B Felbamate, Blood 82491 80339 2069SP Felbamate, Serum/Plasma 82491 80339 2069U Felbamate, Urine 82491 80339 2071SP Felodipine, Serum/Plasma 82491 80375 2073B Fexofenadine, Blood 83789 80375 2073SP Fexofenadine, Serum/Plasma 83789 80375 2075B Fioricet®, Blood 80155, 82003, 82205 80155, 80329, 80345 2075FL Fioricet®, Fluid 80155, 82003, 82205 80155, 80329, 80345 2075SP Fioricet®, Serum/Plasma 80155, 82003, 82205 80155, 80329, 80345 2075TI Fioricet®, Tissue 80155, 82003, 82205, 80155, 80329, 80345 80103x3 2075U Fioricet®, Urine 80155, 82003, 82205 80155, 80329, 80345 2076SP Famciclovir as Metabolite, Serum/Plasma 83789 80375 2079B Fentanyl and Metabolite, Blood 83925 80354 2079FL Fentanyl and Metabolite, Fluid 83925 80354 2079SP Fentanyl and Metabolite, Serum/Plasma 83925 80354 2079TI Fentanyl and Metabolite, Tissue 83925, 80103 80354 2079U Fentanyl and Metabolite, Urine 83925 80354 2080B Fenfluramine and Metabolite, Blood 82492 80375 2081U Ethyl Glucuronide, Urine 83789 80321 2082SP Fenoprofen, Serum/Plasma 82491 80329 2085SP Flucytosine, Serum/Plasma 83789 80375 2087B Fiorinal®, Blood 80155, 80196, 82205 80155, 80329, 80345 2087U Fiorinal®, Urine 80155, 80196, 82205 80155, 80329, 80345 2088B Flecainide, Blood 82491 80375 2088SP Flecainide, Serum/Plasma 82491 80375 2088U Flecainide, Urine 82491 80375

Page 18 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 2089B Fluconazole, Blood 83789 80375 2089SP Fluconazole, Serum/Plasma 83789 80375 2095SP Flurbiprofen, Serum/Plasma 82491 80329 2095U Flurbiprofen, Urine 82491 80329 2105B and Metabolite, Blood 82542 80332 2105FL Fluoxetine and Metabolite, Fluid 82542 80332 2105SP Fluoxetine and Metabolite, Serum/Plasma 82542 80332 2105TI Fluoxetine and Metabolite, Tissue 82542, 80103 80332 2105U Fluoxetine and Metabolite, Urine 82542 80332 2110B Fluphenazine, Blood 83789 80342 2111B , Blood 83789 80369 2111FL Baclofen, Fluid 83789 80369 2111SP Baclofen, Serum/Plasma 83789 80369 2111U Baclofen, Urine 83789 80369 2115SP Fluphenazine, Serum/Plasma 83789 80342 2120B Flurazepam and Metabolites, Blood 82742 80346 2120SP Flurazepam and Metabolites, Serum/Plasma 82742 80346 2120U Flurazepam as Metabolites, Urine 82742 80346 2124B Fluvoxamine, Blood 82491 80332 2124FL Fluvoxamine, Fluid 82491 80332 2124SP Fluvoxamine, Serum/Plasma 82491 80332 2124U Fluvoxamine, Urine 82491 80332 2139B Petroleum Distillates Panel, Blood 82492 82492x2 2139FL Petroleum Distillates Panel, Fluid 82492 82492x2 2139TI Petroleum Distillates Panel, Tissue 82492 82492x2 2140B , Blood 83789 80375 2140SP Furosemide, Serum/Plasma 83789 80375 2140U Furosemide, Urine 83789 80375 2143U Gabapentin, Urine 80171 80355 2148B Galantamine, Blood 83789 80375 2148SP Galantamine, Serum/Plasma 83789 80375 2154SP Ganciclovir, Serum/Plasma 83789 80375 2154U Ganciclovir, Urine 83789 80375 2158B Glipizide, Blood 82491 80375 2158SP Glipizide, Serum/Plasma 82491 80375 2158U Glipizide, Urine 82491 80375 2160B , Blood 82980 80368

Page 19 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 2160SP Glutethimide, Serum/Plasma 82980 80368 2162B Ganciclovir, Blood 83789 80375 2163B Glyburide, Blood 82491 80375 2163SP Glyburide, Serum/Plasma 82491 80375 2166B Gemfibrozil, Blood 82491 80375 2166SP Gemfibrozil, Serum/Plasma 82491 80375 2171B Gold, Blood 80172 80375 2171FL Gold, Fluid 80172 80375 2171SP Gold, Serum/Plasma 80172 80375 2171U Gold, Urine 80172 80375 2180SP Griseofulvin, Serum/Plasma 83789 80375 2185B Guaifenesin, Blood 82491 80375 2185FL Guaifenesin, Fluid 82491 80375 2185SP Guaifenesin, Serum/Plasma 82491 80375 2185U Guaifenesin, Urine 82491 80375 2186B Guanfacine, Blood 83789 80375 2186SP Guanfacine, Serum/Plasma 83789 80375 2186U Guanfacine, Urine 83789 80375 2198SP Halazepam as Metabolite, Serum/Plasma 80154 80346 2212B Halocarbons Panel, Blood 84600 82241 2212SP Halocarbons Panel, Serum/Plasma 84600 82241 2212TI Halocarbons Panel, Tissue 84600, 80101 82241 2212U Halocarbons Panel, Urine 84600 82241 2216B Chlorinated Hydrocarbons, Blood (CSA) 84600, 82441 82441x2 2220B Haloperidol, Blood 83789 80173 2220SP Haloperidol, Serum/Plasma 83789 80173 2220TI Haloperidol, Tissue 83789, 80103 80173 2276B Heroin Metabolites ‐ Free (Unconjugated), Blood 83925 80356, 80361 2276SP Heroin Metabolites ‐ Free (Unconjugated), 83925 80356, 80361 Serum/Plasma 2276U Heroin Metabolites ‐ Free (Unconjugated), Urine 83925 80356, 80361 2298SP Hexobarbital, Serum/Plasma 82205 80345 2308B Hydralazine, Blood 82491 80375 2308SP Hydralazine, Serum/Plasma 82491 80375 2308U Hydralazine, Urine 82491 80375 2312SP Hydrastine, Serum/Plasma 82491 80375 2330B Hydrochlorothiazide, Blood 83789 80375

Page 20 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 2330SP Hydrochlorothiazide, Serum/Plasma 83789 80375 2330U Hydrochlorothiazide, Urine 83789 80375 2340B Hydrocodone ‐ Free (Unconjugated), Blood 83925 80361 2340FL Hydrocodone ‐ Free (Unconjugated), Fluid 83925 80361 2340SP Hydrocodone ‐ Free (Unconjugated), Serum/Plasma 83925 80361 2345B Hydroflumethiazide, Blood 83789 80375 2345SP Hydroflumethiazide, Serum/Plasma 83789 80375 2362B Hydroxychloroquine, Blood 83789 80375 2362FL Hydroxychloroquine, Fluid 83789 80375 2362SP Hydroxychloroquine, Serum/Plasma 83789 80375 2362TI Hydroxychloroquine, Tissue 83789, 80103 80375 2362U Hydroxychloroquine, Urine 83789 80375 2365B Hydroxyzine and Metabolite, Blood 83789 80375 2365FL Hydroxyzine and Metabolite, Fluid 83789 80375 2365SP Hydroxyzine and Metabolite, Serum/Plasma 83789 80375 2365U Hydroxyzine and Metabolite, Urine 83789 80375 2369B Hyoscyamine, Blood 83789 80375 2369SP Hyoscyamine, Serum/Plasma 83789 80375 2369U Hyoscyamine, Urine 83789 80375 2390B Ibuprofen, Blood 82491 80329 2390FL Ibuprofen, Fluid 82491 80329 2390SP Ibuprofen, Serum/Plasma 82491 80329 2390TI Ibuprofen, Tissue 82491, 80103 80329 2390U Ibuprofen, Urine 82491 80329 2395B Iloperidone, Blood 83789 80342 2395SP Iloperidone, Serum/Plasma 83789 80342 2397SP Indapamide, Serum/Plasma 83789 80375 2400B Imipramine and Metabolite, Blood 80174 80335 2400FL Imipramine and Metabolite, Fluid 80174 80335 2400SP Imipramine and Metabolite, Serum/Plasma 80174 80335 2400TI Imipramine and Metabolite, Tissue 80174, 80103 80335 2400U Imipramine and Metabolite, Urine 80174 80335 2405B Immunosupressants Panel, Blood (CSA) 80169 80158, 80169, 80195, 80197 2410B Indomethacin, Blood 82491 80329 2410SP Indomethacin, Serum/Plasma 82491 80329 2410U Indomethacin, Urine 82491 80329

Page 21 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 2417B Inhalant Intoxicants Profile, Blood 84600, 80101 84600, 80302 2423B Inhalants Panel, Blood 84600x3, 82491 82441, 84600x3 2425B Ipecac Use Markers Screen, Blood 80100 80304 2425FL Ipecac Use Markers Screen, Fluid 80100 80304 2425SP Ipecac Use Markers Screen, Serum/Plasma 80100 80304 2425U Ipecac Use Markers Screen, Urine 80100 80304 2435B Isocarboxazid (as Benzylhydrazine), Blood 82491 80338 2440SP Isoniazid, Serum/Plasma 83789 80375 2445B Isopropanol and Acetone, Blood 82055 80320 2445SP Isopropanol and Acetone, Serum/Plasma 82055 80320 2445U Isopropanol and Acetone, Urine 82055 80320 2456B Isotretinoin, Blood 82491 80375 2456SP Isotretinoin, Serum/Plasma 82491 80375 2460B Itraconazole, Blood 83789 80375 2460SP Itraconazole, Serum/Plasma 83789 80375 2478U Zolpidem and Metabolites, Urine 83789 80368 2479B Ketamine and Metabolite, Blood 82542 80357 2479FL Ketamine and Metabolite, Fluid 82542 80357 2479SP Ketamine and Metabolite, Serum/Plasma 82542 80357 2479TI Ketamine and Metabolite, Tissue 82542, 80103 80357 2479U Ketamine and Metabolite, Urine 82542 80357 2482B Ketorolac, Blood 82491 80329 2482SP Ketorolac, Serum/Plasma 82491 80329 2482TI Ketorolac, Tissue 82491, 80103 80329 2482U Ketorolac, Urine 82491 80329 2483B Zolpidem, Blood 83789 80368 2483FL Zolpidem, Fluid 83789 80368 2483SP Zolpidem, Serum/Plasma 83789 80368 2483TI Zolpidem, Tissue 83789, 80103 80368 2485B Ketoconazole, Blood 83789 80375 2485SP Ketoconazole, Serum/Plasma 83789 80375 2486B Ketoprofen, Blood 82491 80329 2486SP Ketoprofen, Serum/Plasma 82491 80329 2488B Labetalol, Blood 83789 80375 2488FL Labetalol, Fluid 83789 80375 2488SP Labetalol, Serum/Plasma 83789 80375 2499U Laxatives Panel (Qualitative), Urine 83788 80376

Page 22 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 2501B Levamisole, Blood 83789 80375 2501FL Levamisole, Fluid 83789 80375 2501SP Levamisole, Serum/Plasma 83789 80375 2501U Levamisole, Urine 83789 80375 2504SP Levodopa, Serum/Plasma 82491 80375 2506B Screen, Blood 80100 80304 2506SP Levorphanol Screen, Serum/Plasma 80100 80304 2506U Levorphanol Screen, Urine 80100 80304 2517B Levocetirizine, Blood 83789 80375 2517SP Levocetirizine, Serum/Plasma 83789 80375 2523SP Leflunomide as Metabolite, Serum/Plasma (CSA) 83789 80375 2525B Loratadine and Metabolite, Blood 82492 80375 2525SP Loratadine and Metabolite, Serum/Plasma 82492 80375 2525U Loratadine and Metabolite, Urine 82492 80375 2527B Lacosamide, Blood 83789 80339 2527FL Lacosamide, Fluid 83789 80375 2527SP Lacosamide, Serum/Plasma 83789 80339 2527U Lacosamide, Urine 83789 80339 2528B Desloratadine, Blood 82491 80375 2528U Desloratadine, Urine 82491 80375 2530B Loperamide, Blood 82491 80375 2530SP Loperamide, Serum/Plasma 82491 80375 2530U Loperamide, Urine 82491 80375 2531B Leflunomide as Metabolite (Therapeutic Drug 83789 80375 Monitoring), Blood 2531SP Leflunomide as Metabolite (Therapeutic Drug 83789 80375 Monitoring), Serum/Plasma 2532B Leflunomide as Metabolite (Pre‐Pregnancy 83789 80375 Monitoring), Blood 2532SP Leflunomide as Metabolite (Pre‐Pregnancy 83789 80375 Monitoring), Serum/Plasma 2535B Lorazepam, Blood 80154 80346 2535FL Lorazepam, Fluid 80154 80346 2535SP Lorazepam, Serum/Plasma 80154 80346 2535TI Lorazepam, Tissue 80154, 80103 80346 2535U Lorazepam, Urine 80154 80346 2538B Loxapine, Blood 82491 80342

Page 23 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 2538SP Loxapine, Serum/Plasma 82491 80342 2538U Loxapine, Urine 82491 80342 2540B LSD Trace Analysis, Blood 83789 80323 2540FL LSD Trace Analysis, Fluid 83789 80323 2540SP LSD Trace Analysis, Serum/Plasma 83789 80323 2540TI LSD Trace Analysis, Tissue 83789, 80103 80323 2540U LSD Trace Analysis, Urine 83789 80323 2541B LSD Screen, Blood 80100 80304 2541SP LSD Screen, Serum/Plasma 80101 80302 2541U LSD Screen, Urine 80101 80302 2542U LSD (Qualitative), Urine (CSA) 83788 80323 2543B Lurasidone, Blood 83789 80342 2543SP Lurasidone, Serum/Plasma 83789 80342 2573B Maprotiline, Blood 82491 80335 2573SP Maprotiline, Serum/Plasma 82491 80335 2573U Maprotiline, Urine 82491 80335 2581B Memantine, Blood 83789 80375 2581FL Memantine, Fluid 83789 80375 2581SP Memantine, Serum/Plasma 83789 80375 2584B Methylenedioxyamphetamine, Blood 82145 80359 2584SP Methylenedioxyamphetamine, Serum/Plasma 82145 80359 2584U Methylenedioxyamphetamine, Urine 82145 80359 2585B Methylenedioxymethamphetamine and Metabolite, 82145 80359 Blood 2585FL Methylenedioxymethamphetamine and Metabolite, 82145 80359 Fluid 2585SP Methylenedioxymethamphetamine and Metabolite, 82145 80359 Serum/Plasma 2585TI Methylenedioxymethamphetamine and Metabolite, 82145, 80103 80359, 80371 Tissue 2585U Methylenedioxymethamphetamine and Metabolite, 82145 80359 Urine 2588B MDPV Stimulant Designer Drug Test, Blood 83789 80371 2588SP MDPV Stimulant Designer Drug Test, Serum/Plasma 83789 80371 2588U MDPV Stimulant Designer Drug Test, Urine 83789 80371 2590B Meclizine, Blood 83789 80375 2590SP Meclizine, Serum/Plasma 83789 80375

Page 24 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 2595B Mefloquine, Blood 83789 80375 2595SP Mefloquine, Serum/Plasma 83789 80375 2604B Melatonin, Blood 83789 80375 2604FL Melatonin, Fluid 83789 80375 2604SP Melatonin, Serum/Plasma 83789 80375 2604U Melatonin, Urine 83789 80375 2610B Meperidine and Metabolite, Blood 83925 80362 2610FL Meperidine and Metabolite, Fluid 83925 80362 2610SP Meperidine and Metabolite, Serum/Plasma 83925 80362 2610TI Meperidine and Metabolite, Tissue 83925, 80103 80362 2610U Meperidine and Metabolite, Urine 83925 80362 2620SP Mephenytoin and Metabolite, Serum/Plasma 82492 80339 2620U Mephenytoin and Metabolite, Urine 82492 80339 2621SP Mephenytoin and Metabolite, Serum/Plasma (CSA) 82492 80339 2626B Bath Salts Panel, Blood 83789x2 80371x2 2626SP Bath Salts Panel, Serum/Plasma 83789x2 80371x2 2626U Bath Salts Panel, Urine 83789x2 80371x2 2630B Mephobarbital and Metabolite, Blood 82205 80345 2630SP Mephobarbital and Metabolite, Serum/Plasma 82205 80345 2630U Mephobarbital and Metabolite, Urine 82205 80345 2640B Mepivacaine, Blood 82491 80375 2640SP Mepivacaine, Serum/Plasma 82491 80375 2650B , Blood 83805 80369 2650SP Meprobamate, Serum/Plasma 83805 80369 2650U Meprobamate, Urine 83805 80369 2665B Mercaptopurine and Metabolites, Blood 83789 80375 2679B Mescaline, Blood 82491 80323 2679SP Mescaline, Serum/Plasma 82491 80323 2679U Mescaline, Urine 82491 80323 2680B Mescaline Screen, Blood 80100 80302 2680SP Mescaline Screen, Serum/Plasma 80100 80302 2680U Mescaline Screen, Urine 80100 80302 2689SP Mesoridazine, Serum/Plasma 84022 80342 2720B Metaxalone, Blood 83789 80369 2720SP Metaxalone, Serum/Plasma 83789 80369 2720U Metaxalone, Urine 83789 80369 2740B Metformin, Blood 83789 80375

Page 25 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 2740FL Metformin, Fluid 83789 80375 2740SP Metformin, Serum/Plasma 83789 80375 2740U Metformin, Urine 83789 80375 2760ME Methadone and Metabolite (Qualitative), Meconium 80100, 80103 80353 2800B Lisdexamfetamine as Metabolite, Blood 82145 80324 2800SP Lisdexamfetamine as Metabolite, Serum/Plasma 82145 80324 2800U Lisdexamfetamine as Metabolite, Urine 82145 80324 2810B Methamphetamine and Metabolite, Blood 82145 80324 2810FL Methamphetamine and Metabolite, Fluid 82145 80324 2810SP Methamphetamine and Metabolite, Serum/Plasma 82145 80324 2810TI Methamphetamine and Metabolite, Tissue 82145, 80103 80324 2810U Methamphetamine and Metabolite, Urine 82145 80324 2834B Methanol, Blood 84600 80320 2834SP Methanol, Serum/Plasma 84600 80320 2834U Methanol, Urine 84600 80320 2835B Methanol, Blood 84600 80320 2835FL Methanol, Fluid 84600 80320 2835SP Methanol, Serum/Plasma 84600 80320 2835U Methanol, Urine 84600 80320 2836U Methanol Exposure Profile, Urine 84600, 82570, 83921 82570, 83921, 80320 2837SP Methanol Poisoning Profile, Serum/Plasma 83921, 82000 83921, 80320 2840SP Methapyrilene, Serum/Plasma 82491 80375 2849B , Blood 82542 80368 2849SP Methaqualone, Serum/Plasma 82542 80368 2849U Methaqualone, Urine 82542 80368 2860B Metharbital and Metabolite, Blood 82205 80345 2860SP Metharbital and Metabolite, Serum/Plasma 82205 80345 2860U Metharbital and Metabolite, Urine 82205 80345 2863B Methazolamide, Blood 82491 80375 2863SP Methazolamide, Serum/Plasma 82491 80375 2863U Methazolamide, Urine 82491 80375 2892B Methimazole, Blood 82491 80375 2892SP Methimazole, Serum/Plasma 82491 80375 2892U Methimazole, Urine 82491 80375 2900B Methocarbamol, Blood 82491 80369 2900FL Methocarbamol, Fluid 82491 80369 2900SP Methocarbamol, Serum/Plasma 82491 80369

Page 26 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 2900U Methocarbamol, Urine 82491 80369 2915B Dextro/Levo Methorphan, Blood 82491 80362 2915FL Dextro/Levo Methorphan, Fluid 82491 80362 2915SP Dextro/Levo Methorphan, Serum/Plasma 82491 80362 2915TI Dextro/Levo Methorphan, Tissue 82491, 80103 80362 2915U Dextro/Levo Methorphan, Urine 82491 80362 2917U Dextromethorphan and Metabolite Ratio, Urine 82492 80362 2950B Methsuximide as Metabolite, Blood 83858 80339 2950FL Methsuximide as Metabolite, Fluid 83858 80339 2950SP Methsuximide as Metabolite, Serum/Plasma 83858 80339 2950TI Methsuximide as Metabolite, Tissue 83858, 80103 80339 2985SP Methyldopa, Serum/Plasma 82491 80375 3008SP Methylephedrine, Serum/Plasma 83789 80324 3012B Methotrimeprazine, Blood 84022 80342 3012SP Methotrimeprazine, Serum/Plasma 84022 80342 3020B Methylphenidate and Metabolite, Blood 83789 80360 3020FL Methylphenidate and Metabolite, Fluid 83789 80360 3020SP Methylphenidate and Metabolite, Serum/Plasma 83789 80360 3020TI Methylphenidate and Metabolite, Tissue 83789, 80103 80360 3020U Methylphenidate and Metabolite, Urine 83789 80360 3040SP Methyprylon, Serum/Plasma 82491 80368 3041B Metoclopramide, Blood 82491 80375 3041SP Metoclopramide, Serum/Plasma 82491 80375 3041U Metoclopramide, Urine 82491 80375 3042B Metolazone, Blood 83789 80375 3042SP Metolazone, Serum/Plasma 83789 80375 3043B Metoprolol, Blood 83789 80375 3043FL Metoprolol, Fluid 83789 80375 3043SP Metoprolol, Serum/Plasma 83789 80375 3043U Metoprolol, Urine 83789 80375 3045B Modafinil, Blood 82491 80342 3045SP Modafinil, Serum/Plasma 82491 80342 3045U Modafinil, Urine 82491 80342 3050B Metronidazole, Blood 83789 80375 3050SP Metronidazole, Serum/Plasma 83789 80375 3055B Mexiletine, Blood 82491 80375 3055SP Mexiletine, Serum/Plasma 82491 80375

Page 27 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 3057B Midazolam, Blood 80154 80346 3057FL Midazolam, Fluid 80154 80346 3057SP Midazolam, Serum/Plasma 80154 80346 3057U Midazolam as Metabolite, Urine 80154 80346 3061B Milnacipran, Blood 83789 80332 3061SP Milnacipran, Serum/Plasma 83789 80332 3061U Milnacipran, Urine 83789 80332 3062B Minoxidil, Blood 83789 80375 3062SP Minoxidil, Serum/Plasma 83789 80375 3075B Mirtazapine, Blood 82491 80335 3075SP Mirtazapine, Serum/Plasma 82491 80335 3075U Mirtazapine, Urine 82491 80335 3078U Mitragynine and Metabolite (Qualitative), Urine 83788 80323 3082B Molindone, Blood 83789 80342 3082SP Molindone, Serum/Plasma 83789 80342 3082U Molindone, Urine 83789 80342 3085B and Glucuronide Metabolites, Blood 83925 80361 3085SP Morphine and Glucuronide Metabolites, Serum/Plasma 83925 80361

3092SP Moricizine, Serum/Plasma 82491 80375 3100U t,t‐Muconic Acid, Urine 82570, 83789 82570, 83921 3101U Benzene Metabolites Panel, Urine 82570, 83789 82570, 83921 3103B Nadolol, Blood 83789 80375 3103SP Nadolol, Serum/Plasma 83789 80375 3103U Nadolol, Urine 83789 80375 3107B Nabumetone as Metabolite, Blood 82491 80329 3107SP Nabumetone as Metabolite, Serum/Plasma 82491 80329 3107U Nabumetone as Metabolite, Urine 82491 80329 3110B Nalbuphine ‐ Free (Unconjugated), Blood 83925 80362 3110SP Nalbuphine ‐ Free (Unconjugated), Serum/Plasma 83925 80362 3110U Nalbuphine ‐ Total (Conjugated/Unconjugated), Urine 80100 80362 3111B ‐ Free (Unconjugated), Blood 83925 80362 3111SP Naloxone ‐ Free (Unconjugated), Serum/Plasma 83925 80362 3111U Naloxone ‐ Total (Conjugated/Unconjugated), Urine 83925 80362 3113U Naloxone ‐ Total (Conjugated/Unconjugated) Screen, 80100 80304 Urine

Page 28 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 3116B and Metabolite ‐ Free (Unconjugated), 83925 80362 Blood 3116SP Naltrexone and Metabolite ‐ Free (Unconjugated), 83925 80362 Serum/Plasma 3116U Naltrexone and Metabolite ‐ Total 83925 80362 (Conjugated/Unconjugated), Urine 3122B Naphthalene and Metabolite, Blood 84600x2 84600, 82492 3122SP Naphthalene and Metabolite, Serum/Plasma 84600x2 84600, 82492 3122U Naphthalene and Metabolite, Urine 84600x2 84600, 82492 3123B Naphthalene, Blood 84600 82491 3123FL Naphthalene, Fluid 84600 82491 3123SP Naphthalene, Serum/Plasma 84600 82491 3123U Naphthalene, Urine 84600 82491 3124B 1‐Naphthol, Blood 84600 82491 3124SP 1‐Naphthol, Serum/Plasma 84600 82491 3124U 1‐Naphthol, Urine 84600 82491 3130B Naproxen, Blood 82491 80329 3130FL Naproxen, Fluid 82491 80329 3130SP Naproxen, Serum/Plasma 82491 80329 3130U Naproxen, Urine 82491 80329 3135SP Vitamin K, Serum/Plasma 83789 84597 3138SP Neostigmine, Serum/Plasma 82491 80375 3141B , Blood 82491 80375 3141SP Nicardipine, Serum/Plasma 82491 80375 3143B NBOMe (Qualitative), Blood 83788 80371 3143SP NBOMe (Qualitative), Serum/Plasma 83788 80371 3143U NBOMe (Qualitative), Urine 83788 80371 3145B Nefazodone, Blood 82491 80338 3145SP Nefazodone, Serum/Plasma 82491 80338 3145U Nefazodone, Urine 82491 80338 3150B Nicotine and Metabolite, Blood 83887 80323 3150FL Nicotine and Metabolite, Fluid 83887 80323 3150SP Nicotine and Metabolite, Serum/Plasma 83887 80323 3150TI Nicotine and Metabolite, Tissue 83887, 80103 80323 3150U Nicotine and Metabolite with Anabasine, Urine 83887 80323 3157U Cotinine and Anabasine from Secondary Exposure, 83887 80323 Urine

Page 29 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 3158B Nifedipine, Blood 82491 80375 3158SP Nifedipine, Serum/Plasma 82491 80375 3158TI Nifedipine, Tissue 82491, 80103 80375 3165SP Nimodipine, Serum/Plasma 82491 80375 3175B Nitrazepam and Metabolite, Blood 80154 80346 3175SP Nitrazepam and Metabolite, Serum/Plasma 80154 80346 3175U Nitrazepam and Metabolite, Urine 80154 80346 3190B Nitrofurantoin, Blood 82491 80375 3190SP Nitrofurantoin, Serum/Plasma 82491 80375 3190U Nitrofurantoin, Urine 82491 80375 3215B Nizatidine, Blood 82491 80375 3215SP Nizatidine, Serum/Plasma 82491 80375 3215U Nizatidine, Urine 82491 80375 3216B Nordiazepam and Metabolite, Blood 80154 80346 3216SP Nordiazepam and Metabolite, Serum/Plasma 80154 80346 3216U Nordiazepam and Metabolite, Urine 80154 80346 3220B Nortriptyline, Blood 80182 80335 3220SP Nortriptyline, Serum/Plasma 80182 80335 3220TI Nortriptyline, Tissue 80182, 80103 80335 3220U Nortriptyline, Urine 80182 80335 3223B Nonsteroidal Anti‐Inflammatory Drug Panel, Blood 82492 80331 3223SP Nonsteroidal Anti‐Inflammatory Drug Panel, 82492 80331 Serum/Plasma 3223U Nonsteroidal Anti‐Inflammatory Drug Panel, Urine 82492 80331 3225B Nuedexta®, Blood 82491, 83789 80194, 80362 3225SP Nuedexta®, Serum/Plasma 82491, 83789 80194, 80362 3226B Olanzapine, Blood 82491 80342 3226FL Olanzapine, Fluid 82491 80342 3226SP Olanzapine, Serum/Plasma 82491 80342 3226TI Olanzapine, Tissue 82491, 80103 80342 3227B Beta‐Blockers Panel, Blood 83789 80377 3227SP Beta‐Blockers Panel, Serum/Plasma 83789 80377 3227TI Beta‐Blockers Panel, Tissue 83789, 80103 80377 3227U Beta‐Blockers Panel, Urine 83789 80377 3230B Symbyax®, Blood 82542, 82491 80332, 80342 3230SP Symbyax®, Serum/Plasma 82542, 82491 80332, 80342 3232B Omeprazole, Blood 82491 80375

Page 30 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 3232SP Omeprazole, Serum/Plasma 82491 80375 3236B Opiates Screen, Blood 80101x2 80301 3236FL Opiates Screen, Fluid 80101x2 80301 3236SP Opiates Screen, Serum/Plasma 80101x2 80301 3236TI Opiates Screen, Tissue 80101x2, 80103 80301 3236U Opiates Screen, Urine 80101x2 80301 3241B Opiates ‐ Free (Unconjugated), Blood (Forensic) 80101x2, 83925 80301, 80356, 80361, 80365 3248B Orphenadrine, Blood 82491 80369 3248SP Orphenadrine, Serum/Plasma 82491 80369 3248U Orphenadrine, Urine 82491 80369 3260B Oxazepam, Blood 80154 80346 3260SP Oxazepam, Serum/Plasma 80154 80346 3260U Oxazepam, Urine 80154 80346 3266B Oxybutynin, Blood 82491 80375 3266SP Oxybutynin, Serum/Plasma 82491 80375 3266U Oxybutynin, Urine 82491 80375 3270B Oxycodone ‐ Free (Unconjugated), Blood 83925 80365 3270FL Oxycodone ‐ Free (Unconjugated), Fluid 83925 80365 3270SP Oxycodone ‐ Free (Unconjugated), Serum/Plasma 83925 80365 3286B Oxaprozin, Blood 82491 80329 3286SP Oxaprozin, Serum/Plasma 82491 80329 3288SP Paclitaxel, Serum/Plasma 82491 80375 3300B Papaverine, Blood 82491 80323 3300SP Papaverine, Serum/Plasma 82491 80323 3310B and Metabolite, Blood 82000 82492 3310SP Paraldehyde and Metabolite, Serum/Plasma 82000 82492 3310U Paraldehyde and Metabolite, Urine 82000 82492 3320SP Paramethadione, Serum/Plasma 82491 80339 3360B Paroxetine, Blood 83789 80332 3360FL Paroxetine, Fluid 83789 80332 3360SP Paroxetine, Serum/Plasma 83789 80332 3360TI Paroxetine, Tissue 83789, 80103 80332 3360U Paroxetine, Urine 83789 80332 3380B Pemoline, Blood 82491 80371 3380SP Pemoline, Serum/Plasma 82491 80371 3380U Pemoline, Urine 82491 80371

Page 31 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 3381SP Penciclovir, Serum/Plasma 83789 80375 3400B Pentazocine, Blood 83925 80362 3400SP Pentazocine, Serum/Plasma 83925 80362 3400U Pentazocine, Urine 83925 80362 3410B Pentobarbital, Blood 82205 80345 3410SP Pentobarbital, Serum/Plasma 82205 80345 3410U Pentobarbital, Urine 82205 80345 3415B Pentoxifylline, Blood 82491 80375 3415SP Pentoxifylline, Serum/Plasma 82491 80375 3415U Pentoxifylline, Urine 82491 80375 3426B Perfluorooctanoic Acid, Blood 83789 83921 3426SP Perfluorooctanoic Acid, Serum/Plasma 83789 83921 3430B Tetrachloroethylene, Blood 84600 82241 3433SP Perampanel, Serum/Plasma 83789 80339 3435B Percocet®, Blood 82003, 83925 80329, 80365 3435FL Percocet®, Fluid 82003, 83925 80329, 80365 3435SP Percocet®, Serum/Plasma 82003, 83925 80329, 80365 3436B Percodan®, Blood 80196, 83925 80329, 80365 3436SP Percodan®, Serum/Plasma 80196, 83925 80329, 80365 3440B Perphenazine, Blood 83789 80342 3440SP Perphenazine, Serum/Plasma 83789 80342 3460SP Phenacemide, Serum/Plasma 82491 80339 3460U Phenacemide, Urine 82491 80339 3475U S‐Phenylmercapturic Acid, Urine 82570, 83789 82570, 83921 3476U S‐Phenylmercapturic Acid, Urine (CSA) 82570, 83789 82570, 83921 3510B Phenacetin and Metabolite, Blood 82492 80329 3510U Phenacetin and Metabolite, Urine 82492 80329 3525B Phenazopyridine, Blood 82491 80329 3525SP Phenazopyridine, Serum/Plasma 82491 80329 3525U Phenazopyridine, Urine 82491 80329 3532B Phencyclidine Screen, Blood 80101 80301 3532FL Phencyclidine Screen, Fluid 80101 80301 3532SP Phencyclidine Screen, Serum/Plasma 80101 80301 3532U Phencyclidine Screen, Urine 80101 80301 3540B Phendimetrazine and Metabolite, Blood 83789 80324 3540SP Phendimetrazine and Metabolite, Serum/Plasma 83789 80324 3550B Phenelzine, Blood 82491 80338

Page 32 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 3550SP Phenelzine, Serum/Plasma 82491 80338 3550TI Phenelzine, Tissue 82491, 80103 80338 3550U Phenelzine, Urine 82491 80338 3560B Pheniramine, Blood 82491 80375 3570B Phenmetrazine, Blood 83789 80324 3570SP Phenmetrazine, Serum/Plasma 83789 80324 3570U Phenmetrazine, Urine 82145 80324 3680B Phensuximide, Blood 82491 80339 3680SP Phensuximide, Serum/Plasma 82491 80339 3680U Phensuximide, Urine 82491 80339 3690B Phentermine, Blood 83789 80324 3690SP Phentermine, Serum/Plasma 83789 80324 3690TI Phentermine, Tissue 83789, 80103 80324 3690U Phentermine, Urine 82145 80324 3700B Phenylbutazone and Metabolite, Blood 82492 80329 3700SP Phenylbutazone and Metabolite, Serum/Plasma 82492 80329 3700U Phenylbutazone and Metabolite, Urine 82492 80329 3704SP Phenylephrine, Serum/Plasma 83789 80375 3707B Phenylethylmalonamide, Blood 82491 80339 3707SP Phenylethylmalonamide, Serum/Plasma 82491 80339 3720B Phenylpropanolamine, Blood 83789 80324 3720FL Phenylpropanolamine, Fluid 83789 80324 3720SP Phenylpropanolamine, Serum/Plasma 83789 80324 3720U Phenylpropanolamine, Urine 83789 80324 3740B Phenyltoloxamine, Blood 82542 80375 3740SP Phenyltoloxamine, Serum/Plasma 82542 80375 3772B Pindolol, Blood 83789 80375 3772SP Pindolol, Serum/Plasma 83789 80375 3776B Pimozide, Blood 83789 80342 3776SP Pimozide, Serum/Plasma 83789 80342 3781B Piroxicam, Blood 82491 80329 3781SP Piroxicam, Serum/Plasma 82491 80329 3781U Piroxicam, Urine 82491 80329 3788B Prazosin, Blood 82491 80375 3788SP Prazosin, Serum/Plasma 82491 80375 3788U Prazosin, Urine 82491 80375 3790B Posaconazole, Blood 83789 80375

Page 33 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 3790SP Posaconazole, Serum/Plasma 83789 80375 3795B Pregabalin, Blood 83789 80366 3795SP Pregabalin, Serum/Plasma 83789 80366 3795U Pregabalin, Urine 83789 80366 3900B Primidone, and PEMA, Blood 80188 80184, 80188 3900FL Primidone, Phenobarbital and PEMA, Fluid 80188 80184, 80188 3900SP Primidone, Phenobarbital and PEMA, Serum/Plasma 80188 80184, 80188 3900U Primidone, Phenobarbital and PEMA, Urine 80188 80184, 80188 3940P Procaine, Plasma 82491 80375 3940U Procaine, Urine 82491 80375 3950B Prochlorperazine, Blood 83789 80342 3950SP Prochlorperazine, Serum/Plasma 83789 80342 3957B Procyclidine, Blood 82491 80375 3957SP Procyclidine, Serum/Plasma 82491 80375 3957U Procyclidine, Urine 82491 80375 3960B Promazine, Blood 83789 80342 3960U Promazine, Urine 83789 80342 3970B Promethazine, Blood 84022 80342 3970FL Promethazine, Fluid 84022 80342 3970SP Promethazine, Serum/Plasma 84022 80342 3970TI Promethazine, Tissue 84022, 80103 80342 3970U Promethazine, Urine 84022 80342 3976B Propafenone, Blood 82491 80375 3976SP Propafenone, Serum/Plasma 82491 80375 3990B Propoxyphene and Metabolite, Blood 82542 80367 3990FL Propoxyphene and Metabolite, Fluid 82542 80367 3990SP Propoxyphene and Metabolite, Serum/Plasma 82542 80367 3990TI Propoxyphene and Metabolite, Tissue 82542, 80103 80367 3990U Propoxyphene and Metabolite, Urine 82542 80367 4000B Propranolol, Blood 83789 80375 4000FL Propranolol, Fluid 83789 80375 4000SP Propranolol, Serum/Plasma 83789 80375 4000TI Propranolol, Tissue 83789, 80103 80375 4000U Propranolol, Urine 83789 80375 4008B Propylthiouracil, Blood 82491 80375 4008SP Propylthiouracil, Serum/Plasma 82491 80375 4008U Propylthiouracil, Urine 82491 80375

Page 34 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 4010B Protriptyline, Blood 82491 80335 4010SP Protriptyline, Serum/Plasma 82491 80335 4017B Prilocaine, Blood 82491 80375 4017SP Prilocaine, Serum/Plasma 82491 80375 4018U Glucuronide, Urine 83789 80375 4020B Pseudoephedrine, Blood 83789 80324 4020SP Pseudoephedrine, Serum/Plasma 83789 80324 4020U Pseudoephedrine, Urine 83789 80324 4023B Ephedrines Panel, Blood 83789 80325 4023SP Ephedrines Panel, Serum/Plasma 83789 80325 4023TI Ephedrines Panel, Tissue 83789, 80103 80325 4023U Ephedrines Panel, Urine 83789 80325 4025SP Ezogabine and Metabolite, Serum/Plasma 83789 80339 4029B Psilocybin as Psilocin (Qualitative), Blood 83788 80323 4029SP Psilocybin as Psilocin (Qualitative), Serum/Plasma 83788 80323 4029U Psilocybin as Psilocin (Qualitative), Urine 83788 80323 4033SP Pyrazinamide, Serum/Plasma 83789 80375 4038B Pyridostigmine, Blood 82491 80375 4038SP Pyridostigmine, Serum/Plasma 82491 80375 4038U Pyridostigmine, Urine 82491 80375 4040B Pyrilamine, Blood 82491 80375 4040SP Pyrilamine, Serum/Plasma 82491 80375 4040U Pyrilamine, Urine 82491 80375 4045B Pyrimethamine, Blood 82491 80375 4045SP Pyrimethamine, Serum/Plasma 82491 80375 4046B Pyrrolidinophenone Panel (Qualitative), Blood 83788 80371 4046SP Pyrrolidinophenone Panel (Qualitative), Serum/Plasma 83788 80371

4047B Pyrrolidinophenone Panel, Blood 83789 80371 4047SP Pyrrolidinophenone Panel, Serum/Plasma 83789 80371 4051B Quetiapine, Blood 83789 80342 4051FL Quetiapine, Fluid 83789 80342 4051SP Quetiapine, Serum/Plasma 83789 80342 4051TI Quetiapine, Tissue 83789, 80103 80342 4051U Quetiapine, Urine 83789 80342 4065B Quaternary Ammonium Neuromuscular Blocking 83789 80370 Agents, Blood

Page 35 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 4065SP Quaternary Ammonium Neuromuscular Blocking 83789 80370 Agents, Serum/Plasma 4065TI Quaternary Ammonium Neuromuscular Blocking 83789, 80103 80370 Agents, Tissue 4065U Quaternary Ammonium Neuromuscular Blocking 83789 80370 Agents, Urine 4075B Quinine/Quinidine Differentiation, Blood 80194 84228 4075SP Quinine/Quinidine Differentiation, Serum/Plasma 80194 84228 4085B Ranitidine, Blood 82491 80375 4085FL Ranitidine, Fluid 82491 80375 4085SP Ranitidine, Serum/Plasma 82491 80375 4085U Ranitidine, Urine 82491 80375 4086B Ramelteon and Metabolite, Blood 83789 80375 4086SP Ramelteon and Metabolite, Serum/Plasma 83789 80375 4086U Ramelteon and Metabolite, Urine 83789 80375 4105B Risperidone and Metabolite, Blood 83789 80342 4105FL Risperidone and Metabolite, Fluid 83789 80342 4105SP Risperidone and Metabolite, Serum/Plasma 83789 80342 4105TI Risperidone and Metabolite, Tissue 83789, 80103 80342 4105U Risperidone and Metabolite, Urine 83789 80342 4110SP Rifampin, Serum/Plasma 83789 80375 4113B Paliperidone, Blood 83789 80342 4113SP Paliperidone, Serum/Plasma 83789 80342 4113U Paliperidone, Urine 83789 80342 4114SP Rivaroxaban, Serum/Plasma 83789 80375 4115B Ropinirole, Blood 83789 80375 4115SP Ropinirole, Serum/Plasma 83789 80375 4120SP Ropivacaine, Serum/Plasma 82491 80375 4125B Rufinamide, Blood 83789 80339 4125SP Rufinamide, Serum/Plasma 83789 80339 4127B Suboxone® ‐ Free, Blood 83925 80348, 80362 4127SP Suboxone® ‐ Free, Serum/Plasma 83925 80348, 80362 4127U Suboxone® ‐ Total, Urine 83925x2 80348, 80362 4137B Salicylate, Blood 80196 80329 4137FL Salicylate, Fluid 80196 80329 4137SP Salicylate, Serum/Plasma 80196 80329 4137U Salicylate, Urine 80196 80329

Page 36 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 4150B Salvinorin A & B, Blood 83789x2 80371x2 4150P Salvinorin A & B, Plasma 83789x2 80371x2 4150U Salvinorin A & B, Urine 83789x2 80371x2 4155B Sativex®, Blood 82542, 80101 80349, 80301 4155SP Sativex®, Serum/Plasma 82542, 80101 80349, 80301 4160B Scopolamine, Blood 83789 80323 4160SP Scopolamine, Serum/Plasma 83789 80323 4160U Scopolamine, Urine 83789 80323 4170B Secobarbital, Blood 82205 80345 4170SP Secobarbital, Serum/Plasma 82205 80345 4170U Secobarbital, Urine 82205 80345 4176B Selegiline and Metabolites, Blood 83789 80324 4176SP Selegiline and Metabolites, Serum/Plasma 83789 80324 4176U Selegiline and Metabolites, Urine 83789 80324 4177B Postmortem Toxicology ‐ SIDS Screen, Blood (Forensic) 83050, 80101, 80301x2, 80304x2, 80100x2, 82055, 83050, 83060, 80302 80101x7 4177TI Postmortem Toxicology ‐ SIDS Screen, Tissue (Forensic) 80101x6, 80101, 80301x2, 80304x2, 80100x2, 82055, 80302 80103x5 4177U Postmortem Toxicology ‐ SIDS Screen, Urine (Forensic) 80101x2, 80100x2, 80301x3, 80304x2, 82055, 80101x5 80302 4185SP Septra®, Serum/Plasma 84311, 83789 80375x2 4185U Septra®, Urine 84311, 83789 80375x2 4186B Sibutramine and Metabolites, Blood 83789 80375 4186SP Sibutramine and Metabolites, Serum/Plasma 83789 80375 4186U Sibutramine and Metabolites, Urine 83789 80375 4195B Sertraline and Desmethylsertraline, Blood 83789 80332 4195FL Sertraline and Desmethylsertraline, Fluid 83789 80332 4195SP Sertraline and Desmethylsertraline, Serum/Plasma 83789 80332 4195TI Sertraline and Desmethylsertraline, Tissue 83789, 80103 80332 4195U Sertraline, Urine 82491 80332 4197B Sildenafil and Metabolite, Blood 83789 80375 4197SP Sildenafil and Metabolite, Serum/Plasma 83789 80375 4197U Sildenafil and Metabolite, Urine 83789 80375 4205SP Sinemet®, Serum/Plasma 82491 80375 4207B Canrenone (Spironolactone metabolite), Blood 83789 80375

Page 37 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 4207SP Canrenone (Spironolactone metabolite), Serum/Plasma 83789 80375

4211B , Blood 82491 80339 4211SP Stiripentol, Serum/Plasma 82491 80339 4214B Strychnine, Blood 82491 80323 4214SP Strychnine, Serum/Plasma 82491 80323 4214U Strychnine, Urine 82491 80323 4219B Sulfadiazine, Blood 84311 80375 4219SP Sulfadiazine, Serum/Plasma 84311 80375 4219U Sulfadiazine, Urine 84311 80375 4222SP Sulfamethizole, Serum/Plasma 84311 80375 4226B Sulfamethoxazole, Blood 84311 80375 4226FL Sulfamethoxazole, Fluid 84311 80375 4226SP Sulfamethoxazole, Serum/Plasma 84311 80375 4226U Sulfamethoxazole, Urine 84311 80375 4229B Sulfapyridine, Blood 84311 80375 4229SP Sulfapyridine, Serum/Plasma 84311 80375 4231B Sulfasalazine (Free and Total), Blood 84311 80375 4231SP Sulfasalazine (Free and Total), Serum/Plasma 84311 80375 4231U Sulfasalazine (Free and Total), Urine 84311 80375 4240B Sufentanil, Blood 83925 80354 4240SP Sufentanil, Serum/Plasma 83925 80354 4240U Sufentanil, Urine 83925 80354 4242SP Sulfisoxazole, Serum/Plasma 84311 80375 4245B Sulfonamides, Undifferentiated, Blood 84311 80375 4245SP Sulfonamides, Undifferentiated, Serum/Plasma 84311 80375 4245U Sulfonamides, Undifferentiated, Urine 84311 80375 4261B Hypoglycemic Panel (Qualitative), Blood 83788 80377 4261SP Hypoglycemic Panel (Qualitative), Serum/Plasma 83788 80377 4275B Sumatriptan, Blood 83789 80375 4275SP Sumatriptan, Serum/Plasma 83789 80375 4275U Sumatriptan, Urine 83789 80375 4297B Tadalafil, Blood 83789 80375 4297SP Tadalafil, Serum/Plasma 83789 80375 4300B Talbutal, Blood 82205 80345 4303U Talwin® Nx, Urine 83925x2 80362x2 4305B Tacrine, Blood 83789 80375

Page 38 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 4305SP Tacrine, Serum/Plasma 83789 80375 4311B Tamoxifen and Metabolites, Blood 83789 80375 4311SP Tamoxifen and Metabolites, Serum/Plasma 83789 80375 4312B Tapentadol ‐ Free, Blood 83789 80372 4312FL Tapentadol ‐ Free, Fluid 83789 80372 4312SP Tapentadol ‐ Free, Serum/Plasma 83789 80372 4312TI Tapentadol ‐ Free, Tissue 83789, 80103 80372 4323B Temazepam and Metabolite, Blood 80154 80346 4323SP Temazepam and Metabolite, Serum/Plasma 80154 80346 4323U Temazepam and Metabolite, Urine 80154 80346 4326SP Terbutaline, Serum/Plasma 83789 80375 4329B Terazosin, Blood 82491 80375 4329SP Terazosin, Serum/Plasma 82491 80375 4333B Tetrachloroethane, Blood 84600 82241 4333U Tetrachloroethane, Urine 84600 82241 4350B Tetrahydrozoline, Blood 83789 80375 4350SP Tetrahydrozoline, Serum/Plasma 83789 80375 4350U Tetrahydrozoline, Urine 83789 80375 4351B Tetrafluoroethane and Difluoroethane Panel Add‐On, 82542 84600 Blood 4366B Teriflunomide (Therapeutic Drug Monitoring), Blood 83789 80375 4366SP Teriflunomide (Therapeutic Drug Monitoring), 83789 80375 Serum/Plasma 4367B Teriflunomide (Pre‐Pregnancy Monitoring), Blood 83789 80375 4367SP Teriflunomide (Pre‐Pregnancy Monitoring), 83789 80375 Serum/Plasma 4376B Thebaine, Blood 82542 80375 4378SP Thenyldiamine, Serum/Plasma 82491 80375 4380B Theobromine, Blood 82491 80375 4380SP Theobromine, Serum/Plasma 82491 80375 4380U Theobromine, Urine 82491 80375 4395B Ticlopidine, Blood 82491 80375 4395SP Ticlopidine, Serum/Plasma 82491 80375 4450B Thiopental and Metabolite, Blood 82205 80345 4450SP Thiopental and Metabolite, Serum/Plasma 82205 80345 4461B Thioridazine and Metabolite, Blood 84022 80342 4461FL Thioridazine and Metabolite, Fluid 84022 80342

Page 39 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 4461SP Thioridazine and Metabolite, Serum/Plasma 84022 80342 4461U Thioridazine and Metabolite, Urine 84022 80342 4469B Thiothixene (Cis Isomer), Blood 82491 80342 4469SP Thiothixene (Cis Isomer), Serum/Plasma 82491 80342 4469U Thiothixene (Cis Isomer), Urine 82491 80342 4481B Tiletamine, Blood 82491 80375 4481SP Tiletamine, Serum/Plasma 82491 80375 4482B Timolol, Blood 83789 80375 4482SP Timolol, Serum/Plasma 83789 80375 4487B Tizanidine, Blood 83789 80369 4487SP Tizanidine, Serum/Plasma 83789 80369 4488SP Tocainide, Serum/Plasma 82491 80375 4490SP Tolazamide, Serum/Plasma 82491 80375 4500B Tolbutamide, Blood 82491 80375 4500SP Tolbutamide, Serum/Plasma 82491 80375 4505B Tolmetin, Blood 82491 80329 4505SP Tolmetin, Serum/Plasma 82491 80329 4519B Topiramate, Blood 83789 80201 4519FL Topiramate, Fluid 83789 80201 4519SP Topiramate, Serum/Plasma 83789 80201 4519TI Topiramate, Tissue 83789, 80103 80201 4519U Topiramate, Urine 83789 80201 4525B Torsemide, Blood 83789 80375 4525SP Torsemide, Serum/Plasma 83789 80375 4528B Tranylcypromine, Blood 82491 80338 4528SP Tranylcypromine, Serum/Plasma 82491 80338 4528U Tranylcypromine, Urine 82491 80338 4531B Tramadol and Metabolite, Blood 83789 80373 4531SP Tramadol and Metabolite, Serum/Plasma 83789 80373 4533U Tramadol and Metabolite, Urine 83789 80373 4535B Trazodone, Blood 82491 80338 4535FL Trazodone, Fluid 82491 80338 4535SP Trazodone, Serum/Plasma 82491 80338 4535TI Trazodone, Tissue 82491, 80103 80338 4535U Trazodone, Urine 82491 80338 4540B Triamterene, Blood 83789 80375 4540SP Triamterene, Serum/Plasma 83789 80375

Page 40 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 4543B Triazolam and Metabolite, Blood 80154 80346 4543SP Triazolam and Metabolite, Serum/Plasma 80154 80346 4543U Triazolam as Metabolite, Urine 80154 80346 4630B Methyl Chloroform, Blood 84600 82241 4654U Antidepressants Panel, Urine (CSA) 82492 80333 4655B Antidepressants Panel 1, Blood 82492 80332, 80337, 80338 4655FL Antidepressants Panel 1, Fluid 82492 80332, 80337, 80338 4655SP Antidepressants Panel 1, Serum/Plasma 82492 80332, 80337, 80338 4655TI Antidepressants Panel 1, Tissue 82492, 80103 80332, 80337, 80338 4655U Antidepressants Panel 1, Urine 82492 80332, 80337, 80338 4656SP Antidepressant Panel, Serum/Plasma (CSA) 82492 80337 4660B Trifluoperazine, Blood 83789 80342 4660SP Trifluoperazine, Serum/Plasma 83789 80342 4666B Duloxetine, Blood 83789 80332 4666SP Duloxetine, Serum/Plasma 83789 80332 4680B Trihexyphenidyl, Blood 82491 80375 4680SP Trihexyphenidyl, Serum/Plasma 82491 80375 4680U Trihexyphenidyl, Urine 82491 80375 4685SP Trilisate, Serum/Plasma 80196 80329 4700B Trimethadione and Metabolite, Blood 82492 80339 4700SP Trimethadione and Metabolite, Serum/Plasma 82492 80339 4700U Trimethadione and Metabolite, Urine 82492 80339 4702B Trimethobenzamide, Blood 82491 80375 4702SP Trimethobenzamide, Serum/Plasma 82491 80375 4704B Trimethoprim, Blood 83789 80375 4704SP Trimethoprim, Serum/Plasma 83789 80375 4704U Trimethoprim, Urine 83789 80375 4706B Trimipramine and Metabolite, Blood 82492 80335 4706SP Trimipramine and Metabolite, Serum/Plasma 82492 80335 4706U Trimipramine and Metabolite, Urine 82492 80335 4710B Tripelennamine, Blood 82491 80375 4710U Tripelennamine, Urine 82491 80375 4720B Triprolidine, Blood 82491 80375 4720SP Triprolidine, Serum/Plasma 82491 80375 4759SP Valproic Acid ‐ Free and Total, Serum/Plasma 80164x2 80164, 80165 4761SP Valproic Acid, Free, Serum/Plasma 80164 80165 4764B Vardenafil and Metabolite, Blood 83789 80375

Page 41 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 4764SP Vardenafil and Metabolite, Serum/Plasma 83789 80375 4766SP Valacyclovir as Metabolite, Serum/Plasma 83789 80375 4767B Venlafaxine and Metabolite, Blood 83789 80338 4767FL Venlafaxine and Metabolite, Fluid 83789 80338 4767SP Venlafaxine and Metabolite, Serum/Plasma 83789 80338 4767TI Venlafaxine and Metabolite, Tissue 83789, 80103 80338 4767U Venlafaxine and Metabolite, Urine 83789 80338 4770B Verapamil, Blood 82491 80375 4770FL Verapamil, Fluid 82491 80375 4770SP Verapamil, Serum/Plasma 82491 80375 4770TI Verapamil, Tissue 82491, 80103 80375 4770U Verapamil, Urine 82491 80375 4772B Vicodin®, Blood 82003, 83925 80361, 80329 4772SP Vicodin®, Serum/Plasma 82003, 83925 80361, 80329 4774SP Vigabatrin, Serum/Plasma 83789 80339 4778U Vinyl Chloride Metabolite, Urine 82570, 83789 82570, 83921 4782B Voriconazole, Blood 83789 80375 4782SP Voriconazole, Serum/Plasma 83789 80375 4790B Vilazodone, Blood 83789 80332 4790SP Vilazodone, Serum/Plasma 83789 80332 4791SP Vortioxetine, Serum/Plasma 83789 80338 4800B Warfarin, Blood 82491 80375 4800FL Warfarin, Fluid 82491 80375 4800SP Warfarin, Serum/Plasma 82491 80375 4800TI Warfarin, Tissue 82491, 80103 80375 4800U Warfarin, Urine 82491 80375 4815B Xylazine, Blood 82491 80375 4815SP Xylazine, Serum/Plasma 82491 80375 4815TI Xylazine, Tissue 82491, 80103 80375 4815U Xylazine, Urine 82491 80375 4830B Yohimbine, Blood 82491 80375 4830SP Yohimbine, Serum/Plasma 82491 80375 4830U Yohimbine, Urine 82491 80375 4835B , Blood 82491 80368 4835SP Zaleplon, Serum/Plasma 82491 80368 4835U Zaleplon, Urine 82491 80368 4860B Ziprasidone, Blood 83789 80342

Page 42 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 4860SP Ziprasidone, Serum/Plasma 83789 80342 4875B Zolazepam, Blood 80154 80368 4875SP Zolazepam, Serum/Plasma 80154 80368 4875U Zolazepam, Urine 80154 80368 4880SP Zomepirac, Serum/Plasma 82491 80329 4890B Zolmitriptan, Blood 82491 80375 4890SP Zolmitriptan, Serum/Plasma 82491 80375 50000B Acetaminophen Confirmation, Blood (Forensic) 82003 80329 50000FL Acetaminophen Confirmation, Fluid (Forensic) 82003 80329 50000SP Acetaminophen Confirmation, Serum/Plasma 82003 80329 (Forensic) 50000TI Acetaminophen Confirmation, Tissue (Forensic) 82003, 80103 80329 50000U Acetaminophen Confirmation, Urine (Forensic) 82003 80329 50001B Salicylate Confirmation, Blood (Forensic) 80196 80329 50001FL Salicylate Confirmation, Fluid (Forensic) 80196 80329 50001SP Salicylate Confirmation, Serum/Plasma (Forensic) 80196 80329 50001TI Salicylate Confirmation, Tissue (Forensic) 80196, 80103 80329 50001U Salicylate Confirmation, Urine (Forensic) 80196 80329 50010B Amphetamines Confirmation, Blood (Forensic) 82145 80326, 80359 50010FL Amphetamines Confirmation, Fluid (Forensic) 82145 80326, 80359 50010SP Amphetamines Confirmation, Serum/Plasma (Forensic) 82145 80326, 80359

50010TI Amphetamines Confirmation, Tissue (Forensic) 82145, 80103 80326, 80359 50010U Amphetamines Confirmation, Urine (Forensic) 82145 80326, 80359 50011B Barbiturates Confirmation, Blood (Forensic) 82205 80345 50011FL Barbiturates Confirmation, Fluid (Forensic) 82205 80345 50011SP Barbiturates Confirmation, Serum/Plasma (Forensic) 82205 80345 50011TI Barbiturates Confirmation, Tissue (Forensic) 82205, 80103 80345 50011U Barbiturates Confirmation, Urine (Forensic) 82205 80345 50012B Benzodiazepines Confirmation, Blood (Forensic) 80154 80347 50012FL Benzodiazepines Confirmation, Fluid (Forensic) 80154 80347 50012SP Benzodiazepines Confirmation, Serum/Plasma 80154 80347 (Forensic) 50012TI Benzodiazepines Confirmation, Tissue (Forensic) 80154, 80103 80347 50012U Benzodiazepines Confirmation, Urine (Forensic) 80154 80347 50013B Cannabinoids Confirmation, Blood (Forensic) 82542 80349 50013FL Cannabinoids Confirmation, Fluid (Forensic) 82542 80349

Page 43 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 50013SP Cannabinoids Confirmation, Serum/Plasma (Forensic) 82542 80349 50013TI Cannabinoid Metabolite Confirmation, Tissue 82542, 80103 80349 (Forensic) 50013U Cannabinoids Confirmation, Urine (Forensic) 82542 80349 50014B Cocaine and Metabolites Confirmation, Blood 82520 80353 (Forensic) 50014FL Cocaine and Metabolites Confirmation, Fluid (Forensic) 82520 80353

50014SP Cocaine and Metabolites Confirmation, Serum/Plasma 82520 80353 (Forensic) 50014TI Cocaine and Metabolites Confirmation, Tissue 82520, 80103 80353 (Forensic) 50014U Cocaine and Metabolites Confirmation, Urine 82520 80353 (Forensic) 50015B Methadone and Metabolite Confirmation, Blood 83840 80358 (Forensic) 50015FL Methadone and Metabolite Confirmation, Fluid 83840 80358 (Forensic) 50015SP Methadone and Metabolite Confirmation, 83840 80358 Serum/Plasma (Forensic) 50015TI Methadone and Metabolite Confirmation, Tissue 83840, 80103 80358 (Forensic) 50015U Methadone and Metabolite Confirmation, Urine 83840 80358 (Forensic) 50016B Opiates ‐ Free (Unconjugated) Confirmation, Blood 83925 80356, 80361, 80365 (Forensic) 50016FL Opiates ‐ Free (Unconjugated) Confirmation, Fluid 83925 80356, 80361, 80365 (Forensic) 50016SP Opiates ‐ Free (Unconjugated) Confirmation, 83925 80356, 80361, 80365 Serum/Plasma (Forensic) 50016TI Opiates ‐ Total (Conjugated/Unconjugated) 83925, 80103 80361, 80365 Confirmation, Tissue (Forensic) 50016U Opiates ‐ Free (Unconjugated) Confirmation, Urine 83925 80356, 80361, 80365 50018B Propoxyphene and Metabolite Confirmation, Blood 82542 80367 (Forensic) 50018FL Propoxyphene and Metabolite Confirmation, Fluid 82542 80367 (Forensic)

Page 44 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 50018SP Propoxyphene and Metabolite Confirmation, 82542 80367 Serum/Plasma (Forensic) 50018TI Propoxyphene and Metabolite Confirmation, Tissue 82542, 80103 80367 (Forensic) 50018U Propoxyphene and Metabolite Confirmation, Urine 82542 80367 (Forensic) 50019U Heroin Metabolite ‐ Free (Unconjugated) Confirmation, 83925 80356 Urine (Forensic) 50020U Opiates ‐ Free (Unconjugated) Confirmation, Urine 83925 80356, 80361, 80365 (Forensic) 50024B Benzodiazepines Confirmation, Blood (Forensic) 80154 80347 50024SP Benzodiazepines Confirmation, Serum/Plasma 80154 80347 (Forensic) 50024U Benzodiazepines Confirmation, Urine (Forensic) 80154 80347 50025B Cocaine and Metabolites Confirmation, Blood 82520 80353 (Forensic) (CSA) 50026B Levamisole Confirmation, Blood (Forensic) (CSA) 83789 80375 5014U Ethyl Sulfate Confirmation, Urine 83789 80321 5060B Lorazepam Confirmation, Blood 80154 80346 5060FL Lorazepam Confirmation, Fluid 80154 80346 5060SP Lorazepam Confirmation, Serum/Plasma 80154 80346 5061B Midazolam Confirmation, Blood 80154 80346 5061SP Midazolam Confirmation, Serum/Plasma 80154 80346 5101B Gamma‐Hydroxybutyric Acid Confirmation, Blood 82542 83921 5101FL Gamma‐Hydroxybutyric Acid Confirmation, Fluid 82542 83921 5101SP Gamma‐Hydroxybutyric Acid Confirmation, 82542 83921 Serum/Plasma 5101TI Gamma‐Hydroxybutyric Acid Confirmation, Tissue 82542, 80103 83921 5101U Gamma‐Hydroxybutyric Acid Confirmation, Urine 82542 83921 5105B Acetyl Fentanyl Confirmation, Blood (Forensic) 83925 80354 5105SP Acetyl Fentanyl Confirmation, Serum/Plasma (Forensic) 83925 80354

5105U Acetyl Fentanyl Confirmation, Urine (Forensic) 83925 80354 5113B Buprenorphine and Metabolite ‐ Free (Unconjugated) 83925 80348 Confirmation, Blood 5113SP Buprenorphine and Metabolite ‐ Free (Unconjugated) 83925 80348 Confirmation, Serum/Plasma

Page 45 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 5113U Buprenorphine and Metabolite ‐Total 83925 80348 (Conjugated/Unconjugated) Confirmation, Urine 5117B Levorphanol Confirmation, Blood 83925 80362 5117SP Levorphanol Confirmation, Serum/Plasma 83925 80362 5117U Levorphanol Confirmation, Urine 83925 80362 5119U Naloxone ‐ Total (Conjugated/Unconjugated) 83925 80362 Confirmation, Urine 5129U Ethyl Glucuronide Confirmation, Urine 83789 80321 5132U Methylphenidate and Metabolite Confirmation, Urine 83789 80360 51866B GC/MS Confirmation (Qualitative), Blood (Forensic) 82542, 82541 80377x2 51866FL GC/MS Confirmation (Qualitative), Fluid (Forensic) 82542, 82541 80377x2 51866SP GC/MS Confirmation (Qualitative), Serum/Plasma 82542, 82541 80377x2 (Forensic) 51866TI GC/MS Confirmation (Qualitative), Tissue (Forensic) 82542, 82541, 80377x2 80103x2 51866U GC/MS Confirmation (Qualitative), Urine (Forensic) 82542, 82541 80377x2 52000B Acepromazine Confirmation, Blood (Forensic) 84022 80342 52000FL Acepromazine Confirmation, Fluid (Forensic) 84022 80342 52000SP Acepromazine Confirmation, Serum/Plasma (Forensic) 84022 80342 52000TI Acepromazine Confirmation, Tissue (Forensic) 84022, 80103 80342 52000U Acepromazine Confirmation, Urine (Forensic) 84022 80342 52001B Acetohexamide Confirmation, Blood (Forensic) 82491 80375 52001FL Acetohexamide Confirmation, Fluid (Forensic) 82491 80375 52001SP Acetohexamide Confirmation, Serum/Plasma 82491 80375 (Forensic) 52001TI Acetohexamide Confirmation, Tissue (Forensic) 82491, 80103 80375 52001U Acetohexamide Confirmation, Urine (Forensic) 82491 80375 52002B Amantadine Confirmation, Blood (Forensic) 82491 80375 52002FL Amantadine Confirmation, Fluid (Forensic) 82491 80375 52002SP Amantadine Confirmation, Serum/Plasma (Forensic) 82491 80375 52002TI Amantadine Confirmation, Tissue (Forensic) 82491, 80103 80375 52002U Amantadine Confirmation, Urine (Forensic) 82491 80375 52003B Amlodipine Confirmation, Blood (Forensic) 82491 80375 52003FL Amlodipine Confirmation, Fluid (Forensic) 82491 80375 52003SP Amlodipine Confirmation, Serum/Plasma (Forensic) 82491 80375 52003TI Amlodipine Confirmation, Tissue (Forensic) 82491, 80103 80375 52004B Antidepressants Confirmation, Blood (Forensic) 82492 80337, 80338

Page 46 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52004FL Antidepressants Confirmation, Fluid (Forensic) 82492 80337, 80338 52004SP Antidepressants Confirmation, Serum/Plasma 82492 80337, 80338 (Forensic) 52004TI Antidepressants Confirmation, Tissue (Forensic) 82492, 80103 80337, 80338 52004U Antidepressants Confirmation, Urine (Forensic) 82492 80337, 80338 52005B Antihistamines Confirmation, Blood (Forensic) 82492 80377 52005FL Antihistamines Confirmation, Fluid (Forensic) 82492 80377 52005SP Antihistamines Confirmation, Serum/Plasma (Forensic) 82492 80377

52005TI Antihistamines Confirmation, Tissue (Forensic) 82492, 80103 80377 52005U Antihistamines Confirmation, Urine (Forensic) 82492 80377 52006B Antipyrine Confirmation, Blood (Forensic) 83789 80329 52006FL Antipyrine Confirmation, Fluid (Forensic) 83789 80329 52006SP Antipyrine Confirmation, Serum/Plasma (Forensic) 83789 80329 52006TI Antipyrine Confirmation, Tissue (Forensic) 83789, 80103 80329 52006U Antipyrine Confirmation, Urine (Forensic) 83789 80329 52007B Atomoxetine Confirmation, Blood (Forensic) 82542 80338 52007FL Atomoxetine Confirmation, Fluid (Forensic) 82542 80338 52007SP Atomoxetine Confirmation, Serum/Plasma (Forensic) 82542 80338 52007TI Atomoxetine Confirmation, Tissue (Forensic) 82542, 80103 80338 52007U Atomoxetine Confirmation, Urine (Forensic) 82542 80338 52008B Atropine Confirmation, Blood (Forensic) 83789 80323 52008FL Atropine Confirmation, Fluid (Forensic) 83789 80323 52008SP Atropine Confirmation, Serum/Plasma (Forensic) 83789 80323 52008TI Atropine Confirmation, Tissue (Forensic) 83789, 80103 80323 52008U Atropine Confirmation, Urine (Forensic) 83789 80323 52009FL Benztropine Confirmation, Fluid (Forensic) 82491 80375 52009SP Benztropine Confirmation, Serum/Plasma (Forensic) 82491 80375 52009TI Benztropine Confirmation, Tissue (Forensic) 82491, 80103 80375 52009U Benztropine Confirmation, Urine (Forensic) 82491 80375 52010B Biperiden Confirmation, Blood (Forensic) 82491 80375 52010FL Biperiden Confirmation, Fluid (Forensic) 82491 80375 52010SP Biperiden Confirmation, Serum/Plasma (Forensic) 82491 80375 52010TI Biperiden Confirmation, Tissue (Forensic) 82491, 80103 80375 52010U Biperiden Confirmation, Urine (Forensic) 82491 80375 52011B Bupivacaine Confirmation, Blood (Forensic) 82491 80375 52011FL Bupivacaine Confirmation, Fluid (Forensic) 82491 80375

Page 47 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52011SP Bupivacaine Confirmation, Serum/Plasma (Forensic) 82491 80375 52011TI Bupivacaine Confirmation, Tissue (Forensic) 82491, 80103 80375 52011U Bupivacaine Confirmation, Urine (Forensic) 82491 80375 52012B Bupropion and Metabolite Confirmation, Blood 83789 80338 (Forensic) 52012FL Bupropion and Metabolite Confirmation, Fluid 83789 80338 (Forensic) 52012SP Bupropion and Metabolite Confirmation, 83789 80338 Serum/Plasma (Forensic) 52012TI Bupropion and Metabolite Confirmation, Tissue 83789, 80103 80338 (Forensic) 52012U Bupropion and Metabolite Confirmation, Urine 83789 80338 (Forensic) 52013B Buspirone Confirmation, Blood (Forensic) 83789 80375 52013FL Buspirone Confirmation, Fluid (Forensic) 82491 80375 52013SP Buspirone Confirmation, Serum/Plasma (Forensic) 82491 80375 52013TI Buspirone Confirmation, Tissue (Forensic) 82491, 80103 80375 52013U Buspirone Confirmation, Urine (Forensic) 82491 80375 52016B Carbromal Confirmation, Blood (Forensic) 82491 80368 52016FL Carbromal Confirmation, Fluid (Forensic) 82491 80368 52016SP Carbromal Confirmation, Serum/Plasma (Forensic) 82491 80368 52016TI Carbromal Confirmation, Tissue (Forensic) 82491, 80103 80375 52016U Carbromal Confirmation, Urine (Forensic) 82491 80368 52017B Carisoprodol and Metabolite Confirmation, Blood 82542 80369 (Forensic) 52017FL Carisoprodol and Metabolite Confirmation, Fluid 82542 80369 (Forensic) 52017SP Carisoprodol and Metabolite Confirmation, 82542 80369 Serum/Plasma (Forensic) 52017TI Carisoprodol and Metabolite Confirmation, Tissue 82542, 80103 80369 (Forensic) 52017U Carisoprodol and Metabolite Confirmation, Urine 82542 80369 (Forensic) 52018B Cetirizine Confirmation, Blood (Forensic) 82542 80375 52018FL Cetirizine Confirmation, Fluid (Forensic) 82542 80375 52018SP Cetirizine Confirmation, Serum/Plasma (Forensic) 82542 80375 52018TI Cetirizine Confirmation, Tissue (Forensic) 82542, 80103 80375

Page 48 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52018U Cetirizine Confirmation, Urine (Forensic) 82542 80375 52019B Chlorpropamide Confirmation, Blood (Forensic) 82491 80375 52019FL Chlorpropamide Confirmation, Fluid (Forensic) 82491 80375 52019SP Chlorpropamide Confirmation, Serum/Plasma 82491 80375 (Forensic) 52019TI Chlorpropamide Confirmation, Tissue (Forensic) 82491, 80103 80375 52019U Chlorpropamide Confirmation, Urine (Forensic) 82491 80375 52020B Chlorzoxazone Confirmation, Blood (Forensic) 82491 80369 52020FL Chlorzoxazone Confirmation, Fluid (Forensic) 82491 80369 52020SP Chlorzoxazone Confirmation, Serum/Plasma (Forensic) 82491 80369 52020TI Chlorzoxazone Confirmation, Tissue (Forensic) 82491, 80103 80369 52020U Chlorzoxazone Confirmation, Urine (Forensic) 82491 80369 52021B Citalopram Confirmation, Blood (Forensic) 83789 80332 52021FL Citalopram Confirmation, Fluid (Forensic) 83789 80332 52021SP Citalopram Confirmation, Serum/Plasma (Forensic) 83789 80332 52021TI Citalopram Confirmation, Tissue (Forensic) 83789, 80103 80332 52021U Citalopram Confirmation, Urine (Forensic) 83789 80332 52022B Clemastine Confirmation, Blood (Forensic) 82491 80375 52022FL Clemastine Confirmation, Fluid (Forensic) 82491 80375 52022SP Clemastine Confirmation, Serum/Plasma (Forensic) 82491 80375 52022TI Clemastine Confirmation, Tissue (Forensic) 82491, 80103 80375 52024B Cyclizine Confirmation, Blood (Forensic) 82491 80375 52024FL Cyclizine Confirmation, Fluid (Forensic) 82491 80375 52024SP Cyclizine Confirmation, Serum/Plasma (Forensic) 82491 80375 52024TI Cyclizine Confirmation, Tissue (Forensic) 82491, 80103 80375 52024U Cyclizine Confirmation, Urine (Forensic) 82491 80375 52025B Cyclobenzaprine Confirmation, Blood (Forensic) 83789 80369 52025FL Cyclobenzaprine Confirmation, Fluid (Forensic) 82491 80369 52025SP Cyclobenzaprine Confirmation, Serum/Plasma 82491 80369 (Forensic) 52025TI Cyclobenzaprine Confirmation, Tissue (Forensic) 82491, 80103 80369 52025U Cyclobenzaprine Confirmation, Urine (Forensic) 82491 80369 52026B Cyproheptadine Confirmation, Blood (Forensic) 82491 80375 52026FL Cyproheptadine Confirmation, Fluid (Forensic) 82491 80375 52026SP Cyproheptadine Confirmation, Serum/Plasma 82491 80375 (Forensic) 52026TI Cyproheptadine Confirmation, Tissue (Forensic) 82491, 80103 80375

Page 49 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52026U Cyproheptadine Confirmation, Urine (Forensic) 82491 80375 52028B Dicyclomine Confirmation, Blood (Forensic) 82491 80375 52028FL Dicyclomine Confirmation, Fluid (Forensic) 82491 80375 52028SP Dicyclomine Confirmation, Serum/Plasma (Forensic) 82491 80375 52028TI Dicyclomine Confirmation, Tissue (Forensic) 82491, 80103 80375 52028U Dicyclomine Confirmation, Urine (Forensic) 82491 80375 52029B Diethylpropion Confirmation, Blood (Forensic) 82491 80375 52029FL Diethylpropion Confirmation, Fluid (Forensic) 82491 80375 52029SP Diethylpropion Confirmation, Serum/Plasma (Forensic) 82491 80375

52029TI Diethylpropion Confirmation, Tissue (Forensic) 82491, 80103 80375 52029U Diethylpropion Confirmation, Urine (Forensic) 82491 80375 52030B Diltiazem Confirmation, Blood (Forensic) 83789 80375 52030FL Diltiazem Confirmation, Fluid (Forensic) 82491 80375 52030SP Diltiazem Confirmation, Serum/Plasma (Forensic) 82491 80375 52030TI Diltiazem Confirmation, Tissue (Forensic) 82491, 80103 80375 52030U Diltiazem Confirmation, Urine (Forensic) 82491 80375 52031B Dimethyltryptamine Confirmation, Blood (Forensic) 82491 80323 52031FL Dimethyltryptamine Confirmation, Fluid (Forensic) 82491 80323 52031SP Dimethyltryptamine Confirmation, Serum/Plasma 82491 80323 (Forensic) 52031TI Dimethyltryptamine Confirmation, Tissue (Forensic) 82491, 80103 80323 52031U Dimethyltryptamine Confirmation, Urine (Forensic) 82491 80323 52032B Diphenoxylate Confirmation, Blood (Forensic) 82491 80375 52032FL Diphenoxylate Confirmation, Fluid (Forensic) 82491 80375 52032SP Diphenoxylate Confirmation, Serum/Plasma (Forensic) 82491 80375 52032TI Diphenoxylate Confirmation, Tissue (Forensic) 82491, 80103 80375 52032U Diphenoxylate Confirmation, Urine (Forensic) 82491 80375 52033B Disopyramide Confirmation, Blood (Forensic) 82491 80375 52033FL Disopyramide Confirmation, Fluid (Forensic) 82491 80375 52033SP Disopyramide Confirmation, Serum/Plasma (Forensic) 82491 80375 52033TI Disopyramide Confirmation, Tissue (Forensic) 82491, 80103 80375 52033U Disopyramide Confirmation, Urine (Forensic) 82491 80375 52034B Donepezil Confirmation, Blood (Forensic) 83789 80375 52034FL Donepezil Confirmation, Fluid (Forensic) 83789 80375 52034SP Donepezil Confirmation, Serum/Plasma (Forensic) 83789 80375 52034TI Donepezil Confirmation, Tissue (Forensic) 83789, 80103 80375

Page 50 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52034U Donepezil Confirmation, Urine (Forensic) 83789 80375 52035B Dothiepin Confirmation, Blood (Forensic) 82491 80335 52035FL Dothiepin Confirmation, Fluid (Forensic) 82491 80335 52035SP Dothiepin Confirmation, Serum/Plasma (Forensic) 82491 80335 52035TI Dothiepin Confirmation, Tissue (Forensic) 82491, 80103 80335 52036B Duloxetine Confirmation, Blood (Forensic) 83789 80332 52036FL Duloxetine Confirmation, Fluid (Forensic) 83789 80332 52036SP Duloxetine Confirmation, Serum/Plasma (Forensic) 83789 80332 52036TI Duloxetine Confirmation, Tissue (Forensic) 83789, 80103 80332 52038B Eszopiclone/Zopiclone Confirmation, Blood (Forensic) 83789 80368 52038FL Eszopiclone/Zopiclone Confirmation, Fluid (Forensic) 83789 80368 52038SP Eszopiclone/Zopiclone Confirmation, Serum/Plasma 83789 80368 (Forensic) 52038TI Eszopiclone/Zopiclone Confirmation, Tissue (Forensic) 83789, 80103 80368 52038U Eszopiclone/Zopiclone Confirmation, Urine (Forensic) 83789 80368 52039B Ethinamate Confirmation, Blood (Forensic) 82491 80368 52039FL Ethinamate Confirmation, Fluid (Forensic) 82491 80368 52039SP Ethinamate Confirmation, Serum/Plasma (Forensic) 82491 80368 52039TI Ethinamate Confirmation, Tissue (Forensic) 82491, 80103 80368 52039U Ethinamate Confirmation, Urine (Forensic) 82491 80368 52041B Ethotoin Confirmation, Blood (Forensic) 82491 80339 52041FL Ethotoin Confirmation, Fluid (Forensic) 82491 80339 52041SP Ethotoin Confirmation, Serum/Plasma (Forensic) 82491 80339 52041TI Ethotoin Confirmation, Tissue (Forensic) 82491, 80103 80339 52041U Ethotoin Confirmation, Urine (Forensic) 82491 80339 52042B Ethylmorphine Confirmation, Blood (Forensic) 83925 80361 52042FL Ethylmorphine Confirmation, Fluid (Forensic) 83925 80361 52042SP Ethylmorphine Confirmation, Serum/Plasma (Forensic) 83925 80361

52042TI Ethylmorphine Confirmation, Tissue (Forensic) 83925, 80103 80361 52042U Ethylmorphine Confirmation, Urine (Forensic) 83925 80361 52043B Etomidate Confirmation, Blood (Forensic) 82542 80375 52043FL Etomidate Confirmation, Fluid (Forensic) 82542 80375 52043SP Etomidate Confirmation, Serum/Plasma (Forensic) 82542 80375 52043TI Etomidate Confirmation, Tissue (Forensic) 82542, 80103 80375 52044B Felodipine Confirmation, Blood (Forensic) 82491 80375 52044FL Felodipine Confirmation, Fluid (Forensic) 82491 80375

Page 51 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52044SP Felodipine Confirmation, Serum/Plasma (Forensic) 82491 80375 52044TI Felodipine Confirmation, Tissue (Forensic) 82491, 80103 80375 52045B Fenfluramine and Metabolite Confirmation, Blood 82492 80375 (Forensic) 52045FL Fenfluramine and Metabolite Confirmation, Fluid 82492 80375 (Forensic) 52045SP Fenfluramine and Metabolite Confirmation, 82492 80375 Serum/Plasma (Forensic) 52045TI Fenfluramine and Metabolite Confirmation, Tissue 82492, 80103 80375 (Forensic) 52045U Fenfluramine and Metabolite Confirmation, Urine 82492 80375 (Forensic) 52047B Flecainide Confirmation, Blood (Forensic) 82491 80375 52047FL Flecainide Confirmation, Fluid (Forensic) 82491 80375 52047SP Flecainide Confirmation, Serum/Plasma (Forensic) 82491 80375 52047TI Flecainide Confirmation, Tissue (Forensic) 82491, 80103 80375 52047U Flecainide Confirmation, Urine (Forensic) 82491 80375 52048B Flunitrazepam and Metabolites Confirmation, Blood 80154 80346 (Forensic) 52048FL Flunitrazepam and Metabolites Confirmation, Fluid 80154 80346 (Forensic) 52048SP Flunitrazepam and Metabolites Confirmation, 80154 80346 Serum/Plasma (Forensic) 52048TI Flunitrazepam and Metabolites Confirmation, Tissue 80154, 80103 80346 (Forensic) 52048U Flunitrazepam and Metabolites Confirmation, Urine 80154 80346 (Forensic) 52049B Fluvoxamine Confirmation, Blood (Forensic) 82491 80332 52049FL Fluvoxamine Confirmation, Fluid (Forensic) 82491 80332 52049SP Fluvoxamine Confirmation, Serum/Plasma (Forensic) 82491 80332 52049TI Fluvoxamine Confirmation, Tissue (Forensic) 82491, 80103 80332 52049U Fluvoxamine Confirmation, Urine (Forensic) 82491 80332 52050B Gemfibrozil Confirmation, Blood (Forensic) 82491 80375 52050FL Gemfibrozil Confirmation, Fluid (Forensic) 82491 80375 52050SP Gemfibrozil Confirmation, Serum/Plasma (Forensic) 82491 80375 52050TI Gemfibrozil Confirmation, Tissue (Forensic) 82491, 80103 80375 52050U Gemfibrozil Confirmation, Urine (Forensic) 82491 80375

Page 52 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52051B Glutethimide Confirmation, Blood (Forensic) 82980 80368 52051FL Glutethimide Confirmation, Fluid (Forensic) 82980 80368 52051SP Glutethimide Confirmation, Serum/Plasma (Forensic) 82980 80368 52051TI Glutethimide Confirmation, Tissue (Forensic) 82980, 80103 80368 52052B Guaifenesin Confirmation, Blood (Forensic) 82491 80375 52052FL Guaifenesin Confirmation, Fluid (Forensic) 82491 80375 52052SP Guaifenesin Confirmation, Serum/Plasma (Forensic) 82491 80375 52052TI Guaifenesin Confirmation, Tissue (Forensic) 82491, 80103 80375 52052U Guaifenesin Confirmation, Urine (Forensic) 82491 80375 52053B Haloperidol Confirmation, Blood (Forensic) 83789 80173 52053FL Haloperidol Confirmation, Fluid (Forensic) 83789 80173 52053SP Haloperidol Confirmation, Serum/Plasma (Forensic) 83789 80173 52053TI Haloperidol Confirmation, Tissue (Forensic) 83789, 80103 80173 52054B Hexobarbital Confirmation, Blood (Forensic) 82205 80345 52054FL Hexobarbital Confirmation, Fluid (Forensic) 82205 80345 52054SP Hexobarbital Confirmation, Serum/Plasma (Forensic) 82205 80345 52054TI Hexobarbital Confirmation, Tissue (Forensic) 82205, 80103 80345 52055B Hydrastine Confirmation, Blood (Forensic) 82491 80375 52055FL Hydrastine Confirmation, Fluid (Forensic) 82491 80375 52055SP Hydrastine Confirmation, Serum/Plasma (Forensic) 82491 80375 52055TI Hydrastine Confirmation, Tissue (Forensic) 82491, 80103 80375 52056B Hydroxychloroquine Confirmation, Blood (Forensic) 83789 80375 52056FL Hydroxychloroquine Confirmation, Fluid (Forensic) 83789 80375 52056SP Hydroxychloroquine Confirmation, Serum/Plasma 83789 80375 (Forensic) 52056TI Hydroxychloroquine Confirmation, Tissue (Forensic) 83789, 80103 80375 52056U Hydroxychloroquine Confirmation, Urine (Forensic) 83789 80375 52058B Ketamine and Metabolite Confirmation, Blood 82542 80357 (Forensic) 52058FL Ketamine and Metabolite Confirmation, Fluid 82542 80357 (Forensic) 52058SP Ketamine and Metabolite Confirmation, Serum/Plasma 82542 80357 (Forensic) 52058TI Ketamine and Metabolite Confirmation, Tissue 82542, 80103 80357 (Forensic) 52058U Ketamine and Metabolite Confirmation, Urine 82542 80357 (Forensic)

Page 53 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52060FL Levetiracetam Confirmation, Fluid (Forensic) 80183 80177 52061B Dextrorphan / Levorphanol Confirmation, Blood 83925 80362 (Forensic) 52061FL Dextrorphan / Levorphanol Confirmation, Fluid 83925 80362 (Forensic) 52061SP Dextrorphan / Levorphanol Confirmation, 83925 80362 Serum/Plasma (Forensic) 52061TI Dextrorphan / Levorphanol Confirmation, Tissue 83925, 80103 80362 (Forensic) 52061U Dextrorphan / Levorphanol Confirmation, Urine 83925 80362 (Forensic) 52063B Loratadine and Metabolite Confirmation, Blood 82492 80375 (Forensic) 52063FL Loratadine and Metabolite Confirmation, Fluid 82492 80375 (Forensic) 52063SP Loratadine and Metabolite Confirmation, 82492 80375 Serum/Plasma (Forensic) 52063TI Loratadine and Metabolite Confirmation, Tissue 82492, 80103 80375 (Forensic) 52063U Loratadine and Metabolite Confirmation, Urine 82492 80375 (Forensic) 52064B Loxapine Confirmation, Blood (Forensic) 82491 80342 52064FL Loxapine Confirmation, Fluid (Forensic) 82491 80342 52064SP Loxapine Confirmation, Serum/Plasma (Forensic) 82491 80342 52064TI Loxapine Confirmation, Tissue (Forensic) 82491, 80103 80342 52064U Loxapine Confirmation, Urine (Forensic) 82491 80342 52065B LSD Confirmation, Blood (Forensic) 83789 80323 52065FL LSD Confirmation, Fluid (Forensic) 83789 80323 52065SP LSD Confirmation, Serum/Plasma (Forensic) 83789 80323 52065TI LSD Confirmation, Tissue (Forensic) 83789, 80103 80323 52065U LSD Confirmation, Urine (Forensic) 83789 80323 52066B Meclizine Confirmation, Blood (Forensic) 83789 80375 52066FL Meclizine Confirmation, Fluid (Forensic) 83789 80375 52066SP Meclizine Confirmation, Serum/Plasma (Forensic) 83789 80375 52066TI Meclizine Confirmation, Tissue (Forensic) 83789, 80103 80375 52067B Mefloquine Confirmation, Blood (Forensic) 83789 80375 52067SP Mefloquine Confirmation, Serum/Plasma (Forensic) 83789 80375

Page 54 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52068B Meperidine and Metabolite Confirmation, Blood 83925 80362 (Forensic) 52068FL Meperidine and Metabolite Confirmation, Fluid 83925 80362 (Forensic) 52068SP Meperidine and Metabolite Confirmation, 83925 80362 Serum/Plasma (Forensic) 52068TI Meperidine and Metabolite Confirmation, Tissue 83925, 80103 80362 (Forensic) 52068U Meperidine and Metabolite Confirmation, Urine 83925 80362 (Forensic) 52069B Mephenytoin and Metabolite Confirmation, Blood 82492 80339 (Forensic) 52069FL Mephenytoin and Metabolite Confirmation, Fluid 82492 80339 (Forensic) 52069SP Mephenytoin and Metabolite Confirmation, 82492 80339 Serum/Plasma (Forensic) 52069TI Mephenytoin and Metabolite Confirmation, Tissue 82492, 80103 80339 (Forensic) 52069U Mephenytoin and Metabolite Confirmation, Urine 82492 80339 (Forensic) 52070B Mephobarbital and Metabolite Confirmation, Blood 82205 80345 (Forensic) 52070FL Mephobarbital and Metabolite Confirmation, Fluid 82205 80345 (Forensic) 52070SP Mephobarbital and Metabolite Confirmation, 82205 80345 Serum/Plasma (Forensic) 52070TI Mephobarbital and Metabolite Confirmation, Tissue 80103 80345 (Forensic) 52070U Mephobarbital and Metabolite Confirmation, Urine 82205 80345 (Forensic) 52071B Mepivacaine Confirmation, Blood (Forensic) 82491 80375 52071FL Mepivacaine Confirmation, Fluid (Forensic) 82491 80375 52071SP Mepivacaine Confirmation, Serum/Plasma (Forensic) 82491 80375 52071TI Mepivacaine Confirmation, Tissue (Forensic) 82491, 80103 80375 52071U Mepivacaine Confirmation, Urine (Forensic) 82491 80375 52072B Mescaline Confirmation, Blood (Forensic) 82491 80323 52072FL Mescaline Confirmation, Fluid (Forensic) 82491 80323

Page 55 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52072SP Mescaline Confirmation, Serum/Plasma (Forensic) 82491 80323 52072TI Mescaline Confirmation, Tissue (Forensic) 82491, 80103 80323 52072U Mescaline Confirmation, Urine (Forensic) 82491 80323 52073B Methaqualone Confirmation, Blood (Forensic) 82542 80368 52073FL Methaqualone Confirmation, Fluid (Forensic) 82542 80368 52073SP Methaqualone Confirmation, Serum/Plasma (Forensic) 82542 80368 52073TI Methaqualone Confirmation, Tissue (Forensic) 82542, 80103 80368 52073U Methaqualone Confirmation, Urine (Forensic) 82542 80368 52074B Metharbital and Metabolite Confirmation, Blood 82205 80345 (Forensic) 52074FL Metharbital and Metabolite Confirmation, Fluid 82205 80345 (Forensic) 52074SP Metharbital and Metabolite Confirmation, 82205 80345 Serum/Plasma (Forensic) 52074TI Metharbital and Metabolite Confirmation, Tissue 82205, 80103 80345 (Forensic) 52074U Metharbital and Metabolite Confirmation, Urine 82205 80345 (Forensic) 52075B Methcathinone (CAT) Confirmation, Blood (Forensic) 82542 80371 52075FL Methcathinone (CAT) Confirmation, Fluid (Forensic) 82542 80371 52075SP Methcathinone (CAT) Confirmation, Serum/Plasma 82542 80371 (Forensic) 52075TI Methcathinone (CAT) Confirmation, Tissue (Forensic) 82542, 80103 80371 52075U Methcathinone (CAT) Confirmation, Urine (Forensic) 82542 80371 52076B Methocarbamol Confirmation, Blood (Forensic) 82491 80369 52076FL Methocarbamol Confirmation, Fluid (Forensic) 82491 80369 52076SP Methocarbamol Confirmation, Serum/Plasma 82491 80369 (Forensic) 52076TI Methocarbamol Confirmation, Tissue (Forensic) 82491, 80103 80369 52076U Methocarbamol Confirmation, Urine (Forensic) 82491 80369 52077B Methotrimeprazine Confirmation, Blood (Forensic) 84022 80342 52077FL Methotrimeprazine Confirmation, Fluid (Forensic) 84022 80342 52077SP Methotrimeprazine Confirmation, Serum/Plasma 84022 80342 (Forensic) 52077TI Methotrimeprazine Confirmation, Tissue (Forensic) 84022, 80103 80342 52078B Methsuximide as Metabolite Confirmation, Blood 83858 80339 (Forensic)

Page 56 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52078FL Methsuximide as Metabolite Confirmation, Fluid 83858 80339 (Forensic) 52078SP Methsuximide as Metabolite Confirmation, 83858 80339 Serum/Plasma (Forensic) 52078TI Methsuximide as Metabolite Confirmation, Tissue 83858, 80103 80339 (Forensic) 52078U Methsuximide as Metabolite Confirmation, Urine 83858 80339 (Forensic) 52079B Methylphenidate and Metabolite Confirmation, Blood 83789 80360 (Forensic) 52079FL Methylphenidate and Metabolite Confirmation, Fluid 83789 80360 (Forensic) 52079SP Methylphenidate and Metabolite Confirmation, 83789 80360 Serum/Plasma (Forensic) 52079TI Methylphenidate and Metabolite Confirmation, Tissue 83789, 80103 80360 (Forensic) 52079U Methylphenidate and Metabolite Confirmation, Urine 83789 80360 (Forensic) 52080B Methyprylon Confirmation, Blood (Forensic) 82491 80368 52080FL Methyprylon Confirmation, Fluid (Forensic) 82491 80368 52080SP Methyprylon Confirmation, Serum/Plasma (Forensic) 82491 80368 52080TI Methyprylon Confirmation, Tissue (Forensic) 82491, 80103 80368 52080U Methyprylon Confirmation, Urine (Forensic) 82491 80368 52081B Metoclopramide Confirmation, Blood (Forensic) 82491 80375 52081FL Metoclopramide Confirmation, Fluid (Forensic) 82491 80375 52081SP Metoclopramide Confirmation, Serum/Plasma 82491 80375 (Forensic) 52081TI Metoclopramide Confirmation, Tissue (Forensic) 82491, 80103 80375 52081U Metoclopramide Confirmation, Urine (Forensic) 82491 80375 52082B Metoprolol Confirmation, Blood (Forensic) 83789 80375 52082FL Metoprolol Confirmation, Fluid (Forensic) 83789 80375 52082SP Metoprolol Confirmation, Serum/Plasma (Forensic) 83789 80375 52082TI Metoprolol Confirmation, Tissue (Forensic) 83789, 80103 80375 52082U Metoprolol Confirmation, Urine (Forensic) 83789 80375 52083B Mexiletine Confirmation, Blood (Forensic) 82491 80375 52083FL Mexiletine Confirmation, Fluid (Forensic) 82491 80375 52083SP Mexiletine Confirmation, Serum/Plasma (Forensic) 82491 80375

Page 57 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52083TI Mexiletine Confirmation, Tissue (Forensic) 82491, 80103 80375 52083U Mexiletine Confirmation, Urine (Forensic) 82491 80375 52084B Molindone Confirmation, Blood (Forensic) 83789 80342 52084FL Molindone Confirmation, Fluid (Forensic) 83789 80342 52084SP Molindone Confirmation, Serum/Plasma (Forensic) 83789 80342 52084TI Molindone Confirmation, Tissue (Forensic) 83789, 80103 80342 52084U Molindone Confirmation, Urine (Forensic) 83789 80342 52086B Nicardipine Confirmation, Blood (Forensic) 82491 80375 52086FL Nicardipine Confirmation, Fluid (Forensic) 82491 80375 52086SP Nicardipine Confirmation, Serum/Plasma (Forensic) 82491 80375 52086TI Nicardipine Confirmation, Tissue (Forensic) 82491, 80103 80375 52087B Nicotine and Metabolite Confirmation, Blood 83887 80323 (Forensic) 52087FL Nicotine and Metabolite Confirmation, Fluid (Forensic) 83887 80323

52087SP Nicotine and Metabolite Confirmation, Serum/Plasma 83887 80323 (Forensic) 52087TI Nicotine and Metabolite Confirmation, Tissue 83887, 80103 80323 (Forensic) 52087U Nicotine and Metabolite with Anabasine Confirmation, 83887 80323 Urine (Forensic) 52088B Nifedipine Confirmation, Blood (Forensic) 82491 80375 52088FL Nifedipine Confirmation, Fluid (Forensic) 82491 80375 52088SP Nifedipine Confirmation, Serum/Plasma (Forensic) 82491 80375 52088TI Nifedipine Confirmation, Tissue (Forensic) 82491, 80103 80375 52090B Ibuprofen / Naproxen Confirmation, Blood (Forensic) 82492 80329 52090FL Ibuprofen / Naproxen Confirmation, Fluid (Forensic) 82492 80329 52090SP Ibuprofen / Naproxen Confirmation, Serum/Plasma 82492 80329 (Forensic) 52090TI Ibuprofen / Naproxen Confirmation, Tissue (Forensic) 82492, 80103 80329 52090U Ibuprofen / Naproxen Confirmation, Urine (Forensic) 82492 80329 52091B Olanzapine Confirmation, Blood (Forensic) 82491 80342 52091FL Olanzapine Confirmation, Fluid (Forensic) 82491 80342 52091SP Olanzapine Confirmation, Serum/Plasma (Forensic) 82491 80342 52091TI Olanzapine Confirmation, Tissue (Forensic) 82491, 80103 80342 52091U Olanzapine Confirmation, Urine (Forensic) 82491 80342

Page 58 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52092B Synthetic Opioids ‐ Free (Unconjugated) Confirmation, 83925 80362 Blood (Forensic) 52092FL Synthetic Opioids ‐ Free (Unconjugated) Confirmation, 83925 80362 Fluid (Forensic) 52092SP Synthetic Opioids ‐ Free (Unconjugated) Confirmation, 83925 80362 Serum/Plasma (Forensic) 52092TI Synthetic Opioids ‐ Total (Conjugated/Unconjugated) 83925, 80103 80362 Confirmation, Tissue (Forensic) 52092U Synthetic Opioids ‐ Total (Conjugated/Unconjugated) 83925 80362 Confirmation, Urine (Forensic) 52093FL Oxcarbazepine/Eslicarbazepine Acetate as Metabolite 82491 80183 Confirmation, Fluid (Forensic) 52094B Oxybutynin Confirmation, Blood (Forensic) 82491 80375 52094FL Oxybutynin Confirmation, Fluid (Forensic) 82491 80375 52094SP Oxybutynin Confirmation, Serum/Plasma (Forensic) 82491 80375 52094TI Oxybutynin Confirmation, Tissue (Forensic) 82491, 80103 80375 52095B Papaverine Confirmation, Blood (Forensic) 82491 80323 52095FL Papaverine Confirmation, Fluid (Forensic) 82491 80323 52095SP Papaverine Confirmation, Serum/Plasma (Forensic) 82491 80323 52095TI Papaverine Confirmation, Tissue (Forensic) 82491, 80103 80323 52095U Papaverine Confirmation, Urine (Forensic) 82491 80323 52096B Paroxetine Confirmation, Blood (Forensic) 83789 80332 52096FL Paroxetine Confirmation, Fluid (Forensic) 83789 80332 52096SP Paroxetine Confirmation, Serum/Plasma (Forensic) 83789 80332 52096TI Paroxetine Confirmation, Tissue (Forensic) 83789, 80103 80332 52096U Paroxetine Confirmation, Urine (Forensic) 83789 80332 52097B Pentazocine Confirmation, Blood (Forensic) 83925 80362 52097FL Pentazocine Confirmation, Fluid (Forensic) 83925 80362 52097SP Pentazocine Confirmation, Serum/Plasma (Forensic) 83925 80362 52097TI Pentazocine Confirmation, Tissue (Forensic) 83925, 80103 80362 52097U Pentazocine Confirmation, Urine (Forensic) 83925 80362 52098B Pentoxifylline Confirmation, Blood (Forensic) 82491 80375 52098FL Pentoxifylline Confirmation, Fluid (Forensic) 82491 80375 52098SP Pentoxifylline Confirmation, Serum/Plasma (Forensic) 82491 80375 52098TI Pentoxifylline Confirmation, Tissue (Forensic) 82491, 80103 80375 52098U Pentoxifylline Confirmation, Urine (Forensic) 82491 80375 52099B Pergolide Confirmation, Blood (Forensic) 82491 80375

Page 59 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52099FL Pergolide Confirmation, Fluid (Forensic) 82491 80375 52099SP Pergolide Confirmation, Serum/Plasma (Forensic) 82491 80375 52099TI Pergolide Confirmation, Tissue (Forensic) 82491, 80103 80375 52099U Pergolide Confirmation, Urine (Forensic) 82491 80375 52100B Phenacetin and Metabolite Confirmation, Blood 82492 80329 (Forensic) 52100FL Phenacetin and Metabolite Confirmation, Fluid 82492 80329 (Forensic) 52100SP Phenacetin and Metabolite Confirmation, 82492 80329 Serum/Plasma (Forensic) 52100TI Phenacetin and Metabolite Confirmation, Tissue 82492, 80103 80329 (Forensic) 52100U Phenacetin and Metabolite Confirmation, Urine 82492 80329 (Forensic) 52101B Phenothiazines Confirmation, Blood (Forensic) 84022 80344 52101FL Phenothiazines Confirmation, Fluid (Forensic) 84022 80344 52101SP Phenothiazines Confirmation, Serum/Plasma (Forensic) 84022 80344

52101TI Phenothiazines Confirmation, Tissue (Forensic) 84022, 80103 80342 52101U Phenothiazines Confirmation, Urine (Forensic) 84022 80344 52102B Phensuximide Confirmation, Blood (Forensic) 82491 80339 52102FL Phensuximide Confirmation, Fluid (Forensic) 82491 80339 52102SP Phensuximide Confirmation, Serum/Plasma (Forensic) 82491 80339 52102TI Phensuximide Confirmation, Tissue (Forensic) 82491, 80103 80339 52102U Phensuximide Confirmation, Urine (Forensic) 82491 80339 52103B Phenylbutazone and Metabolite Confirmation, Blood 82492 80329 (Forensic) 52103FL Phenylbutazone and Metabolite Confirmation, Fluid 82492 80329 (Forensic) 52103SP Phenylbutazone and Metabolite Confirmation, 82492 80329 Serum/Plasma (Forensic) 52103TI Phenylbutazone and Metabolite Confirmation, Tissue 82492, 80103 80329 (Forensic) 52103U Phenylbutazone and Metabolite Confirmation, Urine 82492 80329 (Forensic) 52104B Phenyltoloxamine Confirmation, Blood (Forensic) 82542 80375 52104FL Phenyltoloxamine Confirmation, Fluid (Forensic) 82542 80375

Page 60 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52104SP Phenyltoloxamine Confirmation, Serum/Plasma 82542 80375 (Forensic) 52104TI Phenyltoloxamine Confirmation, Tissue (Forensic) 82542, 80103 80375 52104U Phenyltoloxamine Confirmation, Urine (Forensic) 82542 80375 52106B Primidone, Phenobarbital and PEMA Confirmation, 80188 80184, 80188 Blood (Forensic) 52106FL Primidone, Phenobarbital and PEMA Confirmation, 80188 80184, 80188 Fluid (Forensic) 52106SP Primidone, Phenobarbital and PEMA Confirmation, 80188 80184, 80188 Serum/Plasma (Forensic) 52106TI Primidone, Phenobarbital and PEMA Confirmation, 80188, 80103 80184, 80188 Tissue (Forensic) 52106U Primidone, Phenobarbital and PEMA Confirmation, 80188 80184, 80188 Urine (Forensic) 52108B Propafenone Confirmation, Blood (Forensic) 82491 80375 52108FL Propafenone Confirmation, Fluid (Forensic) 82491 80375 52108SP Propafenone Confirmation, Serum/Plasma (Forensic) 82491 80375 52108TI Propafenone Confirmation, Tissue (Forensic) 82491, 80103 80375 52108U Propafenone Confirmation, Urine (Forensic) 82491 80375 52110B Pyrimethamine Confirmation, Blood (Forensic) 82491 80375 52110FL Pyrimethamine Confirmation, Fluid (Forensic) 82491 80375 52110SP Pyrimethamine Confirmation, Serum/Plasma (Forensic) 82491 80375

52110TI Pyrimethamine Confirmation, Tissue (Forensic) 82491, 80103 80375 52110U Pyrimethamine Confirmation, Urine (Forensic) 82491 80375 52112B Quetiapine Confirmation, Blood (Forensic) 83789 80342 52112FL Quetiapine Confirmation, Fluid (Forensic) 83789 80342 52112SP Quetiapine Confirmation, Serum/Plasma (Forensic) 83789 80342 52112TI Quetiapine Confirmation, Tissue (Forensic) 83789, 80103 80342 52112U Quetiapine Confirmation, Urine (Forensic) 83789 80342 52115B Scopolamine Confirmation, Blood (Forensic) 83789 80323 52115FL Scopolamine Confirmation, Fluid (Forensic) 83789 80323 52115SP Scopolamine Confirmation, Serum/Plasma (Forensic) 83789 80323 52115TI Scopolamine Confirmation, Tissue (Forensic) 83789, 80103 80323 52115U Scopolamine Confirmation, Urine (Forensic) 83789 80323 52116B Sertraline and Desmethylsertraline Confirmation, 83789 80332 Blood (Forensic)

Page 61 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52116FL Sertraline and Desmethylsertraline Confirmation, Fluid 82491 80332 (Forensic) 52116SP Sertraline and Desmethylsertraline Confirmation, 83789 80332 Serum/Plasma (Forensic) 52116TI Sertraline and Desmethylsertraline Confirmation, 83789, 80103 80332 Tissue (Forensic) 52116U Sertraline Confirmation, Urine (Forensic) 82491 80332 52117B Strychnine Confirmation, Blood (Forensic) 82491 80323 52117FL Strychnine Confirmation, Fluid (Forensic) 82491 80323 52117SP Strychnine Confirmation, Serum/Plasma (Forensic) 82491 80323 52117TI Strychnine Confirmation, Tissue (Forensic) 82491, 80103 80323 52117U Strychnine Confirmation, Urine (Forensic) 82491 80323 52118B Talbutal Confirmation, Blood (Forensic) 82205 80345 52118FL Talbutal Confirmation, Fluid (Forensic) 82205 80345 52118SP Talbutal Confirmation, Serum/Plasma (Forensic) 82205 80345 52118TI Talbutal Confirmation, Tissue (Forensic) 82205, 80103 80345 52118U Talbutal Confirmation, Urine (Forensic) 82205 80345 52119B Tamoxifen and Metabolite Confirmation, Blood 83789 80375 (Forensic) 52119SP Tamoxifen and Metabolite Confirmation, 83789 80375 Serum/Plasma (Forensic) 52120B Theobromine Confirmation, Blood (Forensic) 82491 80375 52120FL Theobromine Confirmation, Fluid (Forensic) 82491 80375 52120SP Theobromine Confirmation, Serum/Plasma (Forensic) 82491 80375 52120TI Theobromine Confirmation, Tissue (Forensic) 82491, 80103 80375 52120U Theobromine Confirmation, Urine (Forensic) 82491 80375 52122B Thiopental and Metabolite Confirmation, Blood 82205 80345 (Forensic) 52122FL Thiopental and Metabolite Confirmation, Fluid 82205 80345 (Forensic) 52122SP Thiopental and Metabolite Confirmation, 82205 80345 Serum/Plasma (Forensic) 52122TI Thiopental and Metabolite Confirmation, Tissue 82205, 80103 80345 (Forensic) 52122U Thiopental and Metabolite Confirmation, Urine 82205 80345 (Forensic)

Page 62 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52123B Thiothixene (Cis Isomer) Confirmation, Blood (Forensic) 82491 80342

52123FL Thiothixene (Cis Isomer) Confirmation, Fluid (Forensic) 82491 80342

52123SP Thiothixene (Cis Isomer) Confirmation, Serum/Plasma 82491 80342 (Forensic) 52123TI Thiothixene (Cis Isomer) Confirmation, Tissue 82491, 80103 80342 (Forensic) 52123U Thiothixene (Cis Isomer) Confirmation, Urine (Forensic) 82491 80342

52124B Ticlopidine Confirmation, Blood (Forensic) 82491 80375 52124FL Ticlopidine Confirmation, Fluid (Forensic) 82491 80375 52124SP Ticlopidine Confirmation, Serum/Plasma (Forensic) 82491 80375 52124TI Ticlopidine Confirmation, Tissue (Forensic) 82491, 80103 80375 52125B Tiletamine Confirmation, Blood (Forensic) 82491 80375 52125FL Tiletamine Confirmation, Fluid (Forensic) 82491 80375 52125SP Tiletamine Confirmation, Serum/Plasma (Forensic) 82491 80375 52125TI Tiletamine Confirmation, Tissue (Forensic) 82491, 80103 80375 52125U Tiletamine Confirmation, Urine (Forensic) 82491 80375 52126B Timolol Confirmation, Blood (Forensic) 83789 80375 52126FL Timolol Confirmation, Fluid (Forensic) 83789 80375 52126SP Timolol Confirmation, Serum/Plasma (Forensic) 83789 80375 52126TI Timolol Confirmation, Tissue (Forensic) 83789, 80103 80375 52126U Timolol Confirmation, Urine (Forensic) 83789 80375 52127B Topiramate Confirmation, Blood (Forensic) 83789 80201 52127SP Topiramate Confirmation, Serum/Plasma (Forensic) 83789 80201 52127U Topiramate Confirmation, Urine (Forensic) 83789 80201 52128B Tramadol and Metabolite Confirmation, Blood 83789 80373 (Forensic) 52128FL Tramadol and Metabolite Confirmation, Fluid 83789 80373 (Forensic) 52128SP Tramadol and Metabolite Confirmation, Serum/Plasma 83789 80373 (Forensic) 52128TI Tramadol and Metabolite Confirmation, Tissue 83789, 80103 80373 (Forensic) 52128U Tramadol and Metabolite Confirmation, Urine 83789 80373 (Forensic)

Page 63 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52129B Trihexyphenidyl Confirmation, Blood (Forensic) 82491 80375 52129FL Trihexyphenidyl Confirmation, Fluid (Forensic) 82491 80375 52129SP Trihexyphenidyl Confirmation, Serum/Plasma 82491 80375 (Forensic) 52129TI Trihexyphenidyl Confirmation, Tissue (Forensic) 82491, 80103 80375 52129U Trihexyphenidyl Confirmation, Urine (Forensic) 82491 80375 52130B Trimethobenzamide Confirmation, Blood (Forensic) 82491 80375 52130FL Trimethobenzamide Confirmation, Fluid (Forensic) 82491 80375 52130SP Trimethobenzamide Confirmation, Serum/Plasma 82491 80375 (Forensic) 52130TI Trimethobenzamide Confirmation, Tissue (Forensic) 82491, 80103 80375 52130U Trimethobenzamide Confirmation, Urine (Forensic) 82491 80375 52132B Venlafaxine and Metabolite Confirmation, Blood 83789 80338 (Forensic) 52132FL Venlafaxine and Metabolite Confirmation, Fluid 83789 80338 (Forensic) 52132SP Venlafaxine and Metabolite Confirmation, 83789 80338 Serum/Plasma (Forensic) 52132TI Venlafaxine and Metabolite Confirmation, Tissue 83789, 80103 80338 (Forensic) 52132U Venlafaxine and Metabolite Confirmation, Urine 83789 80338 (Forensic) 52134B Warfarin Confirmation, Blood (Forensic) 82491 80375 52134FL Warfarin Confirmation, Fluid (Forensic) 82491 80375 52134SP Warfarin Confirmation, Serum/Plasma (Forensic) 82491 80375 52134TI Warfarin Confirmation, Tissue (Forensic) 82491, 80103 80375 52134U Warfarin Confirmation, Urine (Forensic) 82491 80375 52135B Xylazine Confirmation, Blood (Forensic) 82491 80375 52135FL Xylazine Confirmation, Fluid (Forensic) 82491 80375 52135SP Xylazine Confirmation, Serum/Plasma (Forensic) 82491 80375 52135TI Xylazine Confirmation, Tissue (Forensic) 82491, 80103 80375 52135U Xylazine Confirmation, Urine (Forensic) 82491 80375 52136B Yohimbine Confirmation, Blood (Forensic) 82491 80375 52136FL Yohimbine Confirmation, Fluid (Forensic) 82491 80375 52136SP Yohimbine Confirmation, Serum/Plasma (Forensic) 82491 80375 52136TI Yohimbine Confirmation, Tissue (Forensic) 82491, 80103 80375 52136U Yohimbine Confirmation, Urine (Forensic) 82491 80375

Page 64 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52137B Zaleplon Confirmation, Blood (Forensic) 82491 80368 52137FL Zaleplon Confirmation, Fluid (Forensic) 82491 80368 52137SP Zaleplon Confirmation, Serum/Plasma (Forensic) 82491 80368 52137TI Zaleplon Confirmation, Tissue (Forensic) 82491, 80103 80368 52137U Zaleplon Confirmation, Urine (Forensic) 82491 80368 52138B Zolazepam Confirmation, Blood (Forensic) 80154 80368 52138FL Zolazepam Confirmation, Fluid (Forensic) 80154 80368 52138SP Zolazepam Confirmation, Serum/Plasma (Forensic) 80154 80368 52138TI Zolazepam Confirmation, Tissue (Forensic) 80154, 80103 80368 52138U Zolazepam Confirmation, Urine (Forensic) 80154 80368 52139B Zolpidem Confirmation, Blood (Forensic) 83789 80368 52139FL Zolpidem Confirmation, Fluid (Forensic) 83789 80368 52139SP Zolpidem Confirmation, Serum/Plasma (Forensic) 83789 80368 52139TI Zolpidem Confirmation, Tissue (Forensic) 83789, 80103 80368 52139U Zolpidem Confirmation, Urine (Forensic) 83789 80368 52141B Quinine/Quinidine Differentiation Confirmation, Blood 80194 84228 (Forensic) 52141FL Quinine/Quinidine Differentiation Confirmation, Fluid 80194 84228 (Forensic) 52141SP Quinine/Quinidine Differentiation Confirmation, 80194 84228 Serum/Plasma (Forensic) 52141TI Quinine/Quinidine Differentiation Confirmation, Tissue 80194, 80103 84228 (Forensic) 52141U Quinine/Quinidine Differentiation Confirmation, Urine 80194 84228 (Forensic) 52142B Fentanyl and Metabolite Confirmation, Blood 83925 80354 (Forensic) 52142FL Fentanyl and Metabolite Confirmation, Fluid (Forensic) 83925 80354

52142SP Fentanyl and Metabolite Confirmation, Serum/Plasma 83925 80354 (Forensic) 52142TI Fentanyl and Metabolite Confirmation, Tissue 83925, 80103 80354 (Forensic) 52142U Fentanyl and Metabolite Confirmation, Urine 83925 80354 (Forensic) 52143B Alfentanil and Sufentanil Confirmation, Blood 83925 80354 (Forensic)

Page 65 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52143FL Alfentanil and Sufentanil Confirmation, Fluid (Forensic) 83925 80354

52143SP Alfentanil and Sufentanil Confirmation, Serum/Plasma 83925 80354 (Forensic) 52143TI Alfentanil and Sufentanil Confirmation, Tissue 83925, 80103 80354 (Forensic) 52143U Alfentanil and Sufentanil Confirmation, Urine 83925 80354 (Forensic) 52144FL Gabapentin Confirmation, Fluid (Forensic) 80171 80355 52144TI Gabapentin Confirmation, Tissue (Forensic) 80171, 80103 80335 52144U Gabapentin Confirmation, Urine (Forensic) 80171 80355 52147B Antidepressants / Antihistamines Confirmation Panel 82492 80332, 80336, 80338, 1, Blood (Forensic) 80362, 80376 52147FL Antidepressants / Antihistamines Confirmation Panel 82492 80332, 80336, 80338, 1, Fluid (Forensic) 80362, 80376 52147SP Antidepressants / Antihistamines Confirmation Panel 82492 80332, 80336, 80338, 1, Serum/Plasma (Forensic) 80362, 80376 52147TI Antidepressants / Antihistamines Confirmation Panel 82492, 80103 80362, 80376, 80332, 1, Tissue (Forensic) 80336, 80338 52147U Antidepressants / Antihistamines Confirmation Panel 82492 80332, 80336, 80338, 1, Urine (Forensic) 80362, 80376 52149B Acetyl Fentanyl Confirmation, Blood (Forensic) 83925 80354 52149SP Acetyl Fentanyl Confirmation, Serum/Plasma (Forensic) 83925 80354

52149U Acetyl Fentanyl Confirmation, Urine (Forensic) 83925 80354 52151B Atenolol Confirmation, Blood (Forensic) (CSA) 83789 80375 52151FL Atenolol Confirmation, Fluid (Forensic) (CSA) 83789 80375 52151SP Atenolol Confirmation, Serum/Plasma (Forensic) (CSA) 83789 80375 52151TI Atenolol Confirmation, Tissue (Forensic) (CSA) 83789, 80103 80375 52151U Atenolol Confirmation, Urine (Forensic) (CSA) 83789 80375 52152B Cimetidine Confirmation, Blood (Forensic) (CSA) 82491 80375 52152SP Cimetidine Confirmation, Serum/Plasma (Forensic) 82491 80375 (CSA) 52152U Cimetidine Confirmation, Urine (Forensic) (CSA) 82491 80375 52153B Clonidine Confirmation, Blood (Forensic) (CSA) 83789 80375 52153FL Clonidine Confirmation, Fluid (Forensic) (CSA) 83789 80375

Page 66 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52153SP Clonidine Confirmation, Serum/Plasma (Forensic) (CSA) 83789 80375

52153TI Clonidine Confirmation, Tissue (Forensic) (CSA) 83789, 80103 80375 52153U Clonidine Confirmation, Urine (Forensic) (CSA) 83789 80375 52155B Furosemide Confirmation, Blood (Forensic) (CSA) 83789 80375 52155SP Furosemide Confirmation, Serum/Plasma (Forensic) 83789 80375 (CSA) 52155U Furosemide Confirmation, Urine (Forensic) (CSA) 83789 80375 52156B Hydrochlorothiazide Confirmation, Blood (Forensic) 83789 80375 (CSA) 52156SP Hydrochlorothiazide Confirmation, Serum/Plasma 83789 80375 (Forensic) (CSA) 52156U Hydrochlorothiazide Confirmation, Urine (Forensic) 83789 80375 (CSA) 52157B Phenelzine Confirmation, Blood (Forensic) (CSA) 82491 80338 52157SP Phenelzine Confirmation, Serum/Plasma (Forensic) 82491 80338 (CSA) 52157TI Phenelzine Confirmation, Tissue (Forensic) (CSA) 82491, 80103 80338 52157U Phenelzine Confirmation, Urine (Forensic) (CSA) 82491 80338 52158B Propranolol Confirmation, Blood (Forensic) (CSA) 83789 80375 52158FL Propranolol Confirmation, Fluid (Forensic) (CSA) 83789 80375 52158SP Propranolol Confirmation, Serum/Plasma (Forensic) 83789 80375 (CSA) 52158TI Propranolol Confirmation, Tissue (Forensic) (CSA) 83789, 80103 80375 52158U Propranolol Confirmation, Urine (Forensic) (CSA) 83789 80375 52159B Ranitidine Confirmation, Blood (Forensic) (CSA) 82491 80375 52159FL Ranitidine Confirmation, Fluid (Forensic) (CSA) 82491 80375 52159SP Ranitidine Confirmation, Serum/Plasma (Forensic) 82491 80375 (CSA) 52159U Ranitidine Confirmation, Urine (Forensic) (CSA) 82491 80375 52160B Risperidone and Metabolite Confirmation, Blood 83789 80342 (Forensic) (CSA) 52160FL Risperidone and Metabolite Confirmation, Fluid 83789 80342 (Forensic) (CSA) 52160SP Risperidone and Metabolite Confirmation, 83789 80342 Serum/Plasma (Forensic) (CSA)

Page 67 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52160TI Risperidone and Metabolite Confirmation, Tissue 83789, 80103 80342 (Forensic) (CSA) 52160U Risperidone and Metabolite Confirmation, Urine 83789 80342 (Forensic) (CSA) 52161B Sildenafil and Metabolite Confirmation, Blood 83789 80375 (Forensic) (CSA) 52161SP Sildenafil and Metabolite Confirmation, Serum/Plasma 83789 80375 (Forensic) (CSA) 52161U Sildenafil and Metabolite Confirmation, Urine 83789 80375 (Forensic) (CSA) 52163B Gamma‐Hydroxybutyric Acid Confirmation, Blood 82542 83921 (Forensic) (CSA) 52163FL Gamma‐Hydroxybutyric Acid Confirmation, Fluid 82542 83921 (Forensic) (CSA) 52163SP Gamma‐Hydroxybutyric Acid Confirmation, 82542 83921 Serum/Plasma (Forensic) (CSA) 52163TI Gamma‐Hydroxybutyric Acid Confirmation, Tissue 82542, 80103 83921 (Forensic) (CSA) 52163U Gamma‐Hydroxybutyric Acid Confirmation, Urine 82542 83921 (Forensic) (CSA) 52167B Buprenorphine and Metabolite ‐ Free (Unconjugated) 83925 80348 Confirmation, Blood (Forensic) 52167FL Buprenorphine and Metabolite ‐ Free (Unconjugated) 83925 80348 Confirmation, Fluid (Forensic) 52167SP Buprenorphine and Metabolite ‐ Free (Unconjugated) 83925 80348 Confirmation, Serum/Plasma (Forensic) 52167TI Buprenorphine and Metabolite ‐ Total 83925, 80103 80348 (Conjugated/Unconjugated) Confirmation, Tissue (Forensic) 52167U Buprenorphine and Metabolite ‐ Total 83925 80348 (Conjugated/Unconjugated) Confirmation, Urine (Forensic) 52170B Paroxetine, Sertraline and Desmethylsertraline 83789 80332 Confirmation, Blood 52170U Paroxetine and Sertraline Confirmation, Urine 82491 80332 52171B Antidepressants Confirmation Panel 2, Blood 82492 80337 52171U Antidepressants Confirmation Panel 2, Urine 82492 80337 52172B Antidepressants Confirmation Panel 1, Blood 82492 80332, 80336, 80338

Page 68 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52172U Antidepressants Confirmation Panel 1, Urine 82492 80332, 80336, 80338 52173B Citalopram Confirmation, Blood 83789 80332 52173U Citalopram Confirmation, Urine 83789 80332 52174B Fluvoxamine Confirmation, Blood 82491 80332 52174U Fluvoxamine Confirmation, Urine 82491 80332 52175B Nefazodone Confirmation, Blood 82491 80338 52175U Nefazodone Confirmation, Urine 82491 80338 52176B Bupropion and Metabolite Confirmation, Blood 83789 80338 52176U Bupropion and Metabolite Confirmation, Urine 83789 80338 52177B Duloxetine Confirmation, Blood 83789 80332 52178B Venlafaxine and Metabolite Confirmation, Blood 83789 80338 52178U Venlafaxine and Metabolite Confirmation, Urine 83789 80338 52179B Amphetamines Confirmation, Blood (Forensic) (CSA) 82145 80324, 80359 52185B Dextro / Levo Methorphan Confirmation, Blood 82491 80362 (Forensic) 52185SP Dextro / Levo Methorphan Confirmation, 82491 80362 Serum/Plasma (Forensic) 52185U Dextro / Levo Methorphan Confirmation, Urine 82491 80362 (Forensic) 52190B Salvinorin B Confirmation, Blood (Forensic) 83789 80371 52190SP Salvinorin B Confirmation, Serum/Plasma (Forensic) 83789 80371 52190U Salvinorin B Confirmation, Urine (Forensic) 83789 80371 52193B Benzodiazepines Confirmation, Blood (Forensic) (CSA) 80154 80347 52194B Antidepressants / Antihistamines Confirmation Panel 82492 80335 1, Blood (Forensic) (CSA) 52195B Antidepressants Confirmation, Blood (Forensic) (CSA) 82492 80335 52196B Synthetic Opioids ‐ Free (Unconjugated) Confirmation, 83925 80348 Blood (Forensic) (CSA) 52197B Cocaine and Metabolites Confirmation, Blood 82520 80353 (Forensic) (CSA) 52224U Testosterone/Epitestosterone Ratio Confirmation, 83789 80328 Urine 52228U Confirmation (Qualitative), Urine 83788 80328 5223U Amphetamines Quantitation/Confirmation, Urine 82145 80326, 80359 (Forensic) 52247B and Acetone Confirmation, Blood (CSA) 80102 80320 52248B Alcohols and Acetone Confirmation, Blood (Forensic) 80102 80320

Page 69 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52249B Alcohols and Acetone Confirmation, Blood (CSA) 80102 80320 52250B Alcohols and Acetone Confirmation, Blood (Forensic) 80102 80320 52250FL Alcohols and Acetone Confirmation, Fluid (Forensic) 80102 80320 52250SP Alcohols and Acetone Confirmation, Serum/Plasma 80102 80320 (Forensic) 52250TI Alcohols and Acetone Confirmation, Tissue (Forensic) 80102, 80103 80320 52250U Alcohols and Acetone Confirmation, Urine (Forensic) 80102 80320 52251B Alcohols and Acetone Confirmation, Blood (Forensic) 80102 80320 52251SP Alcohols and Acetone Confirmation, Serum/Plasma 80102 80320 (Forensic) 52251U Alcohols and Acetone Confirmation, Urine (Forensic) 80102 80320 52252B Alcohol Confirmation, Blood (Forensic) 80102 80320 52255U Amphetamines Confirmation (Qualitative), Urine (CSA) 82145 80324

52256U Cocaine and Metabolites Confirmation (Qualitative), 82520 80353 Urine (CSA) 52257U Methadone and Metabolite Confirmation (Qualitative), 83840 80358 Urine (CSA) 52258U Opiates ‐ Total and 6‐MAM ‐ Free Confirmation 83925x2 80361, 80365, 80356, (Qualitative), Urine (CSA) 80361, 80365 52260U Cannabinoids Confirmation (Qualitative), Urine (CSA) 82542 80349 52261U Meperidine and Metabolite Confirmation (Qualitative), 83788 80362 Urine (CSA) 52262U Tramadol and Metabolite Confirmation (Qualitative), 83789 80373 Urine (CSA) 52263U Fentanyl and Metabolite Confirmation (Qualitative), 83925 80354 Urine (CSA) 52264U Buprenorphine and Metabolite ‐ Total 83925 80348 (Conjugated/Unconjugated) Confirmation (Qualitative), Urine (CSA) 52265U Heroin Metabolite ‐ Free (Unconjugated) Confirmation 83925 80356 (Qualitative), Urine (CSA) 52266U Opiates ‐ Total (Conjugated/Unconjugated) 83925 80361 Confirmation (Qualitative), Urine (CSA) 52267U Opiates ‐ Total (Conjugated/Unconjugated) 83925 80361 Confirmation (Qualitative), Urine (CSA)

Page 70 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52306B Opiates ‐ Free (Unconjugated) Confirmation, Blood 83925 80356, 80361, 80365 (CSA) 52307B Barbiturates Confirmation, Blood (CSA) 82205 80345 52308B Cocaine and Metabolites Confirmation, Blood (CSA) 82520 80353 52309B Methadone and Metabolite Confirmation, Blood (CSA) 83840 80358 52310B Propoxyphene and Metabolite Confirmation, Blood 82542 80367 (CSA) 52311B Cannabinoids Confirmation, Blood (CSA) 82542 80349 52313B Amphetamines Confirmation, Blood (CSA) 82145 80324, 80359 52314B Benzodiazepines Confirmation, Blood (CSA) 80154 80347 52315B Flunitrazepam and Metabolites Confirmation, Blood 80154 80346 (CSA) 52316B Fentanyl and Metabolite Confirmation, Blood (CSA) 83925 80354 52317B Meperidine and Metabolite Confirmation, Blood (CSA) 83925 80362 52318B Methaqualone Confirmation, Blood (CSA) 82542 80368 52365B Bath Salts Confirmation, Blood (Forensic) 83789 80371 52365FL Bath Salts Confirmation, Fluid (Forensic) 83789 80371 52365SP Bath Salts Confirmation, Serum/Plasma (Forensic) 83789 80371 52365TI Bath Salts Confirmation, Tissue (Forensic) 83789, 80103 80371 52365U Bath Salts Confirmation, Urine (Forensic) 83789 80371 52366B Bath Salts Confirmation, Blood (Forensic) 83789 80371 52366SP Bath Salts Confirmation, Serum/Plasma (Forensic) 83789 80371 52366U Bath Salts Confirmation, Urine (Forensic) 83789 80371 52370B Amphetamines Confirmation, Blood 82145 80324, 80359 52370SP Amphetamines Confirmation, Serum/Plasma 82145 80324, 80359 52370U Amphetamines Confirmation, Urine 82145 80324, 80359 52371B Belladonna Alkaloids Confirmation, Blood 83789 80323 52371SP Belladonna Alkaloids Confirmation, Serum/Plasma 83789 80323 52371U Belladonna Alkaloids Confirmation, Urine 83789 80323 52373B Piperazine Designer Drugs Confirmation, Blood 82542 80371 (Forensic) 52373SP Piperazine Designer Drugs Confirmation, 82542 80371 Serum/Plasma (Forensic) 52373U Piperazine Designer Drugs Confirmation, Urine 82542 80371 (Forensic) 52375B DMAA Confirmation, Blood 83789 80371 52375SP DMAA Confirmation, Serum/Plasma 83789 80371

Page 71 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52375U DMAA Confirmation, Urine 83789 80371 52377B MDMA / Methedrone Confirmation (Qualitative), 83788 80359, 80371 Blood 52377SP MDMA / Methedrone Confirmation (Qualitative), 83788 80359, 80371 Serum/Plasma 52377U MDMA / Methedrone Confirmation (Qualitative), Urine 83788 80359, 80371

52378B Cathinones Confirmation 1 (Qualitative), Blood 83788 80371 52378SP Cathinones Confirmation 1 (Qualitative), 83788 80371 Serum/Plasma 52378U Cathinones Confirmation 1 (Qualitative), Urine 83788 80371 52379B Cathinones Confirmation 2 (Qualitative), Blood 83788 80371 52379SP Cathinones Confirmation 2 (Qualitative), 83788 80371 Serum/Plasma 52379U Cathinones Confirmation 2 (Qualitative), Urine 83788 80371 52380B Tryptamines Confirmation (Qualitative), Blood 83788 80323 52380SP Tryptamines Confirmation (Qualitative), Serum/Plasma 83788 80323

52380U Tryptamines Confirmation (Qualitative), Urine 83788 80323 52381B 7‐Hydroxymitragynine, Mitragynine, Phenazepam 83788 80323 Confirmation (Qualitative), Blood 52381SP 7‐Hydroxymitragynine, Mitragynine, Phenazepam 83788 80323 Confirmation (Qualitative), Serum/Plasma 52381U 7‐Hydroxymitragynine, Mitragynine, Phenazepam 83788 80323 Confirmation (Qualitative), Urine 52382B Hallucinogens and Stimulants Confirmation 1 83788 80371 (Qualitative), Blood 52382SP Hallucinogens and Stimulants Confirmation 1 83788 80371 (Qualitative), Serum/Plasma 52382U Hallucinogens and Stimulants Confirmation 1 83788 80371 (Qualitative), Urine 52383B Hallucinogens and Stimulants Confirmation 2 83788 80371 (Qualitative), Blood 52383SP Hallucinogens and Stimulants Confirmation 2 83788 80371 (Qualitative), Serum/Plasma 52383U Hallucinogens and Stimulants Confirmation 2 83788 80371 (Qualitative), Urine

Page 72 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52384B Phenethylamines Confirmation 1 (Qualitative), Blood 83788 80371 52384SP Phenethylamines Confirmation 1 (Qualitative), 83788 80371 Serum/Plasma 52384U Phenethylamines Confirmation 1 (Qualitative), Urine 83788 80371 52385B Phenethylamines Confirmation 2 (Qualitative), Blood 83788 80371 52385SP Phenethylamines Confirmation 2 (Qualitative), 83788 80371 Serum/Plasma 52385U Phenethylamines Confirmation 2 (Qualitative), Urine 83788 80371 52386B Phenazepam Confirmation (Qualitative), Blood 83788 80346 52386SP Phenazepam Confirmation (Qualitative), Serum/Plasma 83788 80346

52386U Phenazepam Confirmation (Qualitative), Urine 83788 80346 52387B NBOMe Confirmation (Qualitative), Blood 83788 80371 52387SP NBOMe Confirmation (Qualitative), Serum/Plasma 83788 80371 52387U NBOMe Confirmation (Qualitative), Urine 83788 80371 52403B Strychnine Confirmation, Blood (Forensic) 83789 80323 52403FL Strychnine Confirmation, Fluid (Forensic) 82491 80323 52403SP Strychnine Confirmation, Serum/Plasma (Forensic) 83789 80323 52403TI Strychnine Confirmation, Tissue (Forensic) 82491, 80103 80323 52403U Strychnine Confirmation, Urine (Forensic) 83789 80323 52404B Hallucinogens Panel 2 Confirmation (Qualitative), 83788 80371 Blood (Forensic) 52404SP Hallucinogens Panel 2 Confirmation (Qualitative), 83788 80371 Serum/Plasma (Forensic) 52404U Hallucinogens Panel 2 Confirmation (Qualitative), Urine 83788 80371 (Forensic) 52405B Hypoglycemics Confirmation, Blood (Forensic) 82492 80375 52405SP Hypoglycemics Confirmation, Serum/Plasma (Forensic) 82492 80375

52405U Hypoglycemics Confirmation, Urine (Forensic) 82492 80375 52406B Nonsteroidal Anti‐Inflammatory Drug Panel 82492 80330 Confirmation, Blood (Forensic) 52406SP Nonsteroidal Anti‐Inflammatory Drug Panel 82492 80330 Confirmation, Serum/Plasma (Forensic) 52406U Nonsteroidal Anti‐Inflammatory Drug Panel 82492 80330 Confirmation, Urine (Forensic)

Page 73 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52407B Synthetic Opioids ‐ Free (Unconjugated) Confirmation, 83925 80348, 80362 Blood (Forensic) 52407SP Synthetic Opioids ‐ Free (Unconjugated) Confirmation, 83925 80348, 80362 Serum/Plasma (Forensic) 52407U Synthetic Opioids ‐ Total (Conjugated/Unconjugated) 83925 80348, 80362 Confirmation, Urine (Forensic) 52408B Sibutramine and Metabolites, Blood (Forensic) 83789 80375 52408SP Sibutramine and Metabolites, Serum/Plasma (Forensic) 83789 80375

52408U Sibutramine and Metabolites, Urine (Forensic) 83789 80375 52409B Amphetamines Confirmation, Blood (Forensic) 82145 80326, 80359 52409SP Amphetamines Confirmation, Serum/Plasma (Forensic) 82145 80326, 80359

52409U Amphetamines Confirmation, Urine (Forensic) 82145 80326, 80359 52410B GC Confirmation Set 1, Blood (Forensic) 82492 80332, 80335, 80338, 80362, 80376 52410SP GC Confirmation Set 1, Serum/Plasma (Forensic) 82492 80332, 80335, 80338, 80362, 80376 52410U GC Confirmation Set 1, Urine (Forensic) 82492 80332, 80335, 80338, 80362, 80376 52411B GC Confirmation Set 2, Blood (Forensic) 82492 80369, 80376, 80335, 80338, 80362 52411SP GC Confirmation Set 2, Serum/Plasma (Forensic) 82492 80369, 80376, 80335, 80338, 80362 52411U GC Confirmation Set 2, Urine (Forensic) 82492 80369, 80376, 80335, 80338, 80362 52412B MDMA / Methedrone Confirmation (Qualitative), 83788 80359, 80371 Blood (Forensic) 52412SP MDMA / Methedrone Confirmation (Qualitative), 83788 80359, 80371 Serum/Plasma (Forensic) 52412U MDMA / Methedrone Confirmation (Qualitative), Urine 83788 80359, 80371 (Forensic) 52414B Ipecac Use Markers Confirmation, Blood (Forensic) 83789 80375 52414SP Ipecac Use Markers Confirmation, Serum/Plasma 83789 80375 (Forensic) 52414U Ipecac Use Markers Confirmation, Urine (Forensic) 83789 80375 52415B Trihexyphenidyl Confirmation, Blood (Forensic) 83789 80375 52415FL Trihexyphenidyl Confirmation, Fluid (Forensic) 82491 80375

Page 74 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52415SP Trihexyphenidyl Confirmation, Serum/Plasma 83789 80375 (Forensic) 52415TI Trihexyphenidyl Confirmation, Tissue (Forensic) 82491, 80103 80375 52415U Trihexyphenidyl Confirmation, Urine (Forensic) 83789 80375 52416B Aripiprazole Confirmation, Blood (Forensic) 83789 80342 52416SP Aripiprazole Confirmation, Serum/Plasma (Forensic) 83789 80342 52418B Iloperidone Confirmation, Blood (Forensic) 83789 80342 52418SP Iloperidone Confirmation, Serum/Plasma (Forensic) 83789 80342 52419B Levamisole Confirmation, Blood (Forensic) 83789 80375 52419SP Levamisole Confirmation, Serum/Plasma (Forensic) 83789 80375 52419U Levamisole Confirmation, Urine (Forensic) 83789 80375 52420B Lacosamide Confirmation, Blood (Forensic) 83789 80339 52420SP Lacosamide Confirmation, Serum/Plasma (Forensic) 83789 80339 52420U Lacosamide Confirmation, Urine (Forensic) 83789 80339 52421B Memantine Confirmation, Blood (Forensic) 83789 80375 52421SP Memantine Confirmation, Serum/Plasma (Forensic) 83789 80375 52421U Memantine Confirmation, Urine (Forensic) 83789 80375 52422B Metaxalone Confirmation, Blood (Forensic) 83789 80369 52422SP Metaxalone Confirmation, Serum/Plasma (Forensic) 83789 80369 52422U Metaxalone Confirmation, Urine (Forensic) 83789 80369 52423B Perphenazine Confirmation, Blood (Forensic) 83789 80342 52423SP Perphenazine Confirmation, Serum/Plasma (Forensic) 83789 80342 52424B Ramelteon and Metabolite Confirmation, Blood 83789 80375 (Forensic) 52424SP Ramelteon and Metabolite Confirmation, 83789 80375 Serum/Plasma (Forensic) 52424U Ramelteon and Metabolite Confirmation, Urine 83789 80375 (Forensic) 52425B Tadalafil Confirmation, Blood (Forensic) 83789 80375 52425SP Tadalafil Confirmation, Serum/Plasma (Forensic) 83789 80375 52425U Tadalafil Confirmation, Urine (Forensic) 83789 80375 52426B Tapentadol ‐ Free Confirmation, Blood (Forensic) 83789 80372 52426SP Tapentadol ‐ Free Confirmation, Serum/Plasma 83789 80372 (Forensic) 52426U Tapentadol ‐ Total Confirmation, Urine (Forensic) 83789 80372 52427B Tetrahydrozoline Confirmation, Blood (Forensic) 83789 80375

Page 75 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52427SP Tetrahydrozoline Confirmation, Serum/Plasma 83789 80375 (Forensic) 52427U Tetrahydrozoline Confirmation, Urine (Forensic) 83789 80375 52428B Vardenafil and Metabolite Confirmation, Blood 83789 80375 (Forensic) 52428SP Vardenafil and Metabolite Confirmation, 83789 80375 Serum/Plasma (Forensic) 52428U Vardenafil and Metabolite Confirmation, Urine 83789 80375 (Forensic) 52429B Ziprasidone Confirmation, Blood (Forensic) 83788 80342 52429SP Ziprasidone Confirmation, Serum/Plasma (Forensic) 83788 80342 52430B Methcathinone Confirmation (Qualitative), Blood 83788 80371 (Forensic) 52430SP Methcathinone Confirmation (Qualitative), 83788 80371 Serum/Plasma (Forensic) 52430U Methcathinone Confirmation (Qualitative), Urine 83788 80371 (Forensic) 52431B Psilocin Confirmation (Qualitative), Blood (Forensic) 83788 80323 52431SP Psilocin Confirmation (Qualitative), Serum/Plasma 83788 80323 (Forensic) 52431U Psilocin Confirmation (Qualitative), Urine (Forensic) 83788 80323 52432B PMA Confirmation (Qualitative), Blood (Forensic) 83788 80371 52432SP PMA Confirmation (Qualitative), Serum/Plasma 83788 80371 (Forensic) 52432U PMA Confirmation (Qualitative), Urine (Forensic) 83788 80371 52433SP Benzocaine Confirmation, Serum/Plasma (Forensic) 82542 80375 52433U Benzocaine Confirmation, Urine (Forensic) 82542 80375 52434B MDMA Confirmation, Blood (Forensic) 83789 80359 52434SP MDMA Confirmation, Serum/Plasma (Forensic) 83789 80359 52434U MDMA Confirmation, Urine (Forensic) 83789 80359 52435B Clonidine Confirmation, Blood (Forensic) 83789 80375 52435SP Clonidine Confirmation, Serum/Plasma (Forensic) 83789 80375 52435U Clonidine Confirmation, Urine (Forensic) 83789 80375 52436B Risperidone and Metabolite Confirmation, Blood 83789 80342 (Forensic) 52436SP Risperidone and Metabolite Confirmation, 83789 80342 Serum/Plasma (Forensic)

Page 76 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52436U Risperidone and Metabolite Confirmation, Urine 83789 80342 (Forensic) 52437B Sildenafil and Metabolite Confirmation, Blood 83789 80375 (Forensic) 52437SP Sildenafil and Metabolite Confirmation, Serum/Plasma 83789 80375 (Forensic) 52437U Sildenafil and Metabolite Confirmation, Urine 83789 80375 (Forensic) 52438B Glimepiride Confirmation (Qualitative), Blood 83788 80375 (Forensic) 52438SP Glimepiride Confirmation (Qualitative), Serum/Plasma 83788 80375 (Forensic) 52440B Chlorpheniramine Confirmation, Blood (Forensic) 83789 80375 52440SP Chlorpheniramine Confirmation, Serum/Plasma 83789 80375 (Forensic) 52440U Chlorpheniramine Confirmation, Urine (Forensic) 83789 80375 52441B Diphenhydramine Confirmation, Blood (Forensic) 83789 80375 52441SP Diphenhydramine Confirmation, Serum/Plasma 83789 80375 (Forensic) 52441U Diphenhydramine Confirmation, Urine (Forensic) 83789 80375 52442B Hydroxyzine Confirmation, Blood (Forensic) 83789 80375 52442SP Hydroxyzine Confirmation, Serum/Plasma (Forensic) 83789 80375 52442U Hydroxyzine Confirmation, Urine (Forensic) 83789 80375 52443B Benztropine Confirmation, Blood (Forensic) 83789 80375 52443FL Benztropine Confirmation, Fluid (Forensic) 83789 80375 52443SP Benztropine Confirmation, Serum/Plasma (Forensic) 83789 80375 52443TI Benztropine Confirmation, Tissue (Forensic) 83789, 80103 80375 52443U Benztropine Confirmation, Urine (Forensic) 83789 80375 52444B Buspirone Confirmation, Blood (Forensic) 83789 80375 52444FL Buspirone Confirmation, Fluid (Forensic) 83789 80375 52444SP Buspirone Confirmation, Serum/Plasma (Forensic) 83789 80375 52444TI Buspirone Confirmation, Tissue (Forensic) 83789, 80103 80375 52444U Buspirone Confirmation, Urine (Forensic) 83789 80375 52445B Cyclobenzaprine Confirmation, Blood (Forensic) 83789 80369 52445FL Cyclobenzaprine Confirmation, Fluid (Forensic) 83789 80369 52445SP Cyclobenzaprine Confirmation, Serum/Plasma 83789 80369 (Forensic)

Page 77 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52445TI Cyclobenzaprine Confirmation, Tissue (Forensic) 83789, 80103 80369 52445U Cyclobenzaprine Confirmation, Urine (Forensic) 83789 80369 52446B Promazine Confirmation, Blood (Forensic) 83789 80342 52446FL Promazine Confirmation, Fluid (Forensic) 83789, 80103 80342 52446SP Promazine Confirmation, Serum/Plasma (Forensic) 83789 80342 52446TI Promazine Confirmation, Tissue (Forensic) 83789, 80103 80342 52446U Promazine Confirmation, Urine (Forensic) 83789 80342 52447B Diltiazem Confirmation, Blood (Forensic) 83789 80375 52447FL Diltiazem Confirmation, Fluid (Forensic) 83789 80375 52447SP Diltiazem Confirmation, Serum/Plasma (Forensic) 83789 80375 52447TI Diltiazem Confirmation, Tissue (Forensic) 83789, 80103 80375 52447U Diltiazem Confirmation, Urine (Forensic) 83789 80375 52448B Synthetic Opioids ‐ Free (Unconjugated) Confirmation, 83925 80362 Blood (Forensic) 52448SP Synthetic Opioids ‐ Free (Unconjugated) Confirmation, 83925 80362 Serum/Plasma (Forensic) 52448U Synthetic Opioids ‐ Total (Conjugated/Unconjugated) 83925 80362 Confirmation, Urine (Forensic) 52449B Naltrexone ‐ Free (Unconjugated) Confirmation, Blood 83925 80362 (Forensic) 52449SP Naltrexone ‐ Free (Unconjugated) Confirmation, 83925 80362 Serum/Plasma (Forensic) 52449U Naltrexone ‐ Total (Conjugated/Unconjugated) 83925 80362 Confirmation, Urine (Forensic) 52453B Antihistamines Confirmation Panel 1, Blood (Forensic) 82492 80376 52453FL Antihistamines Confirmation Panel 1, Fluid (Forensic) 82492 80376 52453SP Antihistamines Confirmation Panel 1, Serum/Plasma 82492 80376 (Forensic) 52453TI Antihistamines Confirmation Panel 1, Tissue (Forensic) 82492, 80103 80376 52453U Antihistamines Confirmation Panel 1, Urine (Forensic) 82492 80376 52455B Phenothiazines Confirmation, Blood (Forensic) 84022 80343 52455FL Phenothiazines Confirmation, Fluid (Forensic) 84022 80343 52455SP Phenothiazines Confirmation, Serum/Plasma (Forensic) 84022 80343

52455TI Phenothiazines Confirmation, Tissue (Forensic) 84022, 80103 80342 52455U Phenothiazines Confirmation, Urine (Forensic) 84022 80343 52456B Promethazine Confirmation, Blood (Forensic) 82492 80342

Page 78 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52456FL Promethazine Confirmation, Fluid (Forensic) 82492 80342 52456SP Promethazine Confirmation, Serum/Plasma (Forensic) 82492 80342 52456TI Promethazine Confirmation, Tissue (Forensic) 82492, 80103 80342 52456U Promethazine Confirmation, Urine (Forensic) 82492 80342 52457B Promazine Confirmation, Blood (Forensic) 83789 80342 52458B Barbiturates Confirmation, Blood 82205 80345 52459B Chlorcyclizine Confirmation, Blood (Forensic) 84022 80375 52459FL Chlorcyclizine Confirmation, Fluid (Forensic) 84022 80375 52459SP Chlorcyclizine Confirmation, Serum/Plasma (Forensic) 84022 80375 52459TI Chlorcyclizine Confirmation, Tissue (Forensic) 84022, 80103 80342 52459U Chlorcyclizine Confirmation, Urine (Forensic) 84022 80375 52460B Methapyrilene Confirmation, Blood 82492 80375 52460FL Methapyrilene Confirmation, Fluid 82492 80375 52460SP Methapyrilene Confirmation, Serum/Plasma 82492 80375 52460TI Methapyrilene Confirmation, Tissue 82492, 80103 80375 52460U Methapyrilene Confirmation, Urine 82492 80375 52461B Acetaminophen Confirmation, Blood 82003 80329 52462B Antihistamines Confirmation Panel 2, Blood (Forensic) 82492 80376 52462FL Antihistamines Confirmation Panel 2, Fluid (Forensic) 82492 80376 52462SP Antihistamines Confirmation Panel 2, Serum/Plasma 82492 80376 (Forensic) 52462TI Antihistamines Confirmation Panel 2, Tissue (Forensic) 82492, 80103 80376 52462U Antihistamines Confirmation Panel 2, Urine (Forensic) 82492 80376 52463B Propoxyphene and Metabolite Confirmation, Blood 82542 80367 52463FL Propoxyphene and Metabolite Confirmation, Fluid 82542 80367 52463SP Propoxyphene and Metabolite Confirmation, 82542 80367 Serum/Plasma 52463TI Propoxyphene and Metabolite Confirmation, Tissue 82542, 80103 80367 52463U Propoxyphene and Metabolite Confirmation, Urine 82542 80367 52465B Methadone and Metabolite Confirmation, Blood 83840 80358 52466B Amphetamines Confirmation, Blood 82145 80326, 80359 52467B Antidepressants / Antihistamines Confirmation Panel 82492 80332, 80336, 80338, 1, Blood (Forensic) 80362, 80376 52467FL Antidepressants / Antihistamines Confirmation Panel 82492 80332, 80336, 80338, 1, Fluid (Forensic) 80362, 80376 52467SP Antidepressants / Antihistamines Confirmation Panel 82492 80332, 80336, 80338, 1, Serum/Plasma (Forensic) 80362, 80376

Page 79 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 52467TI Antidepressants / Antihistamines Confirmation Panel 82492, 80103 80362, 80376, 80332, 1, Tissue (Forensic) 80336, 80338 52467U Antidepressants / Antihistamines Confirmation Panel 82492 80332, 80336, 80338, 1, Urine (Forensic) 80362, 80376 52468B Fluphenazine Confirmation, Blood (Forensic) 83789 80342 52468SP Fluphenazine Confirmation, Serum/Plasma (Forensic) 83789 80342 52469B Prochlorperazine Confirmation, Blood (Forensic) 83789 80342 52469SP Prochlorperazine Confirmation, Serum/Plasma 83789 80342 (Forensic) 52470B Trifluoperazine Confirmation, Blood (Forensic) 83789 80342 52470SP Trifluoperazine Confirmation, Serum/Plasma (Forensic) 83789 80342

52471B Amphetamines Confirmation, Blood (Forensic) 82145 80325, 80359 52472B Benzodiazepines Confirmation, Blood (Forensic) 80154 80347 52473B GC Confirmation Set 3, Blood (Forensic) 82492 80332, 80335, 80338, 80362, 80376 52474B GC Confirmation Set 4, Blood (Forensic) 82492 80335, 80362 52475B mCPP Confirmation, Blood (Forensic) 82542 80371 52476B Nitrazepam / Flunitrazepam and Metabolites 80154 80346 Confirmation, Blood (Forensic) 52477B Nitrazepam Confirmation, Blood (Forensic) 80154 80346 52478B Bath Salts Confirmation, Blood (Forensic) 83789 80371 5251H Fentanyl Confirmation (Qualitative), Hair 83925, 80103 80354 53000B Acepromazine Confirmation, Blood (Forensic) 84022 80342 53000FL Acepromazine Confirmation, Fluid (Forensic) 84022 80342 53000SP Acepromazine Confirmation, Serum/Plasma (Forensic) 84022 80342 53000TI Acepromazine Confirmation, Tissue (Forensic) 84022, 80103 80342 53000U Acepromazine Confirmation, Urine (Forensic) 84022 80342 53002B Amantadine Confirmation, Blood (Forensic) 82491 80375 53002FL Amantadine Confirmation, Fluid (Forensic) 82491 80375 53002SP Amantadine Confirmation, Serum/Plasma (Forensic) 82491 80375 53002TI Amantadine Confirmation, Tissue (Forensic) 82491, 80103 80375 53002U Amantadine Confirmation, Urine (Forensic) 82491 80375 53003B Amlodipine Confirmation, Blood (Forensic) 82491 80375 53003FL Amlodipine Confirmation, Fluid (Forensic) 82491 80375 53003SP Amlodipine Confirmation, Serum/Plasma (Forensic) 82491 80375 53003TI Amlodipine Confirmation, Tissue (Forensic) 82491, 80103 80375

Page 80 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53004B Antidepressants Confirmation, Blood (Forensic) 82492 80337, 80338 53004FL Antidepressants Confirmation, Fluid (Forensic) 82492 80337, 80338 53004SP Antidepressants Confirmation, Serum/Plasma 82492 80337, 80338 (Forensic) 53004TI Antidepressants Confirmation, Tissue (Forensic) 82492, 80103 80337, 80338 53004U Antidepressants Confirmation, Urine (Forensic) 82492 80337, 80338 53005B Antihistamines Confirmation, Blood (Forensic) 82492 80377 53005FL Antihistamines Confirmation, Fluid (Forensic) 82492 80377 53005SP Antihistamines Confirmation, Serum/Plasma (Forensic) 82492 80377

53005TI Antihistamines Confirmation, Tissue (Forensic) 82492, 80103 80377 53005U Antihistamines Confirmation, Urine (Forensic) 82492 80377 53006B Antipyrine Confirmation, Blood (Forensic) 83789 80375 53006FL Antipyrine Confirmation, Fluid (Forensic) 83789 80375 53006SP Antipyrine Confirmation, Serum/Plasma (Forensic) 83789 80375 53006TI Antipyrine Confirmation, Tissue (Forensic) 83789, 80103 80375 53006U Antipyrine Confirmation, Urine (Forensic) 83789 80375 53007B Atomoxetine Confirmation, Blood (Forensic) 82542 80338 53007FL Atomoxetine Confirmation, Fluid (Forensic) 82542 80338 53007SP Atomoxetine Confirmation, Serum/Plasma (Forensic) 82542 80338 53007TI Atomoxetine Confirmation, Tissue (Forensic) 82542, 80103 80338 53007U Atomoxetine Confirmation, Urine (Forensic) 82542 80338 53008B Atropine Confirmation, Blood (Forensic) 83789 80323 53008FL Atropine Confirmation, Fluid (Forensic) 83789 80323 53008SP Atropine Confirmation, Serum/Plasma (Forensic) 83789 80323 53008TI Atropine Confirmation, Tissue (Forensic) 83789, 80103 80323 53008U Atropine Confirmation, Urine (Forensic) 83789 80323 53009FL Benztropine Confirmation, Fluid (Forensic) 82491 80375 53009TI Benztropine Confirmation, Tissue (Forensic) 82491, 80103 80375 53009U Benztropine Confirmation, Urine (Forensic) 82491 80375 53010B Biperiden Confirmation, Blood (Forensic) 82491 80375 53010FL Biperiden Confirmation, Fluid (Forensic) 82491 80375 53010SP Biperiden Confirmation, Serum/Plasma (Forensic) 82491 80375 53010TI Biperiden Confirmation, Tissue (Forensic) 82491, 80103 80375 53010U Biperiden Confirmation, Urine (Forensic) 82491 80375 53011B Bupivacaine Confirmation, Blood (Forensic) 82491 80375 53011FL Bupivacaine Confirmation, Fluid (Forensic) 82491 80375

Page 81 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53011SP Bupivacaine Confirmation, Serum/Plasma (Forensic) 82491 80375 53011TI Bupivacaine Confirmation, Tissue (Forensic) 82491, 80103 80375 53011U Bupivacaine Confirmation, Urine (Forensic) 82491 80375 53012B Bupropion and Metabolite Confirmation, Blood 83789 80338 (Forensic) 53012FL Bupropion and Metabolite Confirmation, Fluid 83789 80338 (Forensic) 53012SP Bupropion and Metabolite Confirmation, 83789 80338 Serum/Plasma (Forensic) 53012TI Bupropion and Metabolite Confirmation, Tissue 83789, 80103 80338 (Forensic) 53012U Bupropion and Metabolite Confirmation, Urine 83789 80338 (Forensic) 53013B Buspirone Confirmation, Blood (Forensic) 83789 80375 53013FL Buspirone Confirmation, Fluid (Forensic) 82491 80375 53013SP Buspirone Confirmation, Serum/Plasma (Forensic) 83789 80375 53013TI Buspirone Confirmation, Tissue (Forensic) 82491, 80103 80375 53013U Buspirone Confirmation, Urine (Forensic) 82491 80375 53016B Carbromal Confirmation, Blood (Forensic) 82491 80368 53016FL Carbromal Confirmation, Fluid (Forensic) 82491 80368 53016SP Carbromal Confirmation, Serum/Plasma (Forensic) 82491 80368 53016TI Carbromal Confirmation, Tissue (Forensic) 82491, 80103 80368 53016U Carbromal Confirmation, Urine (Forensic) 82491 80368 53017B Carisoprodol and Metabolite Confirmation, Blood 82542 80369 (Forensic) 53017FL Carisoprodol and Metabolite Confirmation, Fluid 82542 80369 (Forensic) 53017SP Carisoprodol and Metabolite Confirmation, 82492 80369 Serum/Plasma (Forensic) 53017TI Carisoprodol and Metabolite Confirmation, Tissue 82542, 80103 80369 (Forensic) 53017U Carisoprodol and Metabolite Confirmation, Urine 82542 80369 (Forensic) 53018B Cetirizine Confirmation, Blood (Forensic) 82542 80375 53018FL Cetirizine Confirmation, Fluid (Forensic) 82542 80375 53018SP Cetirizine Confirmation, Serum/Plasma (Forensic) 82542 80375 53018TI Cetirizine Confirmation, Tissue (Forensic) 82542, 80103 80375

Page 82 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53018U Cetirizine Confirmation, Urine (Forensic) 82542 80375 53019B Chlorpropamide Confirmation, Blood (Forensic) 82491 80375 53019SP Chlorpropamide Confirmation, Serum/Plasma 82491 80375 (Forensic) 53020B Chlorzoxazone Confirmation, Blood (Forensic) 82491 80369 53020FL Chlorzoxazone Confirmation, Fluid (Forensic) 82491 80369 53020SP Chlorzoxazone Confirmation, Serum/Plasma (Forensic) 82491 80369 53020TI Chlorzoxazone Confirmation, Tissue (Forensic) 82491, 80103 80369 53020U Chlorzoxazone Confirmation, Urine (Forensic) 82491 80369 53021B Citalopram Confirmation, Blood (Forensic) 83789 80332 53021FL Citalopram Confirmation, Fluid (Forensic) 83789 80332 53021SP Citalopram Confirmation, Serum/Plasma (Forensic) 83789 80332 53021TI Citalopram Confirmation, Tissue (Forensic) 83789, 80103 80332 53021U Citalopram Confirmation, Urine (Forensic) 83789 80332 53022B Clemastine Confirmation, Blood (Forensic) 82491 80375 53022FL Clemastine Confirmation, Fluid (Forensic) 82491 80375 53022SP Clemastine Confirmation, Serum/Plasma (Forensic) 82491 80375 53022TI Clemastine Confirmation, Tissue (Forensic) 82491, 80103 80375 53024B Cyclizine Confirmation, Blood (Forensic) 82491 80375 53024FL Cyclizine Confirmation, Fluid (Forensic) 82491 80375 53024SP Cyclizine Confirmation, Serum/Plasma (Forensic) 82491 80375 53024TI Cyclizine Confirmation, Tissue (Forensic) 82491, 80103 80375 53024U Cyclizine Confirmation, Urine (Forensic) 82491 80375 53025B Cyclobenzaprine Confirmation, Blood (Forensic) 83789 80369 53025FL Cyclobenzaprine Confirmation, Fluid (Forensic) 82491 80369 53025SP Cyclobenzaprine Confirmation, Serum/Plasma 83789 80369 (Forensic) 53025TI Cyclobenzaprine Confirmation, Tissue (Forensic) 82491, 80103 80369 53025U Cyclobenzaprine Confirmation, Urine (Forensic) 82491 80369 53026B Cyproheptadine Confirmation, Blood (Forensic) 82491 80375 53026FL Cyproheptadine Confirmation, Fluid (Forensic) 82491 80375 53026SP Cyproheptadine Confirmation, Serum/Plasma 82491 80375 (Forensic) 53026TI Cyproheptadine Confirmation, Tissue (Forensic) 82491, 80103 80375 53026U Cyproheptadine Confirmation, Urine (Forensic) 82491 80375 53028B Dicyclomine Confirmation, Blood (Forensic) 82491 80375 53028FL Dicyclomine Confirmation, Fluid (Forensic) 82491 80375

Page 83 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53028SP Dicyclomine Confirmation, Serum/Plasma (Forensic) 82491 80375 53028TI Dicyclomine Confirmation, Tissue (Forensic) 82491, 80103 80375 53028U Dicyclomine Confirmation, Urine (Forensic) 82491 80375 53029B Diethylpropion Confirmation, Blood (Forensic) 82491 80375 53029FL Diethylpropion Confirmation, Fluid (Forensic) 82491 80375 53029SP Diethylpropion Confirmation, Serum/Plasma (Forensic) 82491 80375

53029TI Diethylpropion Confirmation, Tissue (Forensic) 82491, 80103 80375 53029U Diethylpropion Confirmation, Urine (Forensic) 82491 80375 53030FL Diltiazem Confirmation, Fluid (Forensic) 82491 80375 53030TI Diltiazem Confirmation, Tissue (Forensic) 82491, 80103 80375 53030U Diltiazem Confirmation, Urine (Forensic) 82491 80375 53031B Dimethyltryptamine Confirmation, Blood (Forensic) 82491 80323 53031FL Dimethyltryptamine Confirmation, Fluid (Forensic) 82491 80323 53031SP Dimethyltryptamine Confirmation, Serum/Plasma 82491 80323 (Forensic) 53031TI Dimethyltryptamine Confirmation, Tissue (Forensic) 82491, 80103 80323 53031U Dimethyltryptamine Confirmation, Urine (Forensic) 82491 80323 53032B Diphenoxylate Confirmation, Blood (Forensic) 82491 80375 53032FL Diphenoxylate Confirmation, Fluid (Forensic) 82491 80375 53032SP Diphenoxylate Confirmation, Serum/Plasma (Forensic) 82491 80375 53032TI Diphenoxylate Confirmation, Tissue (Forensic) 82491, 80103 80375 53032U Diphenoxylate Confirmation, Urine (Forensic) 82491 80375 53033B Disopyramide Confirmation, Blood (Forensic) 82491 80375 53033FL Disopyramide Confirmation, Fluid (Forensic) 82491 80375 53033SP Disopyramide Confirmation, Serum/Plasma (Forensic) 82491 80375 53033TI Disopyramide Confirmation, Tissue (Forensic) 82491, 80103 80375 53033U Disopyramide Confirmation, Urine (Forensic) 82491 80375 53034B Donepezil Confirmation, Blood (Forensic) 83789 80375 53034FL Donepezil Confirmation, Fluid (Forensic) 83789 80375 53034SP Donepezil Confirmation, Serum/Plasma (Forensic) 83789 80375 53034TI Donepezil Confirmation, Tissue (Forensic) 83789, 80103 80375 53034U Donepezil Confirmation, Urine (Forensic) 83789 80375 53035B Dothiepin Confirmation, Blood (Forensic) 82491 80335 53035FL Dothiepin Confirmation, Fluid (Forensic) 82491 80335 53035SP Dothiepin Confirmation, Serum/Plasma (Forensic) 82491 80335 53035TI Dothiepin Confirmation, Tissue (Forensic) 82491, 80103 80335

Page 84 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53036B Duloxetine Confirmation, Blood (Forensic) 83789 80332 53036FL Duloxetine Confirmation, Fluid (Forensic) 83789 80332 53036SP Duloxetine Confirmation, Serum/Plasma (Forensic) 83789 80332 53036TI Duloxetine Confirmation, Tissue (Forensic) 83789, 80103 80332 53038B Eszopiclone/Zopiclone Confirmation, Blood (Forensic) 83789 80368 53038FL Eszopiclone/Zopiclone Confirmation, Fluid (Forensic) 83789 80368 53038SP Eszopiclone/Zopiclone Confirmation, Serum/Plasma 83789 80368 (Forensic) 53038TI Eszopiclone/Zopiclone Confirmation, Tissue (Forensic) 83789, 80103 80368 53038U Eszopiclone/Zopiclone Confirmation, Urine (Forensic) 83789 80368 53039B Ethinamate Confirmation, Blood (Forensic) 82491 80368 53039FL Ethinamate Confirmation, Fluid (Forensic) 82491 80368 53039SP Ethinamate Confirmation, Serum/Plasma (Forensic) 82491 80368 53039TI Ethinamate Confirmation, Tissue (Forensic) 82491, 80103 80368 53039U Ethinamate Confirmation, Urine (Forensic) 82491 80368 53041B Ethotoin Confirmation, Blood (Forensic) 82491 80339 53041FL Ethotoin Confirmation, Fluid (Forensic) 82491 80339 53041SP Ethotoin Confirmation, Serum/Plasma (Forensic) 82491 80339 53041TI Ethotoin Confirmation, Tissue (Forensic) 82491, 80103 80339 53041U Ethotoin Confirmation, Urine (Forensic) 82491 80339 53042B Ethylmorphine Confirmation, Blood (Forensic) 83925 80361 53042FL Ethylmorphine Confirmation, Fluid (Forensic) 83925 80361 53042SP Ethylmorphine Confirmation, Serum/Plasma (Forensic) 83925 80361

53042TI Ethylmorphine Confirmation, Tissue (Forensic) 83925, 80103 80361 53042U Ethylmorphine Confirmation, Urine (Forensic) 83925 80361 53043B Etomidate Confirmation, Blood (Forensic) 82542 80375 53043FL Etomidate Confirmation, Fluid (Forensic) 82542 80375 53043SP Etomidate Confirmation, Serum/Plasma (Forensic) 82542 80375 53043TI Etomidate Confirmation, Tissue (Forensic) 82542, 80103 80375 53044B Felodipine Confirmation, Blood (Forensic) 82491 80375 53044FL Felodipine Confirmation, Fluid (Forensic) 82491 80375 53044SP Felodipine Confirmation, Serum/Plasma (Forensic) 82491 80375 53044TI Felodipine Confirmation, Tissue (Forensic) 82491, 80103 80375 53045B Fenfluramine and Metabolite Confirmation, Blood 82492 80375 (Forensic)

Page 85 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53045FL Fenfluramine and Metabolite Confirmation, Fluid 82492 80375 (Forensic) 53045SP Fenfluramine and Metabolite Confirmation, 82492 80375 Serum/Plasma (Forensic) 53045TI Fenfluramine and Metabolite Confirmation, Tissue 82492, 80103 80375 (Forensic) 53045U Fenfluramine and Metabolite Confirmation, Urine 82492 80375 (Forensic) 53047B Flecainide Confirmation, Blood (Forensic) 82491 80375 53047FL Flecainide Confirmation, Fluid (Forensic) 82491 80375 53047SP Flecainide Confirmation, Serum/Plasma (Forensic) 82491 80375 53047TI Flecainide Confirmation, Tissue (Forensic) 82491, 80103 80375 53047U Flecainide Confirmation, Urine (Forensic) 82491 80375 53048B Flunitrazepam and Metabolites Confirmation, Blood 80154 80346 (Forensic) 53048FL Flunitrazepam and Metabolites Confirmation, Fluid 80154 80346 (Forensic) 53048SP Flunitrazepam and Metabolites Confirmation, 80154 80346 Serum/Plasma (Forensic) 53048TI Flunitrazepam and Metabolites Confirmation, Tissue 80154, 80103 80346 (Forensic) 53048U Flunitrazepam and Metabolites Confirmation, Urine 80154 80346 (Forensic) 53049B Fluvoxamine Confirmation, Blood (Forensic) 82491 80332 53049FL Fluvoxamine Confirmation, Fluid (Forensic) 82491 80332 53049SP Fluvoxamine Confirmation, Serum/Plasma (Forensic) 82491 80332 53049TI Fluvoxamine Confirmation, Tissue (Forensic) 82491, 80103 80332 53049U Fluvoxamine Confirmation, Urine (Forensic) 82491 80332 53050B Gemfibrozil Confirmation, Blood (Forensic) 82491 80375 53050FL Gemfibrozil Confirmation, Fluid (Forensic) 82491 80375 53050SP Gemfibrozil Confirmation, Serum/Plasma (Forensic) 82491 80375 53050TI Gemfibrozil Confirmation, Tissue (Forensic) 82491, 80103 80375 53050U Gemfibrozil Confirmation, Urine (Forensic) 82491 80375 53051B Glutethimide Confirmation, Blood (Forensic) 82980 80368 53051FL Glutethimide Confirmation, Fluid (Forensic) 82980 80368 53051SP Glutethimide Confirmation, Serum/Plasma (Forensic) 82980 80368 53051TI Glutethimide Confirmation, Tissue (Forensic) 82980, 80103 80368

Page 86 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53052B Guaifenesin Confirmation, Blood (Forensic) 82491 80375 53052FL Guaifenesin Confirmation, Fluid (Forensic) 82491 80375 53052SP Guaifenesin Confirmation, Serum/Plasma (Forensic) 82491 80375 53052TI Guaifenesin Confirmation, Tissue (Forensic) 82491, 80103 80375 53052U Guaifenesin Confirmation, Urine (Forensic) 82491 80375 53053B Haloperidol Confirmation, Blood (Forensic) 83789 80173 53053FL Haloperidol Confirmation, Fluid (Forensic) 83789 80173 53053SP Haloperidol Confirmation, Serum/Plasma (Forensic) 83789 80173 53053TI Haloperidol Confirmation, Tissue (Forensic) 83789, 80103 80173 53054B Hexobarbital Confirmation, Blood (Forensic) 82205 80345 53054FL Hexobarbital Confirmation, Fluid (Forensic) 82205 80345 53054SP Hexobarbital Confirmation, Serum/Plasma (Forensic) 82205 80345 53054TI Hexobarbital Confirmation, Tissue (Forensic) 82205, 80103 80345 53055B Hydrastine Confirmation, Blood (Forensic) 82491 80375 53055FL Hydrastine Confirmation, Fluid (Forensic) 82491 80375 53055SP Hydrastine Confirmation, Serum/Plasma (Forensic) 82491 80375 53055TI Hydrastine Confirmation, Tissue (Forensic) 82491, 80103 80375 53056B Hydroxychloroquine Confirmation, Blood (Forensic) 83789 80375 53056FL Hydroxychloroquine Confirmation, Fluid (Forensic) 83789 80375 53056SP Hydroxychloroquine Confirmation, Serum/Plasma 83789 80375 (Forensic) 53056TI Hydroxychloroquine Confirmation, Tissue (Forensic) 83789, 80103 80375 53056U Hydroxychloroquine Confirmation, Urine (Forensic) 83789 80375 53058B Ketamine and Metabolite Confirmation, Blood 82542 80357 (Forensic) 53058FL Ketamine and Metabolite Confirmation, Fluid 82542 80357 (Forensic) 53058SP Ketamine and Metabolite Confirmation, Serum/Plasma 82542 80357 (Forensic) 53058TI Ketamine and Metabolite Confirmation, Tissue 82542, 80103 80357 (Forensic) 53058U Ketamine and Metabolite Confirmation, Urine 82542 80357 (Forensic) 53060FL Levetiracetam Confirmation, Fluid (Forensic) 80183 80177 53061B Dextrorphan / Levorphanol Confirmation, Blood 83925 80362 (Forensic)

Page 87 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53061FL Dextrorphan / Levorphanol Confirmation, Fluid 83925 80362 (Forensic) 53061SP Dextrorphan / Levorphanol Confirmation, 83925 80362 Serum/Plasma (Forensic) 53061TI Dextrorphan / Levorphanol Confirmation, Tissue 83925, 80103 80362 (Forensic) 53061U Dextrorphan / Levorphanol Confirmation, Urine 83925 80362 (Forensic) 53063B Loratadine and Metabolite Confirmation, Blood 82492 80375 (Forensic) 53063FL Loratadine and Metabolite Confirmation, Fluid 82492 80375 (Forensic) 53063SP Loratadine and Metabolite Confirmation, 82492 80375 Serum/Plasma (Forensic) 53063TI Loratadine and Metabolite Confirmation, Tissue 82492, 80103 80375 (Forensic) 53063U Loratadine and Metabolite Confirmation, Urine 82492 80375 (Forensic) 53064B Loxapine Confirmation, Blood (Forensic) 82491 80342 53064FL Loxapine Confirmation, Fluid (Forensic) 82491 80342 53064SP Loxapine Confirmation, Serum/Plasma (Forensic) 82491 80342 53064TI Loxapine Confirmation, Tissue (Forensic) 82491, 80103 80342 53064U Loxapine Confirmation, Urine (Forensic) 82491 80342 53065B LSD Confirmation, Blood (Forensic) 83789 80323 53065FL LSD Confirmation, Fluid (Forensic) 83789 80323 53065SP LSD Confirmation, Serum/Plasma (Forensic) 83789 80323 53065TI LSD Confirmation, Tissue (Forensic) 83789, 80103 80323 53065U LSD Confirmation, Urine (Forensic) 83789 80323 53066B Meclizine Confirmation, Blood (Forensic) 83789 80375 53066FL Meclizine Confirmation, Fluid (Forensic) 83789 80375 53066SP Meclizine Confirmation, Serum/Plasma (Forensic) 83789 80375 53066TI Meclizine Confirmation, Tissue (Forensic) 83789, 80103 80375 53067B Mefloquine Confirmation, Blood (Forensic) 83789 80375 53067SP Mefloquine Confirmation, Serum/Plasma (Forensic) 83789 80375 53068B Meperidine and Metabolite Confirmation, Blood 83925 80362 (Forensic)

Page 88 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53068FL Meperidine and Metabolite Confirmation, Fluid 83925 80362 (Forensic) 53068SP Meperidine and Metabolite Confirmation, 83925 80362 Serum/Plasma (Forensic) 53068TI Meperidine and Metabolite Confirmation, Tissue 83925, 80103 80362 (Forensic) 53068U Meperidine and Metabolite Confirmation, Urine 83925 80362 (Forensic) 53069B Mephenytoin and Metabolite Confirmation, Blood 82492 80339 (Forensic) 53069FL Mephenytoin and Metabolite Confirmation, Fluid 82492 80339 (Forensic) 53069SP Mephenytoin and Metabolite Confirmation, 82492 80339 Serum/Plasma (Forensic) 53069TI Mephenytoin and Metabolite Confirmation, Tissue 82492, 80103 80339 (Forensic) 53069U Mephenytoin and Metabolite Confirmation, Urine 82492 80339 (Forensic) 53070B Mephobarbital and Metabolite Confirmation, Blood 82205 80345 (Forensic) 53070FL Mephobarbital and Metabolite Confirmation, Fluid 82205 80345 (Forensic) 53070SP Mephobarbital and Metabolite Confirmation, 82205 80345 Serum/Plasma (Forensic) 53070TI Mephobarbital and Metabolite Confirmation, Tissue 82205, 80103 80345 (Forensic) 53070U Mephobarbital and Metabolite Confirmation, Urine 82205 80345 (Forensic) 53071B Mepivacaine Confirmation, Blood (Forensic) 82491 80375 53071FL Mepivacaine Confirmation, Fluid (Forensic) 82491 80375 53071SP Mepivacaine Confirmation, Serum/Plasma (Forensic) 82491 80375 53071TI Mepivacaine Confirmation, Tissue (Forensic) 82491, 80103 80375 53071U Mepivacaine Confirmation, Urine (Forensic) 82491 80375 53072B Mescaline Confirmation, Blood (Forensic) 82491 80323 53072FL Mescaline Confirmation, Fluid (Forensic) 82491 80323 53072SP Mescaline Confirmation, Serum/Plasma (Forensic) 82491 80323 53072TI Mescaline Confirmation, Tissue (Forensic) 82491, 80103 80323

Page 89 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53072U Mescaline Confirmation, Urine (Forensic) 82491 80323 53073B Methaqualone Confirmation, Blood (Forensic) 82542 80368 53073FL Methaqualone Confirmation, Fluid (Forensic) 82542 80368 53073SP Methaqualone Confirmation, Serum/Plasma (Forensic) 82542 80368 53073TI Methaqualone Confirmation, Tissue (Forensic) 82542, 80103 80368 53073U Methaqualone Confirmation, Urine (Forensic) 82542 80368 53074B Metharbital and Metabolite Confirmation, Blood 82205 80345 (Forensic) 53074FL Metharbital and Metabolite Confirmation, Fluid 82205 80345 (Forensic) 53074SP Metharbital and Metabolite Confirmation, 82205 80345 Serum/Plasma (Forensic) 53074TI Metharbital and Metabolite Confirmation, Tissue 82205, 80103 80345 (Forensic) 53074U Metharbital and Metabolite Confirmation, Urine 82205 80345 (Forensic) 53075B Methcathinone (CAT) Confirmation, Blood (Forensic) 82542 80371 53075FL Methcathinone (CAT) Confirmation, Fluid (Forensic) 82542 80371 53075SP Methcathinone (CAT) Confirmation, Serum/Plasma 82542 80371 (Forensic) 53075TI Methcathinone (CAT) Confirmation, Tissue (Forensic) 82542, 80103 80371 53075U Methcathinone (CAT) Confirmation, Urine (Forensic) 82542 80371 53076B Methocarbamol Confirmation, Blood (Forensic) 82491 80369 53076FL Methocarbamol Confirmation, Fluid (Forensic) 82491 80369 53076SP Methocarbamol Confirmation, Serum/Plasma 82491 80369 (Forensic) 53076TI Methocarbamol Confirmation, Tissue (Forensic) 82491, 80103 80369 53076U Methocarbamol Confirmation, Urine (Forensic) 82491 80369 53077B Methotrimeprazine Confirmation, Blood (Forensic) 84022 80342 53077FL Methotrimeprazine Confirmation, Fluid (Forensic) 84022 80342 53077SP Methotrimeprazine Confirmation, Serum/Plasma 84022 80342 (Forensic) 53077TI Methotrimeprazine Confirmation, Tissue (Forensic) 84022, 80103 80342 53078B Methsuximide as Metabolite Confirmation, Blood 83858 80375 (Forensic) 53078FL Methsuximide as Metabolite Confirmation, Fluid 83858 80339 (Forensic)

Page 90 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53078SP Methsuximide as Metabolite Confirmation, 83858 80339 Serum/Plasma (Forensic) 53078TI Methsuximide as Metabolite Confirmation, Tissue 83858, 80103 80339 (Forensic) 53078U Methsuximide as Metabolite Confirmation, Urine 83858 80339 (Forensic) 53079B Methylphenidate and Metabolite Confirmation, Blood 83789 80360 (Forensic) 53079FL Methylphenidate and Metabolite Confirmation, Fluid 83789 80360 (Forensic) 53079SP Methylphenidate and Metabolite Confirmation, 83789 80360 Serum/Plasma (Forensic) 53079TI Methylphenidate and Metabolite Confirmation, Tissue 83789, 80103 80360 (Forensic) 53079U Methylphenidate and Metabolite Confirmation, Urine 83789 80360 (Forensic) 53080B Methyprylon Confirmation, Blood (Forensic) 82491 80368 53080FL Methyprylon Confirmation, Fluid (Forensic) 82491 80368 53080SP Methyprylon Confirmation, Serum/Plasma (Forensic) 82491 80368 53080TI Methyprylon Confirmation, Tissue (Forensic) 82491, 80103 80368 53080U Methyprylon Confirmation, Urine (Forensic) 82491 80368 53081B Metoclopramide Confirmation, Blood (Forensic) 82491 80375 53081FL Metoclopramide Confirmation, Fluid (Forensic) 82491 80375 53081SP Metoclopramide Confirmation, Serum/Plasma 82491 80375 (Forensic) 53081TI Metoclopramide Confirmation, Tissue (Forensic) 82491, 80103 80375 53081U Metoclopramide Confirmation, Urine (Forensic) 82491 80375 53082B Metoprolol Confirmation, Blood (Forensic) 83789 80375 53082FL Metoprolol Confirmation, Fluid (Forensic) 83789 80375 53082SP Metoprolol Confirmation, Serum/Plasma (Forensic) 83789 80375 53082TI Metoprolol Confirmation, Tissue (Forensic) 83789, 80103 80375 53082U Metoprolol Confirmation, Urine (Forensic) 83789 80375 53083B Mexiletine Confirmation, Blood (Forensic) 82491 80375 53083FL Mexiletine Confirmation, Fluid (Forensic) 82491 80375 53083SP Mexiletine Confirmation, Serum/Plasma (Forensic) 82491 80375 53083TI Mexiletine Confirmation, Tissue (Forensic) 82491, 80103 80375 53083U Mexiletine Confirmation, Urine (Forensic) 82491 80375

Page 91 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53084B Molindone Confirmation, Blood (Forensic) 83789 80342 53084FL Molindone Confirmation, Fluid (Forensic) 83789 80342 53084SP Molindone Confirmation, Serum/Plasma (Forensic) 83789 80342 53084TI Molindone Confirmation, Tissue (Forensic) 83789, 80103 80342 53084U Molindone Confirmation, Urine (Forensic) 83789 80342 53086B Nicardipine Confirmation, Blood (Forensic) 82491 80375 53086FL Nicardipine Confirmation, Fluid (Forensic) 82491 80375 53086SP Nicardipine Confirmation, Serum/Plasma (Forensic) 82491 80375 53086TI Nicardipine Confirmation, Tissue (Forensic) 82491, 80103 80375 53087B Nicotine and Metabolite Confirmation, Blood 83887 80323 (Forensic) 53087FL Nicotine and Metabolite Confirmation, Fluid (Forensic) 83887 80323

53087SP Nicotine and Metabolite Confirmation, Serum/Plasma 83887 80323 (Forensic) 53087TI Nicotine and Metabolite Confirmation, Tissue 83887, 80103 80323 (Forensic) 53087U Nicotine and Metabolite with Anabasine Confirmation, 83887 80323 Urine (Forensic) 53088B Nifedipine Confirmation, Blood (Forensic) 82491 80375 53088FL Nifedipine Confirmation, Fluid (Forensic) 82491 80375 53088SP Nifedipine Confirmation, Serum/Plasma (Forensic) 82491 80375 53088TI Nifedipine Confirmation, Tissue (Forensic) 82491, 80103 80375 53090B Ibuprofen / Naproxen Confirmation, Blood (Forensic) 82492 80329 53090FL Ibuprofen / Naproxen Confirmation, Fluid (Forensic) 82492 80329 53090SP Ibuprofen / Naproxen Confirmation, Serum/Plasma 82492 80329 (Forensic) 53090TI Ibuprofen / Naproxen Confirmation, Tissue (Forensic) 82492, 80103 80329 53090U Ibuprofen / Naproxen Confirmation, Urine (Forensic) 82492 80329 53091B Olanzapine Confirmation, Blood (Forensic) 82491 80342 53091FL Olanzapine Confirmation, Fluid (Forensic) 82491 80342 53091SP Olanzapine Confirmation, Serum/Plasma (Forensic) 82491 80342 53091TI Olanzapine Confirmation, Tissue (Forensic) 82491, 80103 80342 53091U Olanzapine Confirmation, Urine (Forensic) 82491 80342 53092B Synthetic Opioids ‐ Free (Unconjugated) Confirmation, 83925 80362 Blood (Forensic)

Page 92 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53092FL Synthetic Opioids ‐ Free (Unconjugated) Confirmation, 83925 80362 Fluid (Forensic) 53092SP Synthetic Opioids ‐ Free (Unconjugated) Confirmation, 83925 80362 Serum/Plasma (Forensic) 53092TI Synthetic Opioids ‐ Total (Conjugated/Unconjugated) 83925, 80103 80362 Confirmation, Tissue (Forensic) 53092U Synthetic Opioids ‐ Total (Conjugated/Unconjugated) 83925 80362 Confirmation, Urine (Forensic) 53093FL Oxcarbazepine/Eslicarbazepine Acetate as Metabolite 82491 80183 Confirmation, Fluid (Forensic) 53094B Oxybutynin Confirmation, Blood (Forensic) 82491 80375 53094FL Oxybutynin Confirmation, Fluid (Forensic) 82491 80375 53094SP Oxybutynin Confirmation, Serum/Plasma (Forensic) 82491 80375 53094TI Oxybutynin Confirmation, Tissue (Forensic) 82491, 80103 80375 53095B Papaverine Confirmation, Blood (Forensic) 82491 80323 53095FL Papaverine Confirmation, Fluid (Forensic) 82491 80323 53095SP Papaverine Confirmation, Serum/Plasma (Forensic) 82491 80323 53095TI Papaverine Confirmation, Tissue (Forensic) 82491, 80103 80323 53095U Papaverine Confirmation, Urine (Forensic) 82491 80323 53096B Paroxetine Confirmation, Blood (Forensic) 83789 80332 53096FL Paroxetine Confirmation, Fluid (Forensic) 83789 80332 53096SP Paroxetine Confirmation, Serum/Plasma (Forensic) 83789 80332 53096TI Paroxetine Confirmation, Tissue (Forensic) 83789, 80103 80332 53096U Paroxetine Confirmation, Urine (Forensic) 83789 80332 53097B Pentazocine Confirmation, Blood (Forensic) 83925 80362 53097FL Pentazocine Confirmation, Fluid (Forensic) 83925 80362 53097SP Pentazocine Confirmation, Serum/Plasma (Forensic) 83925 80362 53097TI Pentazocine Confirmation, Tissue (Forensic) 83925, 80103 80362 53097U Pentazocine Confirmation, Urine (Forensic) 83925 80362 53098B Pentoxifylline Confirmation, Blood (Forensic) 82491 80375 53098FL Pentoxifylline Confirmation, Fluid (Forensic) 82491 80375 53098SP Pentoxifylline Confirmation, Serum/Plasma (Forensic) 82491 80375 53098TI Pentoxifylline Confirmation, Tissue (Forensic) 82491, 80103 80375 53098U Pentoxifylline Confirmation, Urine (Forensic) 82491 80375 53099B Pergolide Confirmation, Blood (Forensic) 82491 80375 53099FL Pergolide Confirmation, Fluid (Forensic) 82491 80375 53099SP Pergolide Confirmation, Serum/Plasma (Forensic) 82491 80375

Page 93 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53099TI Pergolide Confirmation, Tissue (Forensic) 82491, 80103 80375 53099U Pergolide Confirmation, Urine (Forensic) 82491 80375 53100B Phenacetin and Metabolite Confirmation, Blood 82492 80329 (Forensic) 53100FL Phenacetin and Metabolite Confirmation, Fluid 82492 80329 (Forensic) 53100SP Phenacetin and Metabolite Confirmation, 82492 80329 Serum/Plasma (Forensic) 53100TI Phenacetin and Metabolite Confirmation, Tissue 82492, 80103 80329 (Forensic) 53100U Phenacetin and Metabolite Confirmation, Urine 82492 80329 (Forensic) 53101B Phenothiazines Confirmation, Blood (Forensic) 84022 80344 53101FL Phenothiazines Confirmation, Fluid (Forensic) 84022 80344 53101SP Phenothiazines Confirmation, Serum/Plasma (Forensic) 84022 80344

53101TI Phenothiazines Confirmation, Tissue (Forensic) 84022, 80103 80342 53101U Phenothiazines Confirmation, Urine (Forensic) 84022 80344 53102B Phensuximide Confirmation, Blood (Forensic) 82491 80339 53102FL Phensuximide Confirmation, Fluid (Forensic) 82491 80339 53102SP Phensuximide Confirmation, Serum/Plasma (Forensic) 82491 80339 53102TI Phensuximide Confirmation, Tissue (Forensic) 82491, 80103 80339 53102U Phensuximide Confirmation, Urine (Forensic) 82491 80339 53103B Phenylbutazone and Metabolite Confirmation, Blood 82492 80329 (Forensic) 53103FL Phenylbutazone and Metabolite Confirmation, Fluid 82492 80329 (Forensic) 53103SP Phenylbutazone and Metabolite Confirmation, 82492 80329 Serum/Plasma (Forensic) 53103TI Phenylbutazone and Metabolite Confirmation, Tissue 82492, 80103 80329 (Forensic) 53103U Phenylbutazone and Metabolite Confirmation, Urine 82492 80329 (Forensic) 53104B Phenyltoloxamine Confirmation, Blood (Forensic) 82542 80375 53104FL Phenyltoloxamine Confirmation, Fluid (Forensic) 82542 80375 53104SP Phenyltoloxamine Confirmation, Serum/Plasma 82542 80375 (Forensic)

Page 94 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53104TI Phenyltoloxamine Confirmation, Tissue (Forensic) 82542, 80103 80375 53104U Phenyltoloxamine Confirmation, Urine (Forensic) 82542 80375 53106B Primidone, Phenobarbital and PEMA Confirmation, 80188 80184, 80188 Blood (Forensic) 53106FL Primidone, Phenobarbital and PEMA Confirmation, 80188 80184, 80188 Fluid (Forensic) 53106SP Primidone, Phenobarbital and PEMA Confirmation, 80188 80184, 80188 Serum/Plasma (Forensic) 53106TI Primidone, Phenobarbital and PEMA Confirmation, 80188, 80103 80184, 80188 Tissue (Forensic) 53106U Primidone, Phenobarbital and PEMA Confirmation, 80188 80184, 80188 Urine (Forensic) 53108B Propafenone Confirmation, Blood (Forensic) 82491 80375 53108FL Propafenone Confirmation, Fluid (Forensic) 82491 80375 53108SP Propafenone Confirmation, Serum/Plasma (Forensic) 82491 80375 53108TI Propafenone Confirmation, Tissue (Forensic) 82491, 80103 80375 53108U Propafenone Confirmation, Urine (Forensic) 82491 80375 53110B Pyrimethamine Confirmation, Blood (Forensic) 82491 80375 53110FL Pyrimethamine Confirmation, Fluid (Forensic) 82491 80375 53110SP Pyrimethamine Confirmation, Serum/Plasma (Forensic) 82491 80375

53110TI Pyrimethamine Confirmation, Tissue (Forensic) 82491, 80103 80375 53110U Pyrimethamine Confirmation, Urine (Forensic) 82491 80375 53112B Quetiapine Confirmation, Blood (Forensic) 83789 80342 53112FL Quetiapine Confirmation, Fluid (Forensic) 83789 80342 53112SP Quetiapine Confirmation, Serum/Plasma (Forensic) 83789 80342 53112TI Quetiapine Confirmation, Tissue (Forensic) 83789, 80103 80342 53112U Quetiapine Confirmation, Urine (Forensic) 83789 80342 53115B Scopolamine Confirmation, Blood (Forensic) 83789 80323 53115FL Scopolamine Confirmation, Fluid (Forensic) 83789 80323 53115SP Scopolamine Confirmation, Serum/Plasma (Forensic) 83789 80323 53115TI Scopolamine Confirmation, Tissue (Forensic) 83789, 80103 80323 53115U Scopolamine Confirmation, Urine (Forensic) 83789 80323 53116B Sertraline and Desmethylsertraline Confirmation, 83789 80332 Blood (Forensic) 53116FL Sertraline and Desmethylsertraline Confirmation, Fluid 82491 80332 (Forensic)

Page 95 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53116SP Sertraline and Desmethylsertraline Confirmation, 83789 80332 Serum/Plasma (Forensic) 53116TI Sertraline and Desmethylsertraline Confirmation, 83789, 80103 80332 Tissue (Forensic) 53116U Sertraline Confirmation, Urine (Forensic) 82491 80332 53117B Strychnine Confirmation, Blood (Forensic) 82491 80323 53117FL Strychnine Confirmation, Fluid (Forensic) 82491 80323 53117SP Strychnine Confirmation, Serum/Plasma (Forensic) 82491 80323 53117TI Strychnine Confirmation, Tissue (Forensic) 82491, 80103 80323 53117U Strychnine Confirmation, Urine (Forensic) 82491 80323 53118B Talbutal Confirmation, Blood (Forensic) 82205 80345 53118FL Talbutal Confirmation, Fluid (Forensic) 82205 80345 53118SP Talbutal Confirmation, Serum/Plasma (Forensic) 82205 80345 53118TI Talbutal Confirmation, Tissue (Forensic) 82205, 80103 80345 53118U Talbutal Confirmation, Urine (Forensic) 82205 80345 53119B Tamoxifen and Metabolite Confirmation, Blood 83789 80375 (Forensic) 53119SP Tamoxifen and Metabolite Confirmation, 83789 80375 Serum/Plasma (Forensic) 53120B Theobromine Confirmation, Blood (Forensic) 82491 80375 53120FL Theobromine Confirmation, Fluid (Forensic) 82491 80375 53120SP Theobromine Confirmation, Serum/Plasma (Forensic) 82491 80375 53120TI Theobromine Confirmation, Tissue (Forensic) 82491, 80103 80375 53120U Theobromine Confirmation, Urine (Forensic) 82491 80375 53122B Thiopental and Metabolite Confirmation, Blood 82205 80345 (Forensic) 53122FL Thiopental and Metabolite Confirmation, Fluid 82205 80345 (Forensic) 53122SP Thiopental and Metabolite Confirmation, 82205 80345 Serum/Plasma (Forensic) 53122TI Thiopental and Metabolite Confirmation, Tissue 82205, 80103 80345 (Forensic) 53122U Thiopental and Metabolite Confirmation, Urine 82205 80345 (Forensic) 53123B Thiothixene (Cis Isomer) Confirmation, Blood (Forensic) 82491 80342

Page 96 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53123FL Thiothixene (Cis Isomer) Confirmation, Fluid (Forensic) 82491 80342

53123SP Thiothixene (Cis Isomer) Confirmation, Serum/Plasma 82491 80342 (Forensic) 53123TI Thiothixene (Cis Isomer) Confirmation, Tissue 82491, 80103 80342 (Forensic) 53123U Thiothixene (Cis Isomer) Confirmation, Urine (Forensic) 82491 80342

53124B Ticlopidine Confirmation, Blood (Forensic) 82491 80375 53124FL Ticlopidine Confirmation, Fluid (Forensic) 82491 80375 53124SP Ticlopidine Confirmation, Serum/Plasma (Forensic) 82491 80375 53124TI Ticlopidine Confirmation, Tissue (Forensic) 82491, 80103 80375 53125B Tiletamine Confirmation, Blood (Forensic) 82491 80375 53125FL Tiletamine Confirmation, Fluid (Forensic) 82491 80375 53125SP Tiletamine Confirmation, Serum/Plasma (Forensic) 82491 80375 53125TI Tiletamine Confirmation, Tissue (Forensic) 82491, 80103 80375 53125U Tiletamine Confirmation, Urine (Forensic) 82491 80375 53126B Timolol Confirmation, Blood (Forensic) 83789 80375 53126FL Timolol Confirmation, Fluid (Forensic) 83789 80375 53126SP Timolol Confirmation, Serum/Plasma (Forensic) 83789 80375 53126TI Timolol Confirmation, Tissue (Forensic) 83789, 80103 80375 53126U Timolol Confirmation, Urine (Forensic) 83789 80375 53127B Topiramate Confirmation, Blood (Forensic) 83789 80201 53127SP Topiramate Confirmation, Serum/Plasma (Forensic) 83789 80201 53127U Topiramate Confirmation, Urine (Forensic) 83789 80201 53128B Tramadol and Metabolite Confirmation, Blood 83789 80373 (Forensic) 53128FL Tramadol and Metabolite Confirmation, Fluid 83789 80373 (Forensic) 53128SP Tramadol and Metabolite Confirmation, Serum/Plasma 83789 80373 (Forensic) 53128TI Tramadol and Metabolite Confirmation, Tissue 83789, 80103 80373 (Forensic) 53128U Tramadol and Metabolite Confirmation, Urine 83789 80373 (Forensic) 53129B Trihexyphenidyl Confirmation, Blood (Forensic) 82491 80375 53129FL Trihexyphenidyl Confirmation, Fluid (Forensic) 82491 80375

Page 97 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53129SP Trihexyphenidyl Confirmation, Serum/Plasma 82491 80375 (Forensic) 53129TI Trihexyphenidyl Confirmation, Tissue (Forensic) 82491, 80103 80375 53129U Trihexyphenidyl Confirmation, Urine (Forensic) 82491 80375 53130B Trimethobenzamide Confirmation, Blood (Forensic) 82491 80375 53130FL Trimethobenzamide Confirmation, Fluid (Forensic) 82491 80375 53130SP Trimethobenzamide Confirmation, Serum/Plasma 82491 80375 (Forensic) 53130TI Trimethobenzamide Confirmation, Tissue (Forensic) 82491, 80103 80375 53130U Trimethobenzamide Confirmation, Urine (Forensic) 82491 80375 53132B Venlafaxine and Metabolite Confirmation, Blood 83789 80338 (Forensic) 53132FL Venlafaxine and Metabolite Confirmation, Fluid 83789 80338 (Forensic) 53132SP Venlafaxine and Metabolite Confirmation, 83789 80338 Serum/Plasma (Forensic) 53132TI Venlafaxine and Metabolite Confirmation, Tissue 83789, 80103 80338 (Forensic) 53132U Venlafaxine and Metabolite Confirmation, Urine 83789 80338 (Forensic) 53134B Warfarin Confirmation, Blood (Forensic) 82491 80375 53134FL Warfarin Confirmation, Fluid (Forensic) 82491 80375 53134SP Warfarin Confirmation, Serum/Plasma (Forensic) 82491 80375 53134TI Warfarin Confirmation, Tissue (Forensic) 82491, 80103 80375 53134U Warfarin Confirmation, Urine (Forensic) 82491 80375 53135B Xylazine Confirmation, Blood (Forensic) 82491 80375 53135FL Xylazine Confirmation, Fluid (Forensic) 82491 80375 53135SP Xylazine Confirmation, Serum/Plasma (Forensic) 82491 80375 53135TI Xylazine Confirmation, Tissue (Forensic) 82491, 80103 80375 53135U Xylazine Confirmation, Urine (Forensic) 82491 80375 53136B Yohimbine Confirmation, Blood (Forensic) 82491 80375 53136FL Yohimbine Confirmation, Fluid (Forensic) 82491 80375 53136SP Yohimbine Confirmation, Serum/Plasma (Forensic) 82491 80375 53136TI Yohimbine Confirmation, Tissue (Forensic) 82491, 80103 80375 53136U Yohimbine Confirmation, Urine (Forensic) 82491 80375 53137B Zaleplon Confirmation, Blood (Forensic) 82491 80368 53137FL Zaleplon Confirmation, Fluid (Forensic) 82491 80368

Page 98 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53137SP Zaleplon Confirmation, Serum/Plasma (Forensic) 82491 80368 53137TI Zaleplon Confirmation, Tissue (Forensic) 82491, 80103 80368 53137U Zaleplon Confirmation, Urine (Forensic) 82491 80368 53138B Zolazepam Confirmation, Blood (Forensic) 80154 80346 53138FL Zolazepam Confirmation, Fluid (Forensic) 80154 80346 53138SP Zolazepam Confirmation, Serum/Plasma (Forensic) 80154 80346 53138TI Zolazepam Confirmation, Tissue (Forensic) 80154, 80103 80346 53138U Zolazepam Confirmation, Urine (Forensic) 80154 80346 53139B Zolpidem Confirmation, Blood (Forensic) 83789 80368 53139FL Zolpidem Confirmation, Fluid (Forensic) 83789 80368 53139SP Zolpidem Confirmation, Serum/Plasma (Forensic) 83789 80368 53139TI Zolpidem Confirmation, Tissue (Forensic) 83789, 80103 80368 53139U Zolpidem Confirmation, Urine (Forensic) 83789 80368 53141B Quinine/Quinidine Differentiation Confirmation, Blood 80194 84228 (Forensic) 53141FL Quinine/Quinidine Differentiation Confirmation, Fluid 80194 84228 (Forensic) 53141SP Quinine/Quinidine Differentiation Confirmation, 80194 84228 Serum/Plasma (Forensic) 53141TI Quinine/Quinidine Differentiation Confirmation, Tissue 80194, 80103 84228 (Forensic) 53141U Quinine/Quinidine Differentiation Confirmation, Urine 80194 84228 (Forensic) 53142B Fentanyl and Metabolite Confirmation, Blood 83925 80354 (Forensic) 53142FL Fentanyl and Metabolite Confirmation, Fluid (Forensic) 83925 80354

53142SP Fentanyl and Metabolite Confirmation, Serum/Plasma 83925 80354 (Forensic) 53142TI Fentanyl and Metabolite Confirmation, Tissue 83925, 80103 80354 (Forensic) 53142U Fentanyl and Metabolite Confirmation, Urine 83925 80354 (Forensic) 53143B Alfentanil and Sufentanil Confirmation, Blood 83925 80354 (Forensic) 53143FL Alfentanil and Sufentanil Confirmation, Fluid (Forensic) 83925 80354

Page 99 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53143SP Alfentanil and Sufentanil Confirmation, Serum/Plasma 83925 80354 (Forensic) 53143TI Alfentanil and Sufentanil Confirmation, Tissue 83925, 80103 80354 (Forensic) 53143U Alfentanil and Sufentanil Confirmation, Urine 83925 80354 (Forensic) 53144FL Gabapentin Confirmation, Fluid (Forensic) 80171 80355 53144TI Gabapentin Confirmation, Tissue (Forensic) 80171, 80103 80335 53144U Gabapentin Confirmation, Urine (Forensic) 80171 80355 53147B Antidepressants / Antihistamines Confirmation Panel 82492 80332, 80336, 80338, 1, Blood (Forensic) 80362, 80376 53147FL Antidepressants / Antihistamines Confirmation Panel 82492 80332, 80336, 80338, 1, Fluid (Forensic) 80362, 80376 53147SP Antidepressants / Antihistamines Confirmation Panel 82492 80332, 80336, 80338, 1, Serum/Plasma (Forensic) 80362, 80376 53147TI Antidepressants / Antihistamines Confirmation Panel 82492, 80103 80362, 80376, 80332, 1, Tissue (Forensic) 80336, 80338 53147U Antidepressants / Antihistamines Confirmation Panel 82492 80332, 80336, 80338, 1, Urine (Forensic) 80362, 80376 53167B Buprenorphine and Metabolite ‐ Free (Unconjugated) 83925 80348 Confirmation, Blood (Forensic) 53167FL Buprenorphine and Metabolite ‐ Free (Unconjugated) 83925 80348 Confirmation, Fluid (Forensic) 53167SP Buprenorphine and Metabolite ‐ Free (Unconjugated) 83925 80348 Confirmation, Serum/Plasma (Forensic) 53167TI Buprenorphine and Metabolite ‐ Total 83925, 80103 80348 (Conjugated/Unconjugated) Confirmation, Tissue (Forensic) 53167U Buprenorphine and Metabolite ‐ Total 83925 80348 (Conjugated/Unconjugated) Confirmation, Urine (Forensic) 53248FL Alcohols and Acetone Confirmation, Vitreous Fluid 80102 80320 (Forensic) (CSA) 53249FL Alcohols and Acetone Confirmation, Vitreous Fluid 80102 80320 (Forensic) 53250B Alcohols and Acetone Confirmation, Blood (Forensic) 80102 80320 53250FL Alcohols and Acetone Confirmation, Fluid (Forensic) 80102 80320

Page 100 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53250SP Alcohols and Acetone Confirmation, Serum/Plasma 80102 80320 (Forensic) 53250TI Alcohols and Acetone Confirmation, Tissue (Forensic) 82055, 80103 80320 53250U Alcohols and Acetone Confirmation, Urine (Forensic) 80102 80320 53251B Ethanol Confirmation, Blood 80102 80320 53251FL Ethanol Confirmation, Fluid 80102 80320 53251SP Ethanol Confirmation, Serum/Plasma 80102 80320 53251TI Ethanol Confirmation, Tissue 82055, 80103 80320 53251U Ethanol Confirmation, Urine 80102 80320 53430B Methcathinone Confirmation (Qualitative), Blood 83788 80371 (Forensic) 53430SP Methcathinone Confirmation (Qualitative), 83788 80371 Serum/Plasma (Forensic) 53440B Chlorpheniramine Confirmation, Blood (Forensic) 83789 80375 53440SP Chlorpheniramine Confirmation, Serum/Plasma 83789 80375 (Forensic) 53441B Diphenhydramine Confirmation, Blood (Forensic) 83789 80375 53441SP Diphenhydramine Confirmation, Serum/Plasma 83789 80375 (Forensic) 53442B Hydroxyzine Confirmation, Blood (Forensic) 83789 80375 53442SP Hydroxyzine Confirmation, Serum/Plasma (Forensic) 83789 80375 53453B Antihistamines Confirmation Panel 1, Blood (Forensic) 82492 80376 53453SP Antihistamines Confirmation Panel 1, Serum/Plasma 82492 80376 (Forensic) 53454B Citalopram and Zolpidem Confirmation, Blood 83789 80332, 80368 (Forensic) 53454SP Citalopram and Zolpidem Confirmation, Serum/Plasma 83789 80332, 80368 (Forensic) 53455B Phenothiazines Confirmation, Blood (Forensic) 84022 80344 53455SP Phenothiazines Confirmation, Serum/Plasma (Forensic) 84022 80344

53456B Promethazine Confirmation, Blood (Forensic) 82492 80342 53456SP Promethazine Confirmation, Serum/Plasma (Forensic) 82492 80342 53457B Promazine Confirmation, Blood (Forensic) 83789 80375 53457SP Promazine Confirmation, Serum/Plasma (Forensic) 83789 80375 53458B Barbiturates Confirmation, Blood 82205 80345 53458SP Barbiturates Confirmation, Serum/Plasma 82205 80345

Page 101 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 53459B Methdilazine Confirmation, Blood (Forensic) 84022 80344 53459SP Methdilazine Confirmation, Serum/Plasma (Forensic) 84022 80344 53461B Acetaminophen Confirmation, Blood 82003 80329 53461SP Acetaminophen Confirmation, Serum/Plasma 82003 80329 53462B Antihistamines Confirmation Panel 2, Blood (Forensic) 82492 80376 53462SP Antihistamines Confirmation Panel 2, Serum/Plasma 82492 80376 (Forensic) 53463B Propoxyphene and Metabolite Confirmation, Blood 82542 80367 53463SP Propoxyphene and Metabolite Confirmation, 82542 80367 Serum/Plasma 53465B Methadone and Metabolite Confirmation, Blood 83840 80358 53465SP Methadone and Metabolite Confirmation, 83840 80358 Serum/Plasma 53466B Amphetamines Confirmation, Blood 82145 80326, 80359 53466SP Amphetamines Confirmation, Serum/Plasma 82145 80326, 80359 53467B Antidepressants / Antihistamines Confirmation Panel 82492 80332, 80336, 80338, 1, Blood (Forensic) 80362, 80376 53467SP Antidepressants / Antihistamines Confirmation Panel 82492 80332, 80336, 80338, 1, Serum/Plasma (Forensic) 80362, 80376 53532B Alcohol Confirmation, Blood (Forensic) (CSA) 80102 80320 54000B Amphetamines Confirmation (Drug Impaired 82145 80326, 80359 Driving/DRE Toxicology), Blood (Forensic) 54000SP Amphetamines Confirmation (Drug Impaired 82145 80326, 80359 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54000U Amphetamines Confirmation (Drug Impaired 82145 80326, 80359 Driving/DRE Toxicology), Urine (Forensic) 54001B Barbiturates Confirmation (Drug Impaired Driving/DRE 82205 80345 Toxicology), Blood (Forensic) 54001SP Barbiturates Confirmation (Drug Impaired Driving/DRE 82205 80345 Toxicology), Serum/Plasma (Forensic) 54001U Barbiturates Confirmation (Drug Impaired Driving/DRE 82205 80345 Toxicology), Urine (Forensic) 54002B Benzodiazepines Confirmation (Drug Impaired 80154 80347 Driving/DRE Toxicology), Blood (Forensic) 54002SP Benzodiazepines Confirmation (Drug Impaired 80154 80347 Driving/DRE Toxicology), Serum/Plasma (Forensic)

Page 102 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54002U Benzodiazepines Confirmation (Drug Impaired 80154 80347 Driving/DRE Toxicology), Urine (Forensic) 54003B Cannabinoids Confirmation (Drug Impaired 82542 80349 Driving/DRE Toxicology), Blood (Forensic) 54003SP Cannabinoids Confirmation (Drug Impaired 82542 80349 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54003U Cannabinoids Confirmation (Drug Impaired 82542 80349 Driving/DRE Toxicology), Urine (Forensic) 54004B Cocaine and Metabolites Confirmation (Drug Impaired 82520 80353 Driving/DRE Toxicology), Blood (Forensic) 54004SP Cocaine and Metabolites Confirmation (Drug Impaired 82520 80353 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54004U Cocaine and Metabolites Confirmation (Drug Impaired 82520 80353 Driving/DRE Toxicology), Urine (Forensic) 54005B Methadone and Metabolite Confirmation (Drug 83840 80358 Impaired Driving/DRE Toxicology), Blood (Forensic) 54005SP Methadone and Metabolite Confirmation (Drug 83840 80358 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54005U Methadone and Metabolite Confirmation (Drug 83840 80358 Impaired Driving/DRE Toxicology), Urine (Forensic) 54006B Opiates ‐ Free (Unconjugated) Confirmation (Drug 83925 80356, 80361, 80365 Impaired Driving/DRE Toxicology), Blood (Forensic) 54006SP Opiates ‐ Free (Unconjugated) Confirmation (Drug 83925 80356, 80361, 80365 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54006U Opiates ‐ Free (Unconjugated) Confirmation (Drug 83925 80356, 80361, 80365 Impaired Driving/DRE Toxicology), Urine 54008B Propoxyphene and Metabolite Confirmation (Drug 82542 80367 Impaired Driving/DRE Toxicology), Blood (Forensic) 54008SP Propoxyphene and Metabolite Confirmation (Drug 82542 80367 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54008U Propoxyphene and Metabolite Confirmation (Drug 82542 80367 Impaired Driving/DRE Toxicology), Urine (Forensic) 54010B LSD Confirmation (Drug Impaired Driving/DRE 83789 80323 Toxicology), Blood (Forensic)

Page 103 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54010SP LSD Confirmation (Drug Impaired Driving/DRE 83789 80323 Toxicology), Serum/Plasma (Forensic) 54010U LSD Confirmation (Drug Impaired Driving/DRE 83789 80323 Toxicology), Urine (Forensic) 54012B Amphetamines Confirmation (Drug Impaired 82145 80326, 80359 Driving/DRE Toxicology), Blood (Forensic) (CSA) 54012SP Amphetamines Confirmation (Drug Impaired 82145 80326, 80359 Driving/DRE Toxicology), Serum/Plasma (Forensic) (CSA) 5401B Acetaminophen Confirmation, Blood 82003 80329 5401FL Acetaminophen Confirmation, Fluid 82003 80329 5401SP Acetaminophen Confirmation, Serum/Plasma 82003 80329 5401TI Acetaminophen Confirmation, Tissue 82003, 80103 80329 5401U Acetaminophen Confirmation, Urine 82003 80329 54021B Gamma‐Hydroxybutyric Acid Confirmation (Drug 82542 83921 Impaired Driving/DRE Toxicology), Blood (Forensic) 54021U Gamma‐Hydroxybutyric Acid Confirmation (Drug 82542 83921 Impaired Driving/DRE Toxicology), Urine (Forensic) 54028B Barbiturates Confirmation (Drug Impaired Driving/DRE 82205 80345 Toxicology), Blood (Forensic) (CSA) 54028U Barbiturates Confirmation (Drug Impaired Driving/DRE 82205 80345 Toxicology), Urine (Forensic) (CSA) 54029B Cannabinoids Confirmation (Drug Impaired 82542 80349 Driving/DRE Toxicology), Blood (Forensic) (CSA) 54029U Cannabinoids Confirmation (Drug Impaired 82542 80349 Driving/DRE Toxicology), Urine (Forensic) (CSA) 54102B Phensuximide Confirmation (Drug Impaired 82491 80339 Driving/DRE Toxicology), Blood (Forensic) 54102SP Phensuximide Confirmation (Drug Impaired 82491 80339 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54102U Phensuximide Confirmation (Drug Impaired 82491 80339 Driving/DRE Toxicology), Urine (Forensic) 54106B Primidone, Phenobarbital and PEMA Confirmation 80188 80184, 80188 (Drug Impaired Driving/DRE Toxicology), Blood (Forensic) 54106SP Primidone, Phenobarbital and PEMA Confirmation 80188 80184, 80188 (Drug Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic)

Page 104 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54106U Primidone, Phenobarbital and PEMA Confirmation 80188 80184, 80188 (Drug Impaired Driving/DRE Toxicology), Urine (Forensic) 54112B Quetiapine Confirmation (Drug Impaired Driving/DRE 83789 80342 Toxicology), Blood (Forensic) 54112SP Quetiapine Confirmation (Drug Impaired Driving/DRE 83789 80342 Toxicology), Serum/Plasma (Forensic) 54112U Quetiapine Confirmation (Drug Impaired Driving/DRE 83789 80342 Toxicology), Urine (Forensic) 54116B Sertraline and Desmethylsertraline Confirmation (Drug 83789 80332 Impaired Driving/DRE Toxicology), Blood (Forensic)

54116SP Sertraline and Desmethylsertraline Confirmation (Drug 83789 80332 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54116U Sertraline Confirmation (Drug Impaired Driving/DRE 82491 80332 Toxicology), Urine (Forensic) 5411B Diazepam and Metabolites Confirmation, Blood 80154 80346 5411SP Diazepam and Metabolites Confirmation, 80154 80346 Serum/Plasma 5411TI Diazepam and Metabolites Confirmation, Tissue 80154, 80103 80346 5411U Diazepam and Metabolites Confirmation, Urine 80154 80346 54123B Thiothixene (Cis Isomer) Confirmation (Drug Impaired 82491 80342 Driving/DRE Toxicology), Blood (Forensic) 54123SP Thiothixene (Cis Isomer) Confirmation (Drug Impaired 82491 80342 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54123U Thiothixene (Cis Isomer) Confirmation (Drug Impaired 82491 80342 Driving/DRE Toxicology), Urine (Forensic) 54124B Ticlopidine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Blood (Forensic) 54124SP Ticlopidine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Serum/Plasma (Forensic) 54125B Tiletamine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Blood (Forensic) 54125SP Tiletamine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Serum/Plasma (Forensic) 54125U Tiletamine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Urine (Forensic)

Page 105 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54127B Topiramate Confirmation (Drug Impaired Driving/DRE 83789 80201 Toxicology), Blood (Forensic) 54127SP Topiramate Confirmation (Drug Impaired Driving/DRE 83789 80201 Toxicology), Serum/Plasma (Forensic) 54127U Topiramate Confirmation (Drug Impaired Driving/DRE 83789 80201 Toxicology), Urine (Forensic) 54128B Tramadol and Metabolite Confirmation (Drug Impaired 83789 80373 Driving/DRE Toxicology), Blood (Forensic) 54128SP Tramadol and Metabolite Confirmation (Drug Impaired 83789 80373 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54128U Tramadol and Metabolite Confirmation (Drug Impaired 83789 80373 Driving/DRE Toxicology), Urine (Forensic) 54132B Venlafaxine and Metabolite Confirmation (Drug 83789 80338 Impaired Driving/DRE Toxicology), Blood (Forensic) 54132SP Venlafaxine and Metabolite Confirmation (Drug 83789 80338 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54132U Venlafaxine and Metabolite Confirmation (Drug 83789 80338 Impaired Driving/DRE Toxicology), Urine (Forensic) 54135B Xylazine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Blood (Forensic) 54135SP Xylazine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Serum/Plasma (Forensic) 54135U Xylazine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Urine (Forensic) 54137B Zaleplon Confirmation (Drug Impaired Driving/DRE 82491 80368 Toxicology), Blood (Forensic) 54137SP Zaleplon Confirmation (Drug Impaired Driving/DRE 82491 80368 Toxicology), Serum/Plasma (Forensic) 54137U Zaleplon Confirmation (Drug Impaired Driving/DRE 82491 80368 Toxicology), Urine (Forensic) 54138B Zolazepam Confirmation (Drug Impaired Driving/DRE 80154 80368 Toxicology), Blood (Forensic) 54138SP Zolazepam Confirmation (Drug Impaired Driving/DRE 80154 80368 Toxicology), Serum/Plasma (Forensic) 54138U Zolazepam Confirmation (Drug Impaired Driving/DRE 80154 80368 Toxicology), Urine (Forensic)

Page 106 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54139B Zolpidem Confirmation (Drug Impaired Driving/DRE 83789 80368 Toxicology), Blood (Forensic) 54139SP Zolpidem Confirmation (Drug Impaired Driving/DRE 83789 80368 Toxicology), Serum/Plasma (Forensic) 54139U Zolpidem Confirmation (Drug Impaired Driving/DRE 83789 80368 Toxicology), Urine (Forensic) 5413B Flurazepam and Metabolites Confirmation, Blood 82742 80346 5413SP Flurazepam and Metabolites Confirmation, 82742 80346 Serum/Plasma 5413U Flurazepam as Metabolites Confirmation, Urine 82742 80346 54141B Quinine/Quinidine Differentiation Confirmation (Drug 80194 84228 Impaired Driving/DRE Toxicology), Blood (Forensic) 54141SP Quinine/Quinidine Differentiation Confirmation (Drug 80194 84228 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54141U Quinine/Quinidine Differentiation Confirmation (Drug 80194 84228 Impaired Driving/DRE Toxicology), Urine (Forensic) 54142B Fentanyl and Metabolite Confirmation (Drug Impaired 83925 80354 Driving/DRE Toxicology), Blood (Forensic) 54142SP Fentanyl and Metabolite Confirmation (Drug Impaired 83925 80354 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54142U Fentanyl and Metabolite Confirmation (Drug Impaired 83925 80354 Driving/DRE Toxicology), Urine (Forensic) 54143B Alfentanil and Sufentanil Confirmation (Drug Impaired 83925 80354 Driving/DRE Toxicology), Blood (Forensic) 54143SP Alfentanil and Sufentanil Confirmation (Drug Impaired 83925 80354 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54143U Alfentanil and Sufentanil Confirmation (Drug Impaired 83925 80354 Driving/DRE Toxicology), Urine (Forensic) 5414B Fentanyl Analogues and Metabolites Confirmation, 83925 80354 Blood 5414SP Fentanyl Analogues and Metabolites Confirmation, 83925 80354 Serum/Plasma 5414U Fentanyl Analogues and Metabolites Confirmation, 83925 80354 Urine 5415U Codeine ‐ Total (Conjugated/Unconjugated) 83925 80361 Confirmation, Urine 5417B Mescaline Confirmation, Blood 82542 80323

Page 107 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 5417SP Mescaline Confirmation, Serum/Plasma 82542 80323 5417U Mescaline Confirmation, Urine 82542 80323 54207B Atomoxetine Confirmation (Drug Impaired Driving/DRE 82542 80338 Toxicology), Blood (Forensic) 54207SP Atomoxetine Confirmation (Drug Impaired Driving/DRE 82542 80338 Toxicology), Serum/Plasma (Forensic) 54207U Atomoxetine Confirmation (Drug Impaired Driving/DRE 82542 80338 Toxicology), Urine (Forensic) 54211B Bupivacaine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Blood (Forensic) 54211SP Bupivacaine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Serum/Plasma (Forensic) 54211U Bupivacaine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Urine (Forensic) 54212B Bupropion and Metabolite Confirmation (Drug 83789 80338 Impaired Driving/DRE Toxicology), Blood (Forensic) 54212SP Bupropion and Metabolite Confirmation (Drug 83789 80338 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54212U Bupropion and Metabolite Confirmation (Drug 83789 80338 Impaired Driving/DRE Toxicology), Urine (Forensic) 54217B Carisoprodol and Metabolite Confirmation (Drug 82542 80369 Impaired Driving/DRE Toxicology), Blood (Forensic) 54217SP Carisoprodol and Metabolite Confirmation (Drug 82542 80369 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54217U Carisoprodol and Metabolite Confirmation (Drug 82542 80369 Impaired Driving/DRE Toxicology), Urine (Forensic) 54221B Citalopram Confirmation (Drug Impaired Driving/DRE 83789 80332 Toxicology), Blood (Forensic) 54221SP Citalopram Confirmation (Drug Impaired Driving/DRE 83789 80332 Toxicology), Serum/Plasma (Forensic) 54221U Citalopram Confirmation (Drug Impaired Driving/DRE 83789 80332 Toxicology), Urine (Forensic) 54228B Dicyclomine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Blood (Forensic) 54228SP Dicyclomine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Serum/Plasma (Forensic)

Page 108 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54228U Dicyclomine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Urine (Forensic) 54230B Diltiazem Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Blood (Forensic) 54230SP Diltiazem Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Serum/Plasma (Forensic) 54230U Diltiazem Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Urine (Forensic) 54234B Donepezil Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Blood (Forensic) 54234SP Donepezil Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Serum/Plasma (Forensic) 54234U Donepezil Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Urine (Forensic) 54236B Duloxetine Confirmation (Drug Impaired Driving/DRE 83789 80332 Toxicology), Blood (Forensic) 54236SP Duloxetine Confirmation (Drug Impaired Driving/DRE 83789 80332 Toxicology), Serum/Plasma (Forensic) 54243B Etomidate Confirmation (Drug Impaired Driving/DRE 82542 80375 Toxicology), Blood (Forensic) 54243SP Etomidate Confirmation (Drug Impaired Driving/DRE 82542 80375 Toxicology), Serum/Plasma (Forensic) 54248B Flunitrazepam and Metabolites Confirmation (Drug 80154 80346 Impaired Driving/DRE Toxicology), Blood (Forensic) 54248SP Flunitrazepam and Metabolites Confirmation (Drug 80154 80346 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54248U Flunitrazepam and Metabolites Confirmation (Drug 80154 80346 Impaired Driving/DRE Toxicology), Urine (Forensic) 54249B Fluvoxamine Confirmation (Drug Impaired Driving/DRE 82491 80332 Toxicology), Blood (Forensic) 54249SP Fluvoxamine Confirmation (Drug Impaired Driving/DRE 82491 80332 Toxicology), Serum/Plasma (Forensic) 54249U Fluvoxamine Confirmation (Drug Impaired Driving/DRE 82491 80332 Toxicology), Urine (Forensic) 54251B Alcohols and Acetone Confirmation (Drug Impaired 80102 80320 Driving/DRE Toxicology), Blood (Forensic)

Page 109 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54251SP Alcohols and Acetone Confirmation (Drug Impaired 80102 80320 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54251U Alcohols and Acetone Confirmation (Drug Impaired 80102 80320 Driving/DRE Toxicology), Urine (Forensic) 54252B Guaifenesin Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Blood (Forensic) 54252SP Guaifenesin Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Serum/Plasma (Forensic) 54252U Guaifenesin Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Urine (Forensic) 54253B Haloperidol Confirmation (Drug Impaired Driving/DRE 83789 80173 Toxicology), Blood (Forensic) 54253SP Haloperidol Confirmation (Drug Impaired Driving/DRE 83789 80173 Toxicology), Serum/Plasma (Forensic) 54254B Alcohols and Acetone Confirmation (Drug Impaired 80102 80320 Driving/DRE Toxicology), Blood (Forensic) 54258B Ketamine and Metabolite Confirmation (Drug Impaired 82542 80357 Driving/DRE Toxicology), Blood (Forensic) 54258SP Ketamine and Metabolite Confirmation (Drug Impaired 82542 80357 Driving/DRE Toxicology), Serum/Plasma (Forensic)

54258U Ketamine and Metabolite Confirmation (Drug Impaired 82542 80357 Driving/DRE Toxicology), Urine (Forensic) 5425B Ipecac Use Markers Confirmation, Blood 83789 80375 5425FL Ipecac Use Markers Confirmation, Fluid 83789 80375 5425SP Ipecac Use Markers Confirmation, Serum/Plasma 83789 80375 5425U Ipecac Use Markers Confirmation, Urine 83789 80375 54266B Drug Impaired Driving/DRE Toxicology Meclizine 83789 80375 Confirmation, Blood (Forensic) 54273B Methaqualone Confirmation (Drug Impaired 82542 80368 Driving/DRE Toxicology), Blood (Forensic) 54273SP Methaqualone Confirmation (Drug Impaired 82542 80368 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54273U Methaqualone Confirmation (Drug Impaired 82542 80368 Driving/DRE Toxicology), Urine (Forensic) 54276B Methocarbamol Confirmation (Drug Impaired 82491 80369 Driving/DRE Toxicology), Blood (Forensic)

Page 110 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54276SP Methocarbamol Confirmation (Drug Impaired 82491 80369 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54276U Methocarbamol Confirmation (Drug Impaired 82491 80369 Driving/DRE Toxicology), Urine (Forensic) 54279B Methylphenidate and Metabolite Confirmation (Drug 83789 80360 Impaired Driving/DRE Toxicology), Blood (Forensic) 54279SP Methylphenidate and Metabolite Confirmation (Drug 83789 80360 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54279U Methylphenidate and Metabolite Confirmation (Drug 83789 80360 Impaired Driving/DRE Toxicology), Urine (Forensic) 54281B Metoclopramide Confirmation (Drug Impaired 82491 80375 Driving/DRE Toxicology), Blood (Forensic) 54281SP Metoclopramide Confirmation (Drug Impaired 82491 80375 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54281U Metoclopramide Confirmation (Drug Impaired 82491 80375 Driving/DRE Toxicology), Urine (Forensic) 54288B Nifedipine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Blood (Forensic) 54288SP Nifedipine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Serum/Plasma (Forensic) 54291B Olanzapine Confirmation (Drug Impaired Driving/DRE 82491 80342 Toxicology), Blood (Forensic) 54291SP Olanzapine Confirmation (Drug Impaired Driving/DRE 82491 80342 Toxicology), Serum/Plasma (Forensic) 54291U Olanzapine Confirmation (Drug Impaired Driving/DRE 82491 80342 Toxicology), Urine (Forensic) 54295B Papaverine Confirmation (Drug Impaired Driving/DRE 82491 80323 Toxicology), Blood (Forensic) 54295SP Papaverine Confirmation (Drug Impaired Driving/DRE 82491 80323 Toxicology), Serum/Plasma (Forensic) 54295U Papaverine Confirmation (Drug Impaired Driving/DRE 82491 80323 Toxicology), Urine (Forensic) 54296B Paroxetine Confirmation (Drug Impaired Driving/DRE 83789 80332 Toxicology), Blood (Forensic) 54296SP Paroxetine Confirmation (Drug Impaired Driving/DRE 83789 80332 Toxicology), Serum/Plasma (Forensic)

Page 111 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54296U Paroxetine Confirmation (Drug Impaired Driving/DRE 83789 80332 Toxicology), Urine (Forensic) 54298B Lorazepam, Triazolam, Estazolam Confirmation (Drug 80154 80346 Impaired Driving/DRE Toxicology), Blood (Forensic) 54298U Estazolam, Hydroxytriazolam, Lorazepam Confirmation 80154 80346 (Drug Impaired Driving/DRE Toxicology), Urine (Forensic) 54299B Clonazepam, Flunitrazepam, Nitrazepam Confirmation 80154 80346 (Drug Impaired Driving/DRE Toxicology), Blood (Forensic) 54299U Clonazepam, Flunitrazepam, Nitrazepam Confirmation 80154 80346 (Drug Impaired Driving/DRE Toxicology), Urine (Forensic) 54303B Benzodiazepines Confirmation (Drug Impaired 80154 80347 Driving/DRE Toxicology), Blood (Forensic) 54304B Antidepressants / Antihistamines Confirmation Panel 82492 80336, 80338, 80375 1(Drug Impaired Driving/DRE Toxicology), Blood (Forensic) 54306B Brompheniramine Confirmation (Drug Impaired 82492 80375 Driving/DRE Toxicology), Blood (Forensic) 54308B Dextro / Levo Methorphan Confirmation (Drug 82491 80362 Impaired Driving/DRE Toxicology), Blood (Forensic) 54308U Dextro / Levo Methorphan Confirmation (Drug 82491 80362 Impaired Driving/DRE Toxicology), Urine (Forensic) 54309B Tapentadol ‐ Free Confirmation (Drug Impaired 83789 80372 Driving/DRE Toxicology), Blood (Forensic) 5430B Temazepam and Metabolite Confirmation, Blood 80154 80346 5430SP Temazepam and Metabolite Confirmation, 80154 80346 Serum/Plasma 5430U Temazepam and Metabolite Confirmation, Urine 80154 80346 54310B Eszopiclone / Zopiclone Confirmation (Drug Impaired 83789 80368 Driving/DRE Toxicology), Blood (Forensic) 54311B MDPV Confirmation (Drug Impaired Driving/DRE 83789 80371 Toxicology), Blood (Forensic) 54312B Mephedrone Confirmation (Drug Impaired Driving/DRE 83789 80371 Toxicology), Blood (Forensic) 54320B Amphetamines Confirmation (Drug Impaired 82145 80325 Driving/DRE Toxicology), Blood (Forensic) (CSA)

Page 112 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54320U Amphetamines Confirmation (Drug Impaired 82145 80325 Driving/DRE Toxicology), Urine (Forensic) (CSA) 54321B Benzodiazepines Confirmation (Drug Impaired 80154 80347 Driving/DRE Toxicology), Blood (Forensic) (CSA) 54321U Benzodiazepines Confirmation (Drug Impaired 80154 80347 Driving/DRE Toxicology), Urine (Forensic) (CSA) 54322B Cocaine and Metabolites Confirmation (Drug Impaired 82520 80353 Driving/DRE Toxicology), Blood (Forensic) (CSA) 54322U Cocaine and Metabolites Confirmation (Drug Impaired 82520 80353 Driving/DRE Toxicology), Urine (Forensic) (CSA) 54323B MDMA Confirmation (Qualitative) (Drug Impaired 83788 80359 Driving/DRE Toxicology), Blood (Forensic) (CSA) 54323U MDMA Confirmation (Qualitative) (Drug Impaired 83788 80359 Driving/DRE Toxicology), Urine (Forensic) (CSA) 54324B Methadone Confirmation (Drug Impaired Driving/DRE 83840 80358 Toxicology), Blood (Forensic) (CSA) 54324U Methadone Confirmation (Drug Impaired Driving/DRE 83840 80358 Toxicology), Urine (Forensic) (CSA) 54325B Opiates ‐ Free (Unconjugated) Confirmation (Drug 83925 80356, 80361, 80365 Impaired Driving/DRE Toxicology), Blood (Forensic) (CSA) 54325U Opiates ‐ Total (Unconjugated) Confirmation (Drug 83925 80361, 80365 Impaired Driving/DRE Toxicology), Urine (Forensic) (CSA) 54326B MDMA Confirmation (Drug Impaired Driving/DRE 82145 80359 Toxicology), Blood (Forensic) (CSA) 54326U MDMA Confirmation (Drug Impaired Driving/DRE 82145 80359 Toxicology), Urine (Forensic) (CSA) 54327U Heroin Metabolite ‐ Free (Unconjugated) Confirmation 83925 80356 (Drug Impaired Driving/DRE Toxicology), Urine (Forensic) (CSA) 54328B Hallucinogens and Stimulants Confirmation 2 83788 80371 (Qualitative) (Drug Impaired Driving/DRE Toxicology), Blood (Forensic) 54328U Hallucinogens and Stimulants Confirmation 2 83788 80371 (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Page 113 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54329B MDMA / Methedrone Confirmation (Qualitative) (Drug 83788 80359 Impaired Driving/DRE Toxicology), Blood (Forensic) 54329U MDMA / Methedrone Confirmation (Qualitative) (Drug 83788 80359 Impaired Driving/DRE Toxicology), Urine (Forensic) 54330B Hallucinogens Panel 2 Confirmation (Qualitative) (Drug 83788 80371 Impaired Driving/DRE Toxicology), Blood (Forensic)

54330SP Hallucinogens Panel 2 Confirmation (Qualitative) (Drug 83788 80371 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54330U Hallucinogens Panel 2 Confirmation (Qualitative) (Drug 83788 80371 Impaired Driving/DRE Toxicology), Urine (Forensic)

54331B Hypoglycemics Confirmation (Drug Impaired 82492 80375 Driving/DRE Toxicology), Blood (Forensic) 54331SP Hypoglycemics Confirmation (Drug Impaired 82492 80375 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54331U Hypoglycemics Confirmation (Drug Impaired 82492 80375 Driving/DRE Toxicology), Urine (Forensic) 54332B Amphetamines Confirmation (Drug Impaired 82145 80324, 80359 Driving/DRE Toxicology), Blood (Forensic) 54332U Amphetamines Confirmation (Drug Impaired 82145 80324, 80359 Driving/DRE Toxicology), Urine (Forensic) 54333B Nonsteroidal Anti‐Inflammatory Drug Panel 82492 80330 Confirmation (Drug Impaired Driving/DRE Toxicology), Blood (Forensic) 54333SP Nonsteroidal Anti‐Inflammatory Drug Panel 82492 80330 Confirmation (Drug Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54333U Nonsteroidal Anti‐Inflammatory Drug Panel 82492 80330 Confirmation (Drug Impaired Driving/DRE Toxicology), Urine (Forensic) 54334B Synthetic Opioids ‐ Free (Unconjugated) Confirmation 83925 80348, 80362 (Drug Impaired Driving/DRE Toxicology), Blood (Forensic) 54334SP Synthetic Opioids ‐ Free (Unconjugated) Confirmation 83925 80348, 80362 (Drug Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic)

Page 114 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54334U Synthetic Opioids ‐ Total (Conjugated/Unconjugated) 80100 80348, 80362 Confirmation (Drug Impaired Driving/DRE Toxicology), Urine 54335B Sibutramine and Metabolites Confirmation (Drug 83789 80375 Impaired Driving/DRE Toxicology), Blood (Forensic) 54335SP Sibutramine and Metabolites Confirmation (Drug 83789 80375 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54335U Sibutramine and Metabolites Confirmation (Drug 83789 80375 Impaired Driving/DRE Toxicology), Urine (Forensic) 54336B GC Confirmation Set 2 (Drug Impaired Driving/DRE 82492 80369, 80376, 80335, Toxicology), Blood (Forensic) 80338, 80362 54336SP GC Confirmation Set 2 (Drug Impaired Driving/DRE 82492 80369, 80376, 80335, Toxicology), Serum/Plasma (Forensic) 80338, 80362 54336U GC Confirmation Set 2 (Drug Impaired Driving/DRE 82492 80369, 80376, 80335, Toxicology), Urine (Forensic) 80338, 80362 54337B GC Confirmation Set 1 (Drug Impaired Driving/DRE 82492 80332, 80335, 80338, Toxicology), Blood (Forensic) 80362, 80376 54337SP GC Confirmation Set 1 (Drug Impaired Driving/DRE 82492 80332, 80335, 80338, Toxicology), Serum/Plasma (Forensic) 80362, 80376 54337U GC Confirmation Set 1 (Drug Impaired Driving/DRE 82492 80332, 80335, 80338, Toxicology), Urine (Forensic) 80362, 80376 54338B Risperidone and Metabolite Confirmation (Drug 83789 80342 Impaired Driving/DRE Toxicology), Blood (Forensic) 54338SP Risperidone and Metabolite Confirmation (Drug 83789 80342 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54338U Risperidone and Metabolite Confirmation (Drug 83789 80342 Impaired Driving/DRE Toxicology), Urine (Forensic) 54339B Bath Salts Confirmation (Drug Impaired Driving/DRE 83789 80371 Toxicology), Blood (Forensic) 54339SP Bath Salts Confirmation (Drug Impaired Driving/DRE 83789 80371 Toxicology), Serum/Plasma (Forensic) 54339U Bath Salts Confirmation (Drug Impaired Driving/DRE 83789 80371 Toxicology), Urine (Forensic) 5433B Propranolol Confirmation, Blood 83789 80375 5433SP Propranolol Confirmation, Serum/Plasma 83789 80375

Page 115 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54340B Piperazine Designer Drugs Confirmation (Drug 82542 80371 Impaired Driving/DRE Toxicology), Blood (Forensic) 54340SP Piperazine Designer Drugs Confirmation (Drug 82542 80371 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54340U Piperazine Designer Drugs Confirmation (Drug 82542 80371 Impaired Driving/DRE Toxicology), Urine (Forensic) 54341B MDMA / Methedrone Confirmation (Qualitative) (Drug 83788 80371 Impaired Driving/DRE Toxicology), Blood (Forensic) 54341SP MDMA / Methedrone Confirmation (Qualitative) (Drug 83788 80371 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54341U MDMA / Methedrone Confirmation (Qualitative) (Drug 83788 80371 Impaired Driving/DRE Toxicology), Urine (Forensic) 54342B 7‐Hydroxymitragynine, Mitragynine, Phenazepam 83788 80323 Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Blood (Forensic) 54342SP 7‐Hydroxymitragynine, Mitragynine, Phenazepam 83788 80323 Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54342U 7‐Hydroxymitragynine, Mitragynine, Phenazepam 83788 80323 Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic) 54344B Ipecac Use Markers Confirmation (Drug Impaired 83789 80375 Driving/DRE Toxicology), Blood (Forensic) 54344SP Ipecac Use Markers Confirmation (Drug Impaired 83789 80375 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54344U Ipecac Use Markers Confirmation (Drug Impaired 83789 80375 Driving/DRE Toxicology), Urine (Forensic) 54345B Trihexyphenidyl Confirmation (Drug Impaired 83789 80375 Driving/DRE Toxicology), Blood (Forensic) 54345SP Trihexyphenidyl Confirmation (Drug Impaired 83789 80375 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54345U Trihexyphenidyl Confirmation (Drug Impaired 83789 80375 Driving/DRE Toxicology), Urine (Forensic) 54346B Acetaminophen Confirmation (Drug Impaired 82003 80329 Driving/DRE Toxicology), Blood (Forensic)

Page 116 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54346SP Acetaminophen Confirmation (Drug Impaired 82003 80329 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54346U Acetaminophen Confirmation (Drug Impaired 82003 80329 Driving/DRE Toxicology), Urine (Forensic) 54347B Aripiprazole Confirmation (Drug Impaired Driving/DRE 83789 80342 Toxicology), Blood (Forensic) 54347SP Aripiprazole Confirmation (Drug Impaired Driving/DRE 83789 80342 Toxicology), Serum/Plasma (Forensic) 54348B Clonidine Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Blood (Forensic) 54348SP Clonidine Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Serum/Plasma (Forensic) 54348U Clonidine Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Urine (Forensic) 54349B Dextrorphan / Levorphanol Confirmation (Drug 83925 80362 Impaired Driving/DRE Toxicology), Blood (Forensic) 54349SP Dextrorphan / Levorphanol Confirmation (Drug 83925 80362 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54349U Dextrorphan / Levorphanol Confirmation (Drug 83925 80362 Impaired Driving/DRE Toxicology), Urine (Forensic) 54350B Eszopiclone / Zopiclone Confirmation (Drug Impaired 83789 80368 Driving/DRE Toxicology), Blood (Forensic) 54350SP Eszopiclone / Zopiclone Confirmation (Drug Impaired 83789 80368 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54350U Eszopiclone / Zopiclone Confirmation (Drug Impaired 83789 80368 Driving/DRE Toxicology), Urine (Forensic) 54351B Flecainide Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Blood (Forensic) 54351SP Flecainide Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Serum/Plasma (Forensic) 54351U Flecainide Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Urine (Forensic) 54352B Glutethimide Confirmation (Drug Impaired Driving/DRE 82980 80368 Toxicology), Blood (Forensic) 54352SP Glutethimide Confirmation (Drug Impaired Driving/DRE 82980 80368 Toxicology), Serum/Plasma (Forensic)

Page 117 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54354B Iloperidone Confirmation (Drug Impaired Driving/DRE 83789 80342 Toxicology), Blood (Forensic) 54354SP Iloperidone Confirmation (Drug Impaired Driving/DRE 83789 80342 Toxicology), Serum/Plasma (Forensic) 54355B Lacosamide Confirmation (Drug Impaired Driving/DRE 83789 80339 Toxicology), Blood (Forensic) 54355SP Lacosamide Confirmation (Drug Impaired Driving/DRE 83789 80339 Toxicology), Serum/Plasma (Forensic) 54355U Lacosamide Confirmation (Drug Impaired Driving/DRE 83789 80339 Toxicology), Urine (Forensic) 54356B Levamisole Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Blood (Forensic) 54356SP Levamisole Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Serum/Plasma (Forensic) 54356U Levamisole Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Urine (Forensic) 54357B Loxapine Confirmation (Drug Impaired Driving/DRE 82491 80342 Toxicology), Blood (Forensic) 54357SP Loxapine Confirmation (Drug Impaired Driving/DRE 82491 80342 Toxicology), Serum/Plasma (Forensic) 54357U Loxapine Confirmation (Drug Impaired Driving/DRE 82491 80342 Toxicology), Urine (Forensic) 54358B Memantine Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Blood (Forensic) 54358SP Memantine Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Serum/Plasma (Forensic) 54358U Memantine Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Urine (Forensic) 54359B Mescaline Confirmation (Drug Impaired Driving/DRE 82491 80323 Toxicology), Blood (Forensic) 54359SP Mescaline Confirmation (Drug Impaired Driving/DRE 82491 80323 Toxicology), Serum/Plasma (Forensic) 54359U Mescaline Confirmation (Drug Impaired Driving/DRE 82491 80323 Toxicology), Urine (Forensic) 5435B Quinine/Quinidine Confirmation, Blood (Forensic) 80102 84228 54360B Metaxalone Confirmation (Drug Impaired Driving/DRE 83789 80369 Toxicology), Blood (Forensic)

Page 118 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54360SP Metaxalone Confirmation (Drug Impaired Driving/DRE 83789 80369 Toxicology), Serum/Plasma (Forensic) 54360U Metaxalone Confirmation (Drug Impaired Driving/DRE 83789 80369 Toxicology), Urine (Forensic) 54361B Methcathinone Confirmation (Qualitative) (Drug 83788 80371 Impaired Driving/DRE Toxicology), Blood (Forensic) 54361SP Methcathinone Confirmation (Qualitative) (Drug 83788 80371 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54361U Methcathinone Confirmation (Qualitative) (Drug 83788 80371 Impaired Driving/DRE Toxicology), Urine (Forensic) 54362B Mexiletine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Blood (Forensic) 54362SP Mexiletine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Serum/Plasma (Forensic) 54362U Mexiletine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Urine (Forensic) 54363B Perphenazine Confirmation (Drug Impaired 83789 80342 Driving/DRE Toxicology), Blood (Forensic) 54363SP Perphenazine Confirmation (Drug Impaired 83789 80342 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54364B Phenyltoloxamine Confirmation (Drug Impaired 82542 80375 Driving/DRE Toxicology), Blood (Forensic) 54364SP Phenyltoloxamine Confirmation (Drug Impaired 82542 80375 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54364U Phenyltoloxamine Confirmation (Drug Impaired 82542 80375 Driving/DRE Toxicology), Urine (Forensic) 54365B Bath Salts Confirmation (Drug Impaired Driving/DRE 83789 80371 Toxicology), Blood (Forensic) 54365SP Bath Salts Confirmation (Drug Impaired Driving/DRE 83789 80371 Toxicology), Serum/Plasma (Forensic) 54365U Bath Salts Confirmation (Drug Impaired Driving/DRE 83789 80371 Toxicology), Urine (Forensic) 54366B PMA Confirmation (Qualitative) (Drug Impaired 83788 80371 Driving/DRE Toxicology), Blood (Forensic) 54366SP PMA Confirmation (Qualitative) (Drug Impaired 83788 80371 Driving/DRE Toxicology), Serum/Plasma (Forensic)

Page 119 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54366U PMA Confirmation (Qualitative) (Drug Impaired 83788 80371 Driving/DRE Toxicology), Urine (Forensic) 54367B Psilocin Confirmation (Drug Impaired Driving/DRE 83788 80323 Toxicology) (Qualitative), Blood (Forensic) 54367SP Psilocin Confirmation (Drug Impaired Driving/DRE 83788 80323 Toxicology) (Qualitative), Serum/Plasma (Forensic) 54367U Psilocin Confirmation (Drug Impaired Driving/DRE 83788 80323 Toxicology) (Qualitative), Urine (Forensic) 54368B Ramelteon and Metabolite Confirmation (Drug 83789 80375 Impaired Driving/DRE Toxicology), Blood (Forensic) 54368SP Ramelteon and Metabolite Confirmation (Drug 83789 80375 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54368U Ramelteon and Metabolite Confirmation (Drug 83789 80375 Impaired Driving/DRE Toxicology), Urine (Forensic) 54369B Salvinorin B Confirmation (Drug Impaired Driving/DRE 83789 80371 Toxicology), Blood (Forensic) 54369SP Salvinorin B Confirmation (Drug Impaired Driving/DRE 83789 80371 Toxicology), Serum/Plasma (Forensic) 54369U Salvinorin B Confirmation (Drug Impaired Driving/DRE 83789 80371 Toxicology), Urine (Forensic) 54370B Sildenafil and Metabolite Confirmation (Drug Impaired 83789 80375 Driving/DRE Toxicology), Blood (Forensic) 54370SP Sildenafil and Metabolite Confirmation (Drug Impaired 83789 80375 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54370U Sildenafil and Metabolite Confirmation (Drug Impaired 83789 80375 Driving/DRE Toxicology), Urine (Forensic) 54371B Tadalafil Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Blood (Forensic) 54371SP Tadalafil Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Serum/Plasma (Forensic) 54371U Tadalafil Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Urine (Forensic) 54372B Tapentadol ‐ Free Confirmation (Drug Impaired 83789 80372 Driving/DRE Toxicology), Blood (Forensic) 54372SP Tapentadol ‐ Free Confirmation (Drug Impaired 83789 80372 Driving/DRE Toxicology), Serum/Plasma (Forensic)

Page 120 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54372U Tapentadol ‐ Total Confirmation (Drug Impaired 83789 80372 Driving/DRE Toxicology), Urine (Forensic) 54373B Tetrahydrozoline Confirmation (Drug Impaired 83789 80375 Driving/DRE Toxicology), Blood (Forensic) 54373SP Tetrahydrozoline Confirmation (Drug Impaired 83789 80375 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54373U Tetrahydrozoline Confirmation (Drug Impaired 83789 80375 Driving/DRE Toxicology), Urine (Forensic) 54374B Vardenafil and Metabolite Confirmation (Drug 83789 80375 Impaired Driving/DRE Toxicology), Blood (Forensic) 54374SP Vardenafil and Metabolite Confirmation (Drug 83789 80375 Impaired Driving/DRE Toxicology), Serum/Plasma (Forensic) 54374U Vardenafil and Metabolite Confirmation (Drug 83789 80375 Impaired Driving/DRE Toxicology), Urine (Forensic) 54375B Yohimbine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Blood (Forensic) 54375SP Yohimbine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Serum/Plasma (Forensic) 54375U Yohimbine Confirmation (Drug Impaired Driving/DRE 82491 80375 Toxicology), Urine (Forensic) 54376B Ziprasidone Confirmation (Drug Impaired Driving/DRE 83788 80342 Toxicology), Blood (Forensic) 54376SP Ziprasidone Confirmation (Drug Impaired Driving/DRE 83788 80342 Toxicology), Serum/Plasma (Forensic) 54377B Buspirone Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Blood (Forensic) 54377SP Buspirone Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Serum/Plasma (Forensic) 54377U Buspirone Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Urine (Forensic) 54378SP Benzocaine Confirmation (Drug Impaired Driving/DRE 82542 80375 Toxicology), Serum/Plasma (Forensic) 54378U Benzocaine Confirmation (Drug Impaired Driving/DRE 82542 80375 Toxicology), Urine (Forensic) 54380B Glimepiride Confirmation (Qualitative) (Drug Impaired 83788 80375 Driving/DRE Toxicology), Blood (Forensic)

Page 121 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54380SP Glimepiride Confirmation (Qualitative) (Drug Impaired 83788 80375 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54381B Fluphenazine Confirmation (Drug Impaired Driving/DRE 83789 80342 Toxicology), Blood (Forensic) 54381SP Fluphenazine Confirmation (Drug Impaired Driving/DRE 83789 80342 Toxicology), Serum/Plasma (Forensic) 54382B Prochlorperazine Confirmation (Drug Impaired 83789 80342 Driving/DRE Toxicology), Blood (Forensic) 54382SP Prochlorperazine Confirmation (Drug Impaired 83789 80342 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54383B Trifluoperazine Confirmation (Drug Impaired 83789 80342 Driving/DRE Toxicology), Blood (Forensic) 54383SP Trifluoperazine Confirmation (Drug Impaired 83789 80342 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54384B Belladonna Alkaloids Confirmation (Drug Impaired 83789 80323 Driving/DRE Toxicology), Blood (Forensic) 54384U Belladonna Alkaloids Confirmation (Drug Impaired 83789 80323 Driving/DRE Toxicology), Urine (Forensic) 54385B Phenethylamines Confirmation 2 (Qualitative) (Drug 83788 80371 Impaired Driving/DRE Toxicology), Blood (Forensic) 54385U Phenethylamines Confirmation 2 (Qualitative) (Drug 83788 80371 Impaired Driving/DRE Toxicology), Urine (Forensic) 54386B Tryptamines Confirmation (Qualitative) (Drug Impaired 83788 80323 Driving/DRE Toxicology), Blood (Forensic) 54386U Tryptamines Confirmation (Qualitative) (Drug Impaired 83788 80323 Driving/DRE Toxicology), Urine (Forensic) 54387B NBOMe Confirmation (Qualitative) (Drug Impaired 83788 80371 Driving/DRE Toxicology), Blood (Forensic) 54387U NBOMe Confirmation (Qualitative) (Drug Impaired 83788 80371 Driving/DRE Toxicology), Urine (Forensic) 5438B Salicylate Confirmation, Blood 80196 80329 5438FL Salicylate Confirmation, Fluid 80196 80329 5438SP Salicylate Confirmation, Serum/Plasma 80196 80329 5438TI Salicylate Confirmation, Tissue 80196, 80103 80329 5438U Salicylate Confirmation, Urine 80196 80329 5441B Acepromazine Confirmation, Blood 80102 80342 5441SP Acepromazine Confirmation, Serum/Plasma 80102 80342

Page 122 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 5441U Acepromazine Confirmation, Urine 80102 80342 54440B Chlorpheniramine Confirmation (Drug Impaired 83789 80375 Driving/DRE Toxicology), Blood (Forensic) 54440SP Chlorpheniramine Confirmation (Drug Impaired 83789 80375 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54440U Chlorpheniramine Confirmation (Drug Impaired 83789 80375 Driving/DRE Toxicology), Urine (Forensic) 54441B Diphenhydramine Confirmation (Drug Impaired 83789 80375 Driving/DRE Toxicology), Blood (Forensic) 54441SP Diphenhydramine Confirmation (Drug Impaired 83789 80375 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54441U Diphenhydramine Confirmation (Drug Impaired 83789 80375 Driving/DRE Toxicology), Urine (Forensic) 54442B Hydroxyzine Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Blood (Forensic) 54442SP Hydroxyzine Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Serum/Plasma (Forensic) 54442U Hydroxyzine Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Urine (Forensic) 54443B Benztropine Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Blood (Forensic) 54443SP Benztropine Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Serum/Plasma (Forensic) 54443U Benztropine Confirmation (Drug Impaired Driving/DRE 83789 80375 Toxicology), Urine (Forensic) 54445B Cyclobenzaprine Confirmation (Drug Impaired 83789 80369 Driving/DRE Toxicology), Blood (Forensic) 54445SP Cyclobenzaprine Confirmation (Drug Impaired 83789 80369 Driving/DRE Toxicology), Serum/Plasma (Forensic) 54445U Cyclobenzaprine Confirmation (Drug Impaired 83789 80369 Driving/DRE Toxicology), Urine (Forensic) 54446B Promazine Confirmation (Drug Impaired Driving/DRE 83789 80342 Toxicology), Blood (Forensic) 54446SP Promazine Confirmation (Drug Impaired Driving/DRE 83789 80342 Toxicology), Serum/Plasma (Forensic) 54446U Promazine Confirmation (Drug Impaired Driving/DRE 83789 80342 Toxicology), Urine (Forensic)

Page 123 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 54447B MDMA / Methedrone Confirmation (Qualitative) (Drug 83788 80359, 80371 Impaired Driving/DRE Toxicology), Blood (Forensic) (CSA) 54448B MDMA Confirmation (Drug Impaired Driving/DRE 83789 80359 Toxicology), Blood (Forensic) (CSA) 54449B Flunitrazepam, Nitrazepam Confirmation (Drug 80154 80346 Impaired Driving/DRE Toxicology), Blood (CSA) 5444SP Amantadine Confirmation, Serum/Plasma 80102 80375 5446B Amitriptyline and Metabolite Confirmation, Blood 80102 80335 5446SP Amitriptyline and Metabolite Confirmation, 80102 80335 Serum/Plasma 5446U Amitriptyline and Metabolite Confirmation, Urine 80102 80335 5448B Amoxapine and Metabolite Confirmation, Blood 82492 80335 5448SP Amoxapine and Metabolite Confirmation, 82492 80335 Serum/Plasma 5448U Amoxapine and Metabolite Confirmation, Urine 82492 80335 5450B Antidepressants Confirmation, Blood 80102 80332, 80337, 80338 5450SP Antidepressants Confirmation, Serum/Plasma 80102 80332, 80337, 80338 5450TI Antidepressants Confirmation, Tissue 80102, 80103 80332, 80337, 80338 5450U Antidepressants Confirmation, Urine 80102 80332, 80337, 80338 5454B Atropine Confirmation, Blood 83789 80323 5454SP Atropine Confirmation, Serum/Plasma 83789 80323 5454TI Atropine Confirmation, Tissue 83789, 80103 80323 5454U Atropine Confirmation, Urine 83789 80323 5457U Tapentadol ‐ Total Confirmation, Urine 83789 80372 5463B Brompheniramine Confirmation, Blood 80102 80375 5466B Bupropion and Metabolite Confirmation, Blood 83789 80338 5466SP Bupropion and Metabolite Confirmation, 83789 80338 Serum/Plasma 5466TI Bupropion and Metabolite Confirmation, Tissue 83789, 80103 80338 5466U Bupropion and Metabolite Confirmation, Urine 83789 80338 5470SP Butacaine Confirmation, Serum/Plasma 80102 80375 5473B Caffeine Confirmation, Blood 80102 80155 5473SP Caffeine Confirmation, Serum/Plasma 80102 80155 5473U Caffeine Confirmation, Urine 80102 80155 5474B Clonazepam, Flunitrazepam, Nitrazepam Confirmation, 80154 80346 Blood

Page 124 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 5474SP Clonazepam, Flunitrazepam, Nitrazepam Confirmation, 80154 80346 Serum/Plasma 5474U Clonazepam, Flunitrazepam, Nitrazepam Confirmation, 80154 80346 Urine 5479B Carisoprodol and Metabolite Confirmation, Blood 82542 80369 5479FL Carisoprodol and Metabolite Confirmation, Fluid 82542 80369 5479SP Carisoprodol and Metabolite Confirmation, 82542 80369 Serum/Plasma 5479TI Carisoprodol and Metabolite Confirmation, Tissue 82542, 80103 80369 5479U Carisoprodol and Metabolite Confirmation, Urine 82542 80369 5480U Carisoprodol and Metabolite Confirmation, Urine (CSA) 82542 80369

5485B Chlorpromazine Confirmation, Blood 80102 80342 5485SP Chlorpromazine Confirmation, Serum/Plasma 80102 80342 5485U Chlorpromazine Confirmation, Urine 80102 80342 5487B Clomipramine and Metabolite Confirmation, Blood 80102 80335 5487SP Clomipramine and Metabolite Confirmation, 80102 80335 Serum/Plasma 5487U Clomipramine and Metabolite Confirmation, Urine 80102 80335 5488B Clonazepam and Metabolite Confirmation, Blood 80154 80346 5488FL Clonazepam and Metabolite Confirmation, Fluid 80154 80346 5488SP Clonazepam and Metabolite Confirmation, 80154 80346 Serum/Plasma 5488TI Clonazepam and Metabolite Confirmation, Tissue 80154, 80103 80346 5488U Clonazepam and Metabolite Confirmation, Urine 80154 80346 5495B Dextro/Levo Methorphan Confirmation, Blood 80102 80362 5495SP Dextro/Levo Methorphan Confirmation, Serum/Plasma 80102 80362

5495U Dextro/Levo Methorphan Confirmation, Urine 80102 80362 5498B Dicyclomine Confirmation, Blood 80102 80375 55000U 6‐MAM ‐ Free Confirmation, Urine (CSA) 83925 80356 55002U MDMA and Metabolite Confirmation, Urine (CSA) 82145 80359 55005U Synthetic Cannabinoid Metabolites Confirmation 83788 80351 (Qualitative), Urine (CSA) 55006U Opiates ‐ Free (Unconjugated) Confirmation, Urine 83925 80356, 80361, 80365 (CSA) 55007U LSD Confirmation, Urine (CSA) 83789 80323

Page 125 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 55008U MDMA and Metabolite Confirmation, Urine (CSA) 82145 80359 55009U Opiates ‐ Total (Conjugated/Unconjugated) 83925 80361, 80365 Confirmation, Urine (CSA) 55010U Synthetic Opioids ‐ Total (Conjugated/Unconjugated) 80102 80348, 80362 Confirmation, Urine (CSA) 55011U Fentanyl and Metabolite Confirmation, Urine (CSA) 83925 80354 55012U Tramadol Confirmation, Urine (CSA) 83789 80373 55013U Tapentadol ‐ Total Confirmation, Urine (CSA) 83789 80372 55014U Meperidine Confirmation, Urine (CSA) 82492 80362 55015U Pentazocine Confirmation, Urine (CSA) 80102 80362 55016U Levorphanol Confirmation, Urine (CSA) 83925 80362 55017B Cannabinoids Confirmation, Blood (CSA) 82542 80349 55030U Ethyl Sulfate Confirmation, Urine (CSA) 83789 80321 55031SP Gamma‐Hydroxybutyric Acid Confirmation, 82542 83921 Serum/Plasma (CSA) 55033B Opiates ‐ Free (Unconjugated) Confirmation, Blood 83925 80356, 80361, 80365 (Forensic) (CSA) 5503B Dimethyltryptamine Confirmation, Blood 80102 80323 5503SP Dimethyltryptamine Confirmation, Serum/Plasma 80102 80323 5503U Dimethyltryptamine Confirmation, Urine 80102 80323 5505B Diphenoxylate Confirmation, Blood 80102 80375 5505SP Diphenoxylate Confirmation, Serum/Plasma 80102 80375 5505U Diphenoxylate Confirmation, Urine 80102 80375 5506B Disopyramide Confirmation, Blood 80102 80375 5506SP Disopyramide Confirmation, Serum/Plasma 80102 80375 5509B Doxepin and Metabolite Confirmation, Blood 80102 80335 5509U Doxepin and Metabolite Confirmation, Urine 80102 80335 5510B Doxylamine Confirmation, Blood 80102 80375 5510SP Doxylamine Confirmation, Serum/Plasma 80102 80375 5511B Ephedrine Confirmation, Blood 83789 80324 5511SP Ephedrine Confirmation, Serum/Plasma 83789 80324 5517B Ethosuximide Confirmation, Blood 80102 80168 5517SP Ethosuximide Confirmation, Serum/Plasma 80102 80168 5517U Ethosuximide Confirmation, Urine 80102 80168 5520SP Fenfluramine and Metabolite Confirmation, 80102 80375 Serum/Plasma

Page 126 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 5523B Flunitrazepam and Metabolites Confirmation, Blood 80154 80346 (Forensic) 5523FL Flunitrazepam and Metabolites Confirmation, Fluid 80154 80346 (Forensic) 5523SP Flunitrazepam and Metabolites Confirmation, 80154 80346 Serum/Plasma (Forensic) 5523U Flunitrazepam and Metabolites Confirmation, Urine 80154 80346 (Forensic) 5524B Fluoxetine and Metabolite Confirmation, Blood 82542 80332 5524SP Fluoxetine and Metabolite Confirmation, 82542 80332 Serum/Plasma 5524U Fluoxetine and Metabolite Confirmation, Urine 82542 80332 5526B Glutethimide Confirmation, Blood 80102 80368 5526SP Glutethimide Confirmation, Serum/Plasma 80102 80368 5527B Haloperidol Confirmation, Blood 83789 80173 5527SP Haloperidol Confirmation, Serum/Plasma 83789 80173 5528SP Heptabarbital Confirmation, Serum/Plasma 80102 80345 5528U Heptabarbital Confirmation, Urine 80102 80345 5532B Imipramine and Metabolite Confirmation, Blood 80102 80335 5532SP Imipramine and Metabolite Confirmation, 80102 80335 Serum/Plasma 5532U Imipramine and Metabolite Confirmation, Urine 80102 80335 5534B Ketamine and Metabolite Confirmation, Blood 82542 80357 5534SP Ketamine and Metabolite Confirmation, Serum/Plasma 82542 80357

5534U Ketamine and Metabolite Confirmation, Urine 82542 80357 5536B Hydrocodone and Metabolites ‐ Free (Unconjugated) 83925 80361 Confirmation, Blood 5536SP Hydrocodone and Metabolites ‐ Free (Unconjugated) 83925 80361 Confirmation, Serum/Plasma 5538SP Tripelennamine Confirmation, Serum/Plasma 80102 80375 5542SP Fluphenazine Confirmation, Serum/Plasma 83789 80342 5543SP Prochlorperazine Confirmation, Serum/Plasma 83789 80342 5546B Phensuximide Confirmation, Blood 80102 80339 5546U Phensuximide Confirmation, Urine 80102 80339 5548U Phenylpropanolamine Confirmation, Urine 83789 80324 5553SP Meclizine Confirmation, Serum/Plasma 83789 80375

Page 127 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 5555B Meperidine and Metabolite Confirmation, Blood 80102 80362 5555SP Meperidine and Metabolite Confirmation, 80102 80362 Serum/Plasma 5555U Meperidine and Metabolite Confirmation, Urine 80102 80362 5557B Oxycodone and Metabolite ‐ Free (Unconjugated) 83925 80365 Confirmation, Blood 5557SP Oxycodone and Metabolite ‐ Free (Unconjugated) 83925 80365 Confirmation, Serum/Plasma 5559SP Trifluoperazine Confirmation, Serum/Plasma 83789 80342 5560SP Mepivacaine Confirmation, Serum/Plasma 80102 80375 5566B Protriptyline Confirmation, Blood 80102 80335 5566SP Protriptyline Confirmation, Serum/Plasma 80102 80335 5568B Pseudoephedrine Confirmation, Blood 83789 80324 5568SP Pseudoephedrine Confirmation, Serum/Plasma 83789 80324 5568U Pseudoephedrine Confirmation, Urine 83789 80324 5569B Pseudoephedrine vs Ephedrine Differentiation 83789 80324 Confirmation, Blood 5569U Pseudoephedrine vs Ephedrine Differentiation 83789 80324 Confirmation, Urine 5571B Meprobamate Confirmation, Blood 82542 80369 5571SP Meprobamate Confirmation, Serum/Plasma 82542 80369 5571U Meprobamate Confirmation, Urine 80102 80369 5573U Methapyrilene Confirmation, Urine 80102 80375 5576U Methohexital Confirmation, Urine 80102 80375 5577SP Methyprylon Confirmation, Serum/Plasma 80102 80368 5578B Pyrilamine Confirmation, Blood 80102 80375 5578SP Pyrilamine Confirmation, Serum/Plasma 80102 80375 5579B Sufentanil Confirmation, Blood 83925 80354 5579U Sufentanil Confirmation, Urine 83925 80354 5583B Scopolamine Confirmation, Blood 83789 80323 5583SP Scopolamine Confirmation, Serum/Plasma 83789 80323 5583U Scopolamine Confirmation, Urine 83789 80323 5584B Mexiletine Confirmation, Blood 80102 80375 5584SP Mexiletine Confirmation, Serum/Plasma 80102 80375 5587B Nikethamide Confirmation, Blood 80102 80375 5589B Nitrazepam and Metabolite Confirmation, Blood 80154 80346

Page 128 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 5589SP Nitrazepam and Metabolite Confirmation, 80154 80346 Serum/Plasma 5593B Nortriptyline Confirmation, Blood 80102 80335 5593U Nortriptyline Confirmation, Urine 80102 80335 5594U Diuretics Confirmation (Qualitative), Urine 82492 80377 5596B Thebaine Confirmation, Blood 82542 80375 5596U Thebaine Confirmation, Urine 82542 80375 5600B Thiopental and Metabolite Confirmation, Blood 80102 80345 5600SP Thiopental and Metabolite Confirmation, 80102 80345 Serum/Plasma 5602B Thiothixene (Cis Isomer) Confirmation, Blood 82542 80342 5602SP Thiothixene (Cis Isomer) Confirmation, Serum/Plasma 82542 80342 5602U Thiothixene (Cis Isomer) Confirmation, Urine 82542 80342 5604U Tocainide Confirmation, Urine 80102 80375 5611SP Trimethadione and Metabolite Confirmation, 80102 80339 Serum/Plasma 5612B Orphenadrine Confirmation, Blood 80102 80369 5613B Lidocaine and Metabolite (MEGX) Confirmation, Blood 80102 80176 5613SP Lidocaine and Metabolite (MEGX) Confirmation, 80102 80176 Serum/Plasma 5613U Lidocaine and Metabolite (MEGX) Confirmation, Urine 80102 80176 5615B Papaverine Confirmation, Blood 80102 80323 5618B Pentazocine Confirmation, Blood 80102 80362 5618SP Pentazocine Confirmation, Serum/Plasma 80102 80362 5618U Pentazocine Confirmation, Urine 80102 80362 5624B Pentylenetetrazole Confirmation, Blood 80102 80375 5626B Tramadol and Metabolite Confirmation, Blood 83789 80373 5626FL Tramadol and Metabolite Confirmation, Fluid 83789 80373 5626SP Tramadol and Metabolite Confirmation, Serum/Plasma 83789 80373 5626U Tramadol and Metabolite Confirmation, Urine 83789 80373 5633B Propoxyphene and Metabolite Confirmation, Blood 82542 80367 5633FL Propoxyphene and Metabolite Confirmation, Fluid 82542 80367 5633SP Propoxyphene and Metabolite Confirmation, 82542 80367 Serum/Plasma 5633TI Propoxyphene and Metabolite Confirmation, Tissue 82542, 80103 80367 5633U Propoxyphene and Metabolite Confirmation, Urine 82542 80367 5636B Cyanide Confirmation, Blood 80102 82600

Page 129 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 5637B Cocaine and Metabolites Confirmation, Blood 82520 80353 5637FL Cocaine and Metabolites Confirmation, Fluid 82520 80353 5637ME Cocaine and Metabolites Confirmation (Qualitative), 82520, 80103 80353 Meconium 5637SP Cocaine and Metabolites Confirmation, Serum/Plasma 82520 80353 5637TI Cocaine and Metabolites Confirmation, Tissue 82520, 80103 80353 5637U Cocaine and Metabolites Confirmation, Urine 82520 80353 5640B Fentanyl and Metabolite Confirmation, Blood 83925 80354 5640FL Fentanyl and Metabolite Confirmation, Fluid 83925 80354 5640SP Fentanyl and Metabolite Confirmation, Serum/Plasma 83925 80354 5640TI Fentanyl and Metabolite Confirmation, Tissue 83925, 80103 80354 5640U Fentanyl and Metabolite Confirmation, Urine 83925 80354 5641B Benzodiazepines Confirmation, Blood 80154 80347 5641FL Benzodiazepines Confirmation, Fluid 80154 80347 5641ME Benzodiazepines Confirmation (Qualitative), 80154, 80103 80347 Meconium 5641SP Benzodiazepines Confirmation, Serum/Plasma 80154 80347 5641TI Benzodiazepines Confirmation, Tissue 80154, 80103 80347 5641U Benzodiazepines Confirmation, Urine 80154 80347 5644SP Methsuximide as Metabolite Confirmation, 83858 80339 Serum/Plasma 5645B Opiates ‐ Free (Unconjugated) Confirmation, Blood 83925 80356, 80361, 80365 5645FL Opiates ‐ Free (Unconjugated) Confirmation, Fluid 83925 80356, 80361, 80365 5645ME Opiates ‐ Total (Conjugated/Unconjugated) 83925, 80103 80361, 80365 Confirmation (Qualitative), Meconium 5645SP Opiates ‐ Free (Unconjugated) Confirmation, 83925 80356, 80361, 80365 Serum/Plasma 5645U Opiates ‐ Free (Unconjugated) Confirmation, Urine 83925 80356, 80361, 80365 5646B Cannabinoids Confirmation, Blood 82542 80349 5646FL Cannabinoids Confirmation, Fluid 82542 80349 5646ME Cannabinoids Confirmation (Qualitative), Meconium 82541, 80103 80349 5646SP Cannabinoids Confirmation, Serum/Plasma 82542 80349 5646TI Cannabinoid Metabolite Confirmation, Tissue 82542, 80103 80349 5646U Cannabinoids Confirmation, Urine 82542 80349 5651B Barbiturates Confirmation, Blood 82205 80345 5651FL Barbiturates Confirmation, Fluid 82205 80345 5651ME Barbiturates Confirmation (Qualitative), Meconium 80102, 80103 80345

Page 130 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 5651SP Barbiturates Confirmation, Serum/Plasma 82205 80345 5651TI Barbiturates Confirmation, Tissue 82205, 80103 80345 5651U Barbiturates Confirmation, Urine 82205 80345 5657ME Phencyclidine Confirmation (Qualitative), Meconium 82541, 80103 83992 5659TI Alfentanil Confirmation, Tissue 83925, 80103 80354 5659U Alfentanil Confirmation, Urine 83925 80354 5660B Alprazolam and Metabolite Confirmation, Blood 80154 80346 5660SP Alprazolam and Metabolite Confirmation, 80154 80346 Serum/Plasma 5660U Alprazolam and Metabolite Confirmation, Urine 80154 80346 5662B Strychnine Confirmation, Blood 82542 80323 5662FL Strychnine Confirmation, Fluid 82542 80323 5662SP Strychnine Confirmation, Serum/Plasma 82542 80323 5662TI Strychnine Confirmation, Tissue 82542, 80103 80323 5662U Strychnine Confirmation, Urine 82542 80323 5663B Triazolam and Metabolite Confirmation, Blood 80154 80346 5663SP Triazolam and Metabolite Confirmation, Serum/Plasma 80154 80346

5663U Triazolam as Metabolite Confirmation, Urine 80154 80346 5664B Trazodone Confirmation, Blood 80102 80338 5664SP Trazodone Confirmation, Serum/Plasma 80102 80338 5664TI Trazodone Confirmation, Tissue 80102, 80103 80338 5664U Trazodone Confirmation, Urine 80102 80338 5670U Pemoline Confirmation, Urine 82491 80371 5673B Confirmation, Blood 80102 80185 5673FL Phenytoin Confirmation, Fluid 80102 80185 5673SP Phenytoin Confirmation, Serum/Plasma 80102 80185 5674B Nicotine and Metabolite Confirmation, Blood 83887 80323 5674SP Nicotine and Metabolite Confirmation, Serum/Plasma 83887 80323 5674U Nicotine and Metabolite with Anabasine Confirmation, 83887 80323 Urine 5682B Methadone and Metabolite Confirmation, Blood 83840 80358 5682FL Methadone and Metabolite Confirmation, Fluid 83840 80358 5682ME Methadone and Metabolite Confirmation (Qualitative), 82541, 80103 80358 Meconium 5682SP Methadone and Metabolite Confirmation, 83840 80358 Serum/Plasma

Page 131 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 5682TI Methadone and Metabolite Confirmation, Tissue 83840, 80103 80358 5682U Methadone and Metabolite Confirmation, Urine 83840 80358 5684B Amphetamines Confirmation, Blood 82145 80326, 80359 5684FL Amphetamines Confirmation, Fluid 82145 80326, 80359 5684ME Amphetamines Confirmation (Qualitative), Meconium 80102, 80103 80324, 80359 5684SP Amphetamines Confirmation, Serum/Plasma 82145 80326, 80359 5684TI Amphetamines Confirmation, Tissue 82145, 80103 80326, 80359 5684U Amphetamines Confirmation, Urine 82145 80326, 80359 5686B Heroin Metabolites ‐ Free (Unconjugated) 83925 80356, 80361 Confirmation, Blood 5686SP Heroin Metabolites ‐ Free (Unconjugated) 83925 80356, 80361 Confirmation, Serum/Plasma 5687B Methamphetamine and Metabolite Confirmation, 82145 80324 Blood 5687FL Methamphetamine and Metabolite Confirmation, Fluid 82145 80324

5687SP Methamphetamine and Metabolite Confirmation, 82145 80324 Serum/Plasma 5687U Methamphetamine and Metabolite Confirmation, 82145 80324 Urine 5691B Verapamil Confirmation, Blood 80102 80375 5693B Thioridazine and Metabolite Confirmation, Blood 80102 80342 5693SP Thioridazine and Metabolite Confirmation, 80102 80342 Serum/Plasma 5696B Methylenedioxymethamphetamine and Metabolite 83789 80359 Confirmation, Blood 5696SP Methylenedioxymethamphetamine and Metabolite 83789 80359 Confirmation, Serum/Plasma 5696U Methylenedioxymethamphetamine and Metabolite 83789 80359 Confirmation, Urine 5698TI Opiates ‐ Total (Conjugated/Unconjugated) 83925, 80103 80361, 80365 Confirmation, Tissue 5700ME Cocaine and Metabolites Confirmation (Qualitative), 82520, 80103 80353 Meconium 5701ME Cannabinoids Confirmation (Qualitative), Meconium 82541, 80103 80349 5703ME Amphetamines Confirmation (Qualitative), Meconium 80102, 80103 80324, 80359 5704ME Phencyclidine Confirmation (Qualitative), Meconium 82541, 80103 83992

Page 132 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 5707U Heroin Metabolites ‐ Free (Unconjugated) 83925 80356, 80361 Confirmation, Urine 5720ME Opiates ‐ Total (Conjugated/Unconjugated) 83925, 80103 80361, 80365 Confirmation (Qualitative), Meconium 5726B Propofol Confirmation, Blood 80102 80375 5726SP Propofol Confirmation, Serum/Plasma 80102 80375 5727B Venlafaxine and Metabolite Confirmation, Blood 83789 80338 5727U Venlafaxine and Metabolite Confirmation, Urine 83789 80338 5728B Flunitrazepam and Metabolites Confirmation, Blood 80154 80346 5728FL Flunitrazepam and Metabolites Confirmation, Fluid 80154 80346 5728R Flunitrazepam and Metabolites Confirmation, RBCs 80154 80346 5728SP Flunitrazepam and Metabolites Confirmation, 80154 80346 Serum/Plasma 5728TI Flunitrazepam and Metabolites Confirmation, Tissue 80154, 80103 80346 5728U Flunitrazepam and Metabolites Confirmation, Urine 80154 80346 5811B LSD Confirmation, Blood 83789 80323 5811SP LSD Confirmation, Serum/Plasma 83789 80323 5811U LSD Confirmation, Urine 83789 80323 5850OF Delta‐9 THC Confirmation (Qualitative), Oral Fluid 82541 80349 (Saliva) (Forensic) 5851OF Benzodiazepines Confirmation (Qualitative), Oral Fluid 83788 80346 (Saliva) (Forensic) 5852OF Opiates Confirmation (Qualitative), Oral Fluid (Saliva) 83788 80356, 80361, 80365 (Forensic) 5853OF Amphetamines Confirmation (Qualitative), Oral Fluid 83788 80324, 80359 (Saliva) (Forensic) 5854OF Cocaine Confirmation (Qualitative), Oral Fluid (Saliva) 83788 80353 (Forensic) 5855OF Methadone Confirmation (Qualitative), Oral Fluid 83788 80358 (Saliva) (Forensic) 5856OF Phencyclidine Confirmation (Qualitative), Oral Fluid 83788 80362, 83992 (Saliva) (Forensic) 5900H Cocaine and Metabolites Confirmation (Qualitative), 82520, 80103 80353 Hair 5901H Opiates Confirmation (Qualitative), Hair 83925, 80103 80356, 80361, 80365 5902H Phencyclidine Confirmation (Qualitative), Hair 83922, 80103 83992 5903H Amphetamines Confirmation (Qualitative), Hair 82145, 80103 80326, 80359

Page 133 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 5904H Barbiturates Confirmation (Qualitative), Hair 82205, 80103 80345 5905H Benzodiazepines Confirmation (Qualitative), Hair 80154, 80103 80347 5906H GC/MS Confirmation, Hair (Forensic) 80102, 80103 80377 5907H Methadone Confirmation (Qualitative), Hair 83840, 80103 80358 5908H Propoxyphene Confirmation (Qualitative), Hair 82542, 80103 80367 5960B Synthetic Cannabinoids Confirmation, Blood (Forensic) 83789 80352 5962U Synthetic Cannabinoid Metabolites Confirmation 83788 80352 (Qualitative) ‐ Expanded, Urine (Forensic) 5963U Synthetic Cannabinoid Metabolites Confirmation 83788 80352 (Qualitative), Urine 5967OF Synthetic Cannabinoids (Qualitative) Confirmation, 83788 80352 Oral Fluid (Saliva) 5968U Synthetic Cannabinoid Metabolites Confirmation 2 83788 80351 (Qualitative), Urine 6904ME Drugs of Abuse Screen (7 Panel), Meconium 80103, 80101x7 80301 6920H Cocaine and Metabolites Screen, Hair 80101, 80103 80301 6921H Barbiturates Screen, Hair 82205, 80101, 80301 80103x2 6922H Benzodiazepines Screen, Hair 80101, 80154, 80301 80103x2 6923H Opiates Screen, Hair 83925, 80101, 80301 80103x2 6924H Amphetamines Screen, Hair 80101, 82145, 80301 80103x2 6927H Methylenedioxymethamphetamine and Metabolite, 82542, 80103 80359, 80371 Hair (Forensic) 6943H Drugs of Abuse Screen (6 Panel), Hair 80101x6, 80103 80301 6945H Therapeutic and Drugs of Abuse Screen, Hair 80101x8, 80100, 80301, 80304 80103x2 6946H Drugs of Abuse Screen (10 Panel), Hair 80101x10, 80103 80301 7606SP Testosterone, Free and Total (CSA), Serum/Plasma 84403 84403, 84270 7625UH Cortisol, 24 Hour Urine 82350 82533 7630SP Metanephrine, Serum/Plasma 83789 83835 7630UH Metanephrine, 24 Hour Urine 83789 83835 7641SP Adrenal Insufficiency Panel, Serum/Plasma 82088, 83789 82088, 82533, 82627, 82634 7643SP Normetanephrine, Serum/Plasma 83789 83835 7643UH Normetanephrine, 24 Hour Urine 83789 83835

Page 134 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 7644SP Congenital Adrenal Hyperplasia (CAH) Panel, 82533 82157, 82533, 83498 Serum/Plasma 7645SP Metanephrines Fractionated, Serum/Plasma 83789 82384 7645UH Metanephrines Fractionated, 24 Hour Urine 84585 82384 7646UH Epinephrine, 24 Hour Urine 83789 82382 7648UH Dopamine, 24 Hour Urine 83789 82382 7649U Metanephrines ‐ Total, Urine 83789 83835 7649UH Metanephrines ‐ Total, 24 Hour Urine 83789 83835 7655UH Cortisol and Cortisone, 24 Hour Urine 83789 82533 7662SP Thyroid Hormones (T3 & T4), Free, Fractionated, 82088 84439, 84481 Serum/Plasma 7664SP Thyroid Hormone Panel‐ Total, Serum/Plasma 83789 84436, 84480, 84482 7670SP Methylmalonic Acid, Serum/Plasma 83789 83921 7670U Methylmalonic Acid, Urine 83789 83921 7679S Dihydrotestosterone (DHT), Serum 82671 83789 8001B Salicylates Screen, Blood 80101 80302 8001FL Salicylates Screen, Fluid 80101 80302 8001SP Salicylates Screen, Serum/Plasma 80101 80302 8001TI Salicylates Screen, Tissue 80101, 80103 80302 8001U Salicylates Screen, Urine 80101 80302 8041B Postmortem Toxicology ‐ Basic with Vitreous Alcohol 82055, 80101x12 80301x2 Confirmation, Blood (Forensic) 8042B Postmortem Toxicology ‐ Expanded with Vitreous 80100, 82055, 80301x2, 80304 Alcohol Confirmation, Blood (Forensic) 80101x3 8043B Postmortem Toxicology ‐ Expert with Vitreous Alcohol 80100x2, 82055, 80301x2, 80304x2 Confirmation, Blood (Forensic) 80101x7 8050U Postmortem Toxicology ‐ Urine Screen Add‐on (6‐MAM 80101x10 80301 Quantification only) 8051B Postmortem Toxicology ‐ Basic, Blood (Forensic) 82055, 80101x12 80301x2 8051FL Postmortem Toxicology ‐ Basic, Fluid (Forensic) 82055, 80101x12 80301x2 8051SP Postmortem Toxicology ‐ Basic, Serum/Plasma 80101, 82055, 80301x2, 80302 (Forensic) 80101x11 8051TI Postmortem Toxicology ‐ Basic, Tissue (Forensic) 82055, 80101x12, 80301x2 80103x2 8051U Postmortem Toxicology ‐ Basic, Urine (Forensic) 80101x2, 80101, 80301x4, 80302 82055, 80101x9 8052B Postmortem Toxicology ‐ Expanded, Blood (Forensic) 80100, 82055, 80301x2, 80304 80101x3

Page 135 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 8052FL Postmortem Toxicology ‐ Expanded, Fluid (Forensic) 80101x6, 80101, 80301x2, 80304x2, 80100x2, 82055 80302 8052SP Postmortem Toxicology ‐ Expanded, Serum/Plasma 80100, 82055, 80301x2, 80304 (Forensic) 80101x3 8052TI Postmortem Toxicology ‐ Expanded, Tissue (Forensic) 80101x6, 80101, 80301x2, 80304x2, 80100x2, 82055, 80302 80103x5 8052U Postmortem Toxicology ‐ Expanded, Urine (Forensic) 80101x2, 80101, 80301x2, 80304, 80100, 82055 80302 8056B Postmortem Toxicology ‐ Basic with Vitreous Alcohol 82055, 80101x12 80301x2 Confirmation, Blood ‐ University of MI (CSA) 8057B Postmortem Toxicology ‐ Expanded with Vitreous 80100, 82055, 80301x2, 80304 Alcohol Confirmation, Blood ‐ University of MI (CSA) 80101x3 8061B Postmortem Toxicology ‐ Basic w/o Alcohol, Blood 80101x12 80301 (Forensic) 8061TI Postmortem Toxicology ‐ Basic w/o Alcohol, Tissue 80101x12, 80103 80301 8061U Postmortem Toxicology ‐ Basic w/o Alcohol, Urine 80101x8, 80100, 80301x3, 80302 (Forensic) 80103x2 8062B Postmortem Toxicology ‐ Expanded w/o Alcohol, Blood 80100, 80101x3 80301, 80304 (Forensic) 8062U Postmortem Toxicology ‐ Expanded w/o Alcohol, Urine 80101x2, 80101, 80301, 80304, 80302 (Forensic) 80100 8063B Postmortem Toxicology ‐ Basic to Expanded Upgrade, 80100 80304 Blood (Forensic) 8063FL Postmortem Toxicology ‐ Basic to Expanded Upgrade, 80100x2 80304x2 Fluid (Forensic) 8063SP Postmortem Toxicology ‐ Basic to Expanded Upgrade, 80100 80304 Serum/Plasma (Forensic) 8063TI Postmortem Toxicology ‐ Basic to Expanded Upgrade, 80100x2, 80103x2 80304x2 Tissue (Forensic) 8063U Postmortem Toxicology ‐ Basic to Expanded Upgrade, 80100 80304 Urine (Forensic) 8067B Drug Impaired Driving/DRE Toxicology Panel (with 80102, 82055, 80301x2, 80320 Alcohol), Blood (Forensic) (CSA) 80101x11 8068B Drug Impaired Driving/DRE Toxicology Panel, Blood 80101x11 80301 (CSA) 8068U Drug Impaired Driving/DRE Toxicology Panel, Urine 80101x2, 80101x9 80301x2 (CSA)

Page 136 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 8069B Drug Impaired Driving/DRE Toxicology Panel (with 80102, 82055, 80301x2, 80320 Alcohol), Blood (Forensic) (CSA) 80101x11 8069U Drug Impaired Driving/DRE Toxicology Panel (with 80102, 80101x2, 80301x3, 80320 Alcohol), Urine (Forensic) (CSA) 82055, 80101x9 8070B Drug Impaired Driving/DRE Toxicology Panel (with 80102, 82055, 80301x2, 80320 Alcohol), Blood (Forensic) 80101x11 8070SP Drug Impaired Driving/DRE Toxicology Panel (with 80102, 82055, 80301x2, 80320 Alcohol), Serum/Plasma (Forensic) 80101x11 8070U Drug Impaired Driving/DRE Toxicology Panel (with 80102, 80101x2, 80301x3, 80320 Alcohol), Urine (Forensic) 82055, 80101x9 8071B Drug Impaired Driving/DRE Toxicology Panel, Blood 80101x11 80301 (Forensic) 8071SP Drug Impaired Driving/DRE Toxicology Panel, 80101x11 80301 Serum/Plasma (Forensic) 8071U Drug Impaired Driving/DRE Toxicology Panel, Urine 80101x2, 80101x9 80301x2 (Forensic) 8074B Drug Impaired Driving/DRE Toxicology Hallucinogens 80100 80304 Add‐On, Blood (Forensic) 8074U Drug Impaired Driving/DRE Toxicology Hallucinogens 80100 80304 Add‐On, Urine (Forensic) 8075B Drug Impaired Driving/DRE Toxicology Expanded Drug 80100 80304 Screen Add‐On, Blood (Forensic) 8075SP Drug Impaired Driving/DRE Toxicology Expanded Drug 80100 80304 Screen Add‐On, Serum/Plasma (Forensic) 8075U Drug Impaired Driving/DRE Toxicology Expanded Drug 80100 80304 Screen Add‐On, Urine (Forensic) 8076B Drug Impaired Driving/DRE Toxicology Low Dose 80154x2 80346 Benzodiazepines Add‐On, Blood (Forensic) 8076U Drug Impaired Driving/DRE Toxicology Low Dose 80154x2 80346 Benzodiazepines Add‐On, Urine (Forensic) 8078B Drug Impaired Driving/DRE Toxicology Gamma‐ 80100 80304 Hydroxybutyric Acid (GHB) Add‐On, Blood (Forensic) 8078U Drug Impaired Driving/DRE Toxicology Gamma‐ 80100 80304 Hydroxybutyric Acid (GHB) Add‐On, Urine (Forensic) 8082B Drug Impaired Driving/DRE Toxicology Inhalants Add‐ 82491, 84600x2 84600x3 On, Blood (Forensic) 8088B Qsymia®, Blood 83789x2 80324, 80201 8088SP Qsymia®, Serum/Plasma 83789x2 80324, 80201

Page 137 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 8090B Drug Impaired Driving/DRE Toxicology Panel, with 80102, 82055, 80301x2, 80320 Statement of Certainty®, Blood (Forensic) 80101x11 8091B Drugs of Abuse (11 Panel) and Alcohol Screen, Blood 82055, 80101x11 80301x2 (Forensic) 8091FL Drugs of Abuse (11 Panel) and Alcohol Screen, Fluid 82055, 80101x11 80301x2 (Forensic) 8091SP Drugs of Abuse (11 Panel) and Alcohol Screen, 82055, 80101x11 80301x2 Serum/Plasma (Forensic) 8091TI Drugs of Abuse (11 Panel) and Alcohol Screen, Tissue 82055, 80103x2, 80301x2 (Forensic) 80101x11 8091U Drugs of Abuse (11 Panel) and Alcohol Screen, Urine 80101x2, 80101, 80301x4 (Forensic) 82055, 80101x9 8092B Postmortem Toxicology ‐ Expert, Blood (Forensic) 80100x2, 82055, 80301x2, 80304x2 80101x7 8092FL Postmortem Toxicology ‐ Expert, Fluid (Forensic) 80101x6, 80101, 80301x2, 80304x2, 80100x2, 82055 80302 8092SP Postmortem Toxicology ‐ Expert, Serum/Plasma 80100x2, 82055, 80301x2, 80304x2 (Forensic) 80101x7 8092TI Postmortem Toxicology ‐ Expert, Tissue (Forensic) 80101x6, 80101, 80301x2, 80304x2, 80100x2, 82055, 80302 80103x5 8092U Postmortem Toxicology ‐ Expert, Urine (Forensic) 80101x2, 80100x2, 80301x3, 80304x2, 82055, 80101x5 80302 8096B Drugs of Abuse Screen (11 Panel), Blood (Forensic) 80101x11 80301 8096SP Drugs of Abuse Screen (11 Panel), Serum/Plasma 80101x11 80301 (Forensic) 8096U Drugs of Abuse Screen (11 Panel), Urine (Forensic) 80101x2, 80101, 80301x3 80101x9 8101B Drugs of Abuse (11 Panel) and Alcohol Screen, Blood 82055, 80101x11 80301x2 (Forensic) 8101FL Drugs of Abuse (11 Panel) and Alcohol Screen, Fluid 82055, 80101x11 80301x2 (Forensic) 8101SP Drugs of Abuse (11 Panel) and Alcohol Screen, 82055, 80101x11 80301x2 Serum/Plasma (Forensic) 8101TI Drugs of Abuse (11 Panel) and Alcohol Screen, Tissue 82055, 80103x2, 80301x2 (Forensic) 80101x11 8101U Drugs of Abuse (11 Panel) and Alcohol Screen, Urine 80101x2, 80101, 80301x4 (Forensic) 82055, 80101x9

Page 138 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 8103B Environmental Exposure Screen, Blood (Forensic) 82480, 82175, 84255, 82480, 82175, 80301, 83825, 83018x3, 84255, 83825, 84600x3, 83050, 83018x3, 84600x3, 80101x2, 82600, 80304, 83655, 83050, 83655, 82055, 83921 83060, 80302x2, 83921 8104B Postmortem Toxicology ‐ Fire Death Screen, Blood 84600, 83050, 82600, 80301, 84600, 80304, (Forensic) 80101, 80101x11 83050, 83060, 80302 8150B ProofPOSITIVE® Drug Impaired Driving/DRE Toxicology 80101x12 80301 Panel, Blood (Forensic) 8151B ProofPOSITIVE® Drug Impaired Driving/DRE Toxicology 80102, 82055, 80301x2, 80320 Panel (with Alcohol), Blood (Forensic) 80101x11 8152B ProofPOSITIVE® Drug Impaired Driving/DRE Toxicology 80100 80304 Expanded Drug Screen Add‐On, Blood (Forensic) 8600B Amphetamines Panel, Blood 82145 80326, 80359 8600FL Amphetamines Panel, Fluid 82145 80326, 80359 8600ME Amphetamines Panel (Qualitative), Meconium 82145, 80103 80324, 80359 8600SP Amphetamines Panel, Serum/Plasma 82145 80326, 80359 8600TI Amphetamines Panel, Tissue 82145, 80103 80326, 80359 8600U Amphetamines Panel, Urine 82145 80326, 80359 8620B Barbiturates Panel, Blood 82205 80345 8620FL Barbiturates Panel, Fluid 82205 80345 8620ME Barbiturates Panel (Qualitative), Meconium 82205, 80103 80345 8620SP Barbiturates Panel, Serum/Plasma 82205 80345 8620TI Barbiturates Panel, Tissue 82205, 80103 80345 8620U Barbiturates Panel, Urine 82205 80345 8636B Thiopental and Metabolite, Blood 82205 80345 8636SP Thiopental and Metabolite, Serum/Plasma 82205 80345 8646B Alprazolam and Metabolite, Blood 80154 80346 8646FL Alprazolam and Metabolite, Fluid 80154 80346 8646SP Alprazolam and Metabolite, Serum/Plasma 80154 80346 8646TI Alprazolam and Metabolite, Tissue 80154, 80103 80346 8646U Alprazolam and Metabolite, Urine 80154 80346 8660B Opiates ‐ Free (Unconjugated), Blood 83925 80356, 80361, 80365 8660FL Opiates ‐ Free (Unconjugated), Fluid 83925 80356, 80361, 80365 8660SP Opiates ‐ Free (Unconjugated), Serum/Plasma 83925 80356, 80361, 80365 8660TI Opiates ‐ Free (Unconjugated), Tissue 83925, 80103 80356, 80361, 80365 8660U Opiates ‐ Free (Unconjugated), Urine 83925 80356, 80361, 80365

Page 139 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 8661B Codeine and Metabolite ‐ Free (Unconjugated), Blood 83925 80361 8661SP Codeine and Metabolite ‐ Free (Unconjugated), 83925 80361 Serum/Plasma 8661U Codeine and Metabolite ‐ Total 83925 80361 (Conjugated/Unconjugated), Urine 8662B Dihydrocodeine ‐ Free (Unconjugated), Blood 83925 80361 8662SP Dihydrocodeine ‐ Free (Unconjugated), Serum/Plasma 83925 80361 8662U Dihydrocodeine ‐ Total (Conjugated/Unconjugated), 83925 80361 Urine 8663B Hydrocodone and Metabolites ‐ Free (Unconjugated), 83925 80361 Blood 8663FL Hydrocodone and Metabolites ‐ Free (Unconjugated), 83925 80361 Fluid 8663SP Hydrocodone and Metabolites ‐ Free (Unconjugated), 83925 80361 Serum/Plasma 8663TI Hydrocodone and Metabolites ‐ Total 83925, 80103 80361 (Conjugated/Unconjugated), Tissue 8663U Hydrocodone and Metabolites ‐ Total 83925 80361 (Conjugated/Unconjugated), Urine 8664B Hydromorphone ‐ Free (Unconjugated), Blood 83925 80361 8664FL Hydromorphone ‐ Free (Unconjugated), Fluid 83925 80361 8664SP Hydromorphone ‐ Free (Unconjugated), Serum/Plasma 83925 80361 8664TI Hydromorphone ‐ Free (Unconjugated), Tissue 83925, 80103 80361 8664U Hydromorphone ‐ Total (Conjugated/Unconjugated), 83925 80361 Urine 8665B 6‐Monoacetylmorphine ‐ Free (Unconjugated), Blood 83925 80356, 80361 8665FL 6‐Monoacetylmorphine ‐ Free (Unconjugated), Fluid 83925 80356, 80361 8665SP 6‐Monoacetylmorphine ‐ Free (Unconjugated), 83925 80356, 80361 Serum/Plasma 8665U 6‐Monoacetylmorphine ‐ Free (Unconjugated), Urine 83925 80356, 80361 8666B Morphine ‐ Free (Unconjugated), Blood 83925 80361 8666FL Morphine ‐ Free (Unconjugated), Fluid 83925 80361 8666SP Morphine ‐ Free (Unconjugated), Serum/Plasma 83925 80361 8666U Morphine ‐ Free (Unconjugated), Urine 83925 80361 8667B Oxycodone and Metabolite ‐ Free (Unconjugated), 83925 80365 Blood

Page 140 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 8667FL Oxycodone and Metabolite ‐ Free (Unconjugated), 83925 80365 Fluid 8667SP Oxycodone and Metabolite ‐ Free (Unconjugated), 83925 80365 Serum/Plasma 8667TI Oxycodone and Metabolite ‐ Total 83925, 80103 80365 (Conjugated/Unconjugated), Tissue 8667U Oxycodone and Metabolite ‐ Total 83925 80365 (Conjugated/Unconjugated), Urine 8668B Oxymorphone ‐ Free (Unconjugated), Blood 83925 80365 8668SP Oxymorphone ‐ Free (Unconjugated), Serum/Plasma 83925 80365 8668U Oxymorphone ‐ Total (Conjugated/Unconjugated), 83925 80365 Urine 8670B Opiates ‐ Total (Conjugated/Unconjugated), Blood 83925 80361, 80365 8670FL Opiates ‐ Total (Conjugated/Unconjugated), Fluid 83925 80361, 80365 8670ME Opiates ‐ Total (Conjugated/Unconjugated) 83925, 80103 80361, 80365 (Qualitative), Meconium 8670SP Opiates ‐ Total (Conjugated/Unconjugated), 83925 80361, 80365 Serum/Plasma 8670TI Opiates ‐ Total (Conjugated/Unconjugated), Tissue 83925, 80103 80361, 80365 8670U Opiates ‐ Total (Conjugated/Unconjugated), Urine 83925 80361, 80365 8671B Opiates ‐ Free and Total, Blood 83925x2 80361, 80365, 80356, 80361, 80365 8671SP Opiates ‐ Free and Total, Serum/Plasma 83925x2 80361, 80365, 80356, 80361, 80365 8671U Opiates ‐ Free and Total, Urine 83925x2 80361, 80365, 80356, 80361, 80365 8672B Morphine ‐ Total (Conjugated/Unconjugated), Blood 83925 80361 8672SP Morphine ‐ Total (Conjugated/Unconjugated), 83925 80361 Serum/Plasma 8672TI Morphine ‐ Total (Conjugated/Unconjugated), Tissue 83925, 80103 80361 8672U Morphine ‐ Total (Conjugated/Unconjugated), Urine 83925 80361 8673B Morphine ‐ Free and Total, Blood 83925x2 80361x2 8673SP Morphine ‐ Free and Total, Serum/Plasma 83925x2 80361x2 8673U Morphine ‐ Free and Total, Urine 83925x2 80361x2 8681B Chlorpromazine, Blood 84022 80342 8689B Thioridazine and Metabolite, Blood 84022 80342 8689SP Thioridazine and Metabolite, Serum/Plasma 84022 80342 8691B Triflupromazine, Blood 84022 80342

Page 141 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 8700B Antidepressants Panel, Blood 82542 80332, 80337, 80338 8700FL Antidepressants Panel, Fluid 82542 80332, 80337, 80338 8700SP Antidepressants Panel, Serum/Plasma 82542 80332, 80337, 80338 8700TI Antidepressants Panel, Tissue 82542, 80103 80332, 80337, 80338 8700U Antidepressants Panel, Urine 82542 80332, 80337, 80338 8702B Nortriptyline, Blood 80182 80335 8702U Nortriptyline, Urine 80182 80335 8703B Imipramine and Metabolite, Blood 80174 80335 8703SP Imipramine and Metabolite, Serum/Plasma 80174 80335 8703TI Imipramine and Metabolite, Tissue 80174, 80103 80335 8703U Imipramine and Metabolite, Urine 80174 80335 8704B Desipramine, Blood 80160 80335 8704U Desipramine, Urine 80160 80335 8705B Doxepin and Metabolite, Blood 80166 80335 8705U Doxepin and Metabolite, Urine 80166 80335 8706B Protriptyline, Blood 82542 80335 8706SP Protriptyline, Serum/Plasma 82542 80335 8707B Clomipramine and Metabolite, Blood 82542 80335 8707SP Clomipramine and Metabolite, Serum/Plasma 82542 80335 8708B Trimipramine and Metabolite, Blood 82542 80335 8708SP Trimipramine and Metabolite, Serum/Plasma 82542 80335 8708U Trimipramine and Metabolite, Urine 82542 80335 8721B Meperidine and Metabolite, Blood 83925 80362 8721FL Meperidine and Metabolite, Fluid 83925 80362 8721SP Meperidine and Metabolite, Serum/Plasma 83925 80362 8721U Meperidine and Metabolite, Urine 83925 80362 8722B Methadone and Metabolite, Blood 83840 80358 8722FL Methadone and Metabolite, Fluid 83840 80358 8722SP Methadone and Metabolite, Serum/Plasma 83840 80358 8722TI Methadone and Metabolite, Tissue 83840, 80103 80358 8722U Methadone and Metabolite, Urine 83840 80358 8723B Pentazocine, Blood 83925 80362 8755B Hallucinogens Screen ‐ Expanded, Blood 80100 80304 8755SP Hallucinogens Screen ‐ Expanded, Serum/Plasma 80100 80304 8755U Hallucinogens Screen ‐ Expanded, Urine 80100 80304 8756B Bath Salts and Stimulants Designer Drugs ‐ Expanded, 80100 80304 Blood

Page 142 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 8756SP Bath Salts and Stimulants Designer Drugs ‐ Expanded, 80100 80304 Serum/Plasma 8756U Bath Salts and Stimulants Designer Drugs ‐ Expanded, 80100 80304 Urine 8758B Hallucinogens Screen, Blood 80101, 80101x5 80301, 80302 8758SP Hallucinogens Screen, Serum/Plasma 80101, 80101x5 80301, 80302 8758U Hallucinogens Screen, Urine 80101x2, 80101, 80301x2, 80302 80101x3 8761ME Phencyclidine (Qualitative), Meconium 82541, 80103 83992 8888OF ProofPOSITIVE® Drug Impaired Driving/DRE Toxicology 83788 80349 Cannabinoids (Qualitative), Oral Fluid (Saliva) (CSA) 8889OF ProofPOSITIVE® Drug Impaired Driving/DRE Toxicology 83788 80324, 80346, 80353, Panel (Qualitative), Oral Fluid (Saliva) (CSA) 80356, 80358, 80359, 80361, 80362, 80365, 83992 8890OF Amphetamines Panel (Qualitative), Oral Fluid (Saliva) 83788 80325, 80359 8891OF Benzodiazepines Panel (Qualitative), Oral Fluid (Saliva) 83788 80346

8892OF Delta‐9 THC (Qualitative), Oral Fluid (Saliva) 82541 80349 8893OF Cocaine and Metabolites (Qualitative), Oral Fluid 83788 80353 (Saliva) 8894OF Methadone and Metabolite (Qualitative), Oral Fluid 83788 80358 (Saliva) 8895OF Opiates (Qualitative), Oral Fluid (Saliva) 83788 80356, 80361, 80365 8896OF Phencyclidine and Dextromethorphan (Qualitative), 83788 80362, 83992 Oral Fluid (Saliva) 8897OF Drugs of Abuse (7 Panel) (Qualitative), Oral Fluid 82541, 83788 80349, 80358, 80359, (Saliva) 80361, 80362, 80324, 80346, 80353, 80356 8898OF Drugs of Abuse (6 Panel) (Qualitative), Oral Fluid 83788 80358, 80359, 80362, (Saliva) 80365, 80324, 80346, 80353, 80356 90000U Opiates Screen, Urine (CSA) 80101x2 80301 90002U MDMA Screen, Urine (CSA) 80101 80301 90006U Opioids Screen, Urine (CSA) 83925, 80100x2 80304x2, 80302 90007U Drugs of Abuse Screen, Urine (CSA) 80101x2, 80101x3 80301x2, 80302x2 90008B Cannabinoids Screen, Blood (CSA) 80101 80301 90011U Ethyl Sulfate Screen, Urine (CSA) 80100 80304

Page 143 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 90012SP Gamma‐Hydroxybutyric Acid Screen, Serum/Plasma 80100 80304 (CSA) 9005OF ProofPOSITIVE® Drug Impaired Driving/DRE Toxicology 80101x2 80301 Screen (Qualitative), Oral Fluid (Saliva) (Forensic) 9022B Antidepressants Screen ‐ Expanded, Blood 80100 80304 9022U Antidepressants Screen ‐ Expanded, Urine 80100 80304 9025U Ethyl Sulfate Screen, Urine 80100 80304 9060B Lorazepam Screen, Blood (Forensic) 80100 80304 9060FL Lorazepam Screen, Fluid (Forensic) 80100 80304 9060SP Lorazepam Screen, Serum/Plasma (Forensic) 80100 80304 9061B Midazolam Screen, Blood (Forensic) 80100 80304 9061SP Midazolam Screen, Serum/Plasma (Forensic) 80100 80304 9095B Alcohol Screen with Vitreous Alcohol Confirmation, 82055 80301 Blood (Forensic) (CSA) 9096B Alcohol Screen, Blood (Forensic) 82055 80301 9097B Alcohol Screen (Police), Blood 80102, 82055 80301, 80320 9099B Alcohol Screen with Vitreous Alcohol Confirmation, 82055 80301 Blood (Forensic) 9101B Acepromazine Screen, Blood 84022 80302 9101SP Acepromazine Screen, Serum/Plasma 84022 80302 9101U Acepromazine Screen, Urine 84022 80302 9103TI Alfentanil Screen, Tissue 80100, 80103 80304 9103U Alfentanil Screen, Urine 80100 80304 9105B Acetyl Fentanyl Screen, Blood (Forensic) 80100 80304 9105SP Acetyl Fentanyl Screen, Serum/Plasma (Forensic) 80100 80304 9105U Acetyl Fentanyl Screen, Urine (Forensic) 80100 80304 9106B Alprazolam and Metabolite Screen, Blood 80101 80301 9106SP Alprazolam and Metabolite Screen, Serum/Plasma 80101 80301 9106U Alprazolam and Metabolite Screen, Urine 80101 80301 9107B Amoxapine and Metabolite Screen, Blood 80100 80302 9107SP Amoxapine and Metabolite Screen, Serum/Plasma 80100 80302 9107U Amoxapine and Metabolite Screen, Urine 80100 80302 9109B Atropine Screen, Blood 80100 80304 9109SP Atropine Screen, Serum/Plasma 80100 80304 9109TI Atropine Screen, Tissue 80100, 80103 80304 9109U Atropine Screen, Urine 80100 80304 9118B Brompheniramine Screen, Blood 82491 80302

Page 144 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 9122B Bupropion and Metabolite Screen, Blood 80100 80304 9122SP Bupropion and Metabolite Screen, Serum/Plasma 80100 80304 9122TI Bupropion and Metabolite Screen, Tissue 80100, 80103 80304 9122U Bupropion and Metabolite Screen, Urine 80100 80304 9124B Caffeine Screen, Blood 80155 80302 9124SP Caffeine Screen, Serum/Plasma 80155 80302 9124U Caffeine Screen, Urine 80155 80302 9129B Carisoprodol and Metabolite Screen, Blood 80100 80304 9129FL Carisoprodol and Metabolite Screen, Fluid 80100 80304 9129SP Carisoprodol and Metabolite Screen, Serum/Plasma 80100 80304 9129TI Carisoprodol and Metabolite Screen, Tissue 80100, 80103 80304 9129U Carisoprodol and Metabolite Screen, Urine 80101 80302 9132B Oxycodone Screen, Blood 80101 80301 9132SP Oxycodone Screen, Serum/Plasma 80101 80301 9136B Chlorpromazine Screen, Blood 82491 80302 9136SP Chlorpromazine Screen, Serum/Plasma 82491 80302 9136U Chlorpromazine Screen, Urine 82491 80302 9139B Clonazepam and Metabolite Screen, Blood 80100 80304 9139FL Clonazepam and Metabolite Screen, Fluid 80100 80304 9139SP Clonazepam and Metabolite Screen, Serum/Plasma 80100 80304 9139TI Clonazepam and Metabolite Screen, Tissue 80100, 80103 80304 9139U Clonazepam and Metabolite Screen, Urine 80100 80304 9142B Cyanide Screen, Blood 82600 80304 9151B Dicyclomine Screen, Blood 82491 80302 9153B Diazepam and Metabolites Screen, Blood 80101 80301 9153SP Diazepam and Metabolites Screen, Serum/Plasma 80101 80301 9153TI Diazepam and Metabolites Screen, Tissue 80101, 80103 80301 9153U Diazepam and Metabolites Screen, Urine 80101 80301 9156B Dimethyltryptamine Screen, Blood 82491 80302 9156SP Dimethyltryptamine Screen, Serum/Plasma 82491 80302 9156U Dimethyltryptamine Screen, Urine 82491 80302 9158B Diphenoxylate Screen, Blood 82491 80302 9158SP Diphenoxylate Screen, Serum/Plasma 82491 80302 9158U Diphenoxylate Screen, Urine 82491 80302 9159B Disopyramide Screen, Blood 82491 80302 9159SP Disopyramide Screen, Serum/Plasma 82491 80302 9163B Doxylamine Screen, Blood 82491 80302

Page 145 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 9163SP Doxylamine Screen, Serum/Plasma 82491 80302 9165B Ephedrine Screen, Blood 80100 80304 9165SP Ephedrine Screen, Serum/Plasma 80100 80304 9171B Ethosuximide Screen, Blood 80168 80302 9171SP Ethosuximide Screen, Serum/Plasma 80168 80302 9171U Ethosuximide Screen, Urine 80168 80302 9175SP Fenfluramine and Metabolite Screen, Serum/Plasma 82492 80302 9176B Fentanyl and Metabolite Screen, Blood 80100 80304 9176FL Fentanyl and Metabolite Screen, Fluid 80100 80304 9176SP Fentanyl and Metabolite Screen, Serum/Plasma 80100 80304 9176TI Fentanyl and Metabolite Screen, Tissue 80100, 80103 80304 9176U Fentanyl Screen, Urine 80101 80302 9179B Fluoxetine and Metabolite Screen, Blood 80100 80302 9179SP Fluoxetine and Metabolite Screen, Serum/Plasma 80100 80302 9179U Fluoxetine and Metabolite Screen, Urine 80100 80302 9180B Flurazepam and Metabolites Screen, Blood 80101 80301 9180SP Flurazepam and Metabolites Screen, Serum/Plasma 80101 80301 9180U Flurazepam and Metabolites Screen, Urine 80101 80301 9182B Haloperidol Screen, Blood 80100 80304 9182SP Haloperidol Screen, Serum/Plasma 80100 80304 9183SP Heptabarbital Screen, Serum/Plasma 82205 80302 9183U Heptabarbital Screen, Urine 82205 80302 9185B Fentanyl Analogues and Metabolites Screen, Blood 80100 80304 9185SP Fentanyl Analogues and Metabolites Screen, 80100 80304 Serum/Plasma 9185U Fentanyl Analogues and Metabolites Screen, Urine 80100 80304 9188B Ketamine and Metabolite Screen, Blood 80100 80304 9188SP Ketamine and Metabolite Screen, Serum/Plasma 80100 80304 9188U Ketamine and Metabolite Screen, Urine 80100 80304 9190B Ketoacidosis Screen, Blood 80100 80301 9190FL Ketoacidosis Screen, Fluid 80100 80301 9193U Methylphenidate and Metabolite Screen, Urine 80100 80304 9196SP Meclizine Screen, Serum/Plasma 80100 80304 9200SP Mepivacaine Screen, Serum/Plasma 82491 80302 9203U Methapyrilene Screen, Urine 82491 80302 9205B Dextro/Levo Methorphan Screen, Blood 82491 80302 9205SP Dextro/Levo Methorphan Screen, Serum/Plasma 82491 80302

Page 146 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 9205U Dextro/Levo Methorphan Screen, Urine 82491 80302 9210SP Methyprylon Screen, Serum/Plasma 82491 80302 9211B Mexiletine Screen, Blood 82491 80302 9211SP Mexiletine Screen, Serum/Plasma 82491 80302 9214B Nikethamide Screen, Blood 82491 80302 9215B Nitrazepam and Metabolite Screen, Blood 80100 80304 9215SP Nitrazepam and Metabolite Screen, Serum/Plasma 80100 80304 9219B Orphenadrine Screen, Blood 82491 80302 9222B Papaverine Screen, Blood 82491 80302 9225U Pemoline Screen, Urine 80100 80302 9226B Pentylenetetrazole Screen, Blood 82921 80302 9229B DMAA Screen, Blood 80100 80304 9229SP DMAA Screen, Serum/Plasma 80100 80304 9229U DMAA Screen, Urine 80100 80304 9233B Phensuximide Screen, Blood 82491 80302 9233U Phensuximide Screen, Urine 82491 80302 9235B Phenazepam Screen (Qualitative), Blood 80100 80304 9235U Phenazepam Screen (Qualitative), Urine 80100 80304 9237U Phenylpropanolamine Screen, Urine 80100 80304 9239B Phenytoin Screen, Blood 80185 80302 9239FL Phenytoin Screen, Fluid 80185 80302 9239SP Phenytoin Screen, Serum/Plasma 80185 80302 9247B Propranolol Screen, Blood 80100 80304 9247SP Propranolol Screen, Serum/Plasma 80100 80304 9248B Pseudoephedrine Screen, Blood 80100 80304 9248SP Pseudoephedrine Screen, Serum/Plasma 80100 80304 9248U Pseudoephedrine Screen, Urine 80100 80304 9249B Pseudoephedrine vs Ephedrine Differentiation Screen, 80100 80304 Blood 9249U Pseudoephedrine vs Ephedrine Differentiation Screen, 80100 80304 Urine 9251B Pyrilamine Screen, Blood 82491 80302 9251SP Pyrilamine Screen, Serum/Plasma 82491 80302 9253B Propofol Screen, Blood 82491 80302 9253SP Propofol Screen, Serum/Plasma 82491 80302 9254B Quinine/Quinidine Screen, Blood (Forensic) 80100 80304 9261B Scopolamine Screen, Blood 80100 80304

Page 147 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 9261SP Scopolamine Screen, Serum/Plasma 80100 80304 9261U Scopolamine Screen, Urine 80100 80304 9263B Strychnine Screen, Blood 80100 80302 9263FL Strychnine Screen, Fluid 80100 80302 9263SP Strychnine Screen, Serum/Plasma 80100 80302 9263TI Strychnine Screen, Tissue 80100, 80103 80302 9263U Strychnine Screen, Urine 80100 80302 9264B Sufentanil Screen, Blood 80100 80304 9264U Sufentanil Screen, Urine 80100 80304 9272B Thebaine Screen, Blood 80100 80304 9272U Thebaine Screen, Urine 80100 80304 9276B Thiothixene (Cis Isomer) Screen, Blood 80100 80302 9276SP Thiothixene (Cis Isomer) Screen, Serum/Plasma 80100 80302 9276U Thiothixene (Cis Isomer) Screen, Urine 80100 80302 9278U Tocainide Screen, Urine 82491 80302 9282B Trazodone Screen, Blood 82491 80302 9282SP Trazodone Screen, Serum/Plasma 82491 80302 9282TI Trazodone Screen, Tissue 82491, 80103 80302 9282U Trazodone Screen, Urine 82491 80302 9285B Triazolam and Metabolite Screen, Blood 80100 80304 9285SP Triazolam and Metabolite Screen, Serum/Plasma 80100 80304 9285U Triazolam as Metabolite Screen, Urine 80101 80301 9287U Tramadol Screen, Urine 80101 80302 9288B Tramadol and Metabolite Screen, Blood 80100 80304 9288FL Tramadol and Metabolite Screen, Fluid 80100 80304 9288SP Tramadol and Metabolite Screen, Serum/Plasma 80100 80304 9289SP Trimethadione and Metabolite Screen, Serum/Plasma 82492 80302 9291H Fentanyl Screen, Hair 80100, 80103 80304 9293B Methylenedioxymethamphetamine and Metabolite 80100 80304 Screen, Blood 9293SP Methylenedioxymethamphetamine and Metabolite 80100 80304 Screen, Serum/Plasma 9293U Methylenedioxymethamphetamine and Metabolite 80100 80304 Screen, Urine 9295B Herbicides Panel 1 Screen, Blood 80100 80302 9295SP Herbicides Panel 1 Screen, Serum/Plasma 80100 80302 9295U Herbicides Panel 1 Screen, Urine 80100 80302

Page 148 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 9302SP Tripelennamine Screen, Serum/Plasma 82491 80302 9306U Anabolic Steroids Screen, Urine 82570, 80100 82570, 80304 9308SP Amantadine Screen, Serum/Plasma 82491 80302 9313SP Butacaine Screen, Serum/Plasma 82491 80302 9317B Lidocaine and Metabolite (MEGX) Screen, Blood 80176 80302 9317SP Lidocaine and Metabolite (MEGX) Screen, 80176 80302 Serum/Plasma 9317U Lidocaine and Metabolite (MEGX) Screen, Urine 80176 80302 9318U Diuretics Screen, Urine 80100 80304 9322B Verapamil Screen, Blood 82491 80302 9324B Methadone Screen, Blood 80101 80301 9324SP Methadone Screen, Serum/Plasma 80101 80301 9324U Methadone Screen, Urine 80101 80301 9326B Gamma‐Hydroxybutyric Acid Screen, Blood 80100 80304 9326FL Gamma‐Hydroxybutyric Acid Screen, Fluid 80100 80304 9326SP Gamma‐Hydroxybutyric Acid Screen, Serum/Plasma 80100 80304 9326TI Gamma‐Hydroxybutyric Acid Screen, Tissue 80100, 80103 80304 9326U Gamma‐Hydroxybutyric Acid Screen, Urine 80100 80304 9329B Benzodiazepines Panel, Blood 80154 80347 9329FL Benzodiazepines Panel, Fluid 80154 80347 9329ME Benzodiazepines Panel (Qualitative), Meconium 80154, 80103 80347 9329SP Benzodiazepines Panel, Serum/Plasma 80154 80347 9329TI Benzodiazepines Panel, Tissue 80154, 80103 80347 9329U Benzodiazepines Panel, Urine 80154 80347 9332B Hydrocodone Screen, Blood 80101 80301 9332SP Hydrocodone Screen, Serum/Plasma 80101 80301 9334B Propoxyphene Screen, Blood 80101 80301 9334SP Propoxyphene Screen, Serum/Plasma 80101 80301 9334U Propoxyphene Screen, Urine 80101 80301 9336SP Methsuximide as Metabolite Screen, Serum/Plasma 80100 80302 9341B Flunitrazepam and Metabolites Screen, Blood 80100 80304 9341FL Flunitrazepam and Metabolites Screen, Fluid 80100 80304 9341R Flunitrazepam and Metabolites Screen, RBCs 80100 80304 9341SP Flunitrazepam and Metabolites Screen, Serum/Plasma 80100 80304 9341TI Flunitrazepam and Metabolites Screen, Tissue 80100, 80103 80304 9341U Flunitrazepam and Metabolites Screen, Urine 80100 80304 9343B Heroin Screen, Blood 80101 80301

Page 149 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 9343SP Heroin Screen, Serum/Plasma 80101 80301 9343U Heroin Screen, Urine 80101 80301 9356B Cannabinoids Screen, Blood 80101 80301 9356FL Cannabinoids Screen, Fluid 80101 80301 9356SP Cannabinoids Screen, Serum/Plasma 80101 80301 9356U Cannabinoids Screen, Urine 80101 80301 9361U Ethyl Glucuronide Screen, Urine 80101 80302 9399B Temazepam and Metabolite Screen, Blood 80101 80301 9399SP Temazepam and Metabolite Screen, Serum/Plasma 80101 80301 9399U Temazepam and Metabolite Screen, Urine 80101 80301 9401B Screen, Blood 80100 80302 9401SP Chloral Hydrate Screen, Serum/Plasma 80100 80302 9401U Chloral Hydrate Screen, Urine 83921 80302 9404B Nicotine and Metabolite Screen, Blood 80100 80304 9404SP Nicotine and Metabolite Screen, Serum/Plasma 80100 80304 9404U Nicotine and Metabolite with Anabasine Screen, Urine 80100 80304 9414U Methohexital Screen, Urine 82491 80302 9416B Phenobarbital Screen, Blood 80100 80302 9416SP Phenobarbital Screen, Serum/Plasma 80100 80302 9416U Phenobarbital Screen, Urine 80100 80302 9419B Thiopental and Metabolite Screen, Blood 82205 80302 9419SP Thiopental and Metabolite Screen, Serum/Plasma 82205 80302 9427B Thioridazine and Metabolite Screen, Blood 84022 80302 9427SP Thioridazine and Metabolite Screen, Serum/Plasma 84022 80302 9431B Antidepressants Screen, Blood 82492 80302 9431SP Antidepressants Screen, Serum/Plasma 82492 80302 9431TI Antidepressants Screen, Tissue 82492, 80103 80302 9431U Antidepressants Screen, Urine 82492 80302 9432B Amitriptyline and Metabolite Screen, Blood 80152 80302 9432SP Amitriptyline and Metabolite Screen, Serum/Plasma 80152 80302 9432U Amitriptyline and Metabolite Screen, Urine 80152 80302 9433B Nortriptyline Screen, Blood 80182 80302 9433U Nortriptyline Screen, Urine 80182 80302 9434B Imipramine and Metabolite Screen, Blood 80174 80302 9434SP Imipramine and Metabolite Screen, Serum/Plasma 80174 80302 9434U Imipramine and Metabolite Screen, Urine 80174 80302 9435B Doxepin and Metabolite Screen, Blood 80166 80302

Page 150 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 9435U Doxepin and Metabolite Screen, Urine 80166 80302 9436B Protriptyline Screen, Blood 82491 80302 9436SP Protriptyline Screen, Serum/Plasma 82491 80302 9437B Clomipramine and Metabolite Screen, Blood 82492 80302 9437SP Clomipramine and Metabolite Screen, Serum/Plasma 82492 80302 9437U Clomipramine and Metabolite Screen, Urine 82492 80302 9440B Meperidine and Metabolite Screen, Blood 83925 80302 9440SP Meperidine and Metabolite Screen, Serum/Plasma 83925 80302 9441B Pentazocine Screen, Blood 83925 80302 9441SP Pentazocine Screen, Serum/Plasma 83925 80302 9441U Pentazocine Screen, Urine 83925 80302 9442B Meprobamate Screen, Blood 80100 80304 9442SP Meprobamate Screen, Serum/Plasma 80100 80304 9442U Meprobamate Screen, Urine 83805 80302 9443B Glutethimide Screen, Blood 82980 80302 9443SP Glutethimide Screen, Serum/Plasma 82980 80302 9444U Meperidine Screen, Urine 80101 80302 9447B Venlafaxine and Metabolite Screen, Blood 80100 80304 9447U Venlafaxine and Metabolite Screen, Urine 80100 80304 9450U Drug Screen A, Urine (CSA) 80101x2, 80101x3, 80301x3, 80302x2 80101x5 9451U Drug Screen B, Urine (CSA) 80101x2, 80101x2 80301x2, 80302x2 9452U Drug Screen C, Urine (CSA) 80101x2, 80101x3, 80301x3, 80302x2 80101x5 9455B Drug Screen (12 Panel), Blood (Forensic) (CSA) 80100x3, 80101x9 80301, 80304x2, 80302 9522B Methamphetamine and Amphetamine Screen, Blood 80101x2 80301 9522FL Methamphetamine and Amphetamine Screen, Fluid 80101x2 80301 9522SP Methamphetamine and Amphetamine Screen, 80101x2 80301 Serum/Plasma 9522U Methamphetamine and Amphetamine Screen, Urine 80101 80301 9541B Atenolol Screen (Add‐On), Blood (Forensic) (CSA) 83789 80304 9541FL Atenolol Screen (Add‐On), Fluid (Forensic) (CSA) 83789 80304 9541SP Atenolol Screen (Add‐On), Serum/Plasma (Forensic) 83789 80304 (CSA) 9541TI Atenolol Screen (Add‐On), Tissue (Forensic) (CSA) 83789, 80103 80304 9541U Atenolol Screen (Add‐On), Urine (Forensic) (CSA) 83789 80304 9542B Cimetidine Screen (Add‐On), Blood (Forensic) (CSA) 82491 80302

Page 151 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 9542SP Cimetidine Screen (Add‐On), Serum/Plasma (Forensic) 82491 80302 (CSA) 9542U Cimetidine Screen (Add‐On), Urine (Forensic) (CSA) 82491 80302 9543B Clonidine Screen (Add‐On), Blood (Forensic) (CSA) 83789 80304 9543FL Clonidine Screen (Add‐On), Fluid (Forensic) (CSA) 83789 80304 9543SP Clonidine Screen (Add‐On), Serum/Plasma (Forensic) 83789 80304 (CSA) 9543TI Clonidine Screen (Add‐On), Tissue (Forensic) (CSA) 83789, 80103 80304 9543U Clonidine Screen (Add‐On), Urine (Forensic) (CSA) 83789 80304 9544B Digoxin Screen (Add‐On), Blood (Forensic) (CSA) 80162 80304 9544FL Digoxin Screen (Add‐On), Fluid (Forensic) (CSA) 80162 80304 9544SP Digoxin Screen (Add‐On), Serum/Plasma (Forensic) 80162 80304 (CSA) 9544TI Digoxin Screen (Add‐On), Tissue (Forensic) (CSA) 80162, 80103 80304 9545B Furosemide Screen (Add‐On), Blood (Forensic) (CSA) 80100 80304 9545SP Furosemide Screen (Add‐On), Serum/Plasma (Forensic) 80100 80304 (CSA) 9545U Furosemide Screen (Add‐On), Urine (Forensic) (CSA) 80100 80304 9546B Hydrochlorothiazide Screen (Add‐On), Blood (Forensic) 80100 80304 (CSA) 9546SP Hydrochlorothiazide Screen (Add‐On), Serum/Plasma 80100 80304 (Forensic) (CSA) 9546U Hydrochlorothiazide Screen (Add‐On), Urine (Forensic) 80100 80304 (CSA) 9547B Phenelzine Screen (Add‐On), Blood (Forensic) (CSA) 82491 80302 9547SP Phenelzine Screen (Add‐On), Serum/Plasma (Forensic) 82491 80302 (CSA) 9547TI Phenelzine Screen (Add‐On), Tissue (Forensic) (CSA) 82491, 80103 80302 9547U Phenelzine Screen (Add‐On), Urine (Forensic) (CSA) 82491 80302 9548B Propranolol Screen (Add‐On), Blood (Forensic) (CSA) 83789 80304 9548FL Propranolol Screen (Add‐On), Fluid (Forensic) (CSA) 83789 80304 9548SP Propranolol Screen (Add‐On), Serum/Plasma (Forensic) 83789 80304 (CSA) 9548TI Propranolol Screen (Add‐On), Tissue (Forensic) (CSA) 83789, 80103 80304 9548U Propranolol Screen (Add‐On), Urine (Forensic) (CSA) 83789 80304 9549B Ranitidine Screen (Add‐On), Blood (Forensic) (CSA) 82491 80302 9549FL Ranitidine Screen (Add‐On), Fluid (Forensic) (CSA) 82491 80302

Page 152 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 9549SP Ranitidine Screen (Add‐On), Serum/Plasma (Forensic) 82491 80302 (CSA) 9549U Ranitidine Screen (Add‐On), Urine (Forensic) (CSA) 82491 80302 9550B Risperidone and Metabolite Screen (Add‐On), Blood 83789 80304 (Forensic) (CSA) 9550FL Risperidone and Metabolite Screen (Add‐On), Fluid 83789 80304 (Forensic) (CSA) 9550SP Risperidone and Metabolite Screen (Add‐On), 83789 80304 Serum/Plasma (Forensic) (CSA) 9550TI Risperidone and Metabolite Screen (Add‐On), Tissue 83789, 80103 80304 (Forensic) (CSA) 9550U Risperidone and Metabolite Screen (Add‐On), Urine 83789 80304 (Forensic) (CSA) 9551B Sildenafil and Metabolite Screen (Add‐On), Blood 83789 80304 (Forensic) (CSA) 9551SP Sildenafil and Metabolite Screen (Add‐On), 83789 80304 Serum/Plasma (Forensic) (CSA) 9551U Sildenafil and Metabolite Screen (Add‐On), Urine 83789 80304 (Forensic) (CSA) 9552B Valproic Acid Screen (Add‐On), Blood (Forensic) (CSA) 80164 80302 9552FL Valproic Acid Screen (Add‐On), Fluid (Forensic) (CSA) 80164 80302 9552SP Valproic Acid Screen (Add‐On), Serum/Plasma 80164 80302 (Forensic) (CSA) 9552TI Valproic Acid Screen (Add‐On), Tissue (Forensic) (CSA) 80164, 80103 80302 9552U Valproic Acid Screen (Add‐On), Urine (Forensic) (CSA) 80164 80302 9553B Gamma‐Hydroxybutyric Acid Screen (Add‐On), Blood 80100 80304 (Forensic) (CSA) 9553FL Gamma‐Hydroxybutyric Acid Screen (Add‐On), Fluid 80100 80304 (Forensic) (CSA) 9553SP Gamma‐Hydroxybutyric Acid Screen (Add‐On), 80100 80304 Serum/Plasma (Forensic) (CSA) 9553TI Gamma‐Hydroxybutyric Acid Screen (Add‐On), Tissue 80100, 80103 80304 (Forensic) (CSA) 9553U Gamma‐Hydroxybutyric Acid Screen (Add‐On), Urine 80100 80304 (Forensic) (CSA) 9560B Synthetic Cannabinoids Screen, Blood (Forensic) 80100 80304 9562U Synthetic Cannabinoid Metabolites Screen ‐ Expanded, 80101x2, 80100 80304 Urine (Forensic)

Page 153 of 154

2015 CPT Code Update Effective: January 1, 2015

Modified 12/31/2014: CPT 80103 has been discontinued.

Test Code Test Name 2014 CPT Code(s) 2015 CPT Code(s) 9563U Synthetic Cannabinoid Metabolites Screen, Urine 80101x2 80302 9566B Postmortem Toxicology ‐ Synthetic Cannabinoids 80100 80304 Screen (Add‐On), Blood 9567OF Synthetic Cannabinoids (Qualitative) Screen, Oral Fluid 80100 80304 (Saliva) 9568U Synthetic Cannabinoid Metabolites Screen 2, Urine 80100 80304 9570U Tapentadol Screen, Urine 80101 80302

Page 154 of 154