| Test Code |
Procedure |
| 609996 |
Acid Fast Bacilli Culture and Smear |
| 609987 |
Aerobic Organism Identification |
| 609980 |
Aerobic (Routine) Culture |
| 606002 |
ASO Screen/Titer |
| 609335 |
Bartonella Antibody, IgG, IgM
Rochalimaea Cat Scratch Fever Antibodies, B. quintana & B. henselae |
| 608200 |
Chlamydia Differential Antibody Profile (C. pneumoniae, C. trachomatis, C. psittaci IgG antibody) |
| 607210 |
Chlamydia pneumoniae Antibodies, IgG & IgM |
| 607290 |
Chlamydia pneumoniae Antibody, IgG |
| 607099 |
Chlamydia trachomatis Antibody, IgG |
| 128404 |
Chlamydia trachomatis DNA by PCR
- Pap reflex testing |
| |
Chlamydia trachomatis/GC Amplified Probe - see GC/Chlamydia Trachomatis DNA Detection by PCR |
| 609305 |
Chlamydia/Gonococcus DNA Probe Assay |
| |
CMV - see multiple codes - Cytomegalovirus |
| 603047 |
Coccidioides immitis Antibody |
| 603044 |
Coccidioides Antibody Profile, IgG, IgM |
| 608002 |
Cytomegalovirus Antibodies, IgG, IgM |
| 605070 |
Cytomegalovirus DNA by PCR, Quantitative *RUO* |
| 606071 |
Epstein-Barr Viral Capsid Antibodies, IgG & IgM (EBV-VCA IgG & IgM) |
| 607015 |
Epstein-Barr Viral Capsid Antibody, IgG (EBV-VCA IgG) |
| 607016 |
Epstein-Barr Viral Capsid Antibody, IgM (EBV-VCA IgM) |
| 608004 |
Epstein-Barr Virus Comprehensive Profile (EBV-Early Antigen, EBV-Nuclear Antigen IgG, EBV-Viral Capsid Antibodies IgG & IgM) |
| 605064 |
Epstein-Barr Virus DNA by PCR |
| 607017 |
Epstein-Barr Virus Early Antigen (EBV-EA) |
| 609961 |
Fecal Fat Stain (qualitative) |
| 600020 |
FTA-ABS (Fluorescent Treponemal Ab. Test) |
| 609302 |
Fungus Culture |
| 609992 |
Fungus Culture & Smear |
| |
GC/CT DNA Probe - see 609305 - Chlamydia/Gonococcus DNA Probe Assay |
| 609505 |
GC/CT DNA by PCR |
| 128403 |
GC/CTDetxTM by PCR
(Neisseria gonorrhea and Chlamydia trachomatis detection)
- Pap reflex testing |
| 606623 |
GC DNA by PCR (Neisseria gonorrhoeae) |
| 128405 |
GC DNA by PCR (Neisseria gonorrhoeae)
- Pap reflex testing |
| 606105 |
Giardia Antigen by EIA |
| 601095 |
HCV ExactTM (Hepatitis C Virus RNA, Quantitiative Viral Load) |
| 606180 |
Helicobacter pylori Quantitative Antibodies Profile, IgA, IgG, IgM |
| 606110 |
Helicobacter pylori Quantitative Antibody, IgG |
| 606112 |
Helicobacter pylori Quantitative Antibody, IgM |
| 606280 |
Helicobacter pylori Stool Antigen |
| 607026 |
Hepatitis B “e” Antibody (Anti-Hbe) |
| 607027 |
Hepatitis B “e” Antigen (HBe Ag.) |
| 607023 |
Hepatitis B Core Antibody,Total (Anti-HBc Total) |
| 607021 |
Hepatitis B Surface Antibody (HBSAb) |
| 607022 |
Hepatitis B Surface Antigen (HBSAg) |
| 607029 |
Hepatitis B Virus DNA by PCR, Qualitative |
| 605010 |
Hepatits C Virus Antibody Total, (Anti-HCV) |
| 609801 |
Hepatitis C Confirmation by RIBA |
| 600045 |
Hepatitis C Virus Genotyping by CDX Taqman |
| 605061 |
Hepatitis C Virus RNA by PCR, Qualitative |
| |
Hepatitis C Virus RNA, Quantitiative- see 601095- HCVexact |
| 607600 |
Herpes Simplex Virus 1 & 2, IgG |
| 607097 |
Herpes Simplex Virus 1, IgG & IgM |
| 607041 |
Herpes Simplex Virus 1, IgM |
| 607096 |
Herpes Simplex Virus 2, IgG & IgM |
| 607042 |
Herpes Simplex Virus 2, IgG |
| 607214 |
Herpes Simplex Virus Culture, Rapid & Routine |
| 607167 |
Herpes Simplex Virus Culture, Routine |
| 608007 |
Herpes Simplex Virus Profile 1 & 2 (IgG & IgM) |
| 607347 |
HHV-6 (Human Herpes Virus 6) IgG Antibody |
| 607346 |
HHV-6 (Human Herpes Virus 6) IgG & IgM Antibodies |
| 607033 |
HIV-1 Antibody Confirmation (Western Blot) |
| |
HIV-1 Genotyping - see 608890 - ViraMapTM |
| |
HIV-1 Phenotyping (Virtual)- see 605595- ViraMap PlusTM (HIV-1 Genotyping With Virtual Phenotype Analysis) |
| 608881 |
HIV-1 RNA by PCR, Quantitative Viral Load |
| 608882 |
HIV-1 RNA by PCR, Quantitative Viral Load, Ultrasensitive |
| 607031 |
HIV-2 Antibody Confirmation (Western Blot) |
| 128400 |
HPVDetxTM by PCR
(Comprehensive detection and genotyping for all human papillomavirus risk levels)
- Pap reflex testing
|
| 128450 |
HPVDetxTM High Risk Assessment by PCR
(High risk detection and genotyping for human papillomavirus )
- Pap reflex testing
|
| 128402 |
HPV TriTectTM by PCR
(HPVDetxTM, Neisseria gonorrhea, Chlamydia trachomatis)
- Pap reflex testing
Note: HPV positive samples will reflex for genotyping adding additional CPT codes |
| 128452 |
HPV TriTectTM High Risk Assessment by PCR
(HPVDetxTM High Risk, Neisseria gonorrhea, Chlamydia trachomatis)
- Pap reflex testing
Note: HPV positive samples will reflex for genotyping adding additional CPT codes |
| 607700 |
HTLV-1/2 Antibody |
| |
Human Papilloma Virus (HPV) Pap Reflex Testing - see 128400 - HPVDetxTM |
| 605515 |
Influenza A & B Antibodies, IgG & IgM |
| 606021 |
Legionella Antibodies, IgG & IgM |
| 606047 |
Legionella Antibody, IgG |
| 606048 |
Legionella Antibody, IgM |
| 606022 |
Legionella Antigen |
| 609989 |
Legionella Culture |
| 606123 |
Lyme Antibodies, IgG & IgM (Borrelia burgdorferi) |
| 606124 |
Lyme Antibody, IgM (Borrelia burgdorferi) |
| 605068 |
Lyme Disease DNA by PCR (Borrelia burgdorferi) |
| 607775 |
Lyme Disease Western Blot, IgG and IgM (Borrelia burgdorferi) |
| 602324 |
M.M.R.V. Screen Profile
(Immunity Screen for Rubeola, Mumps, Rubella, Varicella Zoster) |
| 607050 |
Mumps Virus Antibody, IgG |
| 606024 |
Mycoplasma Antibodies, IgG & IgM |
| 606225 |
Mycoplasma Culture Genus |
| 606026 |
Mycoplasma Culture Respiratory Sources |
| |
Neisseria gonorrhea - see various codes - GC |
| 603020 |
Ova & Parasites Exam |
| 608090 |
Parvovirus B-19 Antibodies, IgG & IgM |
| 607090 |
Parvovirus B-19 Antibody, IgG |
| 607080 |
Parvovirus B-19 Antibody, IgM |
| 605555 |
Pneumocystis carinii Antigen |
| 607059 |
Rotavirus Antigen Detection |
| 603030 |
RPR (Syphilis) |
| 607077 |
Rubeola (Measles) Antibodies, IgG & IgM |
| 607064 |
Rubeola (Measles) Antibody, IgG |
| 609307 |
Stool, Comprehensive Bacterial Culture
|
| |
Syphilis - see 603030- RPR |
| 600185 |
Tetanus Antitoxoid Antibody |
| 606089 |
Toxoplasma Antibody, IgM |
| 609994 |
Urine Culture, Bacterial with Colony Count |
| 607074 |
Varicella Zoster Antibodies, IgG & IgM |
| 605505 |
Viral Isolation, Comprehensive (Routine) |
| 608890 |
ViraMapTM(HIV-1 Genotype, DNA Sequencing) |
