Toxicology CPT Code Changes for 2016

Transcription

1 Beginning January 1, 2016, CMS deleted all 2015 drug testing G codes and will continue to not recognize the AMA CPT codes for drug testing. CMS created three G codes for presumptive testing and four G codes for definitive testing. 1. Delete the following G-codes: a. G0431, G0434 b. HCPCS codes G6030 through G Continue to not recognize the AMA CPT codes For presumptive testing, create three G codes. Only one of the three presumptive G codes may be billed per day. 4. For definitive testing, create four G codes. Only one of the four definitive G codes may be billed per day. Presumptive Drug ing : G0477 Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures, (eg, immunoassay) capable of being read by direct optical observation only (eg, dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service. : G0478 Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures, (eg, immunoassay) read by instrument-assisted direct optical observation (eg, dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service. : G0479 Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers (eg, immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when performed, per date of service. Definitive Drug ing : G0480 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (eg, IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)); qualitative or quantitative, all sources, includes specimen validity testing, per day, 1-7 drug class(es), including metabolite(s) if performed. : G0481 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (eg, IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)); qualitative or quantitative, all sources, includes specimen validity testing, per day, 8-14 drug class(es), including metabolite(s) if performed. : G0482 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (eg, IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)); qualitative or quantitative, all sources, includes specimen validity testing, per day, drug class(es), including metabolite(s) if performed.) : G0483 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (eg, IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)); qualitative or quantitative, all sources, includes specimen validity testing, per day, 22 or more drug class(es), including metabolite(s) if performed.

2 DOS Name Monoacetylmorphine, GC/MS, (HCPCS: G0480) Monoacetylmorphine, Qualitative, (HCPCS: G0480) 202 Acetaldehyde, Blood (HCPCS: G0480) 201 Acetaminophen (HCPCS: G0480) Acetaminophen Confirmation (HCPCS: G0480) 3198 Acetaminophen Screen (HCPCS: G0479) Acetonitrile Exposure Profile, Blood 80320, (HCPCS: G0480) Acetyl Fentanyl, Qualitative, Blood (HCPCS: G0480) Acetyl Fentanyl, Qualitative, Serum (HCPCS: G0480) Acetyl Fentanyl, Qualitative, (HCPCS: G0480) Alcohol Metabolites with Confirmation, (HCPCS: G0480) Alcohol Metabolites, Quantitative, (HCPCS: G0480) 443 Alcohol, Ethyl, Blood (HCPCS: G0480) 8879 Alcohol, Ethyl, Blood (HCPCS: G0480) Alcohol, Ethyl, Enzymatic (HCPCS: G0480) Alcohol, Ethyl, Qualitative, 2128 Alcohol, Ethyl, Qualitative, with Confirmation, Alcohol, Ethyl, Quantitative, Random (HCPCS: G0480) Alcohol, Ethyl, Quantitative (HCPCS: G0480) Alcohol, Ethyl, Qualitative, without Confirmation, Alfentanil Screen, (HCPCS: G0479) 4741 Alprazolam (Xanax) (HCPCS: G0480)

3 DOS Name Alprazolam and Metabolite Confirmation (HCPCS: G0480) Alprazolam and Metabolite Screen Alprazolam, Quantitative, (HCPCS: G0480) 423 Amitriptyline (HCPCS: G0480) 244 Amobarbital (HCPCS: G0480) Amoxapine and Metabolite (HCPCS: G0480) Amphetamine Confirmation, GC/MS, Blood 80359, (HCPCS: G0480) Amphetamine Confirmation, GC/MS, 80359, (HCPCS: G0480) Amphetamine Confirmation, GC/MS, Serum 80359, (HCPCS: G0480) Amphetamine Screen with Confirmation, Blood Amphetamine Screen with Confirmation, Serum Amphetamine Screen, with Confirmation, 6028 Amphetamine, Confirmation, GC/MS, Serum (HCPCS: G0480) Amphetamines (HCPCS: G0480) Amphetamines (1000 ng/ml Screen), without Confirmation, Amphetamines (1000 ng/ml Screen), with Confirmation, Amphetamines (200), Qualitative Confirmation, GC/MS, 80324, (HCPCS: G0480) 3035 Amphetamines (D/L Ratio), Blood (HCPCS: G0480) 3038 Amphetamines (D/L Ratio), Serum/Plasma (HCPCS: G0480) 3053 Amphetamines (D/L Ratio), (HCPCS: G0480) Amphetamines Confirmation, Fluid (HCPCS: G0480) Amphetamines Confirmation, GC/MS, Meconium (HCPCS: G0480)

4 DOS Name 3456 Amphetamines Panel, Blood 80326, (HCPCS: G0480) Amphetamines Panel, Serum/Plasma 80326, (HCPCS: G0480) 7170 Amphetamines Screen with Confirmation, 241 Amphetamines, Quantitative, GC/MS, (HCPCS: G0480) Amphetamines-1000 Clinical Screen, with Confirmation, Antidepressant Panel /Gastric, Qualitative (HCPCS: G0480) Antidepressant Panel, Blood 80337, 80338, (HCPCS: G0480) Antidepressant Panel, 80337, 80338, (HCPCS: G0480) Antidepressants Panel 1, Serum/Plasma 80337, (HCPCS: G0480) Antidepressants Panel, Serum/Plasma 80337, 80338, (HCPCS: G0480) Barbiturate Presumptive Screen Barbiturates Clinical Screen, with Confirmation, Barbiturates Clinical Screen, with Confirmation, Barbiturates Confirmation, Fluids (HCPCS: G0480) Barbiturates Confirmation, Serum/Plasma (HCPCS: G0480) Barbiturates Confirmation, Stool (HCPCS: G0480) Barbiturates Confirmation, (HCPCS: G0480) 3473 Barbiturates Panel, Blood (HCPCS: G0480) Barbiturates Panel, (HCPCS: G0480) 7171 Barbiturates Screen, with Confirmation, 8416 Barbiturates, GC/MS, (HCPCS: G0480) Barbiturates, Qualitative, GC/MS, (HCPCS: G0480)

5 DOS Name 7377 Barbiturates, Quantitative GC/MS Confirmation, Serum (HCPCS: G0480) 8568 Barbiturates, (HCPCS: G0480) Barbiturates, without Confirmation, Bath Salts Panel, Blood (HCPCS: G0480) Bath Salts Panel, Serum/Plasma (HCPCS: G0480) Benzodiazepine, GC/MS, (HCPCS: G0480) Benzodiazepines Clinical Screen, with Confirmation, Benzodiazepines Confirmation Qualitative, Meconium (HCPCS: G0480) Benzodiazepines Confirmation, Serum/Plasma (HCPCS: G0480) Benzodiazepines Panel, Blood (HCPCS: G0480) 7172 Benzodiazepines Screen with Confirmation, Benzodiazepines Screen, Serum/Plasma Benzodiazepines, Confirmation (HCPCS: G0480) Benzodiazepines, HPLC, Serum (HCPCS: G0480) Benzodiazepines, LC/MS/MS, Serum (HCPCS: G0480) Benzodiazepines, Qualitative, GC/MS, (HCPCS: G0480) Benzodiazepines, Quantitative, GC/MS, (HCPCS: G0480) Benzodiazepines, Quantitative, (HCPCS: G0480) 8417 Benzodiazepines, Quantitative, GC/MS, (HCPCS: G0480) Benzodiazepines, without Confirmation, Benzodiazepines, Qualitative, GC/MS, (HCPCS: G0480) Buprenorphine and Metabolite Screen

6 DOS Name Buprenorphine and Metabolite Screen, Blood Buprenorphine and Naloxone, LC/MS/MS 80348, (HCPCS: G0480) Buprenorphine Screen, with Quantitative Confirmation, Buprenorphine, Qualitative, (HCPCS: G0480) Buprenorphine, Qualitative, without Confirmation, Buprenorphine, Quantitative, (HCPCS: G0480) 8592 Bupropion and Metabolite, Serum/Plasma (HCPCS: G0480) 4413 Butalbital (HCPCS: G0480) 6065 Butorphanol Free (Unconjugated), Serum/Plasma (HCPCS: G0480) 8421 Cannabinoids (HCPCS: G0480) Cannabinoids Confirmation, Fluids (HCPCS: G0480) Cannabinoids Confirmation, Meconium (HCPCS: G0480) Cannabinoids Confirmation, Stool (HCPCS: G0480) Cannabinoids Panel Qualitative, Meconium (HCPCS: G0480) Cannabinoids Panel, Serum/Plasma (HCPCS: G0480) 312 Carisoprodol and Metabolite (HCPCS: G0480) Carisoprodol and Metabolite, (HCPCS: G0480) Carisoprodol Screen (HCPCS: G0479) Carisoprodol Screen with Reflex Confirmation (HCPCS: G0479) Chloral Hydrate, Blood Chlordiazepoxide (HCPCS: G0480) Chlordiazepoxide and Metabolites (HCPCS: G0480)

7 DOS Name 882 Chlorpromazine (HCPCS: G0480) Clobazam (HCPCS: G0480) Clomipramine (HCPCS: G0480) Clonazepam and 7-amino Clonazepam, (HCPCS: G0480) Clonazepam and Metabolite, Serum/Plasma (HCPCS: G Clonazepam, serum (HCPCS: G0480) Clorazepate (Tranxene ) (HCPCS: G0480) Cocaine and Metabolite Screen with Confirmation, Meconium Cocaine and Metabolites Confirmation, Qualitative, Meconium (HCPCS: G0480) Cocaine and Metabolites Screen, Blood Cocaine and Metabolites Screen, Serum/Plasma Cocaine and Metabolites, Confirmation, Fluid (HCPCS: G0480) Cocaine Metabolite-100, Qualitative, GC/MS, (HCPCS: G0480) Cocaine Metabolites Clinical Screen, with Confirmation, Cocaine Metabolites Clinical Screen, with Confirmation, Cocaine Metabolites Clinical Screen, without Confirmation, 7173 Cocaine Metabolites Screen with Confirmation, 6092 Cocaine Metabolites, Qualitative, or Gastric 6093 Cocaine Metabolites, Qualitative, GC/MS, (HCPCS: G0480) 5530 Cocaine Metabolites, GC/MS, (HCPCS: G0480) Cocaine, Confirmation, Blood, GC/MS (HCPCS: G0480) Cocaine, Confirmation, GC/MS (HCPCS: G0480)

8 DOS Name Cocaine, Confirmation, GC/MS, Meconium (HCPCS: G0480) 970 ine and Metabolite - Free (Unconjugated), Serum/Plasma (HCPCS: G0480) Comprehensive Drug Screen, Serum 80337, 80324, 80338, 80155, 80156, 80377, 80342, 80332, 80346, 80353, 80361, 80323, 80369, 80354, 80332, 80357, 80362, 80176, 80359, 80358, 80365, 83992, 80190, 80372, (HCPCS: G0483) Confirmed Infant Drug Abuse Screen #3, Meconium CordStat , 80359, 80345, 80346, 80353, 80358, 80362, 80361, 83992, 80365, 80367, 80349, (HCPCS: G0481) CordStat 12 plus EtOH 80324, 80359, 80345, 80346, 80353, 80358, 80362, 80361, 83992, 80365, 80367, 80349, 80373, (HCPCS: G0481) CordStat , 80359, 80345, 80348, 80346, 80353, 80358, 80362, 80361, 83992, 80365, 80367, 80349, (HCPCS: G0481) CordStat 13 plus EtOH CordStat CordStat 5 plus EtOH CordStat CordStat 7 plus EtOH CordStat CordStat 9 plus EtOH 80324, 80359, 80345, 80348, 80346, 80353, 80358, 80362, 80361, 83992, 80365, 80367, 80349, 80373, (HCPCS: G0482) 80324, 80359, 80353, 80361, 83992, (HCPCS: G0480) 80324, 80359, 80353, 80361, 83992, 80349, (HCPCS: G0480) 80324, 80359, 80345, 80353, 80358, 80361, 83992, (HCPCS: G0481) 80324, 80359, 80345, 80353, 80358, 80361, 83992, 80349, (HCPCS: G0481) 80324, 80359, 80345, 80346, 80353, 80358, 80361, 83992, 80367, (HCPCS: G0481) 80324, 80359, 80345, 80346, 80353, 80358, 80361, 83992, 80367, 80349, (HCPCS: G0481)

9 DOS Name Cotinine (HCPCS: G0479) DAP 5-50, Semi-Quantitative with THC Creatinine Ratio without Confirmation 80301, (HCPCS: G0479) 412 Desipramine (HCPCS: G0480) 6103 Dextromethorphan, Qualitative, or Gastric 3245 Dextrorphan/Levorphanol Screen, S/P (HCPCS: G0479) Diazepam and Metabolite (HCPCS: G0480) Diazepam, Quantitative (HCPCS: G0480) Dihydrotestosterone, Free, Serum (HCPCS: G0480) Dihydrotestosterone, LC/MS/MS (HCPCS: G0480) 6109 Dimethadione, Serum/Plasma (HCPCS: G0480) Diuretic Panel (HCPCS: G0480) Diuretics Screen, (HCPCS: G0479) 826 Doxepin (HCPCS: G0480) Drug Abuse Panel Drug Abuse Panel 10 plus Ethanol, without Confirmation Drug Abuse Panel 10 Plus Ethanol Drug Abuse Panel 10 with Confirmation, Drug Abuse Panel 10, without Confirmation, Drug Abuse Panel Plus Ethanol with Confirmation, Drug Abuse Panel with Confirmation, 2179 Drug Abuse Panel plus Ethanol, with Confirmation, Drug Abuse Panel Plus Ethanol, with Confirmation,

10 DOS Name 2125 Drug Abuse Panel plus Ethanol, without Confirmation, Drug Abuse Panel with Methadone 150, EDDP, No Confirmation Drug Abuse Panel with Confirmation, (Refl) 2127 Drug Abuse Panel 10-20, with Confirmation, Drug Abuse Panel 10-20, with Confirmation, 2124 Drug Abuse Panel 10-20, without Confirmation, Drug Abuse Panel (Refl) Drug Abuse Panel (Refl) without Confirmation Drug Abuse Panel Ethanol (Refl) Drug Abuse Panel Plus Ethanol with Confirmation, 2180 Drug Abuse Panel plus Ethanol, with Confirmation, 2130 Drug Abuse Panel plus Ethanol, without Confirmation, Drug Abuse Panel plus Ethanol without Confirmation Drug Abuse Panel with Confirmation, Drug Abuse Panel with Confirmation, Drug Abuse Panel with Confirmation, (Refl) 8254 Drug Abuse Panel without Confirmation, 2126 Drug Abuse Panel 10-50, with Confirmation, Drug Abuse Panel 3-20 with Confirmation, (Refl) Drug Abuse Panel 3-50, without Confirmation, Drug Abuse Panel 4 without Confirmation, Drug Abuse Panel 4 without Confirmation,

11 DOS Name Drug Abuse Panel 4-50 without Confirmation, Drug Abuse Panel 5 without Confirmation, Drug Abuse Panel 5, No Confirmation Drug Abuse Panel 5-100, without Confirmation, Drug Abuse Panel 5-20 with Confirmation, Drug Abuse Panel Drug Abuse Panel Ethanol, No Confirmation Drug Abuse Panel 5-50 Plus Ethanol with Confirmations, Drug Abuse Panel 5-50 with Confirmation, Drug Abuse Panel 5-50 without Confirmation, Drug Abuse Panel 5-50 without Confirmation, Drug Abuse Panel 5-50 without Confirmation, Drug Abuse Panel 5-50 without Confirmation, Drug Abuse Panel 5-50 without Confirmation, Drug Abuse Panel 5-50 Plus Ethanol with Confirmations, Drug Abuse Panel 5-50, No Confirmation Drug Abuse Panel 5-50, with Confirmation, Drug Abuse Panel 5-50, with THC Quantitative Confirmation, Drug Abuse Panel 6 plus Ethanol, with Confirmation, Drug Abuse Panel 6 plus Ethanol, with Confirmation, Drug Abuse Panel 6 plus Ethanol, without Confirmation Drug Abuse Panel 6, without Confirmation,

12 DOS Name Drug Abuse Panel Plus Ethanol without Confirmation, Drug Abuse Panel with Confirmation, Drug Abuse Panel without Confirmation, Drug Abuse Panel 6-100, with Confirmation Drug Abuse Panel 6-100, with Confirmation Drug Abuse Panel 6-100, without Confirmation, Drug Abuse Panel 6-100, without Confirmation, Drug Abuse Panel Drug Abuse Panel Drug Abuse Panel Ethanol Drug Abuse Panel Ethanol Drug Abuse Panel 6-20 Plus Ethanol without Confirmation, 649 Drug Abuse Panel 6-20 Special, with Confirmation, Drug Abuse Panel 6-20 with Confirmation, Drug Abuse Panel 6-20, No Confirmation Drug Abuse Panel Ethanol, No Confirmation Drug Abuse Panel 6-50 Plus Ethanol without Confirmation, Drug Abuse Panel 6-50 Plus Ethanol without Confirmation, Drug Abuse Panel 6-50 plus Ethanol, with Confirmation, Drug Abuse Panel 6-50 Plus Ethanol, Drug Abuse Panel 6-50 with Confirmation, Drug Abuse Panel 6-50 with Confirmation,

13 DOS Name Drug Abuse Panel 6-50 with Confirmation, 8262 Drug Abuse Panel 6-50 without Confirmation, Drug Abuse Panel 6-50 without Confirmation, Drug Abuse Panel 6-50 without Confirmation, Drug Abuse Panel 6-50, with Confirmation, Drug Abuse Panel Drug Abuse Panel Drug Abuse Panel 7 plus Ethanol, Newborn Panel Drug Abuse Panel 7 with Confirmation, Drug Abuse Panel 7, with Confirmation, Drug Abuse Panel 7, without Confirmation Drug Abuse Panel 7-20 with Confirmation, Drug Abuse Panel 7-20 with Confirmation, Drug Abuse Panel Drug Abuse Panel 7-50 plus Ethanol, with Confirmation, Drug Abuse Panel 7-50 with Confirmation, Drug Abuse Panel 7-50 with Confirmation, Drug Abuse Panel 7-50 with Confirmation, Drug Abuse Panel 7-50, No Confirmation Drug Abuse Panel 7-50, No Confirmation Drug Abuse Panel 7-50, without Confirmation, Drug Abuse Panel 8 without Confirmation,

14 DOS Name Drug Abuse Panel 8, with Confirmation, Drug Abuse Panel with Confirmation, Drug Abuse Panel without Confirmation, Drug Abuse Panel 8-100, without Confirmation, Drug Abuse Panel 8-20 with Confirmation, Drug Abuse Panel 8-20 with Confirmation, Drug Abuse Panel 8-20, Drug Abuse Panel 8-50 Plus Ethanol without Confirmation, Drug Abuse Panel 8-50 plus Ethanol, without Confirmation Drug Abuse Panel 8-50 with Confirmation, Drug Abuse Panel 8-50 with Confirmation, Drug Abuse Panel 8-50 without Confirmation, Drug Abuse Panel 8-50, No Confirmation Drug Abuse Panel 8-50, No Confirmation Drug Abuse Panel 8-50, No Confirmation Drug Abuse Panel 8-50, with Confirmation, Drug Abuse Panel 8-50, without Confirmation (REFL) Drug Abuse Panel 9 + Ethanol Drug Abuse Panel 9 + Ethanol Drug Abuse Panel 9 plus Ethanol, with Confirmation Drug Abuse Panel 9, No Confirmation Drug Abuse Panel 9, Serum

15 DOS Name Drug Abuse Panel 9, with Confirmation, Drug Abuse Panel with Confirmation, Drug Abuse Panel 9-100, with Confirmation, Drug Abuse Panel 9-100, with Confirmation, Drug Abuse Panel Drug Abuse Panel Drug Abuse Panel Drug Abuse Panel Ethanol Drug Abuse Panel 9-20 Plus Ethanol with Confirmation, Drug Abuse Panel 9-20 Plus Ethanol without Confirmation, Drug Abuse Panel 9-20, No Confirmation Drug Abuse Panel Drug Abuse Panel Ethanol Drug Abuse Panel Ethanol, No Confirmation Drug Abuse Panel 9-50 Plus Ethanol with Confirmation, Drug Abuse Panel 9-50 Plus Ethanol without Confirmation, Drug Abuse Panel 9-50 with Confirmation, Drug Abuse Panel 9-50 with Confirmation, Drug Abuse Panel 9-50, with Confirmation, Drug Abuse Panel 9-50, with Confirmation, Drug Abuse Panel 9-50, without Confirmation (REFL) Drug Abuse Panel 9-50, without Confirmation,

16 DOS Name 8255 Drug Abuse Panel 9-50, without Confirmation, Drug Abuse Panel 9-50, without Confirmation, Drug Abuse Screen 5 without Confirmation, Serum Drug Abuse Screen 6 with Confirmation Drug Abuse Screen 7 with Confirmation, Serum Drug and Alcohol Screen Drug Panel 10, Quantitative, Drug Panel 10-20, Quantitative Drug Panel Plus Ethanol with Confirmation, Drug Panel 10-50, Quantitative, Drug Panel 10-50, Quantitative, Drug Panel , Quantitative with Confirmation, Drug Panel 6, Quantitative, Drug Panel 8 (no THC), with Confirmation, Drug Screen 1 with Confirmation, Drug Screen 13, No Confirm (HCPCS: G0477) 451 Drug Screen Panel 1, Meconium 463 Drug Screen Panel 2, Meconium 453 Drug Screen Panel 4, Meconium 454 Drug Screen Panel 5, Meconium Drug Screen Panel 9, Meconium 1025 Drug Screen, Clinical 1, without Confirmation, Serum 80329, 80320, (HCPCS: G0479, G0480)

17 DOS Name Drug Screen, Clinical 1, without Confirmation, 5229 Drug Screen, Comprehensive, with Confirmation, Serum 80301, 80329, 80345, (HCPCS: G0479, G0480) Drug Screen, Comprehensive, with Confirmation, Serum,, Gastric 80301, 80337, 80326, 80329, 80338, 80345, 80339, 80370, 80363, 80368, 80332, 80342, 80358, 80323, 80365, 83992, 80320, 80377, 80301, 80329, 80345, , 80301, 80337, 80326, 80329, 80338, 80345, 80339, 80370, 80363, 80368, 80332, 80342, 80358, 80323, 80365, 83992, 80320, (HCPCS: G0479, G0483) 6635 Drug Screen, Comprehensive, with Confirmation, 80301, 80337, 80326, 80329, 80338, 80345, 80339, 80370, 80363, 80368, 80332, 80342, 80358, 80323, 80365, 83992, 80320, (HCPCS: G0479, G0482) 6640 Drug Screen, Comprehensive, with Confirmation,, Serum 80301, 80337, 80326, 80329, 80338, 80345, 80339, 80370, 80363, 80368, 80332, 80342, 80358, 80323, 80365, 83992, 80320, 80377, 80301, 80329, 80345, 80369, (HCPCS: G0479. G0482) Drug Screen, Comprehensive, without Confirmation, Gastric 80301, 80337, 80326, 80329, 80338, 80345, 80339, 80370, 80363, 80368, 80332, 80342, 80358, 80323, 80365, 83992, 80320, (HCPCS: G0479, G0482) Drug Screen, Pain 1 with Confirmation, Drug Screen, Serum/Plasma Drug Screen, Serum/Plasma Drug, General Toxicology, Blood 80320, 80346, 80356, 80357, 80330, 80354, 80355, 80366, 80337, 80326, 80323, 80353, 80377, 80345, 80340, 80370, 80344, 80333, 80361, 80364, 80358, 80338, 80360, 80348, 80365, 80367, 83992, 80321, 80372, 80198, 80373, 80368, 80359, (HCPCS: G0483)

18 DOS Name Drug, General Toxicology, Serum 80320, 80346, 80356, 80357, 80330, 80354, 80355, 80366, 80337, 80326, 80323, 80353, 80377, 80345, 80340, 80370, 80344, 80333, 80361, 80364, 80358, 80338, 80360, 80348, 80365, 80367, 83992, 80321, 80372, 80198, 80373, 80368, 80359, (HCPCS: G0483) Drug, General Toxicology, 80320, 80346, 80356, 80357, 80330, 80354, 80355, 80366, 80337, 80326, 80323, 80353, 80377, 80345, 80340, 80370, 80344, 80333, 80361, 80364, 80358, 80338, 80360, 80348, 80365, 80367, 83992, 80321, 80372, 80198, 80373, 80368, 80359, (HCPCS: G0483) Drug Toxicology Amphetamines, Quantitative, Oral Fluid (HCPCS: G0480) Drug Toxicology Barbiturates, Quantitative, Oral Fluid (HCPCS: G0480) Drug Toxicology Benzodiazepines, Quantitative, Oral Fluid (HCPCS: G0480) Drug Toxicology Cocaine, Quantitative, Oral Fluid (HCPCS: G0480) Drug Toxicology Marijuana, Quantitative, Oral Fluid (HCPCS: G0480) Drug Toxicology MDMA, Quantitative, Oral Fluid (HCPCS: G0480) Drug Toxicology Meprobamate, Quantitative, Oral Fluid (HCPCS: G0480) Drug Toxicology Methadone, Quantitative, Oral Fluid (HCPCS: G0480) Drug Toxicology Monitoring 1 Screen, Drug Toxicology Monitoring 1 with Confirmation, Drug Toxicology Monitoring 1, Quantitative, Oral Fluid 80324, 80345, 80346, 80353, 80349, 80359, 80369, 80358, 80323, 80348, 80361, 80354, 80356, 80362, 80365, 80367, 80372, 80373, 83992, (HCPCS: G0482) Drug Toxicology Monitoring 2 Screen, Drug Toxicology Monitoring 2 with Confirmation, Drug Toxicology Monitoring 3 Screen,

19 DOS Name Drug Toxicology Monitoring 3 with Confirmation, Drug Toxicology Monitoring 4 Screen, Drug Toxicology Monitoring 4 with Confirmation, Drug Toxicology Monitoring 5 Screen, Drug Toxicology Monitoring 5 with Confirmation, Drug Toxicology Monitoring 6 Screen, Drug Toxicology Monitoring 6 with Confirmation, Drug Toxicology Monitoring 7 Screen, Drug Toxicology Monitoring 8 Screen, Drug Toxicology Monitoring 8 with Confirmation, Drug Toxicology Monitoring 9 Screen, Drug Toxicology Monitoring 9 with Confirmation, Drug Toxicology Monitoring Alcohol Ethyl, Quantitative, (HCPCS: G0480) Drug Toxicology Monitoring Alcohol, Ethyl, Screen, Drug Toxicology Monitoring Alcohol, Ethyl, with Confirmation, Drug Toxicology Monitoring Amphetamines, Quantitative, (HCPCS: G0480) Drug Toxicology Monitoring Amphetamines, Screen, Drug Toxicology Monitoring Barbiturates, Quantitative, (HCPCS: G0480) Drug Toxicology Monitoring Barbiturates, Screen, Drug Toxicology Monitoring Barbiturates, with Confirmation, Drug Toxicology Monitoring Benzodiazepines, Quantitative, (HCPCS: G0480) Drug Toxicology Monitoring Benzodiazepines, Screen,

20 DOS Name Drug Toxicology Monitoring Benzodiazepines, with Confirmation, Drug Toxicology Monitoring Buprenorphine, Quantitative, (HCPCS: G0480) Drug Toxicology Monitoring Buprenorphine, Screen, Drug Toxicology Monitoring Buprenorphine, with Confirmation, Drug Toxicology Monitoring Carisoprodol Metabolite, Quantitative, (HCPCS: G0480) Drug Toxicology Monitoring Cocaine Metabolite, Quantitative, (HCPCS: G0480) Drug Toxicology Monitoring Cocaine Metabolite, Screen, Drug Toxicology Monitoring Cocaine Metabolite, with Confirmation, Drug Toxicology Monitoring Fentanyl, Quantitative, (HCPCS: G0480) Drug Toxicology Monitoring Heroin Metabolite, Quantitative, (HCPCS: G0480) Drug Toxicology Monitoring Heroin Metabolite, Screen, Drug Toxicology Monitoring Heroin Metabolite, with Confirmation, Drug Toxicology Monitoring Marijuana Metabolite 20, Screen, Drug Toxicology Monitoring Marijuana Metabolite 20, with Confirmation, Drug Toxicology Monitoring Marijuana Metabolite 50, Screen, Drug Toxicology Monitoring Marijuana Metabolite 50, with Confirmation, Drug Toxicology Monitoring Marijuana Metabolite, Quantitative, (HCPCS: G0480) Drug Toxicology Monitoring MDMA, Quantitative, (HCPCS: G0480) Drug Toxicology Monitoring MDMA, Screen,

21 DOS Name Drug Toxicology Monitoring MDMA, with Confirmation, Drug Toxicology Monitoring Methadone Metabolite, Quantitative, (HCPCS: G0480) Drug Toxicology Monitoring Methadone Metabolite, Screen, Drug Toxicology Monitoring Methadone Metabolite, with Confirmation, Drug Toxicology Monitoring Opiates Expanded, Quantitative, 80361, (HCPCS: G0480) Drug Toxicology Monitoring Opiates, Quantitative, (HCPCS: G0480) Drug Toxicology Monitoring Opiates, Screen, Drug Toxicology Monitoring Opiates, with Confirmation, Drug Toxicology Monitoring Oxycodone, Quantitative, (HCPCS: G0480) Drug Toxicology Monitoring Oxycodone, Screen, Drug Toxicology Monitoring Oxycodone, with Confirmation, Drug Toxicology Monitoring Phencyclidine Screen, Drug Toxicology Monitoring Phencyclidine, with Confirmation, Drug Toxicology Monitoring Propoxyphene, Quantitative, (HCPCS: G0480) Drug Toxicology Monitoring Propoxyphene, Screen, Drug Toxicology Monitoring Propoxyphene, with Confirmation, Drug Toxicology Monitoring Tapentadol, Quantitative, (HCPCS: G0480) Drug Toxicology Monitoring 7 with Confirmation, Drug Toxicology Monitoring, Amphetamines, with Confirmation, Drug Toxicology Monitoring, Tramadol, Quantitative, (HCPCS: G0480) Drug Toxicology Nicotine, Quantitative, Oral Fluid (HCPCS: G0480)

22 DOS Name Drug Toxicology Opioids, Quantitative, Oral Fluid 80348, 80354, 80361, 80365, 80367, 80362, 80372, 80373, (HCPCS: G0481) Drug Toxicology PCP, Quantitative, Oral Fluid (HCPCS: G0480) Drug Toxicology Zolpidem, Quantitative, Oral Fluid (HCPCS: G0480) Drugs of Abuse Screen, Serum and Volatiles 3120 Drugs of Abuse Screen (10 Panel), Fluid 722 Ethchlorvynol (Placidyl ) (HCPCS: G0480) 6126 Ethchlorvynol, Qualitative, or Gastric Ethyl Alcohol, Fentanyl and Metabolite, Blood (HCPCS: G0480) Fentanyl and Norfentanyl (HCPCS: G0480) Fentanyl and Norfentanyl, (HCPCS: G0480) Fentanyl Presumptive Screen, (HCPCS: G0479) Fentanyl Screen with Reflex Confirmation Fentanyl, Progressive, 8319 Fioricet 80155, 80345, (HCPCS: G0480, 80155) 8309 Fioricet, Blood 80155, 80345, (HCPCS: G0480, 80155) 8298 Fioricet, 80371, 80345, (HCPCS: G0480) Flunitrazepam and Metabolites Confirmation (HCPCS: G0480) Flunitrazepam and Metabolites Confirmation, (HCPCS: G0480) Flunitrazepam and Metabolites Screen, Flunitrazepam and Metabolites, Quantitative (HCPCS: G0480) Flunitrazepam and Metabolites, Quantitative, (HCPCS: G0480)

23 DOS Name 8389 Fluoxetine (HCPCS: G0480) Fluphenazine, Serum/Plasma (HCPCS: G0480) 422 Glutethimide (HCPCS: G0480) 8827 Gold, Serum/Plasma (HCPCS: G0480) 494 Gold, (HCPCS: G0480) 3135 Halazepam as Metabolite (HCPCS: G0480) Heroin Metabolites, Quantitative, 80361, (HCPCS: G0480) 3154 Heroin Screen, Serum/Plasma Hydrocodone (HCPCS: G0480) Hydrocodone and Metabolite, Serum (HCPCS: G0480) Hydrocodone and Metabolite, (HCPCS: G0480) 8315 Hydrocodone and Metabolites - Free (Unconjugated), Fluid (HCPCS: G0480) 8314 Hydrocodone and Metabolites, Tissue (HCPCS: G0480) Hydromorphone (HCPCS: G0480) 887 Imipramine (HCPCS: G0480) IPECAC USE MARKERS (HCPCS: G0479) Ketamine and Metabolite (HCPCS: G0480) LSD Presumptive Screen (HCPCS: G0479) 6176 LSD Screen (HCPCS: G0479) LSD Screen, Blood (HCPCS: G0480) 8456 LSD Screen, (HCPCS: G0479) LSD Trace Analysis (HCPCS: G0480)

24 DOS Name LSD Trace Analysis, (HCPCS: G0480) Marijuana Confirmation, GC/MS, Meconium (HCPCS: G0480) Marijuana Metabolite, Quantitative, (HCPCS: G0480) Marijuana Metabolite-50 with Creatinine Ratio, without Confirmation Marijuana Metabolites (THC 20 ng/ml) Clinical Screen with Confirmation Marijuana Metabolites (THC 50 ng/ml) Clinical Screen with Confirmation 80301, (HCPCS: G0479) 4846 Marijuana Metabolites, GC/MS, (HCPCS: G0480) Marijuana Metabolites-100 Clinical Screen with Confirmation Marijuana Metabolites-100 Clinical Screen with Confirmation Marijuana Metabolites-100 No Confirmation 7178 Marijuana Metabolites-100 Screen with Confirmation 6317 Marijuana Metabolites-15 by GC/MS, Qualitative, (HCPCS: G0480) Marijuana Metabolites-20 Clinical Screen with Confirmation 2158 Marijuana Metabolites-20 Screen, with Confirmation, Marijuana Metabolites-50 Clinical Screen with Confirmation Marijuana Metabolites-50 No Confirmation 7174 Marijuana Metabolites-50 Screen, with Confirmation, Maternal Substance Abuse Panel 8 Plus MDMA and Metabolite (HCPCS: G0480) MDMA/MDA Screen with Confirmation, MDMA/MDA, Quantitative, (HCPCS: G0480)

25 DOS Name MDPV Stimulant Designer Drug (HCPCS: G0480) MDPV Stimulant Designer Drug, (HCPCS: G0480) 6184 Meclizine Screen (HCPCS: G0479) Meperidine (HCPCS: G0480) Meperidine and Normeperidine, (HCPCS: G0480) Meperidine, GC/MS, (HCPCS: G0480) 6185 Meperidine, Qualitative, Random (HCPCS: G0480) Mephobarbital and Metabolite (HCPCS: G0480) 635 Meprobamate (HCPCS: G0480) 3104 Meprobamate, Quantitative (HCPCS: G0480) Mesoridazine (HCPCS: G0480) 3258 Methadone (HCPCS: G0480) Methadone and Metabolite (100), Qualitative, GC/MS, (HCPCS: G0480) Methadone and Metabolite, (HCPCS: G0480) Methadone by GC/MS, Non Chain of Custody (HCPCS: G0480) Methadone Clinical Screen, with Confirmation, Methadone Clinical Screen, without Confirmation, 7176 Methadone Screen with Confirmation 8418 Methadone, GC/MS, (HCPCS: G0480) 6192 Methadone, Qualitative, GC/MS, (HCPCS: G0480) Methamphetamine and Metabolite, Blood (HCPCS: G0480) Methamphetamine and Metabolite, Quantitative, (HCPCS: G0480)

26 DOS Name Methamphetamine Isomers, D and L (HCPCS: G0480) Methamphetamine /Gastric Qualitative (HCPCS: G0480) 645 Methaqualone (Quaalude ) (HCPCS: G0480) Methaqualone Clinical Screen, with Confirmation, 7177 Methaqualone Screen with Confirmation, 6197 Methaqualone, GC/MS, (HCPCS: G0480) 6199 Methaqualone, Qualitative, GC/MS, (HCPCS: G0480) 479 Metharbital and Metabolite (HCPCS: G0480) Methsuximide as Metabolite (HCPCS: G0480) 8457 Methylenedioxymethamphetamine (MDMA) (HCPCS: G0480) 8304 Midazolam (HCPCS: G0480) Midazolam as Metabolite, (HCPCS: G0480) 3139 Midazolam, Blood (HCPCS: G0480) 6215 Morphine (HCPCS: G0480) Morphine (Free and Total), Serum/Plasma (HCPCS: G0480) Morphine, Quantitative, (HCPCS: G0480) Nalbuphine-Free (Unconjugated), Serum/Plasma (HCPCS: G0480) Naloxone, Quantitative, (HCPCS: G0480) Naltrexone and Metabolite Confirmation, Free (Unconjugated) (HCPCS: G0480) Nicotine and Cotinine, LC/MS/MS (HCPCS: G0480) Nicotine and Cotinine, LC/MS/MS, (HCPCS: G0480) Nicotine and Expanded Metabolites, LC/MS/MS (HCPCS: G0480)

27 DOS Name Nicotine and Expanded Metabolites, LC/MS/MS, (HCPCS: G0480) Nicotine and Metabolite, Fluid (HCPCS: G0480) Nicotine Metabolite Screen (HCPCS: G0479) Nicotine, Serum (HCPCS: G0480) 8333 Nitrazepam and Metabolites, Serum/Plasma (HCPCS: G0480) 272 Nortriptyline (HCPCS: G0480) Opiate Confirmation by GCMS, 80361, (HCPCS: G0480) Opiate Confirmation, GC/MS 80361, (HCPCS: G0480) Opiate Metabolites Screen with Confirmation 7179 Opiate Metabolites Screen with Confirmation, Opiates 2000, GC/MS, (HCPCS: G0480) Opiates 5, Qualitative, 80361, (HCPCS: G0480) Opiates 5, Quantitative, 80361, (HCPCS: G0480) Opiates Clinical Screen with Confirmation Opiates Clinical Screen, with Confirmation, Opiates Clinical Screen, without Confirmation, Opiates Confirmation, Enhanced Sensitivity, 80361, (HCPCS: G0480) Opiates Confirmation, GC/MS, Meconium 80361, (HCPCS: G0480) Opiates Confirmation, LC/MS/MS 80361, (HCPCS: G0480) Opiates Metabolites, GC/MS, 80361, (HCPCS: G0480) Opiates, Expanded (100), Qualitative, GC/MS, (HCPCS: G0480) Opiates, Expanded by GC/MS, 80361, (HCPCS: G0480)

28 DOS Name Opiates, Expanded, GC/MS, 80361, (HCPCS: G0480) Opiates, Progressive Opiates, Serum 80361, 80365, (HCPCS: G0480) 6232 Opiates, GC/MS, (HCPCS: G0480) Opiates, Qualitative, GC/MS, (HCPCS: G0480) Oxazepam (HCPCS: G0480) Oxycodone and Metabolite, GC/MS, (HCPCS: G0480) Oxycodone and Metabolite, Quantitative (HCPCS: G0480) Oxycodone and Metabolite, Quantitative, (HCPCS: G0480) Oxycodone and Metabolite, with Quantitative Confirmation, Oxycodone Confirmation, Qualitative (HCPCS: G0480) Oxycodone Confirmation, GC/MS, (HCPCS: G0480) Oxycodone Screen and Confirmation, Oxycodone, Qualitative without Confirmation, (REFL) Oxycodone, Qualitative, GC/MS, (HCPCS: G0480) 3111 Oxycodone, Qualitative, without Confirmation, Oxycodone, with Qualitative Confirmation, Oxycodone, with Quantitative Confirmation, Pain Management Base Profile with Confirmation,, 84311, 82570, Pain Management Base Profile with Confirmation, without medmatch,, 82570, 83986, Pain Management Base Profile without Confirmation,, 84311, 82570, Pain Management Profile 1 with Confirmation,, 82570, 83986, 84311

29 DOS Name Pain Management Profile 1 with Confirmation, with D/L Isomers, Pain Management Profile 1 with Confirmation, with D/L Isomers, w/o medmatch Pain Management Profile 1 with Confirmation, without medmatch,, 84311, 82570, 83986, 84311, 82570, 83986, 84311, 82570, Pain Management Profile 1 without Confirmation,, 84311, 82570, Pain Management Profile 2 with Confirmation,, 84311, 82570, Pain Management Profile 2 with Confirmation, without medmatch,, 84311, 82570, Pain Management Profile 2 without Confirmation,, 84311, 82570, Pain Management Profile 3 with Confirmation,, 84311, 82570, Pain Management Profile 3 with Confirmation, without medmatch,, 82570, 83986, Pain Management Profile 3 without Confirmation,, 84311, 82570, Pain Management Profile 4 with Confirmation,, 84311, 82570, Pain Management Profile 4 with Confirmation, without medmatch,, 84311, 82570, Pain Management Profile 4 without Confirmation,, 84311, 82570, Pain Management Profile 5 with Confirmation,, 82570, 83986, Pain Management Profile 5 with Confirmation, with D/L Isomers, Pain Management Profile 5 with Confirmation, without medmatch, Pain Management Profile 5 with Confirmation,with D/L Isomers, w/o medmatch, 84311, 82570, 83986, 82570, 83986, 84311, 84311, 82570, Pain Management Profile 5 without Confirmation, 80301, 82570, 83986, (HCPCS: G0479)

30 DOS Name Pain Management Profile 6 with Confirmation,, 84311, 82570, Pain Management Profile 6 with Confirmation, without medmatch,, 84311, 82570, Pain Management Profile 7 with Confirmation,, 84311, 82570, Pain Management Profile 7 with Confirmation, without medmatch,, 84311, 82570, Pain Management Profile 8 with Confirmation,, 84311, 82570, Pain Management Profile 8 with Confirmation, without medmatch,, 84311, 82570, Pain Management, Alcohol Metabolites, Quantitative, (HCPCS: G0480) Pain Management, Alcohol Metabolites, Quantitative, with medmatch, (HCPCS: G0480) Pain Management, Alcohol Metabolites, with Confirmation, (HCPCS: G0480) Pain Management, Alcohol Metabolites, with Confirmation, with medmatch, (HCPCS: G0480) Pain Management, Amphetamines, Quantitative, (HCPCS: G0480) Pain Management, Amphetamines, Quantitative, with medmatch, (HCPCS: G0480) Pain Management, Amphetamines, with Confirmation, Pain Management, Amphetamines, with Confirmation, with D/L Isomers, Pain Management, Amphetamines, with Confirmation, with D/L Isomers, with medmatch, Pain Management, Amphetamines, with Confirmation, with medmatch, Pain Management, Amphetamines, with D/L Isomers, Quantitative, (HCPCS: G0480)

31 DOS Name Pain Management, Amphetamines, with D/L Isomers,Quantitative,w/medMATCH, (HCPCS: G0480) Pain Management, Amphetamines, without Confirmation, Pain Management, Barbiturates, Quantitative, (HCPCS: G0480) Pain Management, Barbiturates, Quantitative, with medmatch, (HCPCS: G0480) Pain Management, Barbiturates, with Confirmation, Pain Management, Barbiturates, with Confirmation, with medmatch, Pain Management, Barbiturates, without Confirmation, Pain Management, Benzodiazepines, Quantitative, (HCPCS: G0480) Pain Management, Benzodiazepines, Quantitative, with medmatch, (HCPCS: G0480) Pain Management, Benzodiazepines, with Confirmation, Pain Management, Benzodiazepines, with Confirmation, with medmatch, Pain Management, Benzodiazepines, without Confirmation, Pain Management, Buprenorphine and Naloxone, Quantitative, 80348, (HCPCS: G0480) Pain Management, Buprenorphine, Quantitative, (HCPCS: G0480) Pain Management, Buprenorphine, Quantitative, with medmatch, Pain Management, Buprenorphine, with Confirmation including Naloxone (HCPCS: G0480) Pain Management, Buprenorphine, with Confirmation, Pain Management, Buprenorphine, with Confirmation, with medmatch,

32 DOS Name Pain Management, Buprenorphine, without Confirmation, Pain Management, Carisoprodol Metabolite, Quantitative, (HCPCS: G0480) Pain Management, Cocaine Metabolite, Quantitative, (HCPCS: G0480) Pain Management, Cocaine Metabolite, Quantitative, with medmatch, (HCPCS: G0480) Pain Management, Cocaine Metabolite, with Confirmation, Pain Management, Cocaine Metabolite, with Confirmation, with medmatch, Pain Management, Cocaine Metabolite, without Confirmation, Pain Management, Fentanyl, Quantitative, (HCPCS: G0480) Pain Management, Fentanyl, Quantitative, with medmatch, (HCPCS: G0480) Pain Management, Heroin Metabolite, Quantitative, (HCPCS: G0480) Pain Management, Heroin Metabolite, Quantitative, with medmatch, (HCPCS: G0480) Pain Management, Heroin Metabolite, with Confirmation, Pain Management, Heroin Metabolite, with Confirmation, with medmatch, 80301, 84311, 82570, (HCPCS: G0479) Pain Management, Heroin Metabolite, without Confirmation, Pain Management, Marijuana Metabolite, Quantitative, (HCPCS: G0480) Pain Management, Marijuana Metabolite, Quantitative, with medmatch, (HCPCS: G0480) Pain Management, Marijuana Metabolite, with Confirmation, Pain Management, Marijuana Metabolite, with Confirmation, with medmatch, Pain Management, Marijuana Metabolite, without Confirmation,

33 DOS Name Pain Management, MDMA, without Confirmation, Pain Management, MDMA/MDA, Quantitative, with medmatch, (HCPCS: G0480) Pain Management, MDMA/MDA, Quantitative, (HCPCS: G0480) Pain Management, MDMA/MDA, with Confirmation, Pain Management, MDMA/MDA, with Confirmation, with medmatch, Pain Management, Meperidine, Quantitative, (HCPCS: G0480) Pain Management, Meperidine, Quantitative, with medmatch, (HCPCS: G0480) Pain Management, Methadone Metabolite, Quantitative, (HCPCS: G0480) Pain Management, Methadone Metabolite, with Confirmation, Pain Management, Methadone Metabolite, with Confirmation, with medmatch, Pain Management, Methadone Metabolite, without Confirmation, Pain Management, Methadone, Quantitative, with medmatch, (HCPCS: G0480) Pain Management, Methamphetamine D/L Isomers, (HCPCS: G0480) Pain Management, Methylphenidate Metabolite, Quantitative, with medmatch, (HCPCS: G0480) Pain Management, Methylphenidate Metabolite, Quantitative, (HCPCS: G0480) Pain Management, Opiates Expanded, Quantitative, 80361, (HCPCS: G0480) Pain Management, Opiates Expanded, Quantitative, with medmatch, 80361, (HCPCS: G0480) Pain Management, Opiates, with Confirmation, Pain Management, Opiates, with Confirmation, with medmatch,

34 DOS Name Pain Management, Opiates, without Confirmation, Pain Management, Oxycodone, Quantitative, (HCPCS: G0480) Pain Management, Oxycodone, Quantitative, with medmatch, (HCPCS: G0480) Pain Management, Oxycodone, with Confirmation, Pain Management, Oxycodone, with Confirmation, with medmatch, Pain Management, Oxycodone, without Confirmation, Pain Management, Phencyclidine, with Confirmation, Pain Management, Phencyclidine, with Confirmation, with medmatch, Pain Management, Phencyclidine, without Confirmation, Pain Management, Pregabalin, Quantitative, (HCPCS: G0480) Pain Management, Pregabalin, Quantitative, with medmatch, (HCPCS: G0480) Pain Management, Propoxyphene Metabolite, Quantitative, (HCPCS: G0480) Pain Management, Propoxyphene Metabolite, Quantitative, with medmatch, (HCPCS: G0480) Pain Management, Propoxyphene, with Confirmation, Pain Management, Propoxyphene, with Confirmation, with medmatch, Pain Management, Propoxyphene, without Confirmation, Pain Management, Synthetic Stimulants Quantitative, with medmatch, (HCPCS: G0480) Pain Management, Synthetic Stimulants, Quantitative, (HCPCS: G0480) Pain Management, Tapentadol, Quantitative, (HCPCS: G0480) Pain Management, Tapentadol, Quantitative, with medmatch, (HCPCS: G0480)

35 DOS Name Pain Management, Tramadol, Quantitative, (HCPCS: G0480) Pain Management, Tricyclic Antidepressants, Quantitative, (HCPCS: G0480) Pain Management, Tricyclic Antidepressants, Quantitative, with medmatch, (HCPCS: G0480) 700 Pentobarbital (HCPCS: G0480) 8306 Percodan, Blood 80329, (HCPCS: G0480) Perphenazine, Serum/Plasma (HCPCS: G0480) Phencyclidine Clinical Screen with Confirmation, Phencyclidine Clinical Screen, with Confirmation, Phencyclidine Clinical Screen, without Confirmation, Phencyclidine Confirmation Qualitative, Meconium (HCPCS: G0480) 7180 Phencyclidine Screen with Confirmation Phencyclidine Screen, S/P Phencyclidine, Confirmation, GC/MS, Meconium (HCPCS: G0480) Phencyclidine, Qualitative, GC/MS, (HCPCS: G0480) 6261 Phenothiazines, Qualitative, (HCPCS: G0479) 6261 Phenothiazines, Qualitative, (HCPCS: G0479) 3474 Phentermine (HCPCS: G0480) Progressive Drug Screen # Promethazine, Serum/Plasma (HCPCS: G0480) Propoxyphene Clinical Screen with Confirmation Propoxyphene Clinical Screen, with Confirmation, Propoxyphene Clinical Screen, without Confirmation,

36 DOS Name 7181 Propoxyphene Screen with Confirmation 8419 Propoxyphene, GC/MS, (HCPCS: G0480) 6282 Propoxyphene, Qualitative, GC/MS, (HCPCS: G0480) Propoxyphene, Quantitative, GC/MS, Serum (HCPCS: G0480) 2339 Risperidone (HCPCS: G0480) 805 Salicylate (HCPCS: G0480) 817 Secobarbital (HCPCS: G0480) 3384 Selegiline and Metabolites (HCPCS: G0480) 8871 Sertraline and Desmethylsertraline, Serum/Plasma (HCPCS: G0480) Sports I Expanded (HCPCS: G0480) 1024 Strychnine Screen, Blood (HCPCS: G0479) 855 Strychnine Screen, Serum/Plasma (HCPCS: G0479) 8305 Strychnine Screen, (HCPCS: G0479) 7380 Substance Abuse Panel Substance Abuse Panel 10 with Confirmation, Substance Abuse Panel 10 with Opiates, 3023 Substance Abuse Panel with Confirmation, 6440 Substance Abuse Panel 10-20, GC/MS Confirmation Substance Abuse Panel Plus with Opiates 6633 Substance Abuse Panel with Confirmation, Substance Abuse Panel with Creatinine Substance Abuse Panel with Opiates,

37 DOS Name 6402 Substance Abuse Panel 10-50, with Confirmation 7182 Substance Abuse Panel 2-50, GC/MS 7908 Substance Abuse Panel Substance Abuse Panel Substance Abuse Panel 5-50 GC/MS 6405 Substance Abuse Panel 5-50 GC/MS 7505 Substance Abuse Panel Substance Abuse Panel Substance Abuse Panel plus Ethanol with Confirmation, 6636 Substance Abuse Panel 6-50 GC/MS 6403 Substance Abuse Panel 6-50 with Confirmation Substance Abuse Panel 6-50 with Opiates, 6630 Substance Abuse Panel 7 GC/MS Substance Abuse Panel 7 plus Heroin and LSD with Confirmation, 80361, 80323, 80349, 83992, 80326, 80345, 80346, 80361, (HCPCS: G0481) 1094 Substance Abuse Panel 7, with Confirmation, 5796 Substance Abuse Panel 7-50 GC/MS Substance Abuse Panel 7-50 plus Ethanol, with Confirmation, Substance Abuse Panel 7-50, Confirmed 6406 Substance Abuse Panel 7-50, GC/MS, Substance Abuse Panel 8-50 Plus Ethanol with Confirmation, 7641 Substance Abuse Panel 8-50 with Confirmation

38 DOS Name Substance Abuse Panel 8-50 plus Ethanol with Confirmation, 1262 Substance Abuse Panel 8-50, with Confirmation, 6581 Substance Abuse Panel Substance Abuse Panel Substance Abuse Panel 9 with Confirmation, Special, Substance Abuse Panel 9-50 Plus Ethanol with Confirmation, Synthetic Cannabinoid Metabolites Screen, Expanded, (HCPCS: G0480) Synthetic Cannabinoid Metabolites Screen, (HCPCS: G0479) Synthetic Cannabinoid Panel 1, (HCPCS: G0480) Synthetic Cannabinoid Panel 2, (HCPCS: G0480) Synthetic Cannabinoids, Qualitative, Serum (HCPCS: G0480) Synthetic Cannabinoids, Qualitative, (HCPCS: G0480) Synthetic Stimulants, Qualitative, Blood (HCPCS: G0480) Synthetic Stimulants, Qualitative, Serum (HCPCS: G0480) Synthetic Stimulants, Qualitative, (HCPCS: G0480) Synthetic Stimulants, Quantitative, (HCPCS: G0480) Tapentadol, Quantitative, (HCPCS: G0480) Temazepam (HCPCS: G0480) 6313 Temazepam and Oxazepam (HCPCS: G0480) THC Confirmation, GC/MS with Ratio 80349, (HCPCS: G0480) 4416 Thiopental and Metabolite (HCPCS: G0480) Thioridazine and Metabolite (HCPCS: G0480)