Toxicology Changes for 2015 HPV Examples of Toxicology Panels Molecular Pathology, FISH and Anatomic Pathology 1
Toxicology Changes for 2015 80100 Test Code Dos Test Name 2015 2015 Medicare 5229 Drug Screen, Comprehensive, with Confirmation, Serum 80301, 80329, 80345, 80369 80375 G0431 6635 Drug Screen, Comprehensive, with 6640 Drug Screen, Comprehensive, with, Serum 23019 Drug Screen, Comprehensive, without Confirmation, Gastric 23020 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, 80337, 80326, 80329, 80338, 80345, 80339, 80370, 80363, 80368, 80332, 80342, 80358, 80323, 80365, 83992, 80320, 80377, 80301, 80329, 80345, 80369 80375 80301, 80337, 80326, 80329, 80338, 80345, 80339, 80370, 80363, 80368, 80332, 80342, 80358, 80323, 80365, 83992, 80320, 80377 80301, 80337, 80326, 80329, 80338, 80345, 80339, 80370, 80363, 80368, 80332, 80342, 80358, 80323, 80365, 83992, 80320, 80377, 80301, 80329, 80345, 80369 80375, 80301, 80337, 80326, 80329, 80338, 80345, 80339, 80370, 80363, 80368, 80332, 80342, 80358, 80323, 80365, 83992, 80320, 80377 G0431 G0431 x2 G0431 G0431 x3 34540 NonSteroidal Anti Inflammatory Drug Panel 80331 G0431 91358 Drug Test, General Toxicology, Blood 91359 Drug Test, 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, 80349 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, 80349 G0431 G0431 2
Test Code Dos Test Name 2015 2015 Medicare 91360 Drug Test, 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, 80349 G0431 91608 Comprehensive Blood Tox Screen 80345, 80329, 80346, 80320 G0431 16744 Substance Abuse Panel 7 plus Heroin and LSD with 80361, 80323, 80349, 83992, 80326, 80345, 80346, 80361, 80365 G0431 80101 Test Code Dos Test Name 2015 2015 Medicare 451 Drug Screen Panel 1, Meconium 453 Drug Screen Panel 4, Meconium 454 Drug Screen Panel 5, Meconium 463 Drug Screen Panel 2, Meconium 649 Drug Abuse Panel 6-20, Special 855 Strychnine Screen 83788 83788 1024 Strychnine Screen, blood 83788 83788 1025 Drug Screen, Clinical 1 without Confirmation, Serum 1094 Substance Abuse Panel 7 with 1262 Substance Abuse Panel 8-50 with 2124 Drug Abuse Panel 10-20, without Confirmation 2125 Drug Abuse Panel 10-20 + Ethanol, No Confirmation 80329, 80320,, 82003, 80196, 84600 3
Test Code Dos Test Name 2015 2015 Medicare 2126 Drug Abuse Panel 10-50 with Confirmation, 2127 Drug Abuse Panel 10-20 with Confirmation, 2128 Alcohol, Ethyl, Qualitative, with 2130 Drug Abuse Panel 10-50 Plus Ethanol without 2158 Marijuana Metabolites-20 Screen with Confirmation 2179 Drug Abuse Panel 10-20 Plus Ethanol 2180 Drug Abuse Panel 10-50 Plus Ethanol with 2593 Substance Abuse Panel 6-100 plus Ethanol with 2595 Substance Abuse Panel 9 with Confirmation, Special, 3023 Substance Abuse Panel 10-20 with 3111 Oxycodone, Qualitative, without 3120 Drugs of Abuse Screen (11 Panel), Fluid 3154 Heroin Screen 3198 Acetaminophen Screen 80302 G0434 3242 Antihistamines Screen 80377 G0434 3245 Levorphanol (Screen) 80362 G0434 5796 Substance Abuse Panel 7-50 GC/MS 6065 Butorphanol Screen, Free (Unconjugated) 80362 83788 6092 Cocaine Metabolites, Qualitative, /Gastric 6093 Cocaine Metabolites, Qualitative, GC/MS, 80353 82486 4
Test Code Dos Test Name 2015 2015 Medicare 6103 Dextromethorphan, Qualitative, or Gastric 6126 Ethchlorvynol, Qualitative, /Gastric 6176 LSD Screen 80302 83788 6184 Meclizine Screen 83788 83788 6185 Meperidine, Qualitative, Random 80362 82486 6192 Methadone, Qualitative, GC/MS, 80358 82486 6199 Methaqualone, Qualitative, GC/MS, 80375 82486 6253 Phencyclidine, Qualitative, GC/MS, 83992 82489 6261 Phenothiazines, Qualitative, 80303 82486 6282 Propoxyphene, Qualitative, GC/MS, 80367 82486 6317 Marijuana Metabolites-15 by GC/MS, Qualitative, 80349 82486 6402 Substance Abuse Panel 10-50 GC/MS 6403 Substance Abuse Panel 6-50 with Confirmation 6404 Substance Abuse Panel 5-50 GC/MS 6405 Substance Abuse Panel 5-50 GC/MS 6406 Substance Abuse Panel 7-50, GC/MS, 6440 Substance Abuse Panel 10-20, GC/MS Confirmation 6581 Substance Abuse Panel 9 6630 Substance Abuse Panel 7 GC/MS 6633 Substance Abuse Panel 10-50 with 6636 Substance Abuse Panel 6-50 GC/MS 7170 Amphetamines Screen with Confirmation, 5
Test Code Dos Test Name 2015 2015 Medicare 7171 Barbiturates Screen, with Confirmation, 7172 Benzodiazepines Screen with Confirmation, 7173 Cocaine Metabolites Screen with 7174 Marijuana Metabolites-50 Screen, with 7176 Methadone Screen with Confirmation 7177 Methaqualone Screen with Confirmation, 7178 Marijuana Metabolites-100 Screen with Confirmation 7179 Opiate Metabolites Screen with 7180 Phencyclidine Screen with Confirmation 7181 Propoxyphene Screen with Confirmation 7182 Substance Abuse Panel 2-50, GC/MS 7375 Substance Abuse Panel 10 with 7376 Substance Abuse Panel 9 7380 Substance Abuse Panel 10 7505 Substance Abuse Panel 6 7532 Substance Abuse Panel 6 7641 Substance Abuse Panel 8-50 with Confirmation 7908 Substance Abuse Panel 5 7935 Volatiles, Qualitative, 80320 G0434 7936 Substance Abuse Panel 5 8254 Drug Abuse Panel 10-50 without 6
Test Code Dos Test Name 2015 2015 Medicare 8255 Drug Abuse Panel 9-50, without 8262 Drug Abuse Panel 6-50 without 8300 Antidepressant Panel 1, 80337, 80338 82486 8456 LSD Screen, 80302 G0434 8457 Methylenedioxymethamphetamine (MDMA) 80359 82486 10111 Antihistamine Panel 80377 82486 10147 Antihistamine Panel, 80377 82486 10489 LSD Screen, Blood 80323 83788 11123 Ketamine and Metabolite Screen 80357 82486 11166 Ketamine and Metabolite Screen, 80357 82486 11219 Drug Screen, Clinical 1, without 14450 Oxycodone Screen and 14464 Nicotine Metabolite Screen 80302 G0434 14492 Tox 7 Screen, 14539 Opiates Clinical Screen, without 14549 Drug Abuse Panel 9-20 14552 Drug Abuse Panel 8-20 with Confirmation, 14553 Drug Abuse Panel 7-20 with Confirmation, 14556 Opiates, Qualitative, GC/MS, 80361 82486 14557 Benzodiazepines, Qualitative, GC/MS, 80346 82486 14558 Barbiturates, Qualitative, GC/MS, 80345 82486 14563 Drug Abuse Panel 7-20 with Confirmation, 7
Test Code Dos Test Name 2015 2015 Medicare 14574 Confirmed Infant Drug Abuse Screen #3, Meconium 14631 Drug Abuse Panel 7-50 with Confirmation, 14632 Drug Abuse Panel 7 14633 Drug Abuse Panel 7-50 14634 Drug Abuse Panel 7 14635 Drug Abuse Panel 8-50 with Confirmation, 14636 Drug Abuse Panel 8-100 with Confirmation, 14637 Drug Abuse Panel 9-50 14638 Drug Abuse Panel 9-100 with Confirmation, 14668 Drug Abuse Panel 7 with Confirmation, 14695 Drug Abuse Panel 5-50 without 14697 Amphetamines (1000 ng/ml Screen), without 14698 Cocaine Metabolites Clinical Screen, without 14699 Methadone Clinical Screen, without 14708 Drug Abuse Panel 8-100 without Cinfirmation, 14709 Drug Abuse Panel 6-100 with Confirmation, 14710 Drug Abuse Panel 6-100, without 14714 Opiates Clinical Screen with Confirmation 14715 Drug Abuse Panel 6-50 with Confirmation, 8
Test Code Dos Test Name 2015 2015 Medicare 14716 Drug Abuse Panel 5-20 with Confirmation, 14717 Drug Abuse Panel 8-50 without 14722 Drug Abuse Panel 8-100 without 14726 Drug Abuse Panel 4-50 without 14727 Drug Abuse Panel 7-50 with Confirmation, 14733 Drug Abuse Panel 6-100 without 14734 Drug Abuse Panel 6-20 14739 Amphetamine Screen with Confirmation, Serum 14741 Amphetamine Screen, with Confirmation, 14743 Amphetamine Screen with Confirmation, Blood 14806 Drug Abuse Panel 10-100 with 14811 Drug Abuse Panel 10-50 with Confirmation, 14813 Drug Abuse Panel 4-50 without 80324, 80359 G0434 80324, 80359 82486 80324, 80359 82486 14859 6-Monoacetylmorphine, Qualitative, 80356 82486 14898 Volatiles, 80320 82486 14919 Marijuana Metabolites-20 Clinical Screen with Confirmation 14920 Alcohol, Ethyl, Qualitative, 14921 Barbiturates Clinical Screen, with 14922 Propoxyphene Clinical Screen with Confirmation 9
Test Code Dos Test Name 2015 2015 Medicare 14923 Marijuana Metabolites-100 Clinical Screen with Confirmation 14924 Amphetamines-1000 Clinical Screen, with 14925 Cocaine Metabolites Clinical Screen, with 14926 Phencyclidine Clinical Screen, with 14968 Opiates Metabolites, GC/MS, 80361, 80365 G0434 15050 Substance Abuse Panel 9-50 Plus Ethanol with 15130 Progressive Drug Screen #309 15171 Substance Abuse Panel 8-50 plus Ethanol with 15504 Drug Abuse Panel 10-50 (Refl) 15720 Tox 10 Profile, THC 20, with Alcohol, 15721 Tox 10 Screen with Alcohol, 15747 Tox 8 Profile with 15748 Tox 8 Screen, 15749 Toxicology 10 Profile, THC-50, 15751 Tox 10 Screen, THC-50, 15762 Tox 10 Profile, THC 20, 15763 Tox 10 Screen, THC 20, 15770 Benzodiazepines, Qualitative, GC/MS, 80346 82486 15771 Tox 9 Profile with 15772 Tox 9 Screen, 15802 Alcohol, Ethyl, Qualitative, without 16207 Pain Management, Buprenorphine, without 10
Test Code Dos Test Name 2015 2015 Medicare 16209 DAP 5-50, SemiI Quant w/thc Creatiine Ratio, No Confirm 16250 Drug Abuse Panel 8-50 with Confirmation, 80301, 82570 G0434 16259 Pain Management Base Profile with 16260 Pain Management Base Profile without 80301, 82570, 83986, 84311 80301, 82570, 83986, 84311 G0431 G0431 16310 Buprenorphine Screen, with Quantitative 16315 Buprenorphine, Qualitative, 80348 83788 16372 Drug Panel 10-50 Plus Ethanol with 16397 Drug Abuse Panel 6-50, with Confirmation, 16407 Fentanyl Screen with Reflex Confirmation 80302 G0434 16454 Pain Management Profile 1 with Confirmation, without medmatch, 16455 Pain Management Profile 2 with Confirmation, without medmatch, 16456 Pain Management Profile 3 with Confirmation, without medmatch, 16457 Pain Management Base Profile with Confirmation, without medmatch, 16483 Pain Management Profile 4 with 16484 Pain Management Profile 4 with Confirmation, without medmatch, 16486 Pain Management Profile 4 without 80301, 82570, 83986, 84311 80301, 82570, 83986, 84311 80301, 82570, 83986, 84311 80301, 82570, 83986, 84311 80301, 82570, 83986, 84311 80301, 82570, 83986, 84311 80301, 82570, 83986, 84311 G0431 G0431 G0431 G0431 G0431 G0431 G0431 16518 Drug Abuse Panel 9-50 Plus Ethanol without 16546 Drug Abuse Panel 5 without Confirmation, 11
Test Code Dos Test Name 2015 2015 Medicare 16548 Drug Abuse Panel 5-50 without 16580 Drug Abuse Panel 6-50 Plus Ethanol without 16723 Drug Abuse Screen 6 with Confirmation 16729 Drug Abuse Panel 8 without Confirmation, 16740 Benzodiazepines, Qualitative, GC/MS, 80346 82486 16806 Opiates 5, Qualitative, 80361, 80365 83788 16852 Pain Management Profile 2 with 16853 Pain Management Profile 2 without 16854 Pain Management Profile 3 with 16855 Pain Management Profile 3 without 16856 Pain Management Profile 1 with 16858 Pain Management Profile 1 without 80301, 82570, 84311, 83986 80301, 82570, 84311, 83986 80301, 82570, 84311, 83986 80301, 82570, 84311, 83986 80301, 82570, 84311, 83986 80301, 82570, 83986, 84311 G0431 G0431 G0431 G0431 G0431 G0431 16875 Phencyclidine, Qualitative, GC/MS, 83992 82486 16882 Marijuana, Qualitative, GCMS, 80349 82486 16885 Pain Management, Amphetamines, with 16886 Pain Management, Barbiturates, with 16887 Pain Management, Benzodiazepines, with 16888 Pain Management, Cocaine Metabolite, with 16889 Pain Management, Marijuana Metabolite, with 80301 G0431 12
Test Code Dos Test Name 2015 2015 Medicare 16890 Pain Management, Methadone, with 16891 Pain Management, Opiates, with 16892 Pain Management, Oxycodone, with 16893 Pain Management, Phencyclidine, with 16894 Pain Management, Propoxyphene, with 16901 Pain Management, Buprenorphine, with 16909 Pain Management, MDMA/MDA, with 16910 Pain Management, Alcohol Metabolites, with 16911 Pain Management, Heroin Metabolite, with 16994 Drug Abuse Panel 5-50 with THC Quantitative 80301 G0431 80321 83788 17440 Fentanyl, Progressive 80302 G0434 17454 Barbiturate Presumptive Screen 17462 Drug Abuse Panel 6-50 without 17672 Drug Abuse Panel 9, No Confirmation 17730 Drug Abuse Panel 5-50, No Confirmation 17737 Drug Abuse Panel 4 without Confirmation, 17815 Drug Abuse Panel 9-50, without 18533 Drug Panel 8 (no THC), with Confirmation, 18989 Pain Management, Marijuana Metabolite, with Confirmation, with medmatch, 13
Test Code Dos Test Name 2015 2015 Medicare 18990 Pain Management, Methadone, with Confirmation, with medmatch, 18991 Pain Management, Opiates, with Confirmation, with medmatch, 18992 Pain Management, Oxycodone, with Confirmation, with medmatch, 18993 Pain Management, Phencyclidine, with Confirmation, with medmatch, 18995 Pain Management, Propoxyphene, with Confirmation, with medmatch, 80301 G0431 19044 Drug and Alcohol Screen 19095 Buprenorphine and Metabolite Screen 80348 82486 19096 Buprenorphine and Metabolite Screen, Blood 19386 Opiate Metabolites Screen with Confirmation 19468 Substance Abuse Panel 8-50 Plus Ethanol with 19490 Oxycodone and Metabolite, with Quantitative 19498 Drug Screen, Pain 1 with Confirmation, 80348 82486 19499 Drug Screen 1 with 19524 Fentanyl Presumptive Screen, 80302 G0434 19542 Marijuana Metabolites-50 Clinical Screen with Confirmation 19555 Oxycodone, with Qualitative Confirmation, 19557 Oxycodone, with Quantitative Confirmation, 80301 with confirm code80365 80301 with confirm code80365 G0434 G0434 19595 Hypoglycemic Panel, Qualitative 83789 83789 19607 Drug Panel 6, Quantitative, 14
Test Code Dos Test Name 2015 2015 Medicare 19609 Drug Panel 10-50-2000, Quantitative with 19610 Ethyl Alcohol, 19611 Drug Panel 10-50, Quantitative, 19614 Drug Panel 10, Quantitative, 19642 Tramadol Screen with Reflex to 80302 G0434 19710 Drug Panel 10-50, Quantitative, 19733 Drug Abuse Panel 9, Serum 19766 Drug Abuse Screen 5 without Confirmation, Serum 19767 Drug Abuse Screen 7 with Confirmation, Serum 19886 Opiates, Progressive 80301 83788 19889 Drug Abuse Panel 9-50 21106 Alfentanil Screen, 80354 83788 23490 Drug Abuse Panel 10-50 with Confirmation, 23491 Drug Abuse Panel 10-50 Plus Ethanol with 23492 Drug Abuse Panel 9-50 with Confirmation, 23493 Drug Abuse Panel 9-50 with Confirmation, 23494 Drug Abuse Panel 9-50 + Ethanol, No Confirmation 23495 Drug Abuse Panel 9-50 + Ethanol 23496 Drug Abuse Panel 9-50 Plus Ethanol with 23497 Drug Abuse Panel 6-50 with Confirmation, 15
Test Code Dos Test Name 2015 2015 Medicare 23498 Drug Abuse Panel 6-50 with Confirmation, 23499 Drug Abuse Panel 6-50 + Ethanol, No Confirmation 23700 Drug Abuse Panel 6-50 + Ethanol 23701 Drug Abuse Panel 6-50 Plus Ethanol, 23702 Drug Abuse Panel 5-50 without 23703 Drug Abuse Panel 5-50 23704 Drug Abuse Panel 5-50 with Confirmation, 23705 Drug Abuse Panel 5-50 + Ethanol, No Confirmation 23706 Drug Abuse Panel 5-50 Plus Ethanol with Confirmations, 23707 Drug Abuse Panel 5-50 Plus Ethanol with Confirmations, 23708 Drug Abuse Panel 10-20 23709 Drug Abuse Panel 10-20 + Ethanol 23710 Drug Abuse Panel 9-20, No Confirmation 23711 Drug Abuse Panel 9-20 23712 Drug Abuse Panel 9-20 23713 Drug Abuse Panel 9-20 Plus Ethanol without 23714 Drug Abuse Panel 9-20 Plus Ethanol with 23715 Drug Abuse Panel 9-20 + Ethanol 23716 Drug Abuse Panel 6-20, No Confirmation 23717 Drug Abuse Panel 6-20 with Confirmation, 23718 Drug Abuse Panel 6-20 16
Test Code Dos Test Name 2015 2015 Medicare 23719 Drug Abuse Panel 6-20 Plus Ethanol without 23720 Drug Abuse Panel 6-20 + Ethanol 23721 Drug Abuse Panel 6-20 + Ethanol 26510 Nalbuphine Screen Free (Unconjugated) 80362 G0434 26515 Antidepressant Panel 1 80337, 80338 G0434 26567 Cocaine and Metabolites Screen, Blood 26568 Cocaine and Metabolites Screen 28721 Marijuana Metabolites-100 Clinical Screen with Confirmation 28722 Marijuana Metabolites (THC 50 ng/ml) Clinical Screen with Confirmation 28723 Marijuana Metabolites (THC 20 ng/ml) Clinical Screen with Confirmation 29421 Drug Abuse Panel 10-100 Plus Ethanol with 29423 Drug Abuse Panel 10 with Confirmation, 29424 Drug Abuse Panel 10, No Confirmation 30076 Naltrexone and Metabolite Screen, Free (Unconjugated) 30168 Substance Abuse Panel 10-50 with Creatinine 80362 83788 80301, 82570 G0434 30427 Drug Screen Panel 9, Meconium 30453 Drug Abuse Panel 6-100 Plus Ethanol without 30460 Drug Abuse Panel 9 + Ethanol 30461 Drug Abuse Panel 9 + Ethanol 30462 Drug Abuse Panel 10 30463 Drug Abuse Panel 10 Plus Ethanol 17
Test Code Dos Test Name 2015 2015 Medicare 30464 Amphetamines (1000 ng/ml Screen), with 30465 Barbiturates Clinical Screen, with 30466 Benzodiazepines Clinical Screen, with 30467 Cocaine Metabolites Clinical Screen, with 30468 Methadone Clinical Screen, with 30469 Methaqualone Clinical Screen, with 30470 Opiates Clinical Screen, with Confirmation, 30471 Phencyclidine Clinical Screen with 30472 Propoxyphene Clinical Screen, with 30491 Substance Abuse Panel 6-50 with Opiates, 30492 Substance Abuse Panel 10 with Opiates, 30496 Substance Abuse Panel 10-50 with Opiates, 30511 Ipecac Use Markers 83789 G0434 30707 Marijuana Metabolites-100 No Confirmation 30708 Antidepressant Panel /Gastric, Qualitative 30712 Drug Abuse Panel 3-50, without 31277 Drug Abuse Panel 8-20, 31326 Volatiles, Qualitative, Gastric 80320 82486 31342 Marijuana Metabolites-50 No Confirmation 18
Test Code Dos Test Name 2015 2015 Medicare 31635 Drug Abuse Panel 9-50, without 31837 Drug Abuse Panel 10-50 with Confirmation, (Refl) 33962 Cannabinoids Panel, 80349 82541 33963 Cocaine and Metabolite Screen with Confirmation, Meconium 34006 Phencyclidine Screen 35609 Drug Abuse Panel 10-50 (Refl) without Confirmation 36318 Drug Abuse Panel 7-50, No Confirmation 36320 Drug Abuse Panel 8-50, No Confirmation 36321 Drug Abuse Panel 7-50, No Confirmation 36322 Drug Abuse Panel 5-50 without 36323 Drug Abuse Panel 5-50 without 36324 Drug Abuse Panel 6-50 without 36357 Drug Abuse Panel 8-50, No Confirmation 36388 Benzodiazepines, without Confirmation, 36390 Drug Abuse Panel 10-50 plus Ethanol without Confirmation 36391 Drug Abuse Panel 5, No Confirmation 36550 Alprazolam and Metabolite Screen 36551 Triazolam and Metabolite Screen 36661 Drug Abuse Panel 4 without Confirmation, 37005 Methamphetamine /Gastric Qualitative 80324 82486 37025 LSD Presumptive Screen 80302 G0434 19
Test Code Dos Test Name 2015 2015 Medicare 37394 Drug Abuse Panel 7-50 37576 Benzodiazepines Screen 37653 Gamma-Hydroxybutyric Acid Screen, 80368 82486 37654 Gamma-Hydroxybutyric Acid Screen 80368 82486 37892 Drugs of Abuse Screen, Serum And Volatiles 37992 Drug Abuse Panel 8-50 Plus Ethanol without 38088 Drugs Of Abuse Screen, Serum 38555 Sports I Expanded 80328 82541 38574 Barbiturates, without 38845 Drug Abuse Panel 3-20 with Confirmation, (Refl) 38946 Drug Abuse Panel 6 without Confirmation, 38948 Drug Abuse Panel 7-50 without Confirmation 38949 Drug Abuse Panel 6-50 Plus Ethanol without 39456 Drug Abuse Panel 10-50 + Ethanol (Refl) 39652 Drug Abuse Panel 8-50, No Confirmation 70033 Buprenorphine, Qualitative, without 70035 Oxycodone and Metabolite (100), Qualitative, GC/MS, 70038 Cocaine Metabolite-100, Qualitative, GC/MS, 70039 Methadone and Metabolite (100), Qualitative, GC/MS, 70186 Opiates, Expanded (100), Qualitative, GC/MS, 80365 82541 80353 82541 80358 82541 80361 82541 20
Test Code Dos Test Name 2015 2015 Medicare 70245 Pain Management, Amphetamines, with Confirmation, with medmatch, 70246 Pain Management, Barbiturates, with Confirmation, with medmatch, 70247 Pain Management, Benzodiazepines, with Confirmation, with medmatch, 70248 Pain Management, Cocaine Metabolite, with Confirmation, with medmatch, 70249 Pain Management, Buprenorphine, with Confirmation, with medmatch, 90002 Work Comp, Base Profile with Confirmation, 90078 Pain Management, MDMA/MDA, with Confirmation, with medmatch, 90079 Pain Management, Alcohol Metabolites, with Confirmation, with medmatch, 90081 Pain Management, Heroin Metabolite, with Confirmation, with medmatch, 80301 G0431 80321 83788 90089 Work Comp, Profile 1 with Confirmation, 90318 Pain Management Profile 5 with Confirmation, without medmatch, 90347 Pain Management Profile 5 without 90348 Pain Management Profile 5 with 80301, 82570, 84311, 83986, 80301, 82570, 83986, 84311 80301, 82570, 84311, 83986 80301, 82570, 84311, 83986 G0434 G0431 G0431 G0431 90418 Ethyl Glucuronide with 80321 83788 90488 Carisoprodol Screen 80302 G0434 90526 Phencyclidine Clinical Screen, without 90527 Propoxyphene Clinical Screen, without 90578 Carisoprodol Screen with Reflex Confirmation 80302 G0434 21
Test Code Dos Test Name 2015 2015 Medicare 90585 Oxycodone, Qualitative without (REFL) 90664 Drug Abuse Panel 9-50 No Confirm (Refl) 90822 Synthetic Cannabinoid Metabolites Screen, Expanded, 90824 Synthetic Cannabinoid Metabolites Screen, 91102 Drug Abuse Panel 10-20 w meth150, eddp, noconf 91278 MDMA/MDA Screen with Confirmation, 80351 G0431 80351 G0434 91351 Synthetic Cannabinoids, Qualitative, Blood 80350 83788 91352 Synthetic Stimulants, Qualitative, 80371 83788 91353 Synthetic Stimulants, Qualitative, Serum 80371 83788 91354 Synthetic Stimulants, Qualitative, Blood 80371 83788 91356 Synthetic Cannabinoids, Qualitative, 80352 83788 91357 Synthetic Cannabinoids, Qualitative, Serum 80352 83788 91417 Oxycodone, with Qualitative Confirmation, 91449 Synthetic Cannabinoid Panel 1, 80351 83788 91451 Synthetic Cannabinoid Panel 2, 80352 83788 91481 Drug Toxicology Monitoring 1 with 91482 Drug Toxicology Monitoring 2 with 91483 Drug Toxicology Monitoring 3 with 91484 Drug Toxicology Monitoring 4 with 91485 Drug Toxicology Monitoring 5 with 80301 G0431 80301 G0431 80301 G0431 80301 G0431 80301 G0431 22
Test Code Dos Test Name 2015 2015 Medicare 91486 Drug Toxicology Monitoring 6 with 91487 Drug Toxicology Monitoring 7 with 91489 Drug Toxicology Monitoring 8 with 91490 Drug Toxicology Monitoring 9 with 80301 G0431 80301 G0431 80301 G0431 80301 G0431 91491 Drug Toxicology Monitoring 1 Screen, 80301 G0431 91492 Drug Toxicology Monitoring 2 Screen, 80301 G0431 91493 Drug Toxicology Monitoring 3 Screen, 80301 G0431 91494 Drug Toxicology Monitoring 4 Screen, 80301 G0431 91495 Drug Toxicology Monitoring 5 Screen, 80301 G0431 91497 Drug Toxicology Monitoring 6 Screen, 80301 G0431 91498 Drug Toxicology Monitoring 7 Screen, 80301 G0431 91499 Drug Toxicology Monitoring 8 Screen, 80301 G0431 91501 Drug Toxicology Monitoring 9 Screen, 80301 G0431 91502 Drug Toxicology Monitoring, Amphetamines, with 91503 Drug Toxicology Monitoring Barbiturates, with 91505 Drug Toxicology Monitoring Benzodiazepines, with 91506 Drug Toxicology Monitoring Buprenorphine, with 91507 Drug Toxicology Monitoring Cocaine Metabolite, with 91508 Drug Toxicology Monitoring Alcohol, Ethyl, with 91509 Drug Toxicology Monitoring Heroin Metabolite, with 80301 G0431 23
Test Code Dos Test Name 2015 2015 Medicare 91510 Drug Toxicology Monitoring Marijuana Metabolite 20, with 91511 Drug Toxicology Monitoring Marijuana Metabolite 50, with 91513 Drug Toxicology Monitoring MDMA, with 91514 Drug Toxicology Monitoring Methadone Metabolite, with 91515 Drug Toxicology Monitoring Opiates, with 91516 Drug Toxicology Monitoring Oxycodone, with 91517 Drug Toxicology Monitoring Phencyclidine, with 91518 Drug Toxicology Monitoring Propoxyphene, with 91521 Drug Toxicology Monitoring Amphetamines, Screen, 91522 Drug Toxicology Monitoring Barbiturates, Screen, 91523 Drug Toxicology Monitoring Benzodiazepines, Screen, 91524 Drug Toxicology Monitoring Buprenorphine, Screen, 91526 Drug Toxicology Monitoring Cocaine Metabolite, Screen, 91527 Drug Toxicology Monitoring Alcohol, Ethyl, Screen, 91533 Drug Toxicology Monitoring Opiates, Screen, 92222 Pain Management, Amphetamines, No 92223 Pain Management, Benzodiazepines, No 92224 Pain Management, Benzodiazepines, No 80301 G0431 80301 G0431 80301 G0431 80301 G0431 24
Test Code Dos Test Name 2015 2015 Medicare 92225 Pain Management, Cocaine Metabolite, No 92226 Pain Management, Heroin Metabolite, No 92227 Pain Management, Marijuana Metabolite, No 92228 Pain Management, MDMA, No 92229 Pain Management, Methadone, No 92230 Pain Management, Opiates, No 92231 Pain Management, Oxycodone, No 92232 Pain Management, Phencyclidine, No 92233 Pain Management, Propoxyphene, No 91528 Drug Toxicology Monitoring Heroin Metabolite, Screen, 91532 Drug Tox Monitoring, Methadone Metabolite, Screen, U 80301 G0431 91533 Drug Toxi Monitoring, Opiates, Screen, U 80301 G0431 91534 Drug Toxicology Monitoring Oxycodone, Screen, 91535 Drug Toxicology Monitoring Phencyclidine Screen, 91586 Pain Management Profile 1 with Confirmation, with D/L Isomers, 91588 Pain Management Profile 1 with Confirmation, with D/L Isomers, without medmatch, 80301, 82570, 84311, 83986 80301, 82570, 84311, 83986 G0434 G0434 91594 Diuretics Screen, 83788 83788 91767 Psilocybin as Psilocin, Qualtitative, 83788 83788 25
Test Code Dos Test Name 2015 2015 Medicare 91824 Marijuana Metabolite-50 with Creatinine Ratio, without Confirmation 80301, 82570 G0434 91829 Acetyl Fentanyl, Qualitative, 80354 83788 91830 Acetyl Fentanyl, Qualitative, Blood 80354 83788 91831 Acetyl Fentanyl, Qualitative, Serum 80354 83788 451 Drug Screen Panel 1, Meconium 453 Drug Screen Panel 4, Meconium 454 Drug Screen Panel 5, Meconium 463 Drug Screen Panel 2, Meconium 649 Drug Abuse Panel 6-20, Special 855 Strychnine Screen 83788 83788 1024 Strychnine Screen, blood 83788 83788 1025 Drug Screen, Clinical 1 without Confirmation, Serum 1094 Substance Abuse Panel 7 with 1262 Substance Abuse Panel 8-50 with 2124 Drug Abuse Panel 10-20, without Confirmation 2125 Drug Abuse Panel 10-20 + Ethanol, No Confirmation 2126 Drug Abuse Panel 10-50 with Confirmation, 80329, 80320,, 82003, 80196, 84600 26
80102 17493 Oxycodone, Qualitative, GC/MS, 80365 G6058 70036 Amphetamines (200), Qualitative Confirmation, GC/MS, 70035 Oxycodone and Metabolite (100), QL, GCMS, 34518 Phencyclidine, Confirm by GC/MS, Meconium 80324, 80359 G6058 80365 G6058 83992 G6058 80103 33962 Cannabinoids Panel 80349 G0434 3191 Cocaine and Metabolites Qual, Hair 80353 G0434 80104 16810 DS13, No Confirm 80300 G0434 95004 Express Cup Drug Panel 12-50 w/o Confirm, 80300 G0434 80154 340 Clonazepam 80346 G6031 603 Chlordiazepoxide 80346 G6031 913 Diazepam 80346 G6031 3135 Halazepam as Metabolite 80346 G6031 27
3139 Midazolam, Blood 80346 G6031 4741 Alprazolam (Xanax) 80346 G6031 6313 Temazepam and Oxazepam 80346 G6031 8304 Midazolam 80346 G6031 8333 Nitrazepam 80346 G6031 8417 Benzodiazepines, Quantitative, GC/MS, 80346 G6031 14468 Diazepam, Quantitative 80346 G6031 14967 Benzodiazepine, GC/MS, 80346 G6031 15546 Midazolam as Metabolite, 80346 G6031 16914 Pain Management, Benzodiazepines, Quantitative, 18847 Pain Management, Clonazepam Metabolite, Quantitative, 18886 Flunitrazepam and Metabolites, Quantitative, 80346 G6031 80346 G6031 80346 G6031 18964 Flunitrazepam and Metabolites, Quantitative 80346 G6031 23095 Benzodiazepines Panel, Blood 80347 G6031 30283 Clobazam 80346 G6031 30958 Alprazolam, Quantitative, 80346 G6031 30962 Lorazepam () 80346 G6031 34519 Lorazepam 80346 G6031 38090 Benzodiazepines 80346 G6031 40064 Clonazepam and 7-amino Clonazepam, 80346 G6031 59347 Diazepam 80346 G6031 59355 Rohypnol, 80346 G6031 59356 Rohypnol, Serum 80346 G6031 28
59436 Clonazepam and Metabolite 80346 G6031 70071 Benzodiazepines, Serum 80347 G6031 70231 Pain Management, Benzodiazepines, Quantitative, with medmatch, 90057 Pain Management, Clonazepam Metabolite, Quantitative, with medmatch, 80346 G6031 80346 G6031 90264 Benzodiazepines, Quantitative, 80346 G6031 90804 Benzodiazepines, Quantitative, GC/MS, 80346 G6031 90853 Diazepam and Metabolite 80346 G6031 90854 Clorazepate (Tranxene ) 80346 G6031 90855 Oxazepam 80346 G6031 80160 412 Desipramine 80335 G6032 887 Imipramine 80335 G6036 80164 6651 Valproic Acid, Total and Free 80164, 80165 80164, 80165 3314 Valproic Acid, Free 80165 80165 29
80166 826 Doxepin 80335 G6034 80172 494 Gold, 80375 G6035 8827 Gold 80375 G6035 80174 887 Imipramine 80335 G6036 59349 Imipramine 80335 G6036 80182 272 Nortriptyline 80335 G6037 423 Amitriptyline 80335 G6030 70204 Pain Management, Tricyclic Antidepressants, Quantitative, with medmatch, 16903 Pain management, Tricyclic Antidepress, QN, 80335 G6037, G6030 80335 G6037, G6030 30
80196 805 Salicylate 80329 G6038 8306 Percodan, blood 80329, 80365 G6038 80299 214 Ethosuximide 80339 80299 693 Paramethadione 80339 80299 696 Phenylpropanolamine 80324 80299 709 Phensuximide 80339 80299 710 Phenylbutazone and Metabolite 80299 82492 894 Chloral Hydrate 82491 80299 3135 Halazepam as Metabolite 80346 80299 3139 Midazolam (B) 80346 80299 3150 Naproxen (Blood) 80329 80299 3371 Trazodone () 80338 80299 3374 Phenazopyridine 80329 80299 3383 Scopolamine () 80323 80299 4415 Primidone, Phenobarbital and PEMA 80339, 80345, 80299 80184, 80188, 80299 4732 Trazodone 80338 80299 4950 Naproxen 80329 80299 5136 Ibuprofen 80329 80299 5379 Phenacemide 80339 80299 31
5389 Pemoline 80371 80299 6098 Cyclobenzaprine 80369 80299 6110 Dimethylsulfoxide (Blood) 82491 80299 6189 Mescaline, 80323 80299 6200 Methocarbamol, Serum/Plasma 80369 80299 6255 Phenelzine 80338 80299 6284 Pseudoephedrine 80324 80299 6327 Tolmetin 80329 80299 6333 Tranylcypromine Sulfate 80335 80299 8335 Zomepirac 80329 80299 8353 Orphenadrine 80369 80299 8871 Sertraline 80332 83789 10184 Citalopram 80332 83789 10292 Tramadol and Metabolit 80373 83789 10590 Zolpidem 80368 80299 11021 Ketamine and Metabolite 80357 80299 15100 Coricidin 80329 G6039, 80299 15507 Dextro/Levo Methorphan, 80362 80299 15857 Escitalopram 80332 80299 15858 Escitalopram, 80332 83789 15904 Aripiprazole, Blood 80342 83789 15922 Aripiprazole, Quantitative 80342 80299 16296 Rufinamide 80339 80299 16610 Quetiapine, Blood 80342 80299 32
16823 Duloxetine 80332 83789 17286 Ziprasidone 80342 80299 18866 Pregabalin 80366 80299 19464 Pregabalin, Quantitative, 80366 80299 19559 Paroxetine 80332 83789 21358 Mephenytoin and Metabolite 80299 80299 21359 Maprotiline 80335 80299 21360 Protriptyline (Vivactil ) 80335 80299 24989 Chloral Hydrate, Blood 82491 80299 26516 Piroxicam (Feldene) 80329 80299 26518 Diclofenac (Voltaren) 80329 80299 29485 Nefazodone (Serzone) 80338 80299 30348 Mirtazapine (Remeron) 80335 80299 30529 Fluvoxamine (Luvox) 80332 83789 34520 Thiothixene (CIS Isomer) 80342 80299 34526 Loxapine 80342 80299 35299 Quetiapine, Serum or Plasma 80342 80299 36637 Oxycarbazepine Metabolite 80339 80299 36662 Baclofen, Serum/Plasma 80369 80299 37448 Dextro/Levo Methorphan 80362 80299 59348 Doxepin 80335 80299 59350 Methsuximide 80339 80299 59351 Ritalin 80360 80299 59355 Rohypnol, 80346 80299 33
59356 Rohypnol, Serum 80346 80299 70073 Olanzapine 80342 80299 90672 Tapentadol, Free 80372 80299 91258 Zolpidem, Quantitation, 80368 80299 91874 Cyclobenzaprine, 80369 80299 91895 Paliperidone 80342 80299 91923 Methylphenidate Metabolite, Quantitative, 80360 80299 214 Ethosuximide 80339 80299 693 Paramethadione 80339 80299 696 Phenylpropanolamine 80324 80299 82000 202 Acetaldehyde (B) 82491 82491 35385 Acetonitrile Exposure Profile, Blood 82491, 82010, 82600 82491, 82010, 82600 82003 201 Acetaminophen 80329 G6039 3478 Darvocet 80329, 80367 G6039, G6056 8298 Fioricet, 80371, 80345, 80329 G6039, 80155, G6043 8309 Fioricet, Blood 80329, 80155, 80345 G6039, 80155, G6043 8312 Fioricet, Tissue 80329, 80155, 80345 G6039, 80155, G6043 34
8313 Fioricet, Fluid 80329, 80155, 80345 G6039, 80155, G6043 8319 Fioricet serum/plasma 80329, 80155, 80345 G6039, 80155, G6043 15100 Coricidin 80329 G6039, 80299 34847 Acetaminophen Confirmation 80329 G6039 82055 443 Alcohol, Ethyl, Blood 80320 G6040 8879 Alcohol, Ethyl, Blood 80320 G6040 19938 Alcohol, Ethyl, Quantitative, Random 80320 G6040 91547 Drug Toxicology Monitoring Alcohol Ethyl, Quant, 80320 G6040 19450 Alcohol, Ethyl (U), QN 80320 G6040 19964 Alcohol, Ethyl, Enzymatic 80320 G6040 82145 241 Amphetamines, Quantitative, GC/MS, 80324 G6042 3035 Amphetamines (D/L Ratio), Blood 80374 G6042 3038 Amphetamines (D/L Ratio) 80374 G6042 3053 Amphetamines (D/L Ratio), 80374 G6042 35
3384 Selegiline and Metabolites 80325 83789 3456 Amphetamines Panel, Blood 80326, 80359 G6042 3474 Phentermine 80324 G6042 5389 Pemoline 80371 80299 6028 Amphetamine, Confirmation, GC/MS, Serum 80324 G6042 11332 MDMA and Metabolite 80359 G6042 14740 Amphetamine Confirmation by GC/MS, Serum 14742 Amphetamine Confirmation by GC/MS, 80359, 80324 G6042 80359, 80324 G6042 14744 Amphetamine Confirmation, GC/MS, Blood 80359, 80324 G6042 14829% Amphetamines Confirmation, Fluid 80326 G6042 16913 Pain Management, Amphetamines, Quantitative, 80324 G6042 17161 MDMA/MDA, Quantitative, 80359 G6042 19842 Methamphetamine Isomers, D and L 80374 G6042 30975 Methamphetamine and Amphetamine (B) 80324 G6042 34401 Amphetamines Panel, Serum 80326, 80359 G6042 34517 Amphetamines Confirmation, GC/MS, Meconium 80324 G6042 38089 Amphetamines 80324 G6042 70209 Pain Management, Amphetamines, Quantitative, with medmatch, 90319 Pain MGMT, Methamphetamine D/L Isomers, urine 90331 Pain Management, MDMA/MDA, Quantitative, 90334 Pain Management, MDMA/MDA, Quantitative, with medmatch, 80324 G6042 80374 G6042 80359 G6042 80359 G6042 36
91539 Drug Tox Monitoring Amphetamines, QN, 91552 Drug Toxicology Monitoring MDMA, Quantitative, 80324 G6042 80359 G6042 91730 Methamphetamine and Metabolite, 80324 G6042 91753 Drug Toxicology Amphetamines, Quantitative, Oral Fluid 91761 Drug Toxicology MDMA, Quantitative, Oral Fluid 80324 G6042 80359 G6042 92483 Pain Management Amphetamines with D/L Isomers, Quantitative, 92484 Pain Management Amphetamines with D/L Isomers, Quantitative, w medmatch 90319 Pain Management, Methamphetamine D/L Isomers, 80324 G6042 80324 G6042 80374 G6042 82205 244 Amobarbital 80345 G6043 479 Metharbital and Metabolite 80345 G6043 700 Pentobarbital 80345 G6043 817 Secobarbital 80345 G6043 3473 Barbiturates Panel, Blood 80345 G6043 4413 Butalbital 80345 G6043 4416 Thiopental and Metabolite 80345 G6043 7377 Barbiturates, Quantitative GC/MS Confirmation, Serum 80345 G6043 8416 Barbiturates, GC/MS, 80345 G6043 37
8568 Barbiturates, 80345 G6043 11022 Mephobarbital and Metabolite 80345 G6043 16912 Pain Management, Barbiturates, Quantitative, 80345 G6043 18973 Barbiturates 80345 G6043 70230 Pain Management, Barbiturates, Quantitative, with medmatch, 80345 G6043 91376 Barbiturates Panel, 80345 G6043 91540 Drug Toxicology Monitoring Barbiturates, Quantitative, 91754 Drug Toxicology Barbiturates, Quantitative, Oral Fluid 80345 G6043 80345 G6043 244 Amobarbital 80345 G6043 479 Metharbital and Metabolite 80345 G6043 700 Pentobarbital 80345 G6043 82491 21361 Methsuximide as Metabolite 80339 80299 82492/82489 312 Carisoprodol and Metabolite 80369 82492 710 Phenylbutazone and Metabolite 80299 82492 895 Trimethadione and Metabolite 80339 82492 1769 Clozapine 80342 80159 3238 Phenobarbital, Free/Bound 80345 82492 38
6017 Allopurinol and Metabolite 80299 82492 21358 Mephenytoin and Metabolite 80299 82492 26514 Marijuana Metabolite, Quantitative, 80349 82492 34525 Amoxapine and Metabolite 80335 82492 35413 Inhalants Panel, Blood (CSA) 84600, 80320 82492 35414 Inhalants Panel, (CSA) 84600, 80320 82492 36721 Amiodarone 80299 82492 OR 83789 312 Carisoprodol and Metabolite 80369 82520 3191 Cocaine and Metabolites Qualitative, Hair 80353 G6044 5530 Cocaine Metabolites, GC/MS, 80353 G6044 11328 Cocaine, Confirmation by GC/MS 80353 G6044 16916 Pain Management, Cocaine Metabolite, Quantitative, 34514 Cocaine, Confirmation by GC/MS, Meconium 80353 G6044 80353 G6044 38152 Cocaine 80353 G6044 90047 Work Comp, verify, cocaine metabolite qn, u 80353 G6044 90082 Pain Management, Cocaine Metabolite, Quantitative, with medmatch, 91545 Drug Toxicology Monitoring Cocaine Metabolite, Quantitative, 91757 Drug Toxicology Cocaine, Quantitative, Oral Fluid 80353 G6044 80353 G6044 80353 G6044 3191 Cocaine and Metabolites Qualitative, Hair 80353 G6044 39
82542 645 Methaqualone (Quaalude ) 80368 82492 4846 Marijuana Metabolites, GC/MS, 80349 82492 6197 Methaqualone, GC/MS, 80368 82492 8421 Cannabinoids 80349 82492 11021 Ketamine and Metabolite 80357 82492 14455 LSD, Quantitative, GC/MS, 80323 82492 15722 THC Confirmation, GC/MS with Ratio 80349, 82570 82492 16917 Pain Management, Marijuana Metabolite, Quantitative, 80349 82542 19969 Cannabinoids Panel 80349 82492 26514 marijuana metabolites, quantitative, 80349 82492 30165 LSD Trace Analysis (U) 80323 82492 30166 LSD Trace Analysis 80323 82492 33962 Cannabinoids Panel Qualitative, Meconium 80349 82542 34515 Marijuana Confirmation, GC/MS, Meconium 80349 82542 34866 Cannabinoids Confirmation, Meconium 80349 82542 36662 Baclofen (Lioresal ) 80299 82492 70207 Pain Management, Tramadol, Quantitative, with medmatch, 70233 Pain Management, Marijuana Metabolite, Quantitative, with medmatch, 91551 Drug Toxicology Monitoring Marijuana Metabolite, Quantitative, 80373 82492 80349 82542 80349 82542 40
82646 8314 Hydrocodone and Metabolites, Tissue 80361 G6045 8315 Hydrocodone and Metabolites, Fluid 80361 G6045 15532 Hydrocodone and Metabolite, 80361 G6045 37893 Hydrocodone 80361 G6045 90489 Hydrocodone and Metabolite, Serum 80361 G6045 82649 10982 Hydromorphone 80361 G6046 82651 36168 Dihydrotestosterone, Free, Serum 80327 G6047 90567 Dihydrotestosterone, LC/MS/MS 80327 G6047 68644 Dihydrotestosterone, Free, Serum 80327 G6047 82654 895 Trimethadione and Metabolite 80339 G6048 6109 Dimethadione 80339 G6048 41
82690 722 Ethchlorvynol 80320 G6050 82742 34835 Flurazepam and Metabolites 80346 G6051 82980 422 Glutethimide 80368 80299 83805 312 Carisoprodol and metabolite 80369 G6052 635 Meprobamate 80369 G6052 3104 Meprobamate 80369 G6052 16902 Pain Mgmt, Carisoprodol Metabolit, QN, 91543 Drug Tox Monitoring Carisoprodol Met, QN, U 80369 G6052 80369 G6052 91756 Drug Tox Meprobamate, QN, Oral Fluid 80369 G6052 42
83789 1769 Clozapine 80342 80299 92141 Alcohol Metabolites, Quant, 80321 83789 2339 Risperidone 80342 83789 3384 Selegiline & Metabolites 80325 83789 8389 Fluoxetine 80332 83789 8592 Bupropion and Metabolite, Serum or Plasma 80338 83789 8871 Sertraline and Desmethylsertraline, Serum/Plasma 80332 83789 10292 Tramadol and Metabolite 80373 83789 10493 LSD Confirmation 80323 83789 15450 Carisoprodol and Metabolite, 80369 83789 16217 Pain Management, Alcohol metab, qn, urine 80321 83789 92142 Pain Management, Alcohol metab, qn, urine 80321 83789 16325 Venlafaxine and Metabolite 80338 83789 16904 Pain Management, Gabapentin, QN, 80355 80171 16906 Pain Management, Tramadol, Quantitative, 16908 Pain Management, Pregabalin, Quantitative, 80373 83789 80366 83789 30013 Clomipramine 80335 83789 30165 LSD Trace Analysis, 80323 83789 30166 LSD Trace Analysis 80323 83789 30963 Diuretic Panel S/P 80375 83789 36676 Carbamazepine-10,11-Epoxide 80339 83789 37410 Sildenafil and Metabolite 80299 83789 43
70208 Pain Management, Pregabalin, Quantitative, with medmatch, 90243 Pain Management, Tapentadol, Quantitative, 90244 Pain Management, Tapentadol, Quantitative, with medmatch, 90246 Pain Management, Methylphenidate Metabolite, Quantitative, 90247 Pain Management, Methylphenidate Metabolite, Quantitative, with medmatch, 90321 Pain Management, Synthetic Stimulants Quantitative, with medmatch, 90322 Pain Management, Synthetic Stimulants, Quantitative, 80366 83789 80372 83789 80372 83789 80360 83789 80360 83789 80371 83789 80371 83789 90502 MDPV Stimulant Designer Drug Test 80371 83789 90503 MDPV Stimulant Designer Drug Test, 80371 83789 91114 Tapentadol, Quantitative, 80372 83789 91293 Bath Salts Panel, Blood 80371 83789 91294 Bath Salts Panel, Serum/Plasma 80371 83789 91563 Drug Toxicology Monitoring, Tramadol, Quantitative, 91759 Drug Toxicology Zolpidem, Quantitative, Oral Fluid 91760 Drug Toxicology Marijuana, Quantitative, Oral Fluid 80373 83789 80368 83789 80349 83789 91994 Synthetic Stimulants 80371 83789 44
83858 21361 Methsuximide as Metabolite 80339 G6054 83840 3258 Methadone 80358 G6053 8418 Methadone, GC/MS, 80358 G6053 14971 METHADONE BY GC/MS, NCOC 80358 G6053 15714 Methadone and Metabolite, 80358 G6053 16918 Pain Management, Methadone, Quantitative, 70234 Pain Management, Methadone, Quantitative, with medmatch, 80358 G6053 80358 G6053 90049 Work Comp, Verify, Methadone, QN, U 80358 G6053 91554 Drug Toxicology Monitoring Methadone Metabolite, Quantitative, 91762 Drug Toxicology Methadone, Quantitative, Oral Fluid 80358 G6053 80358 G6053 83887 22380 Nicotine, Serum 80323 G6055 36179 Nicotine and Metabolite, Fluid 80323 G6055 90642 Nicotine and Cotinine, LC/MS/MS 80323 G6055 90646 Nicotine and Cotinine, LC/MS/MS, 80323 G6055 45
90982 Nicotine and Expanded Metabolites, LC/MS/MS, 90983 Nicotine and Expanded Metabolites, LC/MS/MS 91758 Drug Toxicology Nicotine, Quantitative, Oral Fluid 80323 G6055 80323 G6055 80323 G6055 83925 970 Codeine and Metabolite (Unconjugated) 80361 G6056 3478 Darvocet 80329, 80367 G6056, G6039 6215 Morphine 80361 G6056 6232 Opiates, GC/MS, 80361 G6056 6242 Pentazocine 80362 G6056 8306 Percodan 80329, 80365 G6056, G6038 8419 Propoxyphene, GC/MS, 80367 G6056 10985 Oxycodone and Metabolite, GC/MS, 80365 G6056 14968 Opiates Metabolites by gcms 80361, 80365 G6056 15330 Opiates 2000, GC/MS, 80361 G6056 15475 Opiates, Expanded by GC/MS, 80361, 80365 G6056 15860 Opiate Confirmation by GCMS, 80361, 80365 G6056 16213 Pain Management, Buprenorphine, Quantitative, 16298 Pain Management, Opiates Expanded, Quantitative, 80348 G6056 80365, 80361 G6056 16314 Buprenorphine, Quantitative, 80348 G6056 16900 Pain Management, Fentanyl, Quantitative, 80354 G6056 46
16905 Pain Management, Meperidine, Quantitative, 16920 Pain Management, Oxycodone, Quantitative, 16922 Pain Management, Propoxyphene Metabolite, Quantitative, 17125 Oxycodone and Metabolite, Quantitative, 80362 G6056 80365 G6056 80367 G6056 80365 G6056 17441 Meperidine, GC/MS, 80362 G6056 17607 Fentanyl and Norfentanyl, 80354 G6056 17712 Morphine, Quantitative, 80361 G6056 17735 Fentanyl and Metabolite, Blood 80354 G6056 18885 Oxycodone and Metabolite, Quantitative 80365 G6056 18969 Heroin Metabolites, Quantitative, 80361, 80356 G6056 18976 Opiates Confirmation, Enhanced Sensitivity, 18996 Pain Management, Fentanyl, Quantitative, with medmatch, 18998 Pain Management, Buprenorphine, Quantitative, with medmatch, 80361, 80365 G6056 80354 G6056 80348 G6056 19474 6-Monoacetylmorphine, GC/MS, 80356 G6056 19483 Opiate Confirmation, GC/MS 80361, 80365 G6056 19669 Opiates, Expanded by GC/MS () 80361, 80365 G6056 19846 Opiates 5, Quantitative, 80361, 80365 G6056 19967 Oxycodone Free (Unconjugated) 80365 G6056 19983 Opiates, Serum 80361, 80365, 80356 G6056 34004 Meperidine 80362 G6056 35267 Propoxyphene, Quantitative, GC/MS, Serum 80367 G6056 36664 Oxycodone Confirmation, GC/MS, 80365 G6056 47
37449 Morphine (Free and Total) 80361 G6056 38155 Opiates Confirmation, GC/MS, Meconium 80361, 80365 G6056 40065 Fentanyl and Norfentanyl 80354 G6056 70074 Meperidine and Normeperidine, 80362 G6056 70206 Pain Management, Meperidine, Quantitative, with medmatch, 70237 Pain Management, Opiates Expanded, Quantitative, with medmatch, 70238 Pain Management, Oxycodone, Quantitative, with medmatch, 70239 Pain Management, Propoxyphene Metabolite, Quantitative, with medmatch, 90329 Pain Management, Heroin Metabolite, Quantitative, 90333 Pain Management, Heroin Metabolite, Quantitative, with medmatch, 80362 G6056 80361, 80365 G6056 80365 G6056 80367 G6056 80356 G6056 80356 G6056 90343 Naloxone, Quantitative, 80362 G6056 90416 Buprenorphine and Naloxone, LC/MS/MS 80348, 80362 G6056 91542 Drug Toxicology Monitoring Buprenorphine, Quantitative, 91548 Drug Toxicology Monitoring Fentanyl, Quantitative, 91549 Drug Toxicology Monitoring Heroin Metabolite, Quantitative, 91555 Drug Toxicology Monitoring Opiates, Quantitative, 91556 Drug Toxicology Monitoring Oxycodone, Quantitative, 91558 Drug Toxicology Monitoring Propoxyphene, Quantitative, 91562 Drug Toxicology Monitoring Tapentadol, Quantitative, 80348 G6056 80354 G6056 80356 G6056 80361 G6056 80365 G6056 80367 G6056 80372 G6056 48
91602 Drug Toxicology Monitoring Opiates Expanded, Quantitative, 80361, 80365 G6056 91894 Opiates Confirmation, LC/MS/MS 80361, 80365 G6056 970 Codeine and Metabolite (Unconjugated) 80361 G6056 3478 Darvocet 80329, 80367 G6056, G6039 84022 848 Trifluoperazine 80342 G6057 882 Chlorpromazine 80342 G6057 6276 Promethazine 80342 G6057 23230 Mesoridazine 80342 G6057 23232 Thioridazine and Metabolite 80342 G6057 34520 Thiothixene (CIS Isomer) 80342 G6057 34521 Perphenazine 80342 G6057 59346 Mellaril 80342 G6057 92021 Fluphenazine, Serum or Plasma 80342 G6057 8815 Fluphenazine 80342 G6057 848 Trifluoperazine 80342 G6057 882 Chlorpromazine 80342 G6057 6276 Promethazine 80342 G6057 49
84600 578 Alcohol, Isopropyl, Blood 80320 84600 643 Alcohol, Methyl, Blood 80320 84600 7240 Volatiles 80320 84600 8299 Inhalants Panel, Blood 84600, 80320 84600 8301 Hydrocarbon and Oxygenated Volatiles Panel 84600, 80320 84600 10533 Methanol, 80320 84600 38005 Inhalants and Metabolites Panel, 84600, 80320 84600 59382 Isopropanol/Acetone 80320 84600 59384 Volatiles with ethylene glycol 84600, 80320 84600 50
Examples of Toxicology Panels Test Code Dos Test Name 2015 15128 Tricyclic Antidepressant Panel (3) 80336 16903 Pain Management, Tricyclic Antidepressants, Quantitative, 80335 17482 Tricyclic Antidepressants ID and Quantitation 80337 26125 Tricyclic Antidepressant Evaluation 80336 30970 Antidepressant Panel, 80337, 80338, 80332 30971 Antidepressant Panel, Blood 80337, 80338, 80332 30972 Antidepressant Panel 80337, 80338, 80332 59381 Antidepressant Panel 80337 91752 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, 80368 91763 Drug Toxicology Opioids, Quantitative, Oral Fluid 80348, 80354, 80361, 80365, 80356, 80367, 80362, 80372, 80373 92450 Pain Management Profile 1 with Confirm, 80301, 82570, 83986, 84311 92451 Pain Management Profile 1 with Confirm,, w D/L Isomers 80301, 82570, 83986, 84311 92453 Pain Management Profile 2 with Confirm, 80301, 82570, 83986, 84311 92454 Pain Management Profile 4 with Confirm, 80301, 82570, 83986, 84311 92455 Pain Management Profile 5 with Confirm,, w D/L Isomers 80301, 82570, 83986, 84311 reflex 80374 92456 Pain Management Profile 6 with Confirm, 80301, 82570, 83986, 84311 92457 Pain Management Profile 7 with Confirm, 80301, 82570, 83986, 84311 92458 Pain Management Profile 1 with Confirm,, w/o Medmatch 80301, 82570, 83986, 84311 92459 Pain Management Profile 1 with Confirm,, w D/L Isomers w/o Medmatch 92459 Pain Management Profile 1 with Confirm,, w D/L Isomers w/o Medmatch 80301, 82570, 83986, 84311 reflex 80374 80301, 82570, 83986, 84311 reflex 80374 51
Test Code Dos Test Name 2015 92461 Pain Management Profile 2 with Confirm, w/o Medmatch 80301, 82570, 83986, 84311 92462 Pain Management Profile 4 with Confirm, w/o Medmatch 80301, 82570, 83986, 84311 92463 Pain Management Profile 5 with Confirm,, w D/L Isomers w/o Medmatch 80301, 82570, 83986, 84311 reflex 80374 92464 Pain Management Profile 6 with Confirm, w/o Medmatch 80301, 82570, 83986, 84311 92465 Pain Management Profile 7 with Confirm, w/o Medmatch 80301, 82570, 83986, 84311 92466 Pain Management Profile 1 without Confirm, 80301, 82570, 83986, 84311 92467 Pain Management Profile 2 without Confirm, 80301, 82570, 83986, 84311 92468 Pain Management Profile 4 without Confirm, 80301, 82570, 83986, 84311 92469 Drug Tox Monitoring 9 with 80301 92470 Drug Tox Monitoring 9 Screen, 80301 92489 Pain Management Profile 8 with Confirm, 80301, 82570, 83986, 84311 92490 Pain Management Profile 8 with Confirm, w/o Medmatch 80301, 82570, 83986, 84311 52
HPV Test Code Dos Test Name 2015 15949 HPV (Human Papillomavirus) DNA, High Risk, Anal-Rectal 87624 31532 HPV DNA, High Risk 87624 92079 HPV DNA, High Risk 87624 19863 HPV DNA, High Risk with Reflex to Genotypes 16, 18 87624 reflex to 87625 92081 HPV DNA, High Risk with Reflex to HPV Genotypes 16,18 87624 reflex to 87625 36453 HPV DNA, Low and High Risk 87624 19864 HPV DNA, Low and High Risk with Reflex to Genotypes 16,18 87624 reflex to 87625 17185 HPV DNA, Low and High Risk, Anal-Rectal 87624 16933 HPV Genotype 87624 19865 HPV Genotypes 16, 18 87625 91826 HPV Genotypes 16, 18/45 87625 90887 HPV mrna E6/E7 87624 90942 HPV mrna E6/E7 with Reflex to HPV Genotypes 16, 18/45 87624 with reflex to 87625 91932 HPV mrna E6/E7, Rectal 87624 16332 HPV, High Risk, Hybrid Capture II with Reflex 16,18 87624 reflex to 87625 90562 OraRisk HPV 87624 91111 SurePath Imaging Pap (REFL) HPV mrna E6/E7 reflex HPV 16,18/45 88175 (HCPCS: G0145), 87624 reflex to 87625 18829 SurePath Imaging Pap and HPV mrna E6/E7 reflex HPV 16,18/45 88175 (HCPCS: G0145), 87624 with reflex to 87625 18828 SurePath Imaging Pap and HPV mrna E6/E7, C. trachomatis, N. gonorrhoeae 88174 or 88175; HCPCS: G0144 or G0145; 87624 87491, 87591 18811 SurePath Imaging Pap with Reflex to HPV mrna E6/E7 88174 or 88175; HCPCS: G0144 or G0145 reflex to 87624 18817 SurePath Imaging Pap with Reflex to HPV mrna E6/E7, C. trachomatis, N. gonorrhoeae 88174 or 88175; HCPCS: G0144 or G0145; 87491, 87591 with reflex to 87624 18815 SurePath Imaging Pap (Refl) HPV DNA Low and High Risk 88175 (HCPCS: G0145) with reflex to 87624 53
Test Code Dos Test Name 2015 18814 SurePath Imaging Pap (RL) HPV mrna E6/E7 88175 (HCPCS: G0145) with reflex to 87624 17176 SurePath Pap (Refl) HPV DNA High/Low Risk 87624, 88142 15095 SurePath Pap and HPV mrna E6/E7 87624, 88142 (HCPCS: G0123) 16306 SurePath Pap and HPV mrna E6/E7 reflex HPV 16,18/45 87624, 88142 (HCPCS: G0123) with reflex to 87625 16770 SurePath Pap and HPV mrna E6/E7, C. trachomatis, N. gonorrhoeae 87491, 87591, 87624, 88142 (HCPCS: G1023) 14499 SurePath Pap with Reflex to HPV mrna E6/E7 88142; HCPCS: G0123 with reflex to 87624 17258 SurePath Pap with Reflex to HPV mrna E6/E7, C. trachomatis, N. gonorrhoeae 87491, 87591, 88142 (HCPCS: G0123) with reflex to 87624 18813 SurePath Imaging Pap and HPV mrna E6/E7 88175 (HCPCS: G0145), 87624 17577 SurePath -FP (Refl) HPV DNA High/Low Risk 88175 (HCPCS: G0145) with reflex to 87624 92086 ThinPrep Pap reflex HPV DNA and C. trachomatis, N. gonorrhoeae 88141 (HCPCS: G0123), 87491, 87591 with reflex to 87624 91913 ThinPrep Pap reflex HPV mrna E6/E7, C. trachomatis, N. gonorrhoeae 88142 (HCPCS: G1023), 87491, 87591 with reflex 87624 92082 ThinPrep Imaging Pap (Refl) 87624 92102 ThinPrep Imaging Pap (Refl) HPV DNA reflex HPV 16,18 88174 or 88175 (HCPCS: G0144 or G0145) with reflex to 87621 with possible reflex to 87625 92090 ThinPrep Imaging Pap and HPV DNA 88174 or 88175 (HCPCS: G0144 or G0145), 87624 92094 ThinPrep Imaging Pap and HR HPV DNA reflex HPV 16,18 88174 or 88175 (HCPCS: G0144 or G0145), 87624 with reflex to 87625 92092 ThinPrep Imaging Pap and HR HPV DNA, C. trachomatis, N. gonorrhoeae 92012 ThinPrep Imaging Pap and HPV mrna E6/E7 reflex HPV 16,18/45 with CT/NG 91906 ThinPrep Imaging Pap and HPV mrna E6/E7, with CT/NG, Trichomonas 88174 or 88175 (HCPCS: G0144 or G0145), 87491, 87591, 87624 88175, 87624, 87491, 87591 with reflex to 87625 88175, 87624, 87491, 87591, 87661 92087 ThinPrep Imaging Pap reflex HPV DNA 88174 or 88175 (HCPCS: G0144 or G0145) with reflex to 87624 54
Test Code Dos Test Name 2015 92088 ThinPrep Imaging Pap reflex HPV DNA and C. trachomatis, N. gonorrhoeae 91912 ThinPrep Imaging Pap Reflex HPV mrna E6/E7, C. trachomatis, N. gonorrhoeae 91911 ThinPrep Imaging Pap reflex HPV mrna E6/E7, with CT/NG, Trichomonas 88174 or 88175 (HCPCS: G0144 or G0145), 87491, 87591 with reflex to 87624 88175, 87491, 87591 with reflex 87624 88175, 87621, 87491, 87591, 87661 with reflex 87624 90933 ThinPrep Imaging Pap and HPV mrna E6/E7 88175 (HCPCS: G0145), 87624 91414 ThinPrep Imaging Pap and HPV mrna E6/E7 with Reflex to HPV 16,18/45 91339 ThinPrep Imaging Pap and HPV mrna E6/E7, C. trachomatis/n. gonorrhoeae 88175 (HCPCS: G0145), 87624 with reflex to 87625 88175, 87624, 87491, 87591 90934 ThinPrep Imaging Pap with Reflex to HPV mrna E6/E7 88175 (HCPCS: G0145) with reflex to 87624 91415 ThinPrep Imaging Pap with Reflex HPV RNA, HR, E6/E7, TMA with Reflex to Genotypes 16, 18 88175 (HCPCS: G0145) with reflex to 87624 with possible further reflex to 87625 92083 ThinPrep Pap (Refl) 88142 (HCPCS: G0123) with client specific 87624 92084 ThinPrep Pap (Refl) HPV DNA reflex HPV 16,18 88142 (HCPCS: G0123), 87624 with reflex to 87625 15559 ThinPrep Pap (Refl) HR/LR HPV DNA 88142; HCPCS: G0123; 87624 92089 ThinPrep Pap and HPV DNA 88142 (HCPCS: G0123), 87624 92093 ThinPrep Pap and HPV DNA reflex HPV 16,18 88142 (HCPCS: G0123), 87624 with reflex to 87625 92091 ThinPrep Pap and HPV DNA, C. trachomatis, N. gonorrhoeae 88142 (HCPCS: G0123), 87624, 87491, 87591 90931 ThinPrep Pap and HPV mrna E6/E7 88142 (HCPCS: G0123), 87624 91411 ThinPrep Pap and HPV mrna E6/E7 reflex HPV 16,18/45 88142 (HCPCS: G0123), 87624 with reflex to 87625 92010 ThinPrep Pap and HPV mrna E6/E7 reflex HPV 16,18/45, with CT/NG 91274 ThinPrep Pap and HPV mrna E6/E7, C. trachomatis, N. gonorrhoeae 88142 (HCPCS: G0123), 87624, 87491, 87591 with reflex to 87625 88142 (HCPCS: G0123), 87624, 87491, 87591 91915 ThinPrep Pap and HPV mrna E6/E7, with CT/NG, Trichomonas 88142, 87624, 87491, 87591, 87661 55
Test Code Dos Test Name 2015 92085 ThinPrep Pap reflex HPV DNA 88142 (HCPCS: G0123) with reflex 87624 90932 ThinPrep Pap reflex HPV mrna E6/E7 88142 (HCPCS: G0123) with reflex 87624 91908 ThinPrep Pap reflex HPV mrna E6/E7, with CT/NG, Trichomonas 88142, 87491, 87591, 87661 with reflex to 87624 91412 92392 92211 ThinPrep Pap with Reflex HPV RNA, High Risk, E6/E7, TMA with Reflex to Genotypes 16, 18 HPV Genotypes 16, 18/45 Surepath Vial HPV mrna E6/E7, Surepath with Reflex HPV 16, 18/45 88142 (HCPCS: G0123) with reflex 87624 with possible further reflex of 87625 87625 87624 with reflex to 87625 56
Molecular Pathology, FISH and Anatomic Pathology NTC Test Name 2015 CPT 91823 Cardio IQ ST2, Soluble 83006 90574 FLT3 ITD and TKD Mutation 81245, 81246 92125 Prosigna Breast Cancer Prognostic Gene Signature Assay 0008M (81479 for MCR) 16897 PIK3CA Mutation Analysis 81404 92028 Progensa PCA3 81313 70134 ER/PR/DNA/HER2, FISH, Paraffin Block 88182, 88360 (x2), 88377 70133 ER/PR/HER2, FISH, Paraffin Block 88360 (x2), 88377 16736 ER/PR/DNA Image Analysis/HER2 FISH with Interpretation 88358, 88360 (x2), 88377 16703 ER/PR/Ki-67/DNA Image Analysis/HER2 FISH with Interpretation 88358, 88360 (x3), 88377 18854 Kappa/Lambda Light Chain, ISH without Interpretation 88365, 88364 19688 HPV, Low and High Risk DNA, ISH 88365, 88364 70042 Kappa/Lambda Light Chain, ISH 88365, 88364 19859 FISH, HER2/neu with Reflex to IHC 88368, 88369 91919 19884 90469 92668 91396 91401 92777 OncoVantage Sarcoma Mutation Analysis Panel, Pediatric, Real-Time PCR Thyroid Cancer Mutation Panel (BRAF, RAS, RET/PTC, PAX8/PPAR) LeukoVantage Myelodysplastic Syndrome (MDS) Mutations, Sequencing Myeloproliferative Neoplasm Mutations (without BCR/ABL, JAK2 and MPL) QNatal Advanced 81445 81445 81445 81450 81450 81450 81420 92530 MaterniT21 Plus (T21Q) 81420 91933 MaterniT21 Plus (NY) (T21QNY) 81420 57