Attachment A - List of Required Testing.xlsx
XLSX spreadsheet 18 KB Posted
- Attached to
- Q301--New - VISN Specialty Testing Services
- Solicitation number
- 36C25726Q0644
About this file
This is a detailed list of required laboratory testing services that the Department of Veterans Affairs (VA) Veterans Integrated Service Network (VISN) 17 requires contractors to perform. The spreadsheet contains 177 line items (numbered 0001-0177) specifying specialized medical tests across multiple diagnostic categories, including genetic analysis, immunology, pathology, microbiology, and neurology-related testing. Each test entry includes the CPT code(s) for billing purposes, with some tests marked as "Bill Only" reflex tests or requiring subcontracting arrangements.
The testing requirements span complex procedures such as NGS (next-generation sequencing) panels for various neoplasms, immunofluorescence assays, cell binding assays, specialized antibody testing, laser capture microdissection, fungal and mycobacterial identification, and tissue analysis using techniques such as immunohistochemistry (IHC) and in situ hybridization (ISH). Many tests reference CLIA certification codes and alternative test names where applicable. The tests are designed to support reference laboratory services across six VA medical facilities in the San Antonio, Temple, Dallas, Amarillo, El Paso, and Harlingen areas. Contractors responding to this pre-solicitation must demonstrate capability to perform all listed tests or identify which tests they can perform, whether tests will be conducted in-house or subcontracted, and provide relevant CLIA certification information.
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| 36C25726Q0644.docx | DOCX document |
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Sheet1
| Item Number | Test Description | CPT Code | On Vendor Test Menu? (Y/N) | Aternative Test Name (If Applies) | Subcontracted? (Y/N - If Applies) | Subcontractor Name | Subcontractor Test Location (City, State) | CLIA Certification Code(s) |
| 0001 | 2,3 bisphosphoglycerate mutase -reflex test for HEMP | 81479 | ||||||
| 0002 | 3-Methoxytyramine, 24hr urine | 82542 | ||||||
| 0003 | Acid Alpha-Glucosidase, leukocytes | 82657 | ||||||
| 0004 | Amyloid Protein Identification, Paraffin | 88313 | ||||||
| 0005 | BCRAB - BCR/ABL p210 PCR | 81206 | ||||||
| 0006 | Biliary tract malignancy | 88377 | ||||||
| 0007 | CNS Demyelinating Disease Evaluation, Serum | 86053,86363 | ||||||
| 0008 | Copper, Liver Tissue | 82525 | ||||||
| 0009 | CXCR4, Gene Mutation, Reflex (Bill Only) | 81479 | ||||||
| 0010 | D-lactate, plasma | 83605 | ||||||
| 0011 | Erythrocytosis Evaluation, Whole Blood (with reflex testing) | 82820,83020x2,83021,83789 | ||||||
| 0012 | Fructose, Qualitative Semen | 82757 | ||||||
| 0013 | Gastrointestinal dysmotility | 86255x7, 83519 | ||||||
| 0014 | HER2 amplification FISH, Tissue | 88377 | ||||||
| 0015 | Hereditary erythrocytosis mutations, whole blood | 81479 | ||||||
| 0016 | IgG subtypes immunofluorescence, Tissue | 88346,88350x3 | ||||||
| 0017 | IHC Initial Stain, Tech only | 88342-TC | ||||||
| 0018 | Mass Spectrometry (Bill Only) -reflex AMPIP | 82542 | ||||||
| 0019 | MGMT Promoter Methylation, Tumor | 81287 (88381 mircodisection) | ||||||
| 0020 | Microdissection, Laser Capture (Bill Only) -reflex AMPIP | 88380 | ||||||
| 0021 | MYD88 L265P with Reflex to CXCR4 | 81305 | ||||||
| 0022 | Neurofilament Light Chain (NfL), Plasma | 83884 | ||||||
| 0023 | OncoHeme NGS for Myeloid Neoplasms | 81450 | ||||||
| 0024 | Parathyroid Hormone-Related peptide, plasma | 82397 | ||||||
| 0025 | Pneumocystis jiroveci, PCR | 87597 | ||||||
| 0026 | Risankizumab, Serum | 80299 | ||||||
| 0027 | Schistosoma Exam, Urine | 87015,87210 | ||||||
| 0028 | Semen Analysis, Infertility | 89310 | ||||||
| 0029 | Slide Review in Molecular Genetics (Bill Only) | 88381 | ||||||
| 0030 | Sulfonylurea Screen, Urine | 80377 | ||||||
| 0031 | Toxoplasma gondii antibody, IgG | 86777 | ||||||
| 0032 | Ustekinumab Quantitation with Antibodies, Serum | 80299,83520 | ||||||
| 0033 | VHLE Gene erythrocytosis - reflex test for HEMP | 81404 | ||||||
| 0034 | UBA1 Mutation Quant | 81403 | ||||||
| 0035 | Prothrombin G20210A Mutation, Blood | 81240-F2 | ||||||
| 0036 | TP53 Mutation, NGS | 88381, 81351 | ||||||
| 0037 | Chronic Lumphocytic Leukemia FISH Diagnostics | 88271x12, 88275x6, 88291 | ||||||
| 0038 | PKLR Full gene analysis | 81405 | ||||||
| 0039 | B-Cell Lymphoma NGS | 81450 | ||||||
| 0040 | UDP-Glucuronosyltransferase 1A1 (UGT1A1) | 41404 | ||||||
| 0041 | Porphobilinogen Deaminase, Washed Erythrocytes | 82657 | ||||||
| 0042 | Hypoglycemic Agent Screen, Serum | G0480, 80377 | ||||||
| 0043 | Microdissection, Laser Capture (Bill Only) | 88380 | ||||||
| 0044 | Alpha Defensin, Lateral Flow Assay, Synovial Fluid | 83518 | ||||||
| 0045 | Dihydropyrimidine Dehydrogenase Genotype, Varies | 81232 | ||||||
| 0046 | Dihydropyrimidine Dehydrogenase, DPYD Full Gene Sequencing, Varies | 81232 | ||||||
| 0047 | Pathology Consultation | 88321, 88323, 88325 | ||||||
| 0048 | Pathology Consultation | 88321, 88323, 88325 | ||||||
| 0049 | Consult, w/Slide Prep (Bill Only) | 88323 | ||||||
| 0050 | IHC Additional (Bill Only) | 88341 | ||||||
| 0051 | IHC Initial (Bill Only) | 88342 | ||||||
| 0052 | Merkel CC (MCPyV) Immunostain, Technical Component Only | 88342, 88341 | ||||||
| 0053 | Encephalopathy, Autoimmune/Paraneoplastic Evaluation, Serum | 86255x3, 86341 | ||||||
| 0054 | Encephalopathy, Autoimmune/Paraneoplastic Evaluation, Spinal Fluid | 86255x23, 86341 | ||||||
| 0055 | Fumarate Hydratase Immunostain, Technical Component Only | 88342, 88341 | ||||||
| 0056 | BRAF and KIT Mutation Analysis, Next-Generation Sequencing, Tumor | 88381, 81406, 81479 | ||||||
| 0057 | Creutzfeldt-Jakob Disease Evaluation, Spinal Fluid | 0584U, 84393, 84394 | ||||||
| 0058 | Hemiplegic Migraine With or Without Epilepsy Gene Panel, Varies | 81185, 81405, 81406x2, 81407, 81408, 81479, 88233, 88240 | ||||||
| 0059 | Dementia, Autoimmune/Paraneoplastic Evaluation, Serum | 86255x21, 86341 | ||||||
| 0060 | Dementia, Autoimmune/Paraneoplastic Evaluation, Spinal Fluid | 86255x21, 86341 | ||||||
| 0061 | Myasthenia Gravis Evaluation with Muscle-Specific Kinase (MuSK) Reflex, Serum | 86041, 86043,86366 | ||||||
| 0062 | Myasthenia Gravis/Lambert-Eaton Myasthenic Syndrome Evaluation, Serum | 86041, 86596, 86043, 86366 | ||||||
| 0063 | Necrotizing Myopathy Evaluation, Serum | 86255, 83297,86256,84182 | ||||||
| 0064 | Myelopathy, Autoimmune/Paraneoplastic Evaluation, Serum | 86255x16, 80553, 84182, 86363,86341 | ||||||
| 0065 | Myelopathy, Autoimmune/Paraneoplastic Evaluation, Spinal Fluid | 86255x16, 86053,86341,84182 | ||||||
| 0066 | Culture Referred for Identification, Fungus | 87107, 87106, 87153 | ||||||
| 0067 | Fungal Sequencing Identification (Bill Only) | 87153 | ||||||
| 0068 | 1,3-Beta-D-Glucan (Fungitell), Serum | 87449 | ||||||
| 0069 | Aspergillus (Galactomannan) Antigen, Serum | 87305 | ||||||
| 0070 | Culture Referred for Identification, Mycobacterium and Nocardia with Antimicrobial Susceptibility Testing, Varies | 87118, 87158, 87153, 87150,87186,87188x3 | ||||||
| 0071 | Meningitis/Encephalitis Pathogen Panel, PCR, Spinal Fluid | 87483 | ||||||
| 0072 | Coccidioides Antibody, Complement Fixation and Immunodiffusion, Spinal Fluid | 86635 x 3 | ||||||
| 0073 | AUTOIMMUNE RETINOPATHY PANEL | 84182 x 8 | ||||||
| 0074 | CALCIUM SENSING RECEPTOR | 1405-CASR | ||||||
| 0075 | AUTOIMMUNE DYSAUTONOMIA EVAL | 83519,86255 x 6,86255 AMPCS (if appropriate),86256 AMPIS (if appropriate),86255 AMPHS (if appropriate),84182 AMIBS (if appropriate),84182 AN1BS (if appropriate),84182 AN2BS (if appropriate),84182 CRMWS (if appropriate),86255 DPPCS (if appropriate),86256 DPPTS (if appropriate),86255 GABCS (if appropriate),86256 GABIS (if appropriate),86255 NMDCS (if appropriate),86256 NMDIS (if appropriate),84182 PC1BS (if appropriate),84182 PCTBS (if appropriate),86255 PCABP (if appropriate),86255 PCATR (if appropriate) | ||||||
| 0076 | MALARIA MOLECULAR DETECTION, PCR | 87798 | ||||||
| 0077 | CONGENITAL NEUTROPENIA PID PANEL | 81443 | ||||||
| 0078 | TTR GENE, FULL GENE ANALYSIS | 81404-TTR | ||||||
| 0079 | LIPID ANALYSYS, BODY FLUID | *89 | ||||||
| 0080 | CD20 ON B CELLS, BLOOD | No CPT Code | ||||||
| 0081 | CANCER ASSOCIATED RETINOPATHY | 84182 x 8 | ||||||
| 0082 | MYELIN OLIGODENDROCYTE GLYCOPROTEIN(MOG-IgG1) | 86363 | ||||||
| 0083 | NGS MULTIPLE MYELOMA | 81455-Targeted genomic sequence analysis panel, solid organ or hematolymphoid neoplasm, DNA and RNA analysis when performed, 51 or greater genes (eg, ALK, BRAF, CDKN2A, CEBPA, DNMT3A, EGFR, ERBB2, EZH2, RLT3, IDH1, IDH2, JAK2, KIT, KRAS, MLL, NPM1, NRAS, MET, NOTCH1, PDGRA, PDGFRB, PGR, PIK3CA, PTEN, RET) | ||||||
| 0084 | PMP22 GENE, LARGE DEL/DUP ANALYSIS (CMT 1A) | 81324 | ||||||
| 0085 | AMYLOIDOSIS, TRANSTHYRETIN-ASS. FAMILIAL | 82542 LC-MS,81404 TTR gene (if appropriate295.4(+950 IF REFLEX) | ||||||
| 0086 | ISH Initial Stain (Bill Only) | 84182 | ||||||
| 0087 | Consult, Outside Slide (Bill Only) | 86255 | ||||||
| 0088 | Consult, w/Comp Rvw of His (Bill Only) | 86255 | ||||||
| 0089 | Consult, w/USS Prof (Bill Only) | 84182 | ||||||
| 0090 | ALZHEIMER'S EVALUATION SPINAL FLUID | 86255 | ||||||
| 0091 | POMEGRANATE | 86256 | ||||||
| 0092 | 2,3DINOR-11B-PROSTAGLANDIN | 84182 | ||||||
| 0093 | LEUKOTRIENE E4, 24 HR URINE | 84182 | ||||||
| 0094 | MACRO AST | 84182 | ||||||
| 0095 | BILIRUBIN BODY FLUID | 82247 | ||||||
| 0096 | BRUGADA SYNDROME | 84182 | ||||||
| 0097 | GANGLIOSIDE ANTIBODIES | 83516x5 | ||||||
| 0098 | Antiglial/Neuronal Nuclear Antibody-Type 1, Immunoblot, Spinal Fluid | 88240 | ||||||
| 0099 | Antiglial/Neuronal Nuclear Antibody-Type,1 Immunoblot, Serum | 86255 | ||||||
| 0100 | Alpha Internexin, Cell Binding Assay, Spinal Fluid | 86255 | ||||||
| 0101 | Alpha Internexin, Cell Binding Assay, Serum | 86256 | ||||||
| 0102 | Amphiphysin Antibody, Immunoblot, Spinal Fluid | 86256 | ||||||
| 0103 | Amphiphysin Antibody, Immunoblot, Serum | 88233 | ||||||
| 0104 | AMPA-Receptor Antibody by CBA, Serum | 86255 | ||||||
| 0105 | Amphiphysin Ab, Serum | 86256 | ||||||
| 0106 | AMPA-R Ab IF Titer Assay, CSF | 86256 | ||||||
| 0107 | AMPA-R Ab IF Titer Assay, Serum | 86255 | ||||||
| 0108 | Antineuronal Nuclear Antibody-Type 1, Immunoblot, Spinal Fluid | 86255 | ||||||
| 0109 | Antineuronal Nuclear Antibody-Type 1, Immunoblot, Serum | 86256 | ||||||
| 0110 | Antineuronal Nuclear Antibody-Type 2, Immunoblot, Spinal Fluid | 86256 | ||||||
| 0111 | Antineuronal Nuclear Antibody-Type 2, Immunoblot, Serum | 86255 | ||||||
| 0112 | Acetylcholine Receptor (AChR) Binding Ab, Serum | 86255 | ||||||
| 0113 | CRMP-5-IgG Western Blot, CSF | 86256 | ||||||
| 0114 | CRMP-5-IgG Western Blot, Serum | 86256 | ||||||
| 0115 | Cryopreservation For Biochemical Studies | 86255 | ||||||
| 0116 | Dipeptidyl-Peptidase-Like Protein-6 (DPPX) Antibody by Cell Binding Assay, Spinal Fluid | 86255 | ||||||
| 0117 | Dipeptidyl-Peptidase-Like Protein-6 (DPPX) Antibody by Cell Binding Assay, Serum | 86256 | ||||||
| 0118 | Dipeptidyl-Peptidase-Like Protein-6 (DPPX) Antibody by Immunofluorescence Titer Assay, Spinal Fluid | 86256 | ||||||
| 0119 | Dipeptidyl-Peptidase-Like Protein-6 (DPPX) Antibody by Immunofluorescence Titer Assay, Serum | 88364 | ||||||
| 0120 | Fibroblast Culture | 88380 | ||||||
| 0121 | GABA-B-Receptor Antibody by CBA, Serum | 86256 | ||||||
| 0122 | GABA-B-R Ab IF Titer Assay, CSF | 82542 | ||||||
| 0123 | GABA-B-R Ab IF Titer Assay, Serum | 86255 | ||||||
| 0124 | Glial Fibrillary Acidic Protein Alpha Subunit Antibody, Cell Binding Assay, Spinal Fluid | 86255 | ||||||
| 0125 | Glial Fibrillary Acidic Protein Alpha Subunit Antibody, Cell Binding Assay, Serum | 86255 | ||||||
| 0126 | Glial Fibrillary Acidic Protein Alpha Subunit Antibody, Immunofluorescence Titer Assay, Spinal Fluid | 86255 | ||||||
| 0127 | Glial Fibrillary Acidic Protein Alpha Subunit Antibody, Immunofluorescence Titer Assay, Serum | 86256 | ||||||
| 0128 | Metabotropic Glutamate Receptor 1 (mGluR1) Antibody by Cell Binding Assay, Spinal Fluid | 86256 | ||||||
| 0129 | Metabotropic Glutamate Receptor 1 (mGluR1) Antibody by Cell Binding Assay, Serum | 86255 | ||||||
| 0130 | Metabotropic Glutamate Receptor 1 (mGluR1) Antibody by Immunofluorescence Titer Assay, Spinal Fluid | 86256 | ||||||
| 0131 | Metabotropic Glutamate Receptor 1 (mGluR1) Antibody by Immunofluorescence Titer Assay, Serum | 86256 | ||||||
| 0132 | IgLON Family Member 5 Antibody, Cell Binding Assay, Spinal Fluid | 84182 | ||||||
| 0133 | IgLON Family Member 5 Antibody, Cell Binding Assay, Serum | 84182 | ||||||
| 0134 | IgLON Family Member 5 Antibody, Immunofluorescence Titer Assay, Spinal Fluid | 86255 | ||||||
| 0135 | IgLON Family Member 5 Antibody, Immunofluorescence Titer Assay, Serum | 86255 | ||||||
| 0136 | ISH Additional Stain (Bill Only) | 84182 | ||||||
| 0137 | Microdissection, Laser Capture (Bill Only) | 88380 | ||||||
| 0138 | Myelin Oligodendrocyte Glycoprotein (MOG-IgG-1) Fluorescence-Activated Cell Sorting (FACS) Titer Ass | 86363 | ||||||
| 0139 | Neuronal Intermediate Filament Heavy Chain, Cell Binding Assay, Spinal Fluid | No CPT Code | ||||||
| 0140 | Neuronal Intermediate Filament Heavy Chain, Cell Binding Assay, Serum | No CPT Code | ||||||
| 0141 | Neuronal Intermediate Filament Light Chain, Cell Binding Assay, Spinal Fluid | No CPT Code | ||||||
| 0142 | Neuronal Intermediate Filament Light Chain, Cell Binding Assay, Serum | No CPT Code | ||||||
| 0143 | Neuronal Intermediate Filament IgG, Immunofluorescence Titer Assay, Spinal Fluid | No CPT Code | ||||||
| 0144 | Neuronal Intermediate Filament IgG, Immunofluorescence Titer Assay, Serum | No CPT Code | ||||||
| 0145 | NMDA-R Ab CBA, Serum | No CPT Code | ||||||
| 0146 | NMDA-R Ab IF Titer Assay, CSF | No CPT Code | ||||||
| 0147 | NMDA-Receptor Antibody Titer Assay by Immunofluorescence, Serum | No CPT Code | ||||||
| 0148 | Purkinje Cell Cytoplasmic Antibody-Type 1, Immunoblot, Spinal Fluid | No CPT Code | ||||||
| 0149 | Purkinje Cell Cytoplasmic Antibody-Type 1, Immunoblot, Serum | No CPT Code | ||||||
| 0150 | Purkinje Cell Cytoplasmic Ab Type 1, Serum | No CPT Code | ||||||
| 0151 | Purkinje Cell Cytoplasmic Ab Type Tr, Serum | No CPT Code | ||||||
| 0152 | Purkinje Cell Cytoplasmic Antibody-Type Tr, Immunoblot, Spinal Fluid | No CPT Code | ||||||
| 0153 | Purkinje Cell Cytoplasmic Antibody-Type Tr, Immunoblot, Serum | No CPT Code | ||||||
| 0154 | Kappa Free Light Chain(CSF) | 83521 | ||||||
| 0155 | Amyloid Typing AM PIP | No CPT Code | ||||||
| 0156 | Cutaneous Immunofluoroscene | No CPT Code | ||||||
| 0157 | Alpha-1 Antitrypsin CL. Feces/Serum (CA1A) | 82103x2 | ||||||
| 0158 | Polyoma Virus | No CPT Code | ||||||
| 0159 | M.S. Profile Serum and Spinal Fluid (MSP3) | No CPT Code | ||||||
| 0160 | Pancardiomyopathy Panel | No CPT Code | ||||||
| 0161 | 2,3 Donor 11B Prostaglandin, URN | 84150 | ||||||
| 0162 | Bacterial Vaginosis, NAA | No CPT Code | ||||||
| 0163 | Copper Quantitative | No CPT Code | ||||||
| 0164 | Expert Opinion | No CPT Code | ||||||
| 0165 | Full Renal Service | No CPT Code | ||||||
| 0166 | IF Additional (Bill Only) | 88350 | ||||||
| 0167 | IF Additional, Professional Only (Bill Only) | 88350 | ||||||
| 0168 | IF Initial (Bill Only) | 88346 | ||||||
| 0169 | IF Initial, Technical Only (Bill Only) | 88346 | ||||||
| 0170 | IHC Initial, Professional Only (Bill Only) | 88342 | ||||||
| 0171 | EM, Renal Biopsy (Bill Only) | 88348 | ||||||
| 0172 | Iron, Liver Tissue | 83540 | ||||||
| 0173 | JC Virus Detection by In Situ Hybridization | 88365 | ||||||
| 0174 | Leukotriene E4, 24 Hour, Urine | 82542 | ||||||
| 0175 | Level 4 Gross and Microscopic, RB (Bill Only) | 88305 | ||||||
| 0176 | Special Stain, Group II, Other (Bill Only) | 88313 | ||||||
| 0177 | Thrombospondin Type-1 Domain-Containing 7A Antibodies, Serum | 86255 |
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