Attachment B Test List Port - Copy.xlsx

XLSX spreadsheet 7 MB Posted

Attached to
Q301 Reference Laboratory Testing VA Portland Health Care System NOT A REQUEST FOR QUOTE
Solicitation number
36C26026Q0825_1
Issued by

About this file

This is a test list document serving as Attachment B to a federal contract opportunity for specialty and esoteric reference laboratory testing services. The document contains an extensive itemized catalog of clinical laboratory tests that the VA Portland Healthcare System requires, spanning chemistry, microbiology, hematology, immunology, and molecular diagnostics. The contract is structured as a multi-award Blanket Purchase Agreement (BPA) under GSA Schedule 36C26024A0007, with a period of performance from November 1, 2023, through October 31, 2028, and a base period plus options designated for fiscal years 2025-2027 and 2026-2027 respectively.

The test list details over 500 individual tests and test panels with corresponding CPT codes, billing categories, and reflex testing protocols where applicable. Tests are organized by clinical discipline and include routine procedures such as basic metabolic panels, lipid panels, and blood typing, as well as specialized testing including molecular sequencing, FISH analysis, immunohistochemistry, microbial identification and susceptibility testing, and advanced genetic testing. The document specifies that testing will be performed in-house by the reference laboratory or by an approved subcontractor, with all charges itemized separately for billing purposes. Each line item indicates unit of measure (typically EA), packaging specifications, and whether tests are billed on the base period or optional periods. The contractor must provide specimen testing, result reporting, consultative services, courier services, system-interfaced result delivery, and certification verification in compliance with all applicable federal, state, and local regulations and accreditation standards.

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File Type Posted
Attachment A SOW Portland Ref Lab.docx DOCX document
Contract Opportunities 36C26026Q0825_1 PVAMC Ref Lab.docx DOCX document
Attachment C Technical Eval Factors.docx DOCX document

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Text version

Action Line Item Information

Action Type NamePrimary IDSecondary IDMod NumberTitleOrder Discount Type NameOrder Discount TypeOrder Discount
VHA-SUPPLIES-BPA36C26024A0007OFL Specialty Lens Multi-award BPA for Central Optical

CS: Jeff Hansen POP: 01 Nov 23 - 31 Oct 28 Percent 0

KB Version: FY25.08A

Items

INSTRUCTIONS:
Please fill out the needed information in the columns that have a Yellow Header.

Please itemize and include any and all reflex testing associated with any item listed here. For example, If a single test is ordered, and the billing results in multiple charges, all charges will need itemized and added to this list for each Ordering period.

Test NUMBERSLINDESCRIPTIONREF CLINCPT CodesINCLUDE COMMENTS IN DOCUMENTTesting Pefromed in HouseIf Not Performed In House, Who Will TestCONTRACT PERIODPOP BEGINPOP ENDQUANTITYUNIT OF MEASUREPACKAGING MULTIPLERECEIPT TYPELINE ITEM ISUNIT PRICEITEM DISCOUNT TYPE NAMEITEM DISCOUNTDATE UPDATEDADDRESS1ADDRESS2ADDRESS3CITYSTATEZIPZIP4COUNTRYMARK FROCONTACT NAMECONTACT PHONECONTACT EMAILDDELIVERY DATEFOBSPECIAL INSTRUCTIONSINCLUDE INSTRUCTIONS/COMMENTS IN DOCUMENTINCLUDE DATA VALUES IN DOCUMENTPRINCIPAL NAICS CODEPRODUCT/SERVICE CODEUNSPSCSIC CODEMANUFACTURER PART NUMBER (MPN)NATIONAL STOCK NUMBERLOCAL STOCK NUMBERDM DOC IDDELIVERY REF. COUNTERUNIT TEXT/DESCRIPTIONDELIVERY REFERENCEITEM MASTER FILE NUMBEREXPENDABLE/NON-EXPENDABLE
(1,3)-Beta-D-Glucan (Fungitell(R))87449YesBase9/30/269/29/271EA621511Q301
1,5 Anhydroglucitol Quantitative, Serum or Plasma84378YesBase9/30/269/29/271EA621511Q301
11-Deoxycorticosterone Quantitative by HPLC-MS/MS, Serum or Plasma82633YesBase9/30/269/29/271EA621511Q301
11-Deoxycortisol Quantitative by HPLC-MS/MS, Serum or Plasma82634YesBase9/30/269/29/271EA621511Q301
11Q Aberrations by FISH88377YesBase9/30/269/29/271EA621511Q301
14-3-3 eta Protein by ELISA, Serum83520YesBase9/30/269/29/271EA621511Q301
17-Hydroxycorticosteroids, Urine83491YesBase9/30/269/29/271EA621511Q301
17-Hydroxypregnenolone 30-Minute Timed Specimen84143YesBase9/30/269/29/271EA621511Q301
17-Hydroxypregnenolone 60-Minute Timed Specimen84143YesBase9/30/269/29/271EA621511Q301
17-Hydroxypregnenolone 90-Minute Timed Specimen84143YesBase9/30/269/29/271EA621511Q301
17-Hydroxypregnenolone Baseline Specimen84143YesBase9/30/269/29/271EA621511Q301
17-Hydroxypregnenolone Quantitative by LC-MS/MS, Serum or Plasma84143YesBase9/30/269/29/271EA621511Q301
17-Hydroxyprogesterone 30-Min Quantitative by HPLC-MS/MS, Serum or Plasma83498YesBase9/30/269/29/271EA621511Q301
17-Hydroxyprogesterone 60-Min Quantitative by HPLC-MS/MS, Serum or Plasma83498YesBase9/30/269/29/271EA621511Q301
17-Hydroxyprogesterone Quantitative by HPLC-MS/MS, Serum or Plasma83498YesBase9/30/269/29/271EA621511Q301
17-Ketosteroids, Urine83586YesBase9/30/269/29/271EA621511Q301
1p/19q Deletion by FISH88377 x2YesBase9/30/269/29/271EA621511Q301
1p19q Deletion by FISH and IDH1 R132H Point Mutation by Immunohistochemistry With Reflex to IDH1 and IDH2 Mutation Detection (orders 1p/19q Deletion by FISH #3001309 - billed additionally) (Reflex components billed separately, see below for additional charges and CPT codes)88342YesBase9/30/269/29/271EA621511Q301
REFLEX 1p/19q Deletion by FISH88377 x2YesBase9/30/269/29/271EA621511Q301
REFLEX IDH1 and IDH2 Mutation Detection81120/81121YesBase9/30/269/29/271EA621511Q301
21-Hydroxylase Autoantibodies, Serum83516YesBase9/30/269/29/271EA621511Q301
25-Hydroxyvitamin D[2] and D[3] by Tandem Mass Spectrometry, Serum82306YesBase9/30/269/29/271EA621511Q301
3-Hydroxy-3-Methylglutaryl Coenzyme A Reductase (HMGCR) Antibody, IgG82397YesBase9/30/269/29/271EA621511Q301
5-a-Dihydrotestosterone by Tandem Mass Spectrometry, Serum82642YesBase9/30/269/29/271EA621511Q301
5-Hydroxyindoleacetic Acid (HIAA) by LC-MS/MS, Random Urine83497YesBase9/30/269/29/271EA621511Q301
5-Hydroxyindoleacetic Acid (HIAA), Urine83497YesBase9/30/269/29/271EA621511Q301
5'Nucleotidase83915YesBase9/30/269/29/271EA621511Q301
A1 Antigen Typing, Patient86905YesBase9/30/269/29/271EA621511Q301
ABCC8-Related Hyperinsulinism, 3 Variants81401YesBase9/30/269/29/271EA621511Q301
ABO Group & Rh Type86900/86901YesBase9/30/269/29/271EA621511Q301
ABO-Rh Prenatal86900/86901YesBase9/30/269/29/271EA621511Q301
ABPA With Quantitative A. Fumigatus IgG82785/86003/86317YesBase9/30/269/29/271EA621511Q301
Acanthamoeba and Naegleria Culture87081YesBase9/30/269/29/271EA621511Q301
Acanthamoeba and Naegleria Culture and Stain, CSF87081/87207YesBase9/30/269/29/271EA621511Q301
Acetone, Quantitative82010YesBase9/30/269/29/271EA621511Q301
Acetylcholine Receptor Antibodies and Striated Muscle Antibodies Reflexive Panels, and Titin Antibody (Reflex components billed separately, see below for additional charges and CPT codes)86041/86042/83516/86255YesBase9/30/269/29/271EA621511Q301
REFLEX Acetylcholine Receptor Modulating Antibody86043YesBase9/30/269/29/271EA621511Q301
REFLEX Striated Muscle Antibodies, IgG Titer86256YesBase9/30/269/29/271EA621511Q301
Acetylcholine Receptor Antibody Reflexive Panel (Reflex components billed separately, see below for additional charges and CPT codes)86041/86042YesBase9/30/269/29/271EA621511Q301
REFLEX Acetylcholine Receptor Modulating Antibody86043YesBase9/30/269/29/271EA621511Q301
Acetylcholine Receptor Binding Antibody86041YesBase9/30/269/29/271EA621511Q301
Acetylcholine Receptor Binding Antibody with reflex to Muscle-Specific Kinase (MuSK) Ab, IgG (Reflex components billed separately, see below for additional charges and CPT codes)86041YesBase9/30/269/29/271EA621511Q301
REFLEX Muscle-Specific Kinase (MuSK) Antibody, IgG by CBA-IFA with Reflex to Titer, Serum86366YesBase9/30/269/29/271EA621511Q301
REFLEX Muscle-Specific Kinase (MuSK) Antibody Titer, IgG by CBA-IFA, Serum (Reflex for 3006198 MuSK SER Only -not Orderable by Client).86256YesBase9/30/269/29/271EA621511Q301
Acetylcholine Receptor Blocking Antibody86042YesBase9/30/269/29/271EA621511Q301
Acetylcholine Receptor Modulating Antibody86043YesBase9/30/269/29/271EA621511Q301
Acetylcholinesterase and Fetal HGB, Amniotic Fluid82013/83033YesBase9/30/269/29/271EA621511Q301
Achondroplasia (FGFR3) 2 Mutations81401YesBase9/30/269/29/271EA621511Q301
Achondroplasia (FGFR3) 2 Mutations, Fetal (Reflex components billed separately, see below for additional charges and CPT codes)81401/81265YesBase9/30/269/29/271EA621511Q301
REFLEX Cell Culture for Genetic TestingNAYesBase9/30/269/29/271EA621511Q301
REFLEX Tissue Processing 88233, Skin/POC, Bill Only88233YesBase9/30/269/29/271EA621511Q301
REFLEX Tissue Subculture 88233, 2 Flasks, Bill Only88233YesBase9/30/269/29/271EA621511Q301
REFLEX Tissue Subculture 88233, 3 flasks, Bill Only88233YesBase9/30/269/29/271EA621511Q301
REFLEX Tissue Subculture 88233, 4 flasks, Bill only88233YesBase9/30/269/29/271EA621511Q301
REFLEX Tissue Subculture 88233, 5 flasks, Bill Only88233YesBase9/30/269/29/271EA621511Q301
REFLEX Tissue Subculture 88233, 6 flasks, Bill Only88233YesBase9/30/269/29/271EA621511Q301
REFLEX Tissue Subculture 88233, 7 flasks, Bill only88233YesBase9/30/269/29/271EA621511Q301
REFLEX Tissue Subculture 88233, 8 flasks, Bill only88233YesBase9/30/269/29/271EA621511Q301
REFLEX Tissue Subculture 88233, 1T25 1T75, Bill only88233YesBase9/30/269/29/271EA621511Q301
REFLEX Tissue Subculture 88233, 2T25 1T75, Bill only88233YesBase9/30/269/29/271EA621511Q301
REFLEX Prenatal Processing 88235 AF/CVS, Bill only88235YesBase9/30/269/29/271EA621511Q301
REFLEX Prenatal Subculture 88235, 2 flasks, Bill only88235YesBase9/30/269/29/271EA621511Q301
REFLEX Prenatal Subculture 88235, 3 flasks, Bill only88235YesBase9/30/269/29/271EA621511Q301
REFLEX Prenatal Subculture 88235, 4 flasks, Bill only88235YesBase9/30/269/29/271EA621511Q301
REFLEX Prenatal Subculture 88235, 5 flasks, Bill only88235YesBase9/30/269/29/271EA621511Q301
REFLEX Prenatal Subculture 88235, 6 flasks, Bill only88235YesBase9/30/269/29/271EA621511Q301
REFLEX Prenatal Subculture 88235, 7 flasks, Bill only88235YesBase9/30/269/29/271EA621511Q301
REFLEX Prenatal Subculture 88235, 8 flasks, Bill only88235YesBase9/30/269/29/271EA621511Q301
REFLEX Cytogenetics Cryopreservation 88240, Bill only88240YesBase9/30/269/29/271EA621511Q301
Acid Fast Stain, Partial or Modified (for Nocardia spp.)VariableYesBase9/30/269/29/271EA621511Q301
Acid Phosphatase, Total, Serum84060YesBase9/30/269/29/271EA621511Q301
Acid-Fast Bacillus (AFB) Culture and AFB Stain (AFB stain is billed separately) (Micro billing tasks will be ordered as needed, see below for possible charges and CPT codes)87116; CPT codes for identification and susceptibility vary based on method.YesBase9/30/269/29/27240EA621511Q301
BILL TASK Acid Fast Stain87206YesBase9/30/269/29/271EA621511Q301
BILL TASK AFB Concentration87015YesBase9/30/269/29/271EA621511Q301
BILL TASK DNA Sequencing - AFB identification (Billed)87153YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Mycobacterium tuberculosis (Billed)87188 x4YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Single drug by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - AFB/Nocardia by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Processing fee (Billed)NAYesBase9/30/269/29/271EA621511Q301
BILL TASK AFB Isolation (Billed)87015YesBase9/30/269/29/271EA621511Q301
BILL TASK Ethambutol Resistance by Sequencing (Billed)87153YesBase9/30/269/29/271EA621511Q301
BILL TASK AFB Identification by MALDI (Billed)83789YesBase9/30/269/29/271EA621511Q301
BILL TASK M. Tuberculosis species identification Billed87150YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Nocardia by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK GeneXpert M. tuberculosis and Rifampin (Billed)87564YesBase9/30/269/29/271EA621511Q301
BILL TASK erm41 Molecular Detection (Billed)87999YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility-Rapidly growing mycobacteria by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Microbroth dilution panel for M. tuberculosis (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Fungal Identification by MALDI-TOF MS (Matrix Assisted Laser Desorption Ionization- TOF MS)83789YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial ID by MALDI-TOF MS (billed)83789YesBase9/30/269/29/271EA621511Q301
Acid-Fast Bacillus (AFB) Culture and AFB Stain with Reflex to Mycobacterium tuberculosis Complex Detection and Rifampin Resistance by PCR (AFB stain is billed separately) (Reflex components billed separately, see below for additional charges and CPT codes) (Micro billing tasks will be ordered as needed, see below for possible charges and CPT codes)87116; CPT codes for identification and susceptibility vary based on methodYesBase9/30/269/29/2710EA621511Q301
REFLEX Mycobacterium tuberculosis Complex Detection and Rifampin Resistance by PCR87564YesBase9/30/269/29/271EA621511Q301
BILL TASK Acid Fast Stain87206YesBase9/30/269/29/271EA621511Q301
BILL TASK AFB Concentration87015YesBase9/30/269/29/271EA621511Q301
BILL TASK DNA Sequencing - AFB identification (Billed)87153YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Mycobacterium tuberculosis (Billed)87188 x4YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - AFB/Nocardia by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK AFB Isolation (Billed)87015YesBase9/30/269/29/271EA621511Q301
BILL TASK Processing fee (Billed)NAYesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Single drug by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Ethambutol Resistance by Sequencing (Billed)87153YesBase9/30/269/29/271EA621511Q301
BILL TASK M. Tuberculosis species identification Billed87150YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Nocardia by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK GeneXpert M. tuberculosis and Rifampin (Billed)87564YesBase9/30/269/29/271EA621511Q301
BILL TASK erm41 Molecular Detection (Billed)87999YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility-Rapidly growing mycobacteria by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Microbroth dilution panel for M. tuberculosis (Billed)87186YesBase9/30/269/29/271EA621511Q301
Acid-Fast Bacillus (AFB) Identification (Micro billing tasks will be ordered as needed, see below for possible charges and CPT codes)VariableYesBase9/30/269/29/271EA621511Q301
BILL TASK DNA Sequencing - AFB identification (Billed)87153YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - AFB/Nocardia by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Processing fee (Billed)NAYesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Mycobacterium tuberculosis (Billed)87188 x4YesBase9/30/269/29/271EA621511Q301
BILL TASK AFB Isolation (Billed)87015YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial Identification - Cystic Pseudomonas (Billed)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial Identification - Pseudomonas (Billed)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial Identification (Billed)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial Identification - Gram positive (Phoenix) (Billed)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial Identification - Gram negative (Phoenix) (Billed)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial Identification - Bacillus (Billed)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK AFB Identification by MALDI (Billed)83789YesBase9/30/269/29/271EA621511Q301
BILL TASK Ethambutol Resistance by Sequencing (Billed)87153YesBase9/30/269/29/271EA621511Q301
BILL TASK M. Tuberculosis species identification Billed87150YesBase9/30/269/29/271EA621511Q301
BILL TASK Gram Negative ID & MIC Panel (Phoenix)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Nocardia by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK GeneXpert M. tuberculosis and Rifampin (Billed)87564YesBase9/30/269/29/271EA621511Q301
BILL TASK erm41 Molecular Detection (Billed)87999YesBase9/30/269/29/271EA621511Q301
BILL TASK Microbroth dilution panel for M. tuberculosis (Billed)87186YesBase9/30/269/29/271EA621511Q301
Acid-Fast Bacillus (AFB) Identification with Reflex to Susceptibility (Micro billing tasks will be ordered as needed, see below for possible charges and CPT codes)VariableYesBase9/30/269/29/271EA621511Q301
BILL TASK DNA Sequencing - AFB identification (Billed)87153YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - AFB/Nocardia by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Mycobacterium tuberculosis (Billed)87188 x4YesBase9/30/269/29/271EA621511Q301
BILL TASK Processing fee (Billed)NAYesBase9/30/269/29/271EA621511Q301
BILL TASK AFB Isolation (Billed)87015YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Single drug by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Broth dilution panel (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK AFB Identification by MALDI (Billed)83789YesBase9/30/269/29/271EA621511Q301
BILL TASK Ethambutol Resistance by Sequencing (Billed)87153YesBase9/30/269/29/271EA621511Q301
BILL TASK M. Tuberculosis species identification Billed87150YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Broth dilution panel 2 (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Nocardia by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK GeneXpert M. tuberculosis and Rifampin (Billed)87564YesBase9/30/269/29/271EA621511Q301
BILL TASK erm41 Molecular Detection (Billed)87999YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Broth Dilution Auto Read (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility-Rapidly growing mycobacteria by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Antimicrobial Susceptibility - Carbapenemase Gene Detection by CARBA 5 (Billed)87182YesBase9/30/269/29/271EA621511Q301
BILL TASK Microbroth dilution panel for M. tuberculosis (Billed)87186YesBase9/30/269/29/271EA621511Q301
Acid-Fast Bacillus (AFB) Stain Only (Micro billing tasks will be ordered as needed, see below for possible charges and CPT codes)87206YesBase9/30/269/29/271EA621511Q301
BILL TASK AFB Concentration87015YesBase9/30/269/29/271EA621511Q301
BILL TASK Ethambutol Resistance by Sequencing (Billed)87153YesBase9/30/269/29/271EA621511Q301
ACTH by Immunohistochemistry88342TCYesBase9/30/269/29/271EA621511Q301
Acute Lymphoblastic Leukemia (ALL) Panel by FISH, Adult88271 x5/88275 x5YesBase9/30/269/29/271EA621511Q301
Acute Lymphoblastic Leukemia (ALL) Panel by FISH, Pediatric (Reflex components billed separately, see below for additional charges and CPT codes)88271 x6/88275 x6YesBase9/30/269/29/271EA621511Q301
REFLEX Bone Marrow/PBL Culture Processing Fee88237YesBase9/30/269/29/271EA621511Q301
Acute Myeloid Leukemia Mutation Panel by Next Generation Sequencing81450YesBase9/30/269/29/271EA621511Q301
Acute Myeloid Leukemia Panel by FISH (orders PML/RARa FISH #2002363 - billed additionally) (Reflex components billed separately, see below for additional charges and CPT codes)88271 x7/88275 x7YesBase9/30/269/29/271EA621511Q301
REFLEX PML-RARA Translocation by FISH88271/88275YesBase9/30/269/29/271EA621511Q301
Acylcarnitine Quantitative Profile, Plasma82017YesBase9/30/269/29/271EA621511Q301
Acylglycines, Quantitative, Urine82542YesBase9/30/269/29/271EA621511Q301
Adalimumab and Antibodies to Adalimumab Quantitation80145/82397YesBase9/30/269/29/271EA621511Q301
ADAMTS13 Activity85397YesBase9/30/269/29/271EA621511Q301
ADAMTS13 Antibody83520YesBase9/30/269/29/271EA621511Q301
ADAMTS13 Inhibitor85335YesBase9/30/269/29/271EA621511Q301
ADAMTS13 Reflex Panel (Reflex components billed separately, see below for additional charges and CPT codes)85397YesBase9/30/269/29/271EA621511Q301
REFLEX ADAMTS13 Inhibitor85335YesBase9/30/269/29/271EA621511Q301
REFLEX ADAMTS13 Antibody83520YesBase9/30/269/29/271EA621511Q301
Adenosine Deaminase in CSF84311YesBase9/30/269/29/271EA621511Q301
Adenosine Deaminase in Pericardial Fluid84311YesBase9/30/269/29/271EA621511Q301
Adenosine Deaminase in Peritoneal Fluid84311YesBase9/30/269/29/271EA621511Q301
Adenosine Deaminase in Pleural Fluid84311YesBase9/30/269/29/271EA621511Q301
Adenosine Deaminase, RBC84311YesBase9/30/269/29/271EA621511Q301
Adenosine Deaminase, Serum or Plasma84311YesBase9/30/269/29/271EA621511Q301
Adenovirus by Immunohistochemistry88342TCYesBase9/30/269/29/271EA621511Q301
Adenovirus by Qualitative PCR87798YesBase9/30/269/29/271EA621511Q301
Adenovirus, Quantitative PCR87799YesBase9/30/269/29/271EA621511Q301
Adiponectin, Quantitative Serum/Plasma83520YesBase9/30/269/29/271EA621511Q301
Adrenal Steroid Quantitative Panel by HPLC-MS/MS, Serum or Plasma82634/83498/84143/84140YesBase9/30/269/29/271EA621511Q301
Adrenocorticotropic Hormone82024YesBase9/30/269/29/271EA621511Q301
Adrenocorticotropic Hormone Stimulation, 0 Minutes82533YesBase9/30/269/29/271EA621511Q301
Adrenocorticotropic Hormone Stimulation, 30 Minutes82533YesBase9/30/269/29/271EA621511Q301
Adrenocorticotropic Hormone Stimulation, 60 Minutes82533YesBase9/30/269/29/271EA621511Q301
Adrenocorticotropic Hormone, IVC182024YesBase9/30/269/29/271EA621511Q301
Adrenocorticotropic Hormone, LP182024YesBase9/30/269/29/271EA621511Q301
Adrenocorticotropic Hormone, RP182024YesBase9/30/269/29/271EA621511Q301
Aerobic Organism Identification (Micro billing tasks will be ordered as needed, see below for possible charges and CPT codes)VariableYesBase9/30/269/29/271EA621511Q301
BILL TASK DNA Sequencing - Bacterial identification (Billed)87153YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial Identification - Cystic Pseudomonas (Billed)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial Identification - Pseudomonas (Billed)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial Identification (Billed)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial Identification - Gram positive (Phoenix) (Billed)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial Identification - Gram negative (Phoenix) (Billed)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial Identification - Bacillus (Billed)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Broth dilution panel (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Processing fee (Billed)NAYesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - AFB/Nocardia by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Single drug by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Automated broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Beta-Lactamase (Billed)87185YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Single drug by Etest (Billed)87181YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - MIC/MBC (Billed)87186/87187YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Anaerobe by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Disk diffusion (Billed)87184YesBase9/30/269/29/271EA621511Q301
BILL TASK DNA Sequencing - AFB identification (Billed)87153YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Automated disk diffusion (Billed)87184YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial ID by MALDI-TOF MS (billed)83789YesBase9/30/269/29/271EA621511Q301
BILL TASK Anaerobic organism ID by MALDI-TOF (billed)83789YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Penicillin Binding Protein 2a (Billed)87147YesBase9/30/269/29/271EA621511Q301
BILL TASK Salmonella typing (Billed)87147YesBase9/30/269/29/271EA621511Q301
BILL TASK Shigella serotyping (Billed)87147YesBase9/30/269/29/271EA621511Q301
BILL TASK E. coli 0157 Latex Agglutination87147YesBase9/30/269/29/271EA621511Q301
BILL TASK PBP2A Normal Flora use(Billed)87147YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility – mecA/mecC Gene Detection by PCR (Billed)87641YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Broth dilution panel 2 (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Gram Negative ID & MIC Panel (Phoenix)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Nocardia by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Broth Dilution Auto Read (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Antimicrobial Susceptibility - Carbapenemase Gene Detection by CARBA 5 (Billed)87182YesBase9/30/269/29/271EA621511Q301
Aerobic Organism Identification with Reflex to Susceptibility (Micro billing tasks will be ordered as needed, see below for possible charges and CPT codes)VariableYesBase9/30/269/29/271EA621511Q301
BILL TASK DNA Sequencing - Bacterial identification (Billed)87153YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Broth dilution panel (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial Identification - Cystic Pseudomonas (Billed)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial Identification - Pseudomonas (Billed)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial Identification (Billed)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial Identification - Gram positive (Phoenix) (Billed)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial Identification - Gram negative (Phoenix) (Billed)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial Identification - Bacillus (Billed)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - AFB/Nocardia by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Automated broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Beta-Lactamase (Billed)87185YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Anaerobe by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Processing fee (Billed)NAYesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Single drug by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Disk diffusion (Billed)87184YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Single drug by Etest (Billed)87181YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Automated disk diffusion (Billed)87184YesBase9/30/269/29/271EA621511Q301
BILL TASK DNA Sequencing - AFB identification (Billed)87153YesBase9/30/269/29/271EA621511Q301
BILL TASK DNA Sequencing - Fungal identification (Billed)87153YesBase9/30/269/29/271EA621511Q301
BILL TASK Bacterial ID by MALDI-TOF MS (billed)83789YesBase9/30/269/29/271EA621511Q301
BILL TASK Anaerobic organism ID by MALDI-TOF (billed)83789YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Penicillin Binding Protein 2a (Billed)87147YesBase9/30/269/29/271EA621511Q301
BILL TASK Salmonella typing (Billed)87147YesBase9/30/269/29/271EA621511Q301
BILL TASK Shigella serotyping (Billed)87147YesBase9/30/269/29/271EA621511Q301
BILL TASK E. coli 0157 Latex Agglutination87147YesBase9/30/269/29/271EA621511Q301
BILL TASK PBP2A Normal Flora use(Billed)87147YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility – mecA/mecC Gene Detection by PCR (Billed)87641YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Modified Carbapenem Inactivation Method (Billed)87184YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Broth dilution panel 2 (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Gram Negative ID & MIC Panel (Phoenix)87077YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Nocardia by broth dilution (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Susceptibility - Broth Dilution Auto Read (Billed)87186YesBase9/30/269/29/271EA621511Q301
BILL TASK Antimicrobial Susceptibility - Carbapenemase Gene Detection by CARBA 5 (Billed)87182YesBase9/30/269/29/271EA621511Q301
Aggressive B-Cell Lymphoma Reflex Panel by FISH, Tissue (Reflex components billed separately, see below for additional charges and CPT codes)88366YesBase9/30/269/29/271EA621511Q301
REFLEX IGH-BCL2 Fusion, t(14;18) by FISH88366YesBase9/30/269/29/271EA621511Q301
REFLEX BCL6 (3q27) Gene Rearrangement by FISH88366YesBase9/30/269/29/271EA621511Q301
Alanine Aminotransferase, Serum or Plasma84460YesBase9/30/269/29/271EA621511Q301
Albumin, Body Fluid82042YesBase9/30/269/29/271EA621511Q301
Albumin, CSF82042YesBase9/30/269/29/271EA621511Q301
Albumin, Serum or Plasma by Spectrophotometry82040YesBase9/30/269/29/271EA621511Q301
Albumin-Creatinine Ratio, Urine82043/82570YesBase9/30/269/29/271EA621511Q301
Alcohol, Urine, Quantitative80320 (Alt code: G0480)YesBase9/30/269/29/271EA621511Q301
Alcohols80320 (Alt code: G0480)YesBase9/30/269/29/271EA621511Q301
Aldolase, Serum82085YesBase9/30/269/29/271EA621511Q301
Aldosterone 30 Minute82088YesBase9/30/269/29/271EA621511Q301
Aldosterone 60 Minute82088YesBase9/30/269/29/271EA621511Q301
Aldosterone and Renin Direct, with Ratio (billed by 0070015 and 2001575) (Reflex components billed separately, see below for additional charges and CPT codes)VariableYesBase9/30/269/29/271EA621511Q301
REFLEX Renin, Direct84244YesBase9/30/269/29/271EA621511Q301
REFLEX Aldosterone, Serum82088YesBase9/30/269/29/271EA621511Q301
Aldosterone Inferior Vena Cava82088YesBase9/30/269/29/271EA621511Q301
Aldosterone Left Adrenal Vein82088YesBase9/30/269/29/271EA621511Q301
Aldosterone Right Adrenal Vein82088YesBase9/30/269/29/271EA621511Q301
Aldosterone, Serum82088YesBase9/30/269/29/271EA621511Q301
Aldosterone, Urine82088YesBase9/30/269/29/271EA621511Q301
Aldosterone/Renin Activity Ratio82088/84244YesBase9/30/269/29/271EA621511Q301
ALK (D5F3) by Immunohistochemistry with Reflex to ALK Gene Rearrangements by FISH (Reflex components billed separately, see below for additional charges and CPT codes)88342YesBase9/30/269/29/271EA621511Q301
REFLEX ALK Gene Rearrangements by FISH, Lung88366YesBase9/30/269/29/271EA621511Q301
ALK (D5F3) with Interpretation by Immunohistochemistry88342YesBase9/30/269/29/271EA621511Q301
ALK Gene Rearrangements by FISH, Lung88366YesBase9/30/269/29/271EA621511Q301
Alkaline Phosphatase Isoenzymes, CSF84075/84080YesBase9/30/269/29/271EA621511Q301
Alkaline Phosphatase Isoenzymes, Serum or Plasma84075/84080YesBase9/30/269/29/271EA621511Q301
Alkaline Phosphatase, Serum or Plasma84075YesBase9/30/269/29/271EA621511Q301
Allergen, Drugs, Amoxicillin IgE86003YesBase9/30/269/29/271EA621511Q301
Allergen, Drugs, Ampicillin86003YesBase9/30/269/29/271EA621511Q301
Allergen, Drugs, Penicillin G (major)86003YesBase9/30/269/29/271EA621511Q301
Allergen, Drugs, Penicillin V (minor)86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals & Animal Proteins, Budgerigar Droppings (Parakeet)86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals & Animal Proteins, Cat Dander86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals & Animal Proteins, Chicken Feathers86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals & Animal Proteins, Cow Hair & Dander86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals & Animal Proteins, Dog Dander86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals & Animal Proteins, Goose Feathers86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals & Animal Proteins, Hamster Epithelium86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals & Animal Proteins, Horse Hair & Dander86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals & Animal Proteins, Mouse Epithelium86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals & Animal Proteins, Parakeet Feathers (Budgerigar)86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals & Animal Proteins, Rabbit Epithelium86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals & Animal Proteins, Sheep Epithelium/Wool86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals and Animal Proteins, Duck Feathers IgE86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals and Animal Proteins, Feather Mix86005YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals and Animal Proteins, Goat Epithelium IgE86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals and Animal Proteins, Guinea Pig Epithelium IgE86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals and Animal Proteins, Mouse Urine IgE86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals and Animal Proteins, Pig (Swine) Epithelium IgE86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals and Animal Proteins, Rat Epithelium IgE86003YesBase9/30/269/29/271EA621511Q301
Allergen, Epidermals and Animal Proteins, Rat Urine IgE86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Almond86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Almond IgG86001YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Alpha-Gal (galactose-alpha-1,3-galatose) IgE86008YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Alpha-Gal (galactose-alpha-1,3-galatose) Panel86008/86003 x3YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Alpha-Lactalbumin86008YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Anchovy IgE86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Apple86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Apricot86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Asparagus IgE86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Avocado86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Avocado IgG86001YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Baker's Yeast IgG86001YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Baker's Yeast/Brewer's Yeast86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Banana86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Banana IgG86001YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Barley86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Barley IgG86001YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Basil IgE86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Bay Leaf IgE86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Beef86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Beef IgG86001YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Beet Root IgE86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Beta-lactoglobulin86008YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Black Olive IgE86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Black Pepper86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Blackberry IgE86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Blue Mussel86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Blueberry86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Brazil Nut86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Brazil Nut Component Ber e 1, IgE86008YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Brazil Nut With Reflex to Component, IgE (Reflex components billed separately, see below for additional charges and CPT codes)86003YesBase9/30/269/29/271EA621511Q301
REFLEX Allergen, Food, Brazil Nut Component Ber e 1, IgE86008YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Broccoli86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Broccoli IgG86001YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Buckwheat IgE (Fagopyrum esculentum)86003YesBase9/30/269/29/271EA621511Q301
Allergen, Food, Cabbage86003YesBase9/30/269/29/271EA621511Q301

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File details come from the government source that posted it. Updated .