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
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.
View the file
Other files
| 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 |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Action Line Item Information
| Action Type Name | Primary ID | Secondary ID | Mod Number | Title | Order Discount Type Name | Order Discount Type | Order Discount |
| VHA-SUPPLIES-BPA | 36C26024A0007 | OFL 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 NUMBER | SLIN | DESCRIPTION | REF CLIN | CPT Codes | INCLUDE COMMENTS IN DOCUMENT | Testing Pefromed in House | If Not Performed In House, Who Will Test | CONTRACT PERIOD | POP BEGIN | POP END | QUANTITY | UNIT OF MEASURE | PACKAGING MULTIPLE | RECEIPT TYPE | LINE ITEM IS | UNIT PRICE | ITEM DISCOUNT TYPE NAME | ITEM DISCOUNT | DATE UPDATED | ADDRESS1 | ADDRESS2 | ADDRESS3 | CITY | STATE | ZIP | ZIP4 | COUNTRY | MARK FRO | CONTACT NAME | CONTACT PHONE | CONTACT EMAIL | DDELIVERY DATE | FOB | SPECIAL INSTRUCTIONS | INCLUDE INSTRUCTIONS/COMMENTS IN DOCUMENT | INCLUDE DATA VALUES IN DOCUMENT | PRINCIPAL NAICS CODE | PRODUCT/SERVICE CODE | UNSPSC | SIC CODE | MANUFACTURER PART NUMBER (MPN) | NATIONAL STOCK NUMBER | LOCAL STOCK NUMBER | DM DOC ID | DELIVERY REF. COUNTER | UNIT TEXT/DESCRIPTION | DELIVERY REFERENCE | ITEM MASTER FILE NUMBER | EXPENDABLE/NON-EXPENDABLE |
| (1,3)-Beta-D-Glucan (Fungitell(R)) | 87449 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 1,5 Anhydroglucitol Quantitative, Serum or Plasma | 84378 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 11-Deoxycorticosterone Quantitative by HPLC-MS/MS, Serum or Plasma | 82633 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 11-Deoxycortisol Quantitative by HPLC-MS/MS, Serum or Plasma | 82634 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 11Q Aberrations by FISH | 88377 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 14-3-3 eta Protein by ELISA, Serum | 83520 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 17-Hydroxycorticosteroids, Urine | 83491 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 17-Hydroxypregnenolone 30-Minute Timed Specimen | 84143 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 17-Hydroxypregnenolone 60-Minute Timed Specimen | 84143 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 17-Hydroxypregnenolone 90-Minute Timed Specimen | 84143 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 17-Hydroxypregnenolone Baseline Specimen | 84143 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 17-Hydroxypregnenolone Quantitative by LC-MS/MS, Serum or Plasma | 84143 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 17-Hydroxyprogesterone 30-Min Quantitative by HPLC-MS/MS, Serum or Plasma | 83498 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 17-Hydroxyprogesterone 60-Min Quantitative by HPLC-MS/MS, Serum or Plasma | 83498 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 17-Hydroxyprogesterone Quantitative by HPLC-MS/MS, Serum or Plasma | 83498 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 17-Ketosteroids, Urine | 83586 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 1p/19q Deletion by FISH | 88377 x2 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 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) | 88342 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX 1p/19q Deletion by FISH | 88377 x2 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX IDH1 and IDH2 Mutation Detection | 81120/81121 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 21-Hydroxylase Autoantibodies, Serum | 83516 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 25-Hydroxyvitamin D[2] and D[3] by Tandem Mass Spectrometry, Serum | 82306 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 3-Hydroxy-3-Methylglutaryl Coenzyme A Reductase (HMGCR) Antibody, IgG | 82397 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 5-a-Dihydrotestosterone by Tandem Mass Spectrometry, Serum | 82642 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 5-Hydroxyindoleacetic Acid (HIAA) by LC-MS/MS, Random Urine | 83497 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 5-Hydroxyindoleacetic Acid (HIAA), Urine | 83497 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 5'Nucleotidase | 83915 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| A1 Antigen Typing, Patient | 86905 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| ABCC8-Related Hyperinsulinism, 3 Variants | 81401 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| ABO Group & Rh Type | 86900/86901 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| ABO-Rh Prenatal | 86900/86901 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| ABPA With Quantitative A. Fumigatus IgG | 82785/86003/86317 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Acanthamoeba and Naegleria Culture | 87081 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Acanthamoeba and Naegleria Culture and Stain, CSF | 87081/87207 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Acetone, Quantitative | 82010 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Acetylcholine Receptor Antibodies and Striated Muscle Antibodies Reflexive Panels, and Titin Antibody (Reflex components billed separately, see below for additional charges and CPT codes) | 86041/86042/83516/86255 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Acetylcholine Receptor Modulating Antibody | 86043 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Striated Muscle Antibodies, IgG Titer | 86256 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Acetylcholine Receptor Antibody Reflexive Panel (Reflex components billed separately, see below for additional charges and CPT codes) | 86041/86042 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Acetylcholine Receptor Modulating Antibody | 86043 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Acetylcholine Receptor Binding Antibody | 86041 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 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) | 86041 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Muscle-Specific Kinase (MuSK) Antibody, IgG by CBA-IFA with Reflex to Titer, Serum | 86366 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Muscle-Specific Kinase (MuSK) Antibody Titer, IgG by CBA-IFA, Serum (Reflex for 3006198 MuSK SER Only -not Orderable by Client). | 86256 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Acetylcholine Receptor Blocking Antibody | 86042 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Acetylcholine Receptor Modulating Antibody | 86043 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Acetylcholinesterase and Fetal HGB, Amniotic Fluid | 82013/83033 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Achondroplasia (FGFR3) 2 Mutations | 81401 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Achondroplasia (FGFR3) 2 Mutations, Fetal (Reflex components billed separately, see below for additional charges and CPT codes) | 81401/81265 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Cell Culture for Genetic Testing | NA | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Tissue Processing 88233, Skin/POC, Bill Only | 88233 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Tissue Subculture 88233, 2 Flasks, Bill Only | 88233 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Tissue Subculture 88233, 3 flasks, Bill Only | 88233 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Tissue Subculture 88233, 4 flasks, Bill only | 88233 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Tissue Subculture 88233, 5 flasks, Bill Only | 88233 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Tissue Subculture 88233, 6 flasks, Bill Only | 88233 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Tissue Subculture 88233, 7 flasks, Bill only | 88233 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Tissue Subculture 88233, 8 flasks, Bill only | 88233 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Tissue Subculture 88233, 1T25 1T75, Bill only | 88233 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Tissue Subculture 88233, 2T25 1T75, Bill only | 88233 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Prenatal Processing 88235 AF/CVS, Bill only | 88235 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Prenatal Subculture 88235, 2 flasks, Bill only | 88235 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Prenatal Subculture 88235, 3 flasks, Bill only | 88235 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Prenatal Subculture 88235, 4 flasks, Bill only | 88235 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Prenatal Subculture 88235, 5 flasks, Bill only | 88235 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Prenatal Subculture 88235, 6 flasks, Bill only | 88235 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Prenatal Subculture 88235, 7 flasks, Bill only | 88235 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Prenatal Subculture 88235, 8 flasks, Bill only | 88235 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Cytogenetics Cryopreservation 88240, Bill only | 88240 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Acid Fast Stain, Partial or Modified (for Nocardia spp.) | Variable | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Acid Phosphatase, Total, Serum | 84060 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 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. | Yes | Base | 9/30/26 | 9/29/27 | 240 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Acid Fast Stain | 87206 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK AFB Concentration | 87015 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK DNA Sequencing - AFB identification (Billed) | 87153 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Mycobacterium tuberculosis (Billed) | 87188 x4 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Single drug by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - AFB/Nocardia by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Processing fee (Billed) | NA | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK AFB Isolation (Billed) | 87015 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Ethambutol Resistance by Sequencing (Billed) | 87153 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK AFB Identification by MALDI (Billed) | 83789 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK M. Tuberculosis species identification Billed | 87150 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Nocardia by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK GeneXpert M. tuberculosis and Rifampin (Billed) | 87564 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK erm41 Molecular Detection (Billed) | 87999 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility-Rapidly growing mycobacteria by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Microbroth dilution panel for M. tuberculosis (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Fungal Identification by MALDI-TOF MS (Matrix Assisted Laser Desorption Ionization- TOF MS) | 83789 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial ID by MALDI-TOF MS (billed) | 83789 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 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 method | Yes | Base | 9/30/26 | 9/29/27 | 10 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Mycobacterium tuberculosis Complex Detection and Rifampin Resistance by PCR | 87564 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Acid Fast Stain | 87206 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK AFB Concentration | 87015 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK DNA Sequencing - AFB identification (Billed) | 87153 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Mycobacterium tuberculosis (Billed) | 87188 x4 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - AFB/Nocardia by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK AFB Isolation (Billed) | 87015 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Processing fee (Billed) | NA | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Single drug by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Ethambutol Resistance by Sequencing (Billed) | 87153 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK M. Tuberculosis species identification Billed | 87150 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Nocardia by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK GeneXpert M. tuberculosis and Rifampin (Billed) | 87564 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK erm41 Molecular Detection (Billed) | 87999 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility-Rapidly growing mycobacteria by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Microbroth dilution panel for M. tuberculosis (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Acid-Fast Bacillus (AFB) Identification (Micro billing tasks will be ordered as needed, see below for possible charges and CPT codes) | Variable | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK DNA Sequencing - AFB identification (Billed) | 87153 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - AFB/Nocardia by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Processing fee (Billed) | NA | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Mycobacterium tuberculosis (Billed) | 87188 x4 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK AFB Isolation (Billed) | 87015 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial Identification - Cystic Pseudomonas (Billed) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial Identification - Pseudomonas (Billed) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial Identification (Billed) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial Identification - Gram positive (Phoenix) (Billed) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial Identification - Gram negative (Phoenix) (Billed) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial Identification - Bacillus (Billed) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK AFB Identification by MALDI (Billed) | 83789 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Ethambutol Resistance by Sequencing (Billed) | 87153 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK M. Tuberculosis species identification Billed | 87150 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Gram Negative ID & MIC Panel (Phoenix) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Nocardia by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK GeneXpert M. tuberculosis and Rifampin (Billed) | 87564 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK erm41 Molecular Detection (Billed) | 87999 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Microbroth dilution panel for M. tuberculosis (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 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) | Variable | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK DNA Sequencing - AFB identification (Billed) | 87153 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - AFB/Nocardia by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Mycobacterium tuberculosis (Billed) | 87188 x4 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Processing fee (Billed) | NA | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK AFB Isolation (Billed) | 87015 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Single drug by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Broth dilution panel (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK AFB Identification by MALDI (Billed) | 83789 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Ethambutol Resistance by Sequencing (Billed) | 87153 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK M. Tuberculosis species identification Billed | 87150 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Broth dilution panel 2 (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Nocardia by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK GeneXpert M. tuberculosis and Rifampin (Billed) | 87564 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK erm41 Molecular Detection (Billed) | 87999 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Broth Dilution Auto Read (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility-Rapidly growing mycobacteria by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Antimicrobial Susceptibility - Carbapenemase Gene Detection by CARBA 5 (Billed) | 87182 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Microbroth dilution panel for M. tuberculosis (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Acid-Fast Bacillus (AFB) Stain Only (Micro billing tasks will be ordered as needed, see below for possible charges and CPT codes) | 87206 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK AFB Concentration | 87015 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Ethambutol Resistance by Sequencing (Billed) | 87153 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| ACTH by Immunohistochemistry | 88342TC | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Acute Lymphoblastic Leukemia (ALL) Panel by FISH, Adult | 88271 x5/88275 x5 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Acute Lymphoblastic Leukemia (ALL) Panel by FISH, Pediatric (Reflex components billed separately, see below for additional charges and CPT codes) | 88271 x6/88275 x6 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Bone Marrow/PBL Culture Processing Fee | 88237 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Acute Myeloid Leukemia Mutation Panel by Next Generation Sequencing | 81450 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| 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 x7 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX PML-RARA Translocation by FISH | 88271/88275 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Acylcarnitine Quantitative Profile, Plasma | 82017 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Acylglycines, Quantitative, Urine | 82542 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adalimumab and Antibodies to Adalimumab Quantitation | 80145/82397 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| ADAMTS13 Activity | 85397 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| ADAMTS13 Antibody | 83520 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| ADAMTS13 Inhibitor | 85335 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| ADAMTS13 Reflex Panel (Reflex components billed separately, see below for additional charges and CPT codes) | 85397 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX ADAMTS13 Inhibitor | 85335 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX ADAMTS13 Antibody | 83520 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adenosine Deaminase in CSF | 84311 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adenosine Deaminase in Pericardial Fluid | 84311 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adenosine Deaminase in Peritoneal Fluid | 84311 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adenosine Deaminase in Pleural Fluid | 84311 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adenosine Deaminase, RBC | 84311 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adenosine Deaminase, Serum or Plasma | 84311 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adenovirus by Immunohistochemistry | 88342TC | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adenovirus by Qualitative PCR | 87798 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adenovirus, Quantitative PCR | 87799 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adiponectin, Quantitative Serum/Plasma | 83520 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adrenal Steroid Quantitative Panel by HPLC-MS/MS, Serum or Plasma | 82634/83498/84143/84140 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adrenocorticotropic Hormone | 82024 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adrenocorticotropic Hormone Stimulation, 0 Minutes | 82533 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adrenocorticotropic Hormone Stimulation, 30 Minutes | 82533 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adrenocorticotropic Hormone Stimulation, 60 Minutes | 82533 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adrenocorticotropic Hormone, IVC1 | 82024 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adrenocorticotropic Hormone, LP1 | 82024 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Adrenocorticotropic Hormone, RP1 | 82024 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Aerobic Organism Identification (Micro billing tasks will be ordered as needed, see below for possible charges and CPT codes) | Variable | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK DNA Sequencing - Bacterial identification (Billed) | 87153 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial Identification - Cystic Pseudomonas (Billed) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial Identification - Pseudomonas (Billed) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial Identification (Billed) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial Identification - Gram positive (Phoenix) (Billed) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial Identification - Gram negative (Phoenix) (Billed) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial Identification - Bacillus (Billed) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Broth dilution panel (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Processing fee (Billed) | NA | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - AFB/Nocardia by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Single drug by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Automated broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Beta-Lactamase (Billed) | 87185 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Single drug by Etest (Billed) | 87181 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - MIC/MBC (Billed) | 87186/87187 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Anaerobe by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Disk diffusion (Billed) | 87184 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK DNA Sequencing - AFB identification (Billed) | 87153 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Automated disk diffusion (Billed) | 87184 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial ID by MALDI-TOF MS (billed) | 83789 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Anaerobic organism ID by MALDI-TOF (billed) | 83789 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Penicillin Binding Protein 2a (Billed) | 87147 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Salmonella typing (Billed) | 87147 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Shigella serotyping (Billed) | 87147 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK E. coli 0157 Latex Agglutination | 87147 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK PBP2A Normal Flora use(Billed) | 87147 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility – mecA/mecC Gene Detection by PCR (Billed) | 87641 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Broth dilution panel 2 (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Gram Negative ID & MIC Panel (Phoenix) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Nocardia by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Broth Dilution Auto Read (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Antimicrobial Susceptibility - Carbapenemase Gene Detection by CARBA 5 (Billed) | 87182 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Aerobic Organism Identification with Reflex to Susceptibility (Micro billing tasks will be ordered as needed, see below for possible charges and CPT codes) | Variable | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK DNA Sequencing - Bacterial identification (Billed) | 87153 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Broth dilution panel (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial Identification - Cystic Pseudomonas (Billed) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial Identification - Pseudomonas (Billed) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial Identification (Billed) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial Identification - Gram positive (Phoenix) (Billed) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial Identification - Gram negative (Phoenix) (Billed) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial Identification - Bacillus (Billed) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - AFB/Nocardia by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Automated broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Beta-Lactamase (Billed) | 87185 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Anaerobe by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Processing fee (Billed) | NA | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Single drug by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Disk diffusion (Billed) | 87184 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Single drug by Etest (Billed) | 87181 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Automated disk diffusion (Billed) | 87184 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK DNA Sequencing - AFB identification (Billed) | 87153 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK DNA Sequencing - Fungal identification (Billed) | 87153 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Bacterial ID by MALDI-TOF MS (billed) | 83789 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Anaerobic organism ID by MALDI-TOF (billed) | 83789 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Penicillin Binding Protein 2a (Billed) | 87147 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Salmonella typing (Billed) | 87147 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Shigella serotyping (Billed) | 87147 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK E. coli 0157 Latex Agglutination | 87147 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK PBP2A Normal Flora use(Billed) | 87147 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility – mecA/mecC Gene Detection by PCR (Billed) | 87641 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Modified Carbapenem Inactivation Method (Billed) | 87184 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Broth dilution panel 2 (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Gram Negative ID & MIC Panel (Phoenix) | 87077 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Nocardia by broth dilution (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Susceptibility - Broth Dilution Auto Read (Billed) | 87186 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| BILL TASK Antimicrobial Susceptibility - Carbapenemase Gene Detection by CARBA 5 (Billed) | 87182 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Aggressive B-Cell Lymphoma Reflex Panel by FISH, Tissue (Reflex components billed separately, see below for additional charges and CPT codes) | 88366 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX IGH-BCL2 Fusion, t(14;18) by FISH | 88366 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX BCL6 (3q27) Gene Rearrangement by FISH | 88366 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Alanine Aminotransferase, Serum or Plasma | 84460 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Albumin, Body Fluid | 82042 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Albumin, CSF | 82042 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Albumin, Serum or Plasma by Spectrophotometry | 82040 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Albumin-Creatinine Ratio, Urine | 82043/82570 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Alcohol, Urine, Quantitative | 80320 (Alt code: G0480) | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Alcohols | 80320 (Alt code: G0480) | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Aldolase, Serum | 82085 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Aldosterone 30 Minute | 82088 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Aldosterone 60 Minute | 82088 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Aldosterone and Renin Direct, with Ratio (billed by 0070015 and 2001575) (Reflex components billed separately, see below for additional charges and CPT codes) | Variable | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Renin, Direct | 84244 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Aldosterone, Serum | 82088 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Aldosterone Inferior Vena Cava | 82088 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Aldosterone Left Adrenal Vein | 82088 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Aldosterone Right Adrenal Vein | 82088 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Aldosterone, Serum | 82088 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Aldosterone, Urine | 82088 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Aldosterone/Renin Activity Ratio | 82088/84244 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| ALK (D5F3) by Immunohistochemistry with Reflex to ALK Gene Rearrangements by FISH (Reflex components billed separately, see below for additional charges and CPT codes) | 88342 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX ALK Gene Rearrangements by FISH, Lung | 88366 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| ALK (D5F3) with Interpretation by Immunohistochemistry | 88342 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| ALK Gene Rearrangements by FISH, Lung | 88366 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Alkaline Phosphatase Isoenzymes, CSF | 84075/84080 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Alkaline Phosphatase Isoenzymes, Serum or Plasma | 84075/84080 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Alkaline Phosphatase, Serum or Plasma | 84075 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Drugs, Amoxicillin IgE | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Drugs, Ampicillin | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Drugs, Penicillin G (major) | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Drugs, Penicillin V (minor) | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals & Animal Proteins, Budgerigar Droppings (Parakeet) | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals & Animal Proteins, Cat Dander | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals & Animal Proteins, Chicken Feathers | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals & Animal Proteins, Cow Hair & Dander | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals & Animal Proteins, Dog Dander | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals & Animal Proteins, Goose Feathers | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals & Animal Proteins, Hamster Epithelium | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals & Animal Proteins, Horse Hair & Dander | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals & Animal Proteins, Mouse Epithelium | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals & Animal Proteins, Parakeet Feathers (Budgerigar) | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals & Animal Proteins, Rabbit Epithelium | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals & Animal Proteins, Sheep Epithelium/Wool | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals and Animal Proteins, Duck Feathers IgE | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals and Animal Proteins, Feather Mix | 86005 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals and Animal Proteins, Goat Epithelium IgE | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals and Animal Proteins, Guinea Pig Epithelium IgE | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals and Animal Proteins, Mouse Urine IgE | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals and Animal Proteins, Pig (Swine) Epithelium IgE | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals and Animal Proteins, Rat Epithelium IgE | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Epidermals and Animal Proteins, Rat Urine IgE | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Almond | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Almond IgG | 86001 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Alpha-Gal (galactose-alpha-1,3-galatose) IgE | 86008 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Alpha-Gal (galactose-alpha-1,3-galatose) Panel | 86008/86003 x3 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Alpha-Lactalbumin | 86008 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Anchovy IgE | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Apple | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Apricot | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Asparagus IgE | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Avocado | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Avocado IgG | 86001 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Baker's Yeast IgG | 86001 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Baker's Yeast/Brewer's Yeast | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Banana | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Banana IgG | 86001 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Barley | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Barley IgG | 86001 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Basil IgE | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Bay Leaf IgE | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Beef | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Beef IgG | 86001 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Beet Root IgE | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Beta-lactoglobulin | 86008 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Black Olive IgE | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Black Pepper | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Blackberry IgE | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Blue Mussel | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Blueberry | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Brazil Nut | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Brazil Nut Component Ber e 1, IgE | 86008 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Brazil Nut With Reflex to Component, IgE (Reflex components billed separately, see below for additional charges and CPT codes) | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| REFLEX Allergen, Food, Brazil Nut Component Ber e 1, IgE | 86008 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Broccoli | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Broccoli IgG | 86001 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Buckwheat IgE (Fagopyrum esculentum) | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 | ||||||||||||||||||||||||||||||||||||||||
| Allergen, Food, Cabbage | 86003 | Yes | Base | 9/30/26 | 9/29/27 | 1 | EA | 621511 | Q301 |
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .