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NCDDRUGSCREENS2016.pdf

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The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.


Browse by tests beginning with: E
Test NumberTest NameTest InformationSpecimen Requirements*CPT CodePrice (Stats are 2x List Price)
48ELECTROLYES URINE(Sodium, Potassium, Chloride) Testing Performed by Reference Lab 30 ml urine (plastic urine container) 84300, 84133 82436$30
50ELECTROLYTES SERUM(Sodium, Potassium, Chloride & CO2) Testing Performed STAT and Daily Reference Ranges: Sodium: 135-145 mmol/L Potassium: 3.5-5.5 mmol/L Chloride: 98-109 mmol/L CO2: 24.0-31.0 mmol/L 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) hemolysis will affect this test 80051$30
1007ENDOMYSIAL AB IGAENDOMYSIAL AB IGA 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 86255$90
50216EPHEDRINE QUANTITATIVEEPHEDRINE QUANTITATIVE 1 full red top tube with no additive or 1 full grey top tube $90
1101EPSTEIN BARR IGG AB VCAEPSTEIN BARR IGG AB VCA 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 86665$77
1100EPSTEIN BARR IGMEPSTEIN BARR IGM 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 86664$77
862ERYTHROPOIETIN Testing Performed by Reference LabERYTHROPOIETIN 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 82668$29
50221ESCITALOPRAM (LEXAPRO) QUANTITATIVESERUM/BLOOD LC/MS/MS Testing Performed Weekly See Lab Report for Reference Ranges 1 full red top tube with no additive or 1 full grey top tube 82491$60
902ESTRADIOLTesting Preformed Daily See Lab Report for Reference Ranges 1 full red top tube with no additive 82670$38
1189ESTRIOL SERUMTesting Performed by Reference Lab 1 full red top tube with no additive 82677$100
40009ETHANOL QUANTITATIVE SERUM/BLOOD HEADSPACE GC Testing Performed STAT & Daily Reference Range: 0.0 - 0.079 g/dL 1 full red top tube with no additive or 1 full grey top tube 82055$32
50227ETHOSUXIMIDE (ZARONTIN) QUANTITATIVESERUM/BLOOD LC/MS/MS Testing Performed Weekly Reference Range: 40 - 100 mg/L 1 full red top tube with no additive or 1 full grey top tube 82491$50
40233ETHYLENE GLYCOL (ANTIFREEZE) QUANTITATIVESERUM/ BLOOD GC FID Testing Performed STAT and Daily Reference Range: NEGATIVE 1 full red top tube with no additive or 1 full grey top tube 82491$60
42233ETHYLENE GLYCOL/METHANOL SERUM/BLOOD(ETHYLENE GLYCOL, METHANOL) Testing Performed STAT and Daily 1 full red top tube with no additive or 1 full grey top tube $124