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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: G
Test NumberTest NameTest InformationSpecimen Requirements*CPT CodePrice (Stats are 2x List Price)
916G6PDTesting Performed by Reference Lab 1 Full lavender top tube (EDTA Plasma) 82955$100
50246GABAPENTIN (NEURONTIN) QUANTITATIVESERUM/BLOOD Testing Performed: Routine & STAT- M-F 6:00am to 7:00pm/ STAT Only- M-F 7:01pm- 5:59am/ STAT Only- Saturday & Sunday, all day- Reference Ranges- See Lab Report 1 full red top tube with no additive or 1 full grey top tube 82491$62
6974GAMMAHYDROXYBUTYRATE (GHB) QUANTITATIVE SERUM/BLOOD GC/FID Testing Performed: Routine & STAT- M-F 6:00am to 7:00pm/ STAT Only- M-F 7:01pm- 5:59am/ STAT Only- Saturday & Sunday, all day- Reference Range: Effective > 20 mg/L 1 full red top tube with no additive or 1 full grey top tube 82491$80
51247GAMMAHYDROXYBUTYRATE (GHB) URINE QUANTITATIVEGC/FID Testing Performed: Routine & STAT- M-F 6:00am to 7:00pm/ STAT Only- M-F 7:01pm- 5:59am/ STAT Only- Saturday & Sunday, all day- Reference Range: Above 100 mg/l indicates recent ingestion of GHB. 15 ml urine (plastic urine container) $80
1124GC DNA SWAB Testing Performed Weekly Reference Range: Negative DNA swab - call laboratory for supplies 87591$55
1105GC DNA URINETesting Performed Weekly Reference Range: Negative 30 ml urine (plastic urine container) 87797$55
1046GENTAMYCIN PEAK QUANTITATIVESERUM/BLOOD Testing Performed STAT and Daily Reference Range: 5.0 - 8.0 mg/L 1 full red top tube with no additive 80170$45
1044GENTAMYCIN TROUGH QUANTITATIVESERUM/BLOOD Testing Performed STAT and Daily Reference Range: 0.5 - 2.0 mg/L 1 full red top tube with no additive 80170$45
218GGT (GAMMA GLUTAMYL TRANSFERASE)Testing Performed STAT and Daily Reference Range: 7 - 51 u/L1 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) 82977$20
219GLUCOSETesting Performed STAT and Daily Reference Range: 70 - 110 mg/dL 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) 82947$20
866GLUTAMIC ACID DECARB (GAD65)Testing Performed by Reference Lab 1 full red top tube with no additive or 1 full grey top tube 83519, 86337, 83641$100