Test Menu

Download the Directory of Services

NCDDRUGSCREENS2016.pdf

Browse by Test Name

A | B | C | D | E | F | G | H | I | J | K | L | M
N | O | P | Q | R | S | T | U | V | W | X | Y | Z

Search

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: H
Test NumberTest NameTest InformationSpecimen Requirements*CPT CodePrice (Stats are 2x List Price)
852H-PYLORI IGGTesting Performed Daily Mon-Fri Reference Range: Negative 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) 86677$44
953H-PYLORI IGMTesting Performed by Reference Lab 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) 86317$44
1064H-PYLORI STOOLTesting Performed by Reference Lab 5 gm stool (plastic urine container) refrigerate immediately 87338$50
50260HALDOL (HALOPERIDOL) QUANTITATIVESERUM/BLOOD LC/MS/MS Testing Performed Weekly Reference Range: 5 - 80 ng/mL 1 full red top tube with no additive or 1 full grey top tube 80173$50
921HAPTOGLOBIN Testing Performed by Reference Lab 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) 83010$95
220HDL Testing Performed STAT and Daily 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) 83718$20
716HEMATOCRITTesting Performed STAT and Daily Reference Range: Female: 0 months - 8 years: 33.0 - 42.0 g/dl 9 years - 11 years: 34.0 - 43.0 g/dl 12 years - 17 years: 34.0 - 44.0 g/dl 17 years or older: 35.0 - 47.0 g/dl Male: 0 months - 8 years: 33.0 - 42.0 g/dl 9 years - 11 years: 34 .0 -43.0 g/dl 12 years - 14 years: 35.0 - 45.0 g/dl 15 years or older: 39.0 - 51.0 g/dl 1 Full lavender top tube (EDTA Plasma) 85014$10
715HEMOGLOBINTesting Performed STAT and Daily Reference Range: Female: 0 months - 9 year: 11.0 - 14.5 g/dl 10 years - 12 years: 12.0 - 15.0 g/dl 13 years - 17 years: 11.5 - 15.3 g/dl 18 years or older: 11.7 - 16.1 g/dl Male: 0 months - 9 years: 12.0 - 14.5 g/dl 10 years - 12 years: 12.0 - 15.0 g/dl 13 years - 17 years: 12.0 - 16.6 g/dl 18 years or older: 12.6 - 17.4 g/dl 1 Full lavender top tube (EDTA Plasma) 85018$10
809HEMOGLOBIN A1CTesting Performed STAT and Daily Reference Range: 4.4 - 6.4 % 1 Full lavender top tube (EDTA Plasma) 83036$25
922HEMOGLOBIN ELECTROPORESIS(HEMOGLOGIN A1, FETAL HEMOGLOBIN, HEMOGLOBIN A2 AND ANY HEMOGLOBIN VARIANTS - RED BLOOD CELL COUNT, HEMOGLOBIN, HEMATOCRIT, MCV, MCH, RDW) Testing Performed by Reference Lab 1 full lavender top tube (EDTA Plasma) 83021, 85014, 85018, 85041$100
823HEP A IGG/IGM TOTALTesting Performed Daily Reference Range: Negative 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) 86708$30
903HEP B VIRAL DNA PCR QUALITATIVETesting Performed by Reference Lab 1 full lavender top tube (EDTA-Plasma) 87516$250
891HEP C RNA BY PCRTesting Performed by Reference Lab 2 full lavender top tube (EDTA Plasma) 87522$89
71HEPATIC FUNCTION PANEL(TOTAL PROTEIN, ALBUMIN, GLOBULIN, TOTAL BILIRUBIN, DIRECT BILIRUBIN, INDIRECT BILIRUBIN calculated, ALKALINE PHOS,AMINOTRANSFERASE (ALT), ASPARTATE AMINOTRANSFERASE (AST)) Testing Performed STAT and Daily Reference Ranges: See alphabetical test listing for each test. 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) 80076$30
1114HEPATITIS A IGMTesting Performed Daily Reference Range: Negative 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) 86709$30
690HEPATITIS ACUTE PANEL(HEP A IGM, HEP B SURFACE AG, HEP B CORE IGM, HEP C AB) Performed Daily Mon-Fri Reference Ranges: See alphabetical test listing for each test. 2 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) 86709, 86705 87340, 86803 $150
991HEPATITIS B CORE IGGTesting Performed Daily Reference Range: Negative 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) 86704$30
1120HEPATITIS B CORE IGG/IGMTesting Performed Daily Reference Range: Negative 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) 86705$70
940HEPATITIS B CORE IGMTesting Performed Daily Reference Range: Negative 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) 86705$35
937HEPATITIS BE ANTIBODY Testing Performed by Reference Lab 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) 86707$30
936HEPATITIS BE ANTIGENTesting Performed by Reference Lab 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) 87350$30
825HEPATITIS BSABTesting Performed Daily Reference Range: Negative 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) 86706$30
824HEPATITIS BSAGTesting Performed Daily Reference Range: Negative 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) 87340$30
826HEPATITIS CTesting Performed Daily Reference Range: Negative 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) 86803$30
1088HEPATITIS C BY RIBATesting Performed by Reference Lab 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) 86803$100
905HEPATITIS C VIRAL RNA QUALITATIVETesting Performed by Reference Lab 1 full lavender top tube (EDTA-Plasma) 87522$190
1906HEPATITIS C VIRAL RNA QUANTITATIVE Testing Performed by Reference Lab Reference Range: Not Detected 1 full white top tube (PPT-potassium EDTA) 87521$300
1054HEPATITS BSAB TITER Testing Performed Daily Mon-Sat Reference Range: >10 miu/mL 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) 86706$75
1051HEPATITS BSAG CONFIRMATIONTesting Performed by Reference Lab Testing Performed by Reference Lab 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) 87340$75
1029HEPTIMAX TMTesting Performed by Reference Lab 3 ml frozen plasma EDTA lavender top tube 87522$190
1084HERPES 1 AB IGGTesting Performed by Reference Lab 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) 86695$20
1085HERPES II IGG ABTesting Performed by Reference Lab 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) 86696$20
1126HERPES II IGMTesting Performed by Reference Lab 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) 87273$20
1083HERPES SIMPLEX 1 & 2Testing Performed by Reference Lab 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) 86695$40
972HETEROPHILE (MONO) SCREENTesting Performed by Reference Lab 2 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) 86308$45
1191HISTOPLASMA (URINE) Testing Performed by Reference Lab 30 ml urine (plastic urine container) 87385$109
869HIV -1 ABTesting Performed Daily Mon-Fri Reference Range: Non-Reactive 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) 86701$24
2401HIV 2 SCREENTesting Performed Daily Mon-Fri Reference Range: Non-Reactive 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) 87391$67
1210HIV AB PHENOTYPETesting Performed by Reference Lab 1 full lavender top tube (EDTA-Plasma) 87903, 87904 x5$450
863HIV RNA BY PCRTesting Performed by Reference Lab 2 full lavender top tube (EDTA-Plasma) 87536$160
579HIV-1 WESTERN BLOT(GP 41 ANTIGEN, P 24 ANTIGEN, GP 120/160 ANTIGEN, OTHER BANDS, HIV WB INTERPRETATION) Testing Performed Weekly Reference Ranges: See Lab Report for all Reference Ranges. 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) 86689$75
1119HLA - B5701 TYPINGTesting Performed by Reference Lab 1 full lavender top tube (EDTA-Plasma) 83891, 83896 (x30), 83900, 83912$195
944HOMOCYSTEINETesting Performed by Reference Lab 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) fasting 8 hours 83090$30
1086HSV IGM ABTesting Performed by Reference Lab 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) 86695$20
1132HTLV ABTesting Performed by Reference Lab 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) 86790$50
50267HYDROXYZINE (VISTARIL) QUALITATIVESERUM/BLOOD LC/MS/MS Testing Performed STAT & Daily Reference Range: 0.03 - 0.20 mg/L 1 full red top tube with no additive or 1 full grey top tube 82491$54