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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: S
Test NumberTest NameTest InformationSpecimen Requirements*CPT CodePrice (Stats are 2x List Price)
50486SALICYLAMIDE (SALICYLIC AMIDE) QUALITATIVESERUM/BLOOD LC/MS/MS Testing Performed STAT & Daily See Lab Report for reference Ranges. 1 full red top tube with no additive or 1 full grey top tube 84311$60
45489SALICYLATES QUANTITATIVESERUM/BLOOD LC/MS/MS Testing Performed STAT & Daily See Lab Report for Reference Ranges Reference Range: Negative 1 full red top tube with no additive or 1 full grey top tube 80196$64
45489USALICYLATES URINE QUALITATIVELC/MS/MS Testing Performed Weekly Reference Range: Negative 30 ml urine (plastic urine container) 80196$64
838SCLERADERMA (SCL70)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) 86235$127
50495SECOBARBITAL (SECONAL) QUANTITATIVESERUM/BLOOD LC/MS/MS Testing Performed Weekly Reference Range: 2 - 5 mg/L 1 full red top tube with no additive or 1 full grey top tube 82205$80
718SED RATE MODIFIED WESTERGREN (ESR)Testing Performed STAT and Daily Reference Range: 0 - 20 mm/hr 1 Full lavender top tube (EDTA Plasma) 85651$15
915SERODIA TP-PATesting 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) 86780$20
946SEROTONIN SERUM/BLOODTesting Performed by Reference Lab 1 full red top tube with no additive or 1 full grey top tube 84260N/A
51496SERTRALINE (ZOLOFT) QUANTITATIVE SERUM/BLOOD HPLC (SERTRRALINE, DESMETHYLSERTRALINE) Testing Performed STAT and Daily Reference Ranges: Sertraline: 0.03 - 0.20 mg/L Desmethylsertraline: 0.03 - 0.20 mg/L 1 full red top tube with no additive 80299$50
741SICKLE CELLTesting Performed Daily Reference Range: Negative 1 Full lavender top tube (EDTA Plasma) 85660$15
994SJORGRENS SSA - SSBTesting Performed by Reference Lab 1 full red top tube with no additive or 1 full grey top tube 86235$133
853SMOOTH MUSCLE 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) 86255$22
228SODIUMTesting Performed STAT and Daily Reference Range: 133 - 145 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) 84295$6.72
976SODIUM URINE 24HRTesting Performed Daily Mon-Fri Reference Range:40-220 mmol/hr 24 hr urine (no preservative) 84300$15
1034SPUTUM - AFBTesting Performed by Reference Lab Collect first morning deep cough sputum or induced sputum in a sterile urine container 87206$65
2015STOOL FOR NOROVIRUSTesting Performed by Reference Lab 2 gm stool in a sterile urine container 87449$120
1045STOOL GIARDIA/CRYPTOSPORIDIUMTesting Performed Daily See Result Report for Reference Range 15 gm stool (preserved with 10% formalin) 87328$45
877STOOL WBC (LEUKOCYTES)Testing Performed Daily Mon-Fri 5 gm stool (plastic urine container) 89055$15
40498STRYCHNINE QUALITATIVESERUM/BLOOD LC/MS/MS Testing Performed Weekly Reference Range: Negative 1 full red top tube with no additive or 1 full grey top tube 82491$86