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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: V
Test NumberTest NameTest InformationSpecimen Requirements*CPT CodePrice (Stats are 2x List Price)
235VALPORIC ACIDTesting Performed STAT and Daily Reference Range: 50.0 - 100.0 ug/mL 1 full red top tube with no additive 80164$19.78
831VANCOMYCIN PEAKTesting Performed STAT and Daily Reference Range: 25 - 40 mg/L 1 full red top tube with no additive 80202$18.93
1129VANCOMYCIN RANDOM Testing Performed STAT and Daily 1 full red top tube with no additive 80202$15
830VANCOMYCIN TROUGHTesting Performed STAT and Daily Reference Range: 5 - 10 mg/L 1 full red top tube with no additive 80202$18.93
1061VAP (TRADE MARK) - CHOLESTEROLTesting 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) 82465$50
913VARICELLA-ZOSTER IGGTesting Performed Daily Tues & Thur Reference Ranges: See Lab Report for all R+C459eference 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) 82607$20
50578VENLAFAXINE (EFFEXOR) QUANTITATIVE SERUM/BLOOD LC/MS/MS Testing Performed Weekly Reference Range: 0.05 - 0.30 mg/L 1 full red top tube with no additive or 1 full grey top tube 82491$60
50577VERAPAMIL (ISOPTIN) QUALITATIVESERUM/BLOOD LC/MS/MS Testing Performed STAT & Daily Reference Range: 0.07 - 0.35 mg/L 1 full red top tube with no additive or 1 full grey top tube 82491$60
1002VITAMIN ATesting Performed by Reference Lab 1 full red top tube with no additive or 1 full grey top tube - Overnight fasting 84590N/A
1820VITAMIN B12/FOLATEPerformed Daily Reference Ranges: Vitamin B12: 160 - 970 pg/ml Folate: 7.2 - 15.4 ng/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) 8,260,782,746$88
886VITAMIN D 1, 25-HYDRODY PANELLC/MS/MS (VITAMIN D1- 25-D-OH TOTAL, VITAMIN D 1- 25 D-OH D3, VITAMIN D1-25 D-OH D2) 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) 86252$70
894VITAMIN D 25 HYDROXY PANELLC/MS/MS (VITAMIN D, 25 HYDROXY TOTAL, VITAMIN D, 25-OH D3, VITAMIN D, 25-OH D2) Performed Daily Reference Ranges: VIT D, 25 HYDROXY TOTAL: 20.0 - 100.0 ng/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) 82306$70
864VITAMIN K LEVELTesting Performed by Reference Lab 4 ml plasma (sodium heparin tube - green top tube) freeze immediately 84597$260
70VITREOUS CHEM PANEL (SODIUM, POTASSIUM, CHLORIDE, CO2, CREATININE, BUN, GLUCOSE) Testing Performed STAT and Daily Reference Ranges: See Lab Report for all Reference Ranges. 2 ml Vitreous Fluid 80048$55
45725AVOLATILES ÐYLENE GLYCOL QUANTITATIVE SERUM/BLOODHEADSPACE (ACETONE, ETHANOL, ISOPROPANOL/ACETONE, METHANOL, ETHYLENE GLYCOL) Testing Performed STAT and Daily Reference Range: Acetone: 0 - 300 mg/L Ethanol: 0.0 - 0.079 gm/dL Isopropanol: 0.0 - 0.020 gm/dL Methanol: Negative Ethylene Glycol: Negative 1 full red top tube with no additive or 1 full grey top tube 84600, 82693$80
15725VOLATILES QUANTITATIVE SERUM/BLOOD HEADSPACE (ACETONE, ETHANOL, ISOPROPANOL/ACETONE, METHANOL) 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: Acetone: 0 - 300 mg/L Ethanol: 0.0 - 0.079 gm/dL Isopropanol: 0.0 - 0.020 gm/dL Methanol: Negative 1 full red top tube with no additive or 1 full grey top tube 84600$34
6994VORICONAZOLESERUM/FROZEN LC/MS/MS Testing Performed STAT and Daily 1 ml Frozen Serum from red top tube with no additive/ 100-300 Microliters Frozen Serum (Pediatric Samples)82542$100