MSP Billing Codes

Specialty: Laboratory Medicine

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Code	Description	Fee
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92520	1-amphetamine	$70.92
92521	1-metamphetamine	$70.92
92353	13c triolein breath test for malabsorption	$67.91
91482	Acetaminophen (quantitative)	$11.47
91480	Acetazolamide	$46.68
91985	Albumin creatinine ratio (acr)	$11.41
91484	Amikacin	$45.99
91486	Amiodarone	$46.53
91488	Amitryptyline	$24.64
93065	Amniotic cell culture - analysis only	$210.20
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91490	Amoxapine	$46.53
92503	Amphetamines	$9.55
92522	Anileridine	$70.92
90287	Anti-neutrophil cytoplasmic antibodies (anca)	$114.26
90121	Anti-nuclear antibodies, by multiplex immunoassay	$38.64
90288	Anti-parietal cell antibody (apca), immuno screen	$23.82
92523	Antihistamines	$70.92
90281	Antinuclear antibodies by sensitive eia	$16.24
91220	B-glucosidase, fibroblasts	$51.38
91221	B-glucosidase, white blood cells	$51.38
91275	B-type natriuretic peptide(bnp or nt-probnp)	$28.14
91226	Barbiturates - quantitative	$35.61
92505	Benzodiazepines	$8.39
91230	Beta - 2 - microglobulin	$20.40
91231	Beta-glucuronidase, white blood cells	$51.25
91232	Beta-mannosidase white blood cells	$51.25
91235	Bicarbonate, serum/plasma	$2.37
91236	Bicarbonate, urine	$1.06
91241	Bile acids, total	$32.36
91240	Bile pigments and salts, qualitative, urine	$2.34
91245	Bilirubin total, serum/plasma	$1.61
91246	Bilirubin total, transudate/exudate	$1.05
91250	Bilirubin, direct	$1.58
90620	Biochemical identification - micro-organism	$9.55
92515	Blood methadone	$46.42
91255	Blood, qualitative, gastric	$2.44
91260	Bone gla protein (osteocalcin)	$17.76
91270	Bromides, qualitative, urine	$10.48
91265	Bromides, quantitative	$16.29
91280	C - 1q esterase inhibitors	$22.86
91285	C - 3 complement	$9.61
91290	C - 4 complement	$9.87
91295	C - peptide	$47.42
91300	C - reactive protein	$10.31
91310	Ca 125	$22.72
91305	Ca 15 - 3	$21.25
91315	Ca 19 -9	$20.88
91320	Calcitonin	$50.63
91326	Calcium total, serum/plasma	$1.55
91327	Calcium, 24 hours excretion, feces	$19.73
91325	Calcium, timed urine collection	$5.48
91328	Calcium, urine random	$1.05
91330	Calculus analysis, urine	$27.86
91335	Carbamazepine	$15.32
91340	Carbon monoxide, quantitative	$17.58
91345	Carotene	$8.90
91350	Catecholamines	$59.27
91351	Catecholamines fractions-separation/interpretation	$40.79
91352	Catecholamines, total urine	$46.45
91353	Cells count - examination for faeces	$5.46
91360	Ceruloplasmin	$10.15
91370	Chloride - iontophoresis, sweat	$77.50
91365	Chloride, quantitative, csf/other fluids	$7.21
91366	Chloride, serum/plasma	$1.49
91367	Chloride, timed urine collection	$10.06
91368	Chloride, urine random	$3.26
91369	Chloride, whole blood	$1.06
91492	Chlorpromazine	$46.53
91375	Cholesterol, total	$6.87
91380	Cholinesterase/dibucaine number	$30.26
91386	Chromatography, keto acids	$36.30
91387	Chromatography, reducing substances, urine	$31.40
91388	Chromatography, thin layer (tlc)	$32.65
93070	Chromosomal breakage	$181.80
93080	Chromosome analysis - high resolution	$123.82
93081	Chromosome analysis - high resolution	$113.56
91494	Citrate, urine	$24.66
91496	Clobazam	$49.73
91498	Clomipramine	$49.82
91500	Clonazepam	$46.53
92524	Clonidine	$70.92
91502	Clozapine	$27.92
92507	Cocaine/cocaine metabolite	$7.10
91390	Complement assay	$19.63
91395	Complement, total haemolytic (ch 100)	$43.71
92546	Comprehensive drug analysis	$119.94
91400	Copper, serum	$49.19
91401	Copper, tissue	$49.77
91402	Copper, urine	$49.78
91405	Cortisol	$13.28
91406	Cortisol, late night salivary test	$77.25
91415	Creatine kinase	$1.88
91410	Creatine, timed urine collection	$12.73
91420	Creatinine, random urine	$5.10
91421	Creatinine, serum/plasma	$1.52
91422	Creatinine, timed urine collection	$5.80
91425	Cryofibrinogen	$17.38
91440	Cryoglobulins	$41.92
93010	Crystal identification synovial fluid	$40.05
91445	Csf - albumin	$20.16
91450	Csf - immunoglobulin g	$20.40
91504	Cyanide	$24.64
91435	Cyclic a.m.p., urine	$45.46
91434	Cyclic amp, plasma/serum	$44.73
91455	Cyclosporine	$23.47
93045	Cytogenetic analysis	$966.29
93047	Cytogenetic analysis	$296.18
93048	Cytogenetic analysis	$400.00
93049	Cytogenetic analysis	$800.00
93020	Cytogenetic analysis - bone marrow	$516.59
93025	Cytogenetic analysis - chorionic villus	$727.15
93030	Cytogenetic analysis - cultured amniotic fluid	$414.61
93035	Cytogenetic analysis - cultured tissue	$414.49
93040	Cytogenetic analysis - foetal blood sample	$392.46
93015	Cytogenetic analysis - short term blood	$301.44
93051	Cytogenetic analysis/fluorescence in situ, single	$192.68
93052	Cytogenetic analysis/fluorescence, subtelomeric	$515.49
93053	Cytogenetic analysis/fluorescence,uncultured	$389.61
93050	Cytogenetic analysis/in-situ hybridization	$466.46
93095	Cytologic interpretation - unscreened cytology	$85.52
93090	Cytologic interpretation of pre-screened cytology	$65.54
91460	Dehydroepiandrosterone, serum (dhea)	$18.55
91506	Desipramine	$24.35
91508	Desmethylclobazam	$46.53
91510	Diazepam	$46.53
91465	Digoxin	$18.97
91470	Disaccharides, intestinal	$62.40
91512	Disopyramide	$46.53
91475	Dopamine, quantitative	$61.91
91514	Doxepin	$46.53
91599	Drug assay - multiple (2 or more)	$53.46
92152	Drug assay (multiple) - pyridinium cross links	$24.67
93100	Electron microscopy	$384.40
91602	Electrophoresis, c.s.f.	$31.21
91600	Electrophoresis, protein, qualitative	$26.54
91601	Electrophoresis, protein, quantitative	$34.58
91603	Electrophoresis, qualitative, urine	$31.35
91605	Erythrocyte galactose 1 phosphate transferase	$70.84
91610	Estradiol	$22.43
91615	Estrogens	$51.66
92508	Ethanol	$6.92
91620	Ethosuximide	$18.47
91628	Ethosuximide	$26.00
91636	Fat, balance 3 day, feces	$92.68
91631	Fat, microscopic exam-faeces	$5.48
91640	Fatty acids, nonesterified (free), feces	$22.79
91635	Fecal elastase	$46.65
92006	Fecal immunochemical test (fit)-analysis only	$11.29
92007	Fecal immunochemical test(fit)-collection only	$6.57
91630	Fecal ph	$3.92
92525	Fentanyl	$70.92
92518	Fentanyl, urine screening immunoassay	$13.10
91645	Ferritin, serum	$10.12
91650	Fibrinogen, quantitative, chemical	$28.68
93085	Fine needle aspirate - cytologic examination	$94.24
91516	Fluoxetine	$46.53
91518	Flupenthixol	$46.53
91520	Fluphenazine	$46.53
91522	Fluvoxamine	$46.53
91660	Follicle stimulating hormone (fsh)	$13.13
92330	Free t4	$12.12
92526	Furosemide	$70.92
91523	Gabapentin	$24.64
91665	Galactocerebrosidase, fibroblasts	$51.38
91666	Galactocerebrosidase, white blood cells	$51.38
91670	Galactose, qualitative, urine	$17.13
91675	Gastric acidity determination, quantitative	$3.52
91681	Gastric analysis, acid	$0.92
91682	Gastric analysis, hollander insulin	$89.43
91680	Gastric analysis, intubation	$18.15
91685	Gastrin	$63.32
90811	Gastrointestinal pathogen multiples(gpmp)& culture	$105.04
92545	Gc/ms confirmation of positive screen	$67.92
91524	Gentamycin	$26.69
91720	Glucose phosphate isomerase	$14.29
91705	Glucose quantitative, csf	$6.45
91706	Glucose quantitative, joint fluid	$6.45
91708	Glucose quantitative, transudate/exudate	$6.45
91709	Glucose quantitative, urine	$1.06
91700	Glucose semiquantitative	$3.53
91716	Glucose tolerance test > 6 hours	$39.40
91695	Glucose tolerance test-gestational protocol	$15.84
91715	Glucose tolerance test, 2 - 5 hours	$12.94
91717	Glucose tolerance test, intravenous	$38.90
91690	Glucose, gestational assessment	$10.03
91707	Glucose, quantitative serum/plasma	$1.46
91710	Glucose, timed urine collection	$7.13
91725	Glutamyl transpeptidase (gtp)	$1.66
91730	Glutathione peroxidase	$44.32
91735	Gold	$43.91
91745	Haemoglobin, a1c	$5.30
91526	Haloperidol	$24.63
91740	Haptoglobin	$19.77
91780	Hdl cholesterol	$7.85
91760	Helicobacter pilori carbon 13 urea breath test	$36.50
91761	Helicobacter pylori stool antigen (hpsa)	$35.64
91750	Hemoglobin, qualitative, urine	$2.28
91762	Heparan sulfamidase, white blood cells	$93.71
93110	Hepatic glucose - 6 phosphatase	$49.10
93105	Hepatic glycogen (tissue)	$32.52
91765	Hepatitis b surface antigen	$10.40
91777	Hexosaminidase white blood cells	$99.30
91775	Hexosaminidase, serum	$51.38
91770	Hexosaminidases	$51.38
92080	Homocysteine - plasma	$22.97
91785	Homocystine, screening test, urine	$2.28
91790	Homovanillic acid (quantitative) urine	$38.61
92527	Hydrocodone	$70.92
92528	Hydromorphone	$70.92
91796	Hydroxyindoleacetic acid, quantitative, urine	$44.28
91795	Hydroxyindoleacetic acid, urine	$9.28
90752	Id microorganisms maldi-tof-ms/non-stool specimen	$6.84
90753	Id microorganisms maldi-tof-ms/stool specimen	$6.84
91800	Iga anti-gliadin antibodies	$32.58
91801	Iga quantitative, secretion	$20.31
91802	Iga quantitative, serum/plasma	$9.83
92170	Ige assay, quantitative (duplicate)	$13.72
91805	Igf - i (somatomedin - c).	$55.08
91840	Igg - quantitative serum	$9.95
91163	Igg anti-deamidated gliadin peptide(anti-dgp)antib	$18.24
91814	Igg blocking antibody	$20.40
91803	Igg quantitative spinal fluid	$20.06
91810	Igg1	$24.85
91811	Igg2	$24.85
91812	Igg3	$24.85
91813	Igg4	$24.85
91845	Igm - quantitative	$10.05
91528	Imipramine	$46.53
91815	Immune complex detection by c1q binding method	$44.66
91820	Immunofixation, csf	$105.31
91821	Immunofixation, serum/plasma	$104.12
91822	Immunofixation, urine	$104.12
91830	Immunoglobulin + specific protein assays	$20.40
91825	Immunoglobulin d	$20.40
91831	Immunoglobulin, additional assay	$12.53
91835	Immunoreactive trypsin	$18.80
91850	Inclusion bodies, (cytomegalic) urine	$7.77
91857	Insulin tolerance test, per specimen	$6.29
91856	Insulin, additional specimen	$19.49
91855	Insulin, first specimen	$27.55
91858	Interferon beta, neutralizing antibodies	$205.52
93075	Investigation - chromosomal mosaicism	$114.52
91860	Ionized calcium.	$14.02
91865	Iron, total and binding capacity, protein	$7.56
91870	Isoenzymes by electrophoresis	$25.53
91882	Keto acids chromatography - screening tests - urin	$5.44
91881	Keto acids chromatography - total, chemical - urin	$10.99
91880	Keto acids, chromatography - urine	$36.90
91885	Ketogenic steroids - urine	$39.47
91890	Ketosteroids, total neutral - urine	$50.17
91900	Lactate dehydrogenase, csf	$1.06
91901	Lactate dehydrogenase, serum/plasma	$1.62
91902	Lactate dehydrogenase, transudate/exudate	$1.05
91895	Lactate, serum/plasma	$7.64
91896	Lactate, whole blood	$17.89
91905	Lactose, qualitative, urine	$9.81
91529	Lamotrigine	$24.64
91910	Lead	$130.68
91912	Lead, porphyrin screening test, urine	$6.22
91911	Lead, timed urine collection	$40.68
91915	Lecithin sphingomyelin ratio	$232.26
91920	Lhrh stimulation test	$46.22
91530	Lidocaine	$44.73
91925	Light chains, free kappa and lambda	$78.99
91930	Lipase	$6.62
91936	Lipoprotein (a) isoforms	$25.92
91940	Lipoprotein electrophoresis	$56.04
91941	Lipoprotein, sizing	$25.92
91935	Lipoprotein(a)	$29.61
91945	Lithium, serum/plasma	$14.94
91946	Lithium, whole blood	$11.23
90286	Liver autoantibodies (liaa), immunofluorescence	$23.82
91532	Lorazepam	$46.53
91534	Loxapine	$46.53
91950	Luteinizing hormone (lh)	$12.41
91955	Magnesium, fecal	$25.15
91956	Magnesium, red blood cell	$29.51
91957	Magnesium, serum/plasma	$6.79
91958	Magnesium, urine	$10.06
91959	Magnesium, whole blood	$23.97
91536	Maprotiline	$46.53
91960	Melanin, qualitative, urine	$2.35
92529	Meperidine	$70.92
92530	Meprobamate	$70.92
91965	Mercury	$52.42
91970	Metachromatic granules, urine	$16.13
91975	Metanephrines, quantitative	$155.77
92513	Methadone	$3.50
92510	Methadone metabolite	$6.80
92532	Methaqualone	$70.92
92533	Methocarbamol	$70.92
91538	Methotrexate	$46.53
91540	Methotrimeprazine	$46.53
92534	Methylenedioxyamphetamine	$70.92
92535	Methylenedioxymethamphetamine	$70.92
91542	Methylphenidate	$46.53
92396	Microalbumin, semiquantative - by urine dipstick	$6.68
91990	Microscopic examination of feces	$5.08
91992	Mitochondrial preparation-muscle	$90.55
91995	Mucopolysaccharides, urine	$59.55
93115	Muscle biopsy enzyme studies	$195.44
91022	Muscle-specific tyrosine kinase antibody (musk ab)	$245.60
91544	N - acetyl procainamide	$46.53
92536	N-acetyl morphine	$70.92
91997	N-acetyl-galactosamine-6-sulfate sulfatase, wbc	$93.71
92537	Naloxone	$70.92
91546	Netilmicin	$46.53
91548	Nitrazepam	$46.53
92001	Nitrogen - 24 hr. excretion - urine	$6.43
92000	Nitrogen, 24 hr. excretion - feces	$19.79
91550	Nortriptyline	$24.35
92005	Occult blood-feces	$6.02
91551	Olanzapine	$24.64
92511	Opiates	$7.16
92010	Organic acids	$105.41
92015	Osmolar concentration, serum	$49.25
92016	Osmolar concentration, urine	$49.41
92020	Oxalate, timed urine collection	$58.00
92538	Oxycodone	$70.92
92514	Oxycodone, screening assay	$12.82
92025	Oxygen capacity or content	$20.06
92026	Oxygen, saturation (photometric)	$10.93
92539	Oxymorphone	$70.92
92030	Parathyroid hormone (intact)	$17.52
92031	Parathyroid hormone (mid molecule/carboxyl termina	$25.18
91552	Paroxetine	$46.53
92035	Pentagastrin test, gastric	$67.51
92540	Pentazocine	$70.92
92040	Peptide hormones	$25.18
91554	Perphenazine	$46.53
92045	Ph, pc02 and p02	$36.18
92050	Phenothiazine screen	$7.24
92541	Phentermine	$70.92
92056	Phenylalanine, quantitative	$20.56
92055	Phenylalanine, screening test (guthrie)	$4.04
92542	Phenylpropanolamine	$70.92
92065	Phenylpyruvic acid, qualitative, urine	$2.35
92060	Phenytoin	$17.13
92072	Phosphate, timed urine collection	$3.95
92070	Phosphates, random urine	$2.24
92071	Phosphates, serum/plasma	$1.62
92075	Pigments, abnormal (spectroscopic)	$14.06
90415	Plasma preparation	$16.19
92085	Porphobilinogen, qualitative, urine	$9.70
92090	Porphyrins, qualitative, urine	$7.62
92095	Porphyrins, quantitative - blood	$21.76
92092	Porphyrins, quantitative - feces	$132.71
92091	Porphyrins, quantitative - urine	$56.74
92100	Potassium, serum/plasma	$1.39
92101	Potassium, timed urine collection	$5.57
92102	Potassium, urine random	$2.84
92103	Potassium, whole blood	$1.05
92105	Pre albumin	$20.16
92110	Pregnancy test - serum	$14.74
92108	Pregnancy test, immunologic - urine	$15.50
92115	Pregnanediol, urine	$45.07
92120	Pregnanetriol, urine	$53.20
92125	Primidone (mysolene)	$18.49
91556	Procainamide	$46.53
92130	Progesterone, serum/plasma	$14.86
92131	Progesterone, serum/plasma 17-oh	$41.71
92135	Prolactin	$13.49
92543	Propoxyphene	$70.92
91558	Propranolol	$46.53
90710	Prostatic specific antigen (psa)	$14.35
92150	Protease inhibitor	$32.95
92397	Protein creatinine ratio, urine	$7.67
92147	Protein total, joint fluid	$1.05
92148	Protein total, serum or plasma	$1.60
92149	Protein total, transudate/exudate	$1.05
92146	Protein, timed urine collection	$5.95
92145	Proteins, total quantitative, c.s.f.	$7.14
92156	Pryruvate carboxylase, fibroblasts	$93.71
92544	Pseudoephedrine	$70.92
92151	Purine, pyrimidine and creatine disorder screen	$63.34
92157	Pyruvate dehydrogenase, fibroblasts	$93.71
92155	Pyruvates	$17.98
92160	Quantitative beta hcg	$16.30
92165	Quantitative hcg (intact)	$25.18
91559	Quetiapine	$24.64
92180	Quinidine	$27.36
92185	Renin, single determination	$63.87
92190	Renin, two or more determinations	$98.11
92195	Respiratory chain enzymes-muscle	$274.56
92197	Retinol binding protein	$27.82
91561	Risperidone	$26.46
92201	Salicylates, qualitative, gastric	$2.88
92200	Salicylates, qualitative, serum	$5.24
92202	Salicylates, qualitative, urine	$3.01
92203	Salicylates, quantitative, serum	$9.26
92204	Salicylates, quantitative, urine	$9.77
92205	Scc	$20.40
92210	Secretin - pancreozymin test	$462.10
92215	Selenium	$49.77
93160	Semen - examination - complete	$82.34
93170	Seminal examination	$26.98
92220	Seminal fructose	$7.32
91560	Sertraline	$52.35
92225	Serum viscosity	$23.17
92267	Sex hormone binding globulig (shbg)	$13.56
92227	Sirolimus	$43.01
91430	Skin fibroblasts-culturing/biochemical/dna	$603.88
92230	Sodium, random urine	$2.72
92231	Sodium, serum/plasma	$1.38
92232	Sodium, timed urine collection	$4.60
92233	Sodium, whole blood	$1.05
92236	Somatotropin, additional specimen	$19.36
92235	Somatotropin, one specimen	$30.38
93060	Special banding (q-, r-, c-)	$29.48
93055	Special staining (giemsa ii, dapi, sce, nor)	$30.78
92240	Specific protein analysis/preparative ultracentrif	$141.14
92250	Sphingomyelinase, fibroblasts	$51.38
92251	Sphingomyelinase, white blood cells	$51.38
91010	Split base fee (referral facility)	$7.02
90810	Stool examination - amoebae	$46.93
92255	Sulfonamides, quantitative, urine	$3.77
92260	Sweat test (mucoviscidosis) chemical	$10.20
92311	T3 - free	$9.35
92263	Tacrolimus	$23.47
92266	Testosterone total	$15.81
92506	Tetrahydrocannabinoids (thc)	$10.92
92270	Thallium	$43.91
92275	Theophylline	$42.33
92277	Thiopurine metabolites	$50.46
92278	Thiopurine metabolites	$54.49
91562	Thioridazine	$48.47
90545	Thrombin time	$8.31
92280	Thyroglobulin	$27.90
92285	Thyroglobulin antibodies	$20.40
92290	Thyroid binding globulin	$20.40
92305	Thyroid receptor ab	$22.48
92320	Thyroid releasing hormone (trh) stimulation test	$55.91
92325	Thyroid stimulating hormone, tsh	$9.90
92332	Thyroperoxidase antibodies	$20.22
92315	Thyroxine ratio, t4 or total	$12.12
92335	Tissue iron	$43.91
91564	Tobramycin	$26.17
91565	Topiramate	$24.64
92310	Total t3	$12.12
92340	Transcobalamine ii	$20.40
92345	Transferrin	$7.56
92346	Transferrin isoelectric focusing(qualitive)	$90.49
91566	Trazodone	$46.53
91568	Trifluoperazine	$46.53
92350	Triglycerides, serum/plasma	$6.59
92351	Triglycerides, transudate/exudate	$9.05
91570	Trimipramine	$46.53
92355	Troponin	$15.05
92360	Trypsin, qualitative, feces	$2.24
92361	Trypsin, quantitative, feces	$3.96
92362	Trypsin, quantitative, gastric	$3.96
92365	Urea, amniotic fluid	$1.06
92366	Urea, csf	$1.06
92367	Urea, nitrogen quantitative, urine	$7.42
92368	Urea, serum/plasma	$1.57
92369	Urea, urine random	$1.76
92370	Urea, whole blood	$1.06
92375	Uric acid, random urine	$1.06
92376	Uric acid, serum/plasma	$1.70
92377	Uric acid, synovial fluid	$1.58
92378	Uric acid, timed urine collection	$4.56
92385	Urinalysis - or any part of (screening)	$2.05
92391	Urinalysis-microscopic exam of centrifuged deposit	$4.19
92390	Urinalysis, macroscopic	$7.42
92395	Urinalysis, microscopic	$7.17
92382	Urinalysis, screening and microscopic	$5.63
92550	Urine, drugs of abuse screen - per analyte	$6.95
92400	Urobilin, qualitative, urine	$2.35
92405	Urobilinogen, qualitative, urine	$4.09
92406	Urobilinogen, timed urine collection	$13.58
91572	Valproic acid	$16.55
91573	Vancomycin	$15.57
92420	Vanillylmandelic acid	$38.61
90000	Venepuncture	$7.65
92425	Very long chain fatty acids	$91.69
91576	Vigabatrin	$26.68
92430	Vitamin a	$47.86
92435	Vitamin b1	$54.30
92450	Vitamin b12	$14.38
92440	Vitamin b2	$54.30
92445	Vitamin b6	$54.30
92455	Vitamin d (1,25 dihydroxy)	$94.49
92460	Vitamin d (25 hydroxy-cholecalciferol)	$61.32
92465	Vitamin e	$53.94
91861	Voltage-gated calcium channel antibody (vgcc ab)	$281.78
92467	White blood cell preparation for lysosomal enzyme	$42.36
92470	Xylose tolerance	$106.16
92475	Zinc	$102.44
91574	Zopiclone	$24.64
91575	Zuclopenthixol	$24.64
Chemistry
91000	Primary base fee - chemistry	$15.62
91005	Primary base fee (collecting) - chemistry	$7.02
Consultations / Visits
94012	Consult - limited/repeat, laboratory medicine	$82.69
94010	Consultation - laboratory medicine	$148.82
94005	Emergency visit - laboratory medicine	$127.63
94006	Laboratory medicine, directive care	$31.44
94009	Laboratory medicine, home visit	$63.89
94008	Laboratory medicine, hospital visit	$32.04
94007	Laboratory medicine, office visit	$32.15
Criteria for Chemistry Add-Ons
91023	Acetyl coa: a-glucosaminide-n-acetyl transferase,	$93.71
91020	Acetylcholine receptor antibodies - qualitative	$101.93
91021	Acetylcholine receptor antibodies - quantitative	$167.50
91025	Acid alpha-1 glycoprotein	$20.40
91027	Acid lipase, wite blood cells	$51.25
91031	Acid phosphatase, fractions - each	$13.66
91030	Acid phosphatase, total	$13.66
91036	Acth stimulation test	$45.24
91035	Acth, plasma	$36.57
91037	Acylcarnitine profiling	$41.28
91065	Alanine aminotransferase	$1.47
91042	Albumin - transudate/exudate	$1.06
91040	Albumin, serum/plasma	$1.55
91050	Alcohol	$20.79
91055	Aldolase	$14.12
91060	Aldosterone, plasma/serum	$170.92
91061	Aldosterone, urine	$170.92
91070	Alkaline phosphatase	$1.57
91075	Allergen specific ige assay	$16.13
91090	Alpha fetoglobulin	$13.03
91095	Alpha fetoprotein	$24.79
91080	Alpha-1 antitrypsin	$20.06
91096	Alpha-iduronidase, white blood cells	$51.25
91097	Alpha-mannosidase, white blood cells	$51.25
91100	Aluminum	$49.19
91105	Amino acid, quantitative, chromatography	$78.42
91110	Amino acids-urine, chromatography	$54.27
91115	Ammonia	$7.41
91120	Amniotic fluid examination/written interpretation	$55.10
91125	Amylase cyst	$13.73
91126	Amylase, serum/plasma	$5.27
91127	Amylase, transudate/exudate	$13.66
91128	Amylase, urine	$7.53
91135	Androstenedione, plasma	$36.09
91140	Angiotensin converting enzyme (ace)-serum analysis	$18.72
91142	Anti-diuretic hormone (adh), plasma	$113.81
91150	Anti-endomysium antibodies	$94.39
91162	Anti-tissue transglutaminase antibodies(anti-ttg)	$13.92
91155	Antiglomerular basement membrane antibody	$25.73
91165	Apolipoprotein a - 1	$20.40
91170	Apolipoprotein b - 100	$16.60
91175	Apolipoprotein e isoforms	$33.57
91180	Apoprotein e genotyping	$93.90
91185	Arsenic	$43.40
91190	Aryl sulfatase a, fibroblasts	$51.38
91191	Aryl sulfatase a, white blood cells	$51.38
91195	Aryl sulfatase b, fibroblasts	$51.38
91196	Aryl sulfatase b, white blood cells	$51.38
91200	Aryl sulfatase c, fibroblasts	$51.38
91201	Aryl sulfatase c, white blood cells	$51.38
91205	Ascorbic acid (vitamin c)	$26.76
91206	Ascorbic acid (vitamin c) - urine	$8.28
91210	Aspartate aminotransferase	$1.73
91215	B-galactosidase, fibroblasts	$51.38
91216	B-galactosidase, white blood cells	$51.38
Hematology and Blood Bank
90025	Abo other groups	$33.11
90020	Abo typing	$16.09
90027	Activated protein c resistance (apcr	$42.44
90030	Alpha 2 antiplasmin assay	$45.48
90029	Alpha-thalassemia,molecular testing for com defect	$67.80
90038	Anti saccharomyces cerevisiae (asca) lga	$25.47
90039	Anti saccharomyces cerevisiae (asca)lgg	$20.56
90035	Anti-dna	$28.41
90040	Anti-thrombin iii/coagulation proteins - bychromog	$33.49
90042	Anti-xa heparin assay	$94.12
91145	Anticardiolipin ab, igg	$24.47
91146	Anticardiolipin ab, igm	$24.47
90080	Antiglobulin coombs test - direct	$24.55
91160	Antimyeloperoxidase antibody	$17.75
90047	Beta 2 glycoprotein i antibodies igg/igm isotype	$47.26
90046	Beta 2 glycoprotein i(b2gpi)antibody screen	$44.65
90465	Blood film review	$17.99
91355	Cell count - csf and other body fluids	$28.77
91356	Cell differential - csf and other body fluids	$11.70
90050	Circulating anticoagulant - incubated - 1+ plasma	$57.43
90055	Circulating inhibitor screen - unincubated-simple	$30.54
90060	Clot retraction	$6.19
90063	Coagulation factor/clotting assay	$45.51
90070	Cold agglutinins - quantitative	$27.40
90065	Cold agglutinins - qualitative	$14.30
90072	Collagen binding assay	$52.51
90300	Coombs - indirect	$15.05
90068	Cyclic citrullinated peptide antibodies	$29.48
90073	Dilute russell viper venom time	$14.01
90085	Donath-landsteiner	$15.00
90550	Dpg assay 2-3	$34.23
90120	Ena (extractable nuclear antigens))	$24.99
90090	Eosinophil count	$10.62
90095	Erythropoietin (epo) assay	$29.51
90105	Estimation - lymphocyte -rosette formation	$70.55
90100	Estimation- b lymphocytes	$96.31
90110	Euglobulin lysis time	$16.30
90045	Examination - bone marrow	$225.85
90115	Examination - eosinophils/secretions/excretions	$54.08
90123	Factor ii assay - quantitative only	$53.52
90145	Factor ix assay	$58.08
90125	Factor v	$52.04
90127	Factor v leiden/pgm - 1st gene	$76.92
90128	Factor v leiden/pgm - 2nd gene	$48.53
90130	Factor vii assay	$51.21
90135	Factor viii c assay	$51.58
90140	Factor viii:c inhibitor assay (bethesda titre)	$89.64
90155	Factor x assay	$51.21
90150	Factor xi	$51.21
90160	Factor xii assay	$51.21
90165	Factor xiii screen	$16.27
90175	Fetal haemoglobin	$18.51
90170	Fibrin/fibrinogen degradation/including d - dimer	$23.27
90180	Foetal cell stain	$19.03
90185	Glucose-6-phosphate dehydrogenase	$42.91
90190	Glucose-6-phosphate dehydrogenase assay	$59.02
90210	Haematology special stains - routine	$28.76
90205	Haematology profile	$10.96
90215	Haematology special stains - complex	$42.56
90235	Haemoglobin - other methods	$1.55
90220	Haemoglobin a2 quantification	$14.14
90225	Haemoglobin-cyanmethaemoglobin	$3.22
90245	Haemoglobin-h inclusion bodies	$67.80
90200	Ham test	$27.74
90240	Hemoglobin electrophoresis	$29.84
90265	Hla - single antigen	$40.58
90285	Immunofluorescent staining - add. autoantibodies	$27.03
90280	Immunofluorescent staining - first autoantibody	$20.44
90290	Immunophenotyping by flow cytometry- peripheral	$223.42
90295	Immunophenotyping/flow cytometry - each additional	$34.42
90310	Ivy template - bleeding time	$26.63
90315	Latex test (rheumatoid factor)	$8.41
90320	Leucocyte alkaline phosphatase	$42.35
90325	Lymphocyte stimulation test	$106.30
90330	Lymphocyte stimulation test - each additional	$32.16
90335	Malaria/other parasites	$61.82
90340	Marrow films -interpretation	$163.79
90345	Marrow/peripheral blood stem cells	$104.80
90350	Mixed leukocyte culture - donor/recipient	$112.77
90355	Mixed leukocyte culture - each additional	$129.35
90357	Neutrophil oxidative burst assay	$112.77
90360	Nitro blue tetrazolium test	$30.44
90365	Oxygen disassociation curve	$77.96
90375	Partial thromboplastin time - substitution test	$42.77
90377	Phospholipid neutralization test - confirm lupus	$42.25
90380	Plasma haemoglobin	$16.88
90385	Plasminogen assay	$45.87
90390	Platelet antibodies	$34.46
90400	Platelet estimation - film	$4.64
90405	Platelet function aggregation	$21.93
90410	Preparation of packed cells, per unit	$16.22
90420	Protein c activity	$51.33
90425	Protein c antigen	$56.18
90427	Protein s activity (clot based)	$38.31
90430	Protein s free antigen	$43.51
90435	Protein s total antigen	$40.50
91130	Proteinase 3 antineutrophil cytoplasmic antibody	$18.90
90440	Prothrombin time/inr	$12.07
90445	Pyruvic kinase assay	$75.52
90450	Pyruvic kinase test	$13.30
90455	Raji cell assay	$50.59
90460	Rbc antibody detection, albumin or enzyme tubes	$6.89
90480	Red cell fragility incubated	$57.13
90475	Red cell fragility screening test	$17.77
90485	Reptilase time	$40.88
90490	Reticulocyte count and/or heinz bodies	$11.54
90495	Rh (d) typing	$10.38
90500	Rh genotype	$41.21
90505	Ristocetin co-factor assay	$77.57
90510	Saline tubes (per tube)	$7.59
90512	Secretion smear for eosinophils	$7.41
90515	Sedimentation rate	$10.61
90520	Serum haptoglobin	$20.42
90525	Sickle cell identification	$76.41
90305	Slide agglutination - infectious mononucleosis	$17.10
90530	Stypven prothrombin time	$27.95
90535	Sugar water test (p.n.h.)	$10.72
90540	Thalassemia/hemoglobinopathy investigation	$65.46
90370	Thromboplastin test, partial	$6.57
90560	Von willebrand factor - multimer analysis	$88.77
90555	Von willebrand factor antigen	$107.66
90565	White blood cells agglutinins	$71.34
Microbiology
90600	Acid fast organisms - culture	$24.13
90605	Anaerobic culture investigation	$11.77
90765	Anti-streptolysin	$11.73
90615	Antibiotic susceptibility test - semi-quantitative	$11.61
90750	Biochemical identification - micro-organism/stool	$14.42
90625	Blood culture - aerobic/anaerobic media	$36.08
90630	C. difficile toxin - immunological	$16.64
90656	C. difficile toxin, real time pcr	$48.91
90640	Candida culture	$6.81
90736	Cervical culture	$15.44
90645	Chlamydia antigen	$16.84
90647	Chlamydia antigen	$18.54
90648	Chlamydia antigen	$16.80
90649	Chlamydia antigen	$31.47
90650	Chlamydia culture	$42.84
90651	Chlamydia trachomatis using naat - urine	$25.18
90652	Chlamydia trachomatis using naat -urogenital swab	$24.09
90655	Clostridium difficile toxin - tissue culture	$18.09
90739	Combined vagino-anorectal or vaginal culture	$15.40
90660	Diphtheria antibodies	$21.14
90665	Fungus culture	$21.41
90670	Fungus direct examination koh preparation	$13.76
90741	Genital culture - other site	$25.28
90653	Gonorrhea by naat-urine	$4.76
90654	Gonorrhea by naat-urogenital swab	$4.76
90685	Hepatitis a - igm antibody (anti-hav-igm)	$18.42
90690	Hepatitis b core antibody (anti-hbc)	$10.85
90675	Hepatitis b e antigen	$14.87
90700	Hepatitis b surface antibody (anti-hbs)	$11.08
90751	Molecular identification, stool isolate	$14.90
90715	Rotavirus antigen	$16.87
90720	Routine culture	$15.30
90725	Serological identification -micro-organism	$15.94
90610	Serum bactericidal test	$66.41
90730	Smear - inclusion bodies	$12.38
90825	Smear/section - electron microscopy	$27.79
90740	Stained smear	$16.71
90745	Stool culture	$16.90
90755	Streptococcal enzyme slide test	$12.52
90760	Streptococci - rapid test	$13.02
90770	Tetanus antibodies	$21.14
90775	Throat or nose culture	$18.18
90780	Throat or nose culture - additional	$18.18
90785	Trichomonas and/or candida, direct examination	$11.63
90784	Trichomonas antigen test	$18.75
90738	Uretheral culture	$21.17
90790	Urine colony count culture	$19.57
90791	Urine colony count culture	$125.00
90737	Vaginal culture	$15.40
Ova & Parasites
90805	Parasite - macroscopic/microscopic exam	$42.96
90795	Pinworm ova - examination	$43.94
90800	Stool examination - concentration method	$46.93
Telehealth Service with Direct Interactive Video Link With the Patient
94070	Telehealth consult - laboratory medicine	$148.82
94076	Telehealth directive care - laboratory medicine	$31.44
94072	Telehealth repeat or limited consult-lab medicine	$82.69
94078	Telehealth subsequent hospital visit-lab medicine	$32.04
94077	Telehealth subsequent office visit - lab medicine	$32.15
Virology
90832	Bk polyoma virus ident by nuc acid amplif, direct	$39.13
90833	Cytomegalovirus viral(cmv) ident by nucl acid ampl	$36.92
90835	Hbv drug resistance mutation analysis	$129.88
90836	Hbv drug resistance mutation analysis	$30.23
90837	Hbv drug resistance mutation analysis	$26.73
90831	Hepatitis b virus (hbv) identification	$60.34
90815	Serological tests - 1-3 antigens	$36.83
90820	Serological tests - > 4 antigens	$37.98
90830	Virus isolation	$51.65

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