Laboratory and Pathology

12 categories, 456 billing codes.

General laboratory testing24 codes
36415Collection of venous blood by venipuncture 36416Collection of capillary blood specimen 80047Basic metabolic panel (calcium, ionized)80048Basic metabolic panel (calcium, total)80050General health panel 80051Electrolyte panel 80053Comprehensive metabolic panel 80055Obstetric panel 80061Lipid panel 80069Renal function panel 80074Acute hepatitis panel 80076Hepatic function panel 80081Obstetric panel, including HIV, hepatitis B, and syphilis testing 81000Urinalysis, non-automated, with microscopy 81001Urinalysis, automated, with microscopy 81002Urinalysis, non-automated, without microscopy 81003Urinalysis, automated, without microscopy 81005Urinalysis, qualitative or semiquantitative 81015Urinalysis, microscopic examination only 81025Urine pregnancy test, visual color comparison 82270Blood, occult, feces, qualitative 82272Blood, occult, feces, qualitative, single test 99000Handling and/or conveyance of specimen for transfer to another laboratory 99001Handling and/or conveyance of specimen, from patient in other than office
Chemistry testing42 codes
82040Albumin, serum 82055Alcohol (ethanol), blood 82150Amylase 82247Bilirubin, total 82248Bilirubin, direct 82310Calcium, total 82330Calcium, ionized 82374Carbon dioxide (bicarbonate)82435Chloride, blood 82465Cholesterol, serum, total 82533Cortisol, total 82565Creatinine, blood 82607Vitamin B-12 (cyanocobalamin)82670Estradiol 82728Ferritin 82746Folic acid, serum 82947Glucose, quantitative, blood 82950Glucose, post glucose dose 82951Glucose tolerance test, three specimens 83001Follicle stimulating hormone (FSH)83002Luteinizing hormone (LH)83036Hemoglobin A1c 83615Lactate dehydrogenase (LDH)83690Lipase 83718Lipoprotein, direct measurement, HDL cholesterol 83880Natriuretic peptide (BNP)84075Alkaline phosphatase 84100Phosphorus, inorganic 84132Potassium, serum 84153Prostate specific antigen (PSA), total 84155Protein, total, serum 84295Sodium, serum 84403Testosterone, total 84443Thyroid stimulating hormone (TSH)84446Vitamin E (tocopherol)84450Transferase, aspartate amino (AST/SGOT)84460Transferase, alanine amino (ALT/SGPT)84478Triglycerides 84480Triiodothyronine (T3)84550Uric acid, blood 84590Vitamin A 84681C-peptide
Hematology39 codes
85002Bleeding time 85004Blood count, automated differential WBC 85007Blood count, blood smear, microscopic examination with manual differential 85008Blood count, blood smear, microscopic examination without manual differential 85009Blood count, manual differential WBC count 85013Blood count, spun microhematocrit 85014Blood count, hematocrit (Hct)85018Blood count, hemoglobin (Hgb)85025Blood count, complete (CBC), automated with differential 85027Blood count, complete (CBC), automated 85041Blood count, red blood cell (RBC), automated 85045Blood count, reticulocyte, automated 85048Blood count, leukocyte (WBC), automated 85049Blood count, platelet, automated 85055Reticulocyte, manual 85060Blood smear, peripheral, interpretation by physician 85097Bone marrow, smear interpretation 85130Chromogenic substrate assay 85170Clot retraction 85210Clotting factor II (prothrombin)85240Clotting factor VIII 85300Antithrombin III activity 85335Factor inhibitor test 85345Coagulation time 85348Coagulation, other procedure 85379D-dimer, quantitative 85384Fibrinogen, activity 85390Fibrinolysins/screen 85397Coagulation and fibrinolysis, functional activity, thrombin 85460Hemoglobin, mechanically induced RBC fragility 85610Prothrombin time 85613Prothrombin, tissue factor induced, substitution, plasma fraction 85651Sedimentation rate, erythrocyte, non-automated 85652Sedimentation rate, erythrocyte, automated 85660Sickling of RBC, reduction 85670Thrombin time 85730Thromboplastin time, partial (PTT)85732Thromboplastin time, partial, substitution 86140C-reactive protein
Microbiology40 codes
87070Culture, bacterial, any source, aerobic, with isolation 87071Culture, bacterial, quantitative, aerobic 87081Culture, presumptive, pathogenic organisms, screening 87086Culture, bacterial, quantitative colony count, urine 87088Culture, bacterial, urine, with isolation and identification 87101Culture, fungi, skin/hair/nail 87102Culture, fungi, other source 87106Culture, fungi, definitive identification 87109Culture, mycoplasma 87116Culture, tubercle/other acid-fast bacilli 87147Culture, typing, immunofluorescent technique 87164Dark field examination, spirochetes 87177Ova and parasites, direct smear 87181Sensitivity studies, antimicrobial agent, disk method 87184Sensitivity studies, antibiotic, disk method, each additional agent 87186Sensitivity studies, antibiotic, microdilution/agar dilution 87205Smear, primary source, Gram stain 87206Smear, primary source, fluorescent/acid-fast stain 87207Smear, primary source, special stain 87209Smear, primary source, wet mount with simple stain 87210Smear, primary source, wet mount, saline 87220Tissue examination, KOH slide preparation 87252Virus isolation, tissue culture 87254Virus isolation, centrifuge enhanced technique 87270Chlamydia trachomatis, direct fluorescent antibody 87324Clostridium difficile toxin(s), immunoassay 87338Helicobacter pylori, stool, immunoassay 87340Hepatitis B surface antigen, immunoassay 87389HIV-1 antigen(s) with HIV-1 and HIV-2 antibodies, single assay 87400Influenza A/B, immunoassay 87426Infectious agent antigen detection, SARS-CoV/SARS-CoV-2 87449Infectious agent antigen detection, multiple-step method, multiple organisms 87491Chlamydia trachomatis, amplified probe technique 87498Enterovirus, amplified probe technique 87510Gardnerella vaginalis, direct probe technique 87591Neisseria gonorrhoeae, amplified probe technique 87621Human papillomavirus (HPV), amplified probe technique 87798Infectious agent detection, amplified probe, not otherwise specified 87804Infectious agent antigen detection, influenza, immunoassay with direct optical observation 87880Streptococcus, group A, direct optical immunoassay
Immunology40 codes
86038Antinuclear antibodies (ANA)86039Antinuclear antibodies, titer 86060Antistreptolysin O, titer 86077Blood bank physician services, difficult crossmatch 86141C-reactive protein, high sensitivity 86147Cardiolipin antibody, each Ig class 86159Complement, antigen, each component 86160Complement, functional activity, each component 86200Cyclic citrullinated peptide (CCP) antibody 86235Extractable nuclear antigen, antibody to, each 86255Fluorescent antibody, screen 86256Fluorescent antibody, titer 86294Immunoassay for tumor antigen, qualitative or semiquantitative 86300Immunoassay for tumor antigen, quantitative, CA 15-3 86304Immunoassay for tumor antigen, quantitative, CA 125 86308Heterophile antibodies, screening 86317Immunoassay for infectious agent antibody, qualitative or semiquantitative 86328Immunoassay for infectious agent antibody, SARS-CoV-2 86336Inhibin A 86360Lymphocyte assay, immunophenotyping, T-cell/B-cell subsets 86382Neutralization test, viral 86403Particle agglutination, screen, each antibody 86431Rheumatoid factor, quantitative 86480Tuberculosis test, cell mediated immunity, interferon-gamma release assay 86490Skin test, tuberculosis, tine test 86592Syphilis test, non-treponemal antibody, qualitative 86593Syphilis test, non-treponemal antibody, quantitative 86611Antibody, Bartonella 86617Antibody, Borrelia burgdorferi (Lyme disease), confirmatory test 86618Antibody, Borrelia burgdorferi (Lyme disease)86648Antibody, Candida 86663Antibody, Epstein-Barr virus (EBV), early antigen 86677Antibody, Helicobacter pylori 86694Antibody, herpes simplex, non-specific type test 86701Antibody, HIV-1 86703Antibody, HIV-1 and HIV-2, single assay 86765Antibody, rubella 86787Antibody, varicella-zoster 86803Hepatitis C antibody 86850Antibody screen, red blood cell, each serum technique
Surgical pathology31 codes
88300Level I surgical pathology, gross examination only 88302Level II surgical pathology, gross and microscopic examination 88304Level III surgical pathology, gross and microscopic examination 88305Level IV surgical pathology, gross and microscopic examination 88307Level V surgical pathology, gross and microscopic examination 88309Level VI surgical pathology, gross and microscopic examination 88311Decalcification procedure 88312Special stain, group I, microorganisms 88313Special stain, group II, non-microorganism 88314Histochemical stain, enzyme constituents 88319Histochemical stain, enzyme constituents, each additional (add-on)88321Consultation and report on referred slides 88323Consultation and report on referred material, requiring preparation of slides 88325Consultation, comprehensive, with review of records and specimens 88329Pathology consultation during surgery 88331Pathology consultation during surgery, first tissue block, frozen section 88332Pathology consultation during surgery, additional tissue block, frozen section (add-on)88341Immunohistochemistry, each additional antibody stain (add-on)88342Immunohistochemistry, first antibody stain 88344Immunohistochemistry, each multiplex antibody stain 88346Immunofluorescence, first antibody 88350Immunofluorescence, each additional antibody 88355Morphometric analysis, skeletal muscle 88356Morphometric analysis, nerve 88360Morphometric analysis, tumor immunohistochemistry, semi-quantitative 88361Morphometric analysis, tumor immunohistochemistry, quantitative 88365In situ hybridization, each probe 88367In situ hybridization, quantitative or semiquantitative, each probe 88377In situ hybridization, multiplex probe 88387Macroscopic examination, tissue for molecular analysis 88388Macroscopic examination, tissue for molecular analysis, with microdissection
Cytopathology22 codes
88104Cytopathology, fluids/washings, smears with interpretation 88106Cytopathology, filter method, smears with interpretation 88108Cytopathology, concentration technique, smears 88112Cytopathology, selective cellular enhancement technique 88120Cytopathology, in situ hybridization, urinary tract specimen, computer-assisted 88121Cytopathology, in situ hybridization, urinary tract specimen, manual 88125Cytopathology, forensic 88141Cytopathology, cervical/vaginal, requiring interpretation by physician 88142Cytopathology, cervical/vaginal, thin layer preparation, manual screening 88143Cytopathology, cervical/vaginal, thin layer, manual screening with rescreening 88147Cytopathology, cervical/vaginal, automated thin layer preparation, screening 88148Cytopathology, cervical/vaginal, automated thin layer preparation, screening and rescreening 88150Cytopathology, cervical/vaginal, manual screening 88152Cytopathology, cervical/vaginal, manual screening with computer-assisted rescreening 88153Cytopathology, cervical/vaginal, manual screening with rescreening 88155Cytopathology, cervical/vaginal, definitive hormonal evaluation 88160Cytopathology, smears, any other source, screening and interpretation 88161Cytopathology, smears, any other source, preparation and screening 88162Cytopathology, smears, any other source, extended study 88172Cytopathology, evaluation of fine needle aspirate, immediate adequacy assessment, first evaluation 88173Cytopathology, evaluation of fine needle aspirate, interpretation and report 88175Cytopathology, cervical/vaginal, automated screening and rescreening
Molecular diagnostics30 codes
81162BRCA1, BRCA2 gene analysis, full sequence and duplication/deletion 81170ABL1 gene analysis 81201APC gene analysis 81210BRAF gene analysis 81215BRCA1 gene analysis, known familial variant 81225CYP2C19 gene analysis 81226CYP2D6 gene analysis 81240F2 gene analysis (prothrombin)81241F5 gene analysis (Factor V Leiden)81287MGMT gene, promoter methylation analysis 81300MLH1 gene, known familial variant 81321PTEN gene, full sequence analysis 81346TYMS gene analysis 81355VKORC1 gene analysis 81400Molecular pathology procedure, Level 1 81401Molecular pathology procedure, Level 2 81402Molecular pathology procedure, Level 3 81403Molecular pathology procedure, Level 4 81404Molecular pathology procedure, Level 5 81405Molecular pathology procedure, Level 6 81406Molecular pathology procedure, Level 7 81407Molecular pathology procedure, Level 8 81408Molecular pathology procedure, Level 9 81410Aortic dysfunction/dysmorphism genomic sequence panel 81416Exome, comparator sequence analysis 81419Epilepsy genomic sequence panel 81445Solid organ neoplasm targeted genomic sequence analysis panel 81450Hematolymphoid neoplasm targeted genomic sequence panel 81455Solid organ/hematolymphoid neoplasm, comprehensive genomic sequencing panel 81479Unlisted molecular pathology procedure
Genetic testing29 codes
81165BRCA1 gene, full sequence analysis 81167BRCA1/BRCA2 gene, duplication/deletion analysis 81185ABCB4 gene analysis 81220CFTR gene, common variants (cystic fibrosis)81222CFTR gene, duplication/deletion variants 81223CFTR gene, full sequence analysis 81228Cytogenomic microarray analysis, constitutional 81229Cytogenomic microarray analysis, constitutional, genome-wide 81243FMR1 gene analysis (Fragile X)81244FMR1 gene analysis, characterization of alleles 81247G6PD gene analysis, common variants 81252GJB2 gene analysis (Connexin 26, hearing loss)81253GJB6 gene analysis (Connexin 30, hearing loss)81257HBA1/HBA2 gene analysis (alpha globin, thalassemia)81260HBB gene analysis (beta globin, sickle cell/thalassemia)81269HBA1/HBA2 gene analysis, full gene sequence 81290MCOLN1 gene analysis (Mucolipidosis IV)81302MECP2 gene analysis, full sequence (Rett syndrome)81303MECP2 gene analysis, known familial variant 81324PMP22 gene analysis, duplication/deletion (Charcot-Marie-Tooth)81325PMP22 gene analysis, full sequence 81330SMPD1 gene analysis (Niemann-Pick disease)81336SMN1 gene analysis (spinal muscular atrophy)81337SMN1/SMN2 gene analysis, dosage/deletion 81420Fetal chromosomal aneuploidy genomic sequence analysis (noninvasive prenatal testing)81422Fetal chromosomal microdeletion genomic sequence analysis 81443Genetic testing for severe inherited conditions, panel 81507Fetal aneuploidy DNA sequencing, chromosome 13, 18, and 21 96040Medical genetics and genetic counseling, first 30 minutes
Proprietary laboratory analyses17 codes
0001URed blood cell antigen typing, DNA, human erythrocyte antigen gene analysis panel 0002UOncology (colorectal), quantification of gene expression 0003UHepatology (NASH), analysis of biomarkers 0007UTargeted genomic sequencing, cell-free circulating DNA 0016UOncology (leukemia), DNA, genotyping 0022UOncology (thyroid), gene expression analysis 0033UCardiology (heart transplant), cell-free DNA analysis 0040UAspergillus species, antigen detection 0053UOncology (prostate), biochemical assay 0069URheumatoid arthritis, biomarker panel 0070UHepatitis B virus, DNA quantification 0090UDepression, biomarker panel 0106UCardiology, ceramide biomarker panel 0111UNeurology (Alzheimer disease), biomarker panel 0163UOncology (breast), mRNA gene expression profiling 0223UOncology (prostate), biomarker panel 0244UNeurology (mild cognitive impairment/dementia), biomarker panel
Drug testing31 codes
80305Drug test(s), presumptive, direct optical observation 80306Drug test(s), presumptive, direct optical observation, read by instrument 80307Drug test(s), presumptive, instrument-assisted 80320Drug test, definitive, alcohols 80321Drug test, definitive, alcohol biomarkers 80323Drug test, definitive, alkaloids, not otherwise specified 80324Drug test, definitive, amphetamines, 1-2 80325Drug test, definitive, amphetamines, 3-4 80326Drug test, definitive, amphetamines, 5 or more 80327Drug test, definitive, benzodiazepines, 1-12 80328Drug test, definitive, benzodiazepines, 13 or more 80329Drug test, definitive, barbiturates 80332Drug test, definitive, buprenorphine 80335Drug test, definitive, cannabinoids 80337Drug test, definitive, catecholamines 80341Drug test, definitive, fentanyl 80345Drug test, definitive, gabapentin 80347Drug test, definitive, heroin metabolite 80348Drug test, definitive, ketamine 80353Drug test, definitive, methadone 80356Drug test, definitive, opioids, 1-15 80358Drug test, definitive, opipramol 80361Drug test, definitive, oxycodone 80365Drug test, definitive, pregabalin 80373Drug test, definitive, stimulants, synthetic 80375Drug test, definitive, tramadol 80377Drug test, definitive, tricyclic antidepressants G0480Drug test(s), definitive, 1-7 drug classes (Medicare)G0481Drug test(s), definitive, 8-14 drug classes (Medicare)G0482Drug test(s), definitive, 15-21 drug classes (Medicare)G0483Drug test(s), definitive, 22 or more drug classes (Medicare)
Additional laboratory testing111 codes
0202UNfct Ds Bct/vir Respir Dna/rna 22 Trgt Sarscov2 80184Drug Screen Quantitative Phenobarbital 80299Quantitation Drug Not Elsewhere Specified 80346Drug Screening Benzodiazepines 1-12 80349Drug Screening Cannabinoids Natural 80354Drug Screening Fentanyl 80357Drug Screening Ketamine and Norketamine 80362Drug Screening Opioids and Opiate Analogs 1 or 2 80369Drug Screening Skeletal Muscle Relaxants 1 or 2 81120Idh1 Common Variants 81121Idh2 Common Variants 81175Asxl1 Gene Analysis Full Gene Sequence 81176Asxl1 Gene Analysis Targeted Seq Analysis 81203Apc Gene Analysis Duplication/deletion Variants 81206Bcr/abl1 Major Breakpnt Qualitative/quantitative 81207Bcr/abl1 Minor Breakpnt Qualitative/quantitative 81235Egfr Gene Analysis Common Variants 81245Flt3 Gene Analysis Internal Tandem Dup Variants 81246Flt3 Gene Anlys Tyrosine Kinase Domain Variants 81250G6pc Gene Analysis Common Variants 81275Kras Gene Analysis Variants in Exon 2 81276Kras Gene Analysis Additional Variant(s)81310Npm1 Nucleophosmin Gene Anal Exon 12 Variants 81311Nras Gene Analysis Variants in Exon 2&3 81315Pml/raralpha Common Breakpoints Qual/quant 81415Exome Sequence Analysis 81417Exome Re-eval of Previously Obtained Exome Seq 81425Genome Sequence Analysis 81426Genome Sequence Analysis Each Comparator Genome 81427Genome Re-evaluation of Prec Obtained Genome Seq 82274Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 82523Collagen Cross Links Any Method 82550Creatine Kinase Total 82553Creatine Kinase Mb Fraction Only 826521 25 Dihydroxy Includes Fractions If Performed 82656Elastase Pancreatic Fecal Qual/semi-quantitative 82784Assay of Gammaglobulin Iga Igd Igg Igm Each 82785Assay of Gammaglobulin Ige 82787Gammaglobulin Immunoglobulin Subclasses 82805Gases Blood Ph Direct Meas Xcpt Pulse Oximitry 82948Glucose Blood Reagent Strip 82952Glucose Tolerance Ea Addl Beyond 3 Specimens 83516Immunoassay Analyte Qual/semiquan Multiple Step 83520Immunoassay Analyte Quantitative Nos 83540Assay of Iron 83550Iron Binding Capacity 83605Assay of Lactate 83735Assay of Magnesium 84436Assay of Thyroxine Total 84439Assay of Free Thyroxine 84445Thyroid Stimulating Immune Globulins Tsi 84449Assay of Transcortin Cortisol Binding Globulin 84466Assay of L7383transferrin 84481Assay of Triiodothyronine T3 Free 84482Triiodothyronine T3 Reverse 84484Assay of Troponin Quantitative 84702Gonadotropin Chorionic Quantitative 84703Gonadotropin Chorionic Qualitative 85046Blood Count Reticulocytes Auto 1/> Cell Meas 85246Clotting Factor Viii Vw Factor Antigen 86003Allergen Spec Ige Crude Allergen Extract Each 86005Allergen Spec Ige Qual Multiallergen Screen 86161Complement Functional Activity Each Component 86162Complement Total Hemolytic 86225Dna Antibody Native/double Stranded 86481Tb Antigen Response Gamma Interferon T-cell Susp 86580Skin Test Tuberculosis Intradermal 86900Blood Typing Serologic Abo 86901Blood Typing Serologic Rh (d)87040Culture Bacterial Blood Aerobic W/id Isolates 87075Culture Bacterial Any Source Anaerobic Iso&id 87077Cul Bact Aerobic Addl Meths Definitive Ea Isol 87110Culture Chlamydia Any Source 87140Culture Typing Immunofluorescent Each Antiserum 87149Culture Typing Nucleic Acid Probe Dir Ea Organsm 87150Cultyp Nuc Acid Amp Prb Cult/isolate Ea Orgnism 87158Culture Typing Other Methods 87185Susceptibility Study Antimicrobial Enzyme Detcj 87253Virus Tissue Culture Addl Stdy/id Each Isolate 87320Iaad Ia Chlamydia Trachomatis 87341Iaad Ia Hepatitis B Surface Ag Neutralization 87350Iaad Ia Hepatitis Be Antigen 87380Iaad Ia Hepatitis Delta Antigen 87390Iaad Ia Hiv-1 87391Iaad Ia Hiv-2 87430Iaad Ia Streptococcus Group a 87451Iaad Ia Polyv Mlt Organisms Ea Polyv Antiserum 87471Iadna Bartonella Amplified Probe Technique 87476Iadna Borrelia Burgdorferi Amplified Probe Tq 87481Iadna Candida Species Amplified Probe Tq 87486Iadna Chlamydia Pneumoniae Amplified Probe Tq 87496Iadna Cytomegalovirus Amplified Probe Tq 87633Iadna Respiratry Probe & Rev Trnscr 12-25 Target 87635Iadna Sars-cov-2 Covid-19 Amplified Probe Tq 88187Flow Cytometry Interpj 2-8 Markers 88189Flow Cytometry Interpretation 16/> Markers 88230Tiss Cul Non-neo Disorders Lymphocyte 88233Tiss Cul Non-neo Disorders Skn/oth Solid Tiss Bx 88235Tiss Cul Non-neo Disorders Amniotic/chornc Cells 88237Tiss Cul Neo Disorders Bone Marrow Blood Cells 88239Tiss Cul Neo Disorders Solid Tumor 88245Chrmsm Breakage Baseline Sister 20-25 Cll 88248Chrmsm Breakage Baseline Breakage 50-100 Cll 88249Chrmsm Breakage Synds Score 100 Cll 88261Chrmsm Count 5 Cell 1karyotype Banding 88262Chrmsm Count 15-20 Cll 2karyotyp Banding 88263Chrmsm Count 45 Cell Mosaicism 2karyotype 88264Chrmsm Analyze 20-25 Cells 88333Path Consltj Surg Cytologic Exam Initial Site 88363Exam & Select Archive Tissue Molecular Analysi 88364In Situ Hybridization Ea Addl Probe Stain