July 2024 WML Test Directory Update

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Announcement

The update for which you searched was implemented before July 2026. The was/is format for test updates is not available for this search; however, the result of the search will show a description of the change. Was/Is comparisons of changes will appear only for updates effective July 2026 onwards.

Update Summary

Effective Date Update Type Name
07/09/2024 Inactivated/Replace Test PNE14 – “S. pneumoniae IgG ABS 14 Stypes” replaced by PN14S – “Pneumococcal Antibody Panel (14 Serotype)” Jump to update
07/16/2024 Inactivated/Replace Test ADABQ – “Adalimumab Quantitative with Reflex to Antibody, Serum” replaced by ADALX – “Adalimumab Quantitative with Reflex to Antibody, Serum” Jump to update
07/16/2024 Inactivated/Replace Test ASAGB – “Aspergillus Antigen, BAL” replaced by ASPBA – “Aspergillus Antigen, Bronchoalveolar Lavage” Jump to update
07/16/2024 Inactivated/Replace Test EASRT – “Ehrlichia and Anaplasma Species by Real-Time PCR” replaced by EPCRB – “Ehrlichia/Anaplasma, Molecular Detection, PCR, Blood” Jump to update
07/16/2024 Inactivated/Replace Test HHV6D – “Herpesvirus 6 A and B DNA, Quant” replaced by HHV6P – “Human Herpesvirus-6, Molecular Detection, PCR, Plasma” Jump to update
07/16/2024 Inactivated/Replace Test LEGSP – “Legionella Species by Qual PCR” replaced by LEGRP – “Legionella species, Molecular Detection, PCR, Varies” Jump to update
07/30/2024 Inactivated/Replace Test INHA – “Inhibin A” replaced by INHNA – “Inhibin-A” Jump to update
07/15/2024 Inactivated Test CO2 – “Carbon Dioxide” Jump to update
07/01/2024 Updated Test ALUMS – “Aluminum, Serum” Jump to update
07/01/2024 Updated Test SELS – “Selenium” Jump to update
07/02/2024 Updated Test COCCG – “Coccidioides Quantitative EIA Antigen” Jump to update
07/02/2024 Updated Test HSS14 – “Horizon 14 (PAN-ETHNIC STANDARD)” Jump to update
07/02/2024 Updated Test HSS4 – “Horizon 4 (SMA, CF, FRAGILE X, DMD)” Jump to update
07/02/2024 Updated Test INPBL – “Comprehensive Volatiles Panel, Blood” Jump to update
07/02/2024 Updated Test LPROA – “Lipoprotein LP(a)” Jump to update
07/02/2024 Updated Test PAN – “Panorama Prenatal Test w/No Microdeletion Panel” Jump to update
07/02/2024 Updated Test PAN22 – “Panorama Prenatal Test with 22Q11 Microdeletion Panel” Jump to update
07/02/2024 Updated Test PANFP – “Panorama Prenatal Test with Extended Microdeletion Panel” Jump to update
07/02/2024 Updated Test UGT1G – “UGT1A1 Genotyping” Jump to update
07/02/2024 Updated Test VITA – “Vitamin A” Jump to update
07/02/2024 Updated Test VITAE – “Vitamin A and E” Jump to update
07/02/2024 Updated Test VITC – “Vitamin C” Jump to update
07/02/2024 Updated Test VITE – “Vitamin E” Jump to update
07/08/2024 Updated Test AROME – “Aromatic Solvents Exposure Panel,Blood” Jump to update
07/08/2024 Updated Test BENZ – “Benzene, Blood” Jump to update
07/09/2024 Updated Test ACETA – “Acetaminophen” Jump to update
07/09/2024 Updated Test ALPRZ – “Alprazolam (Xanax)” Jump to update
07/09/2024 Updated Test AMH – “Anti-Mullerian Hormone” Jump to update
07/09/2024 Updated Test AMIOD – “Amiodarone (Cordarone)” Jump to update
07/09/2024 Updated Test AMITR – “Amitriptyline (Elavil, Pamelor)” Jump to update
07/09/2024 Updated Test AMKCN – “Amikacin, Random” Jump to update
07/09/2024 Updated Test AMKPK – “Amikacin, Peak” Jump to update
07/09/2024 Updated Test AMKTR – “Amikacin, Trough” Jump to update
07/09/2024 Updated Test BENZP – “Benzodiazepine Panel, Serum Quantitative” Jump to update
07/09/2024 Updated Test CARBF – “Carbamazepine, Free” Jump to update
07/09/2024 Updated Test CARBT – “Carbamazepine, Total” Jump to update
07/09/2024 Updated Test CHLRP – “Chlordiazepoxide (Librium)” Jump to update
07/09/2024 Updated Test CLONA – “Clonazepam (Klonopin)” Jump to update
07/09/2024 Updated Test CLOZA – “Clozapine (Clozaril)” Jump to update
07/09/2024 Updated Test CODEI – “Codeine, Serum” Jump to update
07/09/2024 Updated Test DESPR – “Desipramine (Norpramin)” Jump to update
07/09/2024 Updated Test DIAZE – “Diazepam (Valium)” Jump to update
07/09/2024 Updated Test DOXEP – “Doxepin (Sinequan)” Jump to update
07/09/2024 Updated Test EONE – “Estrone, LC/MS/MS” Jump to update
07/09/2024 Updated Test ESTM – “Estrogens, Total and Fractionated, LC/MS/MS” Jump to update
07/09/2024 Updated Test ETHSX – “Ethosuximide” Jump to update
07/09/2024 Updated Test FELBA – “Felbamate (Felbatol)” Jump to update
07/09/2024 Updated Test FLUOX – “Fluoxetine (Prozac)” Jump to update
07/09/2024 Updated Test FLURZ – “Flurazepam (Dalmane)” Jump to update
07/09/2024 Updated Test GABAP – “Gabapentin (Neurontin)” Jump to update
07/09/2024 Updated Test HCODS – “Hydrocodone, Serum (Vicodin)” Jump to update
07/09/2024 Updated Test HYDMS – “Hydromorphone (Dilaudid)” Jump to update
07/09/2024 Updated Test IMIPR – “Imipramine (Tofranil)” Jump to update
07/09/2024 Updated Test LAMOT – “Lamotrigine (Lamictal)” Jump to update
07/09/2024 Updated Test LEVET – “Levetiracetam (Keppra)” Jump to update
07/09/2024 Updated Test LIDCN – “Lidocaine (Xylocaine)” Jump to update
07/09/2024 Updated Test LORAZ – “Lorazepam (Ativan)” Jump to update
07/09/2024 Updated Test LORCE – “Lorcet, Serum (Hydrocodone/Acetaminophen)” Jump to update
07/09/2024 Updated Test METHD – “Methadone, Serum, Quantitative” Jump to update
07/09/2024 Updated Test MMA01 – “Methylmalonic Acid” Jump to update
07/09/2024 Updated Test MORPQ – “Morphine, Serum, Quantitative” Jump to update
07/09/2024 Updated Test MPA01 – “Mycophenolic Acid” Jump to update
07/09/2024 Updated Test NORDZ – “Nordiazepam (Clorazepate, Tranxene)” Jump to update
07/09/2024 Updated Test NORTI – “Nortriptyline” Jump to update
07/09/2024 Updated Test OCARB – “Oxcarbazepine” Jump to update
07/09/2024 Updated Test OPTSP – “Opiate Panel, Serum Quantitative” Jump to update
07/09/2024 Updated Test OXAZE – “Oxazepam (Serax)” Jump to update
07/09/2024 Updated Test OXYCD – “Oxycodone, Serum (Oxycontin)” Jump to update
07/09/2024 Updated Test OXYMS – “Oxymorphone, Serum (Numorphan)” Jump to update
07/09/2024 Updated Test PENTO – “Pentobarbital (Nembutal)” Jump to update
07/09/2024 Updated Test PHEBF – “Phenobarbital, Free” Jump to update
07/09/2024 Updated Test PHENO – “Phenobarbital” Jump to update
07/09/2024 Updated Test PHENY – “Phenytoin (Dilantin)” Jump to update
07/09/2024 Updated Test PHNYF – “Phenytoin, Free (Dilantin)” Jump to update
07/09/2024 Updated Test PRIMI – “Primidone (Mysoline)” Jump to update
07/09/2024 Updated Test SALIC – “Salicylate, Serum” Jump to update
07/09/2024 Updated Test SAMP1 – “Amphetamine, Serum, Qualitative” Jump to update
07/09/2024 Updated Test SBEN1 – “Benzodiazepine, Serum, Qualitative” Jump to update
07/09/2024 Updated Test SCOC1 – “Cocaine, Serum, Qualitative” Jump to update
07/09/2024 Updated Test SDS1A – “Drug Abuse Screen, Serum” Jump to update
07/09/2024 Updated Test SDSCC – “Drug Screen, Serum Comprehensive” Jump to update
07/09/2024 Updated Test SMTH1 – “Methadone, Serum, Qualitative” Jump to update
07/09/2024 Updated Test SNICO – “Nicotine and Cotinine, Serum” Jump to update
07/09/2024 Updated Test SOPT1 – “Opiate, Serum, Qualitative” Jump to update
07/09/2024 Updated Test SPCP1 – “Phencyclidine, Serum, Qualitative” Jump to update
07/09/2024 Updated Test SPRP1 – “Propoxyphene, Serum, Qualitative” Jump to update
07/09/2024 Updated Test STHC1 – “THC, Serum, Qualitative” Jump to update
07/09/2024 Updated Test TADSP – “Tricyclic Antidepressant Panel, Quantitative” Jump to update
07/09/2024 Updated Test TEMAZ – “Temazepam” Jump to update
07/09/2024 Updated Test TESBQ – “Testosterone, Free, Bioavailable and Total, MS” Jump to update
07/09/2024 Updated Test TOPIR – “Topiramate (Topamax)” Jump to update
07/09/2024 Updated Test TRAZO – “Trazadone (Desyrel)” Jump to update
07/09/2024 Updated Test ZONIS – “ZONISAMIDE (ZONEGRAN)” Jump to update
07/15/2024 Updated Test FLEC – “Flecainide, Serum” Jump to update
07/15/2024 Updated Test LACOS – “Lacosamide” Jump to update
07/15/2024 Updated Test TPMTM – “Thiopurine Metabolites” Jump to update
07/22/2024 Updated Test MIXAM – “Microsporidia Exam” Jump to update
07/29/2024 Updated Test BSDQL – “Borrelia Species DNA, Qual Real-Time PCR” Jump to update
07/29/2024 Updated Test JCVQN – “JC Polyoma Virus DNA Quant RT PCR S/P” Jump to update

PNE14 – “S. pneumoniae IgG ABS 14 Stypes” replaced by PN14S – “Pneumococcal Antibody Panel (14 Serotype)”

Effective Date 07/09/2024
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

PNE14

Ordering Code

3723000

CPT-4 Codes(s)

86317 x 14

Replacement Test Details

Mnemonic

PN14S

Ordering Code

3300348

CPT-4 Codes(s)

86581

Turnaround Time
7 – 9 days
Performed
Monday - Friday
Legacy Code
PN14S

Specimen Information

Collect

Serum separator tube (SST)

Specimen Preparation

Centrifuge, separate serum from cells and send 1.0 mL serum in a screw capped plastic vial.

Alternate Specimen

Serum: Red top

Minimum Volume

0.5 mL

Transport Temperature

Refrigerated

Rejection Criteria

All samples other than serum

Stability

Room temperature: 6 weeks
Refrigerated: 6 weeks
Frozen: 24 months

Methodology

Fluoroimmunoassay, Luminex® Multiplex
more

Reference Range

>1.3 μg/mL
more

Performing Laboratory

Viracor Eurofins
more

New York DOH Approval Status

Yes
more

Interface Map for PN14S

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Pneumococcal Antibody Panel (14 Serotype)3300348
3300349Pneumo Ab Type 185955-3No
3300351Pneumo Ab Type 386081-7 No
3300352Pneumo Ab Type 486108-8No
3300353Pneumo Ab Type 586129-4No
3300354Pneumo Ab Type 886148-4No
3300356Pneumo Ab Type 9 (9N) 86166-6No
3300357Pneumo Ab Type 12 (12F) 85974-4No
3300358Pneumo Ab Type 14 85992-6No
3300359Pneumo Ab Type 19 (19F)86021-3 No
3300361 Pneumo Ab Type 23 (23F)86061-9 No
3300362 Pneumo Ab Type 26 (6B) 40905-2 No
3300363 Pneumo Ab Type 51 (7F) 40911-0No
3300364Pneumo Ab Type 56 (18C) 40913-6 No
3300366 Pneumo Ab Type 68 (9V) 40926-8No

ADABQ – “Adalimumab Quantitative with Reflex to Antibody, Serum” replaced by ADALX – “Adalimumab Quantitative with Reflex to Antibody, Serum”

Effective Date 07/16/2024
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

ADABQ

Ordering Code

3600373

CPT-4 Codes(s)

80145, 83520

Replacement Test Details

Mnemonic

ADALX

Ordering Code

3800368

CPT-4 Codes(s)

80145, plus 83520 (if appropriate)

Turnaround Time
4 – 6 days
Performed
Monday, Wednesday, Friday
Legacy Code
ADALX
Example Report
Download

Specimen Information

Patient Preparation

For 12 hours before specimen collection, it is recommended that the patient not take multivitamins or dietary supplements containing biotin (vitamin B7), which is commonly found in hair, skin, and nail supplements and multivitamins.

Collect

Serum separator tube (SST)

Specimen Preparation

Centrifuge, separate and send 0.5 mL serum in a screw capped plastic vial.

Alternate Specimen

Red top

Minimum Volume

0.35 mL

Transport Temperature

Refrigerated

Rejection Criteria

Heat-treated specimen

Stability

Room temperature: Unacceptable
Refrigerated: 28 days
Frozen: 28 days

Methodology

Enzyme-linked Immunosorbent Assay (ELISA)
more

Reference Range

Adalimumab Quantitatiave:
0.8 mcg/mL. Optimal therapeutic
ranges are disease specific.
Adalimumab Anitbody:
<14.0 AU/mL
more

Performing Laboratory

MAYO
more

New York DOH Approval Status

Yes
more

Interface Map for ADALX

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Adalimumab Quantitative with Reflex to Antibody, Serum3800368
3800369Adalimumab QN with Reflex to Ab, S86894-3 No
3800371Adalimumab Ab, S 90779-0 No

ASAGB – “Aspergillus Antigen, BAL” replaced by ASPBA – “Aspergillus Antigen, Bronchoalveolar Lavage”

Effective Date 07/16/2024
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

ASAGB

Ordering Code

3620600

CPT-4 Codes(s)

87305

Replacement Test Details

Mnemonic

ASPBA

Ordering Code

3800372

CPT-4 Codes(s)

87305

Turnaround Time
3 – 5 days
Performed
Sunday - Friday
Legacy Code
ASPBA
Example Report
Download

Specimen Information

Collect

Lavage

Specimen Preparation

Send 2.0 mL bronchoalveolar lavage specimen in a sterile, leak-proof container.

Minimum Volume

1.5 mL

Transport Temperature

Refrigerated

Rejection Criteria

Specimen trap collection containers with suction catheters attached, Specimen in a non-leak proof container, Bronchial washing, Thick viscous mucoid specimens

Stability

Room temperature: Unacceptable
Refrigerated: 14 days
Frozen: 14 days

Methodology

Enzyme Immunoassay
more

Reference Range

<0.5 Index
more

Performing Laboratory

MAYO
more

New York DOH Approval Status

Yes
more

Interface Map for ASPBA

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Aspergillus Antigen, Bronchoalveolar Lavage3800372
3800372Aspergillus Ag, BAL62467-6No

EASRT – “Ehrlichia and Anaplasma Species by Real-Time PCR” replaced by EPCRB – “Ehrlichia/Anaplasma, Molecular Detection, PCR, Blood”

Effective Date 07/16/2024
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

EASRT

Ordering Code

3600090

CPT-4 Codes(s)

87468; 87484; 87798 x 2

Replacement Test Details

Mnemonic

EPCRB

Ordering Code

3800373

CPT-4 Codes(s)

87468, 87484, 87798 x2

Turnaround Time
3 – 6 days
Performed
Monday - Saturday
Legacy Code
EPCRB
Example Report
Download

Specimen Information

Collect

Lavender EDTA

Specimen Preparation

Send 1.0 mL whole blood in original tube. DO NOT ALIQUOT.

Minimum Volume

0.3 mL

Transport Temperature

Refrigerated

Rejection Criteria

Gross lipemia, serum, plasma

Stability

Room temperature: Unacceptable
Refrigerated: 7 days
Frozen: Unacceptable

Methodology

Real-Time Polymerase Chain Reaction (PCR)/DNA Probe Hybridization
more

Reference Range

Negative
more

Performing Laboratory

MAYO
more

New York DOH Approval Status

Yes
more

Interface Map for EPCRB

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Ehrlichia/Anaplasma, Molecular Detection, PCR, Blood3800373
3800374Anaplasma phagocytophilum 87558-3 No
3800376Ehrlichia chaffeensis 87559-1No
3800377Ehrlichia ewingii/canis 87560-9 No
3800378 Ehrlichia muris eauclairensis 87561-7 No

HHV6D – “Herpesvirus 6 A and B DNA, Quant” replaced by HHV6P – “Human Herpesvirus-6, Molecular Detection, PCR, Plasma”

Effective Date 07/16/2024
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

HHV6D

Ordering Code

3687000

CPT-4 Codes(s)

87533

Replacement Test Details

Mnemonic

HHV6P

Ordering Code

3800379

CPT-4 Codes(s)

87532

Turnaround Time
4 – 7 days
Performed
Monday - Saturday
Legacy Code
HHV6P

Specimen Information

Collect

Lavender EDTA

Specimen Preparation

Centrifuge, separate plasma from cells and send 1.0 mL plasma in a screw capped plastic vial.

Minimum Volume

0.3 mL

Transport Temperature

Refrigerated

Rejection Criteria

Gross hemolysis

Stability

Room temperature: Unacceptable
Refrigerated: 7 days
Frozen: 7 days

Methodology

Real-Time Polymerase Chain Reaction (PCR)/DNA Probe Hybridization
more

Reference Range

Negative
more

Performing Laboratory

MAYO
more

New York DOH Approval Status

Yes
more

Interface Map for HHV6P

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Human Herpesvirus-6, Molecular Detection, PCR, Plasma3800379
3800379HHV-6 PCR, P 29495-9 No

LEGSP – “Legionella Species by Qual PCR” replaced by LEGRP – “Legionella species, Molecular Detection, PCR, Varies”

Effective Date 07/16/2024
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

LEGSP

Ordering Code

3620900

CPT-4 Codes(s)

87541, 87798

Replacement Test Details

Mnemonic

LEGRP

Ordering Code

3800381

CPT-4 Codes(s)

87801

Turnaround Time
3- 5 days
Performed
Monday - Sunday
Legacy Code
LEGRP
Example Report
Download

Specimen Information

Collect

Lower Respiratory specimen: Bronchoalveolar Lavage (BAL)

Specimen Preparation

Send 1.0 mL BAL in a sterile screw capped plastic container. Specimen source is required.

Alternate Specimen

Lower respiratory: Bronchial aspirate/brushing/lavage/washing, tracheal/endotracheal secretions/aspirate, sputum. Collect in a sterile container.
Fresh tissue or biopsy: Lung, pleura, heart valve, pericardium. Collect in a sterile container.
Fluid: Pericardial, pleural, chest, chest tube drainage, thoracentesis, empyema. Collect in a sterile container.

Minimum Volume

Lower respiratory: 1.0 mL
Fresh tissue or biopsy: Entire collection or 5 mm(3) - approximately the size of a pencil eraser.
Fluid: 1.0 mL

Transport Temperature

Refrigerated

Rejection Criteria

Tissue in formalin, formaldehyde, or acetone
Formalin-fixed paraffin-embedded (FFPE) block

Stability

Room temperature: Unacceptable
Refrigerated: 7 days
Frozen: 7 days

Methodology

Rapid Polymerase Chain Reaction (PCR)
more

Reference Range

Not applicable
more

Performing Laboratory

MAYO
more

New York DOH Approval Status

Yes
more

Interface Map for LEGRP

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Legionella species, Molecular Detection, PCR, Varies3800381
3800382 Specimen Source 31208-2Yes
3800383Legionella PCR, Result 5020-3No

INHA – “Inhibin A” replaced by INHNA – “Inhibin-A”

Effective Date 07/30/2024
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

INHA

Ordering Code

3708470

CPT-4 Codes(s)

86336

Replacement Test Details

Mnemonic

INHNA

Ordering Code

3000893

CPT-4 Codes(s)

86336

Turnaround Time
1 - 3 days
Performed
Monday, Wednesday, Thursday, Friday
Legacy Code
INHNA

Specimen Information

Collect

Red top

Specimen Preparation

Centrifuge, separate serum from cells and send 1.0 mL serum in a screw capped plastic vial.

Alternate Specimen

Serum separator tube (SST)

Minimum Volume

0.6 mL

Transport Temperature

Refrigerated

Rejection Criteria

Moderate hemolysis, lipemia, plasma

Stability

Room temperature: 7 days
Refrigerated: 7 days
Frozen: 60 days

Methodology

Chemiluminescence
more

Reference Range

Normal Cycling Females
(Days from LH surge) Range
Early Follicular Phase
(-14 to -10 days) 1.8-17.3 pg/mL
Mid Follicular Phase
(-9 to -4 days) 3.5-31.7 pg/mL
Late Follicular
(-3 to -1 days) 9.8 – 90.3 pg/mL
Mid-Cycle
(Day 0, LH surge) 16.9-91.8 pg/mL
Early Luteal Phase
(1 to 3 days) 16.1-97.5 pg/mL
Mid Luteal Phase
(4 to 11 days) 3.9-87.7 pg/mL
Late Luteal Phase
(12 to 14 days) 2.7-47.1 pg/mL
Post Menopausal Females: <2.2 pg/mL
Males: <2.1 pg/mL
more

Performing Laboratory

Warde Medical Laboratory
more

New York DOH Approval Status

Yes
more

Interface Map for INHNA

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Inhibin-A3000893
3000893INHIBIN-A 23883-2No

CO2 – “Carbon Dioxide”

Effective Date 07/15/2024
Update Type Inactivated Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

CO2

Ordering Code

3718300

CPT-4 Codes(s)

82374

ALUMS – “Aluminum, Serum”

Effective Date 07/01/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to New York approval and performing laboratory.

New York DOH Approval Status: No

Performing Laboratory: Quest SJC

Test Details

Mnemonic

ALUMS

Ordering Code

3701240

CPT-4 Codes(s)

82108

SELS – “Selenium”

Effective Date 07/01/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to New York approval and performing laboratory.

New York DOH Approval Status: No

Performing Laboratory: Quest SJC

Test Details

Mnemonic

SELS

Ordering Code

3706520

CPT-4 Codes(s)

84255

COCCG – “Coccidioides Quantitative EIA Antigen”

Effective Date 07/02/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to specimen requirements and alternate specimen.

Minimum Volume: Serum: 1.2 mL
                                 CSF: 0.8 mL
                                 Urine, BAL, other body fluids: 0.5 mL 

Alternate Specimen: Serum: Red top
Plasma: EDTA, sodium heparin, lithium heparin, sodium citrate
Urine, BAL, other body fluids

Test Details

Mnemonic

COCCG

Ordering Code

3515910

CPT-4 Codes(s)

87449

HSS14 – “Horizon 14 (PAN-ETHNIC STANDARD)”

Effective Date 07/02/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to LOINC codes.

Interface Map:

Result Code Name LOINC Code AOE/Prompt
3302829 Ethnicity of Patient 46463-6 Yes
3302864 Authorize Natera to share result with partner/physician? Yes
3302827 Is this patient pregnant? 82810-3 Yes
3302865 Natera to follow up with patient for sample collection? Yes
3302836 Partner’s DOB (MMDDYYYY) Yes
3302835 Partner’s name (LAST NAME, FIRST NAME) Yes
3302866 Partner’s phone number Yes
3302867 HIPAA consent obtained and available to Natera upon request Yes
3302868 Specimen type (BLOOD/SALIVA) Yes
3302826 Tay-Sachs Enzyme Add-on Yes
3302834 What type of billing? Yes
3302873 Test medically necessary/Pt. informed,consented? Yes
3302869 Report Summary 53039-4 No
3302837 Cystic Fibrosis 38404-0 No
3302838 Duchenne/Becker Muscular Dystrophy 50626-1 No
3302839 Fragile X Syndrome 64417-6 No
3302840 Spinal Muscular Atrophy 35462-1 No
3302841 Alpha-Thalassemia No
3302842 Beta-Hemoglobinopathies No
3302843 Canavan Disease No
3302844 Familial Dysautonomia No
3302845 Gaucher Disease No
3302846 Galactosemia No
3302847 Medium Chain Acyl-CoA Dehydrogenase Deficiency No
3302848 Polycystic Kidney Disease, Autosomal Recessive No
3302849 Smith-Lemli-Opitz Syndrome No
3302851 Tay-Sachs Disease (DNA only) 49253-5 No
3302853 Panel Notes No
3302854 Report Note 86467-8 No
3302855 Footnotes 62364-5 No

Test Details

Mnemonic

HSS14

Ordering Code

3302872

CPT-4 Codes(s)

81479 (or 81200, 81220, 81243, 81251, 81255, 81257, 81260, 81329, 81361, 81400, 81401, 81405, 81408, 81161)

HSS4 – “Horizon 4 (SMA, CF, FRAGILE X, DMD)”

Effective Date 07/02/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to LOINC codes.

Interface Map:

Result Code Name LOINC Code AOE/Prompt
3302829 Ethnicity of Patient 46463-6 Yes
3302864 Authorize Natera to share result with partner/physician? Yes
3302827 Is this patient pregnant? 82810-3 Yes
3302865 Natera to follow up with patient for sample collection? Yes
3302836 Partner’s DOB (MMDDYYYY) Yes
3302835 Partner’s name (LAST NAME, FIRST NAME) Yes
3302866 Partner’s phone number Yes
3302867 HIPAA consent obtained and available to Natera upon request Yes
3302868 Specimen type (BLOOD/SALIVA) Yes
3302826 Tay-Sachs Enzyme Add-on Yes
3302834 What type of billing? Yes
3302869 Report Summary 53039-4 No
3302837 Cystic Fibrosis 38404-0 No
3302838 Duchenne/Becker Muscular Dystrophy 50626-1 No
3302839 Fragile X Syndrome 64417-6 No
3302840 Spinal Muscular Atrophy 35462-1 No
3302851 Tay-Sachs Disease (DNA only) 49253-5 No
3302853 Panel Notes No
3302854 Report Note 86467-8 No
3302855 Footnotes 62364-5 No

Test Details

Mnemonic

HSS4

Ordering Code

3302871

CPT-4 Codes(s)

81479 (or 81220, 81243, 81329, 81408, 81161)

INPBL – “Comprehensive Volatiles Panel, Blood”

Effective Date 07/02/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to specimen requirements and turnaround time.

Specimen Preparation: Send 9.0 mL whole blood in a screw capped plastic vial. Tube should be filled to prevent loss of volatile analyte into headspace. Ensure that container remains tightly sealed.

Minimum Volume: 4.5 mL

Turnaround Time: 7 – 9 days

 

Test Details

Mnemonic

INPBL

Ordering Code

3300171

CPT-4 Codes(s)

84600 x 4, 82441

LPROA – “Lipoprotein LP(a)”

Effective Date 07/02/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to New York approval.

New York DOH Approval Status: No

Test Details

Mnemonic

LPROA

Ordering Code

3096200

CPT-4 Codes(s)

83695

PAN – “Panorama Prenatal Test w/No Microdeletion Panel”

Effective Date 07/02/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to AOE and LOINC codes.

Interface Map:

Result Code Name LOINC Code AOE/Prompt
3302532 Is the patient pregnant? 82810-3 Yes
3302533 Expected Due Date (MM/DD/YYYY) 11778-8 Yes
3302534 Is this an in-vitro fertilized pregnancy? 47224-1 Yes
3302535 Is this a twin pregnancy? 96983-2 Yes
3302536 I want gender results included in this report. 99501-9 Yes
3302537 Maternal Weight (in pounds) 29463-7 Yes
3302538 What type of billing? 74704-8 Yes
3300341 Is Rho(D) status requested? 19148-6 Yes
3302539 Report Summary 75544-7 No

Test Details

Mnemonic

PAN

Ordering Code

3302531

CPT-4 Codes(s)

81420

PAN22 – “Panorama Prenatal Test with 22Q11 Microdeletion Panel”

Effective Date 07/02/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to AOE and LOINC codes.

Interface Map:

Result Code Name LOINC Code AOE/Prompt
3302541 Is the patient pregnant? 82810-3 Yes
3302542 Expected Due Date (MM/DD/YYYY) 11778-8 Yes
3302543 Is this an in-vitro fertilized pregnancy? 47224-1 Yes
3302544 Is this a twin pregnancy? 96983-2 Yes
3302545 I want gender results included in this report. 99501-9 Yes
3302546 Maternal Weight (in pounds) 29463-7 Yes
3302547 What type of billing? 74704-8 Yes
3300342 Is Rho(D) status requested? 19148-6 Yes
3302548 Report Summary 75544-7 No

Test Details

Mnemonic

PAN22

Ordering Code

3302540

CPT-4 Codes(s)

81420, 81422 (for 22q11.2)

PANFP – “Panorama Prenatal Test with Extended Microdeletion Panel”

Effective Date 07/02/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to AOE and LOINC codes.

Interface Map:

Result Code Name LOINC Code AOE/Prompt
3302552 Is the patient pregnant? 82810-3 Yes
3302553 Expected Due Date (MM/DD/YYYY) 11778-8 Yes
3302554 Is this an in-vitro fertilized pregnancy? 47224-1 Yes
3302555 Is this a twin pregnancy? 96983-2 Yes
3302556 I want gender results included in this report. 99501-9 Yes
3302557 Maternal Weight (in pounds) 29463-7 Yes
3302558 What type of billing? 74704-8 Yes
3300343 Is Rho(D) status requested? 19148-6 Yes
3302559 Report Summary 75544-7 No

Test Details

Mnemonic

PANFP

Ordering Code

3302551

CPT-4 Codes(s)

81507

UGT1G – “UGT1A1 Genotyping”

Effective Date 07/02/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to stability.

Stability: Room temperature: 7 days
Refrigerated: 1 month
Frozen: Unacceptable

Test Details

Mnemonic

UGT1G

Ordering Code

3620140

CPT-4 Codes(s)

81350

VITA – “Vitamin A”

Effective Date 07/02/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to New York approval.

New York DOH Approval Status: No

Test Details

Mnemonic

VITA

Ordering Code

1060200

CPT-4 Codes(s)

84590

VITAE – “Vitamin A and E”

Effective Date 07/02/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to New York approval.

New York DOH Approval Status: No

Test Details

Mnemonic

VITAE

Ordering Code

1060180

CPT-4 Codes(s)

84590, 84446

VITC – “Vitamin C”

Effective Date 07/02/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to New York approval.

New York DOH Approval Status: No

Test Details

Mnemonic

VITC

Ordering Code

1060400

CPT-4 Codes(s)

82180

VITE – “Vitamin E”

Effective Date 07/02/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to New York approval.

New York DOH Approval Status: No

Test Details

Mnemonic

VITE

Ordering Code

1060300

CPT-4 Codes(s)

84446

AROME – “Aromatic Solvents Exposure Panel,Blood”

Effective Date 07/08/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to example report on website.

Test Details

Mnemonic

AROME

Ordering Code

3300161

CPT-4 Codes(s)

84600

BENZ – “Benzene, Blood”

Effective Date 07/08/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to specimen requirements, methodology, and example report on website.

Specimen Preparation: Send 5.0 mL whole blood in a sterile, screw capped plastic vial.

Methodology: Headspace Gas Chromatography Mass Spectrometry (GCMS)

Test Details

Mnemonic

BENZ

Ordering Code

3500529

CPT-4 Codes(s)

84600

ACETA – “Acetaminophen”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

ACETA

Ordering Code

1750020

CPT-4 Codes(s)

80143

ALPRZ – “Alprazolam (Xanax)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

ALPRZ

Ordering Code

1751100

CPT-4 Codes(s)

80346 (G0480)

AMH – “Anti-Mullerian Hormone”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to New York approval.

New York DOH Approval Status: Yes

Test Details

Mnemonic

AMH

Ordering Code

3717000

CPT-4 Codes(s)

82166

AMIOD – “Amiodarone (Cordarone)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), heparinized, grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

AMIOD

Ordering Code

1756000

CPT-4 Codes(s)

80151

AMITR – “Amitriptyline (Elavil, Pamelor)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

AMITR

Ordering Code

1750320

CPT-4 Codes(s)

80335 (G0480)

AMKCN – “Amikacin, Random”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), whole blood, heparinized plasma, grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

AMKCN

Ordering Code

1750225

CPT-4 Codes(s)

80150

AMKPK – “Amikacin, Peak”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), whole blood, heparinized plasma, grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

AMKPK

Ordering Code

1750220

CPT-4 Codes(s)

80150

AMKTR – “Amikacin, Trough”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), whole blood, heparinized plasma, grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

AMKTR

Ordering Code

1750230

CPT-4 Codes(s)

80150

BENZP – “Benzodiazepine Panel, Serum Quantitative”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

BENZP

Ordering Code

1750970

CPT-4 Codes(s)

80346 (G0480)

CARBF – “Carbamazepine, Free”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

CARBF

Ordering Code

1750262

CPT-4 Codes(s)

80157

CARBT – “Carbamazepine, Total”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

CARBT

Ordering Code

1750260

CPT-4 Codes(s)

80156

CHLRP – “Chlordiazepoxide (Librium)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), not protected from light, grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

CHLRP

Ordering Code

1750980

CPT-4 Codes(s)

80346 (G0480)

CLONA – “Clonazepam (Klonopin)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

CLONA

Ordering Code

1751120

CPT-4 Codes(s)

80346 (G0480)

CLOZA – “Clozapine (Clozaril)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), heparinized, grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

CLOZA

Ordering Code

1757000

CPT-4 Codes(s)

80159

CODEI – “Codeine, Serum”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

CODEI

Ordering Code

1757360

CPT-4 Codes(s)

80361 (G0480)

DESPR – “Desipramine (Norpramin)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

DESPR

Ordering Code

1750300

CPT-4 Codes(s)

80335 (G0480)

DIAZE – “Diazepam (Valium)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

DIAZE

Ordering Code

1750990

CPT-4 Codes(s)

80346 (G0480)

DOXEP – “Doxepin (Sinequan)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

DOXEP

Ordering Code

1750650

CPT-4 Codes(s)

80335 (G0480)

EONE – “Estrone, LC/MS/MS”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to LOINC code.

Interface Map:

Result Code Name LOINC Code AOE/Prompt
3000892 Estrone, LC/MS/MS 2258-2 No

 

Test Details

Mnemonic

EONE

Ordering Code

3000892

CPT-4 Codes(s)

82679

ESTM – “Estrogens, Total and Fractionated, LC/MS/MS”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to LOINC codes.

Interface Map:

Result Code Name LOINC Code AOE/Prompt
3000888 Estrone by LC/MS/MS 2258-2 No
3000889 Estradiol by LC/MS/MS 35384-7 No
3000891 Estrogens, Total, Calculation 53765-4 No

 

Test Details

Mnemonic

ESTM

Ordering Code

3000887

CPT-4 Codes(s)

82671

ETHSX – “Ethosuximide”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

ETHSX

Ordering Code

1750280

CPT-4 Codes(s)

80168

FELBA – “Felbamate (Felbatol)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

FELBA

Ordering Code

1752000

CPT-4 Codes(s)

80167

FLUOX – “Fluoxetine (Prozac)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

FLUOX

Ordering Code

1750590

CPT-4 Codes(s)

80299

FLURZ – “Flurazepam (Dalmane)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

FLURZ

Ordering Code

1751040

CPT-4 Codes(s)

80346 (G0480)

GABAP – “Gabapentin (Neurontin)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

GABAP

Ordering Code

1751300

CPT-4 Codes(s)

80171

HCODS – “Hydrocodone, Serum (Vicodin)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

HCODS

Ordering Code

1757300

CPT-4 Codes(s)

80361 (G0480)

HYDMS – “Hydromorphone (Dilaudid)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Whole blood frozen, serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

HYDMS

Ordering Code

1757540

CPT-4 Codes(s)

80361 (G0480)

IMIPR – “Imipramine (Tofranil)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

IMIPR

Ordering Code

1750335

CPT-4 Codes(s)

80335 (G0480)

LAMOT – “Lamotrigine (Lamictal)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), green sodium or lithium heparin, grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

LAMOT

Ordering Code

1756800

CPT-4 Codes(s)

80175

LEVET – “Levetiracetam (Keppra)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

LEVET

Ordering Code

1751330

CPT-4 Codes(s)

80177

LIDCN – “Lidocaine (Xylocaine)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), whole blood, grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

LIDCN

Ordering Code

1750075

CPT-4 Codes(s)

80176

LORAZ – “Lorazepam (Ativan)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

LORAZ

Ordering Code

1751080

CPT-4 Codes(s)

80346 (G0480)

LORCE – “Lorcet, Serum (Hydrocodone/Acetaminophen)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

LORCE

Ordering Code

1757390

CPT-4 Codes(s)

80361 (G0480); 80143

METHD – “Methadone, Serum, Quantitative”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

METHD

Ordering Code

1750760

CPT-4 Codes(s)

80358 (G0480)

MMA01 – “Methylmalonic Acid”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

MMA01

Ordering Code

1013000

CPT-4 Codes(s)

83921

MORPQ – “Morphine, Serum, Quantitative”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

MORPQ

Ordering Code

1840110

CPT-4 Codes(s)

80361 (G0480)

MPA01 – “Mycophenolic Acid”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

MPA01

Ordering Code

1757260

CPT-4 Codes(s)

80180

NORDZ – “Nordiazepam (Clorazepate, Tranxene)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

NORDZ

Ordering Code

1751020

CPT-4 Codes(s)

80346 (G0480)

NORTI – “Nortriptyline”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

NORTI

Ordering Code

1750325

CPT-4 Codes(s)

80335 (G0480)

OCARB – “Oxcarbazepine”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

OCARB

Ordering Code

1751340

CPT-4 Codes(s)

80183

OPTSP – “Opiate Panel, Serum Quantitative”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

OPTSP

Ordering Code

1808205

CPT-4 Codes(s)

80361, 80365 (G0480)

OXAZE – “Oxazepam (Serax)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

OXAZE

Ordering Code

1751060

CPT-4 Codes(s)

80346 (G0480)

OXYCD – “Oxycodone, Serum (Oxycontin)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

OXYCD

Ordering Code

1757330

CPT-4 Codes(s)

80365 (G0480)

OXYMS – “Oxymorphone, Serum (Numorphan)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

OXYMS

Ordering Code

1757500

CPT-4 Codes(s)

80365 (G0480)

PENTO – “Pentobarbital (Nembutal)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

PENTO

Ordering Code

1750570

CPT-4 Codes(s)

80345 (G0480)

PHEBF – “Phenobarbital, Free”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

PHEBF

Ordering Code

1750575

CPT-4 Codes(s)

80184

PHENO – “Phenobarbital”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

PHENO

Ordering Code

1750030

CPT-4 Codes(s)

80184

PHENY – “Phenytoin (Dilantin)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

PHENY

Ordering Code

1750040

CPT-4 Codes(s)

80185

PHNYF – “Phenytoin, Free (Dilantin)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), whole blood, grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

PHNYF

Ordering Code

1750052

CPT-4 Codes(s)

80186

PRIMI – “Primidone (Mysoline)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

PRIMI

Ordering Code

1750110

CPT-4 Codes(s)

80188

SALIC – “Salicylate, Serum”

Effective Date 07/09/2024
Update Type Updated Test
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Notes

Update to rejection criteria.

Rejection Criteria: Grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

SALIC

Ordering Code

1750130

CPT-4 Codes(s)

80329 (G0480)

SAMP1 – “Amphetamine, Serum, Qualitative”

Effective Date 07/09/2024
Update Type Updated Test
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Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

SAMP1

Ordering Code

1800300

CPT-4 Codes(s)

80307

SBEN1 – “Benzodiazepine, Serum, Qualitative”

Effective Date 07/09/2024
Update Type Updated Test
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Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

SBEN1

Ordering Code

1800320

CPT-4 Codes(s)

80307

SCOC1 – “Cocaine, Serum, Qualitative”

Effective Date 07/09/2024
Update Type Updated Test
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Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

SCOC1

Ordering Code

1800330

CPT-4 Codes(s)

80307

SDS1A – “Drug Abuse Screen, Serum”

Effective Date 07/09/2024
Update Type Updated Test
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Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), any tubes containing gel, grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

SDS1A

Ordering Code

1800400

CPT-4 Codes(s)

80307

SDSCC – “Drug Screen, Serum Comprehensive”

Effective Date 07/09/2024
Update Type Updated Test
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Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), any tubes containing gel, grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

SDSCC

Ordering Code

1800410

CPT-4 Codes(s)

80307, 80377 (G0481)

SMTH1 – “Methadone, Serum, Qualitative”

Effective Date 07/09/2024
Update Type Updated Test
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Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

SMTH1

Ordering Code

1800340

CPT-4 Codes(s)

80307

SNICO – “Nicotine and Cotinine, Serum”

Effective Date 07/09/2024
Update Type Updated Test
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Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), sodium citrate, grossly lipemic, hemolyzed, and icteric specimens.

Test Details

Mnemonic

SNICO

Ordering Code

1860500

CPT-4 Codes(s)

80323 (G0480)

SOPT1 – “Opiate, Serum, Qualitative”

Effective Date 07/09/2024
Update Type Updated Test
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Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

SOPT1

Ordering Code

1800350

CPT-4 Codes(s)

80307

SPCP1 – “Phencyclidine, Serum, Qualitative”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

SPCP1

Ordering Code

1800360

CPT-4 Codes(s)

80307

SPRP1 – “Propoxyphene, Serum, Qualitative”

Effective Date 07/09/2024
Update Type Updated Test
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Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

SPRP1

Ordering Code

1800370

CPT-4 Codes(s)

80307

STHC1 – “THC, Serum, Qualitative”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

STHC1

Ordering Code

1800380

CPT-4 Codes(s)

80307

TADSP – “Tricyclic Antidepressant Panel, Quantitative”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

TADSP

Ordering Code

1750455

CPT-4 Codes(s)

80337 (G0480)

TEMAZ – “Temazepam”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

TEMAZ

Ordering Code

1751160

CPT-4 Codes(s)

80346 (G0480)

TESBQ – “Testosterone, Free, Bioavailable and Total, MS”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to alternate specimen, rejection criteria, and stability.

Alternate Specimen: Serum separator tube (SST)

Rejection Criteria: Gross hemolysis, gross lipemia, plasma 

Stability: Room temperature: 7 days
Refrigerated: 21 days
Frozen: 60 days

Test Details

Mnemonic

TESBQ

Ordering Code

3422000

CPT-4 Codes(s)

84403, 84270, 82040

TOPIR – “Topiramate (Topamax)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

TOPIR

Ordering Code

1752050

CPT-4 Codes(s)

80201

TRAZO – “Trazadone (Desyrel)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

TRAZO

Ordering Code

1750580

CPT-4 Codes(s)

80338 (G0480)

ZONIS – “ZONISAMIDE (ZONEGRAN)”

Effective Date 07/09/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), grossly lipemic, hemolyzed, and icteric specimens. 

Test Details

Mnemonic

ZONIS

Ordering Code

1893050

CPT-4 Codes(s)

80203

FLEC – “Flecainide, Serum”

Effective Date 07/15/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to New York approval, performed days, turnaround time, and performing laboratory.

New York DOH Approval Status: No

Performed Days: Wednesday, Saturday

Turnaround Time: 5 – 8 days

Performing Laboratory: Quest SJC

Test Details

Mnemonic

FLEC

Ordering Code

3424320

CPT-4 Codes(s)

80181

LACOS – “Lacosamide”

Effective Date 07/15/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to New York approval, performed days, turnaround time, and performing laboratory.

New York DOH Approval Status: No

Performed Days: Tuesday, Saturday

Turnaround Time: 5 – 8 days

Performing Laboratory: Quest SJC

Test Details

Mnemonic

LACOS

Ordering Code

3513660

CPT-4 Codes(s)

80235

TPMTM – “Thiopurine Metabolites”

Effective Date 07/15/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to New York approval, turnaround time, and performing laboratory.

New York DOH Approval Status: No

Turnaround Time: 5 – 7 days

Performing Laboratory: Quest SJC

Test Details

Mnemonic

TPMTM

Ordering Code

3400000

CPT-4 Codes(s)

80299

MIXAM – “Microsporidia Exam”

Effective Date 07/22/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to specimen requirements, alternate specimen, and stability.

Transport Temperature: Room temperature

Alternate Specimen: Duodenal aspirate: 10% formalin or Total Fix®

Stability: Room temperature: 30 days
                Refrigerated: 30 days
                Frozen: Unacceptable

Test Details

Mnemonic

MIXAM

Ordering Code

3700096

CPT-4 Codes(s)

87207

BSDQL – “Borrelia Species DNA, Qual Real-Time PCR”

Effective Date 07/29/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to alternate specimen, stability, and performing laboratory.

Alternate Specimen: Cerebrospinal fluid (CSF) or synovial fluid. Collected in a sterile leak proof container. 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 30 days 

Performing Laboratory: Quest SJC

Test Details

Mnemonic

BSDQL

Ordering Code

3400641

CPT-4 Codes(s)

87801

JCVQN – “JC Polyoma Virus DNA Quant RT PCR S/P”

Effective Date 07/29/2024
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to LOINC codes.

Interface Map:

Result Code Name LOINC Code AOE/Prompt
3400638 Source 31208-2 Yes
3400639 JC Virus DNA, QN PCR 101342-4 No
3400640 JC Virus DNA, QN PCR 101731-8 No

Test Details

Mnemonic

JCVQN

Ordering Code

3400637

CPT-4 Codes(s)

87799

WML Test Directory Update | July 2024 | Warde Medical Laboratory Page
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