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BRCAvantage™ Test Menu

BRCAvantage™ Plus (BRCA1, BRCA2, TP53, PTEN, CDH1, STK11, PALB2)

Test Code: 92587

CPT Code(s): 81162, 81405 (x2), 81479, 81321, 81323, 81406 (x2), 81404

Methodology: Exon Capture • Next Generation Sequencing • Multiplex Ligation-dependent Probe Amplification (MLPA)

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BRCAvantage™ Comprehensive

BRCAvantage™ Comprehensive

Test Code: 91863

CPT Code(s): 81162

Supply: 193292 Lavender 4mL Blood Tube

Includes:
BRCA1 Sequencing, BRCA1 Deletion/Duplication, BRCA2 Sequencing, BRCA2 Deletion/Duplication, Comprehensive Interpretation

Methodology:
Next Generation Sequencing • Multiplex Ligation-dependent Probe Amplification (MLPA)

Reference Range(s): See Laboratory Report

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AFFIRM™ BV/Vaginitis Panel DNA Probe

Bacterial Vaginosis/Vaginitis Panel

Test Code: 14577

CPT Code(s): 87480, 87510, 87660

Includes: Candida species, Trichomonas vaginalis, Gardnerella vaginalis

Methodology: DNA Probe

Special Instructions: Cervical specimens should be avoided because of the effect of elevated sialidase activity. Specimens should not be collected from a patient who has used any vaginal product in the previous 72 hours, e.g., cream, gel, spermicide, or douching.

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Chlamydia / N. Gonorrhoeae RNA, TMA - Vaginal Collection

Test Code: 11363

Includes: Chlamydia trachomatis, Neisseria gonorrhoeae

Methodology: Dual Kinetic Assay (DKA) • Target Capture • Transcription-Mediated Amplification (TMA)

Reference Range(s):
C.trachomatis RNA, TMA - Not detected
N.gonorrhoeae RNA, TMA - Not detected

This test was performed using the APTIMA® COMBO2 Assay (GEN-PROBE).

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Chlamydia / N. Gonorrhoeae RNA, TMA - Unisex Collection

Test Code: 11363

Includes: Chlamydia trachomatis, Neisseria gonorrhoeae

Methodology: Dual Kinetic Assay (DKA) • Target Capture • Transcription-Mediated Amplification (TMA)

Reference Range(s):
C.trachomatis RNA, TMA - Not detected

N.gonorrhoeae RNA, TMA - Not detected

This test was performed using the APTIMA® COMBO2 Assay (GEN-PROBE).

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Culture, Throat

Test code: 394

CPT code(s): 87070

Includes: If culture is positive, identification will be performed at an additional charge (CPT code(s): 87077 or 87140 or 87143 or 87147 or 87149).
Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186).

Methodology: Bacterial culture, Aerobic routine isolation and Identification procedures; Antibiotic susceptibility testing (when appropriate)

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Culture, Nasopharyngeal / Nasal

Test Code: 4482

CPT Code(s): 87070

Includes: If culture is positive, identification will be performed at an additional charge (CPT code(s): 87077 or 87143 or 87147 or 87140 or 87149).
Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186).

Methodology: Bacteriologic culture. Aerobic includes routine isolation and identification procedures. Antibiotic susceptibility testing when appropriate.

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Culture, Genital

Test code: 4558

CPT code(s): 87070

Includes: If culture is positive, identification will be performed at an additional charge (cpt code(s): 87077 or 87140 or 87143 or 87147 or 87149). Antibiotic susceptibilities are only performed when appropriate (cpt: 87181 or 87184 or 87185 or 87186).

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Culture, Fungus, Other than Hair, Skin, Blood, with Fluorescent KOH (Amies Gel)

Test Code: 4553

CPT Code(s): 87102, 87206

Includes: Fungal smear and culture. If culture is positive identification will be performed at an additional charge (CPT code(s): 87106 or 87107 or 87140 or 87143 or 87149 or 87158).

Methodology: Microscopic Exam with Calcofluor White Stain (KOH) • Culture, Isolation and Identification

Clinical Significance: The clinical significance of an isolate varies with the identification, source, and clinical symptoms manifested.

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Culture, Eye

Test Code: 4480

CPT Code(s): 87070

Includes: If culture is positive, identification will be performed at an additional charge (CPT code(s): 87077 or 87140 or 87143 or 87147 or 87149). Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186).

Methodology: Bacterial culture, aerobic routine isolation and identification procedures antimicrobial susceptibility testing when appropriate

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