Blood Collection Guide - Wall Chart
Wall Charts can be ordered by emailing DLOClientSupply@questdiagnostics.com or you can download/print the chart by clicking on the disc or printer icon above the chart below:
OB/Gyn
TSH, Pregnancy
Test Code: 90896
CPT Code(s): 84443
Supply: #T157 Red/Yellow SST 8mL
Includes: TSH
Methodology: Immunoassay
TSH with Reflex to FT4
Test Code: 36127 - TSH with Reflex to FT4
CPT Code(s): 84443
Supply: #T157 Red/Yellow SST 8mL
Includes:
Test Code 36127: For patients 1 year of age or older, Free T4 will be performed at an additional charge (CPT code(s): 84439) when TSH result exceeds age/gender specific reference range.
Methodology: Immunoassay
SurePath™ Imaging Herpes Simplex Virus, Type 1 and 2 DNA, Real-Time PCR, Pap Vial
Test Code: 90569
CPT Codes: 87529 (x2)
In instances where computer-assisted Pap testing is unable to make an evaluation, manual screening will be performed. All SurePath™ Imaging Pap tests and all ThinPrep® Imaging System tests will be CPT coded as 88175.
Pap results requiring physician interpretation will be performed at an additional charge (CPT Code(s): 88141; HCPCS: G0124).
Methodology: Liquid Based-Density Gradient Sedimentation
SurePath™ Imaging Trichomonas vaginalis RNA, Qualitative, TMA, PAP Vial
Test Code: 90521
CPT Codes: 87661
In instances where computer-assisted Pap testing is unable to make an evaluation, manual screening will be performed. All SurePath™ Imaging Pap tests and all ThinPrep® Imaging System tests will be CPT coded as 88175.
Pap results requiring physician interpretation will be performed at an additional charge (CPT Code(s): 88141; HCPCS: G0124).
Methodology: Liquid Based-Density Gradient Sedimentation
SurePath Imaging Chlamydia trachomatis RNA, TMA
Test Code: 11362
CPT Code: 87591
In instances where computer-assisted Pap testing is unable to make an evaluation, manual screening will be performed. All SurePath™ Imaging Pap tests and all ThinPrep® Imaging System tests will be CPT coded as 88175.
Pap results requiring physician interpretation will be performed at an additional charge (CPT Code(s): 88141; HCPCS: G0124).
Methodology: Liquid Based-Density Gradient Sedimentation
Chlamydia trachomatis RNA, TMA, Urogenital
Test Code: 11361
CPT Codes: 87491
SurePath™ Imaging Pap & HPV mRNA E6/E7, reflex HPV 16,18/45
Test Code: 18829
CPT Codes: 88175 (HCPCS: G0145), 87624
In instances where computer-assisted Pap testing is unable to make an evaluation, manual screening will be performed. All SurePath™ Imaging Pap tests and all ThinPrep® Imaging System tests will be CPT coded as 88175.
Pap results requiring physician interpretation will be performed at an additional charge (CPT Code(s): 88141; HCPCS: G0124).
Methodology: Liquid Based-Density Gradient Sedimentation
SurePath™ Imaging Pap and HPV mRNA E6/E7,C. trachomatis, N. gonorrhoeae
Test Code: 18828
CPT Codes: 88175 (HCPCS: G0145), 87624, 87491, 87591
In instances where computer-assisted Pap testing is unable to make an evaluation, manual screening will be performed. All SurePath™ Imaging Pap tests and all ThinPrep® Imaging System tests will be CPT coded as 88175.
Pap results requiring physician interpretation will be performed at an additional charge (CPT Code(s): 88141; HCPCS: G0124).
Methodology: Liquid Based-Density Gradient Sedimentation
SurePath™ Imaging Pap and HPV mRNA E6/E7 ages 30-65)
Test Code: 18813
CPT Code: 88175 (HCPCS: G0145), 87624
In instances where computer-assisted Pap testing is unable to make an evaluation, manual screening will be performed. All SurePath™ Imaging Pap tests and all ThinPrep® Imaging System tests will be CPT coded as 88175.
Pap results requiring physician interpretation will be performed at an additional charge (CPT Code(s): 88141; HCPCS: G0124).
Methodology: Liquid Based-Density Gradient Sedimentation