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Herpes Virus Antigen by DFA

Test code: 34290

CPT code(s): 87274

Methodology: Direct Immunofluorescence Assay

Alternative name(s): N/A

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C. difficile Toxin/GDH w/ Reflex to PCR

Test code: 91664

CPT code(s): 87449, 87324

Methodology: Immunoassay

Includes: If the GDH Antigen is detected and the Toxin A and B are not detected or the GDH Antigen is not detected and the Toxin A and B are detected, Clostridium difficile Toxin B, Qualitative, Real-Time PCR will be performed at an additional charge (CPT code(s): 87493).

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C. difficile Toxin B, QL Real Time PCR

Test code: 16377

CPT code(s): 87493

Methodology: Real Time Polymerase Chain Reaction (PCR)

Clinical Significance: C. difficile is the major cause of antibiotic-associated diarrhea (AAD) and pseudomembranous colitis.

Alternative Names: C. difficile Toxin B Gene; C. diff PCR

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BMP - Basic Metabolic Panel with and without eGFR

Basic Metabolic Panel with eGFR

Test Code: 10165
CPT Code(s): 80048
Includes: BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Glucose, Potassium, Sodium, Urea Nitrogen (BUN)
Alternative Name(s): Basic MET, Basic Metabolic, BMP, BMP w/ EGFR, BMP with EGFR, CHEM panel, Limited Metabolic, LMP, Metabolic Panel

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T4, Free

Test Code: 866

CPT Code(s): 84439

Methodology: Immunoassay

Clinical Significance: For diagnosis of hypothyroidism and hyperthyroidism

Additional names: Free T-4, Free Thyroxine, FT4, Thyroxine Free

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Hemoglobin A1c

Hemoglobin A1c

Test Code: 496
CPT Code: 83036
Alternative Name(s): A1c, HGBA1C, A1C Hemoglobin, Fast Hemoglobins, Glycosylated Hgb

Hemoglobin A1c w/MPG

Test Code: 8181
CPT Code: 83036
Alternative Name(s): A1c, HGBA1C, A1C Hemoglobin, Fast Hemoglobins, Glycosylated Hgb, A1c with mean blood glucose

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TSH

Test Code:
899 - TSH
36127 - TSH with Reflex to FT4
90896 - TSH, Pregnancy

CPT Code(s):
Test Code 899: 84443
Test Code 36127: 84443
Test Code 90896: 84443

Supply: 170739 RedGrey SST 8.5mL

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Lithium

Test Code: 613

CPT Code(s): 80178

Methodology: Atomic Spectoscopy/ISE

Clinical Significance: Lithium is used to treat manic-depressive disorders and the manic phase of affective disorders, including mania. The therapeutic window is relatively small. Therapeutic drug monitoring is useful to optimize dose and avoid toxicity.

Alternative Name(s): None

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Lipid Panels

LIPID PANEL
Test Code: 7600
CPT Code(s): 80061
Includes: Total Cholesterol, HDL Cholesterol, Triglycerides, LDL-Cholesterol (calculated), Cholesterol/HDL Ratio (calculated) Non-HDL Cholesterol

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CBC (Complete Blood Count)

CBC (Hemoglobin/Hematocrit, RBC, Indices, WBC, Platelet) – without the Differential

Test Code: 1759
CPT Code: 85027
Includes: WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count

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