Name:
Acid Phosphatase, Total
PHL Test Code:
MSOT
CPT Coding:
84060
Medical Necessity Documentation:
|
Name:
Activated Partial Thromboplastin Time
PHL Test Code:
PTT
CPT Coding:
85730
Medical Necessity Documentation:
|
Name:
Allergic Bronchopulmonary Aspergillosis Panel II
PHL Test Code:
MSOT
CPT Coding:
82785, 86001, 86003, 86331
Medical Necessity Documentation:
|
Name:
Almond IgE, Allergen
PHL Test Code:
AG46G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Alpha Lactalbumin IgE, Allergen
PHL Test Code:
AG66
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Alpha-Fetoprotein Tumor Marker
PHL Test Code:
AFPTM
CPT Coding:
82105
Medical Necessity Documentation:
|
Name:
Alternaria alternata/tenuis IgE, Allergen
PHL Test Code:
AG19G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
American Beech IgE, Allergen
PHL Test Code:
AG91G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Amoxicillin/Amoxicilloyl IgE, Allergen
PHL Test Code:
AG145
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Ampicillin/Ampicilloyl IgE, Allergen
PHL Test Code:
MSOT
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Apple IgE, Allergen
PHL Test Code:
AG47G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Apricot IgE, Allergen
PHL Test Code:
AG187
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Arthritis Profile Comprehensive
PHL Test Code:
ARTPC
CPT Coding:
82310, 84075, 84100, 84520, 84550, 85652, 86038, 86063, 86140, 86200, 86431 (Reflex 86060, 86039)
Medical Necessity Documentation:
|
Name:
Aspergillus fumigatus IgE, Allergen
PHL Test Code:
AG20G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Aspergillus IgE Panel
PHL Test Code:
ASGE
CPT Coding:
86003 (x7)
Medical Necessity Documentation:
|
Name:
Aspergillus niger IgE, Allergen
PHL Test Code:
A150G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Aubergine Eggplant, IgE Allergen
PHL Test Code:
AG196
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Aureobasidium Pullulans IgE, Allergen
PHL Test Code:
AG27G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Avocado IgE, Allergen
PHL Test Code:
AG201
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Bahia Grass IgE, Allergen
PHL Test Code:
AG11G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Banana IgE, Allergen
PHL Test Code:
AG48G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Barley IgE, Allergen
PHL Test Code:
AG49G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Basil IgE, Allergen
PHL Test Code:
AG119
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Beef IgE, Allergen
PHL Test Code:
AG50G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Bermuda Grass IgE, Allergen
PHL Test Code:
AG12G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Beta-2 Microglobulin
PHL Test Code:
BE2MC
CPT Coding:
82232
Medical Necessity Documentation:
|
Name:
Beta-2 Microglobulin, Urine
PHL Test Code:
B2MCU
CPT Coding:
82232 (code 81050 may be added at an additional charge for volume measurement)
Medical Necessity Documentation:
|
Name:
Beta-lactoglobulin, IgE
PHL Test Code:
MSOT
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Black Pepper IgE, Allergen
PHL Test Code:
AG144
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Blackberry IgE, Allergen
PHL Test Code:
AG194
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Blue Mussel IgE, Allergen
PHL Test Code:
A151G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Blueberry IgE, Allergen
PHL Test Code:
AG156
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Bordetella pertussis IgM Antibody
PHL Test Code:
BTPM
CPT Coding:
86615 (86615)
Medical Necessity Documentation:
Because this test is for Research Use Only it will not be billed to Medicaid, Medicare or Medicare Advantage Plans. The Patient will be responsible for payment.
|
Name:
Box Elder IgE, Allergen
PHL Test Code:
AG94G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Brazil Nut IgE, Allergen
PHL Test Code:
A130G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Broccoli IgE, Allergen
PHL Test Code:
AG166
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Bumble Bee Venom IgE, Allergen
PHL Test Code:
AG10G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Cabbage IgE, Allergen
PHL Test Code:
AG206
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Cacao (Chocolate) IgE, Allergen
PHL Test Code:
AG57G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Calcium, Ionized
PHL Test Code:
CAION
CPT Coding:
82330
Medical Necessity Documentation:
|
Name:
Cancer Antigen 125
PHL Test Code:
C1251
CPT Coding:
86304
Medical Necessity Documentation:
|
Name:
Cancer Antigen 15-3
PHL Test Code:
C153
CPT Coding:
86300
Medical Necessity Documentation:
|
Name:
Cancer Antigen 19-9
PHL Test Code:
CA199
CPT Coding:
86301
Medical Necessity Documentation:
|
Name:
Cancer Antigen 27-29
PHL Test Code:
C2729
CPT Coding:
86300
Medical Necessity Documentation:
|
Name:
Candida albicans IgE, Allergen
PHL Test Code:
AG21G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Carcinoembryonic Antigen
PHL Test Code:
CEA
CPT Coding:
82378
Medical Necessity Documentation:
|
Name:
Carcinoembryonic Antigen, Fluid
PHL Test Code:
FCEA
CPT Coding:
82378
Medical Necessity Documentation:
|
Name:
Carmine
PHL Test Code:
AG215
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Carrot IgE, Allergen
PHL Test Code:
AG51
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Casein IgE, Allergen
PHL Test Code:
AG52
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Cashew Nut IgE, Allergen
PHL Test Code:
AG53G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Cat Epithelium/Dander IgE, Allergen
PHL Test Code:
AG1G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Cauliflower IgE, Allergen
PHL Test Code:
AG184
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Cedar IgE, Allergen
PHL Test Code:
A198G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Celery IgE, Allergen
PHL Test Code:
AG54
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Cheese Mold Type IgE, Allergen
PHL Test Code:
AG167
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Cheese, Cheddar Type IgE, Allergen
PHL Test Code:
AG55
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Chicken Feathers IgE, Allergen
PHL Test Code:
AG2G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Chicken Meat IgE, Allergen
PHL Test Code:
AG56
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Childhood Allergy Panel
PHL Test Code:
CHAP3
CPT Coding:
86003 x 15, 82785
Medical Necessity Documentation:
|
Name:
Cholesterol
PHL Test Code:
CHOL
CPT Coding:
82465
Medical Necessity Documentation:
|
Name:
Cholesterol, Fluid
PHL Test Code:
FCHOL
CPT Coding:
82465
Medical Necessity Documentation:
|
Name:
Chromosome Analysis
PHL Test Code:
CHRBL
CPT Coding:
88230, 88262
Medical Necessity Documentation:
|
Name:
Cinnamon IgE, Allergen
PHL Test Code:
AG169
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Cladosporium herbarum IgE, Allergen
PHL Test Code:
AG22G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Clam IgE, Allergen
PHL Test Code:
AG58G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
clonoSEQ Kit Test
PHL Test Code:
CLONO
CPT Coding:
PLA code 0364U or CPT 81479
Medical Necessity Documentation:
ABN Form
|
Name:
Cocklebur IgE, Allergen
PHL Test Code:
AG32G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Cockroach IgE, Allergen
PHL Test Code:
AG8G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Cocksfoot (Orchard Grass) IgE, Allergen
PHL Test Code:
AG16G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Coconut IgE, Allergen
PHL Test Code:
AG161
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Codfish IgE, Allergen
PHL Test Code:
AG59G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Coffee IgE, Allergen
PHL Test Code:
AG171
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Collagen Cross-Linked, 24-Hour Urine
PHL Test Code:
NTP24
CPT Coding:
82523, 82570
Medical Necessity Documentation:
|
Name:
Collagen Profile
PHL Test Code:
COLL
CPT Coding:
85025, 85652, 86038, 86140, 86431 (Reflexes 85007, 85008, 86039)
Medical Necessity Documentation:
|
Name:
Common Ragweed, IgE Allergen
PHL Test Code:
A108G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Common Silver Birch IgE, Allergen
PHL Test Code:
AG92G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Complete Blood Count
PHL Test Code:
CBCND
CPT Coding:
85027 (Reflex 85055)
Medical Necessity Documentation:
|
Name:
Complete Blood Count with Differential
PHL Test Code:
CBCWD
CPT Coding:
85025 (Reflex 85007, 85008) | PRMC/PVH/PCI <50,000 PLT reflex 85055
Medical Necessity Documentation:
|
Name:
Corn (Pollen) IgE, Allergen
PHL Test Code:
MSOT
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Corn IgE, Allergen
PHL Test Code:
AG60G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Cotton Seed IgE, Allergen
PHL Test Code:
AG178
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Cottonwood IgE, Allergen
PHL Test Code:
AG95G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Cow Dander IgE, Allergen
PHL Test Code:
A162G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Cow Milk IgE, Allergen
PHL Test Code:
AG69G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Crab IgE, Allergen
PHL Test Code:
AG61G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Cranberry IgE, Allergen
PHL Test Code:
AG170
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
C-Reactive Protein, Ultrasensitive
PHL Test Code:
CRPS1
CPT Coding:
86141
Medical Necessity Documentation:
|
Name:
CTx Collagen Type I-C
PHL Test Code:
CCTX
CPT Coding:
82523
Medical Necessity Documentation:
|
Name:
Cucumber IgE, Allergen
PHL Test Code:
AG168
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Dermatophagoides farinae IgE, Allergen
PHL Test Code:
AG29G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Dermatophagoides pteronyssinus IgE, Allergen
PHL Test Code:
AG30G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Digoxin
PHL Test Code:
DIG
CPT Coding:
80162
Medical Necessity Documentation:
|
Name:
Dill IgE, Allergen
PHL Test Code:
AG121
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Disseminated Intravascular Coagulation Panel
PHL Test Code:
DIC2
CPT Coding:
85049, 85379, 85384, 85610, 85730
Medical Necessity Documentation:
|
Name:
Dog Dander IgE, Allergen
PHL Test Code:
A105G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
DPD N-Telopeptide, 2-Hour Urine
PHL Test Code:
DPDTP
CPT Coding:
82523, 82570
Medical Necessity Documentation:
|
Name:
Drug Monitoring, Pregabalin, Quantitative, with medMATCH, Urine
PHL Test Code:
PGABM
CPT Coding:
80366; G0480
Medical Necessity Documentation:
G0480 - may need ABN
|
Name:
Drug Screen, Clinical
PHL Test Code:
UDS
CPT Coding:
80307
Medical Necessity Documentation:
|
Name:
Duck Feathers IgE, Allergen
PHL Test Code:
AG3G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Egg White IgE, Allergen
PHL Test Code:
A106G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Egg Whole IgE, Allergen
PHL Test Code:
A107G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Egg Yolk IgE, Allergen
PHL Test Code:
AG62
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
EHS Panel
PHL Test Code:
EHSP
CPT Coding:
80051, 82565, 82947, 84520, 85025 (Reflex 85007, 85008)
Medical Necessity Documentation:
|
Name:
Electron Microscopy, Tissue
PHL Test Code:
PS
CPT Coding:
88348, (Based on tissue type - 88302, 88304, 88305, 88307, 88309)
Medical Necessity Documentation:
|
Name:
Elm IgE, Allergen
PHL Test Code:
AG96G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Erythrocyte Sedimentation Rate
PHL Test Code:
ESR
CPT Coding:
85652
Medical Necessity Documentation:
|
Name:
False Ragweed IgE, Allergen
PHL Test Code:
AG39G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Ferritin
PHL Test Code:
FER
CPT Coding:
82728
Medical Necessity Documentation:
|
Name:
Fibro Panel
PHL Test Code:
FIBRO
CPT Coding:
84305, 86665 x 2, 82530, 85652, 80051, 82565, 84520, 84436, 84479, 84443, 86431, 84550; 86038; 86140; 86060; 82310; 83735 (Reflex-86039)
Medical Necessity Documentation:
|
Name:
Fibro Panel No Urine
PHL Test Code:
FIBNU
CPT Coding:
84305, 86665 x 2, 85652, 80051, 82565, 84520, 84436, 84479, 84443, 86431, 84550; 86038; 86140; 86060; 82310; 83735, 83970 (Reflex 86039)
Medical Necessity Documentation:
|
Name:
Fire Ant IgE, Allergen
PHL Test Code:
AG9G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Firebush, Kochia IgE, Allergen
PHL Test Code:
AG35G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Flounder IgE, Allergen
PHL Test Code:
AG116
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Food Allergy Panel
PHL Test Code:
FP10Q
CPT Coding:
86003 x 10
Medical Necessity Documentation:
|
Name:
Food Panel 2
PHL Test Code:
FDP5
CPT Coding:
86003 x 12, 82785
Medical Necessity Documentation:
|
Name:
Fructosamine
PHL Test Code:
FRUC
CPT Coding:
82985
Medical Necessity Documentation:
|
Name:
Gamma-Glutamyl Transferase
PHL Test Code:
GGT
CPT Coding:
82977
Medical Necessity Documentation:
|
Name:
Garlic IgE, Allergen
PHL Test Code:
AG63
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
General Health Panel
PHL Test Code:
GHP1
CPT Coding:
80053, 84443, 85025 (Reflex 85007 or 85008)
Medical Necessity Documentation:
|
Name:
Giant Ragweed IgE, Allgergen
PHL Test Code:
AG40G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Ginger IgE, Allergen
PHL Test Code:
AG124
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Glucose
PHL Test Code:
GLU
CPT Coding:
82947
Medical Necessity Documentation:
|
Name:
Glucose Diabetes Screening
PHL Test Code:
GTTDM
CPT Coding:
82947, 82950
Medical Necessity Documentation:
|
Name:
Glucose Post Prandial
PHL Test Code:
GLPP
CPT Coding:
82947
Medical Necessity Documentation:
|
Name:
Glucose, 4 PM
PHL Test Code:
GLU4P
CPT Coding:
82947
Medical Necessity Documentation:
|
Name:
Gluten IgE, Allergen
PHL Test Code:
AG64
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Glycohemoglobin
PHL Test Code:
GLYC1
CPT Coding:
83036
Medical Necessity Documentation:
Duplicate testing on this test is not acceptable per Medicare: Testing to only be done every 90 days
|
Name:
Goldenrod IgE, Allergen
PHL Test Code:
AG34G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Goose Feathers IgE, Allergen
PHL Test Code:
AG4G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Goosefoot, Lambs Quarters IgE, Allergen
PHL Test Code:
AG36G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Grape IgE, Allergen
PHL Test Code:
AG181
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Grapefruit IgE, Allergen
PHL Test Code:
AG207
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Green Bean IgE, Allergen
PHL Test Code:
AG200
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Green Pepper IgE, Allergen
PHL Test Code:
AG183
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Guinea Pig Epithelium IgE, Allergen
PHL Test Code:
AG155
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Halibut IgE, Allergen
PHL Test Code:
AG114
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Hazel IgE, Allergen
PHL Test Code:
AG177
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Hazel Nut IgE, Allergen
PHL Test Code:
AG65G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
hCG Tumor Marker
PHL Test Code:
HCGTM
CPT Coding:
84702
Medical Necessity Documentation:
|
Name:
Helminthosporium Halodes IgE, Allergen
PHL Test Code:
A133G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Helminthosporium sativum/drecshlera IgE, Allergen
PHL Test Code:
MSOT
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Hematocrit
PHL Test Code:
HCT
CPT Coding:
85014
Medical Necessity Documentation:
|
Name:
Hematocrit, Fluid
PHL Test Code:
FHCT
CPT Coding:
85013
Medical Necessity Documentation:
|
Name:
Hematocrit, Micro
PHL Test Code:
MHCT
CPT Coding:
85013
Medical Necessity Documentation:
|
Name:
Hemoglobin
PHL Test Code:
HGB
CPT Coding:
85018
Medical Necessity Documentation:
|
Name:
Hemoglobin and Hematocrit
PHL Test Code:
HH
CPT Coding:
85014, 85018
Medical Necessity Documentation:
|
Name:
Hemoglobin Electrophoresis Evaluation
PHL Test Code:
MSOT
CPT Coding:
83020, 83021 (Reflex 82664, 83068, 83789, 88184)
Medical Necessity Documentation:
|
Name:
Hepatitis A Antibody, Total with reflex IgM
PHL Test Code:
HEPTM
CPT Coding:
86708 (Reflex 86709)
Medical Necessity Documentation:
|
Name:
Hepatitis A IgM Antibody
PHL Test Code:
HAV
CPT Coding:
86709
Medical Necessity Documentation:
Duplicate testing on this test is not acceptable per Medicare: Testing to only be done every 3 days
|
Name:
Hepatitis B Core Antibody IgM
PHL Test Code:
HBCAB
CPT Coding:
86705
Medical Necessity Documentation:
Duplicate testing on this test is not acceptable per Medicare: Testing to only be done every 3 days
|
Name:
Hepatitis B Core Total Antibody
PHL Test Code:
HBCOR
CPT Coding:
86704
Medical Necessity Documentation:
|
Name:
Hepatitis B Surface Antibody
PHL Test Code:
HBAB1
CPT Coding:
86706
Medical Necessity Documentation:
Duplicate testing on this test is not acceptable per Medicare: Testing to only be done every 365 days
|
Name:
Hepatitis B Surface Antigen
PHL Test Code:
HBSAG
CPT Coding:
87340 (Reflex 87341)
Medical Necessity Documentation:
Duplicate testing on this test is not acceptable per Medicare: Testing to only be done every 365 days
|
Name:
Hepatitis Be Antibody
PHL Test Code:
HBEAB
CPT Coding:
86707
Medical Necessity Documentation:
|
Name:
Hepatitis Be Antigen
PHL Test Code:
HBEAG
CPT Coding:
87350
Medical Necessity Documentation:
|
Name:
Hepatitis C Antibody
PHL Test Code:
HEPC3
CPT Coding:
86803
Medical Necessity Documentation:
Duplicate testing on this test is not acceptable per Medicare: Testing to only be done every 365 days
|
Name:
Hepatitis Immunity Panel
PHL Test Code:
HEPIM
CPT Coding:
86704, 86706
Medical Necessity Documentation:
|
Name:
Hepatitis Panel
PHL Test Code:
HEP3
CPT Coding:
80074
Medical Necessity Documentation:
Duplicate testing on this test is not acceptable per Medicare: Testing to only be done every 365 days
|
Name:
High Density Lipoprotein
PHL Test Code:
HDL
CPT Coding:
83718
Medical Necessity Documentation:
|
Name:
HIV 1 & 2 Antibody
PHL Test Code:
HIV1
CPT Coding:
87389 (Reactive 86701,86702)
Medical Necessity Documentation:
Duplicate testing on this test is not acceptable per Medicare: Testing to only be done every 365 days
|
Name:
HIV 1 & 2 Antibody (Direct Access Testing)
PHL Test Code:
DAHIV
CPT Coding:
87389
Medical Necessity Documentation:
Duplicate testing on this test is not acceptable per Medicare: Testing to only be done every 365 days
|
Name:
HIV-1 RNA, Quantitative
PHL Test Code:
RTPCR
CPT Coding:
87536
Medical Necessity Documentation:
|
Name:
HIV-1 RNA, Quantitative RNA PCR, with Reflex to HIV-1 Genotype
PHL Test Code:
MSOT
CPT Coding:
87536 (Reflex 87901, 87900)
Medical Necessity Documentation:
|
Name:
HIV-1/2 Antibody Differentiation
PHL Test Code:
HVAB
CPT Coding:
86701 (Reflexes 87535), 86702
Medical Necessity Documentation:
|
Name:
Homocysteine
PHL Test Code:
HCYS1
CPT Coding:
83090
Medical Necessity Documentation:
|
Name:
Honeybee Venom IgE, Allergen
PHL Test Code:
AG110
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Horse Dander IgE, Allergen
PHL Test Code:
AG5G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
House Dust - Hollister Stier IgE, Allergen
PHL Test Code:
A160G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
House Dust-Greer IgE, Allergen
PHL Test Code:
AG31G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
HTLV I/II Antibody, w/Reflex to Confirmatory Assay
PHL Test Code:
HTLVP
CPT Coding:
86790 (reflexes 86689)
Medical Necessity Documentation:
|
Name:
Human Chorionic Gonadotropin, Qualitative Reflex HCG Quantitative
PHL Test Code:
PRSR
CPT Coding:
84703 (Reflex 84702)
Medical Necessity Documentation:
|
Name:
Human Chorionic Gonadotropin, Quantitative
PHL Test Code:
HCG1
CPT Coding:
84702
Medical Necessity Documentation:
|
Name:
Hyper Alimentation Panel
PHL Test Code:
HYPAL
CPT Coding:
80051, 82310, 83735, 84100
Medical Necessity Documentation:
|
Name:
Immunoperoxidase Stains
PHL Test Code:
PS
CPT Coding:
88342 per stain; 88341 ea. additional
Medical Necessity Documentation:
|
Name:
Inflammatory Group 1 with Westergren Sed Rate
PHL Test Code:
INFLP
CPT Coding:
86038, 86140, 86431, 86060, 84550, 85652 (Reflex 86039)
Medical Necessity Documentation:
|
Name:
Inhalant Panel
PHL Test Code:
ENTP1
CPT Coding:
86003 x 16, 82785
Medical Necessity Documentation:
|
Name:
Iron
PHL Test Code:
IRON
CPT Coding:
83540
Medical Necessity Documentation:
|
Name:
Iron, % Saturation, TIBC
PHL Test Code:
IRONP
CPT Coding:
83540, 83550
Medical Necessity Documentation:
|
Name:
Iron, % Saturation, TIBC, Ferritin
PHL Test Code:
IDP
CPT Coding:
82728, 83540, 83550
Medical Necessity Documentation:
|
Name:
Isocyanate HDI IgE, Allergen
PHL Test Code:
AG142
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Isocyanate MDI IgE, Allergen
PHL Test Code:
AG141
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Isocyanate TDI IgE, Allergen
PHL Test Code:
AG140
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Johnson Grass IgE, Allergen
PHL Test Code:
AG13G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Kiwi IgE, Allergen
PHL Test Code:
AG163
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Latex IgE
PHL Test Code:
LATEX
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
LDL, Direct Measure
PHL Test Code:
LDL
CPT Coding:
83721
Medical Necessity Documentation:
|
Name:
Lemon IgE, Allergen
PHL Test Code:
AG204
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Lettuce IgE, Allergen
PHL Test Code:
AG67
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Lima Bean IgE, Allergen
PHL Test Code:
MSOT
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Lipid Profile
PHL Test Code:
LIPID
CPT Coding:
80061 (Reflex 83721)
Medical Necessity Documentation:
|
Name:
Lipoprotein Electrophoresis
PHL Test Code:
LIPE
CPT Coding:
82465, 83700, 84478
Medical Necessity Documentation:
|
Name:
Liver Fibrosis, FibroTest-ActiTest Panel
PHL Test Code:
ACTI
CPT Coding:
81596
Medical Necessity Documentation:
|
Name:
Liver Profile
PHL Test Code:
LIVER
CPT Coding:
80076
Medical Necessity Documentation:
|
Name:
Lobster IgE, Allergen
PHL Test Code:
AG68
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Lupus Anticoagulant Evaluation with Reflex
PHL Test Code:
LUPA
CPT Coding:
85613, 85730
Medical Necessity Documentation:
|
Name:
Macadamia Nut IgE, Allergen
PHL Test Code:
AG185
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Mackerel IgE, Allergen
PHL Test Code:
AG115
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Magnesium
PHL Test Code:
MG
CPT Coding:
83735
Medical Necessity Documentation:
|
Name:
Magnesium, 24-hour Urine
PHL Test Code:
UMG24
CPT Coding:
83735
Medical Necessity Documentation:
|
Name:
Magnesium, RBC
PHL Test Code:
MAGBR
CPT Coding:
83735
Medical Necessity Documentation:
|
Name:
Magnesium, Urine
PHL Test Code:
UMGR
CPT Coding:
83735
Medical Necessity Documentation:
|
Name:
Malt IgE, Allergen
PHL Test Code:
AG180
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Mannose-binding Lectin
PHL Test Code:
MSOT
CPT Coding:
83520
Medical Necessity Documentation:
|
Name:
Maple Leaf Sycamore IgE, Allergen
PHL Test Code:
A102G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Meadow Fescue IgE, Allergen
PHL Test Code:
AG15G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Meadow Grass, Kentucky Blue IgE, Allergen
PHL Test Code:
AG14G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Milk Component Panel
PHL Test Code:
MILKP
CPT Coding:
86008 x3
Medical Necessity Documentation:
|
Name:
Mountain Juniper IgE, Allergen
PHL Test Code:
A199G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Mucor racemosus IgE, Allergen
PHL Test Code:
AG25G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Mugwort IgE, Allergen
PHL Test Code:
AG38G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Mulberry IgE, Allergen
PHL Test Code:
A154G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Mushroom (Champignon) IgE, Allergen
PHL Test Code:
AG165
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Mustard Seed IgE, Allegren
PHL Test Code:
AG148
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Mutton IgE, Allergen
PHL Test Code:
AG179
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Nettle IgE, Allergen
PHL Test Code:
A153G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
NT-pro BNP
PHL Test Code:
BNP1
CPT Coding:
83880
Medical Necessity Documentation:
|
Name:
Nutmeg IgE, Allergen
PHL Test Code:
AG128
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Oak IgE, Allergen
PHL Test Code:
AG98G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Oat IgE, Allergen
PHL Test Code:
AG70G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Occult Blood 1, Fecal, Diagnostic
PHL Test Code:
OCBL1
CPT Coding:
82272
Medical Necessity Documentation:
|
Name:
Occult Blood 1, Fecal, Screening
PHL Test Code:
OCBS1
CPT Coding:
82270 (G0107 for Medicare)
Medical Necessity Documentation:
|
Name:
Occult Blood 2, Fecal, Diagnostic
PHL Test Code:
OCBL2
CPT Coding:
82272
Medical Necessity Documentation:
|
Name:
Occult Blood 2, Fecal, Screening
PHL Test Code:
OCBS2
CPT Coding:
82270 (G0107 for Medicare)
Medical Necessity Documentation:
|
Name:
Occult Blood 3, Fecal, Diagnostic
PHL Test Code:
OCBL3
CPT Coding:
82272
Medical Necessity Documentation:
|
Name:
Occult Blood 3, Fecal, Screening
PHL Test Code:
OCBS3
CPT Coding:
82270 (G0107 for Medicare)
Medical Necessity Documentation:
|
Name:
Onion IgE, Allergen
PHL Test Code:
AG71
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Orange IgE, Allergen
PHL Test Code:
AG72
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Oregano IgE, Allergen
PHL Test Code:
AG127
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Ovalbumin, IgE
PHL Test Code:
MSOT
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Ovomucoid IgE
PHL Test Code:
MSOT
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Oyster IgE, Allergen
PHL Test Code:
AG117
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Pain Management Profile 5 with Confirmation, with D/L Isomers, Urine
PHL Test Code:
PAINZ
CPT Coding:
80307, 83986
Medical Necessity Documentation:
|
Name:
Paper Wasp Venom IgE, Allergen
PHL Test Code:
AG109
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Paprika Sweet Pepper IgE, Allergen
PHL Test Code:
AG202
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Parathyroid Hormones Intact
PHL Test Code:
PTHIN
CPT Coding:
83970
Medical Necessity Documentation:
|
Name:
Parsley IgE, Allergen
PHL Test Code:
AG129
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Pea IgE, Allergen
PHL Test Code:
AG73
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Peach IgE, Allergen
PHL Test Code:
AG74
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Peanut Component Panel
PHL Test Code:
PEANP
CPT Coding:
86008 (x 6)
Medical Necessity Documentation:
|
Name:
Peanut IgE, Allergen
PHL Test Code:
AG75G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Pecan (Hickory) IgE, Allergen
PHL Test Code:
AG97G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Pecan Nut IgE, Allergen
PHL Test Code:
AG76G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Pediatric Immucap Panel
PHL Test Code:
MSOT
CPT Coding:
86003 x 15, 82785
Medical Necessity Documentation:
|
Name:
Penicillium notatum IgE, Allergen
PHL Test Code:
AG26G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Penicilloyl G IgE, Allergen
PHL Test Code:
AG134
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Penicilloyl V IgE, Allergen
PHL Test Code:
AG135
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Penta Screen
PHL Test Code:
PENT
CPT Coding:
82105, 82397, 82677, 84702, 86336 or 81512*
Medical Necessity Documentation:
|
Name:
Phthalic Anhydride IgE, Allergen
PHL Test Code:
MSOT
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Pigweed IgE, Allergen
PHL Test Code:
AG42G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Pine Nut, Pignoles IgE, Allergen
PHL Test Code:
A131G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Pineapple IgE, Allergen
PHL Test Code:
AG193
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Pinto Bean IgE, Allergen
PHL Test Code:
MSOT
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Pistachio IgE, Allergen
PHL Test Code:
A132G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Plantain (English), Ribwort IgE, Allergen
PHL Test Code:
AG33G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Platelet Count
PHL Test Code:
PLT
CPT Coding:
85049
Medical Necessity Documentation:
|
Name:
Plum IgE, Allergen
PHL Test Code:
AG182
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Pork IgE, Allergen
PHL Test Code:
AG77G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Potato IgE, Allergen
PHL Test Code:
AG78G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
PPG - Pregnancy Induced Hypertension
PHL Test Code:
NEPIH
CPT Coding:
82575, 84550, 85027, 80076, 84156
Medical Necessity Documentation:
|
Name:
PPG Prenatal 1
PHL Test Code:
PN11
CPT Coding:
85025, 86592, 86762, 86850, 86900, 86901, 87340, (Reflex 85007, 85008, 86593, 86870, 87341)
Medical Necessity Documentation:
|
Name:
PPG Prenatal I
PHL Test Code:
PNNE5
CPT Coding:
82947, 85025, 86592, 86703, 86762, 86850, 86900, 86901, 87340 (Reflex 85007 or 85008, 86593, 86689, 86870, 87341)
Medical Necessity Documentation:
|
Name:
PPG Prenatal I without Glucose
PHL Test Code:
PNNE6
CPT Coding:
85025, 86592, 86703, 86762, 86850, 86900, 86901, 87340 (Reflex 85007, 85008, 86593, 86689, 86870, 87341)
Medical Necessity Documentation:
|
Name:
PPG Prenatal Profile I without Glucose and HIV
PHL Test Code:
PNNE3
CPT Coding:
85025, 86592, 86762, 86850, 86900, 86901, 87340 (Reflex 86593, 87341, 86870)
Medical Necessity Documentation:
|
Name:
PPG Prenatal Profile III
PHL Test Code:
PNNE2
CPT Coding:
82950, 85025, 86592, 86850 (Reflex 85007 or 85008, 86593, 86870)
Medical Necessity Documentation:
|
Name:
PPG Thyroid Panel
PHL Test Code:
NEOB5
CPT Coding:
84481, 84442, 84443 (reflex 84439)
Medical Necessity Documentation:
|
Name:
PPG TSH Panel
PHL Test Code:
NEOB2
CPT Coding:
84443, 84439
Medical Necessity Documentation:
|
Name:
Prenatal 1 with Glucose and HBsAg
PHL Test Code:
PNGG
CPT Coding:
82947, 85025, 86592, 86762, 86850, 86900, 86901, 87340 (Reflexes 85007, 85008, 86593, 86870, 87341)
Medical Necessity Documentation:
|
Name:
Prenatal 1 with Glucose, HBsAg, & Urinalysis (C&S if indicated)
PHL Test Code:
PNUX1
CPT Coding:
81003, 82947, 85025, 86592, 86762, 86850, 86900, 86901, 87340 (Reflexes 85007, 85008, 86593, 86870, 87341, 87086, 87077, 87088, 87186)
Medical Necessity Documentation:
|
Name:
Prenatal 1 with Glucose, HBsAg, HIV, & Urinalysis (C&S if indicated)
PHL Test Code:
PNUX2
CPT Coding:
81003, 82947, 85025, 86592, 86703, 6762, 86850, 86900, 86901, 87340 (Reflexes 85007, 85008, 86593, 86689, 86870, 87341, 87086, 87077, 87088, 87186)
Medical Necessity Documentation:
|
Name:
Prenatal 1 with HBsAg & FTA
PHL Test Code:
PNHX1
CPT Coding:
85025, 86592, 86703, 86762, 86850, 86900, 86901, 87340 (Reflexes 85007, 85008, 87341, 86689, 86780, 86870)
Medical Necessity Documentation:
|
Name:
Prenatal 1 with Urinalysis
PHL Test Code:
PN1U2
CPT Coding:
81003, 84443, 85025, 86592, 86762, 86850, 86900, 86901 (Reflexes 85007, 85008, 86593, 86870, 87086, 87077, 87088, 87186)
Medical Necessity Documentation:
|
Name:
Prenatal 28 Week Rh-Positive
PHL Test Code:
PNFO2
CPT Coding:
82950, 85018, 86592 (Reflex 86593, 86780)
Medical Necessity Documentation:
|
Name:
Prenatal 3 (Rh-Negative)
PHL Test Code:
PN3P1
CPT Coding:
82950, 85014, 85018, 86592, 86850 (Reflexes 86593, 86870)
Medical Necessity Documentation:
|
Name:
Prenatal Profile
PHL Test Code:
PNN
CPT Coding:
Panel Code 80055
Medical Necessity Documentation:
|
Name:
Prenatal w/ HIV and Glucose
PHL Test Code:
PNGL
CPT Coding:
81003, 85025, 82947, 84443, 86592, 86703, 86762, 86850, 86900, 86901, 87340, (Reflexes 85007, 85008, 86689, 86593, 86780, 87341, 87086, 87077, 87088, 87186)
Medical Necessity Documentation:
|
Name:
Prostate Specific Antigen with Free PSA Reflex
PHL Test Code:
PSAR
CPT Coding:
84153 (Reflexes 84154)
Medical Necessity Documentation:
|
Name:
Prostate Specific Antigen, Diagnostic
PHL Test Code:
PSA
CPT Coding:
84153
Medical Necessity Documentation:
|
Name:
Prostate Specific Antigen, Free and Total
PHL Test Code:
PSFT
CPT Coding:
84153, 84154
Medical Necessity Documentation:
|
Name:
Prostate Specific Antigen, Screening
PHL Test Code:
PSAS
CPT Coding:
84153, G0103
Medical Necessity Documentation:
Duplicate testing on this test is not acceptable per Medicare: Testing to only be done every 365 days
|
Name:
Prothrombin Time
PHL Test Code:
PT
CPT Coding:
85610
Medical Necessity Documentation:
|
Name:
PSA, Post-Prostatectomy
PHL Test Code:
PSAP
CPT Coding:
84153
Medical Necessity Documentation:
|
Name:
Quad Screen
PHL Test Code:
QUADS
CPT Coding:
82105, 82677, 84702, 86336
Medical Necessity Documentation:
|
Name:
Raspberry IgE, Allergen
PHL Test Code:
AG159
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Red Kidney Bean IgE, Allergen
PHL Test Code:
AG172
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Red Maple Tree IgE, Allergen
PHL Test Code:
AG99
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Redtop Bentgrass IgE, Allergen
PHL Test Code:
A149G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Region 5 Allergy Panel
PHL Test Code:
REGVA
CPT Coding:
82785, 86003 x 17
Medical Necessity Documentation:
|
Name:
Renal Biopsy for Glomerulus
PHL Test Code:
PS
CPT Coding:
88348, 88305, 88346
Medical Necessity Documentation:
|
Name:
Respiratory Region V Standard Panel
PHL Test Code:
RESP4
CPT Coding:
82785, 86003 x 27
Medical Necessity Documentation:
|
Name:
Rhizopus nigricans IgE, Allergen
PHL Test Code:
AG28G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Rice IgE, Allergen
PHL Test Code:
AG79
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Rough Marshelder IgE, Allergen
PHL Test Code:
AG37G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Rye Grass IgE, Allergen
PHL Test Code:
AG17G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Rye IgE, Allergen
PHL Test Code:
AG80G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Sage IgE, Allergen
PHL Test Code:
AG122
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Salmon IgE, Allergen
PHL Test Code:
AG81G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Saltwort, Russian Thistle IgE, Allergen
PHL Test Code:
AG43G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Scallops IgE, Allergen
PHL Test Code:
A118G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Sesame Seed IgE, Allergen
PHL Test Code:
A147G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Sheep Epithelium IgE, Allergen
PHL Test Code:
AG6G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Sheep Sorrel IgE, Allergen
PHL Test Code:
AG44G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Shrimp IgE, Allergen
PHL Test Code:
AG82G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Sole IgE, Allergen
PHL Test Code:
AG164
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Soybean IgE, Allergen
PHL Test Code:
AG83G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Stinging Insect Allergen
PHL Test Code:
HRNW1
CPT Coding:
82785, 86003 x 3
Medical Necessity Documentation:
|
Name:
Strawberry IgE, Allergen
PHL Test Code:
AG84
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Stroke Panel
PHL Test Code:
STRP2
CPT Coding:
80048, 82247, 82550, 83735, 84075, 84450, 84484, 85025, 85610, 85652, 85730 (Reflex 85007 or 85008)
Medical Necessity Documentation:
|
Name:
Sugar Beet IgE, Allergen
PHL Test Code:
MSOT
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Sugar Maple Tree IgE, Allergen
PHL Test Code:
AGMST
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Summer Squash IgE, Allergen
PHL Test Code:
MSOT
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Sweet Potato IgE, Allergen
PHL Test Code:
AG195
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
T3 Uptake
PHL Test Code:
T3UPC
CPT Coding:
84479
Medical Necessity Documentation:
|
Name:
Tetracycline IgE, Allergen
PHL Test Code:
MSOT
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Thyme IgE, Allergen
PHL Test Code:
AG123
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Thyroid Stimulating Hormone
PHL Test Code:
TSH
CPT Coding:
84443
Medical Necessity Documentation:
|
Name:
Thyroid Stimulating Hormone with Thyroxine Reflex
PHL Test Code:
TSHR
CPT Coding:
84443 (Reflexes 84439)
Medical Necessity Documentation:
|
Name:
Thyroxine, Free
PHL Test Code:
T4FRE
CPT Coding:
84439
Medical Necessity Documentation:
|
Name:
Thyroxine, Free Direct Dialysis
PHL Test Code:
T4FR
CPT Coding:
84439
Medical Necessity Documentation:
|
Name:
Thyroxine, Total
PHL Test Code:
T4
CPT Coding:
84436
Medical Necessity Documentation:
|
Name:
Timothy Grass IgE, Allergen
PHL Test Code:
AG18G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Tomato IgE, Allergen
PHL Test Code:
AG85
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Transferrin
PHL Test Code:
TRSF
CPT Coding:
84466
Medical Necessity Documentation:
|
Name:
Trauma Panel
PHL Test Code:
TRAM2
CPT Coding:
80048, 82150, 85025, 85610, 85730 (Reflex 85007 or 85008)
Medical Necessity Documentation:
|
Name:
Tree Allergen Panel
PHL Test Code:
TREP1
CPT Coding:
86003 x 5
Medical Necessity Documentation:
|
Name:
Treponema pallidum Antibody, IgG
PHL Test Code:
MSOT
CPT Coding:
86780
Medical Necessity Documentation:
|
Name:
Triglycerides
PHL Test Code:
TRIG
CPT Coding:
84478
Medical Necessity Documentation:
|
Name:
Triglycerides, Fluid
PHL Test Code:
FTRIG
CPT Coding:
84478
Medical Necessity Documentation:
|
Name:
Tuna IgE, Allergen
PHL Test Code:
AG86G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Turkey Meat IgE, Allergen
PHL Test Code:
AG87
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Urinalysis with Microscopic and Culture and Sensitivity if Indicated
PHL Test Code:
UAMC2
CPT Coding:
81001 (Reflex 87086)
Medical Necessity Documentation:
|
Name:
Urine Culture
PHL Test Code:
CXURN
CPT Coding:
87086 (Reflexes 87077, 87088, 87186)
Medical Necessity Documentation:
|
Name:
VDRL, CSF
PHL Test Code:
VDRLF
CPT Coding:
86592
Medical Necessity Documentation:
|
Name:
Venous Thrombosis Reflex w/ Anticoagulant Therapy
PHL Test Code:
VTWC
CPT Coding:
81240, 83090, 85240, 85300, 85307, 85598, 85613, 86146 x 2, 86147 x 2 (Reflex 81241, 85597, 85613)
Medical Necessity Documentation:
|
Name:
Virginia Live Oak IgE, Allergen
PHL Test Code:
AG24G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Vitamin D, 25 Hydroxy
PHL Test Code:
VD251
CPT Coding:
82306
Medical Necessity Documentation:
|
Name:
von Willebrand Comprehensive Panel
PHL Test Code:
VWILL
CPT Coding:
85240, 85245, 85246, 85247, 85730
Medical Necessity Documentation:
85730 may require ABN
|
Name:
von Willebrand Comprehensive Panel 2
PHL Test Code:
MSOT
CPT Coding:
83520, 85240, 85245, 85246, 85247, 85730
Medical Necessity Documentation:
85730 may require ABN
|
Name:
Walnut IgE, Allergen
PHL Test Code:
AG88G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Walnut Tree Pollen IgE, Allergen
PHL Test Code:
AG93G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Watermelon IgE, Allergen
PHL Test Code:
AG158
CPT Coding:
Watermelon IgE
Medical Necessity Documentation:
|
Name:
Weed Allergen Panel 5
PHL Test Code:
WEDP5
CPT Coding:
86003 x 6
Medical Necessity Documentation:
|
Name:
Western Ragweed IgE, Allergen
PHL Test Code:
AG41G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Wheat IgE, Allergen
PHL Test Code:
AG89G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Whey IgE, Allergen
PHL Test Code:
AG157
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
White Ash IgE, Allergen
PHL Test Code:
A103G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
White Bean IgE, Allergen
PHL Test Code:
AG173
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
White Blood Cell Count
PHL Test Code:
WBC
CPT Coding:
85048
Medical Necessity Documentation:
|
Name:
White Blood Cell Count, with Absolute Neutrophil
PHL Test Code:
WBCAN
CPT Coding:
85004
Medical Necessity Documentation:
|
Name:
White Pine IgE, Allergen
PHL Test Code:
A101G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
White-Faced Hornet Venom IgE, Allergen
PHL Test Code:
A111G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Willow IgE, Allergen
PHL Test Code:
A104G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Wormwood IgE, Allergen
PHL Test Code:
AG45G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Yeast (Bakers/Brewers) IgE, Allergen
PHL Test Code:
AG90G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Yellow Hornet Venom IgE, Allergen
PHL Test Code:
A112G
CPT Coding:
86003
Medical Necessity Documentation:
|
Name:
Yellow Jacket Venom IgE, Allergen
PHL Test Code:
A113G
CPT Coding:
86003
Medical Necessity Documentation:
|