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In-Office Lab List


Here are the lab tests you can perform in your office. If a test isn't in this list, you'll need to send it to the lab services provider in your state. Please reference your Quick Reference Guide, which can be found under Plan Resources on our Providers page.

PCPs and Specialists

A

  • ABO compatibility (86900)
  • Amylase (82150)
  • Assay body fluid glucose (82947)

B

  • Basic metabolic panel (80048)
  • Bilirubin, direct (82248)
  • Bilirubin, total (82247)
  • Blood, occult, by peroxidase activity (e.g. guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening (82272)
  • Blood, occult, by peroxidase activity (e.g. guaiac), qualitative; other sources (82271)

C

  • Calcium, serum (82310)
  • Cell count, miscellaneous body fluids, except blood, with differential count (89051)
  • Chorionic gonadotropin (84703)
  • Collection of venous blood by venipuncture (36415)
  • Compete blood count (CBC), automated (HgB, HcT, RBW, WBC, and platelet count) and automated differential WBC count (85025)
  • Crystal identification by light microscopy with or without polarizing lens analysis or body fluid (except urine) (89060)
  • Culture, bacterial, screening only, for single organisms (87081)
  • Culture, bacterial; any other source but urine, blood or stool, with isolation andpresumptive identification of isolates (87070)

D

  • Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (e.g. utilizing immunoassay [e.g. dipsticks, cups, cards, or cartridges]), includes sample validation when performed, per date of services (80305)
  • Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (e.g. utilizing immunoassay [e.g. dipsticks, cups, cards, or cartridges]), includes sample validation when performed, per date of service (80306)

E

  • Electrolyte panel (CO2, K, Na) (80051)

F

  • Feces screening for occult blood (82270)
  • Fingerstick hemoglobin (Hgb) (85018)

G

  • Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation) (82803)
  • Glucose; blood sugar by glucometer (82962)
  • Glucose; blood, reagent strip (82948)
  • Glycosylated hemoglobin test (83036)

H

  • Helicobacter pylori, breath test analysis; drug administration (83014)
  • Helicobacter pylori, urea breath test (83013)
  • Hematocrit (85014)
  • Hepatic function panel (7) (80076)
  • Heterophile antibodies; screening (86308)

I

  • Infections agent detection by immunoassay with direct optical observation; adenovirus (87809)
  • Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semi quantitative, multiple step method, Influenza A or B, each (87400)
  • Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semi quantitative, multiple step method; respiratory syncytial virus (87420)
  • Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semi quantitative, multiple step method; rotavirus (87425)
  • Infectious agent antigen detection by enzyme immunoassay technique, Streptococcus, group A (87430)
  • Infectious agent detection by immunoassay with direct optical observation; influenza (Rapid Flu) (87804)
  • Infectious agent detection by immunoassay with direct optical observation; Streptococcus, group A (Rapid Strep) (87880)
  • Infectious agent detection by nucleic acid (DNA or RNA); streptococus, group A, amplified probe technique (87651)

L

  • Lead, serum (83655)
  • Lipase (83690)

M

  • Magnesium, serum (83735)
  • Microalbumin, quantitative (82043)

O

  • Ova and parasites, direct smears, concentration and identification (87177)

P

  • Partial thromboplastin time (85730)
  • Particle agglutination, screen, each antibody (86403)
  • Phosphorous, serum (84100)
  • Potassium, serum (84132)
  • Prolactin (84146)
  • Prothrombin time (85610)

R

  • Rh status (86901)
  • RSV assay w/optic (87807)

S

  • Sedimentation rate, erythrocyte; non-automated (85651)
  • Skin test, tuberculosis, intradermal (86580)
  • Spun hematocrit (85013)

T

  • Thyroid stimulating hormone (TSH) (84443)
  • Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (e.g. scabies) (87220)

U

  • Urinalysis, by dip stick or tablet reagent, automated with microscopy (81001)
  • Urinalysis, by dip stick or tablet reagent, automated without microscopy (81003)
  • Urinalysis, by dip stick or tablet reagent, non-automated with microscopy (81000)
  • Urinalysis, by dip stick or tablet reagent, non-automated without microscopy (81002)
  • Urinalysis, qualitative or semi quantitative, except immunoassays (81005)
  • Urinalysis; microscopic only (81015)
  • Urine pregnancy test, by visual color comparison methods (81025)

W

  • Wet mount for infection agents (e.g. saline, India ink, KOH preps) (87210)

Hematologists and Oncologists

  • Blood count; automated differential WBC count blood smear, microscopic examination with manual differential WBC count (85007)
  • Bone marrow; smear interpretation only, with or without differential cell count (85097)