MSP Billing Codes
Specialty: Laboratory Medicine
| Code | Description | Fee |
|---|---|---|
|
|
||
| 90000 | Venepuncture | $7.65 |
| 90121 | Anti-nuclear antibodies, by multiplex immunoassay | $38.64 |
| 90281 | Antinuclear antibodies by sensitive eia | $16.24 |
| 90286 | Liver autoantibodies (liaa), immunofluorescence | $23.82 |
| 90287 | Anti-neutrophil cytoplasmic antibodies (anca) | $114.26 |
| 90288 | Anti-parietal cell antibody (apca), immuno screen | $23.82 |
| 90415 | Plasma preparation | $16.19 |
| 90545 | Thrombin time | $8.31 |
| 90620 | Biochemical identification - micro-organism | $9.55 |
| 90710 | Prostatic specific antigen (psa) | $14.35 |
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| 90752 | Id microorganisms maldi-tof-ms/non-stool specimen | $6.84 |
| 90753 | Id microorganisms maldi-tof-ms/stool specimen | $6.84 |
| 90810 | Stool examination - amoebae | $46.93 |
| 90811 | Gastrointestinal pathogen multiples(gpmp)& culture | $105.04 |
| 91010 | Split base fee (referral facility) | $7.02 |
| 91022 | Muscle-specific tyrosine kinase antibody (musk ab) | $245.60 |
| 91163 | Igg anti-deamidated gliadin peptide(anti-dgp)antib | $18.24 |
| 91220 | B-glucosidase, fibroblasts | $51.38 |
| 91221 | B-glucosidase, white blood cells | $51.38 |
| 91226 | Barbiturates - quantitative | $35.61 |
| 91230 | Beta - 2 - microglobulin | $20.40 |
| 91231 | Beta-glucuronidase, white blood cells | $51.25 |
| 91232 | Beta-mannosidase white blood cells | $51.25 |
| 91235 | Bicarbonate, serum/plasma | $2.37 |
| 91236 | Bicarbonate, urine | $1.06 |
| 91240 | Bile pigments and salts, qualitative, urine | $2.34 |
| 91241 | Bile acids, total | $32.36 |
| 91245 | Bilirubin total, serum/plasma | $1.61 |
| 91246 | Bilirubin total, transudate/exudate | $1.05 |
| 91250 | Bilirubin, direct | $1.58 |
| 91255 | Blood, qualitative, gastric | $2.44 |
| 91260 | Bone gla protein (osteocalcin) | $17.76 |
| 91265 | Bromides, quantitative | $16.29 |
| 91270 | Bromides, qualitative, urine | $10.48 |
| 91275 | B-type natriuretic peptide(bnp or nt-probnp) | $28.14 |
| 91280 | C - 1q esterase inhibitors | $22.86 |
| 91285 | C - 3 complement | $9.61 |
| 91290 | C - 4 complement | $9.87 |
| 91295 | C - peptide | $47.42 |
| 91300 | C - reactive protein | $10.31 |
| 91305 | Ca 15 - 3 | $21.25 |
| 91310 | Ca 125 | $22.72 |
| 91315 | Ca 19 -9 | $20.88 |
| 91320 | Calcitonin | $50.63 |
| 91325 | Calcium, timed urine collection | $5.48 |
| 91326 | Calcium total, serum/plasma | $1.55 |
| 91327 | Calcium, 24 hours excretion, feces | $19.73 |
| 91328 | Calcium, urine random | $1.05 |
| 91330 | Calculus analysis, urine | $27.86 |
| 91335 | Carbamazepine | $15.32 |
| 91340 | Carbon monoxide, quantitative | $17.58 |
| 91345 | Carotene | $8.90 |
| 91350 | Catecholamines | $59.27 |
| 91351 | Catecholamines fractions-separation/interpretation | $40.79 |
| 91352 | Catecholamines, total urine | $46.45 |
| 91353 | Cells count - examination for faeces | $5.46 |
| 91360 | Ceruloplasmin | $10.15 |
| 91365 | Chloride, quantitative, csf/other fluids | $7.21 |
| 91366 | Chloride, serum/plasma | $1.49 |
| 91367 | Chloride, timed urine collection | $10.06 |
| 91368 | Chloride, urine random | $3.26 |
| 91369 | Chloride, whole blood | $1.06 |
| 91370 | Chloride - iontophoresis, sweat | $77.50 |
| 91375 | Cholesterol, total | $6.87 |
| 91380 | Cholinesterase/dibucaine number | $30.26 |
| 91386 | Chromatography, keto acids | $36.30 |
| 91387 | Chromatography, reducing substances, urine | $31.40 |
| 91388 | Chromatography, thin layer (tlc) | $32.65 |
| 91390 | Complement assay | $19.63 |
| 91395 | Complement, total haemolytic (ch 100) | $43.71 |
| 91400 | Copper, serum | $49.19 |
| 91401 | Copper, tissue | $49.77 |
| 91402 | Copper, urine | $49.78 |
| 91405 | Cortisol | $13.28 |
| 91406 | Cortisol, late night salivary test | $77.25 |
| 91410 | Creatine, timed urine collection | $12.73 |
| 91415 | Creatine kinase | $1.88 |
| 91420 | Creatinine, random urine | $5.10 |
| 91421 | Creatinine, serum/plasma | $1.52 |
| 91422 | Creatinine, timed urine collection | $5.80 |
| 91425 | Cryofibrinogen | $17.38 |
| 91430 | Skin fibroblasts-culturing/biochemical/dna | $603.88 |
| 91434 | Cyclic amp, plasma/serum | $44.73 |
| 91435 | Cyclic a.m.p., urine | $45.46 |
| 91440 | Cryoglobulins | $41.92 |
| 91445 | Csf - albumin | $20.16 |
| 91450 | Csf - immunoglobulin g | $20.40 |
| 91455 | Cyclosporine | $23.47 |
| 91460 | Dehydroepiandrosterone, serum (dhea) | $18.55 |
| 91465 | Digoxin | $18.97 |
| 91470 | Disaccharides, intestinal | $62.40 |
| 91475 | Dopamine, quantitative | $61.91 |
| 91480 | Acetazolamide | $46.68 |
| 91482 | Acetaminophen (quantitative) | $11.47 |
| 91484 | Amikacin | $45.99 |
| 91486 | Amiodarone | $46.53 |
| 91488 | Amitryptyline | $24.64 |
| 91490 | Amoxapine | $46.53 |
| 91492 | Chlorpromazine | $46.53 |
| 91494 | Citrate, urine | $24.66 |
| 91496 | Clobazam | $49.73 |
| 91498 | Clomipramine | $49.82 |
| 91500 | Clonazepam | $46.53 |
| 91502 | Clozapine | $27.92 |
| 91504 | Cyanide | $24.64 |
| 91506 | Desipramine | $24.35 |
| 91508 | Desmethylclobazam | $46.53 |
| 91510 | Diazepam | $46.53 |
| 91512 | Disopyramide | $46.53 |
| 91514 | Doxepin | $46.53 |
| 91516 | Fluoxetine | $46.53 |
| 91518 | Flupenthixol | $46.53 |
| 91520 | Fluphenazine | $46.53 |
| 91522 | Fluvoxamine | $46.53 |
| 91523 | Gabapentin | $24.64 |
| 91524 | Gentamycin | $26.69 |
| 91526 | Haloperidol | $24.63 |
| 91528 | Imipramine | $46.53 |
| 91529 | Lamotrigine | $24.64 |
| 91530 | Lidocaine | $44.73 |
| 91532 | Lorazepam | $46.53 |
| 91534 | Loxapine | $46.53 |
| 91536 | Maprotiline | $46.53 |
| 91538 | Methotrexate | $46.53 |
| 91540 | Methotrimeprazine | $46.53 |
| 91542 | Methylphenidate | $46.53 |
| 91544 | N - acetyl procainamide | $46.53 |
| 91546 | Netilmicin | $46.53 |
| 91548 | Nitrazepam | $46.53 |
| 91550 | Nortriptyline | $24.35 |
| 91551 | Olanzapine | $24.64 |
| 91552 | Paroxetine | $46.53 |
| 91554 | Perphenazine | $46.53 |
| 91556 | Procainamide | $46.53 |
| 91558 | Propranolol | $46.53 |
| 91559 | Quetiapine | $24.64 |
| 91560 | Sertraline | $52.35 |
| 91561 | Risperidone | $26.46 |
| 91562 | Thioridazine | $48.47 |
| 91564 | Tobramycin | $26.17 |
| 91565 | Topiramate | $24.64 |
| 91566 | Trazodone | $46.53 |
| 91568 | Trifluoperazine | $46.53 |
| 91570 | Trimipramine | $46.53 |
| 91572 | Valproic acid | $16.55 |
| 91573 | Vancomycin | $15.57 |
| 91574 | Zopiclone | $24.64 |
| 91575 | Zuclopenthixol | $24.64 |
| 91576 | Vigabatrin | $26.68 |
| 91599 | Drug assay - multiple (2 or more) | $53.46 |
| 91600 | Electrophoresis, protein, qualitative | $26.54 |
| 91601 | Electrophoresis, protein, quantitative | $34.58 |
| 91602 | Electrophoresis, c.s.f. | $31.21 |
| 91603 | Electrophoresis, qualitative, urine | $31.35 |
| 91605 | Erythrocyte galactose 1 phosphate transferase | $70.84 |
| 91610 | Estradiol | $22.43 |
| 91615 | Estrogens | $51.66 |
| 91620 | Ethosuximide | $18.47 |
| 91628 | Ethosuximide | $26.00 |
| 91630 | Fecal ph | $3.92 |
| 91631 | Fat, microscopic exam-faeces | $5.48 |
| 91635 | Fecal elastase | $46.65 |
| 91636 | Fat, balance 3 day, feces | $92.68 |
| 91640 | Fatty acids, nonesterified (free), feces | $22.79 |
| 91645 | Ferritin, serum | $10.12 |
| 91650 | Fibrinogen, quantitative, chemical | $28.68 |
| 91660 | Follicle stimulating hormone (fsh) | $13.13 |
| 91665 | Galactocerebrosidase, fibroblasts | $51.38 |
| 91666 | Galactocerebrosidase, white blood cells | $51.38 |
| 91670 | Galactose, qualitative, urine | $17.13 |
| 91675 | Gastric acidity determination, quantitative | $3.52 |
| 91680 | Gastric analysis, intubation | $18.15 |
| 91681 | Gastric analysis, acid | $0.92 |
| 91682 | Gastric analysis, hollander insulin | $89.43 |
| 91685 | Gastrin | $63.32 |
| 91690 | Glucose, gestational assessment | $10.03 |
| 91695 | Glucose tolerance test-gestational protocol | $15.84 |
| 91700 | Glucose semiquantitative | $3.53 |
| 91705 | Glucose quantitative, csf | $6.45 |
| 91706 | Glucose quantitative, joint fluid | $6.45 |
| 91707 | Glucose, quantitative serum/plasma | $1.46 |
| 91708 | Glucose quantitative, transudate/exudate | $6.45 |
| 91709 | Glucose quantitative, urine | $1.06 |
| 91710 | Glucose, timed urine collection | $7.13 |
| 91715 | Glucose tolerance test, 2 - 5 hours | $12.94 |
| 91716 | Glucose tolerance test > 6 hours | $39.40 |
| 91717 | Glucose tolerance test, intravenous | $38.90 |
| 91720 | Glucose phosphate isomerase | $14.29 |
| 91725 | Glutamyl transpeptidase (gtp) | $1.66 |
| 91730 | Glutathione peroxidase | $44.32 |
| 91735 | Gold | $43.91 |
| 91740 | Haptoglobin | $19.77 |
| 91745 | Haemoglobin, a1c | $5.30 |
| 91750 | Hemoglobin, qualitative, urine | $2.28 |
| 91760 | Helicobacter pilori carbon 13 urea breath test | $36.50 |
| 91761 | Helicobacter pylori stool antigen (hpsa) | $35.64 |
| 91762 | Heparan sulfamidase, white blood cells | $93.71 |
| 91765 | Hepatitis b surface antigen | $10.40 |
| 91770 | Hexosaminidases | $51.38 |
| 91775 | Hexosaminidase, serum | $51.38 |
| 91777 | Hexosaminidase white blood cells | $99.30 |
| 91780 | Hdl cholesterol | $7.85 |
| 91785 | Homocystine, screening test, urine | $2.28 |
| 91790 | Homovanillic acid (quantitative) urine | $38.61 |
| 91795 | Hydroxyindoleacetic acid, urine | $9.28 |
| 91796 | Hydroxyindoleacetic acid, quantitative, urine | $44.28 |
| 91800 | Iga anti-gliadin antibodies | $32.58 |
| 91801 | Iga quantitative, secretion | $20.31 |
| 91802 | Iga quantitative, serum/plasma | $9.83 |
| 91803 | Igg quantitative spinal fluid | $20.06 |
| 91805 | Igf - i (somatomedin - c). | $55.08 |
| 91810 | Igg1 | $24.85 |
| 91811 | Igg2 | $24.85 |
| 91812 | Igg3 | $24.85 |
| 91813 | Igg4 | $24.85 |
| 91814 | Igg blocking antibody | $20.40 |
| 91815 | Immune complex detection by c1q binding method | $44.66 |
| 91820 | Immunofixation, csf | $105.31 |
| 91821 | Immunofixation, serum/plasma | $104.12 |
| 91822 | Immunofixation, urine | $104.12 |
| 91825 | Immunoglobulin d | $20.40 |
| 91830 | Immunoglobulin + specific protein assays | $20.40 |
| 91831 | Immunoglobulin, additional assay | $12.53 |
| 91835 | Immunoreactive trypsin | $18.80 |
| 91840 | Igg - quantitative serum | $9.95 |
| 91845 | Igm - quantitative | $10.05 |
| 91850 | Inclusion bodies, (cytomegalic) urine | $7.77 |
| 91855 | Insulin, first specimen | $27.55 |
| 91856 | Insulin, additional specimen | $19.49 |
| 91857 | Insulin tolerance test, per specimen | $6.29 |
| 91858 | Interferon beta, neutralizing antibodies | $205.52 |
| 91860 | Ionized calcium. | $14.02 |
| 91861 | Voltage-gated calcium channel antibody (vgcc ab) | $281.78 |
| 91865 | Iron, total and binding capacity, protein | $7.56 |
| 91870 | Isoenzymes by electrophoresis | $25.53 |
| 91880 | Keto acids, chromatography - urine | $36.90 |
| 91881 | Keto acids chromatography - total, chemical - urin | $10.99 |
| 91882 | Keto acids chromatography - screening tests - urin | $5.44 |
| 91885 | Ketogenic steroids - urine | $39.47 |
| 91890 | Ketosteroids, total neutral - urine | $50.17 |
| 91895 | Lactate, serum/plasma | $7.64 |
| 91896 | Lactate, whole blood | $17.89 |
| 91900 | Lactate dehydrogenase, csf | $1.06 |
| 91901 | Lactate dehydrogenase, serum/plasma | $1.62 |
| 91902 | Lactate dehydrogenase, transudate/exudate | $1.05 |
| 91905 | Lactose, qualitative, urine | $9.81 |
| 91910 | Lead | $130.68 |
| 91911 | Lead, timed urine collection | $40.68 |
| 91912 | Lead, porphyrin screening test, urine | $6.22 |
| 91915 | Lecithin sphingomyelin ratio | $232.26 |
| 91920 | Lhrh stimulation test | $46.22 |
| 91925 | Light chains, free kappa and lambda | $78.99 |
| 91930 | Lipase | $6.62 |
| 91935 | Lipoprotein(a) | $29.61 |
| 91936 | Lipoprotein (a) isoforms | $25.92 |
| 91940 | Lipoprotein electrophoresis | $56.04 |
| 91941 | Lipoprotein, sizing | $25.92 |
| 91945 | Lithium, serum/plasma | $14.94 |
| 91946 | Lithium, whole blood | $11.23 |
| 91950 | Luteinizing hormone (lh) | $12.41 |
| 91955 | Magnesium, fecal | $25.15 |
| 91956 | Magnesium, red blood cell | $29.51 |
| 91957 | Magnesium, serum/plasma | $6.79 |
| 91958 | Magnesium, urine | $10.06 |
| 91959 | Magnesium, whole blood | $23.97 |
| 91960 | Melanin, qualitative, urine | $2.35 |
| 91965 | Mercury | $52.42 |
| 91970 | Metachromatic granules, urine | $16.13 |
| 91975 | Metanephrines, quantitative | $155.77 |
| 91985 | Albumin creatinine ratio (acr) | $11.41 |
| 91990 | Microscopic examination of feces | $5.08 |
| 91992 | Mitochondrial preparation-muscle | $90.55 |
| 91995 | Mucopolysaccharides, urine | $59.55 |
| 91997 | N-acetyl-galactosamine-6-sulfate sulfatase, wbc | $93.71 |
| 92000 | Nitrogen, 24 hr. excretion - feces | $19.79 |
| 92001 | Nitrogen - 24 hr. excretion - urine | $6.43 |
| 92005 | Occult blood-feces | $6.02 |
| 92006 | Fecal immunochemical test (fit)-analysis only | $11.29 |
| 92007 | Fecal immunochemical test(fit)-collection only | $6.57 |
| 92010 | Organic acids | $105.41 |
| 92015 | Osmolar concentration, serum | $49.25 |
| 92016 | Osmolar concentration, urine | $49.41 |
| 92020 | Oxalate, timed urine collection | $58.00 |
| 92025 | Oxygen capacity or content | $20.06 |
| 92026 | Oxygen, saturation (photometric) | $10.93 |
| 92030 | Parathyroid hormone (intact) | $17.52 |
| 92031 | Parathyroid hormone (mid molecule/carboxyl termina | $25.18 |
| 92035 | Pentagastrin test, gastric | $67.51 |
| 92040 | Peptide hormones | $25.18 |
| 92045 | Ph, pc02 and p02 | $36.18 |
| 92050 | Phenothiazine screen | $7.24 |
| 92055 | Phenylalanine, screening test (guthrie) | $4.04 |
| 92056 | Phenylalanine, quantitative | $20.56 |
| 92060 | Phenytoin | $17.13 |
| 92065 | Phenylpyruvic acid, qualitative, urine | $2.35 |
| 92070 | Phosphates, random urine | $2.24 |
| 92071 | Phosphates, serum/plasma | $1.62 |
| 92072 | Phosphate, timed urine collection | $3.95 |
| 92075 | Pigments, abnormal (spectroscopic) | $14.06 |
| 92080 | Homocysteine - plasma | $22.97 |
| 92085 | Porphobilinogen, qualitative, urine | $9.70 |
| 92090 | Porphyrins, qualitative, urine | $7.62 |
| 92091 | Porphyrins, quantitative - urine | $56.74 |
| 92092 | Porphyrins, quantitative - feces | $132.71 |
| 92095 | Porphyrins, quantitative - blood | $21.76 |
| 92100 | Potassium, serum/plasma | $1.39 |
| 92101 | Potassium, timed urine collection | $5.57 |
| 92102 | Potassium, urine random | $2.84 |
| 92103 | Potassium, whole blood | $1.05 |
| 92105 | Pre albumin | $20.16 |
| 92108 | Pregnancy test, immunologic - urine | $15.50 |
| 92110 | Pregnancy test - serum | $14.74 |
| 92115 | Pregnanediol, urine | $45.07 |
| 92120 | Pregnanetriol, urine | $53.20 |
| 92125 | Primidone (mysolene) | $18.49 |
| 92130 | Progesterone, serum/plasma | $14.86 |
| 92131 | Progesterone, serum/plasma 17-oh | $41.71 |
| 92135 | Prolactin | $13.49 |
| 92145 | Proteins, total quantitative, c.s.f. | $7.14 |
| 92146 | Protein, timed urine collection | $5.95 |
| 92147 | Protein total, joint fluid | $1.05 |
| 92148 | Protein total, serum or plasma | $1.60 |
| 92149 | Protein total, transudate/exudate | $1.05 |
| 92150 | Protease inhibitor | $32.95 |
| 92151 | Purine, pyrimidine and creatine disorder screen | $63.34 |
| 92152 | Drug assay (multiple) - pyridinium cross links | $24.67 |
| 92155 | Pyruvates | $17.98 |
| 92156 | Pryruvate carboxylase, fibroblasts | $93.71 |
| 92157 | Pyruvate dehydrogenase, fibroblasts | $93.71 |
| 92160 | Quantitative beta hcg | $16.30 |
| 92165 | Quantitative hcg (intact) | $25.18 |
| 92170 | Ige assay, quantitative (duplicate) | $13.72 |
| 92180 | Quinidine | $27.36 |
| 92185 | Renin, single determination | $63.87 |
| 92190 | Renin, two or more determinations | $98.11 |
| 92195 | Respiratory chain enzymes-muscle | $274.56 |
| 92197 | Retinol binding protein | $27.82 |
| 92200 | Salicylates, qualitative, serum | $5.24 |
| 92201 | Salicylates, qualitative, gastric | $2.88 |
| 92202 | Salicylates, qualitative, urine | $3.01 |
| 92203 | Salicylates, quantitative, serum | $9.26 |
| 92204 | Salicylates, quantitative, urine | $9.77 |
| 92205 | Scc | $20.40 |
| 92210 | Secretin - pancreozymin test | $462.10 |
| 92215 | Selenium | $49.77 |
| 92220 | Seminal fructose | $7.32 |
| 92225 | Serum viscosity | $23.17 |
| 92227 | Sirolimus | $43.01 |
| 92230 | Sodium, random urine | $2.72 |
| 92231 | Sodium, serum/plasma | $1.38 |
| 92232 | Sodium, timed urine collection | $4.60 |
| 92233 | Sodium, whole blood | $1.05 |
| 92235 | Somatotropin, one specimen | $30.38 |
| 92236 | Somatotropin, additional specimen | $19.36 |
| 92240 | Specific protein analysis/preparative ultracentrif | $141.14 |
| 92250 | Sphingomyelinase, fibroblasts | $51.38 |
| 92251 | Sphingomyelinase, white blood cells | $51.38 |
| 92255 | Sulfonamides, quantitative, urine | $3.77 |
| 92260 | Sweat test (mucoviscidosis) chemical | $10.20 |
| 92263 | Tacrolimus | $23.47 |
| 92266 | Testosterone total | $15.81 |
| 92267 | Sex hormone binding globulig (shbg) | $13.56 |
| 92270 | Thallium | $43.91 |
| 92275 | Theophylline | $42.33 |
| 92277 | Thiopurine metabolites | $50.46 |
| 92278 | Thiopurine metabolites | $54.49 |
| 92280 | Thyroglobulin | $27.90 |
| 92285 | Thyroglobulin antibodies | $20.40 |
| 92290 | Thyroid binding globulin | $20.40 |
| 92305 | Thyroid receptor ab | $22.48 |
| 92310 | Total t3 | $12.12 |
| 92311 | T3 - free | $9.35 |
| 92315 | Thyroxine ratio, t4 or total | $12.12 |
| 92320 | Thyroid releasing hormone (trh) stimulation test | $55.91 |
| 92325 | Thyroid stimulating hormone, tsh | $9.90 |
| 92330 | Free t4 | $12.12 |
| 92332 | Thyroperoxidase antibodies | $20.22 |
| 92335 | Tissue iron | $43.91 |
| 92340 | Transcobalamine ii | $20.40 |
| 92345 | Transferrin | $7.56 |
| 92346 | Transferrin isoelectric focusing(qualitive) | $90.49 |
| 92350 | Triglycerides, serum/plasma | $6.59 |
| 92351 | Triglycerides, transudate/exudate | $9.05 |
| 92353 | 13c triolein breath test for malabsorption | $67.91 |
| 92355 | Troponin | $15.05 |
| 92360 | Trypsin, qualitative, feces | $2.24 |
| 92361 | Trypsin, quantitative, feces | $3.96 |
| 92362 | Trypsin, quantitative, gastric | $3.96 |
| 92365 | Urea, amniotic fluid | $1.06 |
| 92366 | Urea, csf | $1.06 |
| 92367 | Urea, nitrogen quantitative, urine | $7.42 |
| 92368 | Urea, serum/plasma | $1.57 |
| 92369 | Urea, urine random | $1.76 |
| 92370 | Urea, whole blood | $1.06 |
| 92375 | Uric acid, random urine | $1.06 |
| 92376 | Uric acid, serum/plasma | $1.70 |
| 92377 | Uric acid, synovial fluid | $1.58 |
| 92378 | Uric acid, timed urine collection | $4.56 |
| 92382 | Urinalysis, screening and microscopic | $5.63 |
| 92385 | Urinalysis - or any part of (screening) | $2.05 |
| 92390 | Urinalysis, macroscopic | $7.42 |
| 92391 | Urinalysis-microscopic exam of centrifuged deposit | $4.19 |
| 92395 | Urinalysis, microscopic | $7.17 |
| 92396 | Microalbumin, semiquantative - by urine dipstick | $6.68 |
| 92397 | Protein creatinine ratio, urine | $7.67 |
| 92400 | Urobilin, qualitative, urine | $2.35 |
| 92405 | Urobilinogen, qualitative, urine | $4.09 |
| 92406 | Urobilinogen, timed urine collection | $13.58 |
| 92420 | Vanillylmandelic acid | $38.61 |
| 92425 | Very long chain fatty acids | $91.69 |
| 92430 | Vitamin a | $47.86 |
| 92435 | Vitamin b1 | $54.30 |
| 92440 | Vitamin b2 | $54.30 |
| 92445 | Vitamin b6 | $54.30 |
| 92450 | Vitamin b12 | $14.38 |
| 92455 | Vitamin d (1,25 dihydroxy) | $94.49 |
| 92460 | Vitamin d (25 hydroxy-cholecalciferol) | $61.32 |
| 92465 | Vitamin e | $53.94 |
| 92467 | White blood cell preparation for lysosomal enzyme | $42.36 |
| 92470 | Xylose tolerance | $106.16 |
| 92475 | Zinc | $102.44 |
| 92503 | Amphetamines | $9.55 |
| 92505 | Benzodiazepines | $8.39 |
| 92506 | Tetrahydrocannabinoids (thc) | $10.92 |
| 92507 | Cocaine/cocaine metabolite | $7.10 |
| 92508 | Ethanol | $6.92 |
| 92510 | Methadone metabolite | $6.80 |
| 92511 | Opiates | $7.16 |
| 92513 | Methadone | $3.50 |
| 92514 | Oxycodone, screening assay | $12.82 |
| 92515 | Blood methadone | $46.42 |
| 92518 | Fentanyl, urine screening immunoassay | $13.10 |
| 92520 | 1-amphetamine | $70.92 |
| 92521 | 1-metamphetamine | $70.92 |
| 92522 | Anileridine | $70.92 |
| 92523 | Antihistamines | $70.92 |
| 92524 | Clonidine | $70.92 |
| 92525 | Fentanyl | $70.92 |
| 92526 | Furosemide | $70.92 |
| 92527 | Hydrocodone | $70.92 |
| 92528 | Hydromorphone | $70.92 |
| 92529 | Meperidine | $70.92 |
| 92530 | Meprobamate | $70.92 |
| 92532 | Methaqualone | $70.92 |
| 92533 | Methocarbamol | $70.92 |
| 92534 | Methylenedioxyamphetamine | $70.92 |
| 92535 | Methylenedioxymethamphetamine | $70.92 |
| 92536 | N-acetyl morphine | $70.92 |
| 92537 | Naloxone | $70.92 |
| 92538 | Oxycodone | $70.92 |
| 92539 | Oxymorphone | $70.92 |
| 92540 | Pentazocine | $70.92 |
| 92541 | Phentermine | $70.92 |
| 92542 | Phenylpropanolamine | $70.92 |
| 92543 | Propoxyphene | $70.92 |
| 92544 | Pseudoephedrine | $70.92 |
| 92545 | Gc/ms confirmation of positive screen | $67.92 |
| 92546 | Comprehensive drug analysis | $119.94 |
| 92550 | Urine, drugs of abuse screen - per analyte | $6.95 |
| 93010 | Crystal identification synovial fluid | $40.05 |
| 93015 | Cytogenetic analysis - short term blood | $301.44 |
| 93020 | Cytogenetic analysis - bone marrow | $516.59 |
| 93025 | Cytogenetic analysis - chorionic villus | $727.15 |
| 93030 | Cytogenetic analysis - cultured amniotic fluid | $414.61 |
| 93035 | Cytogenetic analysis - cultured tissue | $414.49 |
| 93040 | Cytogenetic analysis - foetal blood sample | $392.46 |
| 93045 | Cytogenetic analysis | $966.29 |
| 93047 | Cytogenetic analysis | $296.18 |
| 93048 | Cytogenetic analysis | $400.00 |
| 93049 | Cytogenetic analysis | $800.00 |
| 93050 | Cytogenetic analysis/in-situ hybridization | $466.46 |
| 93051 | Cytogenetic analysis/fluorescence in situ, single | $192.68 |
| 93052 | Cytogenetic analysis/fluorescence, subtelomeric | $515.49 |
| 93053 | Cytogenetic analysis/fluorescence,uncultured | $389.61 |
| 93055 | Special staining (giemsa ii, dapi, sce, nor) | $30.78 |
| 93060 | Special banding (q-, r-, c-) | $29.48 |
| 93065 | Amniotic cell culture - analysis only | $210.20 |
| 93070 | Chromosomal breakage | $181.80 |
| 93075 | Investigation - chromosomal mosaicism | $114.52 |
| 93080 | Chromosome analysis - high resolution | $123.82 |
| 93081 | Chromosome analysis - high resolution | $113.56 |
| 93085 | Fine needle aspirate - cytologic examination | $94.24 |
| 93090 | Cytologic interpretation of pre-screened cytology | $65.54 |
| 93095 | Cytologic interpretation - unscreened cytology | $85.52 |
| 93100 | Electron microscopy | $384.40 |
| 93105 | Hepatic glycogen (tissue) | $32.52 |
| 93110 | Hepatic glucose - 6 phosphatase | $49.10 |
| 93115 | Muscle biopsy enzyme studies | $195.44 |
| 93160 | Semen - examination - complete | $82.34 |
| 93170 | Seminal examination | $26.98 |
| 91000 | Primary base fee - chemistry | $15.62 |
| 91005 | Primary base fee (collecting) - chemistry | $7.02 |
| 94005 | Emergency visit - laboratory medicine | $127.63 |
| 94006 | Laboratory medicine, directive care | $31.44 |
| 94007 | Laboratory medicine, office visit | $32.15 |
| 94008 | Laboratory medicine, hospital visit | $32.04 |
| 94009 | Laboratory medicine, home visit | $63.89 |
| 94010 | Consultation - laboratory medicine | $148.82 |
| 94012 | Consult - limited/repeat, laboratory medicine | $82.69 |
| 91020 | Acetylcholine receptor antibodies - qualitative | $101.93 |
| 91021 | Acetylcholine receptor antibodies - quantitative | $167.50 |
| 91023 | Acetyl coa: a-glucosaminide-n-acetyl transferase, | $93.71 |
| 91025 | Acid alpha-1 glycoprotein | $20.40 |
| 91027 | Acid lipase, wite blood cells | $51.25 |
| 91030 | Acid phosphatase, total | $13.66 |
| 91031 | Acid phosphatase, fractions - each | $13.66 |
| 91035 | Acth, plasma | $36.57 |
| 91036 | Acth stimulation test | $45.24 |
| 91037 | Acylcarnitine profiling | $41.28 |
| 91040 | Albumin, serum/plasma | $1.55 |
| 91042 | Albumin - transudate/exudate | $1.06 |
| 91050 | Alcohol | $20.79 |
| 91055 | Aldolase | $14.12 |
| 91060 | Aldosterone, plasma/serum | $170.92 |
| 91061 | Aldosterone, urine | $170.92 |
| 91065 | Alanine aminotransferase | $1.47 |
| 91070 | Alkaline phosphatase | $1.57 |
| 91075 | Allergen specific ige assay | $16.13 |
| 91080 | Alpha-1 antitrypsin | $20.06 |
| 91090 | Alpha fetoglobulin | $13.03 |
| 91095 | Alpha fetoprotein | $24.79 |
| 91096 | Alpha-iduronidase, white blood cells | $51.25 |
| 91097 | Alpha-mannosidase, white blood cells | $51.25 |
| 91100 | Aluminum | $49.19 |
| 91105 | Amino acid, quantitative, chromatography | $78.42 |
| 91110 | Amino acids-urine, chromatography | $54.27 |
| 91115 | Ammonia | $7.41 |
| 91120 | Amniotic fluid examination/written interpretation | $55.10 |
| 91125 | Amylase cyst | $13.73 |
| 91126 | Amylase, serum/plasma | $5.27 |
| 91127 | Amylase, transudate/exudate | $13.66 |
| 91128 | Amylase, urine | $7.53 |
| 91135 | Androstenedione, plasma | $36.09 |
| 91140 | Angiotensin converting enzyme (ace)-serum analysis | $18.72 |
| 91142 | Anti-diuretic hormone (adh), plasma | $113.81 |
| 91150 | Anti-endomysium antibodies | $94.39 |
| 91155 | Antiglomerular basement membrane antibody | $25.73 |
| 91162 | Anti-tissue transglutaminase antibodies(anti-ttg) | $13.92 |
| 91165 | Apolipoprotein a - 1 | $20.40 |
| 91170 | Apolipoprotein b - 100 | $16.60 |
| 91175 | Apolipoprotein e isoforms | $33.57 |
| 91180 | Apoprotein e genotyping | $93.90 |
| 91185 | Arsenic | $43.40 |
| 91190 | Aryl sulfatase a, fibroblasts | $51.38 |
| 91191 | Aryl sulfatase a, white blood cells | $51.38 |
| 91195 | Aryl sulfatase b, fibroblasts | $51.38 |
| 91196 | Aryl sulfatase b, white blood cells | $51.38 |
| 91200 | Aryl sulfatase c, fibroblasts | $51.38 |
| 91201 | Aryl sulfatase c, white blood cells | $51.38 |
| 91205 | Ascorbic acid (vitamin c) | $26.76 |
| 91206 | Ascorbic acid (vitamin c) - urine | $8.28 |
| 91210 | Aspartate aminotransferase | $1.73 |
| 91215 | B-galactosidase, fibroblasts | $51.38 |
| 91216 | B-galactosidase, white blood cells | $51.38 |
| 90020 | Abo typing | $16.09 |
| 90025 | Abo other groups | $33.11 |
| 90027 | Activated protein c resistance (apcr | $42.44 |
| 90029 | Alpha-thalassemia,molecular testing for com defect | $67.80 |
| 90030 | Alpha 2 antiplasmin assay | $45.48 |
| 90035 | Anti-dna | $28.41 |
| 90038 | Anti saccharomyces cerevisiae (asca) lga | $25.47 |
| 90039 | Anti saccharomyces cerevisiae (asca)lgg | $20.56 |
| 90040 | Anti-thrombin iii/coagulation proteins - bychromog | $33.49 |
| 90042 | Anti-xa heparin assay | $94.12 |
| 90045 | Examination - bone marrow | $225.85 |
| 90046 | Beta 2 glycoprotein i(b2gpi)antibody screen | $44.65 |
| 90047 | Beta 2 glycoprotein i antibodies igg/igm isotype | $47.26 |
| 90050 | Circulating anticoagulant - incubated - 1+ plasma | $57.43 |
| 90055 | Circulating inhibitor screen - unincubated-simple | $30.54 |
| 90060 | Clot retraction | $6.19 |
| 90063 | Coagulation factor/clotting assay | $45.51 |
| 90065 | Cold agglutinins - qualitative | $14.30 |
| 90068 | Cyclic citrullinated peptide antibodies | $29.48 |
| 90070 | Cold agglutinins - quantitative | $27.40 |
| 90072 | Collagen binding assay | $52.51 |
| 90073 | Dilute russell viper venom time | $14.01 |
| 90080 | Antiglobulin coombs test - direct | $24.55 |
| 90085 | Donath-landsteiner | $15.00 |
| 90090 | Eosinophil count | $10.62 |
| 90095 | Erythropoietin (epo) assay | $29.51 |
| 90100 | Estimation- b lymphocytes | $96.31 |
| 90105 | Estimation - lymphocyte -rosette formation | $70.55 |
| 90110 | Euglobulin lysis time | $16.30 |
| 90115 | Examination - eosinophils/secretions/excretions | $54.08 |
| 90120 | Ena (extractable nuclear antigens)) | $24.99 |
| 90123 | Factor ii assay - quantitative only | $53.52 |
| 90125 | Factor v | $52.04 |
| 90127 | Factor v leiden/pgm - 1st gene | $76.92 |
| 90128 | Factor v leiden/pgm - 2nd gene | $48.53 |
| 90130 | Factor vii assay | $51.21 |
| 90135 | Factor viii c assay | $51.58 |
| 90140 | Factor viii:c inhibitor assay (bethesda titre) | $89.64 |
| 90145 | Factor ix assay | $58.08 |
| 90150 | Factor xi | $51.21 |
| 90155 | Factor x assay | $51.21 |
| 90160 | Factor xii assay | $51.21 |
| 90165 | Factor xiii screen | $16.27 |
| 90170 | Fibrin/fibrinogen degradation/including d - dimer | $23.27 |
| 90175 | Fetal haemoglobin | $18.51 |
| 90180 | Foetal cell stain | $19.03 |
| 90185 | Glucose-6-phosphate dehydrogenase | $42.91 |
| 90190 | Glucose-6-phosphate dehydrogenase assay | $59.02 |
| 90200 | Ham test | $27.74 |
| 90205 | Haematology profile | $10.96 |
| 90210 | Haematology special stains - routine | $28.76 |
| 90215 | Haematology special stains - complex | $42.56 |
| 90220 | Haemoglobin a2 quantification | $14.14 |
| 90225 | Haemoglobin-cyanmethaemoglobin | $3.22 |
| 90235 | Haemoglobin - other methods | $1.55 |
| 90240 | Hemoglobin electrophoresis | $29.84 |
| 90245 | Haemoglobin-h inclusion bodies | $67.80 |
| 90265 | Hla - single antigen | $40.58 |
| 90280 | Immunofluorescent staining - first autoantibody | $20.44 |
| 90285 | Immunofluorescent staining - add. autoantibodies | $27.03 |
| 90290 | Immunophenotyping by flow cytometry- peripheral | $223.42 |
| 90295 | Immunophenotyping/flow cytometry - each additional | $34.42 |
| 90300 | Coombs - indirect | $15.05 |
| 90305 | Slide agglutination - infectious mononucleosis | $17.10 |
| 90310 | Ivy template - bleeding time | $26.63 |
| 90315 | Latex test (rheumatoid factor) | $8.41 |
| 90320 | Leucocyte alkaline phosphatase | $42.35 |
| 90325 | Lymphocyte stimulation test | $106.30 |
| 90330 | Lymphocyte stimulation test - each additional | $32.16 |
| 90335 | Malaria/other parasites | $61.82 |
| 90340 | Marrow films -interpretation | $163.79 |
| 90345 | Marrow/peripheral blood stem cells | $104.80 |
| 90350 | Mixed leukocyte culture - donor/recipient | $112.77 |
| 90355 | Mixed leukocyte culture - each additional | $129.35 |
| 90357 | Neutrophil oxidative burst assay | $112.77 |
| 90360 | Nitro blue tetrazolium test | $30.44 |
| 90365 | Oxygen disassociation curve | $77.96 |
| 90370 | Thromboplastin test, partial | $6.57 |
| 90375 | Partial thromboplastin time - substitution test | $42.77 |
| 90377 | Phospholipid neutralization test - confirm lupus | $42.25 |
| 90380 | Plasma haemoglobin | $16.88 |
| 90385 | Plasminogen assay | $45.87 |
| 90390 | Platelet antibodies | $34.46 |
| 90400 | Platelet estimation - film | $4.64 |
| 90405 | Platelet function aggregation | $21.93 |
| 90410 | Preparation of packed cells, per unit | $16.22 |
| 90420 | Protein c activity | $51.33 |
| 90425 | Protein c antigen | $56.18 |
| 90427 | Protein s activity (clot based) | $38.31 |
| 90430 | Protein s free antigen | $43.51 |
| 90435 | Protein s total antigen | $40.50 |
| 90440 | Prothrombin time/inr | $12.07 |
| 90445 | Pyruvic kinase assay | $75.52 |
| 90450 | Pyruvic kinase test | $13.30 |
| 90455 | Raji cell assay | $50.59 |
| 90460 | Rbc antibody detection, albumin or enzyme tubes | $6.89 |
| 90465 | Blood film review | $17.99 |
| 90475 | Red cell fragility screening test | $17.77 |
| 90480 | Red cell fragility incubated | $57.13 |
| 90485 | Reptilase time | $40.88 |
| 90490 | Reticulocyte count and/or heinz bodies | $11.54 |
| 90495 | Rh (d) typing | $10.38 |
| 90500 | Rh genotype | $41.21 |
| 90505 | Ristocetin co-factor assay | $77.57 |
| 90510 | Saline tubes (per tube) | $7.59 |
| 90512 | Secretion smear for eosinophils | $7.41 |
| 90515 | Sedimentation rate | $10.61 |
| 90520 | Serum haptoglobin | $20.42 |
| 90525 | Sickle cell identification | $76.41 |
| 90530 | Stypven prothrombin time | $27.95 |
| 90535 | Sugar water test (p.n.h.) | $10.72 |
| 90540 | Thalassemia/hemoglobinopathy investigation | $65.46 |
| 90550 | Dpg assay 2-3 | $34.23 |
| 90555 | Von willebrand factor antigen | $107.66 |
| 90560 | Von willebrand factor - multimer analysis | $88.77 |
| 90565 | White blood cells agglutinins | $71.34 |
| 91130 | Proteinase 3 antineutrophil cytoplasmic antibody | $18.90 |
| 91145 | Anticardiolipin ab, igg | $24.47 |
| 91146 | Anticardiolipin ab, igm | $24.47 |
| 91160 | Antimyeloperoxidase antibody | $17.75 |
| 91355 | Cell count - csf and other body fluids | $28.77 |
| 91356 | Cell differential - csf and other body fluids | $11.70 |
| 90600 | Acid fast organisms - culture | $24.13 |
| 90605 | Anaerobic culture investigation | $11.77 |
| 90610 | Serum bactericidal test | $66.41 |
| 90615 | Antibiotic susceptibility test - semi-quantitative | $11.61 |
| 90625 | Blood culture - aerobic/anaerobic media | $36.08 |
| 90630 | C. difficile toxin - immunological | $16.64 |
| 90640 | Candida culture | $6.81 |
| 90645 | Chlamydia antigen | $16.84 |
| 90647 | Chlamydia antigen | $18.54 |
| 90648 | Chlamydia antigen | $16.80 |
| 90649 | Chlamydia antigen | $31.47 |
| 90650 | Chlamydia culture | $42.84 |
| 90651 | Chlamydia trachomatis using naat - urine | $25.18 |
| 90652 | Chlamydia trachomatis using naat -urogenital swab | $24.09 |
| 90653 | Gonorrhea by naat-urine | $4.76 |
| 90654 | Gonorrhea by naat-urogenital swab | $4.76 |
| 90655 | Clostridium difficile toxin - tissue culture | $18.09 |
| 90656 | C. difficile toxin, real time pcr | $48.91 |
| 90660 | Diphtheria antibodies | $21.14 |
| 90665 | Fungus culture | $21.41 |
| 90670 | Fungus direct examination koh preparation | $13.76 |
| 90675 | Hepatitis b e antigen | $14.87 |
| 90685 | Hepatitis a - igm antibody (anti-hav-igm) | $18.42 |
| 90690 | Hepatitis b core antibody (anti-hbc) | $10.85 |
| 90700 | Hepatitis b surface antibody (anti-hbs) | $11.08 |
| 90715 | Rotavirus antigen | $16.87 |
| 90720 | Routine culture | $15.30 |