| A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | |
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1 | HCPCS | RATE | EXTENDEDLONGDESC | Best-fit analytic category | Duplicate flag | |||||||||||||||||||||
2 | 0001U | 00720.00 | Red blood cell antigen typing, dna, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups, utilizing whole blood, common rbc alleles reported | Hematology, transfusion medicine & coagulation | Unique code | |||||||||||||||||||||
3 | 0002U | 00025.00 | Oncology (colorectal), quantitative assessment of three urine metabolites (ascorbic acid, succinic acid and carnitine) by liquid chromatography with tandem mass spectrometry (lc-ms/ms) using multiple reaction monitoring acquisition, algorithm reported as likelihood of adenomatous polyps | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
4 | 0003U | 00950.00 | Oncology (ovarian) biochemical assays of five proteins (apolipoprotein a-1, ca 125 ii, follicle stimulating hormone, human epididymis protein 4, transferrin), utilizing serum, algorithm reported as a likelihood score | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
5 | 0005U | 00760.00 | Oncology (prostate) gene expression profile by real-time rt-pcr of 3 genes (erg, pca3, and spdef), urine, algorithm reported as risk score | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
6 | 0007U | 00114.43 | Drug test(s), presumptive, with definitive confirmation of positive results, any number of drug classes, urine, includes specimen verification including dna authentication in comparison to buccal dna, per date of service | Toxicology, medication adherence & drug monitoring | Unique code | |||||||||||||||||||||
7 | 0008U | 00597.91 | Helicobacter pylori detection and antibiotic resistance, dna, 16s and 23s rrna, gyra, pbp1, rdxa and rpob, next generation sequencing, formalin-fixed paraffin embedded or fresh tissue or fecal sample, predictive, reported as positive or negative for resistance to clarithromycin, fluoroquinolones, metronidazole, amoxicillin, tetracycline and rifabutin | Infectious disease, microbiome & antimicrobial resistance | Unique code | |||||||||||||||||||||
8 | 0009U | 00107.00 | Oncology (breast cancer), erbb2 (her2) copy number by fish, tumor cells from formalin fixed paraffin embedded tissue isolated using image-based dielectrophoresis (dep) sorting, reported as erbb2 gene amplified or non-amplified | Oncology – treatment selection, genomic profiling & MRD | Unique code | |||||||||||||||||||||
9 | 0010U | 00427.26 | Infectious disease (bacterial), strain typing by whole genome sequencing, phylogenetic-based report of strain relatedness, per submitted isolate | Infectious disease, microbiome & antimicrobial resistance | Unique code | |||||||||||||||||||||
10 | 0011U | 00114.43 | Prescription drug monitoring, evaluation of drugs present by lc-ms/ms, using oral fluid, reported as a comparison to an estimated steady-state range, per date of service including all drug compounds and metabolites | Toxicology, medication adherence & drug monitoring | Unique code | |||||||||||||||||||||
11 | 0016U | 00163.96 | Oncology (hematolymphoid neoplasia), rna, bcr/abl1 major and minor breakpoint fusion transcripts, quantitative pcr amplification, blood or bone marrow, report of fusion not detected or detected with quantitation | Oncology – treatment selection, genomic profiling & MRD | Unique code | |||||||||||||||||||||
12 | 0017U | 00091.66 | Oncology (hematolymphoid neoplasia), jak2 mutation, dna, pcr amplification of exons 12-14 and sequence analysis, blood or bone marrow, report of jak2 mutation not detected or detected | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
13 | 0018U | 03002.09 | Oncology (thyroid), microrna profiling by rt-pcr of 10 microrna sequences, utilizing fine needle aspirate, algorithm reported as a positive or negative result for moderate to high risk of malignancy | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
14 | 0019U | 03675.00 | Oncology, rna, gene expression by whole transcriptome sequencing, formalin-fixed paraffin embedded tissue or fresh frozen tissue, predictive algorithm reported as potential targets for therapeutic agents | Oncology – treatment selection, genomic profiling & MRD | Unique code | |||||||||||||||||||||
15 | 0021U | 00760.00 | Oncology (prostate), detection of 8 autoantibodies (arf 6, nkx3-1, 5'-utr-bmi1, cep 164, 3'-utr-ropporin, desmocollin, aurkaip-1, csnk2a2), multiplexed immunoassay and flow cytometry serum, algorithm reported as risk score | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
16 | 0022U | 01950.00 | Targeted genomic sequence analysis panel, non-small cell lung neoplasia, dna and rna analysis, 23 genes, interrogation for sequence variants and rearrangements, reported as presence or absence of variants and associated therapy(ies) to consider | Oncology – treatment selection, genomic profiling & MRD | Unique code | |||||||||||||||||||||
17 | 0023U | 00248.51 | Oncology (acute myelogenous leukemia), dna, genotyping of internal tandem duplication, p.d835, p.i836, using mononuclear cells, reported as detection or non-detection of flt3 mutation and indication for or against the use of midostaurin | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
18 | 0024U | 00034.19 | Glycosylated acute phase proteins (glyca), nuclear magnetic resonance spectroscopy, quantitative | Organ-system medicine, autoimmune & chronic disease | Unique code | |||||||||||||||||||||
19 | 0025U | 00114.43 | Tenofovir, by liquid chromatography with tandem mass spectrometry (lc-ms/ms), urine, quantitative | Toxicology, medication adherence & drug monitoring | Unique code | |||||||||||||||||||||
20 | 0026U | 03600.00 | Oncology (thyroid), dna and mrna of 112 genes, next-generation sequencing, fine needle aspirate of thyroid nodule, algorithmic analysis reported as a categorical result ("positive, high probability of malignancy" or "negative, low probability of malignancy") | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
21 | 0027U | 00121.91 | Jak2 (janus kinase 2) (eg, myeloproliferative disorder) gene analysis, targeted sequence analysis exons 12-15 | Oncology – treatment selection, genomic profiling & MRD | Unique code | |||||||||||||||||||||
22 | 0030U | 00134.13 | Drug metabolism (warfarin drug response), targeted sequence analysis (ie, cyp2c9, cyp4f2, vkorc1, rs12777823) | Germline, reproductive, rare disease & pharmacogenomics | Unique code | |||||||||||||||||||||
23 | 0032U | 00174.81 | Comt (catechol-o-methyltransferase) (drug metabolism) gene analysis, c.472g>a (rs4680) variant | Germline, reproductive, rare disease & pharmacogenomics | Unique code | |||||||||||||||||||||
24 | 0034U | 00466.17 | Tpmt (thiopurine s-methyltransferase), nudt15 (nudix hydroxylase 15)(eg, thiopurine metabolism), gene analysis, common variants (ie, tpmt *2, *3a, *3b, *3c, *4, *5, *6, *8, *12; nudt15 *3, *4, *5) | Germline, reproductive, rare disease & pharmacogenomics | Unique code | |||||||||||||||||||||
25 | 0035U | 00540.99 | Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quaking-induced conformational conversion, qualitative | Neurology, psychiatry & neurodegeneration | Unique code | |||||||||||||||||||||
26 | 0036U | 04780.00 | Exome (ie, somatic mutations), paired formalin-fixed paraffin-embedded tumor tissue and normal specimen, sequence analyses | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
27 | 0037U | 03500.00 | Targeted genomic sequence analysis, solid organ neoplasm, dna analysis of 324 genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements, microsatellite instability and tumor mutational burden | Oncology – treatment selection, genomic profiling & MRD | Unique code | |||||||||||||||||||||
28 | 0038U | 00029.60 | Vitamin d, 25 hydroxy d2 and d3, by lc-ms/ms, serum microsample, quantitative | Organ-system medicine, autoimmune & chronic disease | Unique code | |||||||||||||||||||||
29 | 0039U | 00013.74 | Deoxyribonucleic acid (dna) antibody, double stranded, high avidity | Organ-system medicine, autoimmune & chronic disease | Unique code | |||||||||||||||||||||
30 | 0040U | 00409.90 | Bcr/abl1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis, major breakpoint, quantitative | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
31 | 0041U | 00017.21 | Borrelia burgdorferi, antibody detection of 5 recombinant protein groups, by immunoblot, igm | Infectious disease, microbiome & antimicrobial resistance | Unique code | |||||||||||||||||||||
32 | 0042U | 00017.21 | Borrelia burgdorferi, antibody detection of 12 recombinant protein groups, by immunoblot, igg | Infectious disease, microbiome & antimicrobial resistance | Unique code | |||||||||||||||||||||
33 | 0043U | 00014.86 | Tick-borne relapsing fever borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, igm | Infectious disease, microbiome & antimicrobial resistance | Unique code | |||||||||||||||||||||
34 | 0044U | 00014.86 | Tick-borne relapsing fever borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, igg | Infectious disease, microbiome & antimicrobial resistance | Unique code | |||||||||||||||||||||
35 | 0045U | 03873.00 | Oncology (breast ductal carcinoma in situ), mrna, gene expression profiling by real-time rt-pcr of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
36 | 0046U | 00407.43 | Flt3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia) internal tandem duplication (itd) variants, quantitative | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
37 | 0047U | 03873.00 | Oncology (prostate), mrna, gene expression profiling by real-time rt-pcr of 17 genes (12 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a risk score | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
38 | 0048U | 02919.60 | Oncology (solid organ neoplasia), dna, targeted sequencing of protein-coding exons of 468 cancer-associated genes, including interrogation for somatic mutations and microsatellite instability, matched with normal specimens, utilizing formalin-fixed paraffin-embedded tumor tissue, report of clinically significant mutation(s) | Oncology – treatment selection, genomic profiling & MRD | Unique code | |||||||||||||||||||||
39 | 0049U | 00407.43 | Npm1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
40 | 0050U | 02916.60 | Targeted genomic sequence analysis panel, acute myelogenous leukemia, dna analysis, 194 genes, interrogation for sequence variants, copy number variants or rearrangements | Oncology – treatment selection, genomic profiling & MRD | Unique code | |||||||||||||||||||||
41 | 0051U | 00246.92 | Prescription drug monitoring, evaluation of drugs present by liquid chromatography tandem mass spectrometry (lc-ms/ms), urine or blood, 31 drug panel, reported as quantitative results, detected or not detected, per date of service | Toxicology, medication adherence & drug monitoring | Unique code | |||||||||||||||||||||
42 | 0052U | 00033.86 | Lipoprotein, blood, high resolution fractionation and quantitation of lipoproteins, including all five major lipoprotein classes and subclasses of hdl, ldl, and vldl by vertical auto profile ultracentrifugation | Organ-system medicine, autoimmune & chronic disease | Unique code | |||||||||||||||||||||
43 | 0054U | 00198.74 | Prescription drug monitoring, 14 or more classes of drugs and substances, definitive tandem mass spectrometry with chromatography, capillary blood, quantitative report with therapeutic and toxic ranges, including steady-state range for the prescribed dose when detected, per date of service | Toxicology, medication adherence & drug monitoring | Unique code | |||||||||||||||||||||
44 | 0055U | 03240.00 | Cardiology (heart transplant), cell-free dna, pcr assay of 96 dna target sequences (94 single nucleotide polymorphism targets and two control targets), plasma | Transplant, histocompatibility & immune monitoring | Unique code | |||||||||||||||||||||
45 | 0058U | 00322.96 | Oncology (merkel cell carcinoma), detection of antibodies to the merkel cell polyoma virus oncoprotein (small t antigen), serum, quantitative | Infectious disease, microbiome & antimicrobial resistance | Unique code | |||||||||||||||||||||
46 | 0059U | 00322.96 | Oncology (merkel cell carcinoma), detection of antibodies to the merkel cell polyoma virus capsid protein (vp1), serum, reported as positive or negative | Infectious disease, microbiome & antimicrobial resistance | Unique code | |||||||||||||||||||||
47 | 0060U | 00759.05 | Twin zygosity, genomic-targeted sequence analysis of chromosome 2, using circulating cell-free fetal dna in maternal blood | Germline, reproductive, rare disease & pharmacogenomics | Unique code | |||||||||||||||||||||
48 | 0061U | 00025.10 | Transcutaneous measurement of five biomarkers (tissue oxygenation [sto2], oxyhemoglobin [cthbo2], deoxyhemoglobin [cthbr], papillary and reticular dermal hemoglobin concentrations [cthb1 and cthb2]), using spatial frequency domain imaging (sfdi) and multi-spectral analysis | Hematology, transfusion medicine & coagulation | Unique code | |||||||||||||||||||||
49 | 0062U | 00380.72 | Autoimmune (systemic lupus erythematosus), igg and igm analysis of 80 biomarkers, utilizing serum, algorithm reported with a risk score | Organ-system medicine, autoimmune & chronic disease | Unique code | |||||||||||||||||||||
50 | 0063U | 00750.00 | Neurology (autism), 32 amines by lc-ms/ms, using plasma, algorithm reported as metabolic signature associated with autism spectrum disorder | Neurology, psychiatry & neurodegeneration | Unique code | |||||||||||||||||||||
51 | 0064U | 00031.33 | Antibody, treponema pallidum, total and rapid plasma reagin (rpr), immunoassay, qualitative | Infectious disease, microbiome & antimicrobial resistance | Unique code | |||||||||||||||||||||
52 | 0065U | 00018.09 | Syphilis test, non-treponemal antibody, immunoassay, qualitative (rpr) | Infectious disease, microbiome & antimicrobial resistance | Unique code | |||||||||||||||||||||
53 | 0067U | 01897.00 | Oncology (breast), immunohistochemistry, protein expression profiling of 4 biomarkers (matrix metalloproteinase-1 [mmp-1], carcinoembryonic antigen-related cell adhesion molecule 6 [ceacam6], hyaluronoglucosaminidase [hyal1], highly expressed in cancer protein [hec1]), formalin-fixed paraffin-embedded precancerous breast tissue, algorithm reported as carcinoma risk score | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
54 | 0068U | 00142.63 | Candida species panel (c. albicans, c. glabrata, c. parapsilosis, c. kruseii, c tropicalis, and c. auris), amplified probe technique with qualitative report of the presence or absence of each species | Infectious disease, microbiome & antimicrobial resistance | Unique code | |||||||||||||||||||||
55 | 0069U | 00380.00 | Oncology (colorectal), microrna, rt-pcr expression profiling of mir-31-3p, formalin-fixed paraffin-embedded tissue, algorithm reported as an expression sco | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
56 | 0070U | 00676.37 | Cyp2d6 (cytochrome p450, family 2, subfamily d, polypeptide 6) (eg, drug metabolism) gene analysis, common and select rare variants (ie, *2, *3, *4, *4n, *5, *6, *7, *8, *9, *10, *11, *12, *13, *14a, *14b, *15, *17, *29, *35, *36, *41, *57, *61, *63, *68, *83, *xn) | Germline, reproductive, rare disease & pharmacogenomics | Unique code | |||||||||||||||||||||
57 | 0071U | 00600.00 | Cyp2d6 (cytochrome p450, family 2, subfamily d, polypeptide 6) (eg, drug metabolism) gene analysis, full gene sequence (list separately in addition to code for primary procedure) | Germline, reproductive, rare disease & pharmacogenomics | Unique code | |||||||||||||||||||||
58 | 0072U | 00450.91 | Cyp2d6 (cytochrome p450, family 2, subfamily d, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, cyp2d6-2d7 hybrid gene) (list separately in addition to code for primary procedure) | Germline, reproductive, rare disease & pharmacogenomics | Unique code | |||||||||||||||||||||
59 | 0073U | 00450.91 | Cyp2d6 (cytochrome p450, family 2, subfamily d, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, cyp2d7-2d6 hybrid gene) (list separately in addition to code for primary procedure) | Germline, reproductive, rare disease & pharmacogenomics | Unique code | |||||||||||||||||||||
60 | 0074U | 00450.91 | Cyp2d6 (cytochrome p450, family 2, subfamily d, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, non-duplicated gene when duplication/multiplication is trans) (list separately in addition to code for primary procedure) | Germline, reproductive, rare disease & pharmacogenomics | Unique code | |||||||||||||||||||||
61 | 0075U | 00450.91 | Cyp2d6 (cytochrome p450, family 2, subfamily d, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, 5' gene duplication/multiplication) (list separately in addition to code for primary procedure) | Germline, reproductive, rare disease & pharmacogenomics | Unique code | |||||||||||||||||||||
62 | 0076U | 00450.91 | Cyp2d6 (cytochrome p450, family 2, subfamily d, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, 3' gene duplication/ multiplication) (list separately in addition to code for primary procedure) | Germline, reproductive, rare disease & pharmacogenomics | Unique code | |||||||||||||||||||||
63 | 0077U | 00043.43 | Immunoglobulin paraprotein (m-protein), qualitative, immunoprecipitation and mass spectrometry, blood or urine, including isotype | Hematology, transfusion medicine & coagulation | Unique code | |||||||||||||||||||||
64 | 0080U | 03520.00 | Oncology (lung), mass spectrometric analysis of galectin-3-binding protein and scavenger receptor cysteine-rich type 1 protein m130, with five clinical risk factors (age, smoking status, nodule diameter, nodule-spiculation status and nodule location), utilizing plasma, algorithm reported as a categorical probability of malignancy | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
65 | 0082U | 00246.92 | Drug test(s), definitive, 90 or more drugs or substances, definitive chromatography with mass spectrometry, and presumptive, any number of drug classes, by instrument chemistry analyzer (utilizing immunoassay), urine, report of presence or absence of each drug, drug metabolite or substance with description and severity of significant interactions per date of service | Toxicology, medication adherence & drug monitoring | Unique code | |||||||||||||||||||||
66 | 0083U | 00167.35 | Oncology, response to chemotherapy drugs using motility contrast tomography, fresh or frozen tissue, reported as likelihood of sensitivity or resistance to drugs or drug combinations | Oncology – treatment selection, genomic profiling & MRD | Unique code | |||||||||||||||||||||
67 | 0084U | 00720.00 | Red blood cell antigen typing, dna, genotyping of 10 blood groups with phenotype prediction of 37 red blood cell antigens | Hematology, transfusion medicine & coagulation | Unique code | |||||||||||||||||||||
68 | 0086U | 00200.00 | Infectious disease (bacterial and fungal), organism identification, blood culture, using rrna fish, 6 or more organism targets, reported as positive or negative with phenotypic minimum inhibitory concentration (mic)-based antimicrobial susceptibility | Infectious disease, microbiome & antimicrobial resistance | Unique code | |||||||||||||||||||||
69 | 0087U | 03159.42 | Cardiology (heart transplant), mrna gene expression profiling by microarray of 1283 genes, transplant biopsy tissue, allograft rejection and injury algorithm reported as a probability score | Transplant, histocompatibility & immune monitoring | Unique code | |||||||||||||||||||||
70 | 0088U | 03159.42 | Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing transplant biopsy tissue, algorithm reported as a probability score for rejection | Transplant, histocompatibility & immune monitoring | Unique code | |||||||||||||||||||||
71 | 0089U | 00760.00 | Oncology (melanoma), gene expression profiling by rtqpcr, prame and linc00518, superficial collection using adhesive patch(es) | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
72 | 0090U | 01950.00 | Oncology (cutaneous melanoma), mrna gene expression profiling by rt-pcr of 23 genes (14 content and 9 housekeeping), utilizing formalin-fixed paraffin-embedded (ffpe) tissue, algorithm reported as a categorical result (ie, benign, intermediate, malignant) | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
73 | 0092U | 02488.00 | Oncology (lung), three protein biomarkers, immunoassay using magnetic nanosensor technology, plasma, algorithm reported as risk score for likelihood of malignancy | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
74 | 0093U | 00062.14 | Prescription drug monitoring, evaluation of 65 common drugs by lc-ms/ms, urine, each drug reported detected or not detected | Toxicology, medication adherence & drug monitoring | Unique code | |||||||||||||||||||||
75 | 0094U | 07582.20 | Genome (eg, unexplained constitutional or heritable disorder or syndrome), rapid sequence analysis | Germline, reproductive, rare disease & pharmacogenomics | Unique code | |||||||||||||||||||||
76 | 0095U | 00771.98 | Eosinophilic esophagitis, 2 protein biomarkers (eotaxin-3 [ccl26 {c-c motif chemokine ligand 26}] and major basic protein [prg2 {proteoglycan 2, pro eosinophil major basic protein}], enzyme-linked immunosorbent assays (elisa), specimen obtained by esophageal string test device, algorithm reported as probability of active or inactive eosinophilic esophagitis | Organ-system medicine, autoimmune & chronic disease | Unique code | |||||||||||||||||||||
77 | 0096U | 00035.09 | Human papillomavirus (hpv), high-risk types (ie, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68), male urine | Infectious disease, microbiome & antimicrobial resistance | Unique code | |||||||||||||||||||||
78 | 0101U | 01743.95 | Hereditary colon cancer disorders (eg, lynch syndrome, pten hamartoma syndrome, cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel utilizing a combination of ngs, sanger, mlpa, and array cgh, with mmrna analytics to resolve variants of unknown significance when indicated (15 genes [sequencing and deletion/duplication], epcam and grem1 [deletion/duplication only]) | Oncology – treatment selection, genomic profiling & MRD | Unique code | |||||||||||||||||||||
79 | 0102U | 01303.95 | Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis panel utilizing a combination of ngs, sanger, mlpa, and array cgh, with mmrna analytics to resolve variants of unknown significance when indicated (17 genes [sequencing and deletion/duplication]) | Oncology – treatment selection, genomic profiling & MRD | Unique code | |||||||||||||||||||||
80 | 0103U | 01743.95 | Hereditary ovarian cancer (eg, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis panel utilizing a combination of ngs, sanger, mlpa, and array cgh, with mmrna analytics to resolve variants of unknown significance when indicated (24 genes [sequencing and deletion/duplication], epcam [deletion/duplication only]) | Oncology – treatment selection, genomic profiling & MRD | Unique code | |||||||||||||||||||||
81 | 0105U | 00950.00 | Nephrology (chronic kidney disease), multiplex electrochemiluminescent immunoassay (eclia) of tumor necrosis factor receptor 1a, receptor superfamily 2 (tnfr1, tnfr2), and kidney injury molecule-1 (kim-1) combined with longitudinal clinical data, including apol1 genotype if available, and plasma (isolated fresh or frozen), algorithm reported as probability score for rapid kidney function decline (rkfd) | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
82 | 0106U | 00874.49 | Gastric emptying, serial collection of 7 timed breath specimens, non-radioisotope carbon-13 (13c) spirulina substrate, analysis of each specimen by gas isotope ratio mass spectrometry, reported as rate of 13co2 excretion | Organ-system medicine, autoimmune & chronic disease | Unique code | |||||||||||||||||||||
83 | 0107U | 00016.00 | Clostridium difficile toxin(s) antigen detection by immunoassay technique, stool, qualitative, multiple-step method | Infectious disease, microbiome & antimicrobial resistance | Unique code | |||||||||||||||||||||
84 | 0108U | 04950.00 | Gastroenterology (barrett's esophagus), whole slide-digital imaging, including morphometric analysis, computer-assisted quantitative immunolabeling of 9 protein biomarkers (p16, amacr, p53, cd68, cox-2, cd45ro, hif1a, her-2, k20) and morphology, formalin-fixed paraffinembedded tissue, algorithm reported as risk of progression to high-grade dysplasia or cancer | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
85 | 0109U | 00142.63 | Infectious disease (aspergillus species), real-time pcr for detection of dna from 4 species (a. fumigatus, a. terreus, a. niger, and a. flavus), blood, lavage fluid, or tissue, qualitative reporting of presence or absence of each species | Infectious disease, microbiome & antimicrobial resistance | Unique code | |||||||||||||||||||||
86 | 0110U | 00027.11 | Prescription drug monitoring, one or more oral oncology drug(s) and substances, definitive tandem mass spectrometry with chromatography, serum or plasma from capillary blood or venous blood, quantitative report with steady-state range for the prescribed drug(s) when detected | Toxicology, medication adherence & drug monitoring | Unique code | |||||||||||||||||||||
87 | 0111U | 00682.29 | Oncology (colon cancer), targeted kras (codons 12, 13, and 61) and nras (codons 12, 13, and 61) gene analysis utilizing formalin-fixed paraffin-embedded tissue | Oncology – treatment selection, genomic profiling & MRD | Unique code | |||||||||||||||||||||
88 | 0112U | 00356.13 | Infectious agent detection and identification, targeted sequence analysis (16s and 18s rrna genes) with drugresistance gene | Infectious disease, microbiome & antimicrobial resistance | Unique code | |||||||||||||||||||||
89 | 0113U | 00760.00 | Oncology (prostate), measurement of pca3 and tmprss2-erg in urine and psa in serum following prostatic massage, by rna amplification and fluorescencebased detection, algorithm reported as risk score | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
90 | 0114U | 01938.01 | Gastroenterology (barrett's esophagus), vim and ccna1 methylation analysis, esophageal cells, algorithm reported as likelihood for barrett's esophagus | Organ-system medicine, autoimmune & chronic disease | Unique code | |||||||||||||||||||||
91 | 0115U | 00275.35 | Respiratory infectious agent detection by nucleic acid (dna and rna), 18 viral types and subtypes and 2 bacterial targets, amplified probe technique, including multiplex reverse transcription for rna targets, each analyte reported as detected or not detected | Infectious disease, microbiome & antimicrobial resistance | Unique code | |||||||||||||||||||||
92 | 0116U | 00246.92 | Prescription drug monitoring, enzyme immunoassay of 35 or more drugs confirmed with lc-ms/ms, oral fluid, algorithm results reported as a patientcompliance measurement with risk of drug to drug interactions for prescribed medications | Toxicology, medication adherence & drug monitoring | Unique code | |||||||||||||||||||||
93 | 0117U | 00840.65 | Pain management, analysis of 11 endogenous analytes (methylmalonic acid, xanthurenic acid, homocysteine, pyroglutamic acid, vanilmandelate, 5hydroxyindoleacetic acid, hydroxymethylglutarate, ethylmalonate, 3hydroxypropyl mercapturic acid (3-hpma), quinolinic acid, kynurenic acid), lcms/ms, urine, algorithm reported as a pain-index score with likelihood of atypical biochemical function associated with pain | Organ-system medicine, autoimmune & chronic disease | Unique code | |||||||||||||||||||||
94 | 0118U | 02753.25 | Transplantation medicine, quantification of donor-derived cell-free dna using whole genome next-generation sequencing, plasma, reported as percentage of donorderived cell-free dna in the total cell-free dna | Transplant, histocompatibility & immune monitoring | Unique code | |||||||||||||||||||||
95 | 0119U | 00083.76 | Cardiology, ceramides by liquid chromatography-tandem mass spectrometry, plasma, quantitative report with risk score for major cardiovascular events | Organ-system medicine, autoimmune & chronic disease | Unique code | |||||||||||||||||||||
96 | 0120U | 02510.21 | Oncology (b-cell lymphoma classification), mrna, gene expression profiling by fluorescent probe hybridization of 58 genes (45 content and 13 housekeeping genes), formalin-fixed paraffin-embedded tissue, algorithm reported as likelihood for primary mediastinal b-cell lymphoma (pmbcl) and diffuse large b-cell lymphoma (dlbcl) with cell of origin subtyping in the latter | Oncology – screening, diagnosis, risk & prognosis | Unique code | |||||||||||||||||||||
97 | 0121U | 00509.20 | Sickle cell disease, microfluidic flow adhesion (vcam-1), whole blood | Hematology, transfusion medicine & coagulation | Unique code | |||||||||||||||||||||
98 | 0122U | 00526.23 | Sickle cell disease, microfluidic flow adhesion (p-selectin), whole blood | Hematology, transfusion medicine & coagulation | Unique code | |||||||||||||||||||||
99 | 0123U | 00357.63 | Mechanical fragility, rbc, shear stress and spectral analysis profiling | Hematology, transfusion medicine & coagulation | Unique code | |||||||||||||||||||||
100 | 0129U | 01303.95 | Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis and deletion/duplication analysis panel (atm, brca1, brca2, cdh1, chek2, palb2, pten, and tp53) | Oncology – screening, diagnosis, risk & prognosis | Unique code |