| 80047 | Basic metabolic panel (Calcium, ionized) This panel must include the following: - Calcium, ionized (82330)
- Carbon dioxide (bicarbonate) (82374)
- Chloride (82435) Creatinine (82565)
- Glucose (82947)
- Potassium (84132)
- Sodium (84295)
- Urea Nitrogen (BUN) (84520)
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| 80048 | Basic metabolic panel (Calcium, total) This panel must include the following: - Calcium, total (82310)
- Carbon dioxide (bicarbonate) (82374)
- Chloride (82435) Creatinine (82565)
- Glucose (82947)
- Potassium (84132)
- Sodium (84295)
- Urea nitrogen (BUN) (84520)
|
| 80050 | General health panel This panel must include the following: - Comprehensive metabolic panel (80053)
- Thyroid stimulating hormone (TSH) (84443)
- Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009)
|
| 80051 | Electrolyte panel This panel must include the following: - Carbon dioxide (bicarbonate) (82374)
- Chloride (82435)
- Potassium (84132)
- Sodium (84295)
|
| 80053 | Comprehensive metabolic panel This panel must include the following: - Albumin (82040)
- Bilirubin, total (82247)
- Calcium, total (82310)
- Carbon dioxide (bicarbonate) (82374)
- Chloride (82435)
- Creatinine (82565)
- Glucose (82947)
- Phosphatase, alkaline (84075)
- Potassium (84132)
- Protein, total (84155)
- Sodium (84295)
- Transferase, alanine amino (ALT) (SGPT) (84460)
- Transferase, aspartate amino (AST) (SGOT) (84450)
- Urea nitrogen (BUN) (84520)
|
| 80055 | Obstetric panel This panel must include the following: - Hepatitis B surface antigen (HBsAg) (87340)
- Antibody, rubella (86762)
- Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592)
- Antibody screen, RBC, each serum technique (86850)
- Blood typing, ABO (86900)
- Blood typing, Rh (D) (86901)
- Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009)
|
| 80061 | Lipid panel This panel must include the following: - Cholesterol, serum, total (82465)
- Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718)
- Triglycerides (84478)
|
| 80069 | Renal function panel This panel must include the following: - Albumin (82040)
- Calcium, total (82310)
- Carbon dioxide (bicarbonate) (82374)
- Chloride (82435)
- Creatinine (82565)
- Glucose (82947)
- Phosphorus inorganic (phosphate) (84100)
- Potassium (84132)
- Sodium (84295)
- Urea nitrogen (BUN) (84520)
|
| 80074 | Acute hepatitis panel This panel must include the following: - Hepatitis A antibody (HAAb), IgM antibody (86709)
- Hepatitis B core antibody (HBcAb), IgM antibody (86705)
- Hepatitis B surface antigen (HBsAg) (87340)
- Hepatitis C antibody (86803)
|
| 80076 | Hepatic function panel This panel must include the following: - Albumin (82040)
- Bilirubin, total (82247)
- Bilirubin, direct (82248)
- Phosphatase, alkaline (84075)
- Protein, total (84155)
- Transferase, alanine amino (ALT) (SGPT) (84460)
- Transferase, aspartate amino (AST) (SGOT) (84450)
|
| 80081 | Obstetric panel (includes HIV testing): - Hepatitis B surface antigen (HBsAg) (87340)
- Rubella antibody (86762)
- Qualitative non-treponemal antibody syphilis test (VDRL, RPR, ART) (86592)
- RBC antibody screen (86850)
- ABO blood typing (86900)
- Rh (D) blood typing (86901)
- HIV-1 antigen(s) with HIV-1 and HIV-2 antibodies reported as a single result (87389)
- Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009)
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