INITIAL TEST |
CPT CODE |
REFLEX CRITERIA |
REFLEX TEST(S) |
CPT CODE |
|
ANA |
86038 |
Positive |
ANA Pattern & Titer |
86039 (Out patients) |
|
ANA Titer |
86039 |
>160 |
DNA |
86225 |
|
ASO |
86063 |
Positive |
ASO Titer |
86060 (Out patients) |
|
Brucellosis Titer |
|
<20 |
Brucellosis IgG |
|
|
CBC |
85025 |
Established Criteria |
Cell Morphology |
85007 |
|
CK |
82550 |
>200 IU/L if Female |
CKMB |
82553 |
|
Cryptococcal Antigen |
87449/87102 |
Detected |
Cryptococcal Titer |
|
|
Cytoplasmic Neutrophil Antibodies, Serum |
86255-screen |
Positive |
Myeloperoxidase Antibodies, Serum |
83520 |
|
FDP (serum) |
85362 |
Positive & no latex RA in last 7 days |
Latex RA |
86430 |
|
Fecal Leukocytes |
87205 |
Positive |
Fecal Leukocytes Differential |
|
|
Hepatitis B Surface Antigen |
87340 |
Positive |
Hepatitis B Supplemental Tests |
87341 |
|
Hepatitis C Antibody |
86803 |
Positive |
HCV RNA by RT-PCR |
87522 |
|
HIV |
86703 |
Detected |
HIV Supplemental |
86702, 86703, 86689 |
|
HIV Supplemental |
86702 |
Indeterminate |
HIV Supplemental |
81758 |
|
HIV (IFA) |
81758 |
Negative |
HIVZ (EIA) |
86702 |
|
Latex RA |
86430 |
Positive |
Latex RA Titer |
86431 (Out patients) |
|
Mixing Tests |
85610 |
Established Criteria |
PT and/or PTT mixing test |
85611 PTR mixing test |
| Syphilis IgG Ab | 86592 | Positive | RPR | 86592 |
|
Thin Prep Pap Smear |
88142 |
Atypical cells of unknown significance (ASCUS) |
HPV |
87621 |
| Urinalysis/Microscopic | 81001 | Bacteria >/=2+/hpf WBC >/=6/hpf Epithelial Cells </=5/hpf |
Urine culture for inpatients with the exception of 3W and 5E (ER hold, if admitted URNC ordered) |
R:\clerical\reference\reflex chart.doc
4/6/06