Procedure code directory

Page 8 of 14, in code order. Codes 85055 to 87426.

• 85055Reticulated (young) platelet measurement$34.89
• 85060Blood smear interpretation by physician with written report$23.02
• 85097Bone marrow, smear interpretation$51.39
• 85210Clotting factor ii prothrombin, measurement$12.69
• 85220Clotting factor v (acg or proaccelerin) measurement$17.23
• 85240Clotting factor viii (ahg) measurement$17.51
• 85245Clotting factor viii (vw factor) measurement$22.44
• 85246Clotting factor viii (vw factor) antigen$22.43
• 85247Clotting factor viii (von willebrand factor) measurement$22.44
• 85250Clotting factor ix (ptc or christmas) measurement$18.64
• 85260Clotting factor x (stuart-prower) measurement$17.52
• 85270Clotting factor xi (pta) measurement$17.51
• 85280Clotting factor xii (hageman) measurement$18.93
• 85300Antithrombin iii antigen (clotting inhibitor) activity$11.60
• 85301Antithrombin iii antigen (clotting inhibitor) level$10.58
• 85302Protein c, (clotting inhibitor) activity$11.75
• 85303Protein c antigen (clotting inhibitor) measurement$13.54
• 85305Protein s (clotting inhibitor) level$11.36
• 85306Protein s (clotting inhibitor) measurement$14.99
• 85307Activated protein resistance assay$14.99
• 85347Coagulation time measurement, activated$4.18
• 85362Coagulation function analysis, agglutination slide, semiquantitative$6.73
• 85379Coagulation function measurement, d-dimer; quantitative$9.96
• 85384Fibrinogen (factor 1) activity measurement$9.52
• 85385Fibrinogen (factor 1) antigen detection$14.16
• 85390Coagulation function screening test with interpretation and report$33.93
• 85415Plasminogen activator (fibrinolytic factor) measurement$16.82
• 85420Plasminogen (fibrinolytic factor) measurement$6.38
• 85549White blood cell enzyme activity measurement$18.32
• 85576Platelet aggregation function test$19.24
• 85597Platelet function test$17.56
• 85598Phospholipid test$17.56
• 85610Blood test, clotting time$4.19
• 85611Blood test, clotting time, substitution$3.84
• 85613Clotting factor x assessment test, diluted$9.36
• 85651Red blood cell sedimentation rate, to detect inflammation, non-automated$4.16
• 85652Red blood cell sedimentation rate, to detect inflammation, automated$2.64
• 85660Red blood cell sickling measurement$5.39
• 85670Thrombin time, fibrinogen screening test, plasma$5.64
• 85705Thromboplastin inhibition (circulating anticoagulant) measurement$9.44
• 85730Coagulation assessment blood test, plasma or whole blood$5.88
• 85732Coagulation assessment blood test, substitution, plasma fractions$6.33
• 85810Blood viscosity measurement$11.43
• 86001Measurement of antibody (igg) to allergic substance, each allergen$6.19
• 86003Measurement of antibody (ige) to allergic substance, crude allergen extract, each$5.11
• 86008Measurement of antibody (ige) to allergic substance, recombinant or purified component, each$17.54
• 86015Measurement of actin (smooth muscle) antibody$11.80
• 86021Antibody identification test for white blood cell antibodies$14.74
• 86022Antibody identification test, platelet antibodies$17.97
• 86023Antibody identification test, platelet associated immunoglobulin assay$12.19
• 86036Screening test for antineutrophil cytoplasmic antibody$11.80
• 86037Antineutrophil cytoplasmic antibody titer$11.81
• 86038Screening test for autoimmune disorder$11.83
• 86039Measurement of antibody for assessment of autoimmune disorder, titer$10.93
• 86041Test for acetylcholine receptor binding antibody$17.97
• 86042Test for acetylcholine receptor blocking antibody$18.02
• 86043Test for acetylcholine receptor modulating antibody$11.81
• 86051Elisa detection of aquaporin-4 (neuromyelitis optica [nmo]) antibody$11.29
• 86052Cell-based immunofluorescence (cba) detection of aquaporin-4 (neuromyelitis optica [nmo]) antibody$11.81
• 86060Measurement for strep antibody (strep throat)$7.15
• 86063Screening test for strep antibody (strep throat)$5.65
• 86077Blood bank physician services for cross match and/or evaluation and written report$48.77
• 86078Blood bank physician services for investigation of transfusion reaction with written report$48.53
• 86079Blood bank physician services with written report$48.02
• 86140Measurement c-reactive protein for detection of infection or inflammation$5.07
• 86141Measurement c-reactive protein for detection of infection or inflammation, high sensitivity$12.67
• 86146Beta 2 glycoprotein 1 antibody (autoantibody) measurement$24.73
• 86147Cardiolipin antibody (tissue antibody) measurement$24.88
• 86148Phospholipid antibody (autoimmune antibody) measurement$15.71
• 86157Measurement of cold agglutinin (protein) to detect infection or disease$7.89
• 86160Measurement of complement (immune system proteins), antigen,$11.73
• 86161Measurement of complement function (immune system proteins)$11.74
• 86162Measurement of complement (immune system proteins), total hemolytic$19.87
• 86200Measurement of antibody for rheumatoid arthritis assessment$12.64
• 86215Measurement of dna antibody$12.96
• 86225Measurement of dna antibody, native or double stranded$13.43
• 86226Measurement of dna antibody, single stranded$11.78
• 86231Detection of endomysial antibody (ema)$11.84
• 86235Measurement of antibody for assessment of autoimmune disorder, any method$17.49
• 86255Screening test for antibody to noninfectious agent$12.39
• 86256Measurement of antibody to noninfectious agent$12.40
• 86258Detection of gliadin (deamidated) (dgp) antibody$11.80
• 86294Immunologic analysis for detection of tumor antigen, qualitative or semiquantitative$25.01
• 86300Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3$20.21
• 86301Immunologic analysis for detection of tumor antigen, quantitative; ca 19-9$20.37
• 86304Immunologic analysis for detection of tumor antigen, quantitative; ca 125$20.36
• 86305Analysis of female reproductive genetic marker$20.39
• 86308Screening test for mononucleosis (mono)$5.07
• 86316Analysis for detection of tumor marker$20.36
• 86317Detection of infectious agent antibody, quantitative$14.63
• 86318Test for detection of infectious agent antibody, qualitative or semiquantitative$17.66
• 86320Immunologic analysis technique on serum$22.61
• 86325Immunologic analysis technique on body fluid$18.25
• 86328Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitati$44.04
• 86329Immunologic analysis technique, unspecified$13.77
• 86331Immunologic analysis for detection of antigen or antibody$11.64
• 86332Immune complex measurement$23.79
• 86334Immunologic analysis technique on serum (immunofixation)$19.86
• 86335Immunologic analysis technique on body fluid, other fluids with concentration$24.16
• 86336Inhibin a (reproductive organ hormone) measurement$15.26
• 86337Insulin antibody measurement$20.98
• 86340Intrinsic factor (stomach protein) antibody measurement$14.77
• 86341Islet cell (pancreas) antibody measurement$23.07
• 86343White blood cell histamine (immune system chemical) release test$12.20
• 86352Analysis of cell function and analysis for genetic marker$129.43
• 86355Total cell count for b cells (white blood cells)$36.91
• 86356White blood cell antigen measurement$26.19
• 86357Total cell count for natural killer cells (white blood cell)$36.93
• 86359T cells count, total$36.91
• 86360T cell count and ratio, including ratio$45.96
• 86361T cell count and ratio$26.21
• 86362Cell-based immunofluorescence (cba) detection of myelin oligodendrocyte glycoprotein (mog-igg1) antibody$11.81
• 86364Measurement of tissue transglutaminase$11.29
• 86366Test for muscle-specific kinase antibody$18.02
• 86376Microsomal antibodies (autoantibody) measurement$14.24
• 86381Measurement of mitochondrial antibody$24.88
• 86382Viral neutralization test to detect viral antibody level$16.57
• 86386Protein test for diagnosis and monitoring of bladder cancer$21.32
• 86403Screening test for presence of antibody$11.28
• 86413Quantitative measurement of severe acute respiratory syndrome coronavirus 2 (covid-19] antibody$50.34
• 86430Rheumatoid factor analysis$6.01
• 86431Rheumatoid factor level$5.55
• 86480Tuberculosis test, gamma interferon$60.59
• 86481Tuberculosis test, enumeration of t-cells$96.78
• 86580Skin test for tuberculosis$9.98
• 86592Syphilis detection test$4.18
• 86593Syphilis test$4.31
• 86596Measurement of voltage-gated calcium channel antibody$11.80
• 86602Analysis for antibody to actinomyces (bacteria)$9.98
• 86606Analysis for antibody to aspergillus (fungus)$14.64
• 86609Analysis for antibody bacteria$12.54
• 86611Analysis for antibody to bartonella (bacteria)$9.97
• 86612Analysis for antibody to blastomyces (fungus)$12.57
• 86615Analysis for antibody bordetella (respiratory bacteria)$12.90
• 86617Confirmation test for antibody to borrelia burgdorferi (lyme disease bacteria)$15.17
• 86618Analysis for antibody borrelia burgdorferi (lyme disease bacteria)$16.68
• 86622Analysis for antibody to brucella (bacteria)$8.75
• 86628Analysis for antibody to candida (yeast)$11.74
• 86631Analysis for antibody to chlamydia (bacteria)$11.57
• 86632Analysis for antibody (igm) to chlamydia (bacteria)$12.42
• 86635Analysis for antibody to coccidioides (bacteria)$11.21
• 86638Analysis for antibody to coxiella burnetii (q fever bacteria)$11.88
• 86644Analysis for antibody to cytomegalovirus (cmv)$14.04
• 86645Analysis for antibody (igm) to cytomegalovirus (cmv)$16.47
• 86648Analysis for antibody to diphtheria (bacteria)$14.91
• 86658Analysis for antibody to enterovirus (gastrointestinal virus)$12.77
• 86663Analysis for antibody to epstein-barr virus (mononucleosis virus), early antigen$12.84
• 86664Analysis for antibody to epstein-barr virus (mononucleosis virus), nuclear antigen$14.96
• 86665Analysis for antibody to epstein-barr virus (mononucleosis virus), viral capsid$17.75
• 86666Analysis for antibody to ehrlichia (bacteria transmitted by ticks)$9.97
• 86668Analysis for antibody to francisella tularensis (bacteria transmitted by rodents)$13.88
• 86671Analysis for antibody to fungus$11.99
• 86677Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)$16.50
• 86682Analysis for antibody to helminth (intestinal worm)$12.73
• 86684Analysis for antibody to haemophilus influenza (respiratory bacteria)$15.52
• 86694Analysis for antibody to herpes simplex virus$14.04
• 86695Analysis for antibody to herpes simplex virus, type 1$12.91
• 86696Analysis for antibody to herpes simplex virus, type 2$18.92
• 86698Analysis for antibody to histoplasma (fungus)$13.41
• 86701Analysis for antibody to hiv -1 virus$8.70
• 86702Analysis for antibody to hiv-2 virus$13.24
• 86703Analysis for antibody to hiv-1 and hiv-2 virus$13.43
• 86704Hepatitis b core antibody measurement$11.79
• 86705Hepatitis b core antibody (igm) measurement$11.52
• 86706Hepatitis b surface antibody measurement$10.51
• 86707Hepatitis be antibody measurement$11.33
• 86708Measurement of hepatitis a antibody$12.13
• 86709Measurement of hepatitis a antibody (igm)$11.02
• 86710Analysis for antibody to influenza virus$13.27
• 86735Analysis for antibody to mumps virus$12.76
• 86738Analysis for antibody to mycoplasma (bacteria)$12.93
• 86747Analysis for antibody to parvovirus$14.72
• 86753Analysis for antibody to protozoa (parasite)$12.14
• 86757Analysis for antibody to rickettsia (bacteria)$18.93
• 86762Analysis for antibody to rubella (german measles virus)$14.07
• 86765Analysis for antibody to rubeola (measles virus)$12.59
• 86769Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody$41.06
• 86774Analysis for antibody to tetanus bacteria (clostridium tetanus)$14.49
• 86777Analysis for antibody to toxoplasma (parasite)$14.05
• 86778Analysis for antibody (igm) to toxoplasma (parasite)$14.11
• 86780Analysis for antibody, treponema pallidum$12.96
• 86787Analysis for antibody to varicella-zoster virus (chicken pox)$12.59
• 86788Analysis for antibody (igm) to west nile virus$16.48
• 86789Analysis for antibody to west nile virus$14.08
• 86790Analysis for antibody to virus$12.60
• 86800Thyroglobulin (thyroid protein) antibody measurement$15.57
• 86803Hepatitis c antibody measurement$13.94
• 86812Immunologic analysis for autoimmune disease, a, b, or c, single antigen$25.27
• 86832Assessment of antibody to human leukocyte antigens (hla) with high definition qualitative panel for identification of an$301.77
• 86833Assessment of antibody to human leukocyte antigens (hla) with high definition qualitative panel for identification of an$302.29
• 86850Screening test for red blood cell antibodies$9.54
• 86870Identification of red blood cell antibodies$85.79
• 86880Red blood cell antibody detection test, direct$5.28
• 86900Blood group typing (abo)$2.92
• 86901Blood typing for rh (d) antigen$2.92
• 86920Blood unit compatibility test, immediate spin technique$68.14
• 87015Concentration of specimen for infectious agents$6.54
• 87040Bacterial blood culture$10.09
• 87045Stool culture$9.24
• 87046Stool culture, additional pathogens$9.24
• 87070Bacterial culture, any other source except urine, blood or stool, aerobic$8.44
• 87071Bacterial culture and colony count$9.67
• 87075Bacterial culture, any source, except blood, anaerobic$9.27
• 87076Bacterial culture for anaerobic isolates$7.91
• 87077Bacterial culture for aerobic isolates$7.91
• 87081Screening test for pathogenic organisms$6.49
• 87084Screening test for pathogenic organisms with colony count$26.42
• 87086Bacterial colony count, urine$7.90
• 87088Bacterial urine culture$7.92
• 87101Fungal culture (mold or yeast) of skin, hair, or nail$7.56
• 87102Fungal culture (mold or yeast)$8.23
• 87106Fungal culture, yeast$10.10
• 87107Culture for identification of yeast$10.11
• 87109Mycoplasma culture$15.07
• 87116Culture for acid-fast bacilli$10.56
• 87118Identification of mycobacteria (tb or tb like organism)$14.31
• 87147Identification of organisms by immunologic analysis, other than immunofluorescence method$5.08
• 87150Identification of organisms by genetic analysis, amplified probe technique$34.30
• 87176Tissue preparation for culture$5.74
• 87177Smear for parasites$8.69
• 87181Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), agar dilution method$4.63
• 87184Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)$7.32
• 87185Detection of antimicrobial drug (antibiotic, antifungal, antiviral)$4.65
• 87186Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution$8.47
• 87205Special gram or giemsa stain for microorganism$4.17
• 87206Special fluorescent and/or acid fast stain for microorganism$5.27
• 87207Special stain for inclusion bodies or parasites$7.96
• 87209Special stain for parasites$17.57
• 87210Smear for infectious agents$5.67
• 87220Tissue fungi or parasites$4.17
• 87230Microbial toxin or antitoxin assay$19.34
• 87252Tissue culture inoculation for virus isolation$25.53
• 87254Virus isolation, centrifuge enhanced$18.86
• 87255Virus isolation$33.06
• 87275Detection test by immunofluorescent technique for influenza b virus$11.88
• 87276Detection test by immunofluorescent technique for influenza a virus$15.50
• 87305Detection test by immunoassay technique for aspergillus (fungus)$11.72
• 87324Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen)$11.73
• 87328Detection test by immunoassay technique for cryptosporidium (parasite)$13.52
• 87329Detection test by immunoassay technique for giardia (intestinal parasite)$11.73
• 87338Detection test by immunoassay technique for helicobacter pylori (gi tract bacteria) in stool$14.03
• 87340Detection test by immunoassay technique for hepatitis b surface antigen$10.10
• 87341Detection test by immunoassay technique for hepatitis b surface antigen neutralization$10.06
• 87350Detection test by immunoassay technique for hepatitis be surface antigen$11.29
• 87385Detection test by immunoassay technique for histoplasma capsulatum (parasite)$12.96
• 87389Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies$23.57
• 87400Detection test by immunoassay technique for influenza virus$13.75
• 87420Detection test by immunoassay technique for respiratory syncytial virus (rsv)$13.54
• 87425Detection test by immunoassay technique for rotavirus$11.73
• 87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus$34.33