Test Description and CPT Codes EXHIBIT F TEST DESCRIPTION · PDF fileTest Description and CPT...

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Test Description and CPT Codes EXHIBIT F ITB 08-DC-8008 TEST DESCRIPTION TEST# Thyroid Panel 000455 Thyroid Panel With TSH 000620 Renin Activity and Aldosterone 000703 RPR+Rh+ABO+Rub Ab+Ab Scr+CB... 000760 Vitamin B12 and Folates 000810 Calcium, Serum 001016 Phosphorus, Serum 001024 Glucose, Serum 001032 Urea Nitrogen, Serum 001040 Uric Acid, Serum 001057 Cholesterol, Total 001065 Protein, Total, Serum 001073 Albumin, Serum 001081 Bilirubin, Total 001099 Alkaline Phosphatase, Serum 001107 Lactic Acid Dehydrogenase (LD) 001115 Aspartate Aminotransferase 001123 11-Desoxycortisol 001131 Thyroxine (T4) 001149 T3 Uptake 001156 Triglycerides 001172 Potassium, Serum 001180 Sodium, Serum 001198 Chloride, Serum 001206 Bilirubin, Total and Direct, Serum 001214 Bilirubin, Direct 001222 Glucose Fasting and 2hr 001255 Iron and Total Iron Binding Capacity (TIBC) 001321 Iron, Serum 001339 Fecal Fat, Quantitative 001354 Creatine Kinase (CK), Total, Serum 001362 Creatinine, Serum 001370 Acid Phosphatase, Total 001388 Amylase, Serum 001396 Lipase, Serum 001404 Immunofixation (IFE) and Protein Electrophoresis,Cerebrospinal Fluid 001438 Thyroxine (T4), Neonatal 001446 Hemoglobin (Hgb) A1c 001453 Vitamin C 001479 Protein Electrophoresis, Serum 001487 Immunofixation, Serum and Protein Electrophoresis,Serum 001495 Vitamin B12 001503 Carotene, Beta 001529 Magnesium, Serum 001537 Alanine Aminotransferase 001545 Ceruloplasmin 001560 Carbon Dioxide, Total 001578 Copper, Serum/Plasma 001586 Cryoglobulin, Qualitative, Serum (With Quantitative Reflex) 001594 Fibrinogen, Quantitative 001610 Originally prepared 10/21/2005tw 1 of 47 Numeric List

Transcript of Test Description and CPT Codes EXHIBIT F TEST DESCRIPTION · PDF fileTest Description and CPT...

Page 1: Test Description and CPT Codes EXHIBIT F TEST DESCRIPTION · PDF fileTest Description and CPT Codes EXHIBIT F ITB 08-DC-8008 TEST DESCRIPTION TEST# Thyroid Panel 000455 Thyroid Panel

Test Description and CPT Codes EXHIBIT FITB 08-DC-8008

TEST DESCRIPTION TEST#

Thyroid Panel 000455Thyroid Panel With TSH 000620Renin Activity and Aldosterone 000703RPR+Rh+ABO+Rub Ab+Ab Scr+CB... 000760Vitamin B12 and Folates 000810Calcium, Serum 001016Phosphorus, Serum 001024Glucose, Serum 001032Urea Nitrogen, Serum 001040Uric Acid, Serum 001057Cholesterol, Total 001065Protein, Total, Serum 001073Albumin, Serum 001081Bilirubin, Total 001099Alkaline Phosphatase, Serum 001107Lactic Acid Dehydrogenase (LD) 001115Aspartate Aminotransferase 00112311-Desoxycortisol 001131Thyroxine (T4) 001149T3 Uptake 001156Triglycerides 001172Potassium, Serum 001180Sodium, Serum 001198Chloride, Serum 001206Bilirubin, Total and Direct, Serum 001214Bilirubin, Direct 001222Glucose Fasting and 2hr 001255Iron and Total Iron Binding Capacity (TIBC) 001321Iron, Serum 001339Fecal Fat, Quantitative 001354Creatine Kinase (CK), Total, Serum 001362Creatinine, Serum 001370Acid Phosphatase, Total 001388Amylase, Serum 001396Lipase, Serum 001404Immunofixation (IFE) and Protein Electrophoresis,Cerebrospinal Fluid 001438Thyroxine (T4), Neonatal 001446Hemoglobin (Hgb) A1c 001453Vitamin C 001479Protein Electrophoresis, Serum 001487

Immunofixation, Serum and Protein Electrophoresis,Serum 001495Vitamin B12 001503Carotene, Beta 001529Magnesium, Serum 001537Alanine Aminotransferase 001545Ceruloplasmin 001560Carbon Dioxide, Total 001578Copper, Serum/Plasma 001586

Cryoglobulin, Qualitative, Serum (With Quantitative Reflex) 001594Fibrinogen, Quantitative 001610

Originally prepared 10/21/2005tw 1 of 47 Numeric List

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Test Description and CPT Codes EXHIBIT FITB 08-DC-8008

TEST DESCRIPTION TEST#

Alkaline Phosphatase Isoenzymes 001612Haptoglobin 001628Fecal Fat, Qualitative 001677Immunofixation, Serum 001685Immunofixation Elect 001686Glycohemoglobin (GHB), Total 0016935´ Nucleotidase 001701Phospholipids, Serum 001727Thyroxine-Binding Globulin (TBG), Serum 001735Lipids, Total, Serum 001743Vitamin A and Carotene 001750Immunoglobulins (Quantitative IgA, IgG, IgM), Serum 001768Immunoglobulin G, Quantitative, Serum 001776Immunoglobulin A, Quantitative, Serum 001784Immunoglobulin M, Quantitative, Serum 001792Zinc, Plasma/Serum 001800Glucose, Plasma 001818Complement C4, Serum 001834Lactate Dehydrogenase (LD) Isoenzymes 001842Bilirubin, Fractionated 001867Fructose, Semen Analysis 001875

Glucose 6-Phosphate Dehydrogenase (G-6-PD),Quantitative, Blood and Red Blood Cell Count (RBC) 001917High-Density Lipoprotein Cholesterol (HDLC) 001925Complement, Total (CH50) 001941Gamma Glutamyl Transpeptidase (GGT) 001958Leukocyte Alkaline Phosphatase (LAP) Score 001966Thyroxine (T4) Free, Direct, Serum 001974Thyroxine (T4) Free, Direct, S 001976Thyroxine (T4) Free, Direct, S 001977Alpha1-Antitrypsin, Serum 001982Renin, Plasma 002006Folate (Folic Acid) 002014Glucose, 2-Hour Postprandial 002022Aldolase 002030Glucose, Cerebrospinal Fluid 002048Protein, Total, Cerebrospinal Fluid 002055Chloride, Cerebrospinal Fluid 002063Osmolality, Serum 002071Carcinoembryonic Antigen (CEA) 002139Creatine Kinase (CK) Isoenzymes, Serum 002154Immunoglobulin D, Quantitative, Serum 002162Immunoglobulin E, Total 002170Tri-iodothyronine (T3) 002188Bilirubin, Amniotic Fluid Scan 002196Reverse T3 002212Immunoglobulin G Index 002238Protein Electrophoresis, Cerebrospinal Fluid 002246Alpha-Fetoprotein (AFP), Serum, Tumor Marker 002253Carbohydrate Antigen (CA) 19-9 002261

Immunoglobulins (Quantitative, IgA, IgE, IgG, IgM),Serum 002295Originally prepared 10/21/2005tw 2 of 47 Numeric List

Page 3: Test Description and CPT Codes EXHIBIT F TEST DESCRIPTION · PDF fileTest Description and CPT Codes EXHIBIT F ITB 08-DC-8008 TEST DESCRIPTION TEST# Thyroid Panel 000455 Thyroid Panel

Test Description and CPT Codes EXHIBIT FITB 08-DC-8008

TEST DESCRIPTION TEST#

Cancer Antigen (CA) 125, Serum 002303Creatine Kinase (CK), MB and Total 002311Urea Nitrogen Clearance 002329Creatine, Serum 002402Alpha-Fetoprotein (AFP), Amniotic Fluid 002428HFP7+3AC 002626Creatinine Clearance 003004Creatinine, 24-Hour Urine 003012Urinalysis, Routine (With Microscopic Examination on Positives) 003038Porphobilinogen (PBG), Quantitative, Random Urine 003053Myoglobin, Quantitative, Urine 003079Porphobilinogen (PBG), Quantitative, 24-Hour Urine 003103Prot+CreatU 003129Chloride, Urine 003160Sodium, Urine 003178Potassium, Urine 003186Porphyrins, Quantitative, Urine 003194Bile, Qualitative, Urine 003228C-Peptide, Urine 003236Phosphorus, Urine 003251Calcium, Urine 003269Protein, Total, Quantitative, 24-Hour Urine 003277Amylase, Urine 003293Copper, Urine 003343Cystine, Quantitative, Urine 003350Protein Electrophoresis, 24-Hour Urine 003368Glucose, Quantitative, Urine 003376Urinalysis (No Micro) 003384Magnesium, Urine 003400Uric Acid, Urine 003418Zinc, Urine 003434Osmolality, Urine 003442Immunofixation (IFE) and Protein Electrophoresis,24-Hour Urine 003467Creatine, 24-Hour Urine 003475Amino Acid Profile, Qualitative, Urine 003483Phenylketonuria (PKU) Test, Blood 003491Urea Nitrogen, 24-Hour Urine 003541Protein Electrophoresis, Random Urine With Reflex to IFE, Random Urine 003715Urinalysis, Complete (With Microscopic Examination) 003772Creatine and Creatinine, 24-Hour Urine 003855Oxalate, Quantitative, 24-Hour Urine 003970

17-Ketogenic Steroids and 17-Ketosteroids,24-Hour Urine 00400217-Ketogenic Steroids, 24-Hour Urine 00401017-Ketosteroids, Total, 24-Hour Urine 004028Pregnancy Test, Urine 004036Metanephrines, Pheochromocytoma Evaluation 004044Cortisol 0040515-Hydroxyindoleacetic Acid (HIAA), Quantitative,Urine, 24-Hour 004069

Originally prepared 10/21/2005tw 3 of 47 Numeric List

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Test Description and CPT Codes EXHIBIT FITB 08-DC-8008

TEST DESCRIPTION TEST#

Dehydroepiandrosterone (DHEA) 004101Vanillylmandelic Acid (VMA), 24-Hour Urine 004143Catecholamines, Fractionated, Urinary Free, 24-Hour 004176Testosterone, Total, Serum 004226

Metanephrines, Fractionated, Quantitative, 24-Hour Urine 00423417-Hydroxycorticosteroids, Urine 004242

Thyroid-Stimulating Hormone (TSH), High Sensitivity,Serum 004259Growth Hormone, Serum, 6 Specimens 004267Growth Hormone, Serum 004275Luteinizing Hormone (LH), Serum 004283Aldosterone, 24-Hour Urine 004291Follicle-Stimulating Hormone (FSH), Serum 004309Progesterone 004317Insulin 004333Aldosterone, Serum 004374Gastrin, Serum 004390Human Chorionic Gonadotropin (hCG), Beta Subunit,Quantitative, Serum 004416Cortisol, Urinary Free by HPLC 004432Adrenocorticotropic Hormone (ACTH), Plasma 004440Thyroxine (T4), Thyroxine-Binding Globulin (TBG) and T4 - TBG Index 004457Prolactin 004465Estradiol 004515Estrogens, Total 004549Human Chorionic Gonadotropin (hCG), Beta Subunit,Qualitative, Serum 004556Estrone, Serum 004564LP+Chol/HDL+LDL/HDL+CHD Risk 004580Ferritin, Serum 004598Estriol, Serum 004614Glucagon, Plasma 004622Complement C1 Esterase Inhibitor, Serum 004648Vitamin B6, Plasma 004655Dehydroepiandrosterone (DHEA) Sulfate 004697Androstenedione 00470517-alpha-Hydroxyprogesterone 004713Prostatic Acid Phosphatase (PAP), Serum by EIA 004747Lactic Acid 004770Pyruvic Acid, Blood 004788Hydroxyproline, Total, Quantitative, 24-Hour Urine 004796Calcium, Ionized, Serum 004804Viscosity, Serum 004861Ketone Bodies, Serum 004887Calcitonin (Thyrocalcitonin), Serum 004895Cyclic AMP, Urine 004903Hydroxyproline, Free, Quantitative, 24-Hour Urine 004911Transferrin 004937Complete Blood Count (CBC) With Differential 005009CBC, No Differential/Platelet 005017White Blood Cell (WBC) Count 005025

Originally prepared 10/21/2005tw 4 of 47 Numeric List

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Test Description and CPT Codes EXHIBIT FITB 08-DC-8008

TEST DESCRIPTION TEST#

Red Blood Cell (RBC) Count 005033Hemoglobin 005041Hematocrit 005058Hematopathology Consultation, Peripheral Smear 005066Path Diff Review 005074Differential WBC Count 005090Human Immunodeficiency Virus 1 (HIV-1) p24 Antigen Concentration 005140Prothrombin Time (PT) 005199Partial Thromboplastin Time (PTT), Activated 005207Sedimentation Rate, Westergren 005215Hemoglobin (Hgb) Solubility 005223Cell Count, Body Fluid 005231Cell Count, Synovial Fluid 005231Platelet Count 005249Cell Count, Cerebrospinal Fluid 005256Reticulocyte Count 005280Eosinophil Count 005298Hemoglobin (Hgb) Solubility With Reflex to Hemoglobin Fractionation Blood 005330Crystal Examination, Miscellaneous Fluid 005355Human Immunodeficiency Virus 1 (HIV-1) Antibody Confirmation by Western Blot 005462Panel 005465 005465Hemoglobin (Hgb), Free, Plasma 005595Antibody Screen 006015Antistreptolysin O (ASO) Antibodies 006031ABO Grouping and Rho(D) Typing 006049ABO Grouping 006056Rh Typing 006064Rapid Plasma Reagin (RPR), Qualitative Test 006072Mononucleosis Test, Qualitative 006189Rubella Antibodies, IgG 006197Antibody Identification 006213Antinuclear Antibodies (ANA) 006254Red Blood Cell (RBC) Antigen 006262Coombs', Direct 006270Antiextractable Nuclear Antigens 006338Cold Agglutinin Titer, Quantitative 006353Treponema pallidum Antibodies (FTA-ABS) 006379Hepatitis B Surface Antibody 006395VDRL, Cerebrospinal Fluid 006445Complement C3, Serum 006452Rapid Plasma Reagin (RPR), Quantitation 006460RPR, Quant. 006464Toxoplasma gondii Antibodies, IgG 006478Antiparietal Cell Antibodies, Quantitative 006486Cytomegalovirus (CMV) Antibodies, IgG 006494Rheumatoid Arthritis (RA) Factor 006502Hepatitis B Surface Antigen 006510Mononucleosis Test, Qualitative With Reflex to Titer On Positives 006536Cryptococcus Antigen, Serum 006551

Originally prepared 10/21/2005tw 5 of 47 Numeric List

Page 6: Test Description and CPT Codes EXHIBIT F TEST DESCRIPTION · PDF fileTest Description and CPT Codes EXHIBIT F ITB 08-DC-8008 TEST DESCRIPTION TEST# Thyroid Panel 000455 Thyroid Panel

Test Description and CPT Codes EXHIBIT FITB 08-DC-8008

TEST DESCRIPTION TEST#

Hepatitis Be Antigen 006619C-Reactive Protein (CRP), Quantitative 006627Hepatitis Be Antibody 006635Antismooth Muscle Antibodies, Quantitative 006643Antimitochondrial Antibody (AMA), Quantitative 006650Thyroid Peroxidase (TPO) Antibodies 006676Thyroid Antibodies 006684Thyroid Antithyroglobulin Antibody 006692Hepatitis B Core Antibody, Total 006718Hepatitis A Antibody, Total 006726Hepatitis A Antibody, IgM 006734Tularemia Agglutinins 006742Mucin Clot Test 006841Rotavirus, Direct Detection by Immunoassay 006866Amebiasis Antibodies 006874Bacterial Antigens (Serum, Urine, Cerebrospinal Fluid) 006890HLA-B27 006924Autoimmune Profile 006981Lidocaine (Xylocaine®), Serum 007013Arsenic Exposure Profile, Urine 007039Ammonia, Plasma 007054Volatiles, Blood 007062Barbiturates, Serum 007088Tobramycin (Nebcin®), Serum, Peak 007154Tobramycin (Nebcin®), Serum, Trough 007155Gentamicin (Garamycin®), Serum, Peak 007162Gentamicin (Garamycin®), Serum, Trough 007163Carbon Monoxide, Blood 007187Amikacin (Amikin®), Serum, Peak 007204Amikacin (Amikin®), Serum, Trough 007205Cholinesterase, Serum 007211Ethanol, Urine 007237Arsenic, Blood 007245Procainamide (Pronestyl®), Serum 007252Valproic Acid (Depakene®), Serum 007260Cholinesterase, RBC 007286Theophylline, Serum 007336Aminolevulinic Acid, Delta, Random Urine 007351Digoxin 007385Nortriptyline (Aventyl®), Serum 007393Phenytoin (Dilantin®), Serum 007401Carbamazepine (Tegretol®), Serum 007419Ethosuximide (Zarontin®), Serum 007443Imipramine, Serum 007468Amitriptyline, Serum 007476Cannabis sativa 007484Heavy Metals Profile I, Urine 007492Meperidine (Demerol®), Serum 007534Drug Analysis, Unknown, Qualitative 007575Doxepin, Serum 007609Lead, Blood (Adult) 007625Lead, Urine 007633Methotrexate (MTX), Serum 007658

Originally prepared 10/21/2005tw 6 of 47 Numeric List

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Test Description and CPT Codes EXHIBIT FITB 08-DC-8008

TEST DESCRIPTION TEST#

Chlordiazepoxide, Serum 007682Tricyclic Antidepressants Screen, Serum 007690Lithium (Eskalith®), Serum 007708Benzene Metabolite Profile, Urine 007732Acetaminophen (Tylenol®), Serum 007740Desipramine, Serum 007765Mercury, Urine 007773Methadone (Dolophine®), Serum 007781Phenobarbital (Luminal®), Serum 007823Quinidine, Serum 007831Salicylate, Serum 007849Primidone (Mysoline®), Serum 007856Disopyramide, Serum 007864Thiothixene (Navane®), Serum 007922Clorazepate (Tranxene®), Serum 007930Diazepam, Serum 007989Anaerobic and Aerobic Culture 008003Clostridium difficile Culture 008045Urine Culture, Comprehensive 008086GC (Neisseria gonorrhoeae) Culture Only 008128Fungus Stain 008136Stool Culture 008144

Beta-Hemolytic Streptococcus Culture, Group A Only,Throat 008169Parasite Examination, Blood 008185Cytomegalovirus (CMV) Culture 008201Parasite Identification 008219Herpes Simplex Virus (HSV) Culture and Typing 008250Blood Culture, Routine 008300Genital Culture, Routine 008334Upper Respiratory Culture, Routine 008342Reference Bacterial Culture Identification 008458Organism Identification, Mycobacteria 008466Organism Identification, Mold 008474Fungus (Mycology) Culture 008482Virus, Direct Detection by DFA, Herpes Simplex Virus 008508Chlamydia psittaci Culture 008532Gram's Stain 008540Environmental Culture 008557Chlamydia trachomatis Culture 008565Viral Culture, General 008573Eosinophil Count, Nasal 008581Occult Blood, Stool 008607Ova and Parasites Examination 008623Pinworm Preparation 008631Aerobic Bacterial Culture, General 008649White Blood Cells (WBC), Stool 008656Organism Identification, Bacteria 008664India Ink Preparation 008672Susceptibility Testing, Aerobic and Facultatively Anaerobic Organisms 008680Cryptosporidium Smear, Stool 008755Urine Culture, Routine 008847

Originally prepared 10/21/2005tw 7 of 47 Numeric List

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Test Description and CPT Codes EXHIBIT FITB 08-DC-8008

TEST DESCRIPTION TEST#

Urine Culture, Routine 008848Minimum Inhibitory Concentration (MIC)/Minimum Bactericidal Concentration (MBC) 008870Anaerobic Culture 008904Fine Needle Aspiration Cytology (Palpable Mass, Lymph Node, Cyst) 009001Bronchial Washings Cytology 009035Pleural Fluid Cytology 009043Abdominal Fluid Cytology 009050Urine Cytology 009068Sputum Cytology Series 009076Gynecologic Pap Smear, 1 Slide 009100Miscellaneous Smear Cytology 009126Breast Discharge Cytology 009134Miscellaneous Fluid Cytology 009159Gynecologic Pap Smear, 2 Slides 009191Gynecologic Pap Smear and Maturation Index 009209Semen Analysis, Postvasectomy 009233Holter Analysis Only 009274Holter Recorder and Disposable Supplies, One-Time Use and Analysis 009324Bronchial Brushings 009332Chlamydia trachomatis by DFA 009340Needle Aspiration Cytology With Radiologic Guidance 009365Ductal Lavage Cytology 009876C-Peptide, Serum 010108Angiotensin-Converting Enzyme (ACE) 010116

Protoporphyrin, Free Erythrocyte, and Zinc Protoporphyrin 010165Beta-2 Microglobulin, Urine 010173Beta-2 Microglobulin, Serum 010181Osteocalcin, Serum 010249

Epstein-Barr Virus (EBV) Nuclear Antigen, IgG Antibodies 010272

Epstein-Barr Virus (EBV) Profile, Chronic, Active Infection 010280Thyrotropin Receptor Antibody, Serum 010314Prostate-Specific Antigen (PSA), Serum 010322Bile Acids 010330Trypsin 010355Insulin-Like Growth Factor I (IGF-I) 010363Tri-iodothyronine (T3), Free, Serum 010389T3Free 010390Vasoactive Intestinal Polypeptide (VIP), Plasma 010397Myoglobin, Serum 010405Intrinsic Factor Blocking Antibodies, Serum 010413Alpha-Fetoprotein (AFP), Maternal Serum (MS-AFP) 010801pH, Stool 010991pH, Body Fluid 011254PTH (C-Terminal) 011650

Phosphatidylglycerol (PG) and Creatinine, Amniotic Fluid 011999

Originally prepared 10/21/2005tw 8 of 47 Numeric List

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Test Description and CPT Codes EXHIBIT FITB 08-DC-8008

TEST DESCRIPTION TEST#

Rapid Plasma Reagin (RPR) Test With Reflex to Quantitative RPR and Confirmatory TP-PA 012005RPR Qn+TP-PA 012021Immunoglobulin G, Quantitative, Cerebrospinal Fluid 012211Antihistone Antibodies 012518HLA DR by PCR 012542FANA Staining Patterns 012625Sjögren's Antibodies (Anti-SS-A/Anti-SS-B) 012708Phosphatidylglycerol (PG), Amniotic Fluid 012799pH, Urine 013037Urea Nitrogen, U 013508Protein,Total,Urine 013664Creatinine, Random Urine 013672

Antiplatelet Antibody - Platelet Antibodies,Qualitative, Serum 014068Platelet Antibody, Serum 014086Respiratory Syncytial Virus (RSV) by Immunoassay 014548Antithrombin III (Functional) 015040Antithrombin III Antigen (Immunologic) 015057Differential and Total WBC Count 015173Thrombin Time 015230Lyme Disease Antibodies, Total Immunoglobulins 015271Antithrombin III (Functional/Immunologic) 015594Parathyroid Hormone (PTH), Intact 015610HBsAg Confirmation 016105ENA+DNA/DS+Sjorgen's 016123HLA Typing (A, B, and C Loci) 016139Murine Typhus Antibodies, IgG 016188RPR Titer+TP-PA Reflex 016370Rocky Mountain Spotted Fever (RMSF), IgG 016592Rocky Mountain Spotted Fever (RMSF), IgM 016667Fecal Reducing Substances 016766Q Fever Antibodies, IgG 016774Complement C1q, Quantitative 016824Citric Acid (Citrate), Urine 016865Apolipoprotein A-1 016873Hepatitis B Core Antibody, IgM 016881Prealbumin 016931Pentobarbital (Nembutal®), Serum 017194Alpha-Fetoprotein (AFP) Tetra Profile 017319Alpha-Fetoprotein (AFP) X-tra Profile 017335Vitamin A, Serum 017509Methanol, Blood 017699Ethanol, Blood 017996Antiscleroderma - 70 Antibodies 018705Haemophilus influenzae B Antigen 018762Streptococcus pneumoniae Antigen 018788Beta Strep (Group B) Antigen 018804Myelin Basic Protein (MBP), Cerebrospinal Fluid 019208Oligoclonal Banding 019216Holter Hook-up/Disconnect by LabCorp 019323Holter Cardiologist Overread 019331Blood Pressure Monitoring 019372

Originally prepared 10/21/2005tw 9 of 47 Numeric List

Page 10: Test Description and CPT Codes EXHIBIT F TEST DESCRIPTION · PDF fileTest Description and CPT Codes EXHIBIT F ITB 08-DC-8008 TEST DESCRIPTION TEST# Thyroid Panel 000455 Thyroid Panel

Test Description and CPT Codes EXHIBIT FITB 08-DC-8008

TEST DESCRIPTION TEST#

Blood Pressure Unit, One-Time Use and Analysis 019380Glucose, Body Fluid 019497Uric Acid, Body Fluid 019505Protein, Total, Body Fluid 019588T4,Free(Direct) 019745Prothrombin Time (PT) and Partial Thromboplastin Time (PTT) 020321BUN+Cl+Creat+K+Na 02094117-Hydroxycorticosteroids and 17-Ketosteroids 020966CMP12+7AC 021550AST+CK+LD 021725Xylose Tolerance Test (Fasting, 1-, 2-, 3-, 4-, and 5-Hour Blood + 5-Hour Urine) 023374Thyroxine (T4) and Thyroid-Stimulating Hormone (TSH),High Sensitivity 024026Cortisol, 6 Specimens 024091Prolactin, 6 Specimens 024109Cortisol, 2 Specimens 024265BUN+Creat 024778Glu+Hb A1c 025239Calcitonin (Thyrocalcitonin), Serum, 3 Specimens 026781Calcitonin (Thyrocalcitonin), Serum, 4 Specimens 026799Calcitonin (Thyrocalcitonin), Serum, 5 Specimens 026807Calcitonin (Thyrocalcitonin), Serum, 6 Specimens 026815Prolactin, 2 Specimens 026872Prolactin, 4 Specimens 026880Growth Hormone, Serum, 2 Specimens 026898Cortisol, 4 Specimens 026948Luteinizing Hormone (LH), Serum, 4 Specimens 026955Luteinizing Hormone (LH), Serum, 2 Specimens 026971Thyroid Profile II (Comprehensive) 027011Glu+Hb A1c 027284Thyroid Stim.Horm(TSH 2 Spec) 027383CMP12+LP+6AC 027623Complete Blood Count (CBC) Without Differential 028142Cholinesterase, Serum and RBC 028290Prolactin, 3 Specimens 028472Follicle-Stimulating Hormone (FSH) and Luteinizing Hormone (LH) 028480Cortisol, 3 Specimens 028498Hepatitis Profile V (Hepatitis A Profile) 028928

Hydroxyproline, Free and Total, Quantitative, 24-Hour Urine 029884Prenatal Profile I (Without Hepatitis B Surface Antigen) 030387Anemia Profile A 030577Amenorrhea Profile 031138CBC/D/Plt+RPR+UA+Sickle 033274C4+C3 033852LP without VLDL+Chol/HDL+CH... 033969T4 Neonatal and Phenylketonuria (PKU) 034264Gastrin, Serum, 7 Specimens 034934Testicular Function Profile II 035113ALT+AST 035188

Originally prepared 10/21/2005tw 10 of 47 Numeric List

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Test Description and CPT Codes EXHIBIT FITB 08-DC-8008

TEST DESCRIPTION TEST#

Testicular Function Profile I 035741Prenatal Infectious Disease Antibodies, IgG,Quantitative 038109Lead Standard Profile, Blood 038158Renin, Plasma, 3 Specimens 038695Renin, Plasma, 5 Specimens 038703Gastrin, Serum, 3 Specimens 038745Gastrin, Serum, 5 Specimens 038752Growth Hormone, Serum, 5 Specimens 038836Growth Hormone, Serum, 3 Specimens 038844Growth Hormone, Serum, 7 Specimens 038869Adrenocorticotropic Hormone (ACTH), Plasma, 7 Specimens 038901Adrenocorticotropic Hormone (ACTH), Plasma, 5 Specimens 038919Adrenocorticotropic Hormone (ACTH), Plasma, 3 Specimens 038927

Follicle-Stimulating Hormone (FSH), Serum, 3 Specimens 038935

Follicle-Stimulating Hormone (FSH), Serum, 5 Specimens 038943Cortisol, 7 Specimens 039214Cortisol, 5 Specimens 039222Luteinizing Hormone (LH), Serum, 3 Specimens 039230Luteinizing Hormone (LH), Serum, 5 Specimens 039248Gastrin, Serum, 4 Specimens 039438Prolactin, 7 Specimens 039446Prolactin, 5 Specimens 039453Drug Coma/Overdose Profile I, Blood 041780Anemia Profile B 042077Heavy Metals Profile I, Blood 042580Chol+Glu 042770Thyroglobulin, Quantitative 042846AlP+ALT+AST+TBili 044636CMP12+8AC+CBC/D/Plt+UA 045104Hepatitis Profile III (Patient Management) 045849Growth Hormone, Serum, 4 Specimens 045997Lactose Tolerance Test 046300Antidiuretic Hormone (ADH) Profile 046557Hepatitis Profile II (Diagnostic Follow-up) 046938Calcitonin (Thyrocalcitonin), Serum, 2 Specimens 048249Hirsutism Profile 048462CMP12+LP+TP+TSH+6AC+CBC/D/Plt 048827CMP12+TP+8AC+CBC/D/Plt 049114Renin, Plasma, 4 Specimens 049510Renin, Plasma, 6 Specimens 049528Fecal Fat and Muscle Fibers, Qualitative 049684Chromosome Analysis, Leukemia/Lymphoma 052001Chromosome Analysis, Blood (Constitutional) 052019Chromosome Analysis, Blood (Constitutional) With Reflex for Y Deletion Analysis 052021Chromosome Analysis, High Resolution 052027Chromosome Analysis, Amniotic Fluid 052050

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Chromosome Analysis, High Resolution With Reflex for Multiprobe Subtelomere FISH (Telo-Scan) 052060Chromosome Analysis, Tissue Biopsies (Products of Conception, Skin) 052068Scleroderma Diagnostic Profile 052373STS+C/D+U 052548Renin, Plasma, 2 Specimens 053686Glucose/Insulin Response (5 Specimens) 054130Immune Complexes Profile 054494Ca+PTH Intact 054601Systemic Lupus Erythematosus (SLE) Profile A 056499Rash Profile A 057844Rash Profile B 057851Respiratory Infection Profile B (Pneumonia) 057877Rh-hr Genotype With ABO Grouping 058008Ca+Ca++ 058099Measles, Mumps, Rubella (MMR) Immunity Profile 058495Respiratory Infection Profile A (Atypical Pneumonia) 058503Hepatitis Profile IV (Hepatitis A and B Immune Status) 058537Hepatitis Profile VI (Hepatitis B Profile) 058545Hepatitis Profile VII (Hepatitis A and B Profile) 058552Hepatitis Profile I (Diagnostic) 058560Respiratory Infection Profile D (Croup) 058669CMP12+8AC 058867Testicular Function Profile III 058925Lipids, Total, Serum and Phospholipids, Serum 059964F280 Black Pepper 060400F279 Chili Pepper 060418F152 Green Bell Pepper 060426F022 Raspberry 060640Allergen Profile, Mold 062448Allergen Profile, Seasonal Allergen, Fall - Weed 062463Allergen Profile, Seasonal Allergen, Summer - Grass 062471Allergen Profile, Seasonal Allergen, Spring - Tree 062489Allergen Profile, Perennial Allergen 062497Allergen Profile, Mini-RAST® 065052F001 Egg White 066571F147 Flounder 067496F008 Corn 068023F025 Tomato 068122F245 Egg, Whole 068296F002 Milk (Cow) 068320F048 Onions 068353F035 Potato, White 068395W018 Sheep Sorrel(Dock) 069070E081 Sheep Epithelia 069179F047 Garlic 069849Fluoride, Urine 070052Fluoride, Serum 070060Vancomycin (Vancocin®), Serum, Peak 070327Vancomycin (Vancocin®), Serum, Trough 070328Cannabinoid/Creatinine Ratio, Urine 070409Chain-of-Custody Protocol, Specimen 070466

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Haloperidol (Haldol®), Serum 070482Phenytoin (Dilantin®), Free and Total, Serum 070706Free Carbamazepine, Serum 070748Mephobarbital (Mebaral®), Serum 070755Free Phenytoin (Dilantin®), Serum 070763Free Valproic Acid, Serum 070789Heavy Metals Profile II, Urine 070813LSD Screen, Urine 071159Caffeine, Serum 071258Amphetamine Confirmation, Urine 071282Barbiturate Confirmation, Urine 071290MDMA Confirmation, Urine 071306Benzodiazepine Confirmation, Urine 071308Cannabinoid (Marijuana) Confirmation, Urine 071316Cocaine Metabolite Confirmation, Urine 071324Methaqualone Confirmation, Urine 071332Warfarin (Coumadin®), Serum 071423Opiate Confirmation, Urine 071456Phencyclidine (PCP) Confirmation, Urine 071464Cobalt, Plasma 071506Cobalt, Urine 071514Chromium, Plasma 071522Chromium, Urine 071530Aluminum, Plasma/Serum 071548Aluminum, Urine 071555Nickel, Urine 071563Nickel, Plasma 071571Manganese, Plasma 071589Manganese, Urine 071597Antimony, Urine 071605Selenium, Urine 071613Silver, Plasma 071621Silver, Urine 071639Ethylene Glycol, Serum 071654Trazodone (Desyrel®), Serum 071688Clonazepam (Klonopin ), Serum 071712Drug Profile, Urine (With Cannabinoids) 071985Thioridazine (Mellaril®), Serum 072017Drug Profile, Urine, Comprehensive (With Volatiles) 072033Mesoridazine (Serentil®), Serum 072058Chlorpromazine (Thorazine®), Serum 072132Prazepam (Centrax®), Serum 072157Drug Coma/Overdose Profile II, Blood and Urine or Gastric Contents 072207Cadmium, Urine 072249Amphetamine Screen, Urine 074401Barbiturate Screen, Urine 074419Benzodiazepine Screen, Urine 074427Cannabinoid (Marijuana), Qualitative, Urine 074435Cocaine Metabolite, Urine 074443Methadone Screen, Urine 074468Opiate Screen, Urine 074476Phencyclidine (PCP), Urine 074484

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Propoxyphene Screen, Urine 074492Norpropoxyphene Confirmation, Urine 074567Hemoglobin, Free, Qualitative, Urine 080176Magnesium, RBC 080283Cryofibrinogen, Qualitative 080317Protein C Antigen 080465Lysozyme, Serum 080713Vitamin E, Serum 081000Selenium, Blood 081034Vitamin D, 1,25 Dihydroxy 081091Histamine Determination, Whole Blood 081315

Dibucaine Number With Plasma and RBC Cholinesterase 081455Dibucaine Number 081513Testosterone, Free (by Ultrafiltration) With Total,Serum 081786Vitamin B12 Unsaturated Binding Capacity 081869Lysozyme, Urine 081885Fatty Acids, Free (Nonester) 081893Vitamin D, 25-Hydroxy 081950Sex Hormone Binding Globulin, Serum 082016Antiadrenal Antibodies, Quantitative 082024Hydrochloric Acid, Free and Total Titratable Acidity 082214Treponema pallidum Antibodies (TP-PA) 082339Antiskin Autoantibodies, Quantitative 082545Antiglomerular Basement Membrane Antibodies,Quantitative 082719Cryptococcus Antibodies, Quantitative 082891Acid Phosphatase, Total and Prostatic 083386Human Immunodeficiency Virus 1 (HIV-1) Antibodies,Preliminary Test With Confirmation 083824Panel 083850 083850Catecholamines, Fractionated, Plasma 084152Polychlorinated Biphenyls (PCB), Arochlors (1254/1260) 084616Polychlorinated Biphenyls (PCB)/Chlorinated Pesticide Exposure Profile 084624von Willebrand Profile 084715Propoxyphene, Serum 084756Mercury, Blood 085324Cadmium, Blood 085340Legionella pneumophila by DFA 085506Chlorinated Pesticides, Serum 085621Flecainide (Tambocor®), Serum 085662Acetylcholine Receptor (AChR) Antibodies, Serum 085902Antimyocardial Antibodies, Quantitative 085910

Acetylcholine Receptor (AChR)- Blocking Antibodies,Serum 085926Immunoglobulin G Synthesis Rate, Cerebrospinal Fluid 085928AChR Modulating Ab 085935Acetylchol Recep Bind Ab W/Rfx 086003Myasthenia Gravis Panel I 086120Myasthenia Gravis Panel II 086121Myasthenia Gravis Panel III 086122Complement C3 Activator 086157

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Bordetella pertussis Smear by DFA 086173Clostridium difficile Toxin A Assay by EIA 086181C difficile Toxins A+B, EIA 086207Factor II Activity 086231Factor V Activity 086249Factor VIII Activity 086264Factor VIII Inhibitor 086272von Willebrand Factor (vWF) Antigen 086280Factor IX Activity 086298Factor X Activity 086306Factor XI Activity 086314Factor XII Activity 086322Factor XIII 086330Homogentisic Acid 086405Teichoic Acid Antibodies 086702Legionella Species Culture 086868Mycoplasma pneumoniae (Respiratory) Culture 086876Ureaplasma/Mycoplasma hominis Culture 086884Minimum Inhibitory Concentration (MIC), 2 Drugs 088005Minimum Inhibitory Concentration (MIC), 3 Drugs 088013Minimum Inhibitory Concentration (MIC), More Than 3 Drugs 088021Amylase, Body Fluid 088062Acid-Fast (Mycobacteria) Antibiotic Susceptibilities 088161Glucose Tolerance (4 Sp Blood) 090365Glucose Tolerance Test (GTT), Blood, 5 Specimens 090373Hepatitis Profile XII (HBV Follow-up Profile) 091108Renin, Plasma, 7 Specimens 091173Fungal Antibodies, Quantitative 091454Multiple Sclerosis (MS) Profile 092080Lecithin/Sphingomyelin Ratio, Phosphatidyl Glycerol,and Creatinine, Amniotic Fluid 092742Luteinizing Hormone (LH), Serum, 7 Specimens 095448Glucose Tolerance (3 Sp Blood) 095588Amino Acid Profile, Quantitative, Plasma 095638Amino Acid Profile, Quantitative, 24-Hour Urine 095646Alpha1-Antitrypsin Phenotyping 095653Adenovirus Group Antibodies, Quantitative 096065Chlamydia trachomatis Antibodies, IgM, Quantitative 096149Immune Complexes, Raji Cell, Quantitative 096156Isohemagglutinin Titer 096164Chlamydia Antibodies, IgG 096180Varicella-Zoster Virus (VZV) Antibodies, IgG 096206Epstein-Barr Virus (EBV) Antibodies to Viral Capsid Antigen (VCA), IgG 096230

Epstein-Barr Virus (EBV) Antibodies to Early Antigen,IgG 096248Epstein-Barr Virus (EBV) (Viral Capsid Antigen (VCA) and Early Antigen (EA)), IgG Antibody Profile 096255Anti-DNase B (Streptococcal) Antibodies 096289Anti-dsDNA (Double-Stranded) Antibodies by EIA 096339Aminolevulinic Acid, Delta, 24-Hour Urine 096354Minimum Inhibitory Concentration (MIC), 1 Drug 096388

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Protein Electrophoresis, Body Fluid 096404Chlamydia/Gonococcus by DNA Probe 096479Influenza A and B Antibodies, Quantitative 096487Rubella Antibodies, IgM 096537Mumps Antibodies, IgG 096552Rubeola Antibodies, IgG 096560Toxoplasma gondii Antibodies, IgM, Quantitation 096651Candida Antibodies, Qualitative 096719Cytomegalovirus (CMV) Antibodies, IgM, Quantitative 096727Epstein Barr Virus (EBV) Antibodies to Viral Capsid Antigen (VCA), IgM 096735

Varicella-Zoster Virus (VZV) Antibodies, IgM,Quantitation 096776T- and B-Lymphocyte Differential Profile 096917T-Lymphocyte Helper/Suppressor Profile 096925Immune Complexes, C1q Binding 096933Uric A+ANA+RA Qn+CRP+ASO 097279Neisseria gonorrhoeae by DNA Probe 098004Chlamydia trachomatis by DNA Probe 098012Hepatitis B Core Antibody, IgG/IgM Differentiation 098418Immunoglobulin A, Quantitative, Cerebrospinal Fluid 100115Immunoglobulin M, Quantitative, Cerebrospinal Fluid 100123Status Report 100126Complement C3, Body Fluid 100149Lactic Acid Dehydrogenase (LD), Body Fluid 100156Lipid-Associated Sialic Acid (LASA) 100313Complement C4, Body Fluid 100339Estimated Glomerular Filtration Rate (eGFR) 100768Fructosamine 100800Glucose, 1Hr PP 101303Postpartum 75-Gram Glucose Tolerance 101675Gestational Glucose Tolerance (Diagnostic) 102004Gestational Diabetes Evaluation 102277Hemoglobin (Hgb) A1c With MBG Estimation 102525Amylase Isoenzymes 102590Cortisol, AM & PM 104000Cortisol, AM 104018Cortisol, PM 104026Basile KT/V With URR 107011Ab Scr+Antibody ID 114041Eosinophil, Urine or Stool 115055D-Dimer (Latex) 115188Differential 115246Fibrinogen Degradation Products (FDP), Plasma 115402Platelet Count on Citrated Bld 115345CBC/Differential (No Platelet) 115907Abnormal Bleeding Profile 116004Disseminated Intravascular Coagulation (DIC) Profile 116012Thrombotic Risk Evaluation 116038Thrombotic Risk Profile I 116046Partial Thromboplastin Time (PTT), Lupus Anticoagulant 117002PTT-LA Mix 117004Hexagonal Phase Phospholipid 117008

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Prolonged Activated Partial Thromboplastin Time (APTT) Mixing Studies 117010Prothrombin Abs, IgG and IgM 117017Prothrombin Time (PT) Mixing Study 117028Fibrinogen Antigen 117052Lupus Anticoagulant Reflex 117054Lupus Anticoagulant Reflex 117069Stypven Time 117093Heparin Anti-Xa 117101F-VIII INH, Comprehensive 117157Protein C, Functional 117705Plasminogen Activity 117713Alpha2-Antiplasmin 117739Protein S Deficiency Profile 117754Activated Protein C Resistance (APCR) 117762Prolonged Prothrombin Time Profile 117788Prolonged Activated Partial Thromboplastin Time (APTT) 117796Thrombotic Risk Profile, Congenital 117812Disseminated Intravascular Coagulation (DIC) Profile,Comprehensive 117820Hexagonal Phase Phospholipid 117838Hemophilia A Monitoring Profile 117846Disseminated Intravascular Coagulation (DIC) Profile,Comprehensive Plus 117853Thrombosis Profile, Comprehensive 117861Dilute Russell's Viper Venom Time 117887dRVVT Mix 117889Thrombosis Profile, Comprehensive Plus 117895Antiphosphatidylserine IgM 117900Factor Xa, Chromogenic 117904Antiphosphatidylserine IgG 117952Lupus Anticoagulant Comprehensive Profile 117986Antiphosphatidylserine IgG, IgM, IgA 117994ECG Computer Analysis Only 119180Patient-Activated Event Monitoring (PAEM), Receipt of Transmissions 119420Patient-Activated Event Monitoring (PAEM), Postsymptom Transmission 119438Patient-Activated Event Monitoring (PAEM), Postsymptom Cardiologist Overread 119446Patient-Activated Event Monitoring (PAEM), After-Hours Coverage Only 119461Patient-Activated Event Monitoring (PAEM),Presymptomatic Cardiology Overread 119503Patient-Activated Event Monitoring (PAEM) Hook-up/Disconnect by LabCorp 119511Osmolality, Body Fluid 120063Osmolality, Fecal 120071Serotonin, Whole Blood 120089Lipoprotein (a) 120188Serotonin, Platelet 120196Serotonin, Serum 120204CK Iso,Serum,Frac.Only 120212

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Complement C1 Esterase Inhibitor, Functional 120220Homovanillic Acid (HVA), Random Urine 120246Homovanillic Acid (HVA), 24-Hour Urine 120253Low-Density Lipoprotein Cholesterol (Direct) 120295Lecithin/Sphingomyelin Ratio and Phosphatidyl Glycerol,Amniotic Fluid 120527Calculi, Urinary, With Photograph 120691C-Reactive Protein (CRP), Cardiac 120766Calculi, Urinary 120790Creatine Kinase (CK), MB 120816Troponin I 120832Carnitine, Total and Free 120840Hemoglobin Frac.w/o Solubility 120880Hemoglobin (Hgb), Fetal, Quantitation 120900Porphyrins, Quantitative, Random Urine 12098017-Hydroxycorticosteroids and Creatinine Ratio,24-Hour Urine 120998Hemoglobin (Hgb) A2, Quantitative 121020Dibucaine Number With Serum and RBC Cholinesterase 121152Vitamin B1, Plasma 121178Vitamin B1, Whole Blood 121186Free Kappa and Lambda Light Chains Plus Ratio,Quantitative, Urine 121228Hemoglobin (Hgb) Fractionation, Spot Blood 121442Hemoglobinopathy Profile 121679Metanephrines, Fractionated, Plasma Free 121806Hemoglobinopathy Profile Without Solubility 122101Alpha-2-Macroglobulin, Quantitative 122135Immunofixation (IFE) and Protein Electrophoresis,Random Urine 122390Protein Electrophoresis With Interpretation, 24-Hour Urine and Reflex to IFE, 24-Hour Urine 123018Protein Electrophoresis With Interpretation, Serum and Reflex to IFE, Serum 123026Clonidine Suppression Test (3-Hour) 123133Clonidine Suppression Test (4-Hour) 123158Vanillylmandelic Acid (VMA), Random Urine 123208Sulfate, Quantitative, 24-Hour Urine 123307HAVIgM 126748HBcIgM 126881Free Kappa and Lambda Light Chains Plus Ratio,Quantitative, Serum 131137Stone Analysis 132209Adenovirus Detection, PCR 138164Ehrlichia chaffeensis, DNA PCR 138168

Streptococcus pneumoniae Antibodies, IgG, 7 Serotypes 138177

Streptococcus pneumoniae Antibodies, IgG, 14 Serotypes 138210Epstein-Barr Virus (EBV), Quantitative, PCR 138230Chlamydia pneumoniae, PCR 138263Haemophilus influenzae B, IgG 138271Epstein-Barr Virus (EBV), Qualitative, PCR 138289

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Polyomavirus, PCR 138293Norovirus Detection, RT-PCR 138307Varicella-Zoster Virus (VZV), DNA PCR 138313Babesia microti Antibody Profile 138315Babesia microti, Real-Time DNA PCR 138318Bartonella, DNA PCR 138350Ehrlichia Panel, DNA PCR 138412Mycoplasma pneumoniae, DNA PCR 138420

Human Immunodeficiency Virus 2 (HIV-2), Qualitative,PCR 138453Human Herpesvirus 6 (HHV-6), DNA PCR 138479Febrile Agglutinin Panel 138552Histoplasma, DNA PCR 138580Toxoplasma gondii, Amniotic Fluid, PCR 138586Herpes Simplex Virus (HSV) Types I/II, Amniotic Fluid,DNA PCR 138594Toxoplasma gondii, PCR 138602Cytomegalovirus (CMV), Quantitative, PCR 138610Enterovirus, Real-Time PCR 138636Parvovirus B19, DNA PCR 138644Herpes Simplex Virus (HSV) Types I/II, DNA PCR 138651Bordetella pertussis and Bordetella parapertussis, DNA Real-Time PCR 138677Lyme Disease (Borrelia burgdorferi), Real-Time PCR 138685Cytomegalovirus (CMV), Qualitative, PCR 138693Cytomegalovirus (CMV), Amniotic Fluid, PCR 138701CMV Culture for Genotyping 138702

Streptococcus pneumoniae Antibodies, IgG, 4 Serotypes 138704Parvovirus B19, DNA, Amniotic Fluid 138719Echinococcus Antibody 138768Aspergillus DNA PCR 138772Mycoplasma/Ureaplasma Real-Time PCR 138778

Streptococcus pneumoniae Antibodies, IgG, 6 Serotypes 138800West Nile Virus, Real-Time PCR 138834West Nile Virus Antibody, Serum 138842West Nile Virus Antibody, Cerebrospinal Fluid 138966Microalbumin, 24-Hour Urine 140050Microalbumin, Timed Urine 140053Testosterone, Free (Direct), Serum (With Total Testoserone) 140103Insulin-Like Growth Factor Binding Protein 3 140152Troponin I 140178Parathyroid Hormone-Related Peptide 140194Estradiol, Sensitive 140244Alpha Subunit, Free 140269Erythropoietin (EPO) 140277Microalbumin/Creatinine Ratio, Random Urine 140285Cancer Antigen (CA) 27.29 140293Pooled HIV RNA Testing 140330Neopterin 140335Neopterin, Urine 140343

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Insulin, Free and Total, Serum 140350

5alpha-Androstane-3alpha, 17beta-Diol Glucuronide,Serum 140442Proinsulin 140533Hepatitis C Virus Antibody 140608Hepatitis C Virus NGI UltraQual 140609Hepatitis C Virus NGI SuperQuant 140612Hepatitis B Virus (HBV), DNA, QuantSureTM, TaqmanTM PCR 140615NGI HCV Baseline Panel 140619

Hepatitis B Virus (HBV), NGI UltraQualTM, Qualitative,PCR 140622Neuron-Specific Enolase (NSE), Serum 140624NGI HBV Endpoint Dilution 140631Hepatitis C Virus (HCV), NGI QuantaSureTM Quantitative, PCR 140639Voltage-Gated Calcium Channel Antibody 140640HBV Dilution 140654HBV QuantaSure (Serial) 140656Human Antimouse Antibodies 140657HCV Antibody 140659Tumor Necrosis Factor-alpha 140673Prostate-Specific Antigen (PSA), Complexed 140674Interleukin-6 (IL-6) 140681Pregnenolone 14070717-Hydroxypregnenolone 140715Prostate-Specific Antigen (PSA), Ultrasensitive (Serial Monitoring) 140723Prostate-Specific Antigen (PSA), Ultrasensitive (Without Serial Monitor) 140731Thyroid-Stimulating Immunoglobulin (TSI) 140749Hepatitis B Virus (HBV), NGI SuperQuantTM,Quantitative, PCR 140810Insulin-Like Growth Factor Binding Protein 1 (IGFBP-1) 140822N-Telopeptide Cross-Links (NTx), Serum 140830Chromogranin A 140848B-Type Natriuretic Peptide 140889Thyroxine (T4) Free by Equilibrium Dialysis, Serum 141002AFP with AFP-L3% 141300Hepatitis C Virus Antibody, Immunoblot Assay (RIBA) 141408Hepatitis C Virus Ab, Riba 3.0 141425IA2 Autoantibodies 141531Insulin Autoantibodies (IAA) 141598Insulin-Like Growth Factor II (IGF-II) 141770Renin, Active 142026Interleukin-2 Soluble Receptor Alpha 142455Glutamic Acid Decarboxylase (GAD) Autoantibody 143008Cortisol, Urinary Free by ICMA 143222Testosterone, Free and Weakly Bound 143255Soluble Transferrin Receptor 143305Cancer Antigen (CA) 15-3 143404HCV Ab w/Rflx to RIBA 143991Vitamin A and E 144006

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Vitamin A, E, and Beta Carotene Profile 144014Histamine Determination, Plasma 144600Histamine Determination, Urine 144618Carcinoembryonic Antigen (CEA) in the Presence of Human Antimouse Antibodies (HAMA) 144725Cancer Antigen (CA) 125 in the Presence of Human Antimouse Antibodies (HAMA) 144733Testosterone, Free (Direct), Serum 144980Hb A1c with Reflex GHb 145300Free Androgen Index (FAI), Serum 146688Pancreatic Polypeptide 146704Leptin, Serum 146712Plasminogen Activator Inhibitor 1 (PAI-1) 146787Inhibin B 146795Inhibin A, Ultrasensitive 146803Microalbumin, Random Urine 149997Heparin-Induced Platelet Antibody 150075Immune Deficiency Profile VII 150177Immune Deficiency Profile VIII 150201Chromosome Analysis and BCR-ABL FISH 150410 1Immune Deficiency Profile IX 152074Striational Antibodies 160184Cholinesterase, Plasma 160200Rubeola Antibodies, IgM 160218Lyme Disease, Total Antibody Test With Reflex 160325Lyme Disease, IgM, Early Test With Reflex 160333

Lyme Disease by Western Blot, Cerebrospinal Fluid (CSF) 160457Mumps Antibodies, IgM 160499Immunoglobulin G, Subclass 1 160507Immunoglobulin G, Subclass 2 160515Immunoglobulin G, Subclass 3 160523Immunoglobulin G, Subclass 4 160531Antipancreatic Islet Cells 160721Epstein-Barr Virus (EBV) Antibodies to Early Antigen Profile, Quantitative 160739Cryptococcus Antigen, Cerebrospinal Fluid (CSF) 160747Cryptococcus Ag Titer, CSF 160748

Human Herpesvirus 6 (HHV-6), IgG Antibodies,Quantitative 161075Complement C2 161414Anti-DNA (Single-Stranded) Antibodies, IgG,Quantitative 161422Anti-Jo-1 161455Rheumatoid Arthritis (RA), Quantitative, Fluid by Hemagglutination 161463Lyme Disease/Syphilis Antibodies Differential Profile 161653Bordetella pertussis IgG Antibodies, Quantitative 161745Bordetella pertussis IgM Antibodies, Quantitative 161752Anticardiolipin Antibodies (ACA), IgG and IgM 161802Anticardiolipin Antibodies (ACA), IgG 161810Anticardiolipin Antibodies (ACA), IgM, Quantitative 161828Anticardiolipin Antibodies (ACA), IgA, Quantitative 161836Anticardiolipin Antibodies (ACA), IgA, IgG, IgM 161950

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Lyme Disease Antibodies, Quantitative, IgM 161992Arboviral Encephalitis Antibodies Profile, IgG 162008California Encephalitis Virus Antibodies, IgG 162016Eastern Equine Encephalitis Virus Antibodies, IgG 162024St Louis Encephalitis Virus Antibodies, IgG 162032Western Equine Encephalitis Virus Antibodies, IgG 162040Human Immunodeficiency Virus-1 RNA (bDNA) 162164Leptospiral Antibodies 162206Lyme Disease by Western Blot, Synovial Fluid 162263Helicobacter pylori, IgG 162289Arboviral Encephalitis Antibodies Profile, IgM 162305California Encephalitis Virus Antibodies, IgM 162313Eastern Equine Encephalitis Virus Antibodies, IgM 162321St Louis Encephalitis Virus Antibodies, IgM 162339Western Equine Encephalitis Virus Antibodies, IgM 162347Antineutrophil Cytoplasmic Antibodies (ANCA) 162388Human Immunodeficiency Virus (HIV) Proviral DNA by PCR Amplification 162404Human T-Cell Lymphotropic Virus I, II (HTLV-I/HTLV-II),DNA by PCR 162420

Human Immunodeficiency Virus (HIV)/HTLV DNA by PCR 162503

Human Immunodeficiency Virus 1 (HIV-1) RNA,Quantitative 162545Herpes Simplex Virus (HSV) Types I/II, IgG 163014

Herpes Simplex Virus (HSV) Type II-Specific Antibodies,IgG 163147Herpes (HSV) II, Type Specific 163149Helicobacter pylori, IgA 163170Reticulin Antibodies, IgA/IgG 163188Helicobacter pylori, IgM Antibodies 163204Mycoplasma pneumoniae, IgM Antibodies 163212Human T-Cell Lymphotropic Virus I, II (HTLV-I/HTLV-II),Qualitative 163246Tetanus Antibody Profile 163253Parvovirus B19 (Human), IgG, IgM 163303Gliadin IgG and IgA Antibody Profile by EIA 163402

Human Immunodeficiency Virus 2 (HIV-2) Antibodies by EIA 163550Lyme Disease by Western Blot, Serum 163600Helicobacter pylori, IgM, IgG, IgA Antibodies 163683Tetanus Antitoxoid Antibodies 163691Diphtheria Antitoxoid Antibodies 163709Mycoplasma pneumoniae, IgG Antibodies 163741Mycoplasma pneumoniae, IgG and IgM Antibodies 163758Antichromatin Antibodies, IgG 163766Antimyeloperoxidase (MPO) Antibodies 163840Antiproteinase 3 (PR3) Antibodies 163857Antineutrophil Cytoplasmic Antibody (ANCA) Profile 163873Beta-2 Glycoprotein I Antibodies, IgG, IgA, IgM 163915Liver-Kidney Microsomal (LKM) Antibodies 163980Herpes Simplex Virus (HSV) Types I/II, IgG Evaluation With Reflex To Herpes II, Type-Specific, IgG Test 164020

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Celiac Disease Antibody Profile 164111Human T-Cell Lymphotropic Virus I, II (HTLV-I/HTLV-II)Differentiation 164129

Chlamydia/Gonococcus by DNA Probe (With Confirmation) 164160

Chlamydia trachomatis by DNA Probe (With Confirmation) 164202Chlamydia Competition Rflx 164204N gonorrh. Competition Rflx 164205Neisseria gonorrhoeae by DNA Probe With Confirmation 164210Human T-Cell Lymphotropic Virus I, II (HTLV-I/HTLV-II)Antibodies, Preliminary Test With Confirmation 164277Aspergillus Antibodies, Quantitative, DID 164285Blastomyces Antibodies, Quantitative, DID 164293Coccidioides Antibodies, Quantitative, DID 164301Histoplasma Antibodies, Quantitative, DID 164319Bordetella pertussis IgA Antibodies, Quantitative 164384von Willebrand Factor (vWF) Activity 164509Protein S Antigen 164517Protein S, Functional 164525Brucella abortus, IgG, EIA 164608Legionella pneumophila Antibody 164616Brucella abortus, IgM, EIA 164624Tissue Transglutaminase (tTG), IgA 164640Saccharomyces cerevisiae Profile 164657Human Granulocytic Ehrlichiosis (HGE), IgG, IgM, IFA 164672Human Monocytic Ehrlichiosis (HME), IgG, IgM, IFA 164680Ehrlichiosis (Granulocytic and Monocytic) Profile 164722Human Granulocytic Ehrlichiosis (HGE), IgG, IFA 164763Herpes Simplex Virus (HSV), Types I/II, IgM, EIA 164806Anti-Centromere B Antibodies 164814Inflammatory Bowel Disease (IBD) Profile 164830Antinuclear Antibodies Direct 164855ANA w/Reflex if Positive 164863

Cyclic Citrullinated Peptide (CCP), IgG Antibodies,ELISA 164871HSV Type 1-Specific Ab, IgG 164897HSV 1 and 2-Specific Ab, IgG 164905Antinuclear Antibodies(ANA) 164947ANA w/Reflex 164962Endomysial Antibody IgA 164996ANA Comprehensive Panel 165092Celiac Disease Ab Screen w/Rfx 165118Celiac Disease Comprehensive 165126Celiac Disease Panel 165142Apolipoprotein B 167015Celiac Disease HLA DQ Disease Association 167062HLA DR-Specific 167312HLA A-Specific Antigen 167320HLA B-Specific Antigen 167338HLA Typing (A, B Loci) 167593HLA DR Transplant 167718HLA A, B Transplant 167726

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HLA DQA Disease Association 168002HLA DQB Disease Association 168012HLA C Disease Association 168018HLA A, B, C Transplant 168054Narcolepsy Evaluation 169102Paternity Studies 176529Occult Blood, Stl, Guaiac X3 180109Stool Culture, Campylobacter sp Only 180141Occult Blood, Stl, Guaiac X2 180182Bordetella pertussis, Nasopharyngeal Culture 180224Pneumocystis Smear 180232Culture of Dialysis Water 180307Culture of Dialysate 180315Susceptibility Testing, Anaerobic Bacteria 180349Enterohemorrhagic E. coli (O157) (EHEC) 180356Clostridium difficile Toxin B Cytotoxin Assay 180448Helicobacter pylori Stool Antigen 180764Body Fluid Culture, Sterile, Routine 180802Lower Respiratory Culture 180810Helicobacter pylori Culture 180885Wet Prep 180901Wet Prep With Reflex to Trichomonas Culture 180919Biological Indicators (Sterile) 181560Giardia lamblia, Direct Detection by EIA 182204Organism Identification, Yeast 182212Legionella pneumophila Urinary Antigen 182246Methicillin-Resistant Staphylococcus aureus (MRSA) Culture and Susceptibility 182253Aerobic Identification and Susceptibility 182261Influenza A Only by Direct EIA 182295Stool Culture, Vibrio Only 182311Dermatophyte Culture 182337Organism Identification, Anaerobic Bacteria 182345Gram Stain w/Sputum Cult Rflx 182352Sputum Culture 182354

Vancomycin-Resistant Enterococcus (VRE) Culture Only 182360Cryptosporidium/Isospora Smear 182378

Acid-Fast (Mycobacteria) Broth-Based Culture and Smear 182402Stool Culture, Yersinia Only 182410Chlamydia trachomatis, Swab or Urine by PCR 182550Acid-Fast (Mycobacteria) Broth-Based Culture and Smear and Susceptibility 182675AFB Culture and Smear, Broth 182752Anaerobic and Aerobic Culture and Gram's Stain 183111Methicillin-Resistant Staphylococcus aureus (MRSA) Culture Only 183129Cyclospora Smear, Stool 183145Chlamydia/Gonococcus by Nucleic Acid Amplification 183194Virus, Direct Detection by DFA, Varicella-Zoster Virus 185009

Virus, Direct Detection by DFA, Respiratory Syncytial Virus 185017Originally prepared 10/21/2005tw 24 of 47 Numeric List

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Virus, Direct Detection by DFA, Cytomegalovirus 185025Virus, Direct Detection by DFA, Adenovirus 185033Adenovirus (Type 40/41), Direct Detection by EIA 185041Viral Culture, Rapid, Respiratory 186015Viral Culture, Rapid, Influenza A and Influenza B Virus 186023Virus Culture, Rapid, Varicella-Zoster Virus (VZV) 186031Viral Culture, Rapid, Cytomegalovirus (CMV) 186049Viral Culture, Rapid, Lesion (Herpes Simplex Virus and Varicella-Zoster Virus) 186056Influenza A and B by Direct Immunoassay 186064Herpes Simplex Virus (HSV) Culture Without Typing 186072

Adenovirus (Type 40/41)/Rotavirus, Direct Detection by EIA 187013

Giardia lamblia by EIA and Ova and Parasites Examination 188110Group B Streptococcus Colonization Detection and DNA Probe 188128Legionella Culture and Legionella pneumophila by DFA 188227Fungus Culture With Stain 188243Mycobacterium tuberculosis Detection by Nucleic Acid Amplification With AFB Culture 188540Test Code Change 189902Gynecologic Pap Smear and Maturation Index, 2 Slides 190074Pneumocystis carinii Pneumonia (PCP), Special Stain 190256Gynecologic Pap Smear, Liquid-Based Preparation 192005Gynecologic Pap Test, Liquid-Based Preparation With Reflex to High-Risk Human Papillomavirus (HPV),Hybrid Capture© 192047Gynecologic Pap Test, Liquid-Based Preparation With Maturation Index 192096

Gynecologic Pap Test, Liquid-Based Preparation and Chlamydia trachomatis/Neisseria gonorrhoeae With Reflex to Human Papillomavirus (HPV), Hybrid Capture II©, When ASC-U, ASC-H, LSIL, HSIL and Chlamydia/Gonococcus by Nucleic Acid Amplification, Profile 192104Gynecologic Pap Test, Liquid-Based Preparation and Chlamydia trachomatis/Neisseria gonorrhoeae With Reflex to Human Papillomavirus (HPV), Hybrid Capture II©, When ASC-U and Chlamydia/Gonococcus by Nucleic Acid Amplification, Profile 192112Gynecologic Pap Test, Liquid-Bases Preparation and Chlamydia/Gonococcus, Nucleic Acid Amplification 192120Gynecologic Pap Test, Liquid-Based Preparation and Chlamydia trachomatis, Nucleic Acid Amplification 192138Gynecologic Pap Smear, Liquid-Based Preparation and Human Papillomavirus (HPV) High Risk, and Chlamydia/Gonococcus, Nucleic acid 192146Gynecologic Pap Test, Liquid-Based Preparation With Reflex to High-Risk Human Papillomavirus (HPV),Hybrid Capture©, When ASC-U, ASC-H, LSIL, HSIL 192630Gynecologic Pap Test, Liquid-Based Preparation (Image Guided) 193000

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Gynecologic Pap Test, Liquid-Based Preparation (Image Guided) With Maturation Index 193069Gynecologic Pap Test, Liquid-Based Preparation (Image Guided) With Reflex to High-Risk Human Papillomavirus (HPV) Profile, Hybrid Capture©,when ASCUS 194074Gynecologic Pap Test, Liquid-Based Preparation and Human Papillomavirus (HPV) Profile, Hybrid Capture©, High Risk 195050Gynecologic Pap Test, Liquid-Based Preparation and Human Papillomavirus (HPV) Profile, Hybrid Capture©, High and Low Risk 197070Gynecologic Pap Test, Liquid-Based Preparation (Image Guided) and Human Papillomavirus (HPV) Profile,Hybrid Capture II©, High and Low Risk 198190Gynecologic Pap Test, Liquid-Based Preparation (Image Guided) and Human Papillomavirus (HPV) Profile,Hybrid Capture II©, High-Risk 199123ALT+AST+BUN+Creat+Glu 202168Sertraline (Zoloft) 202330Prenatal Profile I (With Hepatitis B Surface Antigen) 202945

Glucose Tolerance Test (GTT), Blood/Urine, 5 Specimens 203224Systemic Lupus Erythematosus (SLE) Profile B 203752Rheumatic Fever Profile 204529Gastrin, Serum, 6 Specimens 204644Acid Hemolysin (Ham Test) 206403

Follicle-Stimulating Hormone (FSH), Serum, 2 Specimens 208785

Follicle-Stimulating Hormone (FSH), Serum, 7 Specimens 208801

Follicle-Stimulating Hormone (FSH), Serum, 8 Specimens 208819Gastrin, Serum, 2 Specimens 208827Growth Hormone, Serum, 8 Specimens 208835Immunoglobulin G, Subclasses (1-4) 209601Prolactin, 8 Specimens 210781Cortisol, 8 Specimens 210823CMP14+LP+5AC 210849Luteinizing Hormone (LH), Serum, 6 Specimens 211227Gastrin, Serum, 8 Specimens 211268Luteinizing Hormone (LH), Serum, 8 Specimens 211276

Follicle-Stimulating Hormone (FSH), Serum, 6 Specimens 211284

Follicle-Stimulating Hormone (FSH), Serum, 4 Specimens 211292Prenatal Infectious Disease Antibodies, IgM,Quantitative 211581Growth Hormone Releasing Horm. 212994Insulin and C-Peptide, Serum 213660Toxoplasma Abs IgG/IgM 213561Cholinesterase, Plasma and RBC 214007Cell Count, Body Fluid 215996Apolipoprotein Assessment 216010

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Epstein-Barr Virus (EBV) Acute Infection Antibodies Profile 216655CMP14+6AC 217588Lipid Panel With Total Cholesterol/HDL Ratio 221010CMV Abs IgG/IgM 221085Lyme Disease Antibodies, Total and IgM Responses 223586Thyroid-Stimulating Hormone (TSH) and Free T4 224576Adrenocorticotropic Hormone (ACTH), Plasma, 2 Specimens 225250Adrenocorticotropic Hormone (ACTH), Plasma, 4 Specimens 225268Adrenocorticotropic Hormone (ACTH), Plasma, 6 Specimens 225276Protein Electrophoresis With Interpretation, Serum 225920Human Immunodeficiency Virus (HIV) Antigen (non-ICD) and HIV Antibodies 232173Xylose Tolerance Test (Fasting + 2-Hour Blood Without 5-Hour Urine - Adult) 232306083824+CBC/D/Plt+RPR+Rh+ABO... 233452Myasthenia Gravis Evaluation Profile 234419Lipid Panel With LDL/HDL Ratio 235010Lipoprotein Phenotyping Profile 235036Hepatitis Profile X (HBV Prevaccination Profile) 235473Glucose (2 Spec) Tolerance, S 239822Kidney Stone Retest, Limited 242347Ovarian Function Profile II 244004Antiphospholipid Syndrome Profile 250555Hepatitis Profile VIII (Hepatitis B and C Profile) 255505Hirsutism Profile, Comprehensive 257121Lyme Disease Antibodies, Including Reflex to Western Blot on Positives 258004Helper/Suppressor and Natural Killer Profile 259317Protein Electrophoresis With Interpretation,Cerebrospinal Fluid 261503

Protein Electrophoresis With Interpretation, 24-Hour Urine 261511Hepatitis Profile XI (HBV Vaccine Follow-up Profile) 265389Hepatitis Profile XIII (HBV Prenatal Profile) 265397Chlamydia trach. Abs IgG/IgM 265520Folate, RBC 266015Broken Tube - Other 270321CMP14+LP+TP+TSH+5AC+CBC/D/P... 272870Mirtazapine (Remeron) 273098BMP without BUN/Crt Ratio 275117CBC/D/Plt+RPR+UA+Sickle 275793Creatinine Clearance With Body Surface Area Normalization 276024Antinuclear Antibodies (ANA) With Reflex to Multiple Confirmatory Tests 282434Protein C Deficiency Profile 283655Folate, RBC and Serum 285700Catecholamines, Fractionated, Urinary Free and Vanillylmandelic Acid (VAMA), 24-Hr Urine 286161

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Xylose Tolerance Test (Fasting + 1-Hour Blood + 5-Hour Urine - Pediatric) 293811Xylose Tolerance Test (Fasting + 1-Hour Blood Without 5-Hour Urine - Pediatric) 293829Xylose Tolerance Test (Fasting + 2-Hour Blood + 5-Hour Urine - Adult) 293837Xylose Tolerance Test (Fasting, 1-, 2-, 3-, 4-, and 5-Hour Blood without 5-Hour Urine) 293845Comp. Metabolic Panel (12) 302085CMP12+LP+TP+6AC+CBC/D/Plt+M... 303144CMP13+3AC 303444BUN+Ca+CO2+Creat+Fe+Glu+K+N... 303456HP5 303744Electrolyte Panel 303754Hepatic Function Panel (6) 303755Lipid Panel 303756Basic Metabolic Panel (7) 303758BMP7+CBC/D 305188Kidney Stone Urine Test Combination With Saturation Calculations 306266Comp. Metabolic Panel (13) 310900CMP14+CBC/D/Plt 310941CMP12+LP+6AC+CBC/D/Plt+RPR+... 310953CMP12+LP+3AC+CBC/D/Plt 310958LP+18AC+CBC/D/Plt+RPR+UA+Rh... 315455CBC/D/Plt+RPR+UA 315791ESR-Wes+ANA+RA Qn+CRP+ASO+A... 315800

Catecholamines, Fractionated, Urinary Free,Random Urine 3162035-Hydroxyindoleacetic Acid (HIAA), Quantitative,Random Urine (Pediatric) 316205Urea Nitrogen and Creatinine Profile, 24-Hour Urine 317222CMP14+CBC/D/Plt+RPR+UA 319685Alb+AlP+ALT+AST+BUN+Chol+Cr... 321252BUN+Chol+Cl+Creat+Glu+K+Na+... 321263Chol+Glu+PSA 321300CMP12+2AC+TSH 321362CMP14+CBC/D/Plt+RPR+UA+hCG Ql 321551CMP14+CBC/D/Plt+RPR+UA+Sick... 321689Metabolic Panel (14), Comprehensive 322000CMP14+TP+TSH+CBC/D/Plt+UA+E... 322395Hepatitis Panel, Acute 322744CMP14+LP+5AC+CBC/D/Plt+TSH+... 322751Hepatic Function Panel (7) 322755Metabolic Panel (8), Basic 322758Renal Function Panel 322777ALT+AST+BUN+Creat+Glu+CBC/D... 322823CMP12+2AC+CBC/D/Plt+TSH 322824CMP12+4AC+CBC/D/Plt+TSH 322825Chol+Glu+CBC/D/Plt+UA+PSA 322892Alb+AlP+ALT+AST+BUN+Chol+Cr... 322894Chol+Glu+CBC/D/Plt+RPR+UA 322896BUN+Chol+Creat+Glu+UA+Hb Alc 322898

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Chol+Glu+CBC/D/Plt+UA 322902HP5+11AC+AFP 322918Alb+AlP+ALT+AST+BUN+Chol+Cr... 322936CBC/D/Plt+RPR+Rh+ABO+Rub Ab... 322956BUN+Chol+Cl+Creat+Glu+K+Na+... 323294HP5+11AC+CBC/D/Plt+ToxoAb+C... 323296BUN+Chol+Cl+Creat+Glu+K+Na+... 323297Benzene Standard Profile 324095CMP14+6AC 326390Thyroid Cascade Profile 330015Thyroid Peroxidase (TPO) Ab 330018CMV+Tox (IgG/IgM) 332395Microscopic Examination 333328Ashkenazi Jewish Carrier Profile 333561AST+CK+LD+CK MB+Troponin I 333744HP5 348151TSH Rfx on Abnormal to Free T4 349829CBC+Hematology Review 350512Protein Electrophoresis, Random Urine 354928UA/M with Culture Reflex 377036HBcIgM+HBeAb+Ag+HBsAb+Ag 380568Biotinidase Deficiency, Serum 402362Beta-Galactosidase Deficiency, Leukocytes 402370Alpha-Galactosidase A Deficiency, Leukocytes 402388Arylsulfatase A Deficiency, Leukocytes 402396Uniparental Disomy Profile 470054Alkaline Phosphatase, Serum (Serial Monitor) 480004Alpha-Fetoprotein (AFP), Serum, Tumor Marker (Serial Monitor) 480012Beta-2 Microglobulin, Serum (Serial Monitor) 480020Human Chorionic Gonadotropin (hCG), Beta Subunit,Quantitative, Serum (Serial Monitor) 480038Carbohydrate Antigen (CA) 19-9 (Serial Monitor) 480053Cancer Antigen (CA) 125, Serum (Serial Monitor) 480061Carcinoembryonic Antigen (CEA) (Serial Monitor) 480095Calcitonin (Thyrocalcitonin), Serum (Serial Monitor) 480103Ferritin, Serum (Serial Monitor) 480111Lipid-Associated Sialic Acid (LASA) (Serial Monitor) 480129HER-2/neu, Quantitative by ELISA 480136Neuron-Specific Enolase (NSE), Serum (Serial Monitor) 480137Prostate-Specific Antigen (PSA), Serum (Serial Monitor) 480145Prostatic Acid Phosphatase (PAP), Serum by EIA (Serial Monitor) 480152PTH, Intact I (Serial Monitor) 480160DNA Ploidy Analysis, Frozen Tissue 480228Estrogen Receptor/Progesterone Receptor (ER/PR),Immunohistochemical, Paraffin Block 480277Cancer Antigen (CA) 27.29 (Serial Monitor) 480293DNA Ploidy Analysis, Body Fluids 480319DNA Ploidy Analysis, Paraffin Block 480327Breast Cancer Prognosis Profile I, Paraffin Block 480335

Epidermal Growth Factor Receptor (EGFR), Paraffin Block 480368Originally prepared 10/21/2005tw 29 of 47 Numeric List

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Epidermal Growth Factor Receptor (EGFR) pharmDxTM (HER-1) Oncoprotein, Paraffin-Embedded Colorectal Tissue 480370HER-2/neu Oncoprotein, Paraffin Block 480376Cathepsin D, Paraffin Block 480384T and B Gene Rearrangement, Southern Blot 480388Allelic Loss of 18q/RER Typing, Frozen Tissue 480459

BCR-ABL1, Qualitative Transcript Detection for Chronic Myelogenous Leukemia and Acute Lymphocytic Leukemia 480473BCR-ABL1 Translocation Detection for Chronic Myelogenous Leukemia, Quantitative 480481pml/RAR-alpha Translocation Detection for Acute Promyelocytic Leukemia 480491Fetal Sickle Cell Anemia, DNA Analysis 480525Cystic Fibrosis Profile 480533Cystic Fibrosis, Fetal Analysis 480541Cystic Fibrosis Profile, DNA Analysis and 5T Allele Genotyping 480555bcl-2 Translocation Detection for Lymphoma 480566Prostate-Specific Antigen (PSA), Free/Total Ratio Reflex (Serial Monitor) 480640T-Cell Receptor Gene Rearrangements for Leukemia 480707T-Cell Gene Rearrangement, PCR 480708B-Cell Gene Rearrangements, Ig Heavy Chain 480715B-Cell Gene Rearrangement, PCR 480716B-Cell Gene Rearrangements, Ig Light Chain 480723IgL Gene Rearrangement, PCR 480724Prostate-Specific Antigen (PSA), Free/Total Ratio Reflex (Without Serial Monitor) 480772Prostate-Specific Antigen (PSA), Free/Total Ratio (Serial Monitor) 480780%fPSA Reflex 480848T and B Gene Rearrangement 480860Prostate-Specific Antigen (PSA), Free/Total Ratio (Without Serial Monitor) 480947Cystic Fibrosis, 5T Allele Genotyping 480970p53 Tumor Suppressor Gene Protein, Immunohistochemical,Paraffin Block 481044Proliferation Marker MIB-1 (Ki67), Paraffin Block 481051Allelic Loss of 18q/RER Typing, Paraffin Block 481101HER-2/neu Gene Amplification 483248HER-2 Immunohistochemistry (IHC) With Reflex to Fluorescence in situ Hybridization (FISH) 483289Immunohistochemical (Diagnostic) Staining Program 484006Breast Cancer Monitor Profile II 485003Colorectal Cancer Monitor Profile 485011Leukemia/Lymphoma Monitor Profile 485029Melanoma Monitor Profile 485037Neuroblastoma Monitor Profile 485052Liver Cancer Monitor Profile 485060Lung, Adenocarcinoma Monitor Profile 485078Pancreatic Cancer Monitor Profile 485086

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Ovarian Cancer Monitor Profile III 485110Uterine Cancer Monitor Profile 485136Testicular Cancer Monitor Profile 485151Lung, Small Cell Cancer Monitor Profile 485177Prostate Cancer Profile II (Serial Monitor) 485235Breast Cancer Prognosis Profile V, Paraffin Block 485383Breast Cancer Prognosis Profile III, Paraffin Block 485409Breast Cancer Prognosis Profile IV, Paraffin Block 485482Bladder Tumor Antigen (BTA), Quantitative 488049ImmunoCyt/Urine Cytology Profile 488148Prostate Multisite Biopsy 488162Prostate Multisite Biopsy With Reflex to DNA Ploidy 488170Cytology/DNA Ploidy Reflex Profile 488312Bladder Tumor Antigen (BTA) Cytology Profile 488379Bladder Tumor Antigen (BTA) Cytology/DNA Ploidy Analysis Profile 488387Nuclear Matrix Protein (NMP) 22 488411Histopathology With DNA Ploidy Reflex Profile, One or Multiple Sites 488981Acute Leukemia Profile, Flow Cytometry 489055Chronic Leukemia Profile, Flow Cytometry 489088Bone Marrow Aspiration and Biopsy 489900Chromosome Analysis, Solid Tumor 490060DNA Ploidy Analysis, Needle Biopsy Tissue Sections 490078Breast Cancer Prognosis Profile II, Paraffin Block 495036Bladder Cancer, FISH 496414Factor VIII Antigen 500196Human Papillomavirus (HPV), Biopsy 500199Human Papillomavirus (HPV) Hybrid Capture II 500306Pathology Report 500918Activated Natural Killer/IL-2R 502500CBC/D+Plt on Citr Bld+Help/Sup 505003Helper Suppressor Short Prof. 505005Helper T-Lymphocyte Marker CD4 505008Natural Killer Cell Surface Antigen (CD3-, CD56+Marker Analysis) 505016CD4/8 Complete 505044T-Helper (CD4 Lymph) 505078CD4/CD8 Ratio Profile 505271T- and B-Lymphocyte and Natural Killer Cell Profile 505370T-Cell Activation Profile, CD8 Subsets 505750

Human Papillomavirus (HPV) Hybrid Capture©, High Risk 507301Chromosome Analysis and Amniotic Fluid AFP 510032Chromosome Analysis, Chorionic Villi Biopsy 510040Fragile X Syndrome, DNA Analysis 510065Fragile X Syndrome, Cytogenetics and DNA Analysis 510115Twin Zygosity, Pre- and Postnatal 510214Sex Determination (SRY), DNA Analysis 510222Chromosome Analysis, Instability Syndromes 510230Chromosome Analysis, AFP, AChE, Amniotic Fluid With Reflex to Fetal Hemoblobin (Hb F) 510255Products of Conception (POC) Profile 510288

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Alpha-Fetoprotein (AFP), AChE, Amniotic Fluid With Reflex to Fetal Hemoglobin (Hb F) 510305Chromosome Analysis, Cordocentesis and Fetal Hemoglobin (Hb F) 510313Acetylcholinesterase, Amniotic Fluid With Reflex to Fetal Hemoglobin (Hb F) 510354Fluorescence in situ Hybridization (FISH), Oncology 510362Fluorescence in situ Hybridization (FISH), Prenatal Aneuploid Evaluation, Chorionic Villus Sampling 510370Fluorescence in situ Hybridization (FISH) (Without Cell Culture) 510388Fluorescence in situ Hybridization (FISH), Prenatal Aneuploid Evaluation, Amniotic Fluid 510396Tay-Sachs Disease, DNA Analysis 510404Tay-Sachs Disease, Biochemical, Serum 510412FISH, 100-300 Interphases, FDA 510452FISH (Add. Probe) 510454Fragile X Syndrome, Cytogenetics/DNA With Reflex to Multiprobe, Subtelomere FISH (Telo-Scan) 510461Culture, Neoplastic Blood/Bone 510481Fluorescence in situ Hybridization (FISH), Paraffin Block 510545Fluorescence in situ Hybridization (FISH), TEL-SCAN,Multiprobe, Subtelomere-Specific 510552Fluorescence in situ Hybridization (FISH), Multiprobe, Centromere-Specific 510560Fluorescence in situ Hybridization (FISH), Multiprobe,Paint-Specific 510578Multiple Myeloma Profile, Fluorescence in situ Hybridization (FISH) 510586Chronic Lymphocytic Leukemia (CLL) Profile,Fluorescence in situ Hybridization (FISH) 510594Myelodysplastic Syndrome Profile, Fluorescence in situ Hybridization (FISH) 510599Neurofibromatosis 1 (NF-1), Direct Analysis, Known Mutation 511006Neurofibromatosis 1 (NF-1), Direct Analysis, Unknown Mutation 511014Gaucher Disease, DNA Analysis 511048N-Telopeptide Cross-Links (NTX) (Serial Monitor) 511097Deoxypyridinoline (Dpd) Cross-Links (Serial Monitor) 511105Cytomegalovirus (CMV) DNA Detection and Quantitation 511121Canavan Disease, DNA Analysis 511147Angelman and Pradar-Willi Syndromes, DNA Analysis 511150Factor V Leiden Mutation Analysis 511154Factor II (Prothrombin), DNA Analysis 511162Rett Syndrome, DNA Analysis 511180Fanconi Anemia (Type C), DNA Analysis 511212Methylenetetrahydrofolate Reductase (MTHFR) Thermolabile Variant, DNA Analysis 511238Tay-Sachs Disease, Biochemical, Leukocytes 511246BAT-26, Microsatellite Instability (MSI) for Hereditary Nonpolyposis Colorectal Cancer (HNPCC) 511253Jewish Ancestry Reproductive Profile 511295

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Colon Cancer, Microsatellite Instability 511311Niemann-Pick Disease, DNA Analysis 511329Maternal Cell Contamination 511337Hereditary Hemochromatosis, DNA Analysis 511345Familial Dysautonomia, DNA Analysis 511352Mucolipidosis Type IV Mutation Detection 511386Alpha-1-Antitrypsin Deficiency, DNA Analysis 511881Connexin 26 (Cx26), DNA Analysis 511915Jewish Heritage Profile 512020Infertility - Male, Y Deletion Analysis 512053PreGen-PlusTM Colorectal Cancer Detection 512094Thrombotic Risk Profile, DNA 512103Jewish Heritage Profile II 512111 1Fanconi Anemia (Type C) and Niemann-Pick Disease, DNA Analysis 512129Bloom Syndrome, DNA Analysis 512145Bone-Specific Alkaline Phosphatase 513002Semen Analysis, Basic 519306Semen Motility Profile 519395Lyme Disease (Borrelia burgdorferi) by PCR 550012Human Papillomavirus (HPV) by PCR 550020Hepatitis C Virus (HCV), NGI QuantaSureTM Plus,Quantitative, TaqmanTM PCR 550027HCV RNA (International Units) 550029Hepatitis C Virus (HCV), QuantaSureTM Plus,Quantitative, TaqmanTM PCR (Serial Monitor) 550033HCV QuantaSure Plus (Serial) 550035Human Immunodeficiency Virus (HIV) Proviral DNA by PCR Amplification, Miscellaneous Source 550038HCV RNA (International Units) 550040Mycobacterium tuberculosis Detection by Nucleic Acid Amplification 550087Hepatitis C Virus (HCV) FibroSURE 550123Hepatitis C Virus (HCV), RNA PCR, Qualitative, With Reflex to Quantitative 550146Human Immunodeficiency Virus 1 (HIV-1) RNA,Quantitative (Nongraphable) 550285Hepatitis C Virus RNA by PCR, Qualitative 550400Hepatitis C Virus Genotyping 550475Hepatitis C Genotype 550481Human Immunodeficiency Virus 1 (HIV-1) Ultrasensitive RNA, Quantitative 550483Cytomegalovirus (CMV) by DNA Probe 550905Epstein-Barr Virus (EBV) by DNA Probe 550913Herpes Simplex Virus (HSV) by DNA Probe 550921Antivirogram Analysis 551138Human Immunodeficiency Virus (HIV) Antivirogram (Phenotype) Analysis 551168Hepatitis C Virus (HCV), RNA, Quantitative With Reflex to Genotyping, PCR 551221Hepatitis C Virus RNA by PCR, Qualitative (With Reflex To Genotype) 551242Qn, RNA PCR Rfx Geno Plus 551259

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Test Description and CPT Codes EXHIBIT FITB 08-DC-8008

TEST DESCRIPTION TEST#

Human Immunodeficiency Virus (HIV) Ultrasensitive RNA With Reflex To HIV-1 RNA, Quantitative 551275Ultra Sensitive RNA Qn 551283Quant, RNA PCR 551366Hepatitis B Virus DNA, Qualitative 551432Human Immunodeficiency Virus (HIV) PhenoSense HIV (Phenotype) Comprehensive 551499HBV DNA, Qual PCR, Rfx Quant 551510HBV QuantaSure (Reflex) 551512HBV QuantaSure Rfx Genotype 551550Quant, RNA PCR 551614Human Immunodeficiency Virus (HIV) GenoSure Plus 551655HIV GenoSure 551663HIV GenoSure Fusion 551665Virtual Phenotype 551689Human Immunodeficiency Virus (HIV) GenoSure 551697GenoSure Plus 551804Hepatitis B Virus (HBV), GenoSureTM 551838Human Immunodeficiency Virus (HIV) GenoSure Fusion 551861Hepatitis C Virus (HCV), RNA, Quantitative With Reflex to Genotyping, PCR (Nongraphing) 551879Human Immunodeficiency Virus-1 RNA (bDNA),(Nongraphable) 551887Human Immunodeficiency Virus (HIV) DNA by PCR With HIV Antibodies by EIA 552000Class Description 600268Allergens, Multiple Inhalant Allergen (MIA) Test 611095Isocyanates Profile 630988Allergen Profile, Mini-Panel 649749F019 Cayenne Pepper 650002Latex-Specific IgE 650390Allergen Profile, Regional Allergen Zone 19 650820Acid Anhydride Profile 658559Thermomonospora viridis Antibodies 660019Thermoactinomyces candidus Antibodies 660035Aspergillus niger Antibodies 660050Aspergillus flavus Antibodies 660068A. pullulans Abs 660084RAST® Food Profile 660423Hypersensitivity Pneumonitis Profile 660670IgE+Latex 665349Allergen Profile, Hymenoptera Profile 2 671871Allergen Profile, Pediatric, Six Years Plus 671932Allergen Profile, Pediatric, Three to Six Years 671934Allergen Profile, Pediatric, Birth to Three Years 671935Allergen Profile, Regional Allergen Zone 1 676510Allergen Profile, Regional Allergen Zone 2 676528Allergen Profile, Regional Allergen Zone 3 676536Allergen Profile, Regional Allergen Zone 4 676544Allergen Profile, Regional Allergen Zone 5 676551Allergen Profile, Regional Allergen Zone 6 676569Allergen Profile, Regional Allergen Zone 7 676577Allergen Profile, Regional Allergen Zone 8 676585

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TEST DESCRIPTION TEST#

Allergen Profile, Regional Allergen Zone 9 676593Allergen Profile, Regional Allergen Zone 10 676601Allergen Profile, Regional Allergen Zone 11 676619Allergen Profile, Regional Allergen Zone 12 676627Allergen Profile, Regional Allergen Zone 13 676635Allergen Profile, Regional Allergen Zone 14 676643Allergen Profile, Regional Allergen Zone 15 676650Allergen Profile, Regional Allergen Zone 16 676668Allergen Profile, Regional Allergen Zone 17 676676Allergen Profile, Regional Allergen Zone 18 676684F046 Red Pepper(Food) 683201Methadone Confirmation, Urine 700070Drug Coma/Overdose Profile II, Blood and Urine (With Cannabinoids) 700617Drug Profile, Urine, Comprehensive (Without Volatiles) 701250704411 5 Drug-Unb 704411Heavy Metals Profile II, Blood 706200Tacrolimus 706242Clozapine (Clozaril®), Serum 706440Clomipramine (Anafranil®), Serum 706465Valproic Acid (Total+Free) 706499Bismuth, Urine 706507Bismuth, Blood 706515Cyclosporine, Blood 706556Cyclosporine, Blood 706557Thallium, Urine 706580Amiodarone (Cordarone®), Serum 706705Fluoxetine (Prozac®), Serum 706838Fluphenazine (Prolixin®), Serum 706887Anemia Profile, Megaloblastic, Serum 706960Methylmalonic Acid, Serum 706961Homocyst(e)ine, Plasma or Serum 706994Drug Abuse Profile (HHS/DOT), Urine (5 Drugs),(GC/MS automatic confirmation at added charge) 7070002nd Sample Handling 707810Split Receipt 707812Oxycodone Confirmation, Urine 712349Opiate (4 Drugs) Confirmation, Urine 713644Methamphetamines D and L, Urine 714766Methylphenidate (Ritalin®), Serum 715300Oxycodone Screen and Confirmation, Urine 715318Volatiles, Urine 716001Mexiletine (Mexitil®), Serum 7160766-Acetylmorphine, Urine 716159Cyanide, Blood 716225Carisoprodol (Soma®, Soridol®), Serum 716274Topiramate (Topamax®), Serum 716285Anemia Profile, Megaloblastic, Urine 716340Methylmalonic Acid, Urine 716365Felbamate (Felbatol®), Serum 716530Nicotine Metabolite Screen, Urine 716555Risperidone (Risperdal), Serum 716563Olanzapine (Zyprexa©), Serum 716571

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TEST DESCRIPTION TEST#

Sirolimus (Rapamune©), Blood 716712Organic Acid Analysis, Urine 716720Carbamazepine-10, 11 Epoxide 716803Gabapentin (Neurontin®), Serum 716811Human Immunodeficiency Virus (HIV) TheraSureTM Monitoring: Lopinavir and Ritonavir (KaletraTM) 716828Human Immunodeficiency Virus (HIV) TheraSureTM Monitoring: Nelfinavir (Viracept©) 716836Human Immunodeficiency Virus (HIV) TheraSureTM Monitoring: Saquinavir (Fortovase©) 716845Human Immunodeficiency Virus (HIV) TheraSureTM Monitoring: Indinavir (Crixivan©) 716852Human Immunodeficiency Virus (HIV) TheraSureTM Monitoring: Amprenavir (Agenerase©) 716860Human Immunodeficiency Virus (HIV) TheraSureTM Monitoring: Ritonavir (Norvir©) 716878Selenium, Serum 716910Oxcarbazepine (Trileptal©), Serum 716928Levetiracetam (Keppra©), Serum 716936Lamotrigine (Lamictal®), Serum 716944Lead, Blood (Pediatric) 717009Lead and Protoporphyrin (FEP/ZPP), Blood (Pediatric) 717033Vancomycin (Vancocin®), Serum, Peak and Trough 717314Tobramycin (Nebcin®), Serum, Peak and Trough 717322Amikacin (Amikin®), Serum, Peak and Trough 717330Gentamicin (Garamycin®), Serum, Peak and Trough 717348Polychlorinated Biphenyls (PCB), Arochlors (1242/1248) 722009MDMA, Urine (GC/MS Confirmation Included) 722117MDMA, Urine (GC/MS Confirmation for Added Charge) 722118Chlorinated Solvents Exposure Profile, Blood 723007Trichloroethylene Exposure Profile 723015

Perchloroethylene (Tetrachloroethylene) Exposure Profile 723023Aromatic Solvents Exposure, Blood 723049Benzene, Blood 723056Benzene Exposure Profile 723064Toluene, Blood 723072Toluene Exposure Profile 723080Xylenes Exposure Profile 723098Xylenes, Blood 723106Ketone Solvents Exposure Profile, Blood 723114Trichloroethylene, Blood 723122Styrene, Blood 723130Ethyl Benzene, Blood 723148Methyl Ethyl Ketone, Blood 723155Methyl Isobutyl Ketone, Blood 723163Methyl n-Butyl Ketone, Blood 723171Trichloroethane, Blood 723189Trichloroethanol, Blood 723197Methyl Ethyl Ketone, Urine 723205Perchloroethylene (Tetrachloroethylene), Blood 723213Toluene Metabolite Profile, Urine 723221Xylenes Metabolite Profile, Urine 723239

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TEST DESCRIPTION TEST#

Trichloroethanol, Urine 723247Trichloroacetic Acid, Urine 723254Trichloroethane Exposure Profile 723262Styrene Metabolite Profile, Urine 723320Styrene Exposure Profile 723353Ethyl Benzene Exposure Profile 723361Aromatic Solvent Metabolites, Urine 723379Dimethylacetamide Exposure Profile 723395DDT Exposure Profile 723445Ethyl Benzene Metabolite Profile, Urine 723486Phenol Exposure Profile, Urine 723502Manganese, Blood 724195Cadmium Standard Profile 724344Drug Abuse Profile (Routine), Qualitative, Urine,(7 Drugs) (GC/MS confirmation at added charge) 725788Drug Abuse Profile, Urine (7 Drugs + Alcohol) 726778733832 5 Drug-Scr 733832Common Alloy Elements Profile 734004EKG 737410Drug Analysis, Unknown, Quantitative 757518Drug Analysis, Unknown, Qualitative and Quantitative 757526Fentanyl, Urine 764340Tramadol, Urine 764365Medical Professional Profile (9 Drugs), Screen and Confirmation, Urine 764456Medical Professional Profile (8 Drugs), Screen and Confirmation, Urine 764480764555 12+Crt-Bund 764555Medical Professional Profile (12 Drugs), Screen and Confirmation, Urine 764875Medical Professional Profile (11 Drugs), Screen and Confirmation, Urine 764888Drug Profile, Blood (7 Drugs) 766477Drug Profile, Blood (5 Drugs) 766550Amphetamine Screen and Confirmation, Blood 766551Cocaine Metabolite Screen and Confirmation, Blood 766555Opiate Screen and Confirmation, Blood 766556Phencyclidine (PCP) Screen and Confirmation, Blood 766557Amphetamine Screen Only, Blood 767551Cannabinoid (Marijuana) Screen, Blood 767554Opiate Screen Only, Blood 767556Amphetamines, Blood 767608Barbiturates, Blood 767616Benzodiazepines, Blood 767624Cocaine and Benzoylecgonine, Blood 767632Opiates, Blood 767640Phencyclidine (PCP), Blood 767657Cannabinoids (Marijuana), Blood 767665Drug Profile Treatment Center, Urine 770701Adulteration (Dilution), Urine 788890Nitrite, Urine 788930Drug Profile, Urine (9 Drugs) by Immunoassay With GC/MS Confirmation 794370

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TEST DESCRIPTION TEST#

Drug Abuse Profile (Routine), Urine (7 Drugs) (GC/MS confirmation included at no charge) 794388Drug Abuse Profile (HHS/DOT), Urine (5 Drugs), (GC/MS confirmation included at no charge) 794800Methaqualone Screen and Confirmation, Urine 798272Panel 799049 799049Panel 799106 799106Cannabinoid Conf (GC/MS) 799429Opiates Conf (GC/MS) 799437799452 5 Drug-Bund 799452Sulfonylurea Hypoglycemics 800193Factor VII Activity 800599Toxoplasma Antibody Evaluation 802082Propafenone (Rythmol) 804062Lipoprotein Subfractionation Profile 804500Treponema Pallid.IgG/M,Ab IFA 807123Growth Horm.Releas.Horm(GH-RH) 819011TPMT Mutation Analysis 819597Tiagabine (Gabitril) 825893Quetiapine (Seroquel) 825976Paroxysmal Nocturnal Hemoglob. 827600Hepatitis D Virus IgM Ab, EIA 841809HCV RNA bDNA 3.0 859797Toxoplasma Gondii IgG/M/A Ab 878617Physician Read Pap 88141188300 Surgical Pathology 88300188300 Surgical Pathology 88300288300 Surgical Pathology 88300488302 Surgical Pathology 88302188302 Surgical Pathology 88302488304 Surgical Path-1st Site 88304188304 Surgical Path-2nd Site 88304288304 Surgical Path-3rd Site 88304388304 Surgical Path-4th Site 88304488304 Surgical Path-5th Site 88304588304 Surgical Path-6th site 88304688304 Surgical Path-7th Site 88304788304 Surgical Path-8th Site 88304888305 Surg Path-1st Site 88305188305 Surg Path-2nd Site 88305288305 Surg Path-3rd Site 88305388305 Surg Path-4th Site 88305488305 Surg Path-5th Site 88305588305 Surg Path-6th Site 88305688305 Surg Path-7th Site 88305788305 Surg Path-8th Site 88305888307 Surgical Pathology 88307188307 Surgical Pathology 88307288307 Surgical Pathology 88307388307 Surgical Pathology 88307488307 Surgical Pathology 88307588309 Surgical Pathology 88309188309 Surgical Pathology 883092

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88309 Surgical Pathology 88309388309 Surgical Pathology 88309488309 Surgical Pathology 883095Decalcification; 1st 883111Decalcification; 2nd 883112Spec-Stain;GRP I-Micro 1st 883121Spec-Stain;GRP I-Micro 2nd 883122Spec-Stain;GRP II-All-Oth 1st 883131Spec-Stain;GRP II-All-Oth 2nd 883132Consult+Rep/Referred Slides 883211Immunohistochem; 1st Antibody 883421Immunohistochem; 2nd Antibody 883422Immunohistochem; 3rd Antibody 883423Immunohistochem; 4th Antibody 883424Immunohistochem; 5th Antibody 883425Immunohistochem; 6th Antibody 883426Immunohistochem; 7th Antibody 883427Immunohistochem; 8th Antibody 883428Immunofluorescent;1st Antibody 883461Immunofluorescent;2nd Antibody 883462Immunofluorescent;3rd Antibody 883463Immunofluorescent;4th Antibody 883464Immunofluorescent;5th Antibody 883465Immunofluorescent;6th Antibody 883466Morp Ana,Tumor Immuno,Comp 1st 883611In situ Hybridization,1stProbe 883651In situ hybridization,2ndProbe 883652In situ Hybridization,3rdProbe 883653In situ Hybridization,4thProbe 883654Cystine,Qn,Pl 911016Leucine,Qn,Pl 911057Amino Acid Profile, Quantitative, Cerebrospinal Fluid 912139Amino Acid Profile, Quantitative, Random Urine 912147Reference Micro Problem Test 977032Corrected Report Comment 977033Test Code Change 977312ECG Cardiologist Overread Only, Adult 990333ECG Cardiologist Overread Only, Pediatric 990655Sent to Reference Lab 995657STAT Spec Draw 997171STAT 998074Venipuncture 998085Handwritten Order 998272ECG Tracing and Computer Analysis 999706CMBP Spec Fwd for Testing A00001CMBP Requested Sendout Spec B00001Misc Smear Cytology (Prof) P09126Sensitivity Organism #1 S00001Sensitivity Organism #2 S00002Sensitivity Organism #3 S00003Sensitivity Organism #4 S0000488305 Tech Comp-1st Site T8305188305 Tech Comp-2nd Site T83052

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88305 Tech Comp-3rd Site T8305388305 Tech Comp-4th Site T83054Misc Smear Cytology (Tech) T09126

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Test Description and CPT Codes EXHIBIT FITB 08-DC-8008

Test Name CPT CodesTHYROIDPANEL 84436, 84479VITAMINB12ANDFOLATE 82607, 82746CALCIUM 82310PHOSPHORUS,SERUM 84100GLUCOSE,SERUM 82947BUN+CREAT 84520URICACID,SERUM 84550CHOLESTEROL,TOTAL 82465PROTEINTOTAL 84155ALBUMIN,SERUM 82040BILIRUBIN,TOTAL 82247ALKALINEPHOSPHATASE,S 84075000LDH 83615AST(SGOT) 84450THYROXINE(T4) 84436T3UPTAKE 84479TRIGLYCERIDES 84478POTASSIUM,SERUM 84132SODIUM,SERUM 84295CHLORIDE,SERUM 82435BILIRUBIN,TOTAL/DIRECT,SERUM 82247, 82248BILIRUBIN,DIRECT 82248IRONANDTIBC 83550, 83540IRON,SERUM 83540CREATINEKINASE,TOTAL,SERUM 82550CREATININE,SERUM 82565AMYLASE,SERUM 82150LIPASE,SERUM 83690HEMOGLOBINA1C 83036PROTEINELECTRO.,S 84165, 84155IFEANDPE,SERUM MultipleVITAMINB12 82607MAGNESIUM,SERUM 83735ALT(SGPT) 84460CERULOPLASMIN 82390CARBONDIOXIDE,TOTAL 82374GLYCOHEMOGLOBIN(GHB),TOTAL 83036IMMUNOGLOBULING,QN,SERUM 82784IMMUNOGLOBULINA,QN,SERUM 82784GLUCOSE,PLASMA 82947COMPLEMENTC4,SERUM 86160G-6-PD,QUANT,BLOODANDRBC 82955, 85041HDLCHOLESTEROL 83718000GGT 82977THYROXINE(T4)FREE,DIRECT,S 84439THYROXINE(T4)FREE,DIRECT,S 84439THYROXINE(T4)FREE,DIRECT,S 84439ALPHA-1-ANTITRYPSIN,SERUM 82103RENIN,PLASMA 84244FOLATE(FOLICACID),SERUM 82746000CEA 82378CK,TOTAL+ISOENZYMES,SERUM 82550, 82552

Test Names and CPT Codes

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Test Description and CPT Codes EXHIBIT FITB 08-DC-8008

Test Name CPT Codes

Test Names and CPT Codes

TRIIODOTHYRONINE(T3) 84480AFP,SERUM,TUMORMARKER 82105AFPDPC/ABBOTTRE-BASELINING call labCANCERANTIGEN(CA)125 82784CREATINEKINASE(CK),MB/TOTAL 82550, 82553CREATININECLEARANCE 82575URINALYSIS,ROUTINE 81003PROTEINTOTAL,QN,24-HRURINE 84156CORTISOL 82533DEHYDROEPIANDROSTERONE(DHEA) 82626TESTOSTERONE,SERUM 84403LUTEINIZINGHORMONE(LH),S 83002FSH,SERUM 83001PROGESTERONE 84144INSULIN,FASTING 83525HCG,BETASUBUNIT,QNT,SERUM 84702HCGBAYER/DPCRE-BASELINING call labHCGBAYER/ABBOTTRE-BASELINING call labPROLACTIN 84146ESTRADIOL 82670HCG,BETASUBUNIT,QUAL,SERUM 84703FERRITIN,SERUM 82728ESTRIOL,SERUM 82677DEHYDROEPIANDROSTERONESULFATE 82627TRANSFERRIN 84466CBC,NODIFFERENTIAL/PLATELET Multiple000WBC 85048000RBC 85041HEMOGLOBIN 85018HEMATOCRIT 85014HEMATOCRIT(SPUN) 85013MICROHEMATOCRIT-SPUN 85013DIFFERENTIALWBCCOUNT 85004PROTHROMBINTIME(PT) 85610DILUTEPROTHROMBINTIME 85705PTT,ACTIVATED 85730SEDIMENTATIONRATE-WESTERGREN 85652HEMOGLOBIN(HGB)SOLUBILITY 85660PLATELETCOUNT 85049WBC,PLATELETSANDDIFFERENTIAL 85004, 85048, 85049RETICULOCYTECOUNT 85045HBSOLU+RFLXFRAC 85660PANEL005462 86689PANEL005465 86689ANTIBODYSCREEN 86850ANTIBODYIDENTIFICATION 86870ANTISTREPTOLYSINOAB 86060ABOGROUPINGANDRHO(D)TYPING 86900, 86901ABOGROUPING 86900RHFACTOR 86901000RPR 86592MONONUCLEOSISTEST,QUAL 86308

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Test Description and CPT Codes EXHIBIT FITB 08-DC-8008

Test Name CPT Codes

Test Names and CPT Codes

RUBELLAANTIBODIES,IGG 86762ANTINUCLEARANTIBODIES(ANA) 86038ANTIEXTRACTABLENUCLEARAG 86235(2)TPALLIDUMAB(FTA-AB) 86781HEPBSURFACEAB 86706HEPBSURFACEAB 86706COMPLEMENTC3,SERUM 86160RAPIDPLASMAREAGIN,QUANT 86593TOXOPLASMAGONDIIAB,IGG,QN 86777CYTOMEGALOVIRUS(CMV)AB,IGG 86644RHEUMATOIDARTHRITISFACTOR 86431HBSAGSCREEN 87340MONOQUALW/RFLXQN 86308CRYPTOCOCCUSANTIGEN,SERUM 87899HEPBEAG 87350C-REACTIVEPROTEIN,QUANT 86140HEPBEAB 86707THYROIDPEROXIDASE(TPO)AB 86376THYROIDANTIBODIES 86376, 86800ANTITHYROGLOBULINAB 86800HEPBCOREAB,TOT 86704HEPAAB,TOTAL 86708HEPAAB,IGM 86709ROTAVIRUSAG,EIA 87425AUTOIMMUNEPROFILE 86038, 86160, 86225ETHANOL,URINE 82055VALPROICACID(DEPAKOTE),S 80164DIGOXIN,SERUM 80162PHENYTOIN(DILANTIN),SERUM 80185CARBAMAZEPINE(TEGRETOL),S 80156LEAD,BLOOD(ADULT) 83655LITHIUM(ESKALITH),SERUM 80178PHENOBARBITAL,SERUM 80184ANAEROBICANDAEROBICCULTURE 87070, 87075STOOLCULTURE 87045, 87046, 87427BETASTREPGPACULTURE 87081HSVCULTUREANDTYPING 87255BLOODCULTURE,ROUTINE 87040FUNGUS(MYCOLOGY)CULTURE 87101GRAMSTAIN 87205CHLAMYDIATRACHOMATISCULTURE 87110, 87140OCCULTBLOOD,STOOL,GUAIAC 82272OVA+PARASITEEXAM 87177, 87209WHITEBLOODCELLS(WBC),STOOL 89055ANAEROBICCULTURE 87075BREASTDISCHARGECYTOLOGY 88161ANAL(RECTAL)CYTOLOGY,LBP 88112PAPSMEAR,1SLDWMATINDX 88164, 88155C-PEPTIDE,SERUM 84681ANGIOTENSIN-CONVERTINGENZYME 82164EBVNUCLEARANTIGENAB,IGG 86664BILEACIDS 82239

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Test Description and CPT Codes EXHIBIT FITB 08-DC-8008

Test Name CPT Codes

Test Names and CPT Codes

AFP,SERUM,OPENSPINABIFIDA 82105PH,STOOL 83986RPR,RFXQNRPR/CONFIRMTP-PA 86592RPRQN+TP-PA 86593, 86781ANTIHISTONEANTIBODIES 86235SJOGREN'SANTI-SS-A 86235SJOGREN'SANTI-SS-B 86235CREATININE,URINE 82570RNPANTIBODIES 86235SMITHANTIBODIES 86235RPRTITER+TP-PAREFLEX 86593, 86781HEPBCOREAB,IGM 86705AFPTETRA MultiplePTANDPTT 85610, 85730BUN+CREAT 82565, 84520THYROIDPROFILEII MultipleCBC,PLATELET;NODIFFERENTIAL 85027FSHANDLH 83001, 83002HGB+HCT 85014, 850180C4+C3 86160(2)ALT+AST 84450, 84460ANEMIAPROFILEB MultipleFE+TIBC+FER+RETIC MultipleSYSTEMICLUPUSPROFILEA 86225, 86235(5), 86431RH-HRGENOTYPEW/ABOGROUPING 86900, 86906MEASLES/MUMPS/RUBELLAIMMUNITY 86735, 86762, 86765HEPATITISBVIRUS(PROFILEVI) MultipleCMP12+8AC Multiple0740137DRUG-SCR 80101(7)0740219DRUG-SCR 80101(9)TPALLIDUMAB(TP-PA) 86781PANEL083824 86703GLUCOSETOLERANCE(5SPBLOOD) 82951, 82952(2)VARICELLA-ZOSTERVAB,IGG 86787EBVABVCA,IGG 86665EBVEARLYANTIGENAB,IGG 86663ANTI-DSDNAANTIBODIES 86225CHLAMYDIA/GC,DNAPROBE 87800MUMPSANTIBODIES,IGG 86735RUBEOLAANTIBODIES,IGG 86765TOXOPLASMAGONDIIAB,IGM,QN 86778EBVABVCA,IGM 86665T+B-LYMPHOCYTEDIFFERENTIAL 86359, 86360, 86355T-LYMPHOCYTEHELPER/SUPPRESSOR 86359, 86360GESTATIONALGLUCOSETOLERANCE 82951, 82952GEST.DIABETES1-HRSCREEN 82950CORTISOL,AM/PM 82533(2)CORTISOL-AM 82533CBC/DIFFERENTIAL(NOPLATELET) MultipleLUPUSANTICOAGULANTCOMP MultipleTHROMBINMIXINGSTUDY 85670LUPUSANTICOAGULANTREFLEX 85732, 85613

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Test Name CPT Codes

Test Names and CPT Codes

C-REACTIVEPROTEIN,CARDIAC 86141CREATINEKINASE(CK),MB 82553HEMOGLOBINFRAC.W/OSOLUBILITY 83021HEMOGLOBINOPATHYPROFILE 83021, 85660HEMOGLOBINFRAC.W/OSOLUBILITY 83021MICROALBUMIN,24HRURINE 82043TESTOSTERONE,FREEANDTOTAL 84402, 84403ERYTHROPOIETIN(EPO),SERUM 82668MICROALB/CREATRATIO,RANDMUR 82043, 82570HEPCVIRUSAB 86803HBVQUANTASURE 87517HCVANTIBODY 86803RIBA(HCVCONFIRMATION) 86804HEPATITISCVIRUSAB,RIBA3.0 86804HCVABW/RFLXTORIBA 86803AFPRE-BASELININGPANEL call labTESTOSTERONE,FREE,DIRECT 84402MICROALBUMIN,RANDOMURINE 82043H.PYLORIIGG,ABS 86677RNA,PCR,QUANT 87536HERPESSIMPLEXVIRUSI/II,IGG 86694HSVTYPE2-SPECIFICAB,IGG 86696HELICOBACTERPYLORI,IGMAB 86677CHLAMYDIA/GC,DNAPROBEW/RFLX 87800HSV,IGMI/IICOMBINATION 86694ANTINUCLEARANTIBODIESDIRECT 86038ANAW/REFLEXIFPOSITIVE 86038HSV1AND2-SPECIFICAB,IGG 86695, 86696HSVI/IIIGGRFLXI-IITYPESP 86694ANTINUCLEARANTIBODIES,IFA 86038CDIFFICILE,CYTOTOXINB 87230STREPGPBCULT/DNAPROBE 87081H.PYLORISTOOLAG,EIA 87338WETPREPW/TRICHCULTREFLEX 87210TRICHOMONASCULTURE 87081GIARDIALAMBLIAAG,EIA 87329AFBCULTUREANDSMEAR,BROTH 87116, 87206, 87015AFBCULT/SMEAR,BROTH,SUSCEP 87116, 87015, 87206ANAEROBIC/AEROBIC/GRAMSTAIN 87070, 87075, 87205CHLAMYDIA/GCAMPLIFICATION 87491, 87591HSVCULTUREWITHOUTTYPING 87255CT/NG,CLIENTPREQUOT,NAA 87491, 87591CHLAMYDIAPREQUOT,NAA 87491GONOCOCCUSPREQUOT,NAA 87591CHLAMYDIATRACHOMATIS,NAA 87491NEISSERIAGONORRHOEAE,NAA 87591GIARDIA,EIA;OVA/PARASITE 87329, 87177, 87209STREPGPBCULT/DNAPROBE 87081, 87149GYNECOLOGICTHIN-LAYERPAPRFX 88142PAPLB,RFXHPVASCU 88142PAPLB,CT-NG,RFXHPVALL 88142, 87491, 87591PAPLB,CT-NG,RFXHPVASCU 88142, 87491, 87591

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Test Description and CPT Codes EXHIBIT FITB 08-DC-8008

Test Name CPT Codes

Test Names and CPT Codes

PAPLB,CT-NG 88142, 87491, 87591PAPLB,CT 88142, 87491PAPLB,CT-NG,HPV-HR MultiplePAPIG,CT-NG,HPV-HR MultiplePAPLB,RFXHPVALLPTH 88142PAPLBWMATINDXRFXHPVASCU 88142, 88155PAPIG(IMAGEGUIDED) 88175PAPLB,CT,RFXHPVASCU 88142, 87491PAPLB,CT,RFXHPVALLPTH 88142, 87491PAPIG,CT-NG,RFXHPVASCU 88175, 87491, 87591PAPIG,RFXHPVASCU 88175PAPLB,HPV-HR 88142, 87621PAPIG,CT,RFXHPVASCU 88175, 87491PAPIG,RFXHPVALLPTH 88175PAPIG,CT-NG 88175, 87491, 87591PAPIG,CT-NG,RFXHPVALL 88175, 87491, 87591PAPLB,HPV-H+LR 87621(2), 88142PAPIG,CT 88175, 87491PAPIG,HPV-H+LR 87621(2), 88175PAPIG,CT,RFXHPVALLPTH 88175, 87491PAPIG,HPV-HR 87621, 88175FREETHYROXINE+T4 84436, 84439INSULINANDC-PEPTIDE,SERUM 83525, 84681EBVACUTEINFECTIONANTIBODIES 86663, 86664, 86665(2)TSH+FREET4 84439, 84443HBV/HCV(PROFILEVIII) MultipleALT+AST+TBILI 82247, 84450, 84460CMP12+LP+6AC+CBC/D/PLT MultipleCMP14+6AC MultipleCOMP.METABOLICPANEL(12) Multiple000HP5 MultipleELECTROLYTEPANEL 80051HEPATICFUNCTIONPANEL(6) MultipleLIPIDPANEL 80061BASICMETABOLICPANEL(7) Multiple

ALT+AST+BUN+CREAT+TBILI+URI... 82247, 82565, 84450, 84460, 84520, 84550

COMP.METABOLICPANEL(13) MultipleCMP14+2AC 80053, 84478, 82465CMP14+CBC/D/PLT+CD4/CD8 80053, 86360CMP14+3AC+CBC/D/PLT+CD4/CD8 MultipleHEPATITISPANEL(4) 80074HEPATICFUNCTIONPANEL(7) 80076BASICMETABOLICPANEL(8) 80048RENALPANEL(10) 80069

CMP14+LP+3AC+CBC/D/PLT+AMY+... 80053, 80061, 82150, 82977,83690, 84550, 85025

CBC/D/PLT+RPR+RH+ABO+RUBAB... MultipleHAVAB+HBCAB+HBSAB+AG+HCVAB MultipleCMP14+1AC+CBC/D/PLT+T4+TSH+T3H Multiple

000HP5 86704, 86706, 86708, 86803, 87340

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Test Description and CPT Codes EXHIBIT FITB 08-DC-8008

Test Name CPT Codes

Test Names and CPT Codes

UA/MW/RFLXCULTURE,ROUTINE 81001HCG,BETASUBUNIT,QN(SERIAL) 84702HELPERSUPPRESSORSHORTPROF. 86359, 86360CD4/CD8RATIOPROFILE 86360T-ANDB-LYMPHOCYTE/NATKILLER MultipleHPV,HIGH+LOW-RISK 87621 x2HCVQUANTASUREPLUS(NON-GRAPH) 87522HCVQUANTASUREPLUS(SERIAL) 87522QUANT,RNAPCR,NON-GRAPH 87536HCVRNA,PCR,QUALITATIVE 87521RNA,REALTIMEPCR(GRAPH) 87536RNA,REALTIMEPCR(NON-GRAPH) 87536HCVGENOTYPINGNONREFLEX 87902HEPATITISCGENOTYPE 87902ULTRASENSITIVERNAQN 87536HCVRNABYPCR,QNRFXGENO 87522EXTENDEDRANGEQUANT 87536ULTRASENSITIVERNAQN 87536EXTENDEDRANGEQUANT 87536QUANT,RNAPCR 87536QUANT,RNAPCR (NO CPT CODES)HIVGENOSURE (NO CPT CODES)VIRTUALPHENOTYPE (NO CPT CODES)PANEL552000 87535NICOTINEMETABOLITE,URINE 80101LEAD,BLOOD(PEDIATRIC) 836557257887DRUG-UNB 80101(7)DRUGPROFILE,BLOOD(7DRUGS) 80101(7)7943887DRUG-BUND 80101(7)88304SURGICALPATH-SITE 8830488305SURGPATH-SITE 8830588307SURGICALPATHOLOGY 88307IMMUNOHISTOCHEM;ANTIBODY 88342IMMUNOFLUORESCENT;ANTIBODY 8834600STAT 99199VENIPUNCTURE 3641588305PROFCOMP-SITE 88305LEVELVSURGPATH(PROF) 8830788342-PROF COMP ANTIBODY 88342IMMUNOFLUOR;DIR;1STANTI(PROF) 8834688305TECHCOMP-SITE 8830588307TECHCOMP-SITE 8830788342TECHCOMP-ANTIBODY 8834288346TECHCOMP-SITE 88346

Originally prepared 10/21/2005tw 47 of 47 Numeric List