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DOS Code
Test Name
610
4 in Pap Test + HPV High Risk Reflex (If ASCUS or AGC) + CT + NG
611
4 in Pap Test + HPV High Risk Reflex (If ASCUS or higher*) + CT + NG
a-1-antichymotrypsin (A-ACT)
a-1-antichymotrypsin (A-ACT)
a-1-antitrypsin (A-AT)
a-1-antitrypsin (A-AT)
5302
ABO
5300
ABO/Rh typing
ACTH
ACTH
Actin (Muscle-Specific)
Actin (Muscle-Specific)
3001
Activated Partial Thromboplastin Time (STAT)
4235
Acute Hepatitis Panel
ADH-5 (CK4/CK14/CK7/CK18/p63)
ADH-5 (CK4/CK14/CK7/CK18/p63)
AE1
AE1
AE1/AE3
AE1/AE3
900035
AFB Culture, Sputum
900035
AFB Culture, Sputum
900035
AFB Culture, Urine
527
Affirm Microbial Identification for Vaginitis
AFP
AFP
3202
Alanine Aminotransferase (ALT)
Albumin globulin ratio
3200
Albumin, 24 Hr Urine
3201
Albumin, serum
3200
Albumin, Urine, Random
ALK-1 Protein (CD246)
ALK-1 Protein (CD246)
3234
Alkaline Phosphatase
AMACR (P504S)
AMACR (P504S)
3203
Amylase
929
Anaerobic Culture
322
Anal Cytology, Liquid Based
332
Anal Cytology, Liquid Based + HPV Reflex if abnormal
333
Anal HPV, High Risk
5301
Antibody Screen
5302
Antibody Screen positive reflex to confirmation
4236
Antinuclear Antibody (ANA) with Reflex to Titer
3295
Apolipoprotein A1
3294
Apolipoprotein B
AR (Androgen Receptor)
AR (Androgen Receptor)
3204
AST (SGOT)
4200
B-Type Natriuretic Peptide
4230/4207
B12 & Folate
B72.3 (TAG-72)
B72.3 (TAG-72)
5500
Basic Metabolic Panel
Bcl-1 (Cyclin D1)
Bcl-1 (Cyclin D1)
Bcl-2
Bcl-2
Bcl-6
Bcl-6
Ber-Ep4
Ber-Ep4
Beta-catenin
Beta-catenin
3205
Bilirubin, Direct
3206
Bilirubin, Total
140
Biopsy, Bladder
140
Biopsy, Cervical
140
Biopsy, Cervical, Spirabrush
140
Biopsy, Curettings
140
Biopsy, Endometrial Curettings
140
Biopsy, Excision
140
Biopsy, GI
140
Biopsy, Other
140
Biopsy, Prostate
140
Biopsy, Punch Biopsy
140
Biopsy, Shave Biopsy
140
Biopsy, Skin
7555
Blood Culture
Bob-1
Bob-1
4249
C- Peptide
3207
C-Reactive Protein
3248
C-Reactive Protein, High Sensitivity
CA 125
CA 125
CA15.3
CA15.3
CA19.9
CA19.9
Calcitonin
Calcitonin
3208
Calcium, serum
Caldesmon
Caldesmon
Calponin
Calponin
Calretinin
Calretinin
CAM 5.2
CAM 5.2
CAM 5.2/AE1
CAM 5.2/AE1
4202
Cancer Antigen 125 (CA-125)
7297
Cancer Antigen 19-9 (CA 19-9)
872
Candida/Yeast Culture
3240
Carbon Dioxide (CO2)
4203
Carcinoembryonic Antigen (CEA)
4263
Cardiolipin IgA Antibody
4261
Cardiolipin IgG Antibody
4262
Cardiolipin IgM Antibody
CD10
CD10
CD117 (c-kit)
CD117 (c-kit)
CD123
CD123
CD138
CD138
CD15
CD15
CD163
CD163
CD1a
CD1a
CD2
CD2
CD20
CD20
CD21
CD21
CD22
CD22
CD23
CD23
CD25
CD25
CD3
CD3
CD30
CD30
CD31
CD31
CD33
CD33
CD34
CD34
CD35
CD35
CD38
CD38
CD4
CD4
CD43
CD43
CD45 (LCA)
CD45 (LCA)
CD45-RO (UCHL-1)
CD45-RO (UCHL-1)
CD45RB
CD45RB
CD5
CD5
CD56
CD56
CD57
CD57
CD61
CD61
CD68
CD68
CD7
CD7
CD79a
CD79a
CD8
CD8
CD99
CD99
CDX-2
CDX-2
CEA (m)
CEA (m)
CEA (P)
CEA (P)
249
Chlamydia (CT), Liquid-Based Pap
534
Chlamydia (CT), Swab
380
Chlamydia (CT), Urine
536
Chlamydia/Gonnorhea (CT/NG), Swab
537
Chlamydia/Gonnorhea (CT/NG), Urine
325
Chlamydia/Gonorrhea (CT/NG), Liquid Based Pap
3239
Chloride
3209
Cholesterol
3209
Cholesterol, Total
Chromogranin A
Chromogranin A
CK Pan (AE1/AE3/LP34)
CK Pan (AE1/AE3/LP34)
CK-15
CK-15
CK-17
CK-17
CK-20
CK-20
CK-5/6
CK-5/6
CK-7
CK-7
CK-8-LMW (35ßH11)
CK-8-LMW (35ßH11)
CK-HMW (34ßE12)
CK-HMW (34ßE12)
CK19
CK19
900061
Clostridium difficile (C difficile) Toxin A/B
CMV
CMV
Collagen IV
Collagen IV
2000
Complete Blood Count (CBC) with automated differential
2008
Complete Blood Count (CBC) with reflex to Manual Differential
2009
Complete Blood Count (CBC) without automated differential
5501
Comprehensive Metabolic Panel
5501
Comprehensive Metabolic Panel w/ eGFR
4204
Cortisol
3210
Creatine Phosphokinase (CK)
3211
Creatinine
3247
Creatinine Clearance, 24 hr Urine
3211
Creatinine, Total
3252
Creatinine, Urine random
856
CULTURE MISC (source must be given)
855
Culture, Abscess
855
Culture, Aspirate
855
Culture, Deep Wound (aerobic and anaerobic)
855
Culture, Pressure Sores (aerobic and anaerobic)
855
Culture, Puncture
855
Culture, Skin
855
Culture, Wound
5401
Cystic Fibrosis (CF) Carrier Screening
Cytogenetics
D2-40
D2-40
DBA.44 (HCL)
DBA.44 (HCL)
4205
Dehydroepiandrosterone (DHEA) sulfate
Desmin
Desmin
4000
Digoxin
DOG-1
DOG-1
3262
Drugs of Abuse Screen, Urine (including Alcohol), with Reflex Confirmation
3261
Drugs of Abuse Screen, Urine, with Reflex Confirmation
E-Cadherin
E-Cadherin
857
Ear Culture (inner ear)
857
Ear Culture (outer ear)
EBER (by ISH)
EBER (by ISH)
EBV-LMP
EBV-LMP
EGFR
EGFR
EGFR pharmDX
EGFR pharmDX
3212
Electrolyte Panel
EMA
EMA
ER
ER
2010
Erythrocyte Sedimentation Rate (ESR)
4206
Estradiol
858
Eye Culture
913
Factor II Mutation
914
Factor V Leiden Mutation
Factor VIII
Factor VIII
Factor XIIIa
Factor XIIIa
Fascin
Fascin
930
Fecal Occult Blood (iFOBT)
3214
Ferritin, serum
FISH (Hematopathology testing)
Fli-1 (C-19)
Fli-1 (C-19)
Flow Cytometry Immunophenotyping
4207
Folate, serum
4208
Follicle Stimulating Hormone (FSH)
FSH
FSH
900063
Fungal Culture
Galectin-3
Galectin-3
3215
Gamma glutamyl transpeptidase (GGT)
Gastrin
Gastrin
GCDFP-15 (BRST-2)
GCDFP-15 (BRST-2)
5503
General Health Panel
890
Genital (Vaginal) Culture (Yeast screen, no GC or G vag)
860
Genital Comprehensive (Vaginal) Culture (includes GC, G Vag & Yeast Screen)
860
Genital Culture, Female
860
Genital Culture, Female, Anaerobic
861
Genital Culture, Male
860
Genital Cultures
GFAP
GFAP
Glucagon (Glu)
Glucagon (Glu)
3216
Glucose
3235
Glucose Tolerance Test 3 hours
3242
Glucose Tolerance Test 5 hours
3257
Glucose, 1 hr Post 50 Gm
3251
Glucose, 1 Hr Post meal
3241
Glucose, 2 Hr Post meal
3250
Glucose, 2 Hr Tolerance, Post 100 gm
3235
Glucose, 3 Hr Tolerance, Post 100 gm
3280
Glucose, 4 Hr Tolerance, Post 100 gm
3251
Glucose, Total post 100 gm
490
Glucose, Urine
3204
Glutamic oxaloacetic transaminase (SGOT)
3202
Glutamic pyruvic transaminase (SGPT)
Glycophorin A (GPH-A)
Glycophorin A (GPH-A)
874
Gonococcal (GC) Culture
381
Gonorrhea (CG), Urine
250
Gonorrhea (GC), Liquid-Based Pap
535
Gonorrhea (GC), Swab
GPC-3 (Glypican-3)
GPC-3 (Glypican-3)
875
Gram Stain
869
Group B Strep (GBS) with Reflex to Susceptibility Testing
944
Group B Strep (Molecular) with Reflex to Susceptibility
870
Group B Strep Culture
344
Group B Streptococcus (Molecular)
GH
Growth Hormone
H-CG
H-CG
516
Halo Pap Test
HBcAg
HBcAg
HBME-1 (Mesothelial Cell)
HBME-1 (Mesothelial Cell)
HBP (Helicobacter pylori)
HBP (Helicobacter pylori)
HBsAg
HBsAg
4209
HCG Human Chorionic Gonadotropin (Qualitative), serum
4210
HCG Human Chorionic Gonadotropin (Quantitative), serum
4211
HCG- Human Chorionic Gonadotropin, Urine
3237
HDL Cholesterol
3246
Helicobacter Pylori Breath Test
2004
Hematocrit
2003
Hemoglobin
Hemoglobin A (HEM-A)
Hemoglobin A (HEM-A)
3217
Hemoglobin A1C
2004/2003
Hemoglobin and Hematocrit
3233
Hepatic Function Panel
4212
Hepatitis A Antibody IgM
4213
Hepatitis B Core Antibody IgM
4237
Hepatitis B Surface Antibody
4214
Hepatitis B Surface Antigen
4215
Hepatitis C Antibody
HepPar-1
HepPar-1
Her2/neu
Her2/neu
HercepTest (Her2/neu)
HercepTest (Her2/neu)
4243
Herpes Simplex Virus 1 & 2 IgG Ab Type Specific
520
Herpes Simplex Virus Type 1, (HSV 1), molecular
521
Herpes Simplex Virus Type 2, (HSV 2), molecular
522
Herpes Simplex Virus Types 1 & 2 (HSV 1/2), molecular
918
Herpes Virus Culture
5000
Heterophile Antibody Screen (Mono Test)
HHV8
HHV8
4242
HIV 1 & 2 Antibody with Reflex to Western Blot
HMB-45
HMB-45
4241
Homocysteine
HPV (IHC)
HPV (Human Papilloma Virus by IHC)
5402
HPV Genotyping 16,18 (Cervista)
5403
HPV High Risk DNA Detection (Cervista)
HSV-I
HSV-I
HSV-II
HSV-II
See HCG Qual
Human Chorionic Gonadotropin Hormone (HCG)
See HCG Quant
Human Chorionic Gonadotropin Hormone (HCG) Titer (Quantitative)
636
Human Papillomavirus (HPV) Full-Genotyping
635
Human Papillomavirus (HPV) High and Low Risk
632
Human Papillomavirus (HPV) High Risk
IgA
IgA
IgD
IgD
IgG
IgG
IgG4
IgG4
IgM
IgM
Immunohistochemistry Assay (IHC)
7206
Influenza Virus A IgG & IgM Antibodies
7207
Influenza Virus B IgG & IgM Antibodies
InhibinA
InhibinA
Insulin
Insulin
4253
INSULIN
3218
Iron
3219
Iron Binding Capacity, Unsaturated
3219
Iron, IBC, and TIBC
6000
JAK2 Mutation Analysis
Kappa
Kappa
Kappa (by ISH)
Kappa (by ISH)
Ki-67 (MIB-1)
Ki-67 (MIB-1)
887
KOH (wet mount preparation)
6050
KRAS Mutation Analysis
Lambda
Lambda
Lambda (by ISH)
Lambda (by ISH)
3220
LDH (Lactate Dehydrogenase)
32005
LDL (Calculation)
3263
LDL, Direct measure
LH (Luteinizing Hormone)
LH (Luteinizing Hormone)
3221
Lipase
3236
Lipid Panel
4216
Luteinizing Hormone
Lysozyme (MURA)
Lysozyme (MURA)
3222
Magnesium
Mammaglobin
Mammaglobin
2005
Manual Differential
Mast Cell Tryptase
Mast Cell Tryptase
4264
Measles (Rubeola) IgG Antibody
Melan-A (MART-1)
Melan-A (MART-1)
Mesothelin
Mesothelin
915
Methylenetetrahydrofolate Reductase Mutation (MTHFR) Sendout
3223
Microalbumin Urine Random
MITF
MITF
MLH-1
MLH-1
MOC-31
MOC-31
Molecular PCR
5000
Mono Test, Mononucleosis heterophile antibodies
871
MRSA Culture
MSH-2
MSH-2
MSH-6
MSH-6
MUC-1
MUC-1
MUC-2
MUC-2
MUC-5AC
MUC-5AC
MUC-6
MUC-6
MUM-1
MUM-1
4265
Mumps Virus IgG Antibody
Mycobacteria (TB)
Mycobacteria (TB)
883
Mycoplasma/Ureaplasma Culture
Myeloperoxidase (MPO)
Myeloperoxidase (MPO)
Myo-D1
Myo-D1
Myoglobin
Myoglobin
Napsin A
Napsin A
871
Nares for MRSA Screen
854
Nasopharyngeal Culture (Upper Respiratory Culture)
Neurofiliment (NFP)
Neurofiliment (NFP)
854
Nose or Nasal Culture (Upper Respiratory Culture)
NSE
NSE
5504
Obstetric Panel
Oct 3/4
Oct 3/4
900046
Ova and Parasite Exam
p16-INK4
p16-INK4
p53
p53
p57
p57
p63
p63
PAP (PSAP)
PAP (PSAP)
622
Pap Test + High Risk HPV (For 30 + years old)
621
Pap Test + High Risk HPV if ASCUS or Higher (see Notes)
620
Pap Test + High Risk HPV if ASCUS/AGC
178
Pap Test, Coventional
641
Pap Test, Liquid Based
4217
Parathyroid Hormone, Intact
PAX-2
PAX-2
PAX-5
PAX-5
PAX-8
PAX-8
4001
Phenytoin, total (Dilantin)
3224
Phosphorous
PIN-4 (CK5/CK14/p63/p504s)
PIN-4 (CK5/CK14/p63/p504s)
PLAP
PLAP
2007
Platelet Count
PMS-2
PMS-2
Pneumocystis Carinii (PcP)
Pneumocystis Carinii (PcP)
Potassium, Random Urine
3225
Potassium, serum
ProExC
ProExC
4218
Progesterone
4219
Prolactin
Prolactin
Prolactin
4220
Prostate Specific Antigen TOTAL (3rd Generation)
3228
Protein, Total 24 Hr Urine
3227
Protein, Total Serum
3228
Protein, Total, 12 Hr Urine
3228
Protein, Urine Random
3253
Protein/Creatinine Ratio
3000
Prothrombin Time with INR
PSA
PSA
PTH (Parathyroid Hormone)
PTH (Parathyroid Hormone)
5001
Rapid Plasma Reagin (RPR) with reflex to titer
873
Rapid Strep A, Reflex to throat culture
RCC (PNRA)
RCC (PNRA)
3213
Renal Panel
862
Respiratory Culture
2002
Reticulocyte Count
642
Reveille E6/E7 (Cell transformation alert assay)
5303
Rh Typing
3229
Rheumatoid Factor (RA)
928
RSV (Respiratory Syncytial Virus) Rapid
4244
Rubella Antibody IgG
4245
Rubella Antibody IgM
S-100
S-100
2010
Sedimentation Rate (ESR)
7300
Sex Hormone Binding Globulin
5004
Sickle Cell Screen
SMM (Smooth Muscle Myosin)
SMM (Smooth Muscle Myosin)
Smooth Muscle Actin (SMA)
Smooth Muscle Actin (SMA)
Smoothelin
Smoothelin
3238
Sodium
Sodium, Urine Random
Somatostatin
Somatostatin
856
Spinal Fluid Culture
859
Sputum Culture, Expectorated
859
Sputum Culture, Induced
900051
Stool Culture
927
Stool Culture w/Shiga Toxins 1&2
Stool for Poly's
873
Strep Group A with reflex to Throat Culture
Surfactant (SP-A)
Surfactant (SP-A)
Synaptophysin(SYP)
Synaptophysin(SYP)
856
Synovial or Joint Fluid Culture
5001
Syphillis Test, Qualitative
4225
T3 Uptake
TdT
TdT
4228
Testosterone Total
4238
Testosterone, Free
854
Throat Culture
Thrombomodulin (TM )
Thrombomodulin (TM )
923
Thyroglobulin
Thyroglobulin (TG)
Thyroglobulin (TG)
4285
Thyroglobulin Antibodies
4284
Thyroid Peroxidase Antibodies (TPO)
4229
Thyroid Stimulating Hormone
4227
Thyroxine (T4), Total
4226
Thyroxine, Free (FT4)
TIA-1
TIA-1
Toxoplasma
Toxoplasma
4250
Toxoplasma IgG Antibody
4251
Toxoplasma IgM Antibody
TRAP
TRAP
4231
Treponemal Antibody
3230
Triglycerides
4223
Triiodothyronine (T3), Free
4224
Triiodothyronine (T3), Total
TSH
TSH
TTF-1
TTF-1
Ubiquitin
Ubiquitin
3231
Urea Nitrogen (BUN)
Urea Nitrogen Clearance
Urea Nitrogen, 24 Hr urine
Urea Nitrogen, Urine
3232
Uric Acid
Uric Acid, Urine
851
Urinalysis
4352
Urinalysis w/Microscopic
4354
Urinalysis w/Microscopic/reflex to Culture
4351
Urinalysis w/reflex to Microscopic
852
Urinalysis, Reflex to Culture
853
Urine Culture, Catheterized
853
Urine Culture, Clean Catch
853
Urine Culture, Voided
119
Urine Cytology
330
Urine Cytology, reflex to UroVysion if abnormal
Uroplakin III
Uroplakin III
328
UroVysion
860
Vaginal Culture
527
Vaginitis, Microbial Identification, Affirm
4002
Valproic Acid (Depakote)
4266
Varicella Zoster IgG
925
Varicella Zoster Virus IgM Antibody
Villin
Villin
Vimentin (V9)
Vimentin (V9)
4230
Vitamin B12, Cyanocobalamine
4232
Vitamin D-25 Hydroxy
VZV
VZV
2012
WBC with auto differential
2012
White Blood Count
WT-1 (Wilm's Tumor)
WT-1 (Wilm's Tumor)
ZAP-70
ZAP-70
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