WSLH Reflex Testing

Reflex Description Test Code CPT
Code		 2008 Medicare
Reimbursement
70-Alpha-Fetoprotein reflexes to Acetocholinesterase if elevated (this test is not performed at the WSLH and is referred out to another laboratory). 70 82106 23.44
     
36-Hepatitis A Serodiagnosis reflexes to 36IgM-HAV IgM (the cost of this testing is built into the price of test 36) 36 86708 17.31
37C-Hepatitis B Core Antibody reflexes to 46-Hepatitis B Core IgM Antibody 37C 86704 16.84
46 86705 16.44
*651-Mycobacteria Identification diagnostic TB positives are reflexed to 652P Mycobacterium tuberculosis First Line Drugs 651 87118 15.29
652P 87188 x 5 9.27 x 5
*650-Mycobacteria Smear and Culture diagnostic TB positives are reflexed to 652P Mycobacterium tuberculosis First Line Drugs 650 87015
87116
87206		 5.22
15.10
7.50
652P 87188 x 5 9.27 x 5
**652P-Mycobacterium tuberculosis First Line Drugs that show resistance to Rifampin are reflexed to 652S-Mycobacterium tuberculosis Second line Drugs 652P 87188 x 5 9.27 x 5
652S 87190 x 9 4.02 x 9
17-Syphilis VDRL (Serum) reflexes to 13-Syphilis TP-PA

17

 86592 5.96
13 86781 11.06


* All diagnostic TB Cultures (the first time the disease is diagnosed in a particular patient) are automatically reflexed to susceptibility tests.

** Mycobacterium tuberculosis isolates that show resistance to Rifampin are reflexed for second line drug testing.