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Orderable EAP code:

LAB00754

Billable EAP Codes:

80001074 x 1

CPT Codes:

84377 x 1

Lab Section:

Sendout

Orderable EAP code:

LAB00510

Billable EAP Codes:

80001375 x 1

80001353 x 1

80001270 x 1

80001269 x 1

80001171 x 1

CPT Codes:

83916 x 1

82042 x 1

82784 x 1

82040 x 1

Lab Section:

Sendout

Comments:

Blood and CSF must be received together.

Synonyms:

IgG Synthesis Rate
Protein Electrophoresis, Spinal Fluid

Orderable EAP code:

LAB00357

Billable EAP Codes:

80001234 x 1

CPT Codes:

82523 x 1

Lab Section:

Sendout

Synonyms:

N Telopeptide, Urine

Orderable EAP code:

LAB00670

Billable EAP Codes:

80001235 x 1

CPT Codes:

82523 x 1

Lab Section:

Sendout

Synonyms:

N Telopeptide, Serum

Orderable EAP code:

LAB00445

Billable EAP Codes:

80001355 x 1

CPT Codes:

80323 x 1

Lab Section:

Sendout

Synonyms:

3-Hydroxycotinine
Cotinine

Orderable EAP code:

LAB00134

CPT Codes:

99000

Lab Section:

Sendout

Test Schedule:

Results available in 7 to 14 days.

Specimen Requirements:

Collect blood on filter paper card. 4 circles must be filled.
CORD BLOOD IS NOT ACCEPTABLE.
Deliver card to laboratory within 12 hours of collection.

Comments:

Referred to State Health Laboratory. Oregon requires all infants to have two tests.

Screening tests for Phenylalamine, Methlonine, Leucine, Galactose, Galactose-uridyl Transferase, Toxoplasmosis Antibodies and Thyroxine. Thyroid Stimulating Hormone level is also determined if Thyroxine is low.

Specimen collection performed by hospital phlebotomists or Nursery personnel. First specimen should be obtained 24 hours after adequate feeding of baby, 48-72 hours after birth. Tests must be done on all newborns before they are discharged and should be done before they are 5 days old.

In addition, the mother is given a PKU card to bring with the infant at the time of the first follow-up visit (2-8 weeks of age). The provider will collect another specimen at that time and send it directly to the State Health Laboratory. The result of that screen will be sent directly to the provider.

Synonyms:

Newborn Screen
PKU

Orderable EAP code:

LAB100130

Billable EAP Codes:

80001227 x 1

CPT Codes:

82542 x 1

Lab Section:

Sendout

Orderable EAP code:

LAB00342

Billable EAP Codes:

80001351 x 1

CPT Codes:

83874 x 1

Lab Section:

Sendout

Orderable EAP code:

LAB00490

Billable EAP Codes:

80001352 x 1

CPT Codes:

83874 x 1

Lab Section:

Sendout

Orderable EAP code:

LAB00518

Billable EAP Codes:

80001350 x 1

CPT Codes:

83873 x 1

Lab Section:

Sendout

Synonyms:

MBP

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