CPT 2014 LabUpdateinsert11152013

1 Subject: CPT Code updates for 2014 The American Medical Association (AMA) has published the CPT code changes for Quest Diagnostics will be implementing these changes effective January 1, 2014 . The below chart lists the Quest tests affected and the appropriate CPT code changes. Please refer to your local Quest Directory for other order code options. The AMA and Quest Diagnostics websites have the most current molecular pathology CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being Diagnostics Test NameQuest Diagnostics Order Code2013 CPT CodesNEW CPT Codes Effective 1/1/ 2014 Zonisamide37852(X)8029980203 Caffeine305(X)8029980155 Caffeine, Urine37266(X)8029980155 Clozapine1769(X)82492 or 8378980159 Everolimus, Blood18883(X)8029980169 Gabapentin3557(X)8029980171 Lamotrigine22060(X)8029980175 Levetiracetam15142(X)8029980177 Mycophenolic Acid10662(X)8378980180 Tiagabine (Gabitril)30333(X)8029980199 The CPT codes provided are based on AMA guidelines and are for informational purposes only.

2 CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being Diagnostics Test NameQuest Diagnostics Order Code2013 CPT CodesNEW CPT Codes Effective 1/1/ 2014 Pain Mgmt, Gabapentin, Qn, Urine16904(X)8378980171 Gabapentin, Quantitative, Urine18962(X)8029980171 Pain Mgmt, Gabapentin, QN, w/medMATCH, U70205(X)8378980171 SureSwab ,Trichomonas vaginalisRNA, Qualitative, TMA 19550(X)8779887661 SureSwab , Vaginosis/Vaginitis Plus 17333(X)87481 (x4), 87491, 87512, 87591, 87798,87799 (x3)87481 (x4), 87491, 87512, 87591, 87661, 87799 (x3)SureSwab , CT/NG, T. vaginalis16492(X)87491, 87591, 8779887491, 87591, 87661 SureSwab , Bacterial Vaginosis/Vaginitis15509(X)87481 (x4), 87512, 87798, 87799 (x3)87481 (x4), 87512, 87661,87799 (x3)Trichomonas vaginalisRNA, Qualitative, TMA, PAP Vial 90521(X)8779887661 Trichomonas vaginalisRNA, Qualitative, TMA, Males 90801(X)8779887661 Chlamydia/N.

3 Gonorrhoeaeand T. vaginalisRNA, Qualitative, TMA, Pap Vial 91448(X)87491, 87591, 8779887491, 87591, 87661 Chlamydia/Neisseria gonorrhoeae, T. vaginalis, Qualitative, TMA and HSV 1/2 DNA, Real-Time PCR, Pap Vial 91437(X)87491, 87591, 87529 (x2), 8779887491, 87591, 87529 (x2), 87661 The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being Diagnostics MAAA Test NameQuest Diagnostics Order CodeCMS CPT CodesMAAA CPT Codes ROMA (Risk of Ovarian Malignancy Algorithm) 9115586304, 8630581500 First Trimester Screen, Hyperglycosylated hCG (h-hCG) 1602084163, 8239781508 Quad Screen 3029482677, 84702, 82105,8633681511 Quad Screen (NY) 1633382677, 84702, 82105,8633681511 Maternal Serum Screen 3 5993082677, 84702, 8210581510 Triple Screen 729282677, 84702, 8210581510 Triple Screen (NY) 1633482677, 84702, 8210581510 Penta Screen 1593482105, 84702, 82677,86336, 8239781512 Penta Screen (NY)

4 1697082105, 84702, 82677,86336, 8239781512 Integrated Screen, Part 2 1615082105, 84702, 82677,86336, 8416381511, 84163 Sequential Integrated Screen, Part 2 1613382105, 84702, 82677,8633681511 Liver Fibrosis Panel (HepaScore )1964782247, 82977, 83520, 8388381599 Hepatitis C Virus (HCV) FibroSURE 1761183883, 83010, 82172,82247, 82977, 844600001 MPanorama Prenatal Test 915938147981599 Omega-3 and -6 Fatty Acids, Plasma 910018254181599 The AMA has also changed the definition of CPT 88342 and has added CPT 88343. 88342 is now to be used for the first IHC stain on each slide and each additional IHC stain on that same slide should be CPT coded with 88343.