Z Code Listing. Performing Site Test Code Test Description Z Code CPT Codes* IU 75950R 1p 19q FISH ZB1K BCL6 Break apart
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1 Z Code Listing Performing Site Test Code Test Description Z Code CPT Codes* IU 75950R 1p 19q FISH ZB1K4 BCL6 Break apart IU FISH ZB1K7 c-myc Break apart IU FISH ZB1KQ IU Her2 neu FISH ZB1L t(14;18) Dual IU 75949R Fusion FISH ZB1K5 Factor V Leiden IO Profile ZB772 Factor V Leiden IO 73773R Profile ZB772 Prothrombin IO >a ZB768 IO Carrier Screen ZB751 JAK2 Mutation, IO Cell based ZB1US EZ ZB0WW EZ Lymphocyte Colonality Panel, BRCAvantage, Comprehensive ZB0PR EZ Lynch Syndrome Panel ZB0QJ EGFR Mutation EZ ZBY93 HLA B*15: BCS Determination ZB0ZX AMD MTHFR DNA ZB0WQ JAK2, V917F, Ql, AMD or EZ Leumeta w/reflex ZBB /15/2016 Page 1
2 EZ Ashkenazi Jewish Panel ZB0V2 EZ T Cell Clonality Panel, ZB0UO HLA B*5701 AMD Typing ZBAAJ EZ TPMT Genotype ZB0MD Hereditary Hemochromatosis AMD DNA ZB0L5 EZ EZ EZ AMD AMD EZ AMD EZ EZ EZ AMD AMD or EZ EZ PDGFRA Mutation T Cell Receptor Beta Gene Rearrangement T Cell Receptor Gamma Gene Rearrangement Screen MYD88, Mutation D1152H Mutation HLA Typing for Celiac Disease KRAS Mutation PML/RARA T (15.17), QN Real Time- APC Gene Sequencing Y Chromosome Microdeletion Calreticulin (CALR) Mutation Alpha-1 Antitrypsin Mutation ZBB39 ZB0UP ZB0UW ZB986 ZBBAD ZB0RK ZB18J ZBY96 ZBQ21 ZB0QF ZB086 ZBX7A ZB0LR eff. 1/1/16 CPT 2015: GO G G /15/2016 Page 2
3 MPL W515 and AMD or EZ MPL S515 Mutation, Ql ZBY97 Xsense, Fragile X EZ with Reflex ZBO62 Alpha Globin EZ Common Mutation ZB739 JAK2 Mutation EZ (V617F) QN, Plasma ZBB99 EML4 ALK Gene EZ Fusion, ZB0X8 BCR-ABL 1 Kinase EZ Domain Mutation, 35 ZB0R4 CLL, IGVH EZ Mutation Status, Cell Based ZB0UR HLA B BCS Determination ZB0Q4 HLA DQB1 High BCS Resolution ZB0Z5 HLA B High BCS Resolution ZB0Q9 HLA A BCS Determination ZB0Q6 MEN2 and FMTC EZ Mutations, Exons 10, 11,13-16 ZB0SY AMD Colovantage ZB0L JAK2 Exons 12 and AMD Mutations, Ql ZB0Y2 Melanoma, BRAF EZ V600 Mutation, Cobas ZB794 Accutype CP, EZ Clopidogrel CYP2C19 ZB0QM APC Gene Deletion EZ or Duplication ZB0TG CFVantage Cystic EZ Fibrosis Exapnded Scr ZB0MO Plasminogen EZ Activator Inhibitor PAI 1 4G/5G ZB643 EZ Cytochrome P450 2D6 Genotype ZB0RJ /15/2016 Page 3
4 EZ Tay Sachs Disease Mutation ZB0ME Follicular EZ Lymphoma, BCL 2/JH T 14.18) ZBR62 C Kit Mutation EZ 19961, Cell Based ZB0PJ BRCAvantage, EZ Comprehensive ZB0PR Chromosomal AMD Microarray, Postnatal, Oligo SNP ZB0MN Dihydropyrimidine EZ Dehydrogenase (DPD) ZB0QD ABL Kinase Domain EZ Mutatoin ZB0R6 AMD JAK2 V617F, Ql, w/reflex, Exons 12,13 ZBB99 Acute Myeloid Leukemia Prognotic EZ Pan ZB B-cell Receptor IGH EZ Gene Rearrangement, ZB07K B-cell Receptor IGK EZ Gene Rearrangement, ZB0UY EZ EZ 11294, EZ EZ B-cell Clonality Panel (IGH, IGK), Cytochrome P450 2C9 Genotype APC Sequencing and Deletion/Duplication CAH (21- Hydroxylase Deficiency) Common Mutations ZB0WV ZB0PA ZB2CG ZB0XE /15/2016 Page 4
5 Site Code IO IU AMD BCS EZ Site CompuNet Clinical Laboratories - SR CompuNet Clinical Laboratories - MVH Quest Diagnostics/Nichols Chantilly Blood Center Of Wisconsin Quest Diagnostics/Nichols SJC 8/15/2016 Page 5
Z Code Listing. Performing Site Test Code Test Description Z Code CPT Codes* IU 75950R 1p 19q FISH ZB1K BCL6 Break apart
Z Code Listing Performing Site Test Code Test Description Z Code CPT Codes* IU 75950R 1p 19q FISH ZB1K4 BCL6 Break apart IU 75989 FISH ZB1K7 c-myc Break apart IU 75948 FISH ZB1KQ IU 75993 Her2 neu FISH
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