Standard

Code Test Name Rate Sample Reporting Time

1 78946 17-Hydroxy Progesterone (OHP) 2400 3- 5cc Clotted Blood or Serum NEXT DAY

2 2352 5 HIAA(5-Hydroxyindoieacetic Acid 4800 24 Hrs Urine AFTER FIVE DAYS

*3 3522 650 Serum and 24Hrs Urine SAME DAY

**Creatinine Clearance (24 Hours Urine)

4 5011 **HB Electrophoresis 2600 3cc EDTA Blood (CBC Vial) with History AFTER FOUR DAYS

5 5009 **Protein Electrophoresis (Urine Random/Spot) 2800 Urine (Random/Spot) AFTER TWO WEEKS

36 8529 7500 8CC Clotted Blood or Serum (2 vials) AFTER TWO WEEKS
3g Allergy Specfic IgE Universal Food Allergens
Profile

7 8530 7500 8CC Clotted Blood or Serum (2 vials) AFTER ONE WEEK
3g Allergy Specfic IgE Universal Inhalant Allergens
Profile
A8 6056 800 3- 5cc Clotted Blood or Serum DAILY
A/G Ratio

9 8096 Abdominal Fluid For Cytology 1800 Abdominal Fluid AFTER THREE DAYS

10 8125 Abdominal Fluid R/E 1600 Abdominal Fluid Same Day After 4 Hour

11 8082 4000 Abdominal Fluid AFTER 8 WEEKS

Abdominal Fluid For AFB C/S (Mycobacterium
Tuberculosis)

12 8032 Abdominal Fluid For AFB Stain / ZN Stain 800 Abdominal Fluid SAME DAY

13 8081 1800 Abdominal Fluid AFTER THREE DAYS

Abdominal Fluid For C/S (Bacterial Culture &
sensitivity)

14 8057 Abdominal Fluid For Gram Stain 800 Abdominal Fluid SAME DAY

15 396 ABGS (Arterial Blood Gases) 2200 Heparinized Blood DAILY

16 1132 Abscess For C/S (Bacterial Culture & sensitivity) 1800 Fluid AFTER THREE DAYS

17 1254 Absolute Eosinophil Count 400 3cc EDTA Blood (CBC Vial) DAILY

18 1358 Absolute Lymphocyte Count 400 3cc EDTA Blood (CBC Vial) DAILY

19 1359 Absolute Monocyte Count 400 3cc EDTA Blood (CBC Vial) DAILY

20 8093 Absolute Neutrophil Count 400 3cc EDTA Blood (CBC Vial) DAILY

21 1360 Absolute Values/Cell Counts 400 3cc EDTA Blood (CBC Vial) DAILY

22 4123 ACE Angiotensin Converting Enzyme 3600 3- 5cc Clotted Blood or Serum DAILY

23 2705 Acid Phosphate 600 3- 5cc Clotted Blood or Serum AFTER TWO DAYS

24 4119 ACTH (Adrenocorticotropic Hormone) 3000 3cc EDTA Blood (CBC Vial) DAILY

25 4195 Adenosine Deaminase (ADA-CSF) 5500 CSF DAILY

26 4194 Adenosine Deaminase (ADA-Fluid) 5500 Fluid DAILY

27 4236 Adenosine Deaminase (ADA-Serum) 5500 3- 5cc Clotted Blood or Serum DAILY

28 8201 4000 All Type Specimen AFTER 8 WEEKS

AFB C/S (Mycobacterium Tuberculosis) Any
Specimen :-

29 8181 AFB Stain / ZN Stain (Urine Random/Spot) 800 Urine (Random/Spot) DAILY

Page 1 of 22
 Standard

Code Test Name Rate Sample Reporting Time

30 6039 Albumin 600 3- 5cc Clotted Blood or Serum DAILY

31 12092 Albumin (Fluid) 600 Fluid DAILY

32 1520 Albumin (Serum)* 600 3- 5cc Clotted Blood or Serum SAME DAY

33 4417 Alcohol Level (Blood) 3000 3cc EDTA Blood (CBC Vial) AFTER TWO DAYS

34 2706 Aldolase(Serum) 2200 3- 5cc Clotted Blood or Serum DAILY

35 4171 Aldosterone (Serum) 3700 3- 5cc Clotted Blood or Serum AFTER TWO DAYS

36 2512 Aldosterone/Direct Renin Ratio (ADRR) 8500 EDTA ( Whole Blood ) & Clotted Blood AFTER TWO DAYS

37 1505 Alkaline Phosphatase 600 3- 5cc Clotted Blood or Serum SAME DAY

38 1000006 Alkaline Phosphatase 600 3- 5cc Clotted Blood or Serum DAILY

39 4625 Alpha 1, Anti Trypsin Level 3000 3- 5cc Clotted Blood or Serum AFTER THREE DAYS

40 4300 Alpha Feto Protein (AFP) 2000 3- 5cc Clotted Blood or Serum DAILY

41 1710 Ammonia (NH3) 2000 Plasma of Edta vial Separate within 15 min DAILY

42 0043 AMPHETAMINES (Urine (Random/Spot) 2000 Urine (Random/Spot) NEXT DAY

43 0044 Amylase (24Hrs Urine) 1200 Serum and 24Hrs Urine DAILY

44 1103 Amylase (Fluid) 1200 Fluid DAILY

45 2700 Amylase (Serum) 1200 3- 5cc Clotted Blood or Serum SAME DAY

46 0045 Amylase (Spot Urine) 1200 Urine (Random/Spot) DAILY

47 4622 Androgen (Serum) 3800 3- 5cc Clotted Blood or Serum AFTER TWO DAYS

48 4182 Androstenedione Level (Serum) 2800 3- 5cc Clotted Blood or Serum AFTER 7 DAYS

49 1430 Anion Gap (Serum) 1500 3- 5cc Clotted Blood or Serum DAILY

50 4151 Anti Cardiolipin IgG 3700 3- 5cc Clotted Blood or Serum NEXT DAY

51 4152 Anti Cardiolipin IgM 3700 3- 5cc Clotted Blood or Serum NEXT DAY

52 0101 Anti CCP (Cyclic Citrullinated Peptide) 2800 3- 5cc Clotted Blood or Serum DAILY

53 4805 Anti ds DNA 2500 3- 5cc Clotted Blood or Serum DAILY

54 5000 Anti Endomyesial IgA 3000 3- 5cc Clotted Blood or Serum AFTER FIVE DAYS

55 1622 Anti Endomyesial IgG 3000 3- 5cc Clotted Blood or Serum AFTER FIVE DAYS

56 5019 Anti HBc IgG (Total Abs) 2200 3- 5cc Clotted Blood or Serum NEXT DAY

57 4205 Anti HBc IgM 2200 3- 5cc Clotted Blood or Serum DAILY

58 4207 Anti HBe 2200 3- 5cc Clotted Blood or Serum NEXT DAY

59 4203 Anti HBs 2200 3- 5cc Clotted Blood or Serum NEXT DAY

60 4208 Anti HCV 1800 3- 5cc Clotted Blood or Serum SAME DAY

Page 2 of 22
 Standard

Code Test Name Rate Sample Reporting Time

61 2531 Anti HDV 2200 3- 5cc Clotted Blood or Serum NEXT DAY

62 5563 Anti Helicobacter pylori IgA 2000 3- 5cc Clotted Blood or Serum DAILY

63 4628 Anti Helicobacter pylori IgG 2000 3- 5cc Clotted Blood or Serum DAILY

64 4629 Anti Helicobacter pylori IgM 2000 3- 5cc Clotted Blood or Serum AFTER ONE DAY

65 4210 Anti HEV IgG 2400 3- 5cc Clotted Blood or Serum AFTER TWO DAYS

66 4214 Anti HEV IgM 2400 3- 5cc Clotted Blood or Serum NEXT DAY

67 4211 Anti HIV - 1 & 2 2500 3- 5cc Clotted Blood or Serum SAME DAY

68 4219 ANTI HIV (ICT) 800 3- 5cc Clotted Blood or Serum SAME DAY

69 8387 Anti LKM (Anti Liver Kidney Microsomal Antibody) 2500 3- 5cc Clotted Blood or Serum AFTER TWO DAYS

70 3351 Anti Mtb Antibodies (Mycodot) 1200 3- 5cc Clotted Blood or Serum AFTER ONE DAY

71 3813 Anti Mullerian Hormone (AMH) 5200 3- 5cc Clotted Blood or Serum DAILY

72 5562 Anti Nuclear Antibody (ANA) 2500 3- 5cc Clotted Blood or Serum DAILY

73 4648 5500 3- 5cc Clotted Blood or Serum AFTER 9 DAYS

Anti Nuclear Antibody Profile by IF (ANA, ASMA, AMA,
APCA)

74 5038 Anti Phospholipid IgG 3000 3- 5cc Clotted Blood or Serum NEXT DAY

75 5039 Anti Phospholipid IgM 3000 3- 5cc Clotted Blood or Serum NEXT DAY

76 5572 Anti SCL-70 3500 3- 5cc Clotted Blood or Serum AFTER THREE DAYS

77 4626 Anti Sperm Antibodies 3200 3- 5cc Clotted Blood or Serum AFTER FOUR DAYS

78 4623 Anti Thrombin III 5200 Sodium Citrate Tube (PT Vial) AFTER ONE WEEK

79 5031 Anti Thyroglobulin (Anti-Tg) 2500 3- 5cc Clotted Blood or Serum NEXT DAY

80 41001 Anti Thyroid Peroxidase Abs (Anti-TPO) 2500 3- 5cc Clotted Blood or Serum DAILY

81 5557 Anti Tissu Transglutaminase IgA 2400 3- 5cc Clotted Blood or Serum DAILY

82 5560 Anti Tissu Transglutaminase IgG 2400 3- 5cc Clotted Blood or Serum DAILY

83 3332 ANTI-GBM (Anti Glomerula Basement Membran) 4500 3- 5cc Clotted Blood or Serum AFTER TWO DAYS

84 1306 APTT 800 Sodium Citrate Tube (PT Vial) Same Day After 8 Hour

85 0132 Ascitic Fluid For C/S (Bacterial Culture & sensitivity) 2100 Ascitic Fluid AFTER THREE DAYS

86 8058 4000 Ascitic Fluid AFTER 8 WEEKS

Ascitic Fluid For AFB C/S (Mycobacterium
Tuberculosis)

87 2205 Ascitic Fluid For AFB Stain / ZN Stain 800 Ascitic Fluid DAILY

88 8035 Ascitic Fluid For Gram Stain 800 Ascitic Fluid DAILY

89 4444 Ascitic Fluid for Triglycerides 800 Fluid DAILY

90 0138 Ascitic Fluid R/E 1600 Ascitic Fluid SAME DAY

Page 3 of 22
 Standard

Code Test Name Rate Sample Reporting Time

91 3405 ASOT (Anti Streptolysine O Titer) 1000 3- 5cc Clotted Blood or Serum DAILY

92 8103 Aspirate For C/S (Bacterial Culture & sensitivity) 2100 Aspirate AFTER THREE DAYS

93 4814 Autoimmune Liver Disease Profile 8000 3- 5cc Clotted Blood or Serum AFTER THREE DAYS

B 0051 1600 Urine NEXT DAY

94 Barbiturates (BAR)

95 1615 BASIC METABOLIC PANEL (BMP) 3500 3- 5cc Clotted Blood or Serum NEXT DAY

96 4644 BCR-ABL by PCR (Quantitative) 18000 3 Vials of EDTA Sample AFTER ONE WEEK

97 1106 Benzodiazepines (Urine Random/Spot) 1600 Urine (Random/Spot) NEXT DAY

98 1038 Beta 2 Glycoprotein-1 IgG 3000 3- 5cc Clotted Blood or Serum AFTER THREE DAYS

99 1039 Beta 2 Glycoprotein-1 IgM 3000 3- 5cc Clotted Blood or Serum AFTER THREE DAYS

100 4309 Beta HCG (Male) 2000 3- 5cc Clotted Blood or Serum SAME DAY

101 0050 Beta-2 Microglobulin 3500 3- 5cc Clotted Blood or Serum AFTER THREE DAYS

102 1704 Bicarbonates (HCO3) (Serum) 1000 3- 5cc Clotted Blood or Serum DAILY

103 8008 Bile Pigment 600 Urine (Random/Spot) AFTER TWO DAYS

104 8009 Bile Salt (Random / Spot Urine) 600 Urine (Random/Spot) AFTER TWO DAYS

105 1258 Bilirubin (Total, Direct, Indirect,) 450 3- 5cc Clotted Blood or Serum SAME DAY

106 15013 Bilirubin INDirect (UnConj) 450 3- 5cc Clotted Blood or Serum DAILY

107 1501 Bilirubin Total 450 3- 5cc Clotted Blood or Serum SAME DAY

108 3562 Biopsy (Kidney/IHC/IF) 9500 Biopsy Tissue with History & Radiology Reports AFTER 10 DAYS

109 3560 Biopsy (Large) 6000 Biopsy Tissue with History & Radiology Reports AFTER 7 DAYS

110 30052 Biopsy (Medium) 4500 Biopsy Tissue with History & Radiology Reports AFTER FIVE DAYS

111 3527 Biopsy (Medium) x 2 9000 Biopsy Tissue with History & Radiology Reports AFTER ONE WEEK

112 3561 Biopsy (small) 3000 Biopsy Tissue with History & Radiology Reports AFTER FOUR DAYS

113 3669 Biopsy Small X 2 6000 Tissue AFTER FOUR DAYS

114 3918 Biopsy Small X 3 9000 Tissue AFTER FIVE DAYS

115 1345 Bleeding Time (BT) 450 Contact Lab / 03377774426 Same Day After 8 Hour

116 3541 Block(s) Request for Patient (all block(s) Charges 500 Blocks and Slides AFTER TWO DAYS

117 3333 Blood C/E (Dengue Patient) 90 3cc EDTA Blood (CBC Vial) Same Day After 8 Hour

118 2811 Blood Donor Profile Elisa Screening 5000 EDTA and Serum DAILY

119 3890 Blood for C/S Aerobic (Bacterial Culture & Sensitivity) 2100 Blood ( Aerobic Culture Vial) AFTER FOUR DAYS

120 4011 Blood for C/S Aerobic (Final Report) 2100 Blood ( Aerobic Culture Vial) AFTER 7 DAYS

Page 4 of 22
 Standard

Code Test Name Rate Sample Reporting Time

121 3889 2100 Blood ( Anaerobic Culture Vial) AFTER 7 DAYS
Blood for C/S Anaerobic (Bacterial Culture &
Sensitivity)

122 2809 Blood Group & Cross Match (single Donor) 2000 EDTA and Serum DAILY

123 2800 Blood Group & Rh Factor 350 3cc EDTA Blood (CBC Vial) SAME DAY

124 1400 Blood Sugar Fasting (BSF) 300 Sodium Fluoride Containing Sample Same Day After 6 Hour

125 1401 Blood Sugar Random (BSR) 300 Sodium Fluoride Containing Sample Same Day After 6 Hour

126 1810 BNP 3000 3- 5cc Clotted Blood or Serum SAME DAY

127 8086 4000 Body Fluid AFTER 8 WEEKS

Body Fluid For AFB C/S (Mycobacterium
Tuberculosis)

128 8012 Body Fluid For AFB STAIN / ZN STAIN 800 Body Fluid SAME DAY

129 2236 Body Fluid For Analysis 1600 Fluid NEXT DAY

130 8087 Body Fluid For C/S (Bacterial Culture & sensitivity) 2100 Body Fluid AFTER THREE DAYS

131 8036 Body Fluid For Gram Stain 800 Body Fluid SAME DAY

132 8531 Bone For C/S (Bacterial Culture & Sensitivity) 2100 Bone AFTER 7 DAYS

133 3763 Bone Marrow - Review of Case (Slides, Block) 12000 none AFTER 7 DAYS

134 3542 Bone Marrow Biopsy (Procedure & Reporting) 8500 Contact Lab / 03377774426 AFTER ONE WEEK

135 8112 15000 Biopsy Tissue with History & Radiology Reports AFTER FOUR DAYS
Breast Cancer Biomarkers (Estrogen (ER),
Progesterone (PR), HER2 receptors)

136 8115 Breast cyst For AFB Stain/ZN Stain 800 Stool DAILY

137 8155 Bronchial Washing Fluid For Fungus Stain 1200 Bronchial Washing Fluid NEXT DAY

138 8037 Bronchial Washing Fluid For Gram Stain 800 Bronchial Washing Fluid DAILY

139 8014 Bronchial Washing For AFB Stain / ZN Stain 800 Bronchial Washing Fluid SAME DAY

140 8145 4000 Bronchial Washing Fluid AFTER 8 WEEKS

BRONCHIAL WASHING FOR AFB C/S
(Mycobacterium Tuberculosis)

141 3983 2100 Bronchial Washing Fluid AFTER 7 DAYS

Bronchial Washing for C/S (Anaerobic) (Bacterial
Culture & Sensitivity)

142 8066 2100 Bronchial Washing Fluid AFTER THREE DAYS

Bronchial Washing For C/S (Bacterial Culture &
Sensitivity)

143 2221 Bronchial Washing For Cytology. 2100 Bronchial Washing Fluid NEXT DAY

144 9874 2100 Bronchoalveolar Lavag AFTER THREE DAYS

Bronchoalveolar Lavage C/S (Bacterial Culture &
Sensitivity)

145 9988 BUN (Blood Urea Nitrogen) 500 3- 5cc Clotted Blood or Serum DAILY

146 1630 BUN (Blood Urea Nitrogen)* 500 3- 5cc Clotted Blood or Serum SAME DAY

147 1626 BUN / Creatinine Ratio 1000 3- 5cc Clotted Blood or Serum DAILY

C 1278 2100 All Type Specimen AFTER TWO DAYS

148 C/S for any specimen

Page 5 of 22
 Standard

Code Test Name Rate Sample Reporting Time

149 4407 C2 Monitoring (Whole Blood) 7000 3cc EDTA Blood (CBC Vial) AFTER FOUR DAYS

150 4600 C3 (Complement Level 3) 1700 3- 5cc Clotted Blood or Serum DAILY

151 4601 C4 (Complement Level 4) 1700 3- 5cc Clotted Blood or Serum DAILY

152 4302 CA 125 2400 3- 5cc Clotted Blood or Serum DAILY

153 8092 CA 15-3 3500 3- 5cc Clotted Blood or Serum DAILY

154 4306 CA 19-9 3600 3- 5cc Clotted Blood or Serum NEXT DAY

155 9913 CA 19-9 (Fluid) 3600 Fluid NEXT DAY

156 3508 Calcium (24 Hours Urine) 600 24 Hrs Urine DAILY

157 1705 Calcium (Ca) (Serum) 600 3- 5cc Clotted Blood or Serum SAME DAY

158 1528 Calcium (Fluid) 600 Fluid NEXT DAY

159 3521 Calcium (Urine Random/Spot) 600 Urine (Random/Spot) DAILY

160 3529 Calcium / Creatinine Ratio (Urine Random / Spot) 1200 Urine (Random/Spot) DAILY

161 5095 Calprotectin (Stool) 6000 Stool DAILY

162 3530 Cannabinoids (Urine Random/Spot) 2000 Urine (Random/Spot) AFTER ONE DAY

163 4401 Carbamazepine ( Tegretol ) 2200 3- 5cc Clotted Blood or Serum AFTER THREE DAYS

164 1800 Cardiac Enzymes (CPK, CK-MB, SGOT, LDH ) 2400 3- 5cc Clotted Blood or Serum SAME DAY

165 3544 Catecholamines (24 Hours Urine) 6500 24 Hrs Urine AFTER THREE DAYS

166 8106 Catheter TIP For C/S (Bacterial Culture & Sensitivity) 2000 Catheter tip AFTER THREE DAYS

167 22273 CBC e Peripheral Film 1300 3cc EDTA Blood (CBC Vial) Same Day After 3 Hour

168 4301 CEA (Carcinoembryonic Antigen) 2200 3- 5cc Clotted Blood or Serum DAILY

169 3601 CEA (Carcinoembryonic Antigen) (Fluid) 3000 Fluid NEXT DAY

170 4139 Ceruloplasmin (Serum) 2000 3- 5cc Clotted Blood or Serum DAILY

171 11071 Chloride (24 Hours Urine) 1000 24 Hrs Urine AFTER TWO DAYS

172 1703 Chloride (Cl) (Serum) 1000 3- 5cc Clotted Blood or Serum DAILY

173 1530 Chloride (Fluid) 1000 Fluid DAILY

174 11075 Chloride (Urine Random/Spot) 1000 Urine (Random/Spot) AFTER ONE DAY

175 1902 Cholesterol 500 3- 5cc Clotted Blood or Serum DAILY

176 3523 Citrate (24 hrs Urine) 3500 24 Hrs Urine AFTER FOUR DAYS

177 1346 Clotting Time (CT) 450 Contact Lab / 03377774426 DAILY

178 12051 CMV by PCR (Viral Load / Quantitation) 8000 EDTA vials blood / Plasma AFTER ONE WEEK

179 4705 CMV IgG (Cytomegalovirus) 2000 3- 5cc Clotted Blood or Serum NEXT DAY

Page 6 of 22
 Standard

Code Test Name Rate Sample Reporting Time

180 4706 CMV IgM (Cytomegalovirus) 2000 3- 5cc Clotted Blood or Serum NEXT DAY

181 11222 Coagulation Profile (PT with INR & APTT) 2000 Sodium Citrate Tube (PT Vial) DAILY

182 3545 Cocaine (Urine Random/Spot) 2000 Urine (Random/Spot) NEXT DAY

183 1300 Complete Blood Count (CBC) 800 3cc EDTA Blood (CBC Vial) Same Day After 12 Hour

184 8006 Comprehensive metabolic panel (CMP) 7000 N/A DAILY

185 3360 2100 Swab AFTER THREE DAYS

Conjunctival Swab Left side for C/S (Bacterial Culture
& Sensitivity)

186 3361 2100 Swab AFTER THREE DAYS

Conjunctival Swab Right side for C/S (Bacterial
Culture & Sensitivity)

187 1336 Coombs Test (Direct) 1700 3cc EDTA Blood (CBC Vial) NEXT DAY

188 1337 Coombs Test (Indirect) 1700 3- 5cc Clotted Blood or Serum NEXT DAY

189 3565 Cornial Scraping C/S (Bacterial Culture & Sensitivity) 2100 Swab AFTER THREE DAYS

190 4449 Corrected Calcium 1200 3- 5cc Clotted Blood or Serum DAILY

191 4112 Cortisol (AM) 2000 3- 5cc Clotted Blood or Serum DAILY

192 4113 Cortisol (PM) 2000 3- 5cc Clotted Blood or Serum DAILY

193 5090 Covid-19 (Corona Virus) by PCR Qualitative 4500 Nasopharyngeal Swab AFTER ONE DAY

194 2709 C-Peptide Level 2100 3- 5cc Clotted Blood or Serum DAILY

195 1801 CPK 1000 3- 5cc Clotted Blood or Serum SAME DAY

196 1600 Creatinine (Fluid) 800 Fluid DAILY

197 1603 Creatinine (Serum) 800 3- 5cc Clotted Blood or Serum SAME DAY

198 1617 Creatinine (Serum)* 800 3- 5cc Clotted Blood or Serum DAILY

199 1607 Creatinine (Urine Random/Spot) 800 Urine (Random/Spot) SAME DAY

200 3511 Creatinine (Urine) 800 24 Hrs Urine SAME DAY

201 2801 Cross Matching with Elisa Screening 5500 EDTA and Serum DAILY

202 421 CRP 1000 3- 5cc Clotted Blood or Serum Same Day After 1 Hour

203 3490 CRP (High Sensitivity) 1800 3- 5cc Clotted Blood or Serum NEXT DAY

204 2812 Cryoprecipitate (one bag) 3500 EDTA and Serum DAILY

205 8059 CSF Fluid For AFB C/S (Mycobacterium Tuberculosis) 4000 CSF AFTER 8 WEEKS

206 8038 CSF Fluid For Gram Stain 800 CSF SAME DAY

207 8015 CSF for AFB Stain / ZN Stain 800 CSF SAME DAY

208 0134 CSF FOR C/S (Bacterial Culture & Sensitivity) 2100 CSF AFTER THREE DAYS

209 2228 CSF For Cytology 2100 CSF AFTER TWO DAYS

Page 7 of 22
 Standard

Code Test Name Rate Sample Reporting Time

210 2225 CSF FOR MTB BY PCR 8000 CSF AFTER FIVE DAYS

211 0128 CSF R/E 2200 CSF Same Day After 3 Hour

212 8116 Curretting For Gram Stain 800 Stool SAME DAY

213 2317 CVP Tip For C/S (Bacterial Culture & Sensitivity) 2100 CVP TIP AFTER THREE DAYS

214 4406 Cyclosporin Level (Whole Blood) 6500 3cc EDTA Blood (CBC Vial) AFTER FOUR DAYS

215 8021 Cystic Fluid For AFB Stain / ZN Stain 800 Cystic Fluid SAME DAY

216 8190 Cystic Fluid for Aanlysis 2200 Fluid Same Day After 12 Hour

217 8070 4000 Cystic Fluid AFTER 8 WEEKS

Cystic Fluid For AFB C/S (Mycobacterium
Tuberculosis)

218 8071 Cystic Fluid For C/S (Bacterial Culture & Sensitivity) 2100 Cystic Fluid AFTER THREE DAYS

219 8099 Cystic Fluid For Cytology 2100 Cystic Fluid NEXT DAY

220 8045 Cystic Fluid For Gram Stain 800 Cystic Fluid SAME DAY

221 8095 Cytology (Urine Random/Spot) 2100 Urine (Random/Spot) NEXT DAY

D 1309 2200 Sodium Citrate Tube (PT Vial) Same Day After 8 Hour
222 D-Dimer

223 4199 Dengue NS 1 Antigen 2000 3- 5cc Clotted Blood or Serum NEXT DAY

224 4198 Dengue Virus IgG 1800 3- 5cc Clotted Blood or Serum NEXT DAY

225 5552 Dengue Virus IgM 1800 3- 5cc Clotted Blood or Serum NEXT DAY

226 4120 DHEA SO4 2500 3- 5cc Clotted Blood or Serum NEXT DAY

227 4400 Digoxin 2200 3- 5cc Clotted Blood or Serum AFTER TWO DAYS

228 1303 DLC (Differential Leukocyte Count) 800 3cc EDTA Blood (CBC Vial) Same Day After 8 Hour

229 1118 Drugs Screen Profile (Spot/Random Urine) 3000 Urine DAILY

E 0137 2100 Ear Swab AFTER THREE DAYS

230 Ear Swab for C/S (Bacterial Culture & Sensitivity)

231 8039 Ear Swab For Gram Stain 800 Ear Swab SAME DAY

232 3876 Echinococuus IgG 4000 3- 5cc Clotted Blood or Serum DAILY

233 3619 eGFR 1600 3- 5cc Clotted Blood or Serum DAILY

234 3620 eGFR with Creatinine 1800 3- 5cc Clotted Blood or Serum DAILY

235 4647 ENA Quantrix 25 IgG 8500 3- 5cc Clotted Blood or Serum AFTER FOUR DAYS

236 5843 Entamoeba Histolytica IgG 4000 3 ml Serum AFTER 7 DAYS

237 1255 Eosinophil Count 800 3cc EDTA Blood (CBC Vial) SAME DAY

238 1253 Eosinophil Count (Urine Random/Spot) 800 Urine (Random/Spot) AFTER TWO DAYS

239 1304 ESR (Erythrocytes Sedimentation Rate) 400 3cc EDTA Blood (CBC Vial) Same Day After 8 Hour

Page 8 of 22
 Standard

Code Test Name Rate Sample Reporting Time

240 4118 Estrogen (Estradiol) 1800 3- 5cc Clotted Blood or Serum SAME DAY

241 3339 Everolimus (Whole Blood) 7000 3cc EDTA Blood (CBC Vial) AFTER TWO DAYS

242 3563 8500 Biopsy Tissue with History & Radiology Reports AFTER 10 DAYS
Extra Large Biopsy (Cystectomy, Amupation,
Prostectomy)

243 3624 Eye Swab (Left) for AFB Stain / ZN Stain 800 Swab SAME DAY

244 3623 Eye Swab (Right) for AFB Stain / ZN Stain 800 Swab SAME DAY

245 3625 Eye Swab C/S (Bacterial Culture & Sensitivity) 2100 Swab AFTER THREE DAYS

F
246 789452 Factor II Level 2500 Sodium Citrate Tube (PT Vial) AFTER ONE WEEK

247 7002 Factor IX Level 2500 Sodium Citrate Tube (PT Vial) AFTER ONE WEEK

248 4624 Factor V Leiden (FVL) Mutation Detection 11000 Sodium Citrate (PT Vial) & EDTA (CBC Vial) AFTER 7 DAYS

249 789455 Factor V Level 2500 Sodium Citrate Tube (PT Vial) AFTER ONE WEEK

250 789454 Factor VII Level 2500 Sodium Citrate Tube (PT Vial) AFTER FOUR DAYS

251 7001 Factor VIII Level 2500 Sodium Citrate Tube (PT Vial) AFTER ONE WEEK

252 789453 Factor X Level 2500 Sodium Citrate Tube (PT Vial) AFTER FOUR DAYS

253 4170 Fetal Hb.Electrophoresis 2600 3cc EDTA Blood (CBC Vial) with History AFTER FOUR DAYS

254 2802 FFP Preparation 2500 Contact Lab / 03377774426 ON CALL

255 1308 Fibrinogen (Factor I) 1700 Sodium Citrate Tube (PT Vial) Same Day After 8 Hour

256 3817 Fluid for C/S (Bacterial Culture & Sensitivity) 2100 Fluid AFTER THREE DAYS

257 2583 Fluid for Creatinine 800 Fluid DAILY

258 8102 Fluid For Cytology (Any Specimen:-) 1800 Body Fluid NEXT DAY

259 0037 Fluid for Fungus C/S (Any Fluids) 2100 Fluid AFTER FOUR WEEKS

260 2807 Fluid For TLC & DLC (Any Fluid:- ) 1000 N/A DAILY

261 3540 FNAC (Procedure By Pathologist) 4500 Biopsy Tissue with History & Radiology Reports NEXT DAY

262 4651 FNAC Slides for Reporting 3500 Slides AFTER FOUR DAYS

263 8117 Folley`s TiP for C/S (Bacterial Culture & Sensitivity) 2100 Catheter TiP/Folley"s TiP AFTER THREE DAYS

264 4168 Free Androgen Index (FAI) 4500 3- 5cc Clotted Blood or Serum SAME DAY

265 50562 Free Cortisol (24 Hours Urine) 2500 24 Hrs Urine AFTER ONE DAY

266 4109 Free T3 1600 3- 5cc Clotted Blood or Serum DAILY

267 4106 Free T4 1600 3- 5cc Clotted Blood or Serum DAILY

268 4128 Free Testosterone 2600 3- 5cc Clotted Blood or Serum DAILY

269 4105 FSH 1600 3- 5cc Clotted Blood or Serum Same Day After 6 Hour

Page 9 of 22
 Standard

Code Test Name Rate Sample Reporting Time

270 11254 5500 3- 5cc Clotted Blood or Serum AFTER FOUR DAYS
FTA-abs (fluorescent treponemal antibody
absorption)

271 3666 Fungal Culture (Any Specimen:- ) 2100 Any Fluid (Plural,Ascitic) AFTER FOUR WEEKS

272 3668 Fungal Stain 1200 Fluid SAME DAY

273 2238 Fungus Culture with KOH Stain 2500 N/A AFTER THREE WEEKS

274 012 Fungus Stain (KOH) 1200 none DAILY

G 1320 2500 3cc EDTA Blood (CBC Vial) AFTER THREE DAYS
275 G6PD Test (Glucose-6-Phosphate Dehydrogenase)

276 6062 Gamma GT 1200 3- 5cc Clotted Blood or Serum DAILY

277 1506 Gamma GT (GGT) 800 3- 5cc Clotted Blood or Serum SAME DAY

278 37500 Gamma GT (GGT) 800 3- 5cc Clotted Blood or Serum DAILY

279 2319 Gastrin Level 6000 3- 5cc Clotted Blood or Serum AFTER FOUR DAYS

280 8210 Gauze Piece For C/S (Bacterial Culture & Sensitivity) 2100 Gauze piece AFTER THREE DAYS

281 4608 Gene Expert MTB / RIF Assay 8000 CSF AFTER FOUR DAYS

282 1510 Globulins 800 3- 5cc Clotted Blood or Serum SAME DAY

283 1144 Gonoria Screening (GRAMs Staining) (Urine) 1000 Urine (Random/Spot) NEXT DAY

284 1232 Gram Stain (Urine Random/Spot) 800 Urine (Random/Spot) DAILY

285 4115 Growth Hormone (HGH) 2400 3- 5cc Clotted Blood or Serum NEXT DAY

286 14001 GTT (2 Sample - 75 Gram Glucose) 1000 Sodium Fluoride Containing Sample Same Day After 6 Hour

287 1403 GTT(Glucose Tolerance Test) 1000 Sodium Fluoride Containing Sample Same Day After 6 Hour

H 5590 1000 3- 5cc Clotted Blood or Serum DAILY

288 H. Pylori Ab (ICT)

289 8084 Hair for Fungus C/S 2400 Hair AFTER FOUR WEEKS

290 4148 Haptoglobin 2200 3- 5cc Clotted Blood or Serum AFTER TWO DAYS

291 4202 HAV IgM 2000 3- 5cc Clotted Blood or Serum NEXT DAY

292 1301 Hb (Hemoglobin) 400 3cc EDTA Blood (CBC Vial) Same Day After 8 Hour

293 4802 HbA1C 2400 3cc EDTA Blood (CBC Vial) DAILY

294 4206 HBeAg 2000 3- 5cc Clotted Blood or Serum NEXT DAY

295 4201 HBsAg 2000 3- 5cc Clotted Blood or Serum DAILY

296 427 HbsAg ICT 800 3- 5cc Clotted Blood or Serum DAILY

297 5051 HBV DNA by Real - Time PCR (Qualitative) 3800 EDTA Blood or Clotted Sample (Serum) NEXT DAY

298 5052 HBV DNA by Real - Time PCR (Quantitative) 4500 EDTA Blood or Clotted Sample (Serum) NEXT DAY

299 438 HCV Ab. ICT 800 3- 5cc Clotted Blood or Serum SAME DAY

Page 10 of 22
 Standard

Code Test Name Rate Sample Reporting Time

300 4621 HCV Genotyping 8000 EDTA vials blood / Plasma AFTER FIVE DAYS

301 5053 HCV RNA by Real - Time PCR (Qualitative) 3800 EDTA Blood or Clotted Sample (Serum) NEXT DAY

302 4610 HCV RNA by Real-Time PCR (Quantitative) 4500 EDTA Blood or Clotted Sample (Serum) NEXT DAY

303 1904 HDL (Cholesterol) 800 (Fasting) 3- 5cc Clotted Blood or Serum DAILY

304 0008 HDV RNA by PCR (Qualitative) 6000 3- 5cc Clotted Blood or Serum AFTER FOUR DAYS

305 0102 HDV RNA BY PCR (Quantitative) 8000 3- 5cc Clotted Blood or Serum AFTER FOUR DAYS

306 2320 Hemoglobin (Urine Random/Spot) 600 Urine (Random/Spot) DAILY

307 2321 Hepatitis "B" Profile 12000 3- 5cc Clotted Blood or Serum AFTER ONE DAY

308 12058 Herpes (HSV 1&2) PCR Qualitative 8000 CSF / EDTA / Lesion AFTER FOUR DAYS

309 4707 Herpes IgG (HSV) 2000 3- 5cc Clotted Blood or Serum NEXT DAY

310 4708 Herpes IgM (HSV) 2000 3- 5cc Clotted Blood or Serum NEXT DAY

311 202020 Histopathology Review Case (Slides ) 6500 Slides AFTER THREE DAYS

312 1146 HIV RNA by PCR (Quantitative) 8000 6CC EDTA Blood (2 vials) AFTER THREE DAYS

313 0038 HLA B27 Allele by PCR 12000 3cc EDTA Blood (CBC Vial) AFTER 7 DAYS

314 4132 Homocysteine Level 2000 3- 5cc Clotted Blood or Serum AFTER FOUR DAYS

315 2259 Hospital I/V Stand Swab for Bacterial growth 2100 Swab AFTER THREE DAYS

316 2217 Hospital Nursing Counter Swab for Bacterial growth 2100 Swab AFTER THREE DAYS

317 2203 Hospital OT Air for Bacterial growth 2100 Swab & Culture Plate AFTER FOUR DAYS

318 1322 Hospital OT Ambu Bag for Bacterial growth 2100 Swab & Culture Plate AFTER FOUR DAYS

319 2224 2100 Swab AFTER FOUR DAYS

Hospital OT Anesthesia Machine Swab for Bacterial
growth

320 2223 Hospital OT Baby Warmer for Bacterial growth 2100 Swab & Culture Plate AFTER FOUR DAYS

321 3811 Hospital OT Bed Mattress Swab for Bacterial growth 2100 Swab AFTER FOUR DAYS

322 4501 Hospital OT Bed Swab for Bacterial growth 2100 Swab AFTER FOUR DAYS

323 8200 Hospital OT Chair Swab for Bacterial growth 2100 Swab AFTER THREE DAYS

324 3887 Hospital OT Dia Theater for Bacterial growth 2100 Swab & Culture Plate AFTER THREE DAYS

325 3812 Hospital OT Diathermy Machine for Bacterial growth 2100 Swab & Culture Plate AFTER THREE DAYS

326 8016 Hospital OT Floor Swab for Bacterial growth 2100 Swab AFTER THREE DAYS

327 2216 Hospital OT Laryngoscope for Bacterial growth 2100 Swab & Culture Plate AFTER THREE DAYS

328 3888 Hospital OT Light for Bacterial growth 2100 Swab & Culture Plate AFTER THREE DAYS

329 3885 Hospital OT Medicine Trolley for Bacterial growth 2100 Swab & Culture Plate AFTER THREE DAYS

Page 11 of 22
 Standard

Code Test Name Rate Sample Reporting Time

330 3572 Hospital OT Microscope Swab for Bacterial growth 2100 Swab AFTER THREE DAYS

331 8114 Hospital OT Oxygen Mask for Bacterial growth 2100 Swab & Culture Plate AFTER THREE DAYS

332 2242 Hospital OT Phaco Machine for Bacterial growth 2100 Swab AFTER THREE DAYS

333 8180 Hospital OT Suction Machine for Bacterial growth 2100 Swab & Culture Plate AFTER FOUR DAYS

334 1312 Hospital OT Table for Bacterial growth 2100 Swab & Culture Plate AFTER FOUR DAYS

335 3886 Hospital OT Wall for Bacterial growth 2100 Swab & Culture Plate AFTER THREE DAYS

336 8017 HVS For AFB Stain / ZN Stain 800 HVS Swab DAILY

337 1228 HVS FOR C/S (Bacterial Culture & Sensitivity) 2100 HVS Swab AFTER THREE DAYS

338 8040 HVS For Gram Stain 800 HVS Swab SAME DAY

339 8022 Hydrocele Fluid For AFB Stain / ZN Stain 800 Hydrocele Fluid DAILY

340 8072 4000 Hydrocele Fluid AFTER 8 WEEKS

Hydrocele Fluid For AFB C/S (Mycobacterium
Tuberculosis)

341 8073 2100 Hydrocele Fluid AFTER THREE DAYS

Hydrocele Fluid For C/S (Bacterial Culture &
Sensitivity)

342 8098 Hydrocele Fluid For Cytology 2100 Hydrocele Fluid NEXT DAY

343 8046 Hydrocele Fluid For Gram Stain 800 Hydrocele Fluid DAILY

I 1335 800 3cc EDTA Blood (CBC Vial) Same Day After 8 Hour
344 ICT Malaria

345 5012 Immunofixation Electrophoresis 7500 3- 5cc Clotted Blood or Serum AFTER 8 DAYS

346 2322 IMMUNOGIOBULIN(IgA,IgG,IgM) 4800 3- 5cc Clotted Blood or Serum NEXT DAY

347 4116 Insulin 2500 3- 5cc Clotted Blood or Serum DAILY

348 0002 Insulin (Fasting) 2500 3- 5cc Clotted Blood or Serum DAILY

349 5564 Insulin Growth Factor-1(IgF-1) 6000 3- 5cc Clotted Blood or Serum NEXT DAY

350 5574 Intact Parathyroid Hormone (iPTH) 2800 3- 5cc Clotted Blood or Serum SAME DAY

351 5553 Ionized Calcium 1000 3- 5cc Clotted Blood or Serum SAME DAY

352 2702 Iron / Fe Level (Serum) 1000 3- 5cc Clotted Blood or Serum DAILY

J 8041 800 Joint Fluid SAME DAY

353 Joint Fluid For Gram Stain

354 0126 Joint Fluid for Aanlysis 1600 Joint Fluid Same Day After 12 Hour

355 8060 Joint Fluid For AFB C/S (Mycobacterium Tuberculosis) 4000 Joint Fluid AFTER 8 WEEKS

356 8018 Joint Fluid For AFB Stain / ZN Stain 800 Joint Fluid SAME DAY

357 0136 Joint Fluid for C/S (Bacterial Culture & Sensitivity) 2100 Joint Fluid AFTER THREE DAYS

358 2244 JOINT FLUID FOR MTB BY PCR 8000 Fluid SATURDAY

K 5573 800 3- 5cc Clotted Blood or Serum NEXT DAY

359 Ketones (Blood)

Page 12 of 22
 Standard

Code Test Name Rate Sample Reporting Time

360 3517 Ketones (Urine Random/Spot) 800 Urine (Random/Spot) SAME DAY

361 8067 4000 Knee Joint Fluid AFTER 8 WEEKS

Knee Joint Fluid For AFB C/S (Mycobacterium
Tuberculosis)

362 8068 2100 Knee Joint Fluid AFTER THREE DAYS

Knee Joint Fluid For C/S (Bacterial Culture &
Sensitivity)

363 8013 Knee Joint Fluid For AFB Stain / ZN Stain 800 Knee Joint Fluid SAME DAY

364 8090 Knee Joint Fluid For Analysis 1600 Knee Joint Fluid SAME DAY

365 2247 Knee Joint Fluid For Cytology 2100 Knee Joint Fluid AFTER THREE DAYS

366 8042 Knee Joint Fluid For Gram Stain 800 Knee Joint Fluid SAME DAY

L 2325 2000 Sodium Fluoride Containing Sample DAILY

367 Lactate Level

368 2323 LDH (CSF) 1000 CSF DAILY

369 2251 LDH (CSF) 1000 CSF DAILY

370 2324 LDH (Fluid) 1000 Fluid DAILY

371 1951 LDL (Cholesterol) 800 3- 5cc Clotted Blood or Serum SAME DAY

372 1509 LFTs 1500 3- 5cc Clotted Blood or Serum SAME DAY

373 538 3500 3- 5cc Clotted Blood or Serum Same Day After 2 Hour
LFTs (Bilirubin Total, Direct, Indirect, ALT, AST,
Alk.pos, GGT, Alb, Total Prot)

374 4104 LH 1500 3- 5cc Clotted Blood or Serum DAILY

375 2730 Lipase (Fluid) 1200 Fluid DAILY

376 2716 Lipase (Serum) 1200 3- 5cc Clotted Blood or Serum SAME DAY

377 1900 Lipid Profile 1600 3- 5cc Clotted Blood or Serum DAILY

378 2327 Lupus Anticoagulant Abs 6000 Sodium Citrate Tube (PT Vial) AFTER THREE DAYS

M 3233 1000 24 Hrs Urine DAILY

379 Magnesium (24 Hours Urine)

380 1707 Magnesium (Serum) 1000 3- 5cc Clotted Blood or Serum SAME DAY

381 1315 Malarial Parasite (MP) 900 3cc EDTA Blood (CBC Vial) Same Day After 8 Hour

382 1328 MCH 400 3cc EDTA Blood (CBC Vial) SAME DAY

383 1329 MCHC 400 3cc EDTA Blood (CBC Vial) SAME DAY

384 1327 MCV 400 3cc EDTA Blood (CBC Vial) SAME DAY

385 2330 Measles IgG Antibodies 3000 3- 5cc Clotted Blood or Serum AFTER FOUR DAYS

386 2329 Measles IgM Antibodies 3000 3- 5cc Clotted Blood or Serum AFTER FOUR DAYS

387 4804 Microalbumin Urea (24 Hours Urine) 1600 24 Hrs Urine SAME DAY

388 4813 Microalbumin Urea (Urine Random/Spot) (ACR) 1600 24 Hrs Urine SAME DAY

389 8069 Milk For C/S (Bacterial Culture & Sensitivity) 2100 Breast Milk AFTER THREE DAYS

Page 13 of 22
 Standard

Code Test Name Rate Sample Reporting Time

390 8019 Milk For AFB Stain / ZN Stain 800 Fluid SAME DAY

391 2240 Milk For Cytology 2100 Breast Milk AFTER THREE DAYS

392 8043 Milk For Gram Stain 800 Breast Milk SAME DAY

393 8141 Milk(Leftt) For C/S (Bacterial Culture & Sensitivity) 2100 Breast Milk AFTER THREE DAYS

394 8140 Milk(Right) For C/S (Bacterial Culture & Sensitivity) 2100 Breast Milk AFTER THREE DAYS

395 3408 Monospot Test (Infectious mononucleosis) 2000 3- 5cc Clotted Blood or Serum AFTER THREE DAYS

396 5583 Morphine Derivatives (Urine Random/Spot) 2000 Spot Urine NEXT DAY

397 2335 Mumps IgG Antibodies 2500 3- 5cc Clotted Blood or Serum AFTER FOUR DAYS

398 2334 Mumps IgM Antibodies 2500 3- 5cc Clotted Blood or Serum AFTER THREE DAYS

399 3302 Mycodot (TB) IgM (Serum) 1800 3- 5cc Clotted Blood or Serum NEXT DAY

N
400 1139 2100 Nail AFTER THREE DAYS
Nail for C/S (Anaerobic) (Bacterial Culture &
Sensitivity)

401 8083 Nail for Fungus C/S 2100 Nail AFTER FOUR WEEKS

402 2356 Nasal Secretion C/S (Bacterial Culture & sensitivity) 2100 Nasal Secretion AFTER THREE DAYS

403 8031 Nasal Secretion For AFB Stain / ZN Stain 800 Nasal Secretion SAME DAY

404 8061 4000 Nasal Secretion AFTER 8 WEEKS

Nasal Secretion For AFB C/S (Mycobacterium
Tuberculosis)

405 8056 Nasal Secretion For Gram Stain 800 Nasal Secretion SAME DAY

O 2337 1500 Spot Urine NEXT DAY

406 Opiates (Urine Random/Spot)

407 40004 Oral Swab C/S (Bacterial Culture & Sensitivity) 2100 Swab AFTER THREE DAYS

408 3602 Osmolality (Serum) 2000 3- 5cc Clotted Blood or Serum DAILY

409 1104 Osmolality (Urine Random/Spot) 2000 Urine (Random/Spot) DAILY

410 5558 Osmotic Fragility 2200 Hepernized and EDTA Blood AFTER TWO DAYS

411 1107 Oxalate (24 Hours Urine) 3200 24 Hrs Urine AFTER FOUR DAYS

P 2803 2000 Contact Lab / 03377774426 DAILY

412 Pack cell Preparation

413 3503 PAP Smear (Gynecological, Cervical or Vaginal) 2800 Slides AFTER THREE DAYS

414 3768 PAP Smear for LBC (Liquid Based Cytology) 2800 Fluid AFTER THREE DAYS

415 8028 Pericardial Fluid For AFB Stain / ZN Stain 800 Pericardial Fluid SAME DAY

416 8076 2100 Pericardial Fluid AFTER THREE DAYS

Pericardial Fluid For C/S (Bacterial Culture &
Sensitivity)

417 8105 Pericardial Fluid for Aanlysis 1600 Pericardial Fluid Same Day After 12 Hour

418 8075 4000 Pericardial Fluid AFTER 8 WEEKS

Pericardial Fluid For AFB C/S (Mycobacterium
Tuberculosis)

Page 14 of 22
 Standard

Code Test Name Rate Sample Reporting Time

419 8097 Pericardial Fluid For Cytology 2100 Fluid NEXT DAY

420 8052 Pericardial Fluid For Gram Stain 800 Pericardial Fluid SAME DAY

421 1307 Peripheral Blood Film 600 3cc EDTA Blood (CBC Vial) Same Day After 8 Hour

422 8020 Peritoneal Fluid For AFB Stain / ZN Stain 800 Peritoneal Fluid SAME DAY

423 0135 2100 Peritoneal Fluid AFTER THREE DAYS

Peritoneal Fluid For C/S (Bacterial Culture &
Sensitivity)

424 0129 Peritoneal Fluid for Aanlysis 1600 Peritoneal Fluid Same Day After 12 Hour

425 8062 4000 Peritoneal Fluid AFTER 8 WEEKS

Peritoneal Fluid For AFB C/S (Mycobacterium
Tuberculosis)

426 2235 Peritoneal Fluid For Cytology 2100 Fluid AFTER THREE DAYS

427 8044 Peritoneal Fluid For Gram Stain 800 Peritoneal Fluid SAME DAY

428 2252 Peritoneal Fluid For LDH 1200 Fluid DAILY

429 2232 PERITONEAL FLUID FOR MTB BY PCR 8000 Fluid SATURDAY

430 2338 pH and Reducing Substance (Stool) 800 Stool Same Day After 8 Hour

431 3513 Phosphate (24 Hours Urine) 900 24 Hrs Urine NEXT DAY

432 1706 Phosphate (PO4) (Serum) 900 3- 5cc Clotted Blood or Serum SAME DAY

433 2341 Phosphate (Urine Random/Spot) 900 Spot Urine NEXT DAY

434 2806 Platelet Concentrate Single Unit 4000 Contact Lab / 03377774426 ON CALL

435 2810 Platelets by Cell Separator (Mega Unit) 45000 Contact Lab / 03377774426 DAILY

436 8023 Pleural Fluid For AFB Stain / ZN Stain 800 Pleural Fluid SAME DAY

437 8063 4000 Pleural Fluid AFTER 8 WEEKS

Pleural Fluid For AFB C/S (Mycobacterium
Tuberculosis)

438 0133 Pleural Fluid FOR C/S (Bacterial Culture & Sensitivity) 2100 Pleural Fluid AFTER THREE DAYS

439 2214 Pleural Fluid For Cytology 2100 Fluid AFTER THREE DAYS

440 8047 Pleural Fluid For Gram Stain 800 Pleural Fluid SAME DAY

441 2250 Pleural Fluid for LDH 1200 Fluid DAILY

442 12123 Pleural fluid for malignant cell 1800 Pleural Fluid ON CALL

443 2211 PLEURAL FLUID FOR MTB BY PCR 8000 Fluid AFTER FIVE DAYS

444 0130 Pleural Fluid R/E 1600 Pleural Fluid Same Day After 3 Hour

445 2342 Porphobilinogen (24 Hours Urine) 1500 24 Hrs Urine AFTER THREE DAYS

446 4849 Potassium (24 Hours Urine) 900 24 Hrs Urine DAILY

447 1532 Potassium (Fluid) 900 Fluid DAILY

448 1120 Potassium (Urine Random/Spot) 900 Urine (Random/Spot) NEXT DAY

Page 15 of 22
 Standard

Code Test Name Rate Sample Reporting Time

449 3403 Pregnancy Test (UPT) 800 Urine (Random/Spot) Same Day After 1 Hour

450 0031 ProBNP (N-t) II 3000 3- 5cc Clotted Blood or Serum SAME DAY

451 4108 Progesterone 2000 3- 5cc Clotted Blood or Serum DAILY

452 4107 Prolactin Level (Serum) 1500 3- 5cc Clotted Blood or Serum DAILY

453 1348 Protein - C 4500 Sodium Citrate Tube (PT Vial) AFTER ONE WEEK

454 1349 Protein - S 4500 Sodium Citrate Tube (PT Vial) AFTER ONE WEEK

455 1113 Protein (24 Hours Urine) 600 24 Hrs Urine DAILY

456 34561 Protein (CSF) 600 CSF SAME DAY

457 1645 Protein (Fluid) 600 Fluid DAILY

458 2344 Protein (Serum) 600 3- 5cc Clotted Blood or Serum SAME DAY

459 1606 Protein (Urine Random/Spot) 600 Urine (Random/Spot) SAME DAY

460 1621 Protein / Creatinine Ratio (Urine Random/Spot) 1200 Urine (Random/Spot) DAILY

461 5010 Protein Electrophoresis (Serum) 3000 3- 5cc Clotted Blood or Serum AFTER 10 DAYS

462 4307 PSA (Prostate Specific Antigen) 2400 3- 5cc Clotted Blood or Serum DAILY

463 1305 PT with INR 1000 Sodium Citrate Tube (PT Vial) Same Day After 8 Hour

464 8024 Pus For AFB Stain / ZN Stain 800 PUS SAME DAY

465 8065 Pus For AFB C/S (Mycobacterium Tuberculosis) 4000 PUS AFTER 8 WEEKS

466 4620 PUS for C/S (Bacterial Culture & sensitivity) 2100 PUS AFTER THREE DAYS

467 1221 Pus For Cytology 2100 PUS NEXT DAY

468 8250 Pus For Fungus C/S 2100 PUS AFTER THREE WEEKS

469 8048 Pus For Gram Stain 800 PUS SAME DAY

470 8027 Pus Swab For AFB Stain / ZN Stain 800 PUS Swab SAME DAY

471 8074 Pus Swab For C/S (Bacterial Culture & sensitivity) 2100 PUS Swab AFTER THREE DAYS

472 8051 Pus Swab For Gram Stain 800 PUS Swab SAME DAY

Q 1021 14550 2 Vials of Lithium Heparin AFTER 10 DAYS

473 QuantiFERONE TB Gold Plus

R 1310 400 3cc EDTA Blood (CBC Vial) Same Day After 8 Hour
474 RBC

475 1366 RBC Morphology 700 3cc EDTA Blood (CBC Vial) DAILY

476 4402 Red Cell Folic Acid (RBC Folate Level) 2500 3cc EDTA Blood (CBC Vial) DAILY

477 0007 Reducing Substance (Urine Random/Spot) 600 Urine (Random/Spot) DAILY

478 1314 Reticulocytes 800 3cc EDTA Blood (CBC Vial) SAME DAY

479 1618 RFTs (Renal Function Test with eGFR) 1200 3- 5cc Clotted Blood or Serum Same Day After 6 Hour

Page 16 of 22
 Standard

Code Test Name Rate Sample Reporting Time

480 1628 RFTs (Urea, Creat with eGFR) 1600 3- 5cc Clotted Blood or Serum DAILY

481 1347 RH Antibodies (Anti D Antibodies) 1200 3-5cc EDTA Blood and Serum NEXT DAY

482 8126 RPOCs For C/S (Bacterial Culture & Sensitivity) 2100 RPOCs AFTER THREE DAYS

483 4701 Rubella IgG 1800 3- 5cc Clotted Blood or Serum NEXT DAY

484 4702 Rubella IgM 1800 3- 5cc Clotted Blood or Serum NEXT DAY

S 2589 1000 Ascitic Fluid and Serum DAILY

485 SAAG (Serum Ascites Albumin Gradient)

486 1207 Semen Analysis 2000 Semen Same Day After 8 Hour

487 8030 Semen For AFB Stain / ZN Stain 800 Semen SAME DAY

488 1208 Semen for C/S (Bacterial Culture & Sensitivity) 2100 Semen AFTER THREE DAYS

489 8054 Semen For Gram Stain 800 Semen SAME DAY

490 8100 Sequestrum For C/S (Bacterial Culture & Sensitivity) 2100 Sputum AFTER THREE DAYS

491 5050 Serum 25-OH Vitamin - D3 2400 3- 5cc Clotted Blood or Serum SAME DAY

492 3353 Serum Acetylcholine Receptor Antibodies (ACRA) 12000 3- 5cc Clotted Blood or Serum AFTER FIVE DAYS

493 1508 Serum Albumin 600 3- 5cc Clotted Blood or Serum SAME DAY

494 5017 Serum ANCA - C (PR-3) 3800 3- 5cc Clotted Blood or Serum DAILY

495 5568 Serum ANCA - P (MPO) 3800 3- 5cc Clotted Blood or Serum DAILY

496 5066 Serum Anti Gliadin IgA (Anti-DGP IgA) 2600 3- 5cc Clotted Blood or Serum AFTER THREE DAYS

497 2360 Serum Anti Gliadin IgG (Anti-DGP IgG) 2600 3- 5cc Clotted Blood or Serum AFTER THREE DAYS

498 4204 Serum Anti HBc (Total) 2500 3- 5cc Clotted Blood or Serum DAILY

499 4303 Serum Beta HCG 1500 3- 5cc Clotted Blood or Serum DAILY

500 2601 Serum Brucella IgG 1500 3- 5cc Clotted Blood or Serum NEXT DAY

501 2602 Serum Brucella IgM 1500 3- 5cc Clotted Blood or Serum AFTER TWO DAYS

502 1802 Serum CK-MB 1000 3- 5cc Clotted Blood or Serum DAILY

503 4134 Serum Dihydrotestosterone (DHT) 3000 3- 5cc Clotted Blood or Serum AFTER TWO WEEKS

504 1700 Serum Electrolytes (Na,K,Cl,HCO3) 1850 3- 5cc Clotted Blood or Serum Same Day After 6 Hour

505 5077 Serum Erythropoietin (EPO) 8000 3- 5cc Clotted Blood or Serum AFTER THREE DAYS

506 4606 Serum Ferritin 1800 3- 5cc Clotted Blood or Serum DAILY

507 4110 Serum Folic Acid (Folate Level) 2400 3- 5cc Clotted Blood or Serum DAILY

508 4213 Serum HAV IgG (Total Abs) 2400 3- 5cc Clotted Blood or Serum NEXT DAY

509 1818 Serum Human IgG-4 9500 3- 5cc Clotted Blood or Serum AFTER FIVE DAYS

510 4602 Serum IgA 1600 3- 5cc Clotted Blood or Serum NEXT DAY

Page 17 of 22
 Standard

Code Test Name Rate Sample Reporting Time

511 4605 Serum IgE 1600 3- 5cc Clotted Blood or Serum NEXT DAY

512 4603 Serum IgG 1600 3- 5cc Clotted Blood or Serum NEXT DAY

513 4604 Serum IgM 1600 3- 5cc Clotted Blood or Serum NEXT DAY

514 1803 Serum LDH 800 3- 5cc Clotted Blood or Serum SAME DAY

515 3265 Serum Lipoprotein A 6000 3- 5cc Clotted Blood or Serum AFTER THREE DAYS

516 1702 Serum Potassium (K) 800 3- 5cc Clotted Blood or Serum SAME DAY

517 1547 Serum Procalcitonin (PCT) 7500 3- 5cc Clotted Blood or Serum NEXT DAY

518 3440 Serum RA Factor (Quantitative) 1800 3- 5cc Clotted Blood or Serum SAME DAY

519 1701 Serum Sodium (Na) 800 3- 5cc Clotted Blood or Serum SAME DAY

520 4408 Serum Vancomycin 3000 3- 5cc Clotted Blood or Serum AFTER THREE DAYS

521 2808 Serum VDRL / Syphilis 1800 3- 5cc Clotted Blood or Serum DAILY

522 3751 SGOT (AST) 600 3- 5cc Clotted Blood or Serum DAILY

523 1504 SGOT (AST) 600 3- 5cc Clotted Blood or Serum SAME DAY

524 15155 SGPT (ALT) 600 3- 5cc Clotted Blood or Serum DAILY

525 1503 SGPT (ALT) 600 3- 5cc Clotted Blood or Serum SAME DAY

526 0125 SHBG (Sex Hormone Binding Globulin) 4000 3- 5cc Clotted Blood or Serum NEXT DAY

527 8085 Skin Scraping for Fungus Stain 1200 Skin Scraping NEXT DAY

528 3506 Sodium (24 Hours Urine) 1000 24 Hrs Urine DAILY

529 1526 Sodium (Fluid) 800 Fluid DAILY

530 3507 Sodium (Urine Random/Spot) 800 Urine (Random/Spot) AFTER ONE DAY

531 5570 Specific Gravity 500 Urine (Random/Spot) DAILY

532 2587 Specific Gravity (24 Hours Urine) 500 24 Hrs Urine AFTER ONE DAY

533 8064 Sputum For AFB C/S (Mycobacterium Tuberculosis) 4000 Sputum AFTER 8 WEEKS

534 5601 Sputum for AFB Stain ( X 3 Sputum) 1600 Sputum Of 3 Days DAILY

535 8010 Sputum For AFB Stain / ZN Stain 800 Sputum SAME DAY

536 4619 Sputum For C/S (Bacterial Culture & Sensitivity) 2100 Sputum AFTER THREE DAYS

537 1209 Sputum For Cytology 2100 Sputum NEXT DAY

538 8152 Sputum for Fungus Stain 1200 Sputum NEXT DAY

539 8034 Sputum For Gram Stain 800 Sputum SAME DAY

540 1215 SPUTUM FOR MTB BY PCR 8000 Sputum SATURDAY

541 1983 Stone Analysis (Gall Balder ) 2500 Stone AFTER THREE DAYS

Page 18 of 22
 Standard

Code Test Name Rate Sample Reporting Time

542 2001 Stone for Chemical Analysis 2500 Stone AFTER TWO DAYS

543 8091 Stool For C/S (Bacterial Culture & Sensitivity) 2100 Stool AFTER THREE DAYS

544 12554 Stool For Clostridium-Difficile Toxin 5000 Stool NEXT DAY

545 1203 Stool for Helicobacter Pylori Antigen 2400 Stool DAILY

546 1204 Stool for Occult Blood 800 Stool SAME DAY

547 1202 Stool pH 600 Stool Same Day After 8 Hour

548 1200 Stool Routine Examination 1000 Stool Same Day After 2 Hour

549 1407 Sugar 1 1/2 HRS 400 Sodium Fluoride Containing Sample SAME DAY

550 1427 Sugar 1 1/2 hrs (After 75 Grams Glucose) 400 Sodium Fluoride Containing Sample SAME DAY

551 5302 Sugar 1 1/2 hrs (ABF) 400 Sodium Fluoride Containing Sample SAME DAY

552 1421 Sugar 1 hour (ABF After 50 Grams Glucose) 400 Sodium Fluoride Containing Sample SAME DAY

553 1420 Sugar 1 hour (After 50 Grams Glucose) 400 Sodium Fluoride Containing Sample SAME DAY

554 1419 Sugar 1 hour (After 75 Grams Glucose) 400 Sodium Fluoride Containing Sample SAME DAY

555 5303 Sugar 1 hour ( ABF) 400 Sodium Fluoride Containing Sample SAME DAY

556 1406 Sugar 1 hour (PP) 400 Sodium Fluoride Containing Sample SAME DAY

557 1435 Sugar 1 hrs (Urine Random/Spot) 400 Urine (Random/Spot) SAME DAY

558 1405 Sugar 1/2 hour 400 Sodium Fluoride Containing Sample SAME DAY

559 1428 Sugar 1/2 Hour After 75 Grams Glucose 400 Sodium Fluoride Containing Sample SAME DAY

560 1408 Sugar 2 1/2 hrs 400 Sodium Fluoride Containing Sample SAME DAY

561 5304 Sugar 2 1/2 hrs ABF 400 Sodium Fluoride Containing Sample SAME DAY

562 5301 Sugar 2 hrs ABF 400 Sodium Fluoride Containing Sample SAME DAY

563 1426 Sugar 2 hrs after 50 Grams Glucose 400 Sodium Fluoride Containing Sample SAME DAY

564 1423 Sugar 2 hrs After 75 Grams Glucose 400 Sodium Fluoride Containing Sample SAME DAY

565 1402 Sugar 2 hrs. PP 400 Sodium Fluoride Containing Sample SAME DAY

566 5305 Sugar 3 hrs ABF 400 Sodium Fluoride Containing Sample SAME DAY

567 1417 Sugar 4 hrs 400 Sodium Fluoride Containing Sample SAME DAY

568 1418 Sugar 5 hrs 400 Sodium Fluoride Containing Sample SAME DAY

569 1123 Sugar After 1-1/2 Hours (Urine Random/Spot) 400 Urine (Random/Spot) SAME DAY

570 1433 Sugar After 2 hrs 400 Sodium Fluoride Containing Sample SAME DAY

571 1434 Sugar After 3 Hrs 400 Sodium Fluoride Containing Sample SAME DAY

572 1415 Sugar After Dinner 400 Sodium Fluoride Containing Sample SAME DAY

Page 19 of 22
 Standard

Code Test Name Rate Sample Reporting Time

573 1412 Sugar After Lunch 400 Sodium Fluoride Containing Sample SAME DAY

574 1411 Sugar before Lunch 400 Sodium Fluoride Containing Sample SAME DAY

575 3518 Sugar Fasting (Urine Random/Spot) 400 Urine (Random/Spot) SAME DAY

576 3520 Sugar Random (Urine Random/Spot) 400 Urine (Random/Spot) SAME DAY

577 1432 Suhar 1 hrs 400 Sodium Fluoride Containing Sample SAME DAY

578 1409 Suhar 3 hrs 400 Sodium Fluoride Containing Sample SAME DAY

579 5100 Swab for C/S (Bacterial Culture & Sensitivity) 2100 Swab AFTER THREE DAYS

580 8029 Synovial Fluid For AFB Stain / ZN Stain 800 Synovial Fluid SAME DAY

581 8078 Synovial Fluid For C/S (Bacterial Culture & Sensitivity) 2100 Synovial Fluid AFTER THREE DAYS

582 8077 4000 Synovial Fluid AFTER 8 WEEKS

Synovial Fluid For AFB C/S (Mycobacterium
Tuberculosis)

583 8101 Synovial Fluid For Cytology 2100 Synovial Fluid NEXT DAY

584 8053 Synovial Fluid For Gram Stain 800 Synovial Fluid SAME DAY

585 0127 Synovial Fluid R/E 2100 Synovial Fluid Same Day After 3 Hour

T 4419 7200 3cc EDTA Blood (CBC Vial) AFTER THREE DAYS
586 Tacrolimus (Whole Blood)

587 4124 Testosterone (Total) 2400 3- 5cc Clotted Blood or Serum DAILY

588 8025 Throat Swab For AFB Stain / ZN Stain 800 Throat Swab SAME DAY

589 4618 Throat Swab for C/S (Bacterial Culture & Sensitivity) 2100 Throat Swab AFTER THREE DAYS

590 8049 Throat Swab For Gram Stain 800 Throat Swab SAME DAY

591 4949 Thyroid Cyst Fluid For C/E 2100 Fluid Same Day After 12 Hour

592 4100 Thyroid Function Test TFT (T3,T4,TSH) 2950 3- 5cc Clotted Blood or Serum Same Day After 6 Hour

593 27031 TIBC (Total Iron Binding Capacity) 1000 3- 5cc Clotted Blood or Serum NEXT DAY

594 8211 TiP for C/S (Aerobic) (Bacterial Culture & Sensitivity) 2100 TIP AFTER THREE DAYS

595 8107 TIP For C/S (Bacterial Culture & Sensitivity) 2100 TIP AFTER THREE DAYS

596 8080 Tissue For AFB C/S (Mycobacterium Tuberculosis) 4000 Vitreous Fluid AFTER 8 WEEKS

597 8120 Tissue for AFB Stain / ZN Stain 800 Tissue AFTER FOUR DAYS

598 8108 Tissue For C/S (Bacterial Culture & Sensitivity) 2100 Tissue AFTER THREE DAYS

599 4176 Tissue for Gram Stain 800 3- 5cc Clotted Blood or Serum AFTER ONE DAY

600 4700 Torch Profile (IgG , IgM) 8000 3- 5cc Clotted Blood or Serum NEXT DAY

601 4613 Torch Profile (IgG) 4000 3- 5cc Clotted Blood or Serum NEXT DAY

602 4157 Torch Profile (IgM) 4000 3- 5cc Clotted Blood or Serum NEXT DAY

Page 20 of 22
 Standard

Code Test Name Rate Sample Reporting Time

603 1543 Total Bilirubin (Fluid) 800 Fluid SAME DAY

604 6053 Total Protein 600 3- 5cc Clotted Blood or Serum DAILY

605 1507 Total Protein 600 3- 5cc Clotted Blood or Serum SAME DAY

606 6038 Total Protein 600 3- 5cc Clotted Blood or Serum DAILY

607 4101 Total T3 1100 3- 5cc Clotted Blood or Serum DAILY

608 4102 Total T4 1100 3- 5cc Clotted Blood or Serum DAILY

609 4703 Toxoplasma IgG 2000 3- 5cc Clotted Blood or Serum NEXT DAY

610 4704 Toxoplasma IgM 2000 3- 5cc Clotted Blood or Serum NEXT DAY

611 4328 2100 Tracheal Secretion AFTER THREE DAYS

Tracheal Secretion for C/S (Bacterial Culture &
Sensitivity)

612 2227 Tracheal Tube Secretion for Gram Stain 800 Tracheal Secretion DAILY

613 5554 Transferrin Saturation 1600 3- 5cc Clotted Blood or Serum NEXT DAY

614 1903 Triglycerides 600 3- 5cc Clotted Blood or Serum SAME DAY

615 1807 Troponin - T 2000 3cc EDTA Blood (CBC Vial) SAME DAY

616 0030 Troponin-I (High Sensitive) 2200 3cc EDTA Blood (CBC Vial) SAME DAY

617 4103 TSH 1100 3- 5cc Clotted Blood or Serum DAILY

618 3435 TSH Receptor Antibodies 4500 3- 5cc Clotted Blood or Serum AFTER FOUR DAYS

619 8113 T-Spot TB Test 13000 2 Vials of Lithium Heparin Tube of BD Only AFTER FIVE DAYS

620 4801 Typhoid (IgG,IgM) 1300 3- 5cc Clotted Blood or Serum SAME DAY

U 3510 800 24 Hrs Urine SAME DAY

621 Urea (24 Hours Urine)

622 2346 Urea (Fluid) 800 Fluid SAME DAY

623 1601 Urea (Serum) 500 3- 5cc Clotted Blood or Serum SAME DAY

624 1605 Urea (Serum)* 900 3- 5cc Clotted Blood or Serum NEXT DAY

625 1614 Urea (Urine Random/Spot) 600 Urine (Random/Spot) SAME DAY

626 8147 Urea / Creatinine Ration 1200 Spot Urine SAME DAY

627 2347 Urea Clearance Test (24 Hours Urine) 2100 24 Hrs urine & Serum DAILY

628 8121 2100 Swab AFTER THREE DAYS

Uretheral Swab For C/S (Bacterial Culture &
Sensitivity)

629 7777 Urethral Smear for Gram Stain 800 Slides AFTER ONE DAY

630 3512 Uric Acid (24 Hours Urine) 800 24 Hrs Urine SAME DAY

631 2348 Uric Acid (Fluid) 800 Fluid SAME DAY

632 2704 Uric Acid (Serum) 800 3- 5cc Clotted Blood or Serum DAILY

Page 21 of 22
 Standard

Code Test Name Rate Sample Reporting Time

633 1151 Uric Acid (Serum) * 800 3- 5cc Clotted Blood or Serum DAILY

634 1612 Uric Acid (Urine Random/Spot) 800 Urine (Random/Spot) SAME DAY

635 2349 Uric Acid / Creatinine Ration (Random / Spot Urine) 1200 Urine (Random/Spot) SAME DAY

636 8130 Urine for AFB C/S (Mycobacterium Tuberculosis) 4000 Urine (Random/Spot) AFTER 8 WEEKS

637 1101 Urine for C/S (Bacterial Culture & Sensitivity) 2100 Urine (Random/Spot) AFTER THREE DAYS

638 1100 Urine Routine Examination 400 Urine (Random/Spot) Same Day After 1 Hour

V 0029 2000 3- 5cc Clotted Blood or Serum AFTER THREE DAYS

639 Valporic Acid ( Epival )

640 1108 Vanillylmandelic Acid (VMA) (24 Hours Urine) 4000 24 Hrs Urine AFTER THREE DAYS

641 5582 Varicella Zoster Virus (Chicken Pox) IgG Antibodies 4000 3- 5cc Clotted Blood or Serum AFTER THREE DAYS

642 3336 Varicella Zoster Virus (Chicken Pox) IgM Antibodies 4000 3- 5cc Clotted Blood or Serum AFTER THREE DAYS

643 397 Venous Blood Gases (VBGs) 1750 Heparinized Blood DAILY

644 4111 Vitamin B-12 (Serum) 2000 3- 5cc Clotted Blood or Serum DAILY

645 8079 Vitrous Fluid For C/S (Bacterial Culture & sensitivity) 2100 Vitreous Fluid AFTER THREE DAYS

646 8055 Vitrous Fluid For Gram Stain 800 Vitreous Fluid SAME DAY

647 8033 Vitrous For AFB Stain / ZN Stain 800 Vitreous Fluid SAME DAY

648 8528 VLDL ( Cholesterol ) 800 3- 5cc Clotted Blood or Serum DAILY

649 8585 Von Willebrand Factor Antigen 3500 Sodium Citrate Tube (PT Vial) AFTER ONE WEEK

W 2357 2100 Water AFTER ONE WEEK

650 Water For C/S (Bacterial Culture & Sensitivity)

651 1302 WBC (TLC) 400 3cc EDTA Blood (CBC Vial) Same Day After 8 Hour

652 1813 WBC Morphology 700 3cc EDTA Blood (CBC Vial) Same Day After 8 Hour

653 2548 Wound Swab AFB Culture 4000 Wound Swab AFTER 6 WEEKS

654 8026 Wound Swab For AFB Stain / ZN Stain 800 Wound Swab SAME DAY

655 0131 Wound Swab for C/S (Bacterial Culture & Sensitivity) 2100 Wound Swab AFTER THREE DAYS

656 8050 Wound Swab For Gram Stain 800 Wound Swab SAME DAY

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