| HEARING LOSS GENETIC Panels | CPT CODE |
|---|---|
| OtoSCOPE® Panel | 81430, 81431 |
| Usher Panel | 81404(x2), 81407(x3), 81408(x2), 81479(x2) |
| Aminoglycoside-Induced Hearing Loss Panel | 81401 |
| Other HEARING LOSS tests | CPT CODE |
|---|---|
| GJB2/6 (Connexin 26/30) | 81252, 81254 |
| GJB2/GJB6 (Connexin 26/30) Familial | 81253 |
| OtoSCOPE® Familial Variant Testing | 81403 |
| HEAR VUS Program | N/A |
| GENETIC KIDNEY TESTING | CPT CODE |
|---|---|
| Genetic Renal Panel including MLPA | 81479, 81405 |
| MLPA | 81405 |
| Genetic Renal Panel Familial Variant Testing | 81403 |
| Kidney Complement Panels | CPT Code |
|---|---|
| C3 Glomerulopathy Complement Panel (C3G-CP) | 86161 (x5), 83516 (x2), 86160 (x11), 83520, 86334, 86162 |
| aHUS (Complement-Mediated TMA) Panel (aHUS_FP) | 83516 (x2), 83520, 86160 (x11), 86161 (x2), 86162, 86334 |
| Autoantibody Panel (AAP) | 83516 (x2), 86161(x3), 86334 |
| Complement Biomarker Panel (CBP) | 83520, 86160 (x10) |
| Complement Pathway Activity Panel (CPAP) | 86161 (x2), 86162 |
| Kidney FUNCTIONAL TESTS A LA CARTE | CPT CODE |
|---|---|
| CH50 | 86161 |
| Alternative Pathway Functional Assay (APFA) | 86161 |
| C3b Deposition Assay | 86162 |
| Fluid Phase Activity Assay (IFE) | 86334 |
| Factor H Autoantibody (FHAA) | 83516 |
| Factor B Autoantibody (FBAA) | 83516 |
| C3Nef (C3CSA) | 86161 |
| C5Nef (C3CSAP) | 86161 |
| C4Nef | 86161 |
| Kidney Biomarker Tests a la carte | CPT CODE |
|---|---|
| C3 Level | 86160 |
| C3c Level | 86160 |
| C4 Level | 86160 |
| Factor D Level (FD) | 86160 |
| Factor B Level (FB) | 86160 |
| Ba Level | 86160 |
| Bb Level | 86160 |
| C5 Level | 86160 |
| Properdin Level | 86160 |
| Soluble C5b-9 (sC5b-9) | 83520 |
| Factor I Level (FI) | 86160 |
| Factor H Level (FH) | 86160 |
| ADAmts-13 Assays | CPT CODE |
|---|---|
| ADAMTS-13 Activity Assay | 85397 |
| ADAMTS-13 Activity Assay w/ reflex to ADAMTS-13 Inhibitor Assay if activity <25% | 85397, 85335 |
Prices & tests offered subject to change on a quarterly basis. Effective 1/1/2024
The Clinical Diagnostics Service of the Molecular Otolaryngology and Renal Research Laboratories is a Joint Commission-approved CLIA-accredited diagnostic laboratory.