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Frequently Ordered Panels

Panel Name LIS Test Code  Tests Included
Basic Metabolic Panel (BMP) BMP Na,K, Cl, CO2, BUN, Glucose, Creatinine, Total Calcium
Comprehensive Metabolic Panel CMP Albumin, Total Bilirubin, Total Calcium, CO2, Creatinine, Glucose, Na, BUN
Hepatic Function Panel LIVER Albumin, Total Bilirubin, Conjugated Bilirubin, Total Protein, Alkaline Phos, AST, ALT.
Electrolyte Panel LYTES Na, K, Cl, CO2
Lipid Panel LIPID Triglyceride, Cholesterol, HDL, LDL-C, Chylo
Acute Hepatitis Panel HEPACU HBsAg, HBCoreM, HCV, HBAIgM HEPBN (Check)
Thyroid Panel THYR1 TSH, and Free T4 if indicated
Complete Blood Count CBC WBC, RBC, HGB, HCT, MCV, MCH, MCHC, RDW, Platelets, MPV,NRBCS
Complete Blood Count with Differential CBCWD CBC plus Differential
Differential DIFF POLY, LYMPH, MONOS, EOS, BASO and morphology as indicated

For tests under Local Medical Review Policy (LMRP), if an ICD9 code is not provided, your office will be contacted to provide additional diagnosis information.