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Test ID: MEVP
Methemoglobinemia Evaluation

List Fee Provides the Mayo Medical Laboratories list fee for performing the test

$914.50

The following test(s) may be added per the testing algorithm:

$158.90 for #8270 Hemoglobin F, Red Cell Distribution, Blood

$128.50 for #9095 Hemoglobin, Unstable, Blood

$86.60 for #9180 Hemoglobin S, Screen, Blood

$126.60for #60286 Hemoglobin Variant by Mass Spectroscopy, Blood

$54.10 for #81644 IEF Confirms

$366.80 for #29374 Hemoglobin Electrophoresis, Molecular

CPT Code Information Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Medical Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.

Methemoglobinemia Evaluation

82657-Methemoglobin reductase

83020-Hemoglobin electrophoresis

83021-Hemoglobin A2 and F

83050-Methemoglobin, quantitative

83060-Sulfhemoglobin, quantitative

 

IEF Confirms

82664-Isoelectric focusing (if appropriate)

 

Hemoglobin, Unstable, Blood

83068 (if appropriate)

 

Hemoglobin Variant by Mass Spectrometry (MS), Blood

83789 (if appropriate)

 

Hemoglobin Electrophoresis, Molecular

83891-Isolation or extraction of highly purified nucleic acid (if appropriate)

83898 x 4-Amplification, target, each nucleic acid sequence (if appropriate)

83900-Amplification, target, multiplex, first 2 nucleic acid sequences (if appropriate)

83904 x 12-Mutation identification by sequencing, single segment, each segment (if appropriate)

83909 x 13-Separation and identification by high-resolution technique (if appropriate)

83914 x 8-Mutation identification by enzymatic ligation or primer extension, single segment, each segment (if appropriate)

 

Hemoglobin S, Screen, Blood

85660 (if appropriate)

 

Hemoglobin F, Red Cell Distribution, Blood

88184 (if appropriate)