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  Guidelines for Medical Necessity For Limited Coverage Tests

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MUSC Lab Services Responsibilities

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TESTS

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  • HIV Testing-Includes HIV-1 RNA Viral Load by Quant PCR, HIV Diagnosis Qualitative, HIV 1&2 Antibody, HIV Antigen p24, HIV Western Blot and HIV Qualitative PCR
  • Ionized Calcium
  • Iron Studies - Includes Ferritin, Iron and Transferrin
  • Lipid Studies - Includes Lipid Panel, Cholesterol, Lipoprotein Electrophoresis, Triglycerides, HDL Cholesterol and LDL Cholesterol, Direct
  • Magnesium - Serum, Fluid, Urine and 24HR Urine
  • Pap Smear - Includes ThinPrep, Conventional and for Hormonal Eval.
  • Phosphorus
  • Potassium-Serum and fluid
  • Protein, Total - Protein, Total Serum amd Protein Electrophoresis (serum)(EPR) (Total Protein required with EPR)
  • PSA (Prostate Specific Antigen)
  • PT (Prothrombin Time)
  • PTT (Partial Thromboplastin Time)
  • Rheumatoid Factor
  • Sedimentation Rate
  • Syphilis Testing - Qualitative Screen (RPR), Quantitative, VDRL Qualitative
  • Thyroid Testing - Thyroxine; total (T4) , Thyroxine; free (T4 Free) and Thyroid Stimulating Hormone (TSH)
  • Urinalysis - Routine Urinalysis, Urine Hgb, Urine Bilirubin, Urine pH, Urine Specific Gravity
  • Vitamin B12
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