Important Note

Tests included are: Albumin, Alkaline Phosphatase, ALT, AST, Creatinine, Total and Direct Bilirubin, and Hemagram and differential.

Test subject to Medicare Local Medical Review Policy.  See individual tests. 

If a Methotrexate Level is needed, a red top tube will need to be submitted to perform this testing.

When ordering a custom panel, Medicare requires the clinician confirm each test in the panel is medically necessary for the patient’s treatment. By regulation, annually we will send a physician acknowledgement letter to ordering clinicians requesting a signature attesting to medical necessity review.