Laboratory Medicine Services

The Medical Services Commission (MSC) Payment Schedule – Chapter 40 Laboratory Medicine (PDF, 292KB) contains the complete list of fees approved by the MSC payable to approved laboratory facilities for insured laboratory services provided to beneficiaries enrolled  with the Medical Services Plan (MSP).

Registered Nurses in Certified Practice should refer to the chapter on Laboratory Medicine for limits and conditions associated with the specific fee items (listed in the table below) that RN C’s may order for their patients.

RN (C)’s may only refer beneficiaries for outpatient MSP-funded laboratory services (procedures or tests) contained within this list, provided the service falls within their certified scope of practice.

List of RN (C) Laboratory Medicine Tests

Registered Nurses (Certified) may refer beneficiaries for the following prescribed outpatient MSP-funded laboratory services, provided the service falls within their scope of practice.

Laboratory Testing Menu for Registered Nurses (Certified) (RN(C)s)

Fee Code

Test

Haematology & Blood Bank

T90205

 Haematology profile

Microbiology

P90615

Antibiotic susceptibility test - semi-quantitative per organism

90620

Biochemical identification of micro-organism - per organism

90640

Candida Culture

90651

Chlamydia trachomatis using NAAT - urine

90652

Chlamydia trachomatis using NAAT - urogenital swab

P90653

Gonorrhea by NAAT - urine

P90654

Gonorrhea by NAAT - urogenital swab

T90675

Hepatitis B Antigen Note: T90675 only to be performed if HbsAg is positive

90685

Hepatitis A - IgM (anti-HAV-IgM)

90690

Hepatitis B core antibody (anti-HBc)

90700

Hepatitis B surface antibody (anti-HBs)

91765

Hepatitis B surface antigen (HBsAg)

90720

Routine culture

T90725

Serological identification of bacterial micro-organism

T90736**

Cervical culture

T90737**

Vaginal culture

T90738**

Urethral culture

90740

Stained smear

T90745

Stool culture

P90750

Biochemical identification of micro-organism in stool

90760*

Streptococci - rapid test

90775**

Throat or nose culture

P90780**

Throat or nose culture - each additional culture

P90784

Trichomonas Antigen Test

P90785

Trichomonas and/or Candida, direct examination

90790

Urine Colony Count Culture

Ova and Parasites

90795

Examination for Pinworm Ova

90800

Stool examination, concentration methods

90805

Macroscopic examination of parasite and/or direct microscopic examination

90810

Stool examination, search for amoebae and/or permanent stain smear

Virology

P90830

Virus isolation

Chemistry

91707

Glucose quantitative - serum/plasma

92006

FIT analysis only

92007

Sample collection only

92108

Pregnancy Test - immunologic urine

P92355

Troponin

92382

Urinalysis - complete diagnostic, semi-quant and micro

92385

Urinalysis - chemical or any part of

T92390

 Urinalysis, macroscopic, to include any/all of dipstick, specific gravity, visual

92391

Urinalysis - Microscopic examination of a centrifuged deposit

P92395

Urinalysis - microscopic

Miscellaneous

93120

ECG tracing, without interpretation  

For Laboratory Use Only

90000

Venepuncture Fee      

91000

Primary Base Fee       

91005

Primary Base Fee (collecting laboratory)       

91010

Primary Base Fee (referral laboratory)

Test Ordering Chart

The RN(C) Test Ordering Chart maps the CRNBC’s Decision Support Tools (DST) for all certified practice categories to the appropriate box on the standard outpatient laboratory requisition.

CRNBC

Orderable Test List

Standard Outpatient Lab Requisition Section

 (Tick box or Free text)

Blood Glucose

CHEMISTRY

  • Glucose fasting or;
  • Glucose__ hours post meal

Cardiac Troponins

OTHER TESTS
free text order  “Troponin”

ECG

OTHER TESTS

  • ECG

Hemoglobin

HEMATOLOGY

  • Hematology profile

Hepatitis A, B and C 

 

Hep  A – anti HAV – IgM
Hep A - anti-HAV total
Hep B - anti HBc total
Hep B - anti HBs
Hep B – HbsAg
Hep C – anti HCV

HEPATITIS SEROLOGY (order by investigation query as per lab requisition tick boxes)

  • Acute Viral Hepatitis of undefined etiology
  • Chronic Viral Hepatitis of undefined etiology
  • Investigation of Hepatitis immune status
  • Hepatitis Markers (e.g. HBsAg or Other as free text)
  • Free Text

Hepatitis Viruses
HCV (PCR)*

OTHER TESTS

Free Text Order  “HCV (PCR)”*

Rabies*

OTHER TESTS

Free text order “Rabies”

HIV Serology*

HIV SEROLOGY

  • Nominal reporting or;
  • Non-nominal reporting

Anti HIV 1 & 2*

OTHER TESTS

Free text order “Anti HIV 1 & 2”*

Pregnancy test – urine

URINE TESTS

  • Pregnancy test

Rapid Strep Test

OTHER TESTS

Free text order – Rapid Step test

Stool C&S

MICROBIOLOGY (Stool Specimens)

  • Stool culture

Stool for O&P

MICROBIOLOGY (Stool Specimens)

  • Stool ova & parasite exam

Examination for Pinworm ova*

OTHER TESTS

Free text order  “Pinworm examination”

Stool for Occult Blood

OTHER TESTS

  • Fecal Occult blood

Swabs for CS

MICROBIOLOGY (Routine culture) List current antibiotics

  • Indicate site e.g. Superficial /Deep Wound or other site____

Swabs for Pertussis*

MICROBIOLOGY  (Culture or PCR)

  • Pernasal swab - optimal specimen

Sputum C&S

MICROBIOLOGY (Routine culture)

  • Sputum as site

Urinalysis Tests (order as per lab requisition to comply with MSC guidelines)
Urinalysis

Urine macroscopic (dipstick)

Urine Microscopic

Urine for R&M (special case as per MSC)

Urine C& S

URINE TESTS

  • Macroscopic - micro if dipstick positive
  • Macroscopic
  • Macroscopic - Microscopic if dipstick positive
  • Macro and Micro (Special Case if ordered together)
  • Urine Culture – list current antibiotics

Vaginal Swabs (Recommend ordering as per lab requisition)
Nugent Score for BV

Gram Stain for Trichomonas

Wet mount for Trichomoniasis, yeast and clue cells

Trichomoniasis Antigen

Vaginal Culture

MICROBIOLOGY (Vaginitis)

 

  • Initial (smear for BV & yeast only)
  • Not aligned with the lab req. order (Chronic/recurrent (smear, culture, trichomonas)
     
  • Trichomonas testing  (Trichomonas Antigen)
  • Specify site if Vaginal culture is required

Vaginal pH

Vaginal KOH whiff test

Not lab orders

NAAT for GC and CT - urine

NAAT for GC and CT - swab

GC Culture and sensitivity (C&S)

(includes any specimen type)

Urethral swab for pmns, TID and Culture

MICROBIOLOGY (Chlamydia(CT) & Gonorrhea (GC)

  • Source/site e.g. Urine specimen
  • Source/site e.g. Urethra, Cervix (rectal)
  • Indicate specimen source (throat , rectal, other _)

HSV Type 1 & 2*
(Various specimens – swabs)

OTHER TESTS
Order free text – HSV Type 1 & 2*and indicate specimen type or site e.g. perineal swab, rectal,vaginal or genital ulcers or lesions

Syphilis *

Dark Field Microscopy

Direct Fluorescent Ab testing

OTHER TESTS

Free text order –“ Dark field microscopy” or “Direct

Fluorescent antibody testing using (DFA)”

HSV IgG or HSV Type specific*
(Blood specimen)

OTHER TESTS or use PHSA
Order as free text “HSV – IgG or type specific”*

Syphilis*

Syphilis screening (TPS)*

Syphilis Confirmatory (TPSC)*

OTHER TESTS

Order as free text – Syphilis screen

Order as free text – Syphilis confirmatory – Note History is required for Confirmatory testing

Pap Smear**

**Use BCCA slide specimen containers and Cytology requisition

TB Skin Test

Not a lab order

Single Asterisk tests are sent to PHSA BCCDC laboratories for testing and may require additional clinical information. PHSA laboratory requisitions are available online at http://www.bccdc.ca/PHSALaboratories.