Laboratory Medicine Services

Last updated on April 11, 2017

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

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

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.

Learn more about how to make a referral.

Make an Outpatient Referral

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Laboratory Medicine Services

List of RN (C) Laboratory Medicine Tests

Test Ordering Chart

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How to Make a Referral