Posted Date
Effective Date
Update Type Specimen collection or handling and/or storage changed
CPT Code 86780
Order Code MMLR
Referral Laboratory Mayo Medical Laboratories

Effective July 21, 2020, Syphilis Antibody, IgG (MMLR) test will change per Mayo Medical Laboratories. See below.

 

Current Reflex Tests

 

New Reflex Tests

Test ID

Reporting Name

Available Separately

Always Performed

 

Test ID

Reporting Name

Available Separately

Always Performed

RPRS

RPR Screen w/ Reflex, S

No

No

 

RPRS

RPR Screen w/ Reflex, S

No

No

RTPPA

Syphilis Ab, TP-PA, S

Yes (Order TPPA)

No

 

RTPPA

Syphilis Ab, TP-PA, S

Yes (Order TPPA)

No

RRPRQ

RPR Titer, S

No

No

 

RRPRQ

RPR Titer, S

No

No

SYPNB

Syphilis Total Ab Bill only 1

No (Bill Only

No

 

SYPNB

Syphilis Total Ab Bill only 1

No (Bill Only

No

SYPPB

Syphilis Total Ab Bill Only 2

No (Bill Only)

No

 

 

 

 

 

 

Current Algorithm

 

New Algorithm

If syphilis total (SYPHT) is nonreactive, billing will be

captured under SYPNB.

 

Syphilis total (SYPHT) billing will be captured under

SYPNB.

If syphilis total (SYPHT) is reactive or equivocal, then

rapid plasma reagin (RPRS) will be performed. Billing

will be captured under SYPPB.

 

If syphilis total (SYPHT) is reactive or equivocal, then

rapid plasma reagin (RPRS) will be performed at an

additional charge.

If RPRS is reactive, then RPR titer (RRPRQ) will be

performed at an additional charge

 

If RPRS is reactive, then RPR titer (RRPRQ) will be

performed at an additional charge.

If RPRS is nonreactive, then syphilis antibody (RTPPA)

will be performed at an additional charge.

 

If RPRS is nonreactive, then syphilis antibody (RTPPA)

will be performed at an additional charge