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SpectraCell Laboratories has become the leader in innovative clinical testing by
   utilizing the most advanced technology, providing the highest quality service to our
   physician clients, and understanding the ultimate responsibility is towards patient care.




COMPREHENSIVE
A N A LY S I S
   VITAMINS




                                                           50%
   MINERALS
 AMINO ACIDS
ANTIOXIDANTS                                                           of those
  FATTY ACIDS                                              taking supplements
 METABOLITES                                               will remain de cient.
CARBOHYDRATE
 METABOLISM



   Call 800.227.LABS (5227) or visit us online at www.SpectraCell.com
Micronutrient
                                                                                                     Testing
                                                                            Features and Bene ts
                                    Uses active peripheral lymphocytes instead of serum
                                    Measures the end point of DNA synthesis
                                    Re ects nutrient status over the last 4-8 months
    Micronutrient
                                    Measures how micronutrients and antioxidants are actually functioning within the white blood cells
       Testing                      Re ects total metabolic function rather than isolated biochemical pathways
                                    Demonstrates the intracellular func tion of micronutrients simultaneously
                                    Gives physicians the ability to tailor treatment plans to each patient’s speci c requirements rather than to “norms”

                                    Provides a more accurate measurement of long term functional nutritional levels
                                    Are host to cell-mediated immune system
     Testing                        Possesses metabolic pathways common to other cells
                                    Contains nucleus which permits rapi d DNA synthesis and cell growth
   Lymphocytes
                                    Measures DNA synthesis and cell growth
                                    Are easily available in large numbers from a standard blood draw
                                    Indicates if nutrients are being absorbed and functioning properly

                                    Knowing nutritional risk factors and treating their causes can contribute to the arrest or prevention of many
     Clinical                       degenerative conditions
                                    Patients derive signi cant bene ts
   Applications                     Measuring and correcting vitamin de ciencies are essential for patients concerned with wellness and anti-aging
                                    Micronutrient testing provides important baseline tests to identify de ciencies

                                    Allows physicians to get more sensitive and accurate nutritional reading
Measuring Functional
                                    Provides long term status, not just an immediate snapshot
     Levels                         Determines if the nutrient is being absorbed and functioning properly on the cellular level

                                    Gives the physicians an overall informative cardiovascular program, not just a lab number
Tests for B6, B12,
                                    Combines Micronutrient testing and HPLC methodology for Homocysteine
     Folate &                       Examines the cellular function of each individual to nd out what is needed to x the homocysteine problem
  Homocysteine                      and reduce risk, cardiovascular disease and stroke

                                    Percentage gives a total antioxidant measurement, not just one or two speci c values
  SPECTROX®    -                    Measures ability of cells to withstand attack from free radicals and other oxidative stresses (antioxidant reserve)
Antioxidant Testing                 Allows for early intervention to correct de ciencies and promote health
                                    Plays role in prevention and clinical treatment of a large variety of disease modalities

                                    No refrigeration or freezing
   Easy Sample
                                    Complete test kit and transportation provided
    Collection                      No centrifugation




 © 2009 SpectraCell Laboratories Inc. All rights reserved. DOC 305 06.09
 Visit us at www.spectracell.com or call us at 800.227.LABS ( 5227)                           ADVANCED CLINICAL TESTING
123456   Jane Doe
Dr. John Smith
123 Main St
Anytown, USA




                 SAMPLE
Jane Doe




SAMPLE
Jane Doe




SAMPLE
Jane Doe




SAMPLE
Jane Doe




SAMPLE
Jane Doe
       Jane Doe




SAMPLE
Jane Doe
        Jane Doe




SAMPLE
Jane Doe




SAMPLE
Nutrient                    Deficiency
              Functions     Symptoms
 NUTRIENT         POTENTIAL               WHAT IT DOES                                WHERE IT’S FOUND                           SYMPTOMS AND PROBLEMS
                              Antioxidant, regulates oxidation reactions,      Wheat germ, liver, eggs, nuts, seeds,           Skin, hair, rupturing of red blood cells,
                     VERY     stabilizes cell membrane, immune function,       cold - pressed vegetable oils,                  anemia, bruising, PMS, hot flashes,
  VITAMIN E
                   COMMON     protects against cardiovascular disease,         dark leafy greens, sweet potatoes, avocados,    eczema, psoriasis, cataracts, wound
                              cataracts, macular degeneration                  asparagus                                       healing, muscle weakness, sterility
                              Bones, teeth, helps heart, nerves, muscles,      Dairy, wheat/soy flour, molasses, Brewer’s      Osteoporosis, osteomalacia, osteoarthritis,
                     VERY     body systems work properly, needs other          yeast, Brazil nuts, broccoli, cabbage, dark     muscle cramps, irritability, acute anxiety,
  CALCIUM
                   COMMON     nutrients to function                            leafy greens, hazelnuts, oysters, sardines,     colon cancer risk
                                                                               canned salmon
                              Assists insulin function, increases fertility,   Supplementation, Brewer’s yeast, whole          Metabolic syndrome, insulin resistance,
 CHROMIUM          COMMON     carbohydrate/fat metabolism, essential for       grains, seafood, green beans, broccoli,         decreased fertility
                              fetal growth/development                         prunes, nuts, potatoes, meat

                              300 biochemical reactions, muscle/nerve          Green vegetables, beans, peas, nuts,            Appetite, nausea, vomiting, fatigue cramps,
                     VERY     function, heart rhythm, immune system,           seeds, whole unprocessed grains                 numbness, tingling, seizures, heart spasms,
 MAGNESIUM                                                                                                                     personality changes, heart rhythm
                   COMMON     strong bones, regulates calcium, copper,
                              zinc, potassium, vitamin D
                              Antioxidant, works with vitamin E, immune        Brewer’s yeast, wheat germ, liver, butter,      Destruction to heart/pancreas, sore
                              function, prostaglandin production               cold water fish, shellfish, garlic, whole       muscles, fragility of red blood cells,
  SELENIUM         COMMON
                                                                               grains, sunflower seeds, Brazil nuts            immune system


                              Supports enzymes, immune system, wound           Oysters, red meat, poultry, beans, nuts,        Growth retardation, hair loss, diarrhea,
                              healing, taste/smell, DNA synthesis, normal      seafood, whole grains, fortified breakfast      impotence, eye & skin lesions, loss of
                    MOST
    ZINC                      growth & development during pregnancy,           cereals, dairy                                  appetite, taste, weight loss, wound healing,
                   COMMON
                              childhood and adolescence                                                                        mental lethargy


                              Powerful antioxidant, stops oxidation of LDL     Oily fish, organ meats, whole grains            Congestive heart failure, high blood
                              cholesterol, energy production, important to                                                     pressure, angina, mitral valve prolapse,
   CO Q10          COMMON
                              heart, liver and kidneys                                                                         fatigue, gingivitis, immune system stroke,
                                                                                                                               cardiac arrhythmias




                                                                                                                                                                                  Copyright © 2009 SpectraCell Laboratories DOC 303 MicroNutrient
                              Energy, heart function, oxidize amino acids      Red meat, dairy, fish, poultry, tempeh          Elevated cholesterol, liver function,
                     LESS
  CARNITINE                   for energy, metabolize ketones                   (fermented soybeans), wheat, asparagus,         muscle weakness, reduced energy,
                   COMMON
                                                                               avocados, peanut butter                         impaired glucose control
  N - ACETYL                  Glutathione production, lowers                   Meats, ricotta, cottage cheese, yogurt,         Free radical overload, elevated
CYSTEINE (NAC)                homocysteine, lipoprotein (a), heal lungs,       wheat germ, granola, oat flakes                 homocysteine, cancer risk, cataracts,
                    MOST      inflammation, decrease muscle fatigue, liver                                                     macular degeneration, immune function,
       &
                   COMMON     detoxification, immune function                                                                  toxin elimination
GLUTATHIONE
                              Energy, blood flow to nerves, glutathione        Supplementation, spinach, broccoli, beef,       Diabetic neuropathy, reduced muscle mass,
 ALPHA LIPOIC
                   COMMON     levels in brain, insulin sensitivity,            Brewer’s yeast, some organ meats                atherosclerosis, Alzheimer’s, failure to thrive,
    ACID
                              effectiveness of vitamins C, E, antioxidants                                                     brain atrophy, high lactic acid
                              Bone formation, involved in healing process,     Oysters, seeds, dark leafy vegetables,          Osteoporosis, anemia, baldness, diarrhea,
                     LESS     energy production, hair and skin coloring,       organ meats, dried legumes, whole grain         general weakness, impaired respiratory
   COPPER
                   COMMON     taste sensitivity, stimulates iron absorption,   breads, nuts, shellfish, chocolate, soybeans,   function, myelopathy, decreased skin
                              helps metabolize several fatty acids             oats, blackstrap molasses                       pigment, reduced resistance to infection




                                                                                                                               WWW.SPECTRACELL.COM
Nutrient                    Deficiency
              Functions     Symptoms
 NUTRIENT         POTENTIAL               WHAT IT DOES                                   WHERE IT’S FOUND                            SYMPTOMS AND PROBLEMS
                              Carb. conversion, breaks down fats &               Pork, organ meats, whole grain and                Heart, age-related cognitive decline,
                     VERY
 VITAMIN B1                   protein, digestion, nervous system, skin, hair,    enriched cereals, brown rice, wheat germ,         Alzheimer’s, fatigue
                   COMMON     eyes, mouth, liver, immune system                  bran, Brewer’s yeast, blackstrap molasses
                              Metabolism, carb. conversion, breaks down          Brewer’s yeast, almonds, organ meats,             Anemia, decreased free radical protection,
                     VERY
 VITAMIN B2                   fats & protein, digestion, nervous system,         whole grains, wheat germ, mushrooms, soy,         cataracts, poor thyroid function, B6
                   COMMON
                              skin, hair, eyes, mouth, liver                     dairy, eggs, green vegetables                     deficiency, fatigue, elevated homocysteine
                              Energy, digestion, nervous system, skin,           Beets, Brewer’s yeast, meat, poultry, organ       Cracking, scaling skin, digestive problems,
                     LESS
 VITAMIN B3                   hair, eyes, liver, eliminates toxins, sex/stress   meats, fish, seeds, nuts                          confusion, anxiety, fatigue
                   COMMON
                              hormones, improves circulation
                              Enzyme, protein metabolism, RBC                    Poultry, tuna, salmon, shrimp, beef liver,        Depression, sleep and skin problems,
                              production, reduces homocysteine, nerve            lentils, soybeans, seeds, nuts, avocados,         confusion, anxiety, fatigue
 VITAMIN B6        COMMON
                              & muscle cells, DNA/RNA, B12 absorption,           bananas, carrots, brown rice, bran, wheat
                              immune function                                    germ, whole grain flour
                              Healthy nerve cells, DNA/RNA, red blood            Fish, meat, poultry, eggs, milk,                  Anemia, fatigue, constipation, loss of
                     VERY     cell production, iron function                     milk products                                     appetite/weight, numbness and tingling in
 VITAMIN B12
                   COMMON                                                                                                          the hands and feet, depression, dementia,
                                                                                                                                   poor memory, oral soreness
                              Carbs, fat, amino acid metabolism (the             Salmon, meats, vegetables, grains, legumes,       Depression, nervous system, premature
                     LESS     building blocks of protein)                        lentils, egg yolks, milk, sweet potatoes,         graying, hair, skin
   BIOTIN                                                                        seeds, nuts, wheat germ
                   COMMON


                              Mental health, infant DNA/RNA,                     Supplementation, fortified grains, tomato         Anemia, immune fuction, fatigue, insomnia,
                     VERY     adolescence & pregnancy, with B12 to               juice, green vegetables, black-eyed peas,         hair, high homocysteine, cardiovascular
   FOLATE
                   COMMON     regulate RBC production, iron function,            lentils, beans                                    disease
                              reduce homocysteine
                              RBC production, sex and stress-related             Meat, vegetables, whole grains, legumes,          Stress tolerance, wound healing, skin




                                                                                                                                                                                 Copyright © 2009 SpectraCell Laboratories DOC 303 MicroNutrient
                     LESS
PANTOTHENATE                  hormones, immune function, healthy                 lentils, egg yolks, milk, sweet potatoes,         problems, fatigue
                   COMMON
                              digestion, helps use other vitamins                seeds, nuts, wheat germ, salmon
                     LESS     Eyes, immune function, skin, essential cell        Milk, eggs, liver, fortified cereals, orange or   Night blindness, immune function, zinc
  VITAMIN A
                   COMMON     growth and development                             green vegetables, fruits                          deficiency, fat malabsorption
                              Enzyme activation, second messenger roles          Supplemention, broccoli, brussel sprouts,         Muscular and nervous irritability, muscle
                              (transmitting hormonal information), blood         cantaloupe, cauliflower, citrus, guava, kiwi,     spasms, muscle cramps and tetany, tooth
  VITAMIN C        COMMON     clotting, cell and cell organelle membrane         papaya, parsley, peas, potatoes, peppers,         decay, periodontal disease, depression,
                              function, nerve impulse transmission and           parsley, rose hips, strawberries and tomatoes     possibly hypertension
                              muscular contraction, tone and irritability
                     VERY     Calcium and phosphorus levels, calcium             Sunlight, milk, egg yolks, liver, fish            Osteoporosis, calcium absorption, thyroid
 VITAMIN D
                   COMMON     absorption, bone mineralization
                              Aids in the formation of clotting factors and      Kale, green tea, turnip greens, spinach,          Excessive bleeding, a history of bruising,
                     LESS     bone proteins and the formation of glucose         broccoli, lettuce, cabbage, beef liver,           appearance of ruptured capillaries or
  VITAMIN K
                   COMMON     into glycogen for storage in the liver             asparagus, watercress, cheese, oats, peas,        menorrhagia (heavy periods)
                                                                                 whole wheat



                                                                                                                                   WWW.SPECTRACELL.COM
Do the Prescriptions You Take
Deplete Your Nutritional Status?
SOURCE: DRUG-INDUCED NUTRIENT DEPLETION HANDBOOK, 2ND EDITION

                                                                          NUTRIENT
 DRUG                                                                     DEFICIENCY             POTENTIAL HEALTH PROBLEM
 ANTACIDS/ULCER MEDICATIONS                                               Vitamin B12            Anemia, depression, tiredness, weakness, increased cardiovascular risk
 Pepcid, Tagamet, Zantac, Prevacid,                                       Folic Acid             Birth defects, cervical dysplasia, anemia, heart disease, cancer risk
 Prilosec, Magnesium & Aluminum                                           Vitamin D              Osteoporosis, muscle weakness, hearing loss
 antacids                                                                 Calcium                Osteoporosis, heart and blood pressure irregularities, tooth decay
                                                                          Iron                   Anemia, weakness, fatigue, hair loss, brittle nails
                                                                          Zinc                   Weak immunity, wound healing, sense of smell/taste, sexual dysfunction

 ANTIBIOTICS                                                              B Vitamins             Short term depletio      ects are minimal, but failure to re-inoculate the
 Gentomycin, neomycin,streptomycin,                                       Vitamin K              GI tract with bene cial bacteria (probiotics) often results in dysbiosis which
 cephalosporins, penicillins                                                                     causes gas, bloating, decreases digestion & absorption of nutrients, and also
                                                                                                 may lead to a variety of other health problems.
 Tetracyclines                                                            Calcium                Osteoporosis, heart & blood pressure irregularities, tooth decay
                                                                          Magnesium              Cardiovascular problems, asthma, osteoporosis, cramps, PMS
                                                                          Iron                   Slow wound healing, fatigue, anemia
                                                                          Vitamin B6             Depression, sleep disturbance, increased cardiovascular disease risk
                                                                          Zinc                   Weak immunity, wound healing, sense of smell/taste, sexual dysfunction

 CHOLESTEROL DRUGS                                                       Coenzyme Q10            Various cardiovascular problems, weak immune system, low energy
 Lipitor, Crestor, Zocor, and others


 ANTI-DEPRESSANTS                                                         Coenzyme Q10           Various cardiovascular problems, weak immune system, low energy
 Adapin, Aventyl, Elavil, Pamelor,                                        Vitamin B2             Problems with skin, eyes, mucous membranes and nerves
 & others
 Major Tranquilizers (Thorazine,
 Mellaril, Prolixin, Serentil & others)

 FEMALE HORMONES                                                          Vitamin B6             Depression, sleep disturbance, increased cardiovascular disease risk
 Oral Estrogen/Hormone Replacement
 Oral Contraceptives                                                      Folic Acid             Birth defects, cervical dysplasia, anemia, cardiovascular disease
                                                                          Vitamin B1             Depression, irritability, memory loss, muscle weakness, edema
                                                                          Vitamin B2             Problems with skin, eyes, mucous membranes and nerves
                                                                          Vitamin B3             Cracked, scaly skin, swollen tongue, diarrhea
                                                                          Vitamin B6             Depression, sleep disturbances, increased cardiovascular disease risk
                                                                          Vitamin B12            Anemia, depression, tiredness, weakness, increased cardiovascular risk
                                                                          Vitamin C              Lowered immune system, easy bruising, poor wound healing
                                                                          Magnesium              Cardiovascular problems, asthma, osteoporosis, cramps, PMS
                                                                          Selenium               Lower immunity, reduced antioxidant protection
                                                                          Zinc                   Weak immunity, wound healing, sense of smell/taste, sexual dysfunction

 ANTICONVULSANTS                                                          Vitamin D              Osteoporosis, muscle weakness, hearing loss
 Phenobarbital & barbituates                                              Calcium                Osteoporosis, heart & blood pressure irregularities, tooth decay
                                                                          Folic Acid             Birth defects, cervical dysplasia, anemia, cardiovascular disease
 Dilatin, Tegretol, Mysoline
                                                                          Biotin                 Hair loss, depression, cardiac irregularities, dermatitis
 Depakane/Depacon
                                                                          Carnitine              Various cardiovascular problems, weak immune system, low energy
                                                                          Vitamin B12            Anemia, depression, tiredness, weakness, increased cardiovascular risk
                                                                          Vitamin B1             Depression, irritability, memory loss, muscle weakness, edema
                                                                          Vitamin K              Blood coagulation, skeletal problems
                                                                          Copper                 Anemia, fatigue, cardiovascular and connective tissue problems
                                                                          Selenium               Lower immunity, reduced antioxidant protection
                                                                          Zinc                   Weak immunity, wound healing, sense of smell/taste, sexual dysfunction


    Copyright © 2010 SpectraCell Laboratories DOC 306
  Copyright © 2008 SpectraCell Laboratiores, Inc. All Rights Reserved. FIA 306 - 12.08   03.10
                                                                                                                   ADVANCED CLINICAL TESTING
  Visit us atat www.spectracell.com or call us at 800.227.LABS ( 5227)
   Visit us     www.spectracell.com or call us at 800.227.5227                                                     ADVANCED CLINICAL TESTIN               G
Do the Prescriptions You Take
Deplete Your Nutritional Status?
SOURCE: DRUG-INDUCED NUTRIENT DEPLETION HANDBOOK, 2ND EDITION


                                                                          NUTRIENT
 DRUG                                                                     DEFICIENCY      POTENTIAL HEALTH PROBLEM
 ANTI-INFLAMMATORIES                                                      Calcium         Osteoporosis, heart and blood pressure irregularities, tooth decay
 Corticosteriods: Prednisone, Medrol,                                     Vitamin D       Osteoporosis, muscle weakness, hearing loss
 Aristocort, Decodron                                                     Magnesium       Cardiovascular problems, asthma, osteoporosis, cramps, PMS
                                                                          Zinc            Weak immunity, wound healing, sense of smell/taste, sexual dysfunction
                                                                          Vitamin C       Lowered immunity, easy bruising, poor wound healing
                                                                          Vitamin B6      Depression, sleep disturbances, increased cardiovascular disease risk
                                                                          Vitamin B12     Anemia, depression, tiredness, weakness, increased cardiovascular risk
                                                                          Folic Acid      Birth defects, cervical dysplasia, anemia, cardiovascular disease
                                                                          Selenium        Lower immunity, reduced antioxidant protection
                                                                          Chromium        Elevated blood sugar, cholesterol & triglycerides, diabetes risk
 NSAIDS (Motrin, Aleve, Advil, Anaprox,                                   Folic Acid      Birth defects, cervical dysplasia, anemia, cardiovascular disease
 Dolobid, Feldene, Naprosyn and others
 Aspirin & Salicylates                                                    Vitamin C       Lowered immune system, easy bruising, poor wound healing
                                                                          Calcium         Osteoporosis, heart & blood pressure irregularities, tooth decay
                                                                          Folic Acid      Birth defects, cervical dysplasia, anemia, cardiovascular disease
                                                                          Iron            Anemia, weakness, fatigue, hair loss, brittle nails
                                                                          Vitamin B5      fatigue, listlessness, and possible problems with skin, liver and nerves

 DIURETICS                                                                Calcium         Osteoporosis, heart and blood pressure irregularities, tooth decay
 Loop Diuretics (Lasix, Bumex,                                            Magnesium       Cardiovascular problems, asthma, osteoporosis, cramps, PMS
 Edecrin)                                                                 Vitamin B1      Depression, irritability, memory loss, muscle weakness, edema
 Thiazid Diuretics (HCTZ, Enduron,                                        Vitamin B6      Depression, sleep disturbance, increased heart disease risk
 Diuril, Lozol, Zaroxolyn, Hygroton                                       Vitamin C       Lowered immunity, easy bruising, poor wound healing
 and others                                                               Zinc            Weak immunity, wound healing, sense of smell/taste, sexual dysfunction
                                                                          Coenzyme Q10    Various cardiovascular problems, weak immune system, low energy
                                                                          Potassium       Irregular heartbeat, muscle weakness, fatigue, edema
                                                                          Sodium          Muscle weakness, dehydration, memory problems, loss of appetite
 Potassium Sparing Diuretics                                              Calcium         Osteoporosis, heart & blood pressure irregularities, tooth decay
                                                                          Folic Acid      Birth defects, cervical dysplasia, anemia, cardiovascular disease
                                                                          Zinc            Weak immunity, wound healing, sense of smell/taste, sexual dysfunction

 CARDIOVASCULAR DRUGS                                                     Coenzyme Q10    Various cardiovascular problems, weak immune system, low energy
 Antihypertensives (Catapres,                                             Vitamin B6      Depression, sleep disturbance, increased cardiovascular disease risk
 Aldomet)                                                                 Zinc            Weak immunity, wound healing, sense of smell/taste, sexual dysfunction
                                                                          Vitamin B1      Depression, irritability, memory loss, muscle weakness, edema

 ACE Inhibitors (Capoten, Vasotec,                                        Zinc            Weak immunity, wound healing, sense of smell/taste, sexual dysfunction
 Monopril & others)
 Bete Blockers (Inderal, Corgard,                                         Coenzyme Q10    Various cardiovascular problems, weak immune system, low energy
 Lopressor and others)

 DIABETIC DRUGS                                                            Coenzyme Q10   Various cardiovascular problems, weak immune system, low energy
 Metformin                                                                 Vitamin B12    Anemia, depression, tiredness, weakness, increased cardiovascular risk
                                                                           Folic Acid     Birth defects, cervical dysplasia, anemia, heart disease, cancer risk
 Sulfonylureas (Dymelor, Tolinase,                                         Coenzyme Q10   Various cardiovascular problems, weak immune system, low energy
 Micronase/Glynase/DiaBeta)

 ANTIVIRAL AGENTS                                                         Carnitine       Increased blood lipids, abnormal liver function and glucose control
 Zidovudine (Retrovir, AZT & other                                        Copper          Anemia, fatigue, cardiovascular and connective tissue problems
 related drugs)                                                           Zinc            Weak immunity, wound healing, sense of smell/taste, sexual dysfunction
                                                                          Vitamin B12     Anemia, depression, tiredness, weakness, increased cardiovascular risk
 Foscarnet                                                                Calcium         Osteoporosis, heart and blood pressure irregularities, tooth decay
                                                                          Magnesium       Cardiovascular problems, asthma, osteoporosis, cramps, PMS
                                                                          Potassium       Irregular heartbeat, muscle© 2007 SpectraCell Laboratiores, Inc. All Rights Reserved.
                                                                                                            Copyright
                                                                                                                      weakness, fatigue, edema


 Copyright © 2008 SpectraCell Laboratiores, Inc. All Rights Reserved. FIA 306 - 02.08
  Copyright © 2010 SpectraCell Laboratories DOC 306 03.10
 Visit usus at www.spectracell.com or call us at 800.227.LABS ( 5227)
  Visit at www.spectracell.com or call us at 800.227.5227                                                 ADVANCED CLINICAL TESTING
                                                                                                          ADVANCED CLINICAL TESTIN G
Diagnosis Codes
To prevent denials, when billing third party payors, all requisitions must include all medically necessary ICD-9 diagnosis codes. ICD-9 codes are required by
certain third party payors to confirm the medical necessity of the test(s), and/or profile(s) ordered. The codes listed below are some of the most commonly
received codes for testing performed at SpectraCell Laboratories. These were taken from the 2008 ICD-9 manual issued by AMA. While this list may be
a useful tool, depending upon the nature of your practice, it is not complete. Please refer to the ICD-9 manual for a complete listing. The ultimate responsibility
for correct coding lies with the ordering physician. Please place all medically appropriate ICD-9 codes on the requisition. If ordering for screening purposes,
please provide the appropriate screening ICD-9 codes.

 CODE     DIAGNOSIS (SYMPTOMS, ILLNESS, INJURY OR COMPLAINT)                    CODE       DIAGNOSIS (SYMPTOMS, ILLNESS, INJURY OR COMPLAINT)
 781.0     Abnormal involuntary movements                                        401.1     Essential hypertension, benign
 276.2     Acidosis                                                              401.9     Essential hypertension, unspecified
 253.0     Acromegaly and gigantism                                              345.00     Generalized no convulsive epilepsy
 293.0     Acute delirium                                                        240.9      Goiter, unspecified

 535.00    Acute gastritis                                                       784.0      Headache

 461.1     Acute sinisitis, frontal                                              786.3      Hemoptysis

 436       Acute, but ill-defined, cerebrovascular disease                       789.1      Hepatomegaly

 288.0     Agranulocytosis                                                       272.4      Hyperlipidemia, other and unspecified

 477.9     Allergic rhinitis, cause unspecified                                  600.00     Hyperplasia of prostate (additional code required to identify urinary
                                                                                            incontinence)
 995.3     Allergy, unspecified
                                                                                 621.2      Hypertrophy of uterus
 704.00    Alopecia, unspecified
                                                                                 244.9      Hypothyroidism, unspecified
 314.01    Attention deficit disorder, with hyperactivity
                                                                                 279.3      Immunity deficiency, unspecified
 088.82    Babesiosis
                                                                                 279.10     Immunodeficiency with predominant T-cell defect, unspecified
 353.0     Brachial plexus lesions
                                                                                 607.84     Impotence of organic origin
 490       Bronchitis, not specified as acute of chronic
                                                                                 075        Infectious mononucleosis
 112.85    Candidal enteritis
                                                                                 711.90     Infective arthritis, unspecified
 112.9     Candidiasis, of unspecified site
                                                                                 564.1      Irritable bowel syndrome
 354.0     Carpal tunnel syndrome
                                                                                 218.9      Leiomyoma of uterus, unspecified
 447.4     Celiac artery compression syndrome
                                                                                 088.81     Lyme disease
 579.0     Celiac disease
                                                                                 174.9      Malignant neoplasm, of female breast, unspecified
 496       Chronic airway obstruction, not elsewhere classified
                                                                                 174.4      Malignant neoplasm of female breast, upper-outer quadrant
 780.71    Chronic fatigue syndrome
                                                                                 996.54     Mechanical complication of other specified prosthetic device, implant, and
 245.2     Chronic lymphocytic thyroiditis                                                  graft, due to breast prosthesis
 472.0     Chronic rhinitis                                                      780.93     Memory disturbance, loss or lack
 346.00    Classical migraine, without mention of intractable migraine           269.3      Mineral deficiency, unspecified
 414.01    Coronary atherosclerosis, of native coronary artery                   729.1      Myalgia and myositis, unspecified
 255.4    Corticoadrenal insufficiency                                           269.9      Nutritional deficiency, unspecified
 277.00   Cystic Fibrosis
                                                                                 491.21     Obstructive chronic bronchitis, with acute exacerbation
 269.1    Deficiency of other vitamins
                                                                                 796.4      Abnormal clinical findings - other
 250      Diabetes mellitus
 250.0    Diabetes without complications                                         266.2      B-complex deficiency - other
 250.0    O type II or unspecified type, not stated as uncontrolled              780. 79    Malaise and fatigue - other
 250.1    1 type I (juvenile type), not stated as uncontrolled                   269.8      Nutritional deficiency - other
 250.2    2 type II or unspecified type, uncontrolled                            277.89     Specified disorders of metabolism - other
 250.3    3 type I (juvenile type), uncontrolled                                 281.1      Vitamin B12 deficiency anemia - other
 250.00   Diabetes mellitus without mention of complication                      719.44     Pain in joint, hand
 250.10   Diabetes with ketocidosis                                              719.48     Pain in joint, other specified sites                                         Copyright © 2007 SpectraCell Laboratories DOC 309FIA
 250.20   Diabetes with hyperosmolarity
                                                                                 786.52     Painful respiration
 250.30   Diabetes with other coma
                                                                                 486        Pneumonia, unspecified
 250.40   Diabetes with renal manifestations
                                                                                 272.0      Pure hypercholesterolemia
 250.50   Diabetes with ophthalmic manifestations
 250.60   Diabetes with neurological manifestations                              753.0      Renal agenesis and dysgenesis

 250.70   Diabetes with peripheral circulatory disorders                         786.05     Shortness of breath
 250.80   Diabetes with other specified manifestations                           780.2      Syncope and collapse
 250.90   Diabetes with unspecified complication                                 786.06     Tachypnea
 311       Depressive disorder, not elsewhere classified                         985.9      Toxic effect of other metals, unspecified metal
 272.9     Disorder of metabolism, unspecified                                   785.2      Undiagnosed cardiac murmurs
 781.1     Disturbances of sensation of smell and taste                          266.1      Vitamin B6 deficiency
 270.4     Disturbances of sulphur-bearing amino-acid metabolism                 269.2      Vitamin deficiency, unspecified
 786.09    Dyspnea and respiratory abnormalities, other
 782.3     Edema
 259.9     Endocrine disorder, unspecified

 356.9                                                                                                   ADVANCED CLINICAL TESTING
  Visit usHereditary and idiopathic peripheral neuropathy, unspecified
           at www.spectracell.com or call us at 800.227.5227
Micro Nutrient Testing - Spectracell
Micro Nutrient Testing - Spectracell
Micro Nutrient Testing - Spectracell
Micro Nutrient Testing - Spectracell

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Micro Nutrient Testing - Spectracell

  • 1. SpectraCell Laboratories has become the leader in innovative clinical testing by utilizing the most advanced technology, providing the highest quality service to our physician clients, and understanding the ultimate responsibility is towards patient care. COMPREHENSIVE A N A LY S I S VITAMINS 50% MINERALS AMINO ACIDS ANTIOXIDANTS of those FATTY ACIDS taking supplements METABOLITES will remain de cient. CARBOHYDRATE METABOLISM Call 800.227.LABS (5227) or visit us online at www.SpectraCell.com
  • 2.
  • 3. Micronutrient Testing Features and Bene ts Uses active peripheral lymphocytes instead of serum Measures the end point of DNA synthesis Re ects nutrient status over the last 4-8 months Micronutrient Measures how micronutrients and antioxidants are actually functioning within the white blood cells Testing Re ects total metabolic function rather than isolated biochemical pathways Demonstrates the intracellular func tion of micronutrients simultaneously Gives physicians the ability to tailor treatment plans to each patient’s speci c requirements rather than to “norms” Provides a more accurate measurement of long term functional nutritional levels Are host to cell-mediated immune system Testing Possesses metabolic pathways common to other cells Contains nucleus which permits rapi d DNA synthesis and cell growth Lymphocytes Measures DNA synthesis and cell growth Are easily available in large numbers from a standard blood draw Indicates if nutrients are being absorbed and functioning properly Knowing nutritional risk factors and treating their causes can contribute to the arrest or prevention of many Clinical degenerative conditions Patients derive signi cant bene ts Applications Measuring and correcting vitamin de ciencies are essential for patients concerned with wellness and anti-aging Micronutrient testing provides important baseline tests to identify de ciencies Allows physicians to get more sensitive and accurate nutritional reading Measuring Functional Provides long term status, not just an immediate snapshot Levels Determines if the nutrient is being absorbed and functioning properly on the cellular level Gives the physicians an overall informative cardiovascular program, not just a lab number Tests for B6, B12, Combines Micronutrient testing and HPLC methodology for Homocysteine Folate & Examines the cellular function of each individual to nd out what is needed to x the homocysteine problem Homocysteine and reduce risk, cardiovascular disease and stroke Percentage gives a total antioxidant measurement, not just one or two speci c values SPECTROX® - Measures ability of cells to withstand attack from free radicals and other oxidative stresses (antioxidant reserve) Antioxidant Testing Allows for early intervention to correct de ciencies and promote health Plays role in prevention and clinical treatment of a large variety of disease modalities No refrigeration or freezing Easy Sample Complete test kit and transportation provided Collection No centrifugation © 2009 SpectraCell Laboratories Inc. All rights reserved. DOC 305 06.09 Visit us at www.spectracell.com or call us at 800.227.LABS ( 5227) ADVANCED CLINICAL TESTING
  • 4. 123456 Jane Doe Dr. John Smith 123 Main St Anytown, USA SAMPLE
  • 9. Jane Doe Jane Doe SAMPLE
  • 10. Jane Doe Jane Doe SAMPLE
  • 12. Nutrient Deficiency Functions Symptoms NUTRIENT POTENTIAL WHAT IT DOES WHERE IT’S FOUND SYMPTOMS AND PROBLEMS Antioxidant, regulates oxidation reactions, Wheat germ, liver, eggs, nuts, seeds, Skin, hair, rupturing of red blood cells, VERY stabilizes cell membrane, immune function, cold - pressed vegetable oils, anemia, bruising, PMS, hot flashes, VITAMIN E COMMON protects against cardiovascular disease, dark leafy greens, sweet potatoes, avocados, eczema, psoriasis, cataracts, wound cataracts, macular degeneration asparagus healing, muscle weakness, sterility Bones, teeth, helps heart, nerves, muscles, Dairy, wheat/soy flour, molasses, Brewer’s Osteoporosis, osteomalacia, osteoarthritis, VERY body systems work properly, needs other yeast, Brazil nuts, broccoli, cabbage, dark muscle cramps, irritability, acute anxiety, CALCIUM COMMON nutrients to function leafy greens, hazelnuts, oysters, sardines, colon cancer risk canned salmon Assists insulin function, increases fertility, Supplementation, Brewer’s yeast, whole Metabolic syndrome, insulin resistance, CHROMIUM COMMON carbohydrate/fat metabolism, essential for grains, seafood, green beans, broccoli, decreased fertility fetal growth/development prunes, nuts, potatoes, meat 300 biochemical reactions, muscle/nerve Green vegetables, beans, peas, nuts, Appetite, nausea, vomiting, fatigue cramps, VERY function, heart rhythm, immune system, seeds, whole unprocessed grains numbness, tingling, seizures, heart spasms, MAGNESIUM personality changes, heart rhythm COMMON strong bones, regulates calcium, copper, zinc, potassium, vitamin D Antioxidant, works with vitamin E, immune Brewer’s yeast, wheat germ, liver, butter, Destruction to heart/pancreas, sore function, prostaglandin production cold water fish, shellfish, garlic, whole muscles, fragility of red blood cells, SELENIUM COMMON grains, sunflower seeds, Brazil nuts immune system Supports enzymes, immune system, wound Oysters, red meat, poultry, beans, nuts, Growth retardation, hair loss, diarrhea, healing, taste/smell, DNA synthesis, normal seafood, whole grains, fortified breakfast impotence, eye & skin lesions, loss of MOST ZINC growth & development during pregnancy, cereals, dairy appetite, taste, weight loss, wound healing, COMMON childhood and adolescence mental lethargy Powerful antioxidant, stops oxidation of LDL Oily fish, organ meats, whole grains Congestive heart failure, high blood cholesterol, energy production, important to pressure, angina, mitral valve prolapse, CO Q10 COMMON heart, liver and kidneys fatigue, gingivitis, immune system stroke, cardiac arrhythmias Copyright © 2009 SpectraCell Laboratories DOC 303 MicroNutrient Energy, heart function, oxidize amino acids Red meat, dairy, fish, poultry, tempeh Elevated cholesterol, liver function, LESS CARNITINE for energy, metabolize ketones (fermented soybeans), wheat, asparagus, muscle weakness, reduced energy, COMMON avocados, peanut butter impaired glucose control N - ACETYL Glutathione production, lowers Meats, ricotta, cottage cheese, yogurt, Free radical overload, elevated CYSTEINE (NAC) homocysteine, lipoprotein (a), heal lungs, wheat germ, granola, oat flakes homocysteine, cancer risk, cataracts, MOST inflammation, decrease muscle fatigue, liver macular degeneration, immune function, & COMMON detoxification, immune function toxin elimination GLUTATHIONE Energy, blood flow to nerves, glutathione Supplementation, spinach, broccoli, beef, Diabetic neuropathy, reduced muscle mass, ALPHA LIPOIC COMMON levels in brain, insulin sensitivity, Brewer’s yeast, some organ meats atherosclerosis, Alzheimer’s, failure to thrive, ACID effectiveness of vitamins C, E, antioxidants brain atrophy, high lactic acid Bone formation, involved in healing process, Oysters, seeds, dark leafy vegetables, Osteoporosis, anemia, baldness, diarrhea, LESS energy production, hair and skin coloring, organ meats, dried legumes, whole grain general weakness, impaired respiratory COPPER COMMON taste sensitivity, stimulates iron absorption, breads, nuts, shellfish, chocolate, soybeans, function, myelopathy, decreased skin helps metabolize several fatty acids oats, blackstrap molasses pigment, reduced resistance to infection WWW.SPECTRACELL.COM
  • 13. Nutrient Deficiency Functions Symptoms NUTRIENT POTENTIAL WHAT IT DOES WHERE IT’S FOUND SYMPTOMS AND PROBLEMS Carb. conversion, breaks down fats & Pork, organ meats, whole grain and Heart, age-related cognitive decline, VERY VITAMIN B1 protein, digestion, nervous system, skin, hair, enriched cereals, brown rice, wheat germ, Alzheimer’s, fatigue COMMON eyes, mouth, liver, immune system bran, Brewer’s yeast, blackstrap molasses Metabolism, carb. conversion, breaks down Brewer’s yeast, almonds, organ meats, Anemia, decreased free radical protection, VERY VITAMIN B2 fats & protein, digestion, nervous system, whole grains, wheat germ, mushrooms, soy, cataracts, poor thyroid function, B6 COMMON skin, hair, eyes, mouth, liver dairy, eggs, green vegetables deficiency, fatigue, elevated homocysteine Energy, digestion, nervous system, skin, Beets, Brewer’s yeast, meat, poultry, organ Cracking, scaling skin, digestive problems, LESS VITAMIN B3 hair, eyes, liver, eliminates toxins, sex/stress meats, fish, seeds, nuts confusion, anxiety, fatigue COMMON hormones, improves circulation Enzyme, protein metabolism, RBC Poultry, tuna, salmon, shrimp, beef liver, Depression, sleep and skin problems, production, reduces homocysteine, nerve lentils, soybeans, seeds, nuts, avocados, confusion, anxiety, fatigue VITAMIN B6 COMMON & muscle cells, DNA/RNA, B12 absorption, bananas, carrots, brown rice, bran, wheat immune function germ, whole grain flour Healthy nerve cells, DNA/RNA, red blood Fish, meat, poultry, eggs, milk, Anemia, fatigue, constipation, loss of VERY cell production, iron function milk products appetite/weight, numbness and tingling in VITAMIN B12 COMMON the hands and feet, depression, dementia, poor memory, oral soreness Carbs, fat, amino acid metabolism (the Salmon, meats, vegetables, grains, legumes, Depression, nervous system, premature LESS building blocks of protein) lentils, egg yolks, milk, sweet potatoes, graying, hair, skin BIOTIN seeds, nuts, wheat germ COMMON Mental health, infant DNA/RNA, Supplementation, fortified grains, tomato Anemia, immune fuction, fatigue, insomnia, VERY adolescence & pregnancy, with B12 to juice, green vegetables, black-eyed peas, hair, high homocysteine, cardiovascular FOLATE COMMON regulate RBC production, iron function, lentils, beans disease reduce homocysteine RBC production, sex and stress-related Meat, vegetables, whole grains, legumes, Stress tolerance, wound healing, skin Copyright © 2009 SpectraCell Laboratories DOC 303 MicroNutrient LESS PANTOTHENATE hormones, immune function, healthy lentils, egg yolks, milk, sweet potatoes, problems, fatigue COMMON digestion, helps use other vitamins seeds, nuts, wheat germ, salmon LESS Eyes, immune function, skin, essential cell Milk, eggs, liver, fortified cereals, orange or Night blindness, immune function, zinc VITAMIN A COMMON growth and development green vegetables, fruits deficiency, fat malabsorption Enzyme activation, second messenger roles Supplemention, broccoli, brussel sprouts, Muscular and nervous irritability, muscle (transmitting hormonal information), blood cantaloupe, cauliflower, citrus, guava, kiwi, spasms, muscle cramps and tetany, tooth VITAMIN C COMMON clotting, cell and cell organelle membrane papaya, parsley, peas, potatoes, peppers, decay, periodontal disease, depression, function, nerve impulse transmission and parsley, rose hips, strawberries and tomatoes possibly hypertension muscular contraction, tone and irritability VERY Calcium and phosphorus levels, calcium Sunlight, milk, egg yolks, liver, fish Osteoporosis, calcium absorption, thyroid VITAMIN D COMMON absorption, bone mineralization Aids in the formation of clotting factors and Kale, green tea, turnip greens, spinach, Excessive bleeding, a history of bruising, LESS bone proteins and the formation of glucose broccoli, lettuce, cabbage, beef liver, appearance of ruptured capillaries or VITAMIN K COMMON into glycogen for storage in the liver asparagus, watercress, cheese, oats, peas, menorrhagia (heavy periods) whole wheat WWW.SPECTRACELL.COM
  • 14. Do the Prescriptions You Take Deplete Your Nutritional Status? SOURCE: DRUG-INDUCED NUTRIENT DEPLETION HANDBOOK, 2ND EDITION NUTRIENT DRUG DEFICIENCY POTENTIAL HEALTH PROBLEM ANTACIDS/ULCER MEDICATIONS Vitamin B12 Anemia, depression, tiredness, weakness, increased cardiovascular risk Pepcid, Tagamet, Zantac, Prevacid, Folic Acid Birth defects, cervical dysplasia, anemia, heart disease, cancer risk Prilosec, Magnesium & Aluminum Vitamin D Osteoporosis, muscle weakness, hearing loss antacids Calcium Osteoporosis, heart and blood pressure irregularities, tooth decay Iron Anemia, weakness, fatigue, hair loss, brittle nails Zinc Weak immunity, wound healing, sense of smell/taste, sexual dysfunction ANTIBIOTICS B Vitamins Short term depletio ects are minimal, but failure to re-inoculate the Gentomycin, neomycin,streptomycin, Vitamin K GI tract with bene cial bacteria (probiotics) often results in dysbiosis which cephalosporins, penicillins causes gas, bloating, decreases digestion & absorption of nutrients, and also may lead to a variety of other health problems. Tetracyclines Calcium Osteoporosis, heart & blood pressure irregularities, tooth decay Magnesium Cardiovascular problems, asthma, osteoporosis, cramps, PMS Iron Slow wound healing, fatigue, anemia Vitamin B6 Depression, sleep disturbance, increased cardiovascular disease risk Zinc Weak immunity, wound healing, sense of smell/taste, sexual dysfunction CHOLESTEROL DRUGS Coenzyme Q10 Various cardiovascular problems, weak immune system, low energy Lipitor, Crestor, Zocor, and others ANTI-DEPRESSANTS Coenzyme Q10 Various cardiovascular problems, weak immune system, low energy Adapin, Aventyl, Elavil, Pamelor, Vitamin B2 Problems with skin, eyes, mucous membranes and nerves & others Major Tranquilizers (Thorazine, Mellaril, Prolixin, Serentil & others) FEMALE HORMONES Vitamin B6 Depression, sleep disturbance, increased cardiovascular disease risk Oral Estrogen/Hormone Replacement Oral Contraceptives Folic Acid Birth defects, cervical dysplasia, anemia, cardiovascular disease Vitamin B1 Depression, irritability, memory loss, muscle weakness, edema Vitamin B2 Problems with skin, eyes, mucous membranes and nerves Vitamin B3 Cracked, scaly skin, swollen tongue, diarrhea Vitamin B6 Depression, sleep disturbances, increased cardiovascular disease risk Vitamin B12 Anemia, depression, tiredness, weakness, increased cardiovascular risk Vitamin C Lowered immune system, easy bruising, poor wound healing Magnesium Cardiovascular problems, asthma, osteoporosis, cramps, PMS Selenium Lower immunity, reduced antioxidant protection Zinc Weak immunity, wound healing, sense of smell/taste, sexual dysfunction ANTICONVULSANTS Vitamin D Osteoporosis, muscle weakness, hearing loss Phenobarbital & barbituates Calcium Osteoporosis, heart & blood pressure irregularities, tooth decay Folic Acid Birth defects, cervical dysplasia, anemia, cardiovascular disease Dilatin, Tegretol, Mysoline Biotin Hair loss, depression, cardiac irregularities, dermatitis Depakane/Depacon Carnitine Various cardiovascular problems, weak immune system, low energy Vitamin B12 Anemia, depression, tiredness, weakness, increased cardiovascular risk Vitamin B1 Depression, irritability, memory loss, muscle weakness, edema Vitamin K Blood coagulation, skeletal problems Copper Anemia, fatigue, cardiovascular and connective tissue problems Selenium Lower immunity, reduced antioxidant protection Zinc Weak immunity, wound healing, sense of smell/taste, sexual dysfunction Copyright © 2010 SpectraCell Laboratories DOC 306 Copyright © 2008 SpectraCell Laboratiores, Inc. All Rights Reserved. FIA 306 - 12.08 03.10 ADVANCED CLINICAL TESTING Visit us atat www.spectracell.com or call us at 800.227.LABS ( 5227) Visit us www.spectracell.com or call us at 800.227.5227 ADVANCED CLINICAL TESTIN G
  • 15. Do the Prescriptions You Take Deplete Your Nutritional Status? SOURCE: DRUG-INDUCED NUTRIENT DEPLETION HANDBOOK, 2ND EDITION NUTRIENT DRUG DEFICIENCY POTENTIAL HEALTH PROBLEM ANTI-INFLAMMATORIES Calcium Osteoporosis, heart and blood pressure irregularities, tooth decay Corticosteriods: Prednisone, Medrol, Vitamin D Osteoporosis, muscle weakness, hearing loss Aristocort, Decodron Magnesium Cardiovascular problems, asthma, osteoporosis, cramps, PMS Zinc Weak immunity, wound healing, sense of smell/taste, sexual dysfunction Vitamin C Lowered immunity, easy bruising, poor wound healing Vitamin B6 Depression, sleep disturbances, increased cardiovascular disease risk Vitamin B12 Anemia, depression, tiredness, weakness, increased cardiovascular risk Folic Acid Birth defects, cervical dysplasia, anemia, cardiovascular disease Selenium Lower immunity, reduced antioxidant protection Chromium Elevated blood sugar, cholesterol & triglycerides, diabetes risk NSAIDS (Motrin, Aleve, Advil, Anaprox, Folic Acid Birth defects, cervical dysplasia, anemia, cardiovascular disease Dolobid, Feldene, Naprosyn and others Aspirin & Salicylates Vitamin C Lowered immune system, easy bruising, poor wound healing Calcium Osteoporosis, heart & blood pressure irregularities, tooth decay Folic Acid Birth defects, cervical dysplasia, anemia, cardiovascular disease Iron Anemia, weakness, fatigue, hair loss, brittle nails Vitamin B5 fatigue, listlessness, and possible problems with skin, liver and nerves DIURETICS Calcium Osteoporosis, heart and blood pressure irregularities, tooth decay Loop Diuretics (Lasix, Bumex, Magnesium Cardiovascular problems, asthma, osteoporosis, cramps, PMS Edecrin) Vitamin B1 Depression, irritability, memory loss, muscle weakness, edema Thiazid Diuretics (HCTZ, Enduron, Vitamin B6 Depression, sleep disturbance, increased heart disease risk Diuril, Lozol, Zaroxolyn, Hygroton Vitamin C Lowered immunity, easy bruising, poor wound healing and others Zinc Weak immunity, wound healing, sense of smell/taste, sexual dysfunction Coenzyme Q10 Various cardiovascular problems, weak immune system, low energy Potassium Irregular heartbeat, muscle weakness, fatigue, edema Sodium Muscle weakness, dehydration, memory problems, loss of appetite Potassium Sparing Diuretics Calcium Osteoporosis, heart & blood pressure irregularities, tooth decay Folic Acid Birth defects, cervical dysplasia, anemia, cardiovascular disease Zinc Weak immunity, wound healing, sense of smell/taste, sexual dysfunction CARDIOVASCULAR DRUGS Coenzyme Q10 Various cardiovascular problems, weak immune system, low energy Antihypertensives (Catapres, Vitamin B6 Depression, sleep disturbance, increased cardiovascular disease risk Aldomet) Zinc Weak immunity, wound healing, sense of smell/taste, sexual dysfunction Vitamin B1 Depression, irritability, memory loss, muscle weakness, edema ACE Inhibitors (Capoten, Vasotec, Zinc Weak immunity, wound healing, sense of smell/taste, sexual dysfunction Monopril & others) Bete Blockers (Inderal, Corgard, Coenzyme Q10 Various cardiovascular problems, weak immune system, low energy Lopressor and others) DIABETIC DRUGS Coenzyme Q10 Various cardiovascular problems, weak immune system, low energy Metformin Vitamin B12 Anemia, depression, tiredness, weakness, increased cardiovascular risk Folic Acid Birth defects, cervical dysplasia, anemia, heart disease, cancer risk Sulfonylureas (Dymelor, Tolinase, Coenzyme Q10 Various cardiovascular problems, weak immune system, low energy Micronase/Glynase/DiaBeta) ANTIVIRAL AGENTS Carnitine Increased blood lipids, abnormal liver function and glucose control Zidovudine (Retrovir, AZT & other Copper Anemia, fatigue, cardiovascular and connective tissue problems related drugs) Zinc Weak immunity, wound healing, sense of smell/taste, sexual dysfunction Vitamin B12 Anemia, depression, tiredness, weakness, increased cardiovascular risk Foscarnet Calcium Osteoporosis, heart and blood pressure irregularities, tooth decay Magnesium Cardiovascular problems, asthma, osteoporosis, cramps, PMS Potassium Irregular heartbeat, muscle© 2007 SpectraCell Laboratiores, Inc. All Rights Reserved. Copyright weakness, fatigue, edema Copyright © 2008 SpectraCell Laboratiores, Inc. All Rights Reserved. FIA 306 - 02.08 Copyright © 2010 SpectraCell Laboratories DOC 306 03.10 Visit usus at www.spectracell.com or call us at 800.227.LABS ( 5227) Visit at www.spectracell.com or call us at 800.227.5227 ADVANCED CLINICAL TESTING ADVANCED CLINICAL TESTIN G
  • 16. Diagnosis Codes To prevent denials, when billing third party payors, all requisitions must include all medically necessary ICD-9 diagnosis codes. ICD-9 codes are required by certain third party payors to confirm the medical necessity of the test(s), and/or profile(s) ordered. The codes listed below are some of the most commonly received codes for testing performed at SpectraCell Laboratories. These were taken from the 2008 ICD-9 manual issued by AMA. While this list may be a useful tool, depending upon the nature of your practice, it is not complete. Please refer to the ICD-9 manual for a complete listing. The ultimate responsibility for correct coding lies with the ordering physician. Please place all medically appropriate ICD-9 codes on the requisition. If ordering for screening purposes, please provide the appropriate screening ICD-9 codes. CODE DIAGNOSIS (SYMPTOMS, ILLNESS, INJURY OR COMPLAINT) CODE DIAGNOSIS (SYMPTOMS, ILLNESS, INJURY OR COMPLAINT) 781.0 Abnormal involuntary movements 401.1 Essential hypertension, benign 276.2 Acidosis 401.9 Essential hypertension, unspecified 253.0 Acromegaly and gigantism 345.00 Generalized no convulsive epilepsy 293.0 Acute delirium 240.9 Goiter, unspecified 535.00 Acute gastritis 784.0 Headache 461.1 Acute sinisitis, frontal 786.3 Hemoptysis 436 Acute, but ill-defined, cerebrovascular disease 789.1 Hepatomegaly 288.0 Agranulocytosis 272.4 Hyperlipidemia, other and unspecified 477.9 Allergic rhinitis, cause unspecified 600.00 Hyperplasia of prostate (additional code required to identify urinary incontinence) 995.3 Allergy, unspecified 621.2 Hypertrophy of uterus 704.00 Alopecia, unspecified 244.9 Hypothyroidism, unspecified 314.01 Attention deficit disorder, with hyperactivity 279.3 Immunity deficiency, unspecified 088.82 Babesiosis 279.10 Immunodeficiency with predominant T-cell defect, unspecified 353.0 Brachial plexus lesions 607.84 Impotence of organic origin 490 Bronchitis, not specified as acute of chronic 075 Infectious mononucleosis 112.85 Candidal enteritis 711.90 Infective arthritis, unspecified 112.9 Candidiasis, of unspecified site 564.1 Irritable bowel syndrome 354.0 Carpal tunnel syndrome 218.9 Leiomyoma of uterus, unspecified 447.4 Celiac artery compression syndrome 088.81 Lyme disease 579.0 Celiac disease 174.9 Malignant neoplasm, of female breast, unspecified 496 Chronic airway obstruction, not elsewhere classified 174.4 Malignant neoplasm of female breast, upper-outer quadrant 780.71 Chronic fatigue syndrome 996.54 Mechanical complication of other specified prosthetic device, implant, and 245.2 Chronic lymphocytic thyroiditis graft, due to breast prosthesis 472.0 Chronic rhinitis 780.93 Memory disturbance, loss or lack 346.00 Classical migraine, without mention of intractable migraine 269.3 Mineral deficiency, unspecified 414.01 Coronary atherosclerosis, of native coronary artery 729.1 Myalgia and myositis, unspecified 255.4 Corticoadrenal insufficiency 269.9 Nutritional deficiency, unspecified 277.00 Cystic Fibrosis 491.21 Obstructive chronic bronchitis, with acute exacerbation 269.1 Deficiency of other vitamins 796.4 Abnormal clinical findings - other 250 Diabetes mellitus 250.0 Diabetes without complications 266.2 B-complex deficiency - other 250.0 O type II or unspecified type, not stated as uncontrolled 780. 79 Malaise and fatigue - other 250.1 1 type I (juvenile type), not stated as uncontrolled 269.8 Nutritional deficiency - other 250.2 2 type II or unspecified type, uncontrolled 277.89 Specified disorders of metabolism - other 250.3 3 type I (juvenile type), uncontrolled 281.1 Vitamin B12 deficiency anemia - other 250.00 Diabetes mellitus without mention of complication 719.44 Pain in joint, hand 250.10 Diabetes with ketocidosis 719.48 Pain in joint, other specified sites Copyright © 2007 SpectraCell Laboratories DOC 309FIA 250.20 Diabetes with hyperosmolarity 786.52 Painful respiration 250.30 Diabetes with other coma 486 Pneumonia, unspecified 250.40 Diabetes with renal manifestations 272.0 Pure hypercholesterolemia 250.50 Diabetes with ophthalmic manifestations 250.60 Diabetes with neurological manifestations 753.0 Renal agenesis and dysgenesis 250.70 Diabetes with peripheral circulatory disorders 786.05 Shortness of breath 250.80 Diabetes with other specified manifestations 780.2 Syncope and collapse 250.90 Diabetes with unspecified complication 786.06 Tachypnea 311 Depressive disorder, not elsewhere classified 985.9 Toxic effect of other metals, unspecified metal 272.9 Disorder of metabolism, unspecified 785.2 Undiagnosed cardiac murmurs 781.1 Disturbances of sensation of smell and taste 266.1 Vitamin B6 deficiency 270.4 Disturbances of sulphur-bearing amino-acid metabolism 269.2 Vitamin deficiency, unspecified 786.09 Dyspnea and respiratory abnormalities, other 782.3 Edema 259.9 Endocrine disorder, unspecified 356.9 ADVANCED CLINICAL TESTING Visit usHereditary and idiopathic peripheral neuropathy, unspecified at www.spectracell.com or call us at 800.227.5227