| 57721-3 | Reason for lab test DBS | required |
| 57721-3 | Reason for lab test DBS | required |
| 57718-9 | Sample quality of DBS | required |
| 57718-9 | Sample quality of DBS | required |
| 57130-7 | NBS report - overall interp | conditional |
| 57130-7 | NBS report - overall interp | conditional |
| 57131-5 | NB conditions positive DBS | required |
| 57131-5 | NB conditions positive DBS | required |
| 57720-5 | NB conditions with equivocal markers | required |
| 57720-5 | NB conditions with equivocal markers | required |
| 57724-7 | NBS short summary | optional |
| 57724-7 | NBS short summary | optional |
| 57129-9 | Full NBS summary for display/printing | optional |
| 57129-9 | Full NBS summary for display/printing | optional |
| 57719-7 | Conditions tested for in NBS study DBS | required |
| 57719-7 | Conditions tested for in NBS study DBS | required |
| 69969-4 | NBS report overall lab comment | optional |
| 69969-4 | NBS report overall lab comment | optional |