diff --git a/packages/esm-patient-common-lib/src/orders/types.ts b/packages/esm-patient-common-lib/src/orders/types.ts
index 6e1d603baa..2532264834 100644
--- a/packages/esm-patient-common-lib/src/orders/types.ts
+++ b/packages/esm-patient-common-lib/src/orders/types.ts
@@ -43,6 +43,7 @@ export interface OrderPost {
   previousOrder?: string;
   asNeededCondition?: string;
   orderReasonNonCoded?: string;
+  orderReason?: string;
   instructions?: string;
 }
 
diff --git a/packages/esm-patient-labs-app/src/config-schema.ts b/packages/esm-patient-labs-app/src/config-schema.ts
index 2eb53b0c9b..6313eee878 100644
--- a/packages/esm-patient-labs-app/src/config-schema.ts
+++ b/packages/esm-patient-labs-app/src/config-schema.ts
@@ -41,16 +41,46 @@ export const configSchema = {
       _default: '52a447d3-a64a-11e3-9aeb-50e549534c5e',
     },
   },
+  labTestsWithOrderReasons: {
+    _type: Type.Array,
+    _elements: {
+      labTestUuid: {
+        _type: Type.UUID,
+        _description: 'UUID of the lab test that requires a reason for ordering',
+        _default: '',
+      },
+      orderReasons: {
+        _type: Type.Array,
+        _elements: {
+          _type: Type.ConceptUuid,
+          _description: 'Array of coded concepts that represent reasons for ordering a lab test',
+        },
+        _default: [],
+        _description: 'Coded Lab test order reason options',
+      },
+    },
+    _default: [],
+    _description: 'Whether to allow for provision of coded order reason',
+  },
 };
 
 export interface ObsTreeEntry {
   conceptUuid: string;
   defaultOpen: boolean;
 }
+export interface LabTestReason {
+  uuid: string;
+  label?: string;
+}
+export interface OrderReason {
+  labTestUuid: string;
+  orderReasons: Array<string>;
+}
 export interface ConfigObject {
   concepts: Array<ObsTreeEntry>;
   showPrintButton: boolean;
   orders: {
     labOrderTypeUuid: string;
   };
+  labTestsWithOrderReasons: Array<OrderReason>;
 }
diff --git a/packages/esm-patient-labs-app/src/lab-orders/add-lab-order/lab-order-form.component.tsx b/packages/esm-patient-labs-app/src/lab-orders/add-lab-order/lab-order-form.component.tsx
index 2b96b18820..9ba866cbaa 100644
--- a/packages/esm-patient-labs-app/src/lab-orders/add-lab-order/lab-order-form.component.tsx
+++ b/packages/esm-patient-labs-app/src/lab-orders/add-lab-order/lab-order-form.component.tsx
@@ -1,8 +1,8 @@
 import React, { useCallback, useEffect, useState } from 'react';
 import classNames from 'classnames';
 import { launchPatientWorkspace, promptBeforeClosing, useOrderBasket } from '@openmrs/esm-patient-common-lib';
-import { translateFrom, useLayoutType, useSession } from '@openmrs/esm-framework';
-import { careSettingUuid, type LabOrderBasketItem, prepLabOrderPostData } from '../api';
+import { translateFrom, useLayoutType, useSession, useConfig } from '@openmrs/esm-framework';
+import { careSettingUuid, type LabOrderBasketItem, prepLabOrderPostData, useOrderReasons } from '../api';
 import {
   Button,
   ButtonSet,
@@ -22,6 +22,7 @@ import { Controller, type FieldErrors, useForm } from 'react-hook-form';
 import { zodResolver } from '@hookform/resolvers/zod';
 import { z } from 'zod';
 import { moduleName } from '@openmrs/esm-patient-chart-app/src/constants';
+import { type ConfigObject } from '../../config-schema';
 import styles from './lab-order-form.scss';
 
 export interface LabOrderFormProps {
@@ -44,6 +45,7 @@ const labOrderFormSchema = z.object({
       invalid_type_error: translateFrom(moduleName, 'addLabOrderLabReferenceRequired', 'Test type is required'),
     },
   ),
+  orderReason: z.string().optional(),
 });
 
 // Designs:
@@ -70,6 +72,11 @@ export function LabOrderForm({ initialOrder, closeWorkspace }: LabOrderFormProps
       ...initialOrder,
     },
   });
+  const config = useConfig<ConfigObject>();
+  const orderReasonUuids =
+    (config.labTestsWithOrderReasons?.find((c) => c.labTestUuid === defaultValues?.testType?.conceptUuid) || {})
+      .orderReasons || [];
+  const { orderReasons } = useOrderReasons(orderReasonUuids);
 
   const handleFormSubmission = useCallback(
     (data: LabOrderBasketItem) => {
@@ -187,6 +194,30 @@ export function LabOrderForm({ initialOrder, closeWorkspace }: LabOrderFormProps
               </InputWrapper>
             </Column>
           </Grid>
+          {orderReasons.length > 0 && (
+            <Grid className={styles.gridRow}>
+              <Column lg={16} md={8} sm={4}>
+                <InputWrapper>
+                  <Controller
+                    name="orderReason"
+                    control={control}
+                    render={({ field: { onChange, onBlur, value } }) => (
+                      <ComboBox
+                        size="lg"
+                        id="orderReasonInput"
+                        titleText={t('orderReason', 'Order reason')}
+                        selectedItem={''}
+                        itemToString={(item) => item?.display}
+                        items={orderReasons}
+                        onBlur={onBlur}
+                        onChange={({ selectedItem }) => onChange(selectedItem?.uuid || '')}
+                      />
+                    )}
+                  />
+                </InputWrapper>
+              </Column>
+            </Grid>
+          )}
           <Grid className={styles.gridRow}>
             <Column lg={16} md={8} sm={4}>
               <InputWrapper>
diff --git a/packages/esm-patient-labs-app/src/lab-orders/api.ts b/packages/esm-patient-labs-app/src/lab-orders/api.ts
index 984d44d171..c6df3a6401 100644
--- a/packages/esm-patient-labs-app/src/lab-orders/api.ts
+++ b/packages/esm-patient-labs-app/src/lab-orders/api.ts
@@ -1,8 +1,9 @@
 import useSWR, { mutate } from 'swr';
-import { type FetchResponse, openmrsFetch, useConfig } from '@openmrs/esm-framework';
+import { type FetchResponse, openmrsFetch, useConfig, showSnackbar } from '@openmrs/esm-framework';
 import { type ConfigObject } from '../config-schema';
 import { useCallback, useMemo } from 'react';
 import { type OrderBasketItem, type OrderPost, type PatientOrderFetchResponse } from '@openmrs/esm-patient-common-lib';
+import useSWRImmutable from 'swr/immutable';
 
 export const careSettingUuid = '6f0c9a92-6f24-11e3-af88-005056821db0';
 /**
@@ -42,6 +43,32 @@ export function usePatientLabOrders(patientUuid: string, status: 'ACTIVE' | 'any
   };
 }
 
+export function useOrderReasons(conceptUuids: Array<string>) {
+  const shouldFetch = conceptUuids && conceptUuids.length > 0;
+  const url = shouldFetch ? getConceptReferenceUrls(conceptUuids) : null;
+  const { data, error, isLoading } = useSWRImmutable<FetchResponse<ConceptResponse>, Error>(
+    shouldFetch ? `/ws/rest/v1/${url[0]}` : null,
+    openmrsFetch,
+  );
+
+  const ob = data?.data;
+  const orderReasons = ob
+    ? Object.entries(ob).map(([key, value]) => ({
+        uuid: value.uuid,
+        display: value.display,
+      }))
+    : [];
+
+  if (error) {
+    showSnackbar({
+      title: error.name,
+      subtitle: error.message,
+      kind: 'error',
+    });
+  }
+
+  return { orderReasons: orderReasons, isLoading };
+}
 export interface LabOrderBasketItem extends OrderBasketItem {
   testType?: {
     label: string;
@@ -50,6 +77,7 @@ export interface LabOrderBasketItem extends OrderBasketItem {
   labReferenceNumber?: string;
   urgency?: string;
   instructions?: string;
+  orderReason?: string;
 }
 
 export function prepLabOrderPostData(order: LabOrderBasketItem, patientUuid: string, encounterUuid: string): OrderPost {
@@ -62,11 +90,36 @@ export function prepLabOrderPostData(order: LabOrderBasketItem, patientUuid: str
     encounter: encounterUuid,
     concept: order.testType.conceptUuid,
     instructions: order.instructions,
+    orderReason: order.orderReason,
   };
 }
+const chunkSize = 10;
+export function getConceptReferenceUrls(conceptUuids: Array<string>) {
+  const accumulator = [];
+  for (let i = 0; i < conceptUuids.length; i += chunkSize) {
+    accumulator.push(conceptUuids.slice(i, i + chunkSize));
+  }
+
+  return accumulator.map((partition) => `conceptreferences?references=${partition.join(',')}&v=custom:(uuid,display)`);
+}
 
 export type PostDataPrepLabOrderFunction = (
   order: LabOrderBasketItem,
   patientUuid: string,
   encounterUuid: string,
 ) => OrderPost;
+
+export interface ConceptAnswers {
+  display: string;
+  uuid: string;
+}
+export interface ConceptResponse {
+  uuid: string;
+  display: string;
+  datatype: {
+    uuid: string;
+    display: string;
+  };
+  answers: Array<ConceptAnswers>;
+  setMembers: Array<ConceptAnswers>;
+}
diff --git a/packages/esm-patient-labs-app/translations/en.json b/packages/esm-patient-labs-app/translations/en.json
index 9c5441e7ea..21eab6b7dc 100644
--- a/packages/esm-patient-labs-app/translations/en.json
+++ b/packages/esm-patient-labs-app/translations/en.json
@@ -24,6 +24,7 @@
   "onDate": "on",
   "orderActionNew": "New",
   "ordered": "Ordered",
+  "orderReason": "Order reason",
   "other": "Other",
   "panel": "Panel",
   "pleaseRequiredFields": "Please fill all required fields",