Test Directory
2045 items/records selected.
Order Code Test Code
Specimen Required
       

[5762]


1, 5 ANHYDROGLUCITOL (GLYCOMARK)
Order Code GLYMAR Test Code GLYMAR
Synonyms Glycomark
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens EDTA plasma (lavender top tube).
CPT codes 84378
Test schedule Mon-Fri
Turnaround time 2-5 days
Method Enzymatic
Test includes
GlycoMark, ug/mL.
Reference ranges
  
GlycoMark         ug/mL
 M   10.7-32.0
 F   6.8-29.3

[5592]


11-DEOXYCORTISOL, SERUM (QUANTITATIVE)
Order Code 11DQS Test Code 11DQS
Synonyms Compound S
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells immediately and place in separate plastic tube and freeze. Store and transport frozen.
Required patient info Patient's age.
Stability-   Room temp unacceptable   Refrigerated 1 week   Frozen (-20°C) 6 months   Frozen (-70°C)
Alternate specimens EDTA , K2EDTA, sodium or lithium heparin plasma (lavender, pink or green top tube)
CPT codes 82634
Test schedule Mon-Fri
Turnaround time 2-5 days
Method Tandem Mass Spectrometry
Test includes
11-Deoxycortisol, Serum, ng/dL.
Reference ranges
  
11-Deoxycortisol, Serum         ng/dL
  Premature 26-28 wks     110-1376
  Premature 29-36 wks     70-455
  Term 1-5 mo             10-200
  Term 6-11 mo            10-156
  1-6 yrs                 7-210
 F 7-9 years              94 or less
   10-12 years            123 or less
   13-15 years            107 or less
   16-17 years            47 or less
   18 yrs & more          LT 33
 M 7-9 years              120 or less
   10-12 years            92 or less
   13-15 years            95 or less
   16-17 years            106 or less
   18 years & moe         LT 50
 By Tanner Stage
 F Tanner 1               94 or less
   Tanner 2               136 or less
   Tanner 3               99 or less
   Tanner 4-5             50 or less
 M Tanner 1               105 or less
   Tanner 2               108 or less
   Tanner 3               111 or less
   Tanner 4-5             83 or less
 After metyrapone stimulation GT 8000

[2]


14-3-3 PROTEIN, CSF (PRION DISEASE)shipping instruction code
Order Code PRION Test Code PRION
Synonyms Prion Disease; Protein 14-3-3, CJD; Creutzfeldt-Jacob Disease (CJD); Creutz-Jacob Disease; Transmissable Spongiform Encephalopathies (TSE)
Specimen Required
       Container type Sterile screw cap vial.  Specimen type Frozen CSF  Preferred volume 5 mL  Minimum volume 1 mL
Collection procedure Collect CSF by lumbar puncture. Discard first 2 mL that flows from tap. Collect next 5 mL CSF, avoiding bloody tap.
Specimen processing Freeze within 20 minutes of collection. Store and transport FedEx. Do not ship so that it will arrive on Saturday, Sunday or a holiday. Store and transport frozen.
Required patient info A patient information sheet and all clinical information must be completed and sent with specimen, including patient onset date of symptoms, race, ordering physican and phone number.
Stability-   Room temp 20 minutes   Refrigerated 5 days   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 83520
Test schedule Mon-Fri
Turnaround time 7-9 days
Method Immunoassay
Test includes
14-3-3 Protein, CSF.
Reference ranges
  
14-3-3 Protein, CSF   See separate report
Notes
Patient is also asked to submit a frozen urine sample for validation of a recently published diagnostic test on Creutzfeldt-Jakob disease; no report will be issued. Please inform patient and/or family that urine is used for research on a diagnostic test and obtain oral consent.

[3]


17-ALPHA-HYDROXYPROGESTERONE
Order Code 17AHYD Test Code 17AHYD
Synonyms Hydroxyprogesterone, 17-alpha
Specimen Required
       Container type SST tube  Specimen type Frozen Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells within 1 hour and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 1 day   Refrigerated 3 days   Frozen (-20°C) Indefinitely   Frozen (-70°C)
CPT codes 83498
Test schedule Mon-Sat
Turnaround time 4-7 days
Method RIA/Column
Test includes
17-Alpha-hydroxyprogesterone, ng/dL.
Reference ranges
  
17-Alpha-hydroxyprogesterone                     ng/dL
   Premature 26-28 wks Day 4 range    124-841
   Premature 31-35 wks Day 4 range    26-568
   Full term newborn   Day 3 range    LT 78
 M 1-11 months                        Levels increase to peak values
                                      ranging from 40-200 between 30-60
                                      days of age. Values then decline to
                                      a prepubertal value of LT 91 before
                                      one year of age.
  LT 10 yrs                           LT 91
  Tanner Stage 1                      LT 91
  Tanner Stage 2                      LT 116
  Tanner Stage 3                      10-138
  Tanner Stage 4                      29-180
  Tanner Stage 5                      24-175
  Adult                               27-199
 F 1-11 months                        13-106
   LT 9 yrs                           LT 91
   Tanner Stage 1                     LT 83
   Tanner Stage 2                     11-98
   Tanner Stage 3                     11-155
   Tanner Stage 4                     18-230
   Tanner Stage 5                     20-265
   Adult-Follicular                   15-70
   Adult-Luteal                       35-290

[4]


17-HYDROXYCORTICOSTEROIDS
Order Code 17OHQ Test Code 17OHQ
Synonyms 17-OHcorticosteroids
Specimen Required
       Container type 24-hour leakproof plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 12 mL  Minimum volume 12 mL
Collection procedure Refrigerate during collection.
Specimen processing Aliquot 12 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container and freeze. Record total volume. Store and transport frozen.
Required patient info Total volume and collection period.
Stability-   Room temp 4 hours with preservative   Refrigerated 1 week with preservative   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Alkali preservatives.
Alternate specimens Random samples (but they are reported as mg/L with no reference ranges), samples refrigerated with preservatives. Sample pH must be 5-7. Mix well, add 1 gram boric acid/100 mL urine, adjust pH (with boric acid) to 5-7 and freeze.
CPT codes 83491
Test schedule Tue, Fri
Turnaround time 4-8 days
Method Porter-Silber Reaction
Test includes
Collection Period, h; Volume, mL; 17-Hydroxycorticosteroids, mg/d; 17-Hydroxycorticosteroids, mg/gCr; Creatinine Urine, mg/dL; Creatinine Urine, mg/d..
Reference ranges
  
Collection Period          h
Volume                     mL
17-Hydroxycorticosteroids  mg/d
 Urine
 4.0-14.0
17-Hydroxycoricosteroids   mg/gCr
 2.0-6.5
Creatinine, Urine          mg/dL
Creatinine, Urine          mg/d
 M 3-8 yrs     140-700
   9-12 yrs    300-1300
   13-17 yrs   500-2300
   18-50 yrs   1000-2500
   51-80 yrs   800-2100
   81 yrs +    600-2000
 F 3-8 yrs     140-170
   9-12 ys     300-1300
   13-17 yrs   400-1600
   18-50 yrs   700-1600
   52-80 yrs   500-1400
   81 yrs +    400-1300

[5]


17-HYDROXYPROGESTERONE
Order Code 17HPRG Test Code 17HPRG
Synonyms 17-OH Progesterone
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or frozen.
Stability-   Room temp 2 days   Refrigerated 7 days   Frozen (-20°C) 6 months   Frozen (-70°C)
Alternate specimens EDTA or sodium heparinized plasma(lavender or green top tube).
Department SHMC Immunology
CPT codes 83498
Test schedule Mon, Wed, Fri evenings
Turnaround time 3-5 days
Method RIA
Test includes
17-Hydroxyprogesterone, ng/dL.
Reference ranges
  
17-Hydroxyprogesterone          ng/dL
 F Premature 26-28 weeks   124-841
   Premature 29-35 weeks   26-568
   Full term-day 3         7-77
   4-29 days               7-106
   1-5 mons                13-106
   6-35 mons               211 or less
   3-6 yrs                 278 or less
   7-9 yrs                 71 or less
   10-12 yrs               129 or less
   13-15 yrs               9-208
   16-17 yrs               178 or less
   18 yrs +                LT 207
   Follicular              15-70
   Luteal                  35-290
   Tanner Stage I          74 or less
   Tanner Stage II         164 or less
   Tanner Stage III        13-209
   Tanner Stage IV-V       7-170
 M Premature 26-28 weeks   124-841
   Premature 29-35 weeks   26-568
   Full term-day 3         7-77
   4-29 days               LT 200
   1-5 mons                90 or less
   6-35 mons               181 or less
   3-6 yrs                 205 or less
   7-9 yrs                 63 or less
   10-12 yrs               79 or less
   13-15 yrs               9 to 140
   16-17 yrs               24 to 192
   18 yrs +                LT 139
   Tanner Stage I          62 or less
   Tanner Stage II         104 or less
   Tanner Stage III        151 or less
   Tanner Stage IV-V       20-173

[3071]


17-KETOSTEROIDS, URINE
Order Code KETO Test Code 17KSUQ
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 4 mL  Minimum volume 4 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 4 mL of a well-mixed 24-hour urine collection into a leakproof plastic container. Record total volume and collection interval on transport tube and request form. Store and transport refrigerated.
Required patient info Record total volume and collection time interval on transport tube and request.
Stability-   Room temp 4 hours   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens 24 hour urine preserved with 6N HCl to a pH of 2-4. A pH of LT 2 will decrease analyte stability.
CPT codes 83586
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method Spectrophotometric (Zimmerman Reaction)
Test includes
Time, h; Volume, mL; 17 Keto Steriods, mg/dL; 17 Keto Steroids, mg/d; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d.
Reference ranges
  
Collection Period                   h
Volume                              mL
17 Keto Steroids                    mg/L
17 Keto Steroids                    mg/d
   Up to 1 yr    0.0-1.0 
   1-5 yrs       1.0-2.0
 M 6-10 yrs      1.0-4.4
   11-12 yrs     1.3-8.5
   13-16 yrs     3.4-9.8
   17-50 yrs     5.3-17.6
   50+ yrs       4.1-12.1
 F 6-10 yrs      1.4-3.9
   11-12 yrs     3.8-9.5
   13-16 yrs     4.5-17.1
   17-50 yrs     4.4-14.2
   50+ yrs       3.2-10.6
Creatinine, Urine                   mg/dL
Creatinine, Urine                   mg/d
 M 0-2 yrs     Not established
   3-8 yrs     140-700
   9-12 yrs    300-1300
   13-17 yrs   500-2300  
   18-50 yrs   1000-2500            
   51-80 yrs   800-2100
   81+ yrs     600-2000
 F 0-2 yrs     Not established
   3-8 yrs     140-700
   9-12 yrs    300-1300
   13-17 yrs   400-1600
   18-50 yrs   700-1600
   50-80 yrs   500-1400
   81+ yrs     400-1300

[7]


17-OH PREGNENOLONE
Order Code 17OHPG Test Code 17OHPG
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.1 mL
Specimen processing Separate serum from cells within 1 hour and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 1 day   Refrigerated 3 days   Frozen (-20°C) Indefinitely   Frozen (-70°C)
CPT codes 84143
Test schedule Tue, Thu, Sat
Turnaround time 4-7 days
Method HPLC/TMS
Test includes
17-OH Pregnenolone, ng/dL.
Reference ranges
  
17-OH Pregnenolone     ng/dL
 0-15 yrs   44-235 
 16+ yrs    53-357

[9]


18-HYDROXYCORTICOSTERONE
Order Code 18OHCC Test Code 18OHCC
Separate samples must be submitted when multiple tests are ordered.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells within 1 hour of collection and place in separate plastic tube and freeze. Store and transport frozen. This is a critical frozen sample.
Stability-   Room temp 1 day   Refrigerated 2 days   Frozen (-20°C) 3 months (only 2 freeze/thaw cycles)   Frozen (-70°C)
Alternate specimens Plasma
CPT codes 82542
Test schedule Mon
Turnaround time 4-10 days
Method HPLC/MS
Test includes
18-Hydroxycorticosterone, ng/dL.
Reference ranges
  
18-Hydroxycorticosterone         ng/dL
 Premature infant           10-670
  (26-28 weeks) Day 4
 Premature infant           57-410
  (31-35 weeks) Day 4
 Full-term infant
  3 days                    31-546
  1-12 months               5-220
 Children
  1-2 years                 18-155
  2-10 years                6-85
  10-15 years               10-72
 Adults                     9-58
  Normal Na intake
   8 am supine              4-21
   8 am upright             5-46
  Low Na intake
   8 am supine              11-75
   8 am upright             19-96

[10]


21-HYDROXYLASE ANTIBODIES
Order Code 21HYAB Test Code 21HYAB
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp Unacceptable   Refrigerated 1 week   Frozen (-20°C) 6months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens.
CPT codes 83519
Test schedule Tue
Turnaround time 3-11 days
Method RIA
Test includes
21-Hydroxylase Antibodies, U/mL.
Reference ranges
  
21-Hydroxylase Antibodies   0.0-1.0   U/mL

[11]


3-ALPHA-ANDROSTANEDIOL GLUCURONIDE
Order Code 3-AAG Test Code 3AAG
Synonyms 3-Alpha-Diol Glucuronide; 3-Alpha Diol G; 17B-Diol Glucuronide; 3-Alpha AG; 3a-Androstanediol Glucuronide
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Samples received at room temperature.
CPT codes 82154
Test schedule Tue
Turnaround time 7-12 days
Method Enzyme Digestion/Chrom/RIA
Test includes
3-Alpha-Diol Glucuronide, ng/dL.
Reference ranges
  
3-Alpha-Diol Glucuronide     ng/dL
 M Adult       260-1500   
 F Adult       60-300     
 Prepubertal   10-60      
  F  33-244 Tanner Stages II-III
  M  19-164 Tanner Stages II-III

[13]


5' NUCLEOTIDASE
Order Code 5NT Test Code 5NT
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Allow to clot completely at room temperature. Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 hours   Refrigerated 1 week   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Room temperature samples.
Limitations Avoid repeat freeze-thaw cycles and hemolysis.
CPT codes 83915
Test schedule Sun-Sat
Turnaround time 3 days
Method Enzymatic
Test includes
5' Nucleotidase, U/L.
Reference ranges
  
5' Nucleotidase    0-15    U/L

[15]


5-FLUOROCYTOSINE, ANTIFUNGAL LEVEL
Order Code FUNAB Test Code FUNAB
Synonyms Antifungal Level, 5-Fluorocytosine
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Required patient info List all other antimicrobials being used to treat the patient.
CPT codes 80299
Test schedule Mon-Fri
Turnaround time 4-6 days
Method BA
Test includes
5-Fluorocytosine Level, ug/mL.
Reference ranges
  
5-Fluorocytosine Level      Peak serum         30.0-45.0        ug/mL
 Any undisclosed antibiotics might affect the results.

[16]


5-HIAA, URINE (QUANTITATIVE)
Order Code 5-HIAA Test Code HIAAUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mL. It will report the collection & total volume. There is no charge for this test.
Synonyms Serotonin Metabolite, Urine; 5-Hydroxyindoleacetic Acid; 5-HIAA, Urine Quant; 5-Hydroxyindolacetic Acid, Urine
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 25 mL  Minimum volume 1 mL
Patient Prep Patient should avoid avocados, bananas, plums, walnuts, pineapple, tomatoes and eggplant for 48 hours prior to and during collection. If possible medication should be withheld 3-4 days prior to collection.
Collection procedure Collect a 24-hour urine specimen. Refrigerate during collection.
Specimen processing Aliquot 25 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Upon receipt, adjust pH to 1-4 with 6N HCl. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp Unacidified: unacceptable, Acidified: 1 month   Refrigerated Unacidified: 1 week, Acidified: 1 year   Frozen (-20°C) Unacidified: 2 weeks   Frozen (-70°C)
Alternate specimens 24-hour urine collected with 10 grams of boric acid, 25 mL of 50% acetic acid and then pH to 1-4 with 6N HCl.
Limitations A pH less than 1 can cause assay interference.
Department Special Chemistry
CPT codes 83497
Test schedule Tue, Thu days
Turnaround time 2-6 days
Method HPLC/Electrochemical Detection
Test includes
Time, h; Volume, mL; 5-HIAA, Urine, mg/24h.
Reference ranges
  
Collection Period       h
Volume                 mL
5-HIAA     0.0-10.0    mg/24h

[17]


5-HIAA, URINE (RANDOM)
Order Code HIAUR Test Code HIAUR
Synonyms Serotonin Metabolite, Urine, Random; 5-Hydroxyindoleacetic Acid, Urine Random; 5HIAA, Urine, Random
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 25 mL  Minimum volume 1 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 25 mL of a random urine specimen. Adjust pH to 1-4 with 6N HCl. Store and transport refrigerated.
Stability-   Room temp Acidified: 1 month, Unacidified: Unacceptable   Refrigerated Acidified: 1 month, Unacidified: 1 week.   Frozen (-20°C) Unacidified: 2 weeks   Frozen (-70°C)
Unacceptable conditions room temperature unacidified samples.
Limitations A pH less than 1 can interfere with assay perfomance. Patient should avoid avocados, bananas, plums, walnuts, pineapple, tomatoes and eggplant for 48 hours prior to and during collection. If possible, medication should be withheld 3-4 days before collection.
Department Special Chemistry
CPT codes 83497, 82570
Test schedule Tue, Thu
Turnaround time 2-6 days
Method HPLC/Electro Det/Enzymatic (IDMS traceable)
Test includes
Creatinine, Urine Random, mg/dL; 5-HIAA, Urine,Random, mg/L; 5-HIAA(Calculation), mg/gCr.
Reference ranges
  
Creatinine, Urine Random   No reference range established   mg/dL
5-HIAA, Urine Random       No reference range established   mg/L
5-HIAA, Urine Random                                        mg/gCr
 3-8 years      1.2-16.2
 9-12 years     2.4-8.7
 13-17 years    1.8-5.5
 Adults         1.3-6.9
                Please note: A 24-hr urine collection is the 
                preferred specimen. These reference ranges
                for random urine collections are based on
                literature review.

[5559]


6-MONOACETYLMORPHINE (6MAM) CONFIRMATION BY GC/MS.
Order Code MS6MAM Test Code MS6MAM
Synonyms Heroin,6-AM,6AM,Smack, H, ska, junk, Al Capone, ballot, cheese, chocolate rock, dog food, eighth, ferry dust, gato, hard candy, joy, Mexican horse, noise, old Steve
Specimen Required
       Container type Random Urine  Preferred volume 30 mL  Minimum volume 20 mL
Limitations 10 ng/mL
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48
Method GC/MS
Test includes
6-monoactylmorphine

[7005]


6-MONOACETYLMORPHINE (6MAM) SCREENING BY EMIT
Order Code 6MAM Test Code 6MAM
Synonyms Heroin,6-AM,6AM,Smack, H, ska, junk, Al Capone, ballot, cheese, chocolate rock, dog food, eighth, ferry dust, gato, hard candy, joy, Mexican horse, noise, old Steve
Specimen Required
       Container type Random Urine  Preferred volume 30 mL  Minimum volume 20 mL
Limitations 10 ng/mL
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Test includes
6-monoacetylmorphine

[7004]


7 AMINO CLONAZEPAM CONFIRMATION BY LC/MS
Order Code CLONMS Test Code CLONMS
Synonyms Klonopin, Clonapin, Rivotril
Specimen Required
       Container type Random collection in a leak proof plastic uine container. Protect from light.  Specimen type Urine  Preferred volume 50 mL  Minimum volume 10 mL
Stability-   Room temp   Refrigerated Refrigeration preferred   Frozen (-20°C)   Frozen (-70°C)
Limitations 25 ng/mL
Department Toxicology
CPT codes 80154
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Liquid Chromatography/ Mass Spectrometry
Test includes
7 amino Clonazepam
Notes
Test is also included in Drug Facilitated Sexual Assault panel, DFSA1

[6934]


7 AMINO FLUNITRAZEPAM CONFIRMATION BY LC/MS
Order Code FLUNMS Test Code FLUNMS
Synonyms Rohypnol, Forget-me pull, Mexican Valium, R2, Roche, roofies, roofinol, rope, rophies, circles
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 25 ng/mL
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Liquid Chromatography/ Mass Spectrometry
Test includes
7 amino Flunitrazepam
Notes
Test is also included in Drug Facilitated Sexual Assault panel, DFSA1

[7006]


ABO & RH
Order Code ABO/RH Test Code MABORH
Synonyms Blood Type; Group Type; Type & RH; Blood Grouping & RH Typing
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type EDTA whole blood  Preferred volume 3 mL  Minimum volume 2 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated 10 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed cells and all samples collected in plain red top tubes that are not cord blood samples.
Alternate specimens Cord blood samples collected in plain red top tubes and clearly labeled as cord blood, other specimen types collected in red top tubes will not be accepted.
Department Immunology
CPT codes 86900, 86901
Test schedule Mon-Fri nights & STAT
Turnaround time 24-48 hours
Method Hemagglutination
Test includes
ABO; RH.
Reference ranges
  
ABO
RH

[20]


ABO GROUP
Order Code ABO Test Code M1ABO
Synonyms Blood Type; Group; Type
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type EDTA whole blood  Preferred volume 3 mL  Minimum volume 2 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated 10 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed cells and all samples in plain red top tubes that are not cord blood samples.
Alternate specimens Cor blood samples collected in plain red top tubes and clearly labeled as cord blood. Other specimen types collected in red top tubes will not be accepted.
Department Immunology
CPT codes 86900
Test schedule Mon-Fri nights & STAT
Turnaround time 24-48 hours
Method Hemagglutination
Test includes
ABO.
Reference ranges
  
ABO

[21]


ACETAMINOPHEN
Order Code TYLEN Test Code TYL
Synonyms Tylenol
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Collection procedure Draw peak specimen 1 hour post IM dose or 1/2 hour post IV infusion.
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated.
Required patient info Peak or trough specimen, time of dose.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 45 days   Frozen (-70°C)
Unacceptable conditions EDTA plasma, samples drawn immediately after the introduction of NAC (N-acetylcysteine), used for acetaminophen toxicity treatment.
Alternate specimens SST or Sodium heparinized plasma (green top tube) or 1 microtainer.
Limitations If testing is delayed more than 24 hours freeze specimen.
Department Chemistry
CPT codes 82003
Test schedule Daily & STAT
Turnaround time 1-2 days
Method Enzymatic
Test includes
Acetaminophen, ug/mL.
Reference ranges
  
Acetaminophen                          ug/mL
 Therapeutic  10-25
 Toxic        GT 150

[22]


ACETAMINOPHEN (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCACE Test Code TLCACE
Synonyms Tylenol
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 5000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Acetaminophen
Notes
Test is also included in Drug-Sur as part of panel.

[6937]


ACETAMINOPHEN, URINE
Order Code ACETAM Test Code ACETAM
Synonyms Tylenol, Urine; Datril, Urine
Specimen Required
       Container type Urine container  Specimen type Random Urine  Preferred volume 30 mL  Minimum volume 5 mL
Collection procedure
Specimen processing Collect 30 mL random urine in a leakproof plastic urine container. Store and transport at room temperature.
Stability-   Room temp 10 days   Refrigerated 30 days   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Blood, serum or plasma.
Department Toxicology
CPT codes 82003
Test schedule Mon-Fri
Turnaround time 2-3 days
Method GC/MS
Test includes
Acetaminophen, ug/ml
Reference ranges
  
Acetaminophen, Urine                   2.5-200                      ug/mL

[3018]


ACETAZOLAMIDE SERUM/PLASMA
Order Code ACETAZ Test Code ACETAZ
Synonyms Acetazolamide; DiamoX
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 15 days   Refrigerated 1 month   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions SST or PST.
Alternate specimens Plasma
CPT codes 82491
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method HPLC
Test includes
Acetazolamide,ug/mL.
Reference ranges
  
Acetazolamide          10-15      ug/mL
 Usual adjunct antiepileptic therapeutic range.

[5768]


ACETONE
Order Code ACETONE Test Code KET
Specimen Required
       Container type SST  Specimen type Serum  Preferred volume 1 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated.
Alternate specimens EDTA or sodium heparinized plasma (lavender or green top tube).
Department Chemistry
CPT codes 82009
Test schedule Daily & STAT
Turnaround time 1-2 days
Method Acetest/Semiquantitative/Nitroprusside
Test includes
Acetone.
Reference ranges
  
Acetone  Negative

[23]


ACETONE FOR TOXICOLOGY PURPOSES
Order Code ACET Test Code ACET
Included in Volatiles or can be ordered separate.
Specimen Required
       Container type Serum (red top), Oxalated whold blood (grey top), or heparinized whole blood (green top)  Specimen type Blood  Preferred volume 2 ml  Minimum volume 1 ml
Alternate specimens Urine or vitreous humor
Limitations Container must be keep sealed. Limit of Detection 10 mg/dl
Department Toxicology
CPT codes 84600
Test schedule M - F
Turnaround time 24 - 48 hours
Method Gas Chromatography (GC)

[6878]


ACETYLCHOLINE BINDING ANTIBODY
Order Code AR-AB Test Code ACETYL
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 hours   Refrigerated 7 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely lipemic, contaminated, or hemolyzed samples or plasma.
Limitations Avoid multiple freeze/thaw cycles.
CPT codes 83519
Test schedule Sun-Sat
Turnaround time 3-7 days
Method RIA
Test includes
Acetylcholine Binding Antibody, nmol/L.
Reference ranges
  
Acetylcholine Binding Ab      nmol/L 
 Negative  0.0-0.4         
 Positive  0.5 or greater
 Approximately 85-90% of patients with
 myasthenia gravis (MG) express anti-
 bodies to the acetylcholine receptor
 (AChR), which can be divided into
 binding, blocking, and modulating
 antibodies. Binding antibody can activate
 complement and lead to loss of AChR.
 Blocking antibody may impair binding of
 acethlcholine to the receptor leading to
 poor muscle contraction. Modulating
 antibody causes receptor endocytosis
 resulting in loss of AChR expression,
 which correlates most closely with
 clinical severity of disease.
 Approximately 10-15% of individuals with 
 confirmed myasthenia gravis have no
 measurable binding, blocking or
 modulating antibodies.
Notes
Approximately 10% of individuals with confirmed myasthenia gravis have no measurable binding, blocking or modulating antibody.

[24]


ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY
Order Code AR.AB.BLOCK Test Code ARAB
Specimen Required
       Container type Serum separator tube (SST)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 hours   Refrigerated 7 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Severely lipemic, contaminated, or hemolyzed samples.
Limitations Avoid multiple freeze/thaw cycles.
CPT codes 83519
Test schedule Mon-Sat
Turnaround time 2-4 days
Method RIA
Test includes
Acetylcholine Blocking Antibody, %.
Reference ranges
  
Acetylcholine Blocking Ab   0-15    %
 Interpretive Criteria
 Negative          0-15 % blocking
 Indeterminate     16-24 % blocking
 Positive          25 % blocking or more
 Approximately 85-90% of patients with
 myasthenia gravis (MG) express anti-
 bodies to the acetylcholine receptor
 (AChR), which can be divided into
 binding, blocking, and modulating
 antibodies. Binding antibody can activate
 complement and lead to loss of AChR.
 Blocking antibody may impair 
 binding of acetylcholine to
 the receptor leading to
 poor muscle contraction. Modulating
 antibody causes receptor endocytosis
 resulting in loss of AChR expression,
 which correlates most closely with
 clinical severity of disease.
 Approximately 10-15% of individuals
 confirmed myasthenia gravis have no
 measurable binding, blocking or
 modulating antibodies.

[26]


ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY
Order Code ACHRMO Test Code ACHRMO
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from the cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 hours   Refrigerated 1 week   Frozen (-20°C) 12 weeks (avoid multiple freeze/thaw cycles)   Frozen (-70°C)
Unacceptable conditions Severely lipemic, contaminated, or hemolyzed samples.
CPT codes 83519
Test schedule Sun-Fri
Turnaround time 3-8 days
Method Radioreceptor Assay
Test includes
ACHR Modulating Antibody, %.
Reference ranges
  
ACHR Modulating Antibody           %
 Negative         0-20
 Indeterminate    21-25
 Positive         26 or greater
 Approximately 85-90% of patients with
 myasthenia gravis (MG) express anti-
 bodies to the acetylcholine receptor
 (AChR), which can be divided into
 binding, blocking, and modulating
 antibody. Binding antibody can activate
 complement and lead to loss of AChR.
 Blocking antibody may impair binding of
 acetylcholine to the receptor leading to
 poor muscle contraction. Modulating
 antibody causes receptor endocytosis
 resulting in loss of AChR expression,
 which correlates most closely with
 clinical severity of disease.
 Approximately 10-15% of individuals with 
 confirmed myasthenia gravis have no
 measurable binding, blocking or
 modulating antibodies.

[27]


ACETYLCHOLINESTERASE, AMNIOTIC FLUID
Order Code AACHE Test Code AACHE
Synonyms AACHE; ACHE, Amniotic Fluid
Specimen Required
       Container type Sterile screw-top plastic tube.  Specimen type Amniotic fluid.  Preferred volume 2 mL  Minimum volume 2 mL
Specimen processing Do not centrifuge specimen. If cytogentics is also ordered, do not split or pour off specimen; send all specimen to SHMC cytogenetics. Complete a SHMC cytogenetics form. Store and transport at room temperature. These specimens will be sent to Genzyme Genetics. They will be put in special tubes provided in the Genzyme kit and the requisition from Genzyme will be included.
Required patient info Clinical indication, maternal birthdate, maternal weight, gestational age in weeks & days as determined by LMP or ultrasound (identify method), maternal diabetic status, maternal race, family history of previous Down Syndrome or neural tube defect (NTD), &/or twin or multiply pregnancy.
Stability-   Room temp 7 days   Refrigerated 7 days   Frozen (-20°C)   Frozen (-70°C)
CPT codes 82013
Test schedule Mon-Sun
Turnaround time 4-6 days
Method EIA
Test includes
Acetylcholinesterase, Amniotic Fluid; Interpretation; Reviewed by; Date.
Reference ranges
  
Acetylcholinesterase, Amniotic Fluid
Interpretation
Reviewed by
Date

[3094]


ACID FAST BACILLUS, MIC 12 DRUG PACKAGEshipping instruction code
Order Code M12NJ Test Code M12NJ
Synonyms MIC 12 Drug Package
Specimen Required
       Container type See below  Specimen type See below
Patient Prep See below
Collection procedure See below
Specimen processing Send pure culture of isolate on appropriate AFB media. Complete a National Jewish Mycobacteriology Services requisition to accompany the specimen. Store and transport at room temperature. Ship 602.
Required patient info Identify organism and source
Unacceptable conditions Leakage or breakage, unclear labeling, insufficient information about the specimen, no signature/name on the requisition, incomplete billing or reporting information.
CPT codes 87188
Test schedule Varies
Turnaround time 14 days or more
Method Bactec MIC
Test includes
Source; Organism; MIC 12 Drug Package.
Reference ranges
  
AFB MIC 12 Drug Package   
 See separate report

[29]


ACID FAST BACILLUS, MTB COMPLEX DNA, PCR
Order Code AFBPCR Test Code AFBPCR
Synonyms MTB Complex DNA by PCR; Mycobacterium tuberculosis Complex by PCR; AFB, MTB Complex DNA, PCR
Specimen Required
       Container type Sterile leakproof plastic container  Specimen type Frozen respiratory secretions (sputum)  Preferred volume 5 mL
Collection procedure See below
Specimen processing Collect specimen in the early morning in a sterile, plastic leakproof container and freeze. Store and transport frozen.
Alternate specimens Pleural fluid or CSF.
CPT codes 87556
Test schedule Mon, Wed, Fri
Turnaround time 3-6 days
Method PCR
Test includes
MTB Comples DNA by PCR.
Reference ranges
  
MTB Complex DNA by PCR   Not detected
 This assay is performed using the
 Amplicor MTB test manufactured &
 distributed by Roche Diagnostics
 Systems, Inc. It is a target amplified
 in vitro diagnostic test for the
 qualitative detection of M. tuberculosis
 complex DNA in concentrated sediments
 prepared from sputum (induced/
 expectorated), bronchial specimens
 including bronchial alveolar lavages
 and aspirates, or tracheal aspirates.
 The MTB test is intended for use as an
 adjunctive test for evaluating acid-
 fast bacilli smear positive sediments
 from untreated patients suspected of
 having tuberculosis. It is specific
 for, but does not differentiate among,
 members of the M. tuberculosis complex,
 i.e., M. tuberculosis, M. bovis,
 M. bovis BCG, M africanum, & M. micoti.
 A negative test result does not exclude
 the possibility of isolating a M.
 tuberculosis complex organism from the
 specimen. The manufacturer has not
 determined the efficacy of this test
 for the detection of M. tuberculosis
 from non-respiratory specimens. The 
 performance characteristics of the
 test on non-respiratory specimens
 have been determined by Focus
 Technologies.

[30]


ACID MUCOPOLYSACCHARIDES, URINE
Order Code ACMPS Test Code ACMPS
Synonyms Acid MPS, Urine
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 2 mL of a random urine specimen. Store and transport refrigerated.
Required patient info Patient's age and clinical information.
CPT codes 83864
Test schedule Thu- Interp on Monday
Turnaround time 7-10 days
Method Colorimetric
Test includes
Acid Mucopolysaccharides, Urine (Quant), mg/L; Acid Mucopolysaccharides Calculation, mg/gCreat; MPS Interpretation.
Reference ranges
  
Acid Mucopolysaccharides,                   mg/L
 Urine                0-2 months   LT 60    
                      3-6 months   LT 60
                      7-12 months  LT 60
                      GT 1 year    LT 60 
Acid MPS (calc)       0-2 months   LT 350   mg/gCr
                      3-6 months   LT 250
                      7-12 months  LT 150
                      GT 1 year    LT 60
MPS Interpretation

[5367]


ACID PHOSPHATASE WITH TARTRATE STAIN
Order Code SS.TRAP Test Code TRAP
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms TRAP; Cytochemical Stain
Specimen Required
       Container type See below.  Specimen type See below.
Collection procedure 3 blood smears, tissue touch preps, or bone marrow coverslips and/or sodium heparinized sample (green top tube). 3 mL EDTA (lavender top tube) of peripheral blood should also be sent. The slides should be air-dried, unstained, and unfixed. EDTA and heparin slides are acceptable.
Specimen processing Protect from light. Store and transport at room temperature.
Required patient info Source
Limitations Specimen must be processed within 12 hours of collection. Protect from light.
Department Cytochemical Hematology
CPT codes 88319 x 2
Test schedule Mon-Sat days
Turnaround time 72 hours
Method Cytochemical Stain; TRAP Stain
Test includes
Source; Tartrate Resistant Acid Phosphatase Stain; TRAP Interpretation; Reviewed by.
Reference ranges
  
Source
Tartrate Resistant Acid Phosphatase Stain
TRAP Interpretation
Reviewed by

[33]


ACTIVATED PROTEIN C RESISTANCE
Order Code APCRES Test Code APCR
Separate samples must be submitted when multiple tests are ordered.
Synonyms Protein C Resistance, Activated
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2-1 mL aliquots  Minimum volume 2-0.5 mL aliquots
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85307
Test schedule Sat, Wed
Turnaround time 2-4 days
Method Clot-based Assay
Test includes
APC Resistance, Ratio.
Reference ranges
  
APC Resistance
 Normal  GT 2.0 ratio

[35]


ACYLCARNITINES, QUANTITATIVE
Order Code ACYQUT Test Code ACYQUT
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Frozen plasma  Preferred volume 0.1 mL
Specimen processing Separate plasma from the cells and place in separate plastic tube and freeze. Store and transport frozen.
Required patient info Patient family history, clinical indications (asymptomatic or acute episode), diet, drug therapy information and age.
Unacceptable conditions Orders that do not include patient's age.
CPT codes 82017
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method MS/MS
Test includes
Acetylcarnitine, C:2, nmol/mL; Propionylcarnitine, C3, nmol/mL; Iso-/Butyrylcarnitine, C4, nmol/mL; Isovaleryl-/2-Methylbutyrylcarnitine, C5, nmol/mL; Hexanoylcarnitine, C6, nmol/mL; 3-OH-hexanoylcarnitne, C6-OH, nmol/mL; Octenoylcarnitne, C8:1, nmol/mL; Octanoylcarnitine, C8, nmol/mL; Decenoylcarnitine, C10:1, nmol/mL; Decanoylcarnitine, C10, nmol/mL; Glutarylcarnitine, C5-DC, nmol/mL; Dodecenoylcarnitine, C12:1, nmol/mL; Dodecanoylcarnitine, C12, nmol/mL; 3-OH-dodecanoylcarnitine, C12-OH, nmol/mL; Tetradecadienoylcarnitine, C14:2, nmol/mL; Tetradecedienoylcarnitine, C14:1, mnol/mL; Tetradecanoylcarnitine, C14, nmol/nL; 3-OH-tetradecenoylcarnitine, C14:1-OH, nmol/mL; 3-OH-tetradecanoylcarnitine, C14-OH, nmol/mL; Hexadecenoylcarnitine, C16:1, nmol/mL; Hexadecanoylcarnitine, C16, nmol/mL; 3-OH-hexadecenoylcarnitine C16:1-OH, nmol/mL; 3-OH-hexadecanoylcarnitine, C16-OH, nmol/mL; Linoleylcarnitine, C18:2, nmol/mL; Oleylcarnitine, C18:1, nmol/mL; Stearoylcarnitine, C18, nmol/mL; 3-OH-linoleylcarnitine, C18:2-OH, nmol/mL; 3-OH-oleylcarnitine, C18:1-OH, nmol/mL; Comment
Reference ranges
  
Acetylcarnitine, C:2                 nmol/mL
 1-7 days        2.14-15.89
 8 days-7 years  2.00-27.57
 8 yrs & older   2.00-17.83
Propionylcarnitine, C3               nmol/mL
 1-7 days        LT 0.55
 8 days-7 years  LT 1.78
 8 yrs & older   LT 0.88
Iso-/Butyrylcarnitine, C4            nmol/mL
 1-7 days        LT 0.46m
 8 days-7 years  LT 1.06
 8 yrs & older   LT 0.83
Isovaleryl-/2-Methylbutyrylcarnitine nmol/mL
 C5
 1-7 days        LT 0.38
 8 days-7 years  LT 0.63
 8 yrs & older   LT 0.51
Hexanoylcarnitine, C6                nmol/mL
 1-7 days        LT 0.14
 8 days-7 years  LT 0.23
 8 yrs & older   LT 0.17
3-OH-hexanoylcarnitine, C6-OH        nmol/mL
 1-7 days        LT 0.08
 8 days-7 years  LT 0.19
 8 yrs & older   LT 0.09
Octenoylcarnitine, C8:1              nmol/mL
 1-7 days        LT 0.48
 8 days-7 years  LT 0.91
 8 yrs & older   LT 0.88
Octanoylcarnitine, C8                nmol/mL
 1-7 days        LT 0.19
 8 days-7 years  LT 0.45
 8 yrs & older   LT 0.78
Decenoylcarnitine, C10:1             nmol/mL
 1-7 days        LT 0.25
 8 days-7 years  LT 0.46
 8 yrs & older   LT 0.47
Decanoylcarnitine, C10               nmol/mL
 1-7 days        LT 0.27
 8 days-7 years  LT 0.91
 8 years & older LT 0.88
Glutarylcarnitine, C5-DC             nmol/mL
 1-7 days        LT 0.06
 8 days-7 years  LT 0.10
 8 yrs & older   LT 0.11
Dodecenoylcarnitine, C12:1           nmol/mL
 1-7 days        LT 0.19
 8 days-7 years  LT 0.37
 8 yrs & older   LT 0.35
Dodecanoylcarnitine, C12             nmol/mL
 1-7 days        LT 0.18
 8 days-7 years  LT 0.35
 8 yrs & older   LT 0.26
3-OH-dodecanoylcarnitine, C12-OH     nmol/mL
 1-7 days        LT 0.06
 8 days-7 years  LT 0.09
 8 yrs & older   LT 0.26
Tetradecadienoylcarnitine, C14:2     nmol/mL
 1-7 days        LT 0.09
 8 days-7 years  LT 0.13
 8 yrs & older   LT 0.18
Tetradecenoylcarnitine, C14:1        nmol/mL
 1-7 days        LT 0.16
 8 days-7 years  LT 0.35
 8 yrs & older   LT 0.24
Tetradecanoylcarnitine, C14          nmol/mL
 1-7 days        LT 0.11
 8 days-7 years  LT 0.15
 8 yrs & older   LT 0.12
3-OH-tetradecenoylcarnitine,         nmol/mL
 C14:1-OH
 1-7 days        LT 0.06
 8 days-7 years  LT 0.18
 8 yrs & older   LT 0.13
3-OH-tetradecanoylcarnitine, C14-OH  nmol/mL
 1-7 days        LT 0.04
 8 days-7 years  LT 0.05
 8 yrs & older   LT 0.08
Hexadecenoylcarnitine, C16:1         nmol/mL
 1-7 days        LT 0.15
 8 days-7 years  LT 0.21
 8 yrs & older   LT 0.10
Hexadecanoylcarnitine, C16           nmol/mL
 1-7 days        LT 0.36
 8 days-7 years  LT 0.52
 8 yrs & older   LT 0.23
3-OH-hexadecenoylcarnitine, C16:1-OH nmol/mL
 1-7 days        LT 0.78
 8 days-7 years  LT 0.36
 8 yrs & older   LT 0.06
3-OH-hexadecanoylcarnitine, C16-OH   nmol/mL
 1-7 days        LT 0.10
 8 days-7 years  LT 0.07
 8 yrs & older   LT 0.06
Linoleylcarnitine, C18:2             nmol/mL
 1-7 days        LT 0.12
 8 days-7 years  LT 0.31
 8 yrs & older   LT 0.24
Oleylcarnitine, C18:1                nmol/mL
 1-7 days        LT 0.25
 8 days-7 years  LT 0.45
 8 yrs & older   LT 0.39
Stearoylcarnitine, C18               nmol/mL
 1-7 days        LT 0.10
 8 days-7 years  LT 0.12
 8 yrs & older   LT 0.14
3-OH-linoleylcarnitine, C18:2-OH     nmol/mL
 1-7 days        LT 0.04
 8 days-7 years  LT 0.06
 8 yrs & older   LT 0.06
3-OH-oleylcarnitine, C18:1-OH        nmol/mL
 1-7 days        LT 0.03
 8 days-7 years  LT 0.04
 8 yrs & older   LT 0.06
Comment

[36]


ADAMTS13 EVALUATION (REFLEXIVE)
Order Code ADAM13 Test Code ADAM13
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Citrate (Light blue top tube)  Specimen type Frozen plasma  Preferred volume 1.5 mL (3 aliquots of 0.5 mL each)  Minimum volume 0.8 mL (2 aliquots of 0.4 mL each)
Specimen processing Separate plasma from cells and put in 3 separate plastic tubes and freeze. Place frozen specimens in insulated container with at least 5 lbs of dry ice. Store and transport frozen.
Stability-   Room temp   Refrigerated   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Specimens not received frozen.
CPT codes 85397
Test schedule Mon-Fri
Turnaround time 3-5 days
Method FRET with synthetic substrate
Test includes
ADAMTS13 Activity, %; ADAMTS13 Inhibitor, Inhibitor Units; ADAMTS13 Antibody, Arbitrary Units.
Reference ranges
  
ADAMTS13 Activity     67 or greater     %
ADAMTS13 Inhibitor    0.4 or less       Inhibitor Units
ADAMTS13 Antibody     18 or less        Arbitrary Units

[6686]


ADENOSINE DEAMINASE, BODY FLUIDshipping instruction code
Order Code ADEDFL Test Code ADEDFL
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen body fluid (CSF, peritoneal fluid, or pleural fluid).  Preferred volume 0.3 mL  Minimum volume 0.1 mL
Specimen processing Centrifuge sample and separate the supernatant, place in separate plastic tube and freeze. Store and transport frozen. This specimen must remain frozen until it is received at ARUP. Indicate source.
Required patient info Source
Stability-   Room temp 24 hours   Refrigerated 3 days   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Turbid samples.
CPT codes 84311
Test schedule Mon, Wed, Fri
Turnaround time 3-8 days
Method Spectrophotometry
Test includes
Adenosine Deaminase, Body Fluid, U/L.
Reference ranges
  
Adenosine Deaminase, Body Fluid     U/L
 Pleural transudate (total protein
 LT 3.0 g/dL)   0.0-6.7
 Pleural exudate (total protein GT
 3.0 g/dL)      1.6-9.2
 Tuberculosis   19.0-85.0
 Neoplastic     0.0-22.0
 Pneumonia      0.0-19.0
 RA             23.0-42.0
 Lymphoma       6.0-420.0
 Peritoneal exudate or transudate
 CSF            LT 10.0

[37]


ADENOSINE DEAMINASE, RBC
Order Code ADA.RBC Test Code ADARBC
Synonyms Red Blood Cell Adenosine Deaminase
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type EDTA whole blood  Preferred volume 5 mL  Minimum volume 3 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 4 days   Refrigerated 2 weeks   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Frozen specimens.
Alternate specimens Sodium heparin whole blood (green top tube).
CPT codes 84311
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method Spectrophotometry
Test includes
Adenosine Deaminase, RBC, U/gHgb
Reference ranges
  
Adenosine Deaminase, RBC  0.6-1.8 U/gHgb

[38]


ADENOVIRUS ANTIBODY, IGG & IGM
Order Code ADENGM Test Code ADENGM
Acute and convalescent samples advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labeled as such; parallel testing is preferred and convalescent samples must be received within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, hemolyzed, icteric, turbid, bacterially contaminated or heat-inactivated samples.
Alternate specimens Ambient temperature and frozen samples.
CPT codes 86603 x 2
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method ELISA
Test includes
Adenovirus Antibody, IgG; Adenovirus Antibody, IgM.
Reference ranges
  
Adenovirus Antibody, IgG          IV
 0.89 or less      Negative-no significant
 level of adenovirus IgG antibody
 detected.
 0.90-1.10         Equivocal-questionable
 presence of adenovirus IgG antibody
 detected. Repeat testing in 10-14 
 days may be helpful.
 1.11 or more      Positive-IgG antibody
 to adenovirus detected, which may
 suggest current or past infection.
Adenovirus Antibody, IgM          IV
 0.89 or less      Negative-no significant
 level of adenovirus IgM antibody
 detected.
 0.90-1.10         Equivocal-questionable
 presence of adenovirus IgM antibody
 detected. Repeat testing in 10-14 
 days may be helpful.
 1.11 or more      Positive-IgM antibody
 to adenovirus detected, which may
 suggest current or recent infection.

[39]


ADRENAL ANTIBODY, (REFLEXIVE)
Order Code ADREAB Test Code ADREAB
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Anti-Adrenal Antibody
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 weeks   Refrigerated 2 weeks   Frozen (-20°C) indefinitely   Frozen (-70°C)
CPT codes 86255
Test schedule Tue, Fri
Turnaround time 2-7 days
Method IFA
Test includes
Adrenal Antibody; Adrenal Antibody Titer.
Reference ranges
  
Adrenal Antibody        Negative in normal
                        individuals
Adrenal Antibody, Titer                    Titer

[40]


ADRENOCORTICOTROPIC HORMONE ASSAY
Order Code ACTH Test Code ACTH
Synonyms ACTH
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 0.5 mL
Patient Prep Patient should be fasting.
Collection procedure Draw between 7:00 A.M. and 10:00 A.M. Patient should be fasting. Draw in pre-chilled tubes.
Specimen processing Separate plasma from cells immediately in a refrigerated centrifuge and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated   Frozen (-20°C) 30 days   Frozen (-70°C)
Unacceptable conditions RT or refrigerated specimens and specimens drawn in non-siliconized tubes.
Department Immunology
CPT codes 82024
Test schedule Mon-Fri days
Turnaround time 1-4 days
Method Chemiluminesence DPC Immulite
Test includes
ACTH, pg/mL.
Reference ranges
  
ACTH    0-46             pg/mL
 Adults drawn between 0700 and
 1000 AM

[41]


ALBUMIN
Order Code ALB Test Code ALB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Icteric specimens and sodium fluoride-potassium oxalate plasma (grey top tube).
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 82040
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Albumin, g/dL.
Reference ranges
  
Albumin                 g/dL
 0-4 days        2.9-4.6 
 4 days-14 yrs   3.9-5.6
 14-18 yrs       3.3-4.7
 18-60 yrs       3.5-5.0
 60-90 yrs       3.3-4.8
 90 yrs+         3.0-4.7

[42]


ALBUMIN, CSF
Order Code ALB-C Test Code ALBSF
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type CSF  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Specimen processing Separate fluid from cells ASAP and put in a separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 72 hours   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions RBC contamination.
Department Chemistry
CPT codes 82042
Test schedule Daily
Turnaround time 24-48 hours
Method Nephelometry
Test includes
Albumin, CSF, mg/dL.
Reference ranges
  
Albumin, CSF  5-30  mg/dL

[43]


ALBUMIN, FLUID
Order Code ALBFL Test Code ALBFL
Specimen Required
       Container type Red top tube (plain)  Specimen type Body fluid.  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Promptly separate fluid from cells and place in separate plastic tube. Note type of fluid. Store and transport refrigerated.
Required patient info Type of fluid.
Stability-   Room temp 8 hours   Refrigerated 8 days   Frozen (-20°C) 1 month. Avoid repeated freeze thaw cycles.   Frozen (-70°C)
Alternate specimens Heparinized (green top tube) specimens.
Department Chemistry
CPT codes 82042
Test schedule Daily
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Albumin, Fluid, g/dL.
Reference ranges
  
Albumin, Fluid             g/dL
 No reference range established.
 Values LT 1.2 g/dL will be reported as such.
 Method not validated for body fluid.
 Clinical correlation necessary.

[44]


ALBUMIN, GLYCATED
Order Code GLYCOALBUMIN Test Code GLYALB
Synonyms Glycosylated Albumin
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.4 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 2 hours   Refrigerated 8 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Alternate specimens EDTA plasma (lavender top tube).
CPT codes 82985
Test schedule Tue
Turnaround time 3-10 days
Method Turbidimetric Immunoassay
Test includes
Albumin, Glycated, %.
Reference ranges
  
Albumin, Glycated    0.6-3.0   %

[45]


ALCOHOL
Order Code ALCOHOL,U Test Code ALC20
Synonyms Ethanol, Urine Alcohol,
Specimen Required
       Container type Random Urine Container  Specimen type Urine  Preferred volume 10 mls  Minimum volume 1 ml
Limitations Limit of Detection 20 mg/dl in urine
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method ADH screen, Gas Chromatography (GC) confirmation
Notes
Keep container sealed to prevent evaporation of alcohol

[6879]


ALCOHOL, ETHYL
Order Code ALCOHOL,E Test Code ALC
Synonyms Blood Alcohol; Ethanol; Alcohol; ETOH
Specimen Required
       Container type Prefer Grey Top, will test whole blood, serum and plasma. whole blood (grey top tube) or 3 mL plasma (grey,green, or lavender top tube) or 3 mL serum  Specimen type whole blood or plasma or serum  Preferred volume 7 mL whole blood, or 3 mL plasma, or 3 mL serum  Minimum volume 0.6 mL
Stability-   Room temp store and transfer at room temperature   Refrigerated Refrigerate if specimen arrival will exceed 48 hours.   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Do not use ethyl alcohol prep to cleanse skin prior to venipuncture.
Department Toxicology
CPT codes 82055
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Gas Chromatography (GC)

[6877]


ALDOLASE
Order Code ALDOLASE Test Code ALD
Synonyms ALD; Fructose-Bisphosphate Aldolase
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 5 days   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens and those with cellular contamination.
Limitations Avoid hemolysis. Concentrations with any meds/treatment containing Ag+, Ca2+, Zn2+, and a-phenanthroline.
Department Chemistry
CPT codes 82085
Test schedule Daily
Turnaround time 1-2 days
Method Enzymatic
Test includes
Aldolase, U/L.
Reference ranges
  
Aldolase     U/L
 M 2.0-7.0  
 F 1.0-8.0

[46]


ALDOSTERONE, SERUM
Order Code ALDOSTERONE Test Code ALDOS
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions EDTA plasma (lavender top tube).
Alternate specimens Heparinized plasma (green top tube). If sending a frozen sample, it is critical that separate samples are submitted when multiple tests are ordered.
Department Immunology
CPT codes 82088
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method RIA
Test includes
Aldosterone, ng/dL.
Reference ranges
  
Aldosterone        ng/dL
 0-6 days   5.0-102.0
 1-3 weeks  6.0-179.0
 1-11 mo    7.0-99.0
 1-2 yrs    7.0-93.0
 3-10 yrs   4.0-44.0
 11-14 yrs  4.0-31.0
 15 yrs +   31.0 or less
 Standing   4.0-31.0    
 Recumbent  16.0 or less

[47]


ALDOSTERONE, URINE
Order Code ALDOSTERONE-U Test Code ALDUQ
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type Frozen 24-hour urine collection.  Preferred volume 4.5 mL  Minimum volume 1 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 4.5 mL of a well-mixed 24 hour urine collection into a leakproof plastic container and freeze. Record total volume. Store and transport frozen.
Required patient info Record total volume and collection time interval on transport tube and test request form.
Stability-   Room temp 2 hours   Refrigerated 7 days with preservatives   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Random urine specimens.
Alternate specimens Refrigerated urine samples that are preserved with 1 gram boric acid per 100 mL urine and specimens preserved with 6N HCl or acetic acid to pH 3.0-4.5.
CPT codes 82088
Test schedule Tue, Thu, Sat
Turnaround time 5-9 days
Method RIA
Test includes
Time, h; Volume, mL, Aldosterone, Urine, ug/d; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d.
Reference ranges
  
Collection Period                    h
Volume                               mL
Aldosterone, Urine
 Normal diet     6-25                ug/d
 Low salt diet   17-44
 High salt diet  0-6
 Normal urine values of aldosterone
 Normal sodium intake  100-200       mEq 
 Low sodium intake     LT 25         mEq 
 High sodium intake    GT 200        mEq  
Creatinine, Urine                    mg/dL
Creatinine, Urine                    mg/d                              
 M 0-2 yrs     Not established
   3-8 yrs     140-700
   9-12 yrs    300-1300
   13-17 yrs   500-2300
   18-50 yrs   1000-2500
   51-80 yrs   800-2100
   81+ yrs     600-2000
 F 0-2 yrs     Not established
   3-8 yrs     140-700
   9-12 yrs    300-1300
   13-17 yrs   400-1600
   18-50 yrs   700-1600
   51-80 yrs   500-1400
   81+ yrs     400-1300

[48]


ALDOSTERONE/RENIN RATIO
Order Code ALDREN Test Code ALDREN
Specimen Required
       Container type SST tube and Lavender top tube (EDTA)  Specimen type Serum and frozen plasma  Preferred volume 4 mL frozen plasma and 2 mL serum  Minimum volume 0.5 mL serum & 2.5 mL frozen plasma, pediatric-1.0 mL plasma
Specimen processing Separate plasma from cells within 6 hours of collection and place in separate plastic tube, label for renin and freeze immediately. Store and transport frozen. Separate serum from cells and place in separate plastic tube and label for aldosterone. Store and transport refrigerated or frozen. Both specimen types must be submitted and properly labeled.
Unacceptable conditions Hemolyzed, lipemic or icteric specimens.
Department Immunology
CPT codes 84244, 82088
Test schedule Renin, Mon-Fri; Aldosterone, Sun, Wed, Fri
Turnaround time 2-4 days
Method RIA
Test includes
Aldosterone, ng/dL; Renin, ng/mL/h; Aldosterone/Renin Ratio, ratio.
Reference ranges
  
Aldosterone                     ng/dL
 0-6 days   5.0-102.0
 1-3 weeks  6.0-179.0
 1-11 mo    7.0-99.0
 1-2 yrs    7.0-93.0
 3-10 yrs   4.0-44.0
 11-14 yrs  4.0-31.0
 15 yrs +   31.0 or less
 Standing   4.0-31.0    
 Recumbent  16.0 or less
Renin                           ng/mL/h
 (With unrestricted salt intake)
 Random Ambulatory      0.8-2.5 
 Random Non-ambulatory  1.5-5.2
  Child, supine with normal sodium intake
  1-7 days               15-114
  7 days-12 mo           18-120
  12 mo-3 yrs            13-36
  3-5 yrs                7.5-21.1
  5-10 yrs               3.8-19.2
  10-15 yrs              3.8-10.7
Aldosterone/Renin Ratio
 An Aldosterone/Renin activity ratio
 of GT 25 is suggestive of
 hyperaldosteronism.

[49]


ALKALINE PHOSPHATASE
Order Code AKP Test Code ALKP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions EDTA or sodium fluoride-potassium oxalate plasma (lavender or grey top tubes) or hemolyzed samples.
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 84075
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Alkaline Phosphatase, U/L.
Reference ranges
  
Alkaline Phosphatase        U/L
 0-6 yrs        72-307  
 6-9 yrs        133-340
 9-15 yrs  M    103-429
 15-18 yrs M    49-210
 9-13 yrs  F    99-453
 13-15 yrs F    53-186
 15-18 yrs F    38-110
 18 yrs+        38-110
Notes
Previously frozen serum may show a marked decrease in values immediately upon thawing. The activity then increases to initial values.

[50]


ALKALINE PHOSPHATASE ISOENZYMES (HEAT STABLE)
Order Code AKP-ISO Test Code AKPISO
Synonyms Fractionated Alk Phos
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 5 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions EDTA, fluoride & oxalate plasma specimens.
Limitations Do not freeze.
Department Chemistry
CPT codes 84075, 84078.
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Color w/ Heat Fract
Test includes
Alk Phos, U/L; Alk Phos, Heat Stable, U/L; Alk Phos, % Heat Stable %.
Reference ranges
  
Alkaline Phosphatase                 U/L
 0-6 yrs      72-307
 6-9 yrs      133-340
 9-15 yrs  M  103-429
 15-18 yrs M  49-210
 9-13 yrs  F  99-453
 13-15 yrs F  53-186
 15-18 yrs F  38-110
 18 yrs+      38-110
Alkaline Phos, Heat Stable 30-85     U/L
Alkaline Phos, % Heat Stable         %
 LT 20% heat stable activity indicates
 a predominance of bone isoenzyme.
 25-55% heat stable activity suggests
 a predominance of liver and/or in-
 testinal isoenzyme.
 GT 25% heat stable activity in a 
 patient with an elevated GGT
 indicates a predominance of liver
 isoenzyme.

[51]


ALKALINE PHOSPHATASE, BONE SPECIFIC
Order Code ALKPBS Test Code ALKPBS
Synonyms Bone Specific Alkaline Phosphatase
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 2 hours   Refrigerated 2 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed samples.
Alternate specimens Sodium or lithium heparin plasma (green top tube).
CPT codes 84080
Test schedule Sun-Sat
Turnaround time 2-4 days
Method ICMA
Test includes
Alkaline Phosphatase, Bone Specific, ug/L.
Reference ranges
  
Alkaline Phosphatase, Bone Specific  ug/L
 F 7-9 yrs          36.3-159.4
   10-12 yrs        44.2-163.3
   13-15 yrs        14.8-136.2
   16-17 yrs        10.5-44.8
   Premenopausal    4.5-16.9
   Postmenopausal   7.0-22.4
 M 7-9 yrs          48.6-140.4
   10-12 yrs        48.8-155.5
   13-15 yrs        27.8-210.9
   16-17 yrs        15.3-126.8
   18-24 yrs        not established
   25 yrs & older   6.5-20.1

[52]


ALKALINE PHOSPHATASE, ISOENZYMES [ARUP]
Order Code AKPIAR Test Code AKPIAR
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Patient Prep Fasting sample is recommended.
Specimen processing Separate serum from cells and put in separate plastic tube and refrigerate. Store and transport refrigerated.
Stability-   Room temp Unacceptable   Refrigerated 1 week (total activity will increase 2% per day).   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions EDTA, sodium fluoride/potassium oxalate plasma samples or hemolyzed samples.
Alternate specimens Heparin plasma.
CPT codes 84075, 84080
Test schedule Sun-Sat
Turnaround time 3-4 days
Method Kinetic Heat Inactivation/Enzymatic
Test includes
Alkaline Phosphatase, U/L; Liver, U/L; Bone, U/L.
Reference ranges
  
Alkaline Phosphatase          U/L
 M 0-30 days        60-320
   1-12 mo          70-350
   1-3 yrs          125-320
   4-6 yrs          150-370
   7-9 yrs          150-440
   10-11 yrs        150-470
   12-13 yrs        160-500
   14-15 yrs        130-530
   16-19 yrs        60-270
   20+ yrs          40-120
 F 0-30 days        60-320
   1-12 mo          70-350
   1-3 yrs          125-320
   4-6 yrs          150-370
   7-9 yrs          150-440
   10-11 yrs        150-530
   12-13 yrs        110-525
   14-15 yrs        55-305
   16-19 yrs        40-120
   20 yrs +         40-120
Liver                         U/L
 M 1-6 yrs          0-145
   7-11 yrs         0-182
   12-15 yrs        0-226
   16-19 yrs        0-114
   19+ yrs          0-94
 F 1-9 yrs          0-148     
   10-15 yrs        0-162
   16 yrs & older   0-94
Bone                          U/L
 M 1-6 yrs          0-208
   7-9 yrs          0-264
   10-15 yrs        0-340
   16-19 yrs        0-165
   20+ yrs          0-55
 F 1-6 yrs          0-189
   7-9 yrs          0-246
   10-13 yrs        0-340
   14-15 yrs        0-91
   16 yrs & older   0-55
           

[5577]


ALLERGEN, ACREMONIUM KILIENSE, IGE
Order Code ICMCP Test Code ICMCP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Acremonium Kiliense, IgE, kU/L.
Reference ranges
  
Acremonium Kiliense, IgE     LT 0.35    kU/L

[53]


ALLERGEN, ACACIA TREE, IGE
Order Code ICTAC Test Code ICTAC
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Acacia Tree, IgE, kU/L.
Reference ranges
  
Acacia Tree, IgE     LT 0.35    kU/L

[54]


ALLERGEN, ALFALFA, IGE [ARUP]
Order Code ICAFAR Test Code ICAFAR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate seurm from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-4 days
Method Immunocap
Test includes
Allergen, Alfalfa, IgE, kU/L.
Reference ranges
  
Alfalfa, IgE         LT 0.35       kU/L

[5370]


ALLERGEN, ALMOND, IGE
Order Code ICFAL Test Code ICFAL
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Almond, IgE, kU/L.
Reference ranges
  
Almond, IgE     LT 0.35    kU/L

[55]


ALLERGEN, ALPHA-LACTALBUMIN [ARUP]
Order Code ICALAR Test Code ICALAR
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Immunocap
Test includes
Allergen, Alpha-Lactalbumin, IgE; kU/L.
Reference ranges
  
Alpha-Lactalbumin, IgE     LT 0.35          kU/L

[56]


ALLERGEN, ALTERNARIA TENUIS (ALTERNATA), IGE
Order Code ICMAL Test Code ICMAL
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Alternaria Tenuis (Alternata), IgE, kU/L.
Reference ranges
  
Alternaria Tenuis (Alternata), IgE     LT 0.35    kU/L

[57]


ALLERGEN, AMERICAN BEECH TREE, IGE
Order Code ICTAB Test Code ICTAB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, American Beech Tree, IgE, kU/L.
Reference ranges
  
American Beech Tree, IgE     LT 0.35    kU/L

[58]


ALLERGEN, AMERICAN CHEESE, IGE [IBT]
Order Code ICACI Test Code ICACI
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mLs  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 weeks   Refrigerated 4 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 3-5 days
Method RIA
Test includes
Allergen, American Cheese, IgE, kU/L.
Reference ranges
  
American Cheese, IgE               LT 0.35        kU/L

[2036]


ALLERGEN, APPLE, IGE
Order Code ICFAP Test Code ICFAP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Apple, IgE, kU/L.
Reference ranges
  
Apple, IgE     LT 0.35    kU/L

[59]


ALLERGEN, APRICOT IGE (ARUP)
Order Code ICAPAR Test Code ICAPAR
Specimen Required
       Container type SST  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 2-3 days
Method IMMUNOCAP
Test includes
Apricot, IgE, kU/L.
Reference ranges
  
Apricot, IgE     LT 0.35   kU/L

[1864]


ALLERGEN, ASPERGILLUS FUMIGATUS, IGE
Order Code ICMAF Test Code ICMAF
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Aspergillus Fumigatus, IgE, kU/L.
Reference ranges
  
Aspergillus Fumigatus, IgE     LT 0.35    kU/L

[60]


ALLERGEN, ASPERGILLUS NIGER, IGE
Order Code ICMAN Test Code ICMAN
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Aspergillus Niger, IgE, kU/L.
Reference ranges
  
Aspergillus Niger, IgE     LT 0.35    kU/L

[61]


ALLERGEN, AUREOBASIDIUM PULLULANS (PULLULARIA), IGE
Order Code ICMPU Test Code ICMPU
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Aureobasidium Pullaulans (Pullularia), IgE, kU/L.
Reference ranges
  
Aureobasidium Pullulans (Pullularia), IgE     LT 0.35    kU/L

[62]


ALLERGEN, AVOCADO, IGE
Order Code ICFAVO Test Code ICFAVO
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma.
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Avocado, IgE; kU/L.
Reference ranges
  
Avocado, IgE     LT 0.35          kU/L

[3564]


ALLERGEN, BAKERS YEAST, IGG4 [IBT]
Order Code ICBYG4 Test Code ICBYG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Bakers Yeast,IgG4, mcg/mL.
Reference ranges
  
Bakers Yeast, IgG4                   LT 1     mcg/mL

 

[6693]


ALLERGEN, BANANA, IGE
Order Code ICFBN Test Code ICFBN
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3days
Method FEIA
Test includes
Allergen, Banana, IgE, kU/L.
Reference ranges
  
Banana, IgE     LT 0.35    kU/L

[64]


ALLERGEN, BANANA, IGG4 [IBT]
Order Code ICBNG4 Test Code ICBNG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Banana,IgG4, mcg/mL.
Reference ranges
  
Banana, IgG4                   LT 10     mcg/mL

 

[6692]


ALLERGEN, BARLEY, IGE
Order Code ICFBA Test Code ICFBA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Barley, IgE, kU/L.
Reference ranges
  
Barley, IgE     LT 0.35    kU/L

[65]


ALLERGEN, BARLEY, IGG4 [IBT]
Order Code ICBAG4 Test Code ICBAG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Barley,IgG4, mcg/mL.
Reference ranges
  
Barley, IgG4                   LT 1     mcg/mL

 

[6690]


ALLERGEN, BASIL IGE [IBT]
Order Code ICBASL Test Code ICBASL
Synonyms Octimum basilicum, IgE
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated or room temperature.
Stability-   Room temp 4 weeks   Refrigerated 4 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 3-4 days
Method FEIA
Test includes
Allergen, Basil, IgE, kU/L.
Reference ranges
  
Basil, IgE               LT 0.35        kU/L

[1876]


ALLERGEN, BEEF, IGE
Order Code ICFBF Test Code ICFBF
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Beef, IgE, kU/L.
Reference ranges
  
Beef, IgE     LT 0.35    kU/L

[66]


ALLERGEN, BELL PEPPER/PAPRIKA, IGE
Order Code ICFBPP Test Code ICFBPP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Bell Pepper/Paprika, IgE, kU/L.
Reference ranges
  
Bell Pepper/Paprika, IgE     LT 0.35    kU/L

[4027]


ALLERGEN, BENTGRASS, IGE
Order Code ICGBG Test Code ICGBG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Bentgrass, IgE, kU/L.
Reference ranges
  
Bentgrass, IgE     LT 0.35    kU/L

[67]


ALLERGEN, BERMUDA GRASS, IGE
Order Code ICGBM Test Code ICGBM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Bermuda Grass, IgE, kU/L.
Reference ranges
  
Bermuda Grass, IgE     LT 0.35    kU/L

[68]


ALLERGEN, BIRD FANCIER'S PRECIPITIN PANEL 1 [IBT]
Order Code ICBFP Test Code ICBFP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86331 x 10
Test schedule Tue, Fri
Turnaround time 4-6 days
Method Gel Diffusion (Ouchterlony)
Test includes
Canary Droppings; Chicken Serum; Cockatiel Droppings; Finch Droppings; Parakeet Droppings; Parakeet Serum; Parrot Droppings; Parrot Serum; Pigeon/Dove Droppings; Pigeon/Dove Serum.
Reference ranges
  
Canary Droppings              Negative
Chicken Serum                 Negative
Cockatiel Droppings           Negative
Finch Droppings               Negative
Parakeet Droppings            Negative
Parakeet Serum                Negative
Parrot Droppings              Negative
Parrot Serum                  Negative
Pigeon/Dove Droppings         Negative
Pigeon/Dove Serum             Negative

 

[6691]


ALLERGEN, BLACK PEPPER, IGE [ARUP]
Order Code ICPEBL Test Code ICPEBL
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate seurm from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-4 days
Method Immunocap
Test includes
Allergen, Black Pepper, IgE, kU/L.
Reference ranges
  
Black Pepper, IgE         LT 0.35       kU/L

[1880]


ALLERGEN, BLUE MUSSEL, IGE
Order Code ICFBM Test Code ICFBM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Blue Mussel, IgE, kU/L.
Reference ranges
  
Blue Mussel, IgE     LT 0.35    kU/L

[4019]


ALLERGEN, BLUEBERRY IGE [ARUP]
Order Code ICBLAR Test Code ICBLAR
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Immunocap
Test includes
Allergen, Blueberry, IgE; kU/L.
Reference ranges
  
Blueberry, IgE     LT 0.35          kU/L

[2037]


ALLERGEN, BOX ELDER, IGE
Order Code ICTBE Test Code ICTBE
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Box Elder, IgE, kU/L.
Reference ranges
  
Box Elder, IgE     LT 0.35    kU/L

[70]


ALLERGEN, BRAZIL NUT, IGE
Order Code ICFBZ Test Code ICFBZ
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunology
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Brazil Nut, IgE, kU/L.
Reference ranges
  
Brazil Nut, IgE     LT 0.35    kU/L

[71]


ALLERGEN, BROCCOLI, IGE
Order Code ICFBR Test Code ICFBR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Broccoli, IgE, kU/L.
Reference ranges
  
Broccoli, IgE     LT 0.35    kU/L

[72]


ALLERGEN, BROME GRASS, IGE
Order Code ICGBR Test Code ICGBR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Brome Grass, IgE, kU/L.
Reference ranges
  
Brome Grass, IgE     LT 0.35    kU/L

[73]


ALLERGEN, BUCKWHEAT IGE [IBT]
Order Code ICBWIB Test Code ICBWIB
Synonyms Fagopyrum esculentum
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated or room temperature.
Stability-   Room temp 4 weeks   Refrigerated 4 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 3-4 days
Method FEIA
Test includes
Allergen, Buckwheat, IgE, kU/L.
Reference ranges
  
Buckwheat, IgE               LT 0.35        kU/L

[4017]


ALLERGEN, CABBAGE [ARUP]
Order Code ICCAAR Test Code ICCAAR
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-4 days
Method Immunocap
Test includes
Allergen, Cabbage, IgE; kU/L.
Reference ranges
  
Cabbage, IgE     LT 0.35          kU/L

[74]


ALLERGEN, CANDIDA ALBICANS, IGE
Order Code ICMCA Test Code ICMCA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Candida Albicans, IgE, kU/L.
Reference ranges
  
Candida Albicans, IgE     LT 0.35    kU/L

[75]


ALLERGEN, CARROT, IGE
Order Code ICFCA Test Code ICFCA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Carrot, IgE, kU/L.
Reference ranges
  
Carrot, IgE     LT 0.35    kU/L

[76]


ALLERGEN, CASEIN, IGE
Order Code ICFCS Test Code ICFCS
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Casein, IgE, kU/L.
Reference ranges
  
Casein, IgE     LT 0.35    kU/L

[77]


ALLERGEN, CASHEW NUT, IGE
Order Code ICFCW Test Code ICFCW
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Cashew Nut, IgE, kU/L.
Reference ranges
  
Cashew Nut, IgE     LT 0.35    kU/L

[80]


ALLERGEN, CAT DANDER, IGE
Order Code ICECE Test Code ICECE
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Cat Dander, IgE, kU/L.
Reference ranges
  
Cat Dander, IgE     LT 0.35    kU/L

[81]


ALLERGEN, CELERY, IGE
Order Code ICFCEL Test Code ICFCEL
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Celery, IgE, kU/L.
Reference ranges
  
Celery, IgE     LT 0.35    kU/L

[4020]


ALLERGEN, CHEESE, CHEDDAR TYPE, IGE
Order Code ICFCC Test Code ICFCC
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Cheese, Cheddar Type, IgE, kU/L.
Reference ranges
  
Cheese, Cheddar Type, IgE     LT 0.35    kU/L

[83]


ALLERGEN, CHEESE, MOLD TYPE, IGE
Order Code ICFMC Test Code ICFMC
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Cheese, Mold Type, IgE, kU/L.
Reference ranges
  
Cheese, Mold Type, IgE     LT 0.35    kU/L

[84]


ALLERGEN, CHERRY, IGE
Order Code ICFCHE Test Code ICFCHE
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Cherry, IgE, kU/L.
Reference ranges
  
Cherry, IgE     LT 0.35    kU/L

[4021]


ALLERGEN, CHICKEN MEAT, IGE
Order Code ICFCK Test Code ICFCK
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Chicken Meat, IgE, kU/L.
Reference ranges
  
Chicken Meat, IgE     LT 0.35    kU/L

[86]


ALLERGEN, CHICKPEA [ARUP]
Order Code ICCPAR Test Code ICCPAR
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Immunocap
Test includes
Allergen, Chickpea, IgE; kU/L.
Reference ranges
  
Chickpea, IgE     LT 0.35          kU/L

[87]


ALLERGEN, CHOCOLATE, IGG4 [IBT]
Order Code ICCHG4 Test Code ICCHG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Chocolate,IgG4, mcg/mL.
Reference ranges
  
Chocolate, IgG4                   LT 1     mcg/mL

 

[6695]


ALLERGEN, CHOCOLATE/CACAO, IGE
Order Code ICFCH Test Code ICFCH
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunchemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Chocolate/Cacao, IgE, kU/L.
Reference ranges
  
Chocolate/Cacao, IgE     LT 0.35    kU/L

[88]


ALLERGEN, CLADOSPORIUM HERBARUM, IGE
Order Code ICMCH Test Code ICMCH
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Cladosporium Herbarum, IgE, kU/L.
Reference ranges
  
Cladosporium Herbarum, IgE     LT 0.35    kU/L

[90]


ALLERGEN, CLAM, IGE
Order Code ICFCL Test Code ICFCL
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Clam, IgE, kU/L.
Reference ranges
  
Clam, IgE     LT 0.35    kU/L

[91]


ALLERGEN, COCKLEBUR, IGE
Order Code ICWCB Test Code ICWCB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Cocklebur, IgE, kU/L.
Reference ranges
  
Cocklebur, IgE     LT 0.35    kU/L

[92]


ALLERGEN, COCKROACH, IGE
Order Code ICICR Test Code ICICR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Cockroach, IgE, kU/L.
Reference ranges
  
Cockroach, IgE     LT 0.35    kU/L

[93]


ALLERGEN, COCONUT IGE
Order Code ICFCOC Test Code ICFCOC
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma.
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Coconut, IgE; kU/L.
Reference ranges
  
Coconut, IgE     LT 0.35          kU/L

[3565]


ALLERGEN, CODFISH (WHITEFISH), IGE
Order Code ICFCD Test Code ICFCD
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Codfish (Whitefish), IgE, kU/L.
Reference ranges
  
Codfish (Whitefish), IgE     LT 0.35    kU/L

[95]


ALLERGEN, COMMON SILVER BIRCH , IGE
Order Code ICTBR Test Code ICTBR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Common Silver Birch , IgE, kU/L.
Reference ranges
  
Common Silver Birch, IgE     LT 0.35    kU/L

[97]


ALLERGEN, CORIANDER/CILANTRO, IGE [IBT]
Order Code ICCOCI Test Code ICCOCI
Synonyms Coriandrum savtivum, IgE
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated or room temperature.
Stability-   Room temp 4 weeks   Refrigerated 4 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 3-4 days
Method FEIA
Test includes
Allergen, Coriander/Cilantro, IgE, kU/L.
Reference ranges
  
Coriander/Citantro, IgE   LT 0.35       kU/L

[1877]


ALLERGEN, CORN (MAIZE), IGE
Order Code ICFCN Test Code ICFCN
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Corn (Maize), IgE, kU/L.
Reference ranges
  
Corn (Maize), IgE     LT 0.35    kU/L

[98]


ALLERGEN, CORN, IGG4 [IBT]
Order Code ICCNG4 Test Code ICCNG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Corn,IgG4, mcg/mL.
Reference ranges
  
Corn, IgG4                   LT 1     mcg/mL

 

[6694]


ALLERGEN, COTTONWOOD TREE, IGE
Order Code ICTCW Test Code ICTCW
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Cottonwood Tree, IgE, kU/L.
Reference ranges
  
Cottonwood Tree, IgE     LT 0.35    kU/L

[101]


ALLERGEN, COW DANDER, IGE
Order Code ICECD Test Code ICECD
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Cow Dander, IgE, kU/L.
Reference ranges
  
Cow Dander, IgE     LT 0.35    kU/L

[102]


ALLERGEN, COW'S MILK, IGE
Order Code ICFCM Test Code ICFCM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Cow's Milk, IgE, kU/L.
Reference ranges
  
Cow's Milk, IgE     LT 0.35    kU/L

[103]


ALLERGEN, COWS MILK, IGG4 [IBT]
Order Code ICMCG4 Test Code ICMCG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Cows Milk,IgG4, mcg/mL.
Reference ranges
  
Cows Milk, IgG4                   LT 30     mcg/mL

 

[6698]


ALLERGEN, CRAB, IGE
Order Code ICFCR Test Code ICFCR
Specimen Required
       Container type SST tubec)  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Crab, IgE, kU/L.
Reference ranges
  
Crab, IgE     LT 0.35    kU/L

[104]


ALLERGEN, CULTIVATED OAT, IGE
Order Code ICGCO Test Code ICGCO
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Cultivated Oat, IgE, kU/L.
Reference ranges
  
Cultivated Oat, IgE     LT 0.35    kU/L

[105]


ALLERGEN, CUMIN, IGE [IBT]
Order Code ICCUMA Test Code ICCUMA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1.0 mL  Minimum volume 0.5 mL
Specimen processing Separate seurm from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 weeks   Refrigerated 4 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86003
Test schedule Mon, Wed, Thur, Fri
Turnaround time 4-6 days
Method RIA
Test includes
Allergen, Cumin, IgE, kU/L.
Reference ranges
  
Cumin, IgE         LT 0.35       kU/L

[3045]


ALLERGEN, CURRY (SANTA MARIA), IGE [IBT]
Order Code ICCURI Test Code ICCURI
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1.0 mL  Minimum volume 0.5 mL
Specimen processing Separate seurm from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 weeks   Refrigerated 4 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 4-6 days
Method Immunocap FEIA
Test includes
Allergen, Curry (Santa Maria), IgE, kU/L.
Reference ranges
  
Curry (Santa Maria), IgE         LT 0.35       kU/L

[3046]


ALLERGEN, D. FARINAE (MITE), IGE
Order Code ICDM2 Test Code ICDM2
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, D. farinae (Mite), IgE, kU/L.
Reference ranges
  
D. farinae (Mite), IgE     LT 0.35    kU/L

[106]


ALLERGEN, D. PTERONYSSINUS (MITE), IGE
Order Code ICDM1 Test Code ICDM1
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, D. pteronyssinus (Mite), IgE, kU/L.
Reference ranges
  
D. pteronyssinus (Mite), IgE     LT 0.35    kU/L

[107]


ALLERGEN, DOG DANDER, IGE
Order Code ICEDD Test Code ICEDD
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Dog Dander, IgE, kU/L.
Reference ranges
  
Dog Dander, IgE     LT 0.35    kU/L

[108]


ALLERGEN, DOG EPITHELIUM, IGE
Order Code ICEDE Test Code ICEDE
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Dog Epithelium, IgE, kU/L.
Reference ranges
  
Dog Epithelium, IgE     LT 0.35    kU/L

[109]


ALLERGEN, EGG WHITE, IGE
Order Code ICFEW Test Code ICFEW
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Egg White, IgE, kU/L.
Reference ranges
  
Egg White, IgE     LT 0.35    kU/L

[112]


ALLERGEN, EGG WHOLE, IGE
Order Code ICFEG Test Code ICFEG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Egg Whole, IgE, kU/L.
Reference ranges
  
Egg Whole, IgE     LT 0.35    kU/L

[113]


ALLERGEN, EGG YOLK, IGE
Order Code ICFEY Test Code ICFEY
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Egg Yolk, IgE, kU/L.
Reference ranges
  
Egg Yolk, IgE     LT 0.35    kU/L

[116]


ALLERGEN, ELM TREE, IGE
Order Code ICTEL Test Code ICTEL
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Elm Tree, IgE, kU/L.
Reference ranges
  
Elm Tree, IgE     LT 0.35    kU/L

[117]


ALLERGEN, ENGLISH PLANTAIN (RIBWORT), IGE
Order Code ICWEP Test Code ICWEP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, English Plantain (Ribwort), IgE, kU/L.
Reference ranges
  
English Plantain (Ribwort), IgE     LT 0.35    kU/L

[118]


ALLERGEN, EUCALYPTUS (GUM) TREE, IGE
Order Code ICTEU Test Code ICTEU
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Eucalyptus (Gum) Tree, IgE, kU/L.
Reference ranges
  
Eucalyptus (Gum) Tree, IgE     LT 0.35    kU/L

[119]


ALLERGEN, FALSE RAGWEED, IGE
Order Code ICWFR Test Code ICWFR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, False Ragweed, IgE, kU/L.
Reference ranges
  
False Ragweed, IgE     LT 0.35    kU/L

[120]


ALLERGEN, FOOD PANEL 1, IGG4 [IBT]
Order Code FDPNG4 Test Code FDPNG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
CPT codes 86001 x 20
Test schedule Mon, Wed, Fri
Turnaround time 2-3 days
Method ImmunoCAP FEIA
Test includes
Banana IgG4, mcg/mL; Barley IgG4, mcg/mL; Green Bean IgG4, mcg/mL; Chocolate, IgG4, mcg/mL; Corn IgG4, mcg/mL; Egg Whole IgG4, mcg/mL; Cows Milk, IgG4, mcg/mL; Oat IgG4, mcg/mL; Orange IgG4, mcg/mL; Pea Green IgG4, mcg/mL; Peanut IgG4, mcg/mL; Pork IgG4, mcg/mL; Potato White IgG4, mcg/mL; Rice IgG4, mcg/mL; Rye, IgG4, mcg/mL; Soybean IgG4, mcg/mL; Tomato IgG4, mcg/mL; Strwberry IgGr, mcg/mL; Wheat IgG4, mcg/mL; Bakers Yeast, IgG4, mcg/mL.
Reference ranges
  
Banana, IgG4                   LT 10    mcg/mL
Barley, IgG4                   LT 1     mcg/mL
Green Bean, IgG4               LT 1     mcg/mL
Chocolate, IgG4                LT 1     mcg/mL
Corn, IgG4                     LT 1     mcg/mL
Egg, Whole, IgG4               LT 5     mcg/mL
Milk, Cow, IgG4                LT 30    mcg/mL
Oat, IgG4                      LT 1     mcg/mL
Orange, IgG4                   LT 1     mcg/mL
Pea Green, IgG4                LT 1     mcg/mL
Peanut, IgG4                   LT 1     mcg/mL
Pork, IgG4                     LT 1     mcg/mL
Potato White, IgG4             LT 1     mcg/mL
Rice, IgG4                     LT 1     mcg/mL
Rye Food, IgG4                 LT 1     mcg/mL
Soybean, IgG4                  LT 1     mcg/mL
Tomato, IgG4                   LT 1     mcg/mL
Strawberry, IgG4               LT 0.8   mcg/mL
Wheat, IgG4                    LT 5     mcg/mL
Baker's Yeast, IgG4            LT 1     mcg/mL
 

[6688]


ALLERGEN, GARLIC, IGE
Order Code ICFGA Test Code ICFGA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Garlic, IgE, kU/L.
Reference ranges
  
Garlic, IgE     LT 0.35    kU/L

[121]


ALLERGEN, GIANT RAGWEED, IGE
Order Code ICWGR Test Code ICWGR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Giant Ragweed, IgE, kU/L.
Reference ranges
  
Giant Ragweed, IgE     LT 0.35    kU/L

[122]


ALLERGEN, GINGER [IBT]
Order Code ICGINT Test Code ICGINT
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 weeks   Refrigerated 4 weeks   Frozen (-20°C) 4 weeks   Frozen (-70°C)
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 3-5 days
Method FEIA
Test includes
Allergen, Ginger, IgE; kU/L.
Reference ranges
  
Ginger, IgE     LT 0.35          kU/L

[123]


ALLERGEN, GLUTEN, IGE
Order Code ICFGT Test Code ICFGT
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Gluten, IgE, kU/L.
Reference ranges
  
Gluten, IgE     LT 0.35    kU/L

[124]


ALLERGEN, GOLDENROD, IGE
Order Code ICWGD Test Code ICWGD
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Goldenrod, IgE, kU/L.
Reference ranges
  
Goldenrod, IgE     LT 0.35    kU/L

[128]


ALLERGEN, GOOSE FEATHERS, IGE
Order Code ICEGF Test Code ICEGF
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Goose Feathers, IgE, kU/L.
Reference ranges
  
Goose Feathers, IgE     LT 0.35    kU/L

[129]


ALLERGEN, GRAPE (RAISIN), IGE
Order Code ICFGR Test Code ICFGR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Grape (Raisin), IgE, kU/L.
Reference ranges
  
Grape (Raisin), IgE     LT 0.35    kU/L

[130]


ALLERGEN, GREEN BEAN IGE [ARUP]
Order Code ICGBAR Test Code ICGBAR
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Immunocap
Test includes
Allergen, Green Bean, IgE; kU/L.
Reference ranges
  
Green Bean (String), IgE     LT 0.35          kU/L

[2038]


ALLERGEN, GREEN BEAN, IGG4 [IBT]
Order Code ICGBG4 Test Code ICGBG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Green Bean,IgG4, mcg/mL.
Reference ranges
  
Green Bean, IgG4                   LT 1     mcg/mL

 

[6696]


ALLERGEN, GREEN PEA, IGG4 [IBT]
Order Code ICGPG4 Test Code ICGPG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Green Pea,IgG4, mcg/mL.
Reference ranges
  
Green Pea, IgG4                   LT 1     mcg/mL

 

[6697]


ALLERGEN, GREY ALDER TREE, IGE
Order Code ICTAL Test Code ICTAL
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Grey Alder Tree, IgE, kU/L.
Reference ranges
  
Grey Alder Tree, IgE     LT 0.35    kU/L

[132]


ALLERGEN, HADDOCK, IGE [ARUP]
Order Code ICHDAR Test Code ICHDAR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-4 days
Method Immunocap
Test includes
Allergen, Haddock, IgE, kU/L.
Reference ranges
  
Haddock, IgE              LT 0.35       kU/L

[1883]


ALLERGEN, HALIBUT [ARUP]
Order Code ICHBAR Test Code ICHBAR
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Immunocap
Test includes
Allergen, Halibut, IgE; kU/L.
Reference ranges
  
Halibut, IgE     LT 0.35          kU/L

[133]


ALLERGEN, HAZEL NUT (FILBERT), IGE
Order Code ICFHZ Test Code ICFHZ
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Hazel Nut (Filbert), IgE, kU/L.
Reference ranges
  
Hazel Nut (Filbert), IgE     LT 0.35    kU/L

[135]


ALLERGEN, HAZEL NUT TREE, IGE
Order Code ICTHZ Test Code ICTHZ
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Hazel Nut Tree, IgE, kU/L.
Reference ranges
  
Hazel Nut Tree, IgE     LT 0.35    kU/L

[136]


ALLERGEN, HONEYBEE VENOM, IGE
Order Code ICIHB Test Code ICIHB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Collection procedure Blood should be drawn by venipuncture, no sooner than 2 to 3 weeks and no later than 6 months after the insect sting.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Honeybee Venom, IgE, kU/L.
Reference ranges
  
Honeybee Venom, IgE     LT 0.35    kU/L

[137]


ALLERGEN, HORSE DANDER, IGE
Order Code ICEHH Test Code ICEHH
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Horse Dander, IgE, kU/L.
Reference ranges
  
Horse Dander, IgE     LT 0.35    kU/L

[139]


ALLERGEN, HOUSE DUST (GREER), IGE
Order Code ICHDG Test Code ICHDG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green tup tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, House Dust (Greer), IgE, kU/L.
Reference ranges
  
House Dust (Greer), IgE     LT 0.35    kU/L

[140]


ALLERGEN, HOUSE DUST (HOLLISTER-STEIR), IGE
Order Code ICHDS Test Code ICHDS
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, House Dust (Hollister-Steir), IgE, kU/L.
Reference ranges
  
House Dust (Hollister-Steir), IgE     LT 0.35    kU/L

[141]


ALLERGEN, JAPANESE CEDAR, IGE
Order Code ICTRW Test Code ICTRW
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Japanese Cedar, IgE, kU/L.
Reference ranges
  
Japanese Cedar, IgE     LT 0.35    kU/L

[142]


ALLERGEN, JOHNSON GRASS, IGE
Order Code ICGJO Test Code ICGJO
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Johnson Grass, IgE, kU/L.
Reference ranges
  
Johnson Grass, IgE     LT 0.35    kU/L

[143]


ALLERGEN, KIDNEY BEAN, IGE [ARUP]
Order Code IKDBNA Test Code IKDBNA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1.0 mL  Minimum volume 0.25 mL
Specimen processing Separate seurm from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-4 days
Method Immunocap
Test includes
Allergen, Kidney Bean, IgE, kU/L.
Reference ranges
  
Kidney Bean, IgE         LT 0.35       kU/L

[3048]


ALLERGEN, KIWI, IGE
Order Code ICFKIW Test Code ICFKIW
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma.
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Kiwi, IgE; kU/L.
Reference ranges
  
Kiwi, IgE     LT 0.35          kU/L

[3566]


ALLERGEN, KOCHIA (FIREBUSH), IGE
Order Code ICWKO Test Code ICWKO
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Kochia (Firebush), IgE, kU/L.
Reference ranges
  
Kochia (Firebush), IgE     LT 0.35    kU/L

[145]


ALLERGEN, LAMB (MUTTON), IGE [ARUP]
Order Code ICLAAR Test Code ICLAAR
Synonyms Lamb; Mutton; Ovis spp
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.25 mL  Minimum volume 0.25
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-4 days
Method Immunocap
Test includes
Allergen, Lamb (Mutton), IgE, kU/L.
Reference ranges
  
Lamb, IgE         LT 0.35       kU/L

[4025]


ALLERGEN, LAMB'S QUARTERS (GOOSEFOOT), IGE
Order Code ICWLQ Test Code ICWLQ
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Lamb's Quarters (Goosefoot), IgE, kU/L.
Reference ranges
  
Lamb's Quarters (Goosefoot), IgE     LT 0.35    kU/L

[146]


ALLERGEN, LATEX (BRAZILIAN RUBBER TREE), IGE
Order Code ICOLT Test Code ICOLT
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Latex (Brazilian Rubber Tree), IgE, kU/L.
Reference ranges
  
Latex (Brazilian Rubber Tree), IgE     LT 0.35    kU/L

[147]


ALLERGEN, LEMON, IGE
Order Code ICFLEM Test Code ICFLEM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Lemon, IgE, kU/L.
Reference ranges
  
Lemon, IgE     LT 0.35    kU/L

[4022]


ALLERGEN, LENTIL [ARUP]
Order Code ICLTAR Test Code ICLTAR
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Immunocap
Test includes
Allergen, Lentil, IgE; kU/L.
Reference ranges
  
Lentil, IgE     LT 0.35          kU/L

[148]


ALLERGEN, LETTUCE, IGE
Order Code ICFLE Test Code ICFLE
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Lettuce, IgE, kU/L.
Reference ranges
  
Lettuce, IgE     LT 0.35    kU/L

[149]


ALLERGEN, LIMA BEAN/WHITE BEAN [ARUP]
Order Code ICLBAR Test Code ICLBAR
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Immunocap
Test includes
Allergen, Lima Bean/White Bean, IgE; kU/L.
Reference ranges
  
Lima Bean/White Bean, IgE     LT 0.35          kU/L

[150]


ALLERGEN, LOBSTER, IGE
Order Code ICFLB Test Code ICFLB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Lobster, IgE, kU/L.
Reference ranges
  
Lobster, IgE     LT 0.35    kU/L

[151]


ALLERGEN, MALT, IGE
Order Code ICFML Test Code ICFML
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Malt, IgE, kU/L.
Reference ranges
  
Malt, IgE     LT 0.35    kU/L

[153]


ALLERGEN, MANGO, IGE
Order Code ICFMAN Test Code ICFMAN
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma.
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Mango, IgE; kU/L.
Reference ranges
  
Mango, IgE     LT 0.35          kU/L

[3567]


ALLERGEN, MAPLE LEAF SYCAMORE TREE, IGE
Order Code ICTSY Test Code ICTSY
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Maple Leaf Sycamore Tree, IgE, kU/L.
Reference ranges
  
Maple Leaf Sycamore Tree, IgE     LT 0.35    kU/L

[155]


ALLERGEN, MEADOW (KENTUCKY BLUE) GRASS, IGE
Order Code ICGKB Test Code ICGKB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Meadow (Kentucky Blue) Grass, IgE, kU/L.
Reference ranges
  
Meadow (Kentucky Blue) Grass, IgE     LT 0.35    kU/L

[156]


ALLERGEN, MEADOW FESCUE, IGE
Order Code ICGMF Test Code ICGMF
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Meadow Fescue, IgE, kU/L.
Reference ranges
  
Meadow Fescue, IgE     LT 0.35    kU/L

[157]


ALLERGEN, MELON, IGE
Order Code ICFWM Test Code ICFWM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Melon, IgE, kU/L.
Reference ranges
  
Melon, IgE     LT 0.35    kU/L

[158]


ALLERGEN, MOUNTAIN CEDAR (JUNIPER) TREE, IGE
Order Code ICTMC Test Code ICTMC
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Mountain Cedar (Juniper)Tree, IgE, kU/L.
Reference ranges
  
Mountain Cedar (Juniper) Tree, IgE     LT 0.35    kU/L

[160]


ALLERGEN, MOZZARELLA CHEESE IGE [IBT]
Order Code ICMCI Test Code ICMCI
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mLs  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 weeks   Refrigerated 4 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 3-5 days
Method RIA
Test includes
Allergen, Mozzarella Cheese, IgE, kU/L.
Reference ranges
  
Mozzarella Cheese, IgE               LT 0.35        kU/L

[2040]


ALLERGEN, MUCOR RACEMOSUS, IGE
Order Code ICMMR Test Code ICMMR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Mucor Racemosus, IgE, kU/L.
Reference ranges
  
Mucor Racemosus, IgE     LT 0.35    kU/L

[161]


ALLERGEN, MUGWORT, IGE
Order Code ICWMW Test Code ICWMW
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Mugwort, IgE, kU/L.
Reference ranges
  
Mugwort, IgE     LT 0.35    kU/L

[162]


ALLERGEN, MULBERRY TREE, IGE
Order Code ICTML Test Code ICTML
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Mulberry Tree, IgE, kU/L.
Reference ranges
  
Mulberry Tree, IgE     LT 0.35    kU/L

[163]


ALLERGEN, MUSHROOM [ARUP]
Order Code ICMUAR Test Code ICMUAR
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Immunocap
Test includes
Allergen, Mushroom, IgE; kU/L.
Reference ranges
  
Mushroom, IgE     LT 0.35          kU/L

[165]


ALLERGEN, MUSTARD, IGE
Order Code ICFMS Test Code ICFMS
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Mustard, IgE, kU/L.
Reference ranges
  
Mustard, IgE     LT 0.35    kU/L

[166]


ALLERGEN, NETTLE, IGE
Order Code ICWNT Test Code ICWNT
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Nettle, IgE, kU/L.
Reference ranges
  
Nettle, IgE     LT 0.35    kU/L

[167]


ALLERGEN, OAK TREE, IGE
Order Code ICTOK Test Code ICTOK
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, OakTree, IgE, kU/L.
Reference ranges
  
Oak Tree, IgE     LT 0.35    kU/L

[169]


ALLERGEN, OAT IGG4 [IBT]
Order Code ICOTG4 Test Code ICOTG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Oat,IgG4, mcg/mL.
Reference ranges
  
Oat, IgG4                   LT 1     mcg/mL

 

[6700]


ALLERGEN, OAT, IGE
Order Code ICFOT Test Code ICFOT
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Oat, IgE, kU/L.
Reference ranges
  
Oat, IgE     LT 0.35    kU/L

[170]


ALLERGEN, OIL PALM TREE IGE [IBT]
Order Code ICOPI Test Code ICOPI
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport room temperature.
Stability-   Room temp 4 weeks   Refrigerated 4 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 2-4 days
Method Immunocap FEIA
Test includes
Allergen, Oil Palm Tree, IgE, kU/L.
Reference ranges
  
Oil Palm Tree, IgE               LT 0.35        kU/L

[2480]


ALLERGEN, OLIVE TREE, IGE
Order Code ICTOL Test Code ICTOL
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Olive Tree, IgE, kU/L.
Reference ranges
  
Olive Tree, IgE     LT 0.35    kU/L

[171]


ALLERGEN, ONION, IGE
Order Code ICFON Test Code ICFON
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Onion, IgE, kU/L.
Reference ranges
  
Onion, IgE     LT 0.35    kU/L

[172]


ALLERGEN, ORANGE, IGE
Order Code ICFOG Test Code ICFOG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Orange, IgE, kU/L.
Reference ranges
  
Orange, IgE     LT 0.35    kU/L

[173]


ALLERGEN, ORANGE, IGG4 [IBT]
Order Code ICOGG4 Test Code ICOGG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Orange,IgG4, mcg/mL.
Reference ranges
  
Orange, IgG4                   LT 30     mcg/mL

 

[6699]


ALLERGEN, ORCHARD GRASS (COCKSFOOT), IGE
Order Code ICGOG Test Code ICGOG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Orchard Grass (Cocksfoot), IgE, kU/L.
Reference ranges
  
Orchard Grass (Cocksfoot), IgE     LT 0.35    kU/L

[174]


ALLERGEN, OREGANO, IGE [IBT]
Order Code ICORGN Test Code ICORGN
Synonyms Origanum vulgare, IgE
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated or room temperature.
Stability-   Room temp 4 weeks   Refrigerated 4 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 3-4 days
Method FEIA
Test includes
Allergen, Oregano, IgE, kU/L.
Reference ranges
  
Oregano, IgE              LT 0.35       kU/L

[1879]


ALLERGEN, OYSTER, IGE
Order Code ICFOY Test Code ICFOY
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Oyster, IgE, kU/L.
Reference ranges
  
Oyster, IgE     LT 0.35    kU/L

[175]


ALLERGEN, PAPAYA, IGE [ARUP]
Order Code IPAPR Test Code IPAPR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1.0 mL  Minimum volume 0.5 mL
Specimen processing Separate seurm from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-4 days
Method Immunocap
Test includes
Allergen, Papaya, IgE, kU/L.
Reference ranges
  
Papaya, IgE         LT 0.35       kU/L

[3049]


ALLERGEN, PAPER WASP VENOM, IGE
Order Code ICIPW Test Code ICIPW
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Collection procedure Blood should be drawn by venipuncture, no sooner than 2 to 3 weeks and no later than 6 months after the insect sting.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Paper Wasp Venom, IgE, kU/L.
Reference ranges
  
Paper Wasp Venom, IgE     LT 0.35    kU/L

[176]


ALLERGEN, PARSLEY [ARUP]
Order Code ICPLAR Test Code ICPLAR
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Immunocap
Test includes
Allergen, Parsley, IgE; kU/L.
Reference ranges
  
Parsley, IgE     LT 0.35          kU/L

[177]


ALLERGEN, PEA, GREEN, IGE
Order Code ICFGP Test Code ICFGP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Pea, Green, IgE, kU/L.
Reference ranges
  
Pea, Green, IgE     LT 0.35    kU/L

[178]


ALLERGEN, PEACH, IGE
Order Code ICFPCH Test Code ICFPCH
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Peach, IgE, kU/L.
Reference ranges
  
Peach, IgE     LT 0.35    kU/L

[4023]


ALLERGEN, PEANUT IGG4 [IBT]
Order Code ICPNG4 Test Code ICPNG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Peanut,IgG4, mcg/mL.
Reference ranges
  
Peanut, IgG4                   LT 1     mcg/mL

 

[6702]


ALLERGEN, PEANUT, IGE
Order Code ICFPN Test Code ICFPN
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Peanut, IgE, kU/L.
Reference ranges
  
Peanut, IgE     LT 0.35    kU/L

[180]


ALLERGEN, PEAR, IGE
Order Code ICFPR Test Code ICFPR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Pear, IgE, kU/L.
Reference ranges
  
Pear, IgE     LT 0.35    kU/L

[181]


ALLERGEN, PECAN (WHITE HICKORY) TREE, IGE
Order Code ICTPE Test Code ICTPE
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Pecan (White Hickory) Tree, IgE, kU/L.
Reference ranges
  
Pecan (White Hickory) Tree, IgE     LT 0.35    kU/L

[182]


ALLERGEN, PECAN NUT, IGE
Order Code ICFPE Test Code ICFPE
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Pecan Nut, IgE, kU/L.
Reference ranges
  
Pecan Nut, IgE     LT 0.35    kU/L

[183]


ALLERGEN, PENICILLIUM CHRYSOGENUM, IGE
Order Code ICMPN Test Code ICMPN
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Penicillium Chrysogenum, IgE, kU/L.
Reference ranges
  
Penicillium Chrysogenum, IgE     LT 0.35    kU/L

[184]


ALLERGEN, PENICILLOYL G, IGE
Order Code ICDRP Test Code ICDRP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Collection procedure Blood should be drawn by venipuncture, no sooner than 2 to 3 weeks and no later than 6 months after the drug reaction.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Penicilloyl G, IgE, kU/L.
Reference ranges
  
Penicilloyl G, IgE     LT 0.35    kU/L

[185]


ALLERGEN, PENICILLOYL V, IGE
Order Code ICDRPV Test Code ICDRPV
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Penicilloyl V, IgE, kU/L.
Reference ranges
  
Penicilloyl V, IgE     LT 0.35    kU/L

[4018]


ALLERGEN, PEPPER CAYENNE, IGE [IBT]
Order Code ICPECY Test Code ICPECY
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated or room temperature.
Stability-   Room temp 4 weeks   Refrigerated 4 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 4-5 days
Method RIA
Test includes
Allergen, Pepper, Cayenne, IgE, kU/L.
Reference ranges
  
Pepper, Cayenne, IgE      LT 0.35      kU/L

[1878]


ALLERGEN, PERCH [ARUP]
Order Code ICPRAR Test Code ICPRAR
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Immunocap
Test includes
Allergen, Perch, IgE; kU/L.
Reference ranges
  
Perch, IgE     LT 0.35          kU/L

[187]


ALLERGEN, PERENNIAL RYE GRASS, IGE
Order Code ICGPR Test Code ICGPR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Perennial Rye Grass, IgE, kU/L.
Reference ranges
  
Perennial Rye Grass, IgE     LT 0.35    kU/L

[188]


ALLERGEN, PHOMA HERBARUM GEL DIFFUSION [IBT]
Order Code ICPHIB Test Code ICPHIB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86331
Test schedule Tue, Fri
Turnaround time 3-5 days
Method Gel Diffusion
Test includes
Allergen, Phoma herbarum.
Reference ranges
  
Phoma herbarum by Gel Diffusion     Negative

[3582]


ALLERGEN, PIGWEED, IGE
Order Code ICWPG Test Code ICWPG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Pigweed, IgE, kU/L.
Reference ranges
  
Pigweed, IgE     LT 0.35    kU/L

[189]


ALLERGEN, PINE NUT [ARUP]
Order Code ICNAR Test Code ICNAR
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Immunocap
Test includes
Allergen, Pine Nut, IgE; kU/L.
Reference ranges
  
Pine Nut, IgE     LT 0.35          kU/L

[190]


ALLERGEN, PINEAPPLE, IGE
Order Code ICFPA Test Code ICFPA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Pineapple, IgE, kU/L.
Reference ranges
  
Pineapple, IgE     LT 0.35    kU/L

[191]


ALLERGEN, PINTO BEAN, IGE [IBT]
Order Code ICPBEI Test Code ICPBEI
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 month   Refrigerated 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 3-4 days from receipt
Method Radioimmunoassay
Test includes
Allergen, Pinto Bean, IgE, kU/L.
Reference ranges
  
Pinto Bean, IgE                   LT 0.35                 kU/L

[5783]


ALLERGEN, PISTACHIO, IGE
Order Code ICFPIS Test Code ICFPIS
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma.
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Pistachio, IgE; kU/L.
Reference ranges
  
Pistachio, IgE     LT 0.35          kU/L

[3568]


ALLERGEN, PLUM, IGE [ARUP]
Order Code ICPUAR Test Code ICPUAR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate seurm from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-4 days
Method Immunocap
Test includes
Allergen, Plum, IgE, kU/L.
Reference ranges
  
Plum, IgE         LT 0.35       kU/L

[5779]


ALLERGEN, PORK IGG4 [IBT]
Order Code ICPKG4 Test Code ICPKG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Pork,IgG4, mcg/mL.
Reference ranges
  
Pork, IgG4                   LT 1     mcg/mL

 

[6701]


ALLERGEN, PORK, IGE
Order Code ICFPK Test Code ICFPK
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Pork, IgE, kU/L.
Reference ranges
  
Pork, IgE     LT 0.35    kU/L

[193]


ALLERGEN, POTATO (WHITE), IGE
Order Code ICFPT Test Code ICFPT
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Potato (White), IgE, kU/L.
Reference ranges
  
Potato (White), IgE     LT 0.35    kU/L

[194]


ALLERGEN, POTATO WHITE IGG4 [IBT]
Order Code ICPTG4 Test Code ICPTG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Potato White,IgG4, mcg/mL.
Reference ranges
  
Potato White, IgG4                   LT 1     mcg/mL

 

[6703]


ALLERGEN, RASPBERRY, IGE [ARUP]
Order Code ICRAAR Test Code ICRAAR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate seurm from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-4 days
Method Immunocap
Test includes
Allergen, Raspberry, IgE, kU/L.
Reference ranges
  
Raspberry, IgE         LT 0.35       kU/L

[5780]


ALLERGEN, RICE IGG4 [IBT]
Order Code ICRCG4 Test Code ICRCG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Rice,IgG4, mcg/mL.
Reference ranges
  
Rice, IgG4                   LT 1     mcg/mL

 

[6704]


ALLERGEN, RICE, IGE
Order Code ICFRC Test Code ICFRC
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Rice, IgE, kU/L.
Reference ranges
  
Rice, IgE     LT 0.35    kU/L

[195]


ALLERGEN, ROUGH MARSH ELDER, IGE
Order Code ICWME Test Code ICWME
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Rough Marsh Elder, IgE, kU/L.
Reference ranges
  
Rough Marsh Elder, IgE     LT 0.35    kU/L

[196]


ALLERGEN, RUSSIAN THISTLE (SALTWORT), IGE
Order Code ICWRT Test Code ICWRT
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Russian Thistle (Saltwort), IgE, kU/L.
Reference ranges
  
Russian Thistle (Saltwort), IgE     LT 0.35    kU/L

[197]


ALLERGEN, RYE IGG4 [IBT]
Order Code ICRYG4 Test Code ICRYG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Rye,IgG4, mcg/mL.
Reference ranges
  
Rye, IgG4                   LT 1     mcg/mL

 

[6705]


ALLERGEN, RYE, IGE
Order Code ICFRY Test Code ICFRY
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Rye, IgE, kU/L.
Reference ranges
  
Rye, IgE     LT 0.35    kU/L

[198]


ALLERGEN, SALMON, IGE
Order Code ICFSA Test Code ICFSA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Salmon, IgE, kU/L.
Reference ranges
  
Salmon, IgE     LT 0.35    kU/L

[199]


ALLERGEN, SCALE (LENSCALE), IGE
Order Code ICWSC Test Code ICWSC
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Scale (Lenscale) IgE, kU/L.
Reference ranges
  
Scale (Lenscale), IgE     LT 0.35    kU/L

[200]


ALLERGEN, SCALLOP, IGE
Order Code ICFSC Test Code ICFSC
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma.
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Scallop, IgE; kU/L.
Reference ranges
  
Scallop, IgE     LT 0.35          kU/L

[3569]


ALLERGEN, SCOTCH BROOM, IGE [IBT]
Order Code ICSCIB Test Code ICSCIB
Synonyms Cytisus scoparious, IgE
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 month   Refrigerated 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 3-5 days
Method FEIA
Test includes
Allergen, Scotch Broom, IgE, kU/L.
Reference ranges
  
Scotch Broom, IgE   LT 0.35       kU/L

[3583]


ALLERGEN, SESAME SEED, IGE
Order Code ICFSS Test Code ICFSS
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma.
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Sesame Seed, IgE; kU/L.
Reference ranges
  
Sesame Seed, IgE     LT 0.35          kU/L

[3570]


ALLERGEN, SETOMELANOMMA ROSTRATA / HELMINTHOSPORIUM HALODES IGE
Order Code ICMHL Test Code ICMHL
Synonyms Helminthosporium, H. halodes, Helminthosporium halodes
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Setomelanomma rostrata, Helminthosporium halodes, IgE, kU/L.
Reference ranges
  
Setomelanomma rostrata, Helminthosporium halodes, IgE      LT 0.35     kU/L

[205]


ALLERGEN, SHEEP SORREL (YELLOW DOCK), IGE
Order Code ICWSO Test Code ICWSO
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Sheep Sorrel (Yellow Dock), IgE, kU/L.
Reference ranges
  
Sheep Sorrel (Yellow Dock), IgE     LT 0.35    kU/L

[206]


ALLERGEN, SHORT (COMMON) RAGWEED, IGE
Order Code ICWRG Test Code ICWRG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Short (Common) Ragweed, IgE, kU/L.
Reference ranges
  
Short (Common) Ragweed, IgE     LT 0.35    kU/L

[207]


ALLERGEN, SHRIMP, IGE
Order Code ICFSH Test Code ICFSH
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Shrimp, IgE, kU/L.
Reference ranges
  
Shrimp, IgE     LT 0.35    kU/L

[208]


ALLERGEN, SOYBEAN IGG4 [IBT]
Order Code ICSBG4 Test Code ICSBG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Soybean,IgG4, mcg/mL.
Reference ranges
  
Soybean, IgG4                   LT 1     mcg/mL

 

[6706]


ALLERGEN, SOYBEAN, IGE
Order Code ICFSB Test Code ICFSB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Soybean, IgE, kU/L.
Reference ranges
  
Soybean, IgE     LT 0.35    kU/L

[209]


ALLERGEN, SPINACH, IGE
Order Code ICFSP Test Code ICFSP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Spinach, IgE, kU/L.
Reference ranges
  
Spinach, IgE     LT 0.35    kU/L

[210]


ALLERGEN, SQUASH SUMMER IGE [IBT]
Order Code ICSSI Test Code ICSSI
This test was developed and its performance characteristics determined by IBT Reference Laboratory. It has not been cleared or approved by the FDA.
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 weeks   Refrigerated 4 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 3-5 days
Method FEIA
Test includes
Allergen, Squash Summer, IgE; kU/L.
Reference ranges
  
Squash Summer, IgE     LT 0.35          kU/L

[212]


ALLERGEN, SQUID (PACIFIC) [ARUP]
Order Code ICSQAR Test Code ICSQAR
Synonyms Todarodes pacificus
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Immunocap
Test includes
Allergen, Squid(Pacific), IgE; kU/L.
Reference ranges
  
Squid (Pacific), IgE     LT 0.35          kU/L

[213]


ALLERGEN, STRAWBERRY IGG4 [IBT]
Order Code ICSTG4 Test Code ICSTG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Strawberry,IgG4, mcg/mL.
Reference ranges
  
Strawberry, IgG4                   LT 0.8     mcg/mL

 

[6707]


ALLERGEN, STRAWBERRY, IGE
Order Code ICFST Test Code ICFST
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Strawberry, IgE, kU/L.
Reference ranges
  
Strawberry, IgE     LT 0.35    kU/L

[214]


ALLERGEN, SUNFLOWER, IGE [ARUP]
Order Code ICSUAR Test Code ICSUAR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate seurm from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-4 days
Method Immunocap
Test includes
Allergen, Sunflower, IgE, kU/L.
Reference ranges
  
Sunflower, IgE         LT 0.35       kU/L

[5781]


ALLERGEN, SWEET POTATO [IBT]
Order Code ICSPI Test Code ICSPI
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 weeks   Refrigerated 4 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 3-5 days
Method FEIA
Test includes
Allergen, Sweet Potato, IgE; kU/L.
Reference ranges
  
Sweet Potato, IgE     LT 0.35          kU/L

[216]


ALLERGEN, SWEET VERNAL GRASS, IGE
Order Code ICGSV Test Code ICGSV
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Sweet Vernal Grass, IgE, kU/L.
Reference ranges
  
Sweet Vernal Grass, IgE     LT 0.35    kU/L

[217]


ALLERGEN, TIMOTHY GRASS, IGE
Order Code ICGTM Test Code ICGTM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Timothy Grass, IgE, kU/L.
Reference ranges
  
Timothy Grass, IgE     LT 0.35    kU/L

[218]


ALLERGEN, TOMATO, IGE
Order Code ICFTM Test Code ICFTM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Tomato, IgE, kU/L.
Reference ranges
  
Tomato, IgE     LT 0.35    kU/L

[220]


ALLERGEN, TRICHOPHYTON RUBRUM, IGG [IBT]
Order Code ICTRGI Test Code ICTRGI
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86671
Test schedule Mon-Fri
Turnaround time 2-3 days from receipt
Method ImmunoCAP FEIA
Test includes
Allergen, Trichophyton rubrum, IgG, kU/L.
Reference ranges
  
Trychophyton rubrum, IgG          LT 5                   ug/mL

[5782]


ALLERGEN, TROUT [ARUP]
Order Code ICTRAR Test Code ICTRAR
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Immunocap
Test includes
Allergen, Trout, IgE; kU/L.
Reference ranges
  
Trout, IgE     LT 0.35          kU/L

[221]


ALLERGEN, TUNA, IGE
Order Code ICFTU Test Code ICFTU
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Tuna, IgE, kU/L.
Reference ranges
  
Tuna, IgE     LT 0.35    kU/L

[222]


ALLERGEN, TURKEY MEAT, IGE
Order Code ICFTR Test Code ICFTR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Turkey Meat, IgE, kU/L.
Reference ranges
  
Turkey Meat, IgE     LT 0.35    kU/L

[223]


ALLERGEN, WALNUT TREE, IGE
Order Code ICTWL Test Code ICTWL
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Walnut Tree, IgE, kU/L.
Reference ranges
  
Walnut Tree, IgE     LT 0.35    kU/L

[224]


ALLERGEN, WALNUT, IGE
Order Code ICFWL Test Code ICFWL
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Walnut, IgE, kU/L.
Reference ranges
  
Walnut, IgE     LT 0.35    kU/L

[225]


ALLERGEN, WATERMELON [ARUP]
Order Code ICWTAR Test Code ICWTAR
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric or lipemic specimens.
CPT codes 86003
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Immunocap
Test includes
Allergen, Watermelon, IgE; kU/L.
Reference ranges
  
Watermelon, IgE     LT 0.35          kU/L

[226]


ALLERGEN, WESTERN RAGWEED, IGE
Order Code ICWWR Test Code ICWWR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Western Ragweed, IgE, kU/L.
Reference ranges
  
Western Ragweed, IgE     LT 0.35    kU/L

[227]


ALLERGEN, WHEAT IGG4 [IBT]
Order Code ICWTG4 Test Code ICWTG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Wheat,IgG4, mcg/mL.
Reference ranges
  
Wheat, IgG4                   LT 5     mcg/mL

 

[6711]


ALLERGEN, WHEAT CULTIVATED (TRITICUM SATIVUM IGG [IBT]
Order Code ICWHE Test Code ICWHE
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C) 1 YEAR   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86003
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Wheat Cultivated (T. sativum),IgG, mcg/mL.
Reference ranges
  
Wheat Cultivated (T. sativum) IgG                   LT 13     mcg/mL

 

[6710]


ALLERGEN, WHEAT, IGE
Order Code ICFWT Test Code ICFWT
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Wheat, IgE, kU/L.
Reference ranges
  
Wheat, IgE     LT 0.35    kU/L

[228]


ALLERGEN, WHITE ASH TREE, IGE
Order Code ICTWA Test Code ICTWA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, White Ash Tree, IgE, kU/L.
Reference ranges
  
White Ash Tree, IgE     LT 0.35    kU/L

[4024]


ALLERGEN, WHITE PINE TREE, IGE
Order Code ICTWP Test Code ICTWP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, White Pine Tree, IgE, kU/L.
Reference ranges
  
White Pine Tree, IgE     LT 0.35    kU/L

[230]


ALLERGEN, WHITE-FACED HORNET VENOM, IGE
Order Code ICIWF Test Code ICIWF
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Collection procedure Blood should be drawn by venipuncture, no sooner than 2 to 3 weeks and no later than 6 months after the insect sting.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, White-faced Hornet Venom, IgE, kU/L.
Reference ranges
  
White-faced Hornet Venom, IgE     LT 0.35    kU/L

[231]


ALLERGEN, WHITE/NAVY BEAN, IGE
Order Code ICFWB Test Code ICFWB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, White/Navy Bean, IgE, kU/L.
Reference ranges
  
White/Navy Bean, IgE     LT 0.35    kU/L

[232]


ALLERGEN, WORM WOOD (SAGEBRUSH), IGE
Order Code ICWSG Test Code ICWSG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Worm Wood (Sagebrush), IgE, kU/L.
Reference ranges
  
Worm Wood (Sagebrush), IgE     LT 0.35    kU/L

[233]


ALLERGEN, YEAST (BAKERS OR BREWERS), IGE
Order Code ICFBY Test Code ICFBY
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Yeast (Bakers or Brewers), IgE, kU/L.
Reference ranges
  
Yeast (Bakers or Brewers), IgE     LT 0.35    kU/L

[234]


ALLERGEN, YELLOW JACKET VENOM, IGE
Order Code ICIYJ Test Code ICIYJ
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Collection procedure Blood should be drawn by venipuncture, no sooner than 2 to 3 weeks and no later than 6 months after the insect sting.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Yellow Jacket Venom, IgE, kU/L.
Reference ranges
  
Yellow Jacket Venom, IgE     LT 0.35    kU/L

[235]


ALLERGEN, YELLOW-FACED HORNET VENOM, IGE
Order Code ICIYF Test Code ICIYF
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Collection procedure Blood should be drawn by venipuncture, no sooner than 2 to 3 weeks and no later than 6 months after the insect sting.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Yellow-faced Hornet Venom, IgE, kU/L.
Reference ranges
  
Yellow-faced Hornet Venom, IgE     LT 0.35    kU/L

[236]


ALLERGEN,EGG WHOLE IGG4 [IBT]
Order Code ICWEG4 Test Code ICWEG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Egg Whole,IgG4, mcg/mL.
Reference ranges
  
Egg, Whole, IgG4                   LT 5     mcg/mL

 

[6709]


ALLERGEN,TOMATO IGG4 [IBT]
Order Code ICTMG4 Test Code ICTMG4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric, or lipemic specimens.
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-4 days
Method ImmunoCAP FEIA
Test includes
Tomato,IgG4, mcg/mL.
Reference ranges
  
Tomato, IgG4                   LT 1     mcg/mL

 

[6708]


ALLERGENS, 32
Order Code SCRN32 Test Code SCRN32
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 4 mL  Minimum volume 2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x 32
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D. farinae (Mite), IgE, kU/L; D. pteronyssinus (Mite), IgE, kU/L; Cat Epithelium, IgE, kU/L; Dog Dander, IgE, kU/L; Dog Epithelium, IgE,kU/L; Goose Feathers, IgE, kU/L; Horse Dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Johnson Grass, IgE, kU/L; Perennial Rye Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Acremonium kiliense, IgE, kU/L; Setomelanomma rostrata, IgE, kU/L; Pencillium chrysogenum, IgE, kU/L; Acacia Tree, IgE, kU/L; Elm Tree, IgE, kU/L; Eucalyptus (Gum) Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Maple Leaf Sycamore Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; English Plantain (Ribwort), IgE, kU/L; Lamb's Quarters (Goosefoot), IgE, kU/L; Mugwort, IgE, kU/L; Pigweed, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L; Western Ragweed, IgE, kU/L.
Reference ranges
  
D. farinae (Mite), IgE     LT 0.35 kU/L
D. pteronyssinus (Mite),   LT 0.35 kU/L
 IgE
Cat Epithelium, IgE        LT 0.35 kU/L
Dog Dander, IgE            LT 0.35 kU/L
Dog Epithelium, IgE        LT 0.35 kU/L
Goose Feathers, IgE        LT 0.35 kU/L
Horse Dander, IgE          LT 0.35 kU/L
Bermuda Grass, IgE         LT 0.35 kU/L
Johnson Grass, IgE         LT 0.35 kU/L
Perennial Rye Grass, IgE   LT 0.35 kU/L
Timothy Grass, IgE         LT 0.35 kU/L
Aspergillus fumigatus, IgE LT 0.35 kU/L
Alternaria tenuis, IgE     LT 0.35 kU/L
Cladosporium herbarum, IgE LT 0.35 kU/L
Acremonium kiliense,       LT 0.35 kU/L
 IgE
Setomelanomma rostrata,    LT 0.35 kU/L
 IgE
Penicillium chrysogenum,   LT 0.35 kU/L
Acacia Tree, IgE           LT 0.35 kU/L
Elm Tree, IgE              LT 0.35 kU/L
Eucalyptus (Gum) Tree, IgE LT 0.35 kU/L
Mulberry Tree, IgE         LT 0.35 kU/L
Oak Tree, IgE              LT 0.35 kU/L
Olive Tree, IgE            LT 0.35 kU/L
Maple Leaf Sycamore Tree,  LT 0.35 kU/L
 IgE
Walnut Tree, IgE           LT 0.35 kU/L
English Plantain(Ribwort), LT 0.35 kU/L
 IgE
Lambs Quarters(Goosefoot), LT 0.35 kU/L
 IgE
Mugwort, IgE               LT 0.35 kU/L
Pigweed, IgE               LT 0.35 kU/L
Russian Thistle(Saltwort), LT 0.35 kU/L
 IgE
Sheep Sorrel(Yellow Duck), LT 0.35 kU/L
 IgE
Western Ragweed, IgE       LT 0.35 kU/L

[237]


ALLERGENS, 37
Order Code SCRN37 Test Code SCRN37
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 5 mL  Minimum volume 4 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x 37
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Dog Epithelium, kU/L; Goose Feathers, IgE, kU/L; Horse Dander, IgE, kU/L; Yeast (Bakers/Brewer), IgE, kU/L; Cows Milk, IgE, kU/L; Corn (Maize), IgE, kU/L; Egg White, IgE, kU/L; Egg Yolk, IgE, kU/L; Malt, IgE, kU/L; Peanut, IgE, kU/L; Soybean, IgE, kU/L; Tomato, IgE, kU/L; Wheat, IgE, kU/L; Bermuda Grass, IgE, kU/L; Johnson Grass, IgE, kU/L; Perennial Rye Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Acremonium kiliense, IgE, kU/L; Setomelanonna rostrata, IgE, kU/L; Elm Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Maple Leaf Sycamore Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; English Plantain (Ribwort), IgE, kU/L; Lamb's Quarters (Goosefoot), IgE, kU/L; Mugwort, IgE, kU/L; Pigweed, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L; Western Ragweed, IgE, kU/L.
Reference ranges
  
D. farinae (Mite), IgE     LT 0.35 kU/L
Cat Dander, IgE            LT 0.35 kU/L
Dog Dander, IgE            LT 0.35 kU/L
Dog Epithelium, IgE        LT 0.35 kU/L
Goose Feathers, IgE        LT 0.35 kU/L
Horse Dander, IgE          LT 0.35 kU/L
Yeast (Bakers/Brewer), IgE LT 0.35 kU/L
Cows Milk, IgE             LT 0.35 kU/L
Corn (Maize), IgE          LT 0.35 kU/L
Egg White, IgE             LT 0.35 kU/L
Egg Yolk, IgE              LT 0.35 kU/L
Malt, IgE                  LT 0.35 kU/L
Peanut, IgE                LT 0.35 kU/L
Soybean, IgE               LT 0.35 kU/L
Tomato, IgE                LT 0.35 kU/L
Wheat, IgE                 LT 0.35 kU/L
Bermuda Grass, IgE         LT 0.35 kU/L
Johnson Grass, IgE         LT 0.35 kU/L
Perennial Rye Grass, IgE   LT 0.35 kU/L
Timothy Grass, IgE         LT 0.35 kU/L
Aspergillus fumigatus, IgE LT 0.35 kU/L
Alternaria tenuis, IgE     LT 0.35 kU/L
Cladosporium herbarum, IgE LT 0.35 kU/L
Acremonium kiliense,       LT 0.35 kU/L
 IgE
Setomelanonna rostrata,    LT 0.35 kU/L
 IgE
Elm Tree, IgE              LT 0.35 kU/L
Mulberry Tree, IgE         LT 0.35 kU/L
Oak Tree, IgE              LT 0.35 kU/L
Olive Tree, IgE            LT 0.35 kU/L
Maple Leaf Sycamore Tree,  LT 0.35 kU/L
 IgE
Walnut Tree, IgE           LT 0.35 kU/L
English Plantain(Ribwort), LT 0.35 kU/L
 IgE
Lambs Quarters(Goosefoot), LT 0.35 kU/L
 IgE
Mugwort, IgE               LT 0.35 kU/L
Pigweed, IgE               LT 0.35 kU/L
Russian Thistle(Saltwort), LT 0.35 kU/L
 IgE
Western Ragweed, IgE       LT 0.35 kU/L

[238]


ALLERGENS, ADULT FOOD PROFILE 22
Order Code ADFP22 Test Code ADFP22
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x 22
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Beef, IgE, kU/L; Yeast (Bakers/Brewers), IgE, kU/L; Codfish (Whitefish), IgE, kU/L; Chocolate/Cacao, IgE, kU/L; Clam, IgE, kU/L; Cows Milk, IgE, kU/L; Corn (Maize), IgE, kU/L; Egg White, IgE, kU/L; Garlic, IgE, kU/L; Pea, Green, IgE, kU/L; Mustard, IgE, kU/L; Orange, IgE, kU/L; Pork, IgE, kU/L; Peanut, IgE, kU/L; Potato (White), IgE, kU/L; Rice, IgE, kU/L; Soybean, IgE, kU/L; Shrimp, IgE, kU/L; Tomato, IgE, kU/L; Tuna, IgE, kU/L; Walnut, IgE, kU/L; Wheat, IgE, kU/L.
Reference ranges
  
Beef, IgE                 LT 0.35 kU/L
Yeast (Bakers/Brewers),   LT 0.35 kU/L
 IgE
Codfish (Whitefish), IgE  LT 0.35 kU/L
Chocolate/Cacao, IgE      LT 0.35 kU/L
Clam, IgE                 LT 0.35 kU/L
Cows Milk, IgE            LT 0.35 kU/L
Corn (Maize), IgE         LT 0.35 kU/L
Egg White, IgE            LT 0.35 kU/L
Garlic, IgE               LT 0.35 kU/L
Pea, Green, IgE           LT 0.35 kU/L
Mustard, IgE              LT 0.35 kU/L
Orange, IgE               LT 0.35 kU/L
Pork, IgE                 LT 0.35 kU/L
Peanut, IgE               LT 0.35 kU/L
Potato (White), IgE       LT 0.35 kU/L
Rice, IgE                 LT 0.35 kU/L
Soybean, IgE              LT 0.35 kU/L
Shrimp, IgE               LT 0.35 kU/L
Tomato, IgE               LT 0.35 kU/L
Tuna, IgE                 LT 0.35 kU/L
Walnut, IgE               Lt 0.35 kU/L
Wheat, IgE                LT 0.35 kU/L

[5211]


ALLERGENS, FOOD PROFILE 10
Order Code FOOD10 Test Code FOOD10
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2.5 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x 10
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Egg White, IgE, kU/L; Cows Milk, IgE, kU/L; Codfish (whitefish), IgE, kU/L; Wheat, IgE, kU/L; Corn (Maize), IgE, kU/L; Peanut, IgE, kU/L; Soybean, IgE, kU/L; Shrimp, IgE, kU/L; Walnut, IgE, kU/L; Clam, IgE, kU/L.
Reference ranges
  
Egg White, IgE            LT 0.35   kU/L
Cows Milk, IgE            LT 0.35   kU/L
Codfish (Whitefish), IgE  LT 0.35   kU/L
Wheat, IgE                LT 0.35   kU/L
Corn (Maize), IgE         LT 0.35   kU/L
Peanut, IgE               LT 0.35   kU/L
Soybean, IgE              LT 0.35   kU/L
Shrimp, IgE               LT 0.35   kU/L
Walnut, IgE               LT 0.35   kU/L
Clam, IgE                 LT 0.35   kU/L

[240]


ALLERGENS, GRASS PROFILE 9
Order Code GRASS9 Test Code GRASS9
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 0.75 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x 9
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Redtop Bentgrass, IgE, kU/L; Bermuda Grass, IgE, kU/L; Brome Grass, IgE, kU/L; Meadow Kentucky Blue Grass, IgE, kU/L; Meadow Fescue, IgE, kU/L; Orchard Grass, IgE, kU/L; Perennial Rye Grass, IgE, kU/L; Sweet Vernal Grass, kU/L; Timothy Grass, IgE, kU/L.
Reference ranges
  
Redtop Bentgrass, IgE         LT 0.35 kU/L
Bermuda Grass, IgE            LT 0.35 kU/L
Brome Grass, IgE              LT 0.35 kU/L
Meadow Kentucky Blue Grass,   LT 0.35 kU/L
 IgE 
Meadow Fescue, IgE            LT 0.35 kU/L
Orchard Grass, IgE            LT 0.35 kU/L
Perennial Rye Grass, IgE      LT 0.35 kU/L
Sweet Vernal Grass, IgE       LT 0.35 kU/L
Timothy Grass, IgE            LT 0.35 kU/L

English Plantain (Ribwort),   LT 0.35 kU/L
 IgE
Lamb's quaters (Goosefoot),   LT 0.35 kU/L
 IgE

[241]


ALLERGENS, HYMENOPTERA PANEL
Order Code VENOM5 Test Code VENOM5
Synonyms Allergens, Stinging Insect Panel; Allergens, Hymenoptera Venom Panel
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.75 mL  Minimum volume 0.5 mL
Collection procedure Blood should be drawn by venipuncture. Draw no sooner than 2 to 3 weeks and no later than 6 months after an insect sting.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x 5
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Honeybee Venom, IgE, kU/L; Paper Wasp Venom, IgE, kU/L; Whitefaced Hornet Venom, IgE, kU/L; Yellowfaced Hornet Venom, IgE, kU/L; Yellow Jacket Venom, IgE, kU/L.
Reference ranges
  
Honeybee Venom, IgE       LT 0.35 kU/L
Paper Wasp Venom, IgE     LT 0.35 kU/L
Whitefaced Hornet Venom,  LT 0.35 kU/L
 IgE
Yellowfaced Hornet Venom, LT 0.35 kU/L
 IgE
Yellow Jacket Venom, IgE  LT 0.35 kU/L

[242]


ALLERGENS, INHALANT 9
Order Code INHAL9 Test Code INHAL9
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 0.75 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x 9
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Epithelium, IgE, kU/L; Perennial Rye Grass, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Elm Tree, IgE, kU/L; Olive Tree, IgE, kU/L; English Plantain (Ribwort), IgE, kU/L; Short (Common) Ragweed, IgE, kU/L..
Reference ranges
  
D. farinae (Mite), IgE        LT 0.35 kU/L
Cat Dander, IgE               LT 0.35 kU/L
Dog Epithelium, IgE           LT 0.35 kU/L
Perennial Rye Grass, IgE      LT 0.35 kU/L
Alternaria tenius, IgE        LT 0.35 kU/L
Elm Tree, IgE                 LT 0.35 kU/L
Olive Tree, IgE               LT 0.35 kU/L
English Plantain (Ribwort),   LT 0.35 kU/L
 IgE
Short (Common) Ragweed, IgE   LT 0.35 kU/L
 IgE

[243]


ALLERGENS, INLAND NORTHWEST 17
Order Code INW17 Test Code INW17
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x 17
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D. pteronyssinus (Mite), IgE, kU/L; D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Redtop Bentgrass, IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Box Elder, IgE, kU/L; Common Silver Birch Tree, IgE, kU/L; Cottonwood, IgE, kU/L; Oak Tree, IgE, kU/L; Mugwort, IgE, kU/L; Pigweed, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L.
Reference ranges
  
D. pteronyssinus (Mite), IgE LT 0.35 kU/L
D. farinae (Mite),IgE        LT 0.35 kU/L
Cat Dander, IgE              LT 0.35 kU/L
Dog Dander, IgE              LT 0.35 kU/L
Redtop Bentgrass, IgE        LT 0.35 kU/L
Cockroach, IgE               LT 0.35 kU/L
Alternaria tenuis, IgE       LT 0.35 kU/L
Aspergillus fumigatus, IgE   LT 0.35 kU/L
Cladosporium herbarum, IgE   LT 0.35 kU/L
Grey Alder Tree, IgE         LT 0.35 kU/L
Box Elder, IgE               LT 0.35 kU/L
Common Silver Birch Tree,    LT 0.35 kU/L
 IgE            
Cottonwood Tree, IgE         LT 0.35 kU/L
Oak Tree, IgE                LT 0.35 kU/L
Mugwort, IgE                 LT 0.35 kU/L
Pigweed, IgE                 LT 0.35 kU/L
Russian Thistle(Saltwort),   LT 0.35 kU/L
 IgE

[244]


ALLERGENS, INTERMOUNTAIN WEST 14
Order Code IMW14 Test Code IMW14
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2.5 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x 14
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Redtop Bentgrass, IgE, kU/L; Bermuda Grass, IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey AlderTree, IgE, kU/L; Box Elder, IgE, kU/L; Common Silver Birch Tree, IgE, kU/L; Cottonwood, IgE, kU/L; Pigweed, IgE, kU/L; Mugwort, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L.
Reference ranges
  
D. farinae (Mite),IgE      LT 0.35 kU/L
Cat Dander, IgE            LT 0.35 kU/L
Dog Dander, IgE            LT 0.35 kU/L
Redtop Bentgrass, IgE      LT 0.35 kU/L
Bermuda Grass, IgE         LT 0.35 kU/L
Cockroach, IgE             LT 0.35 kU/L
Alternaria tenuis, IgE     LT 0.35 kU/L
Grey Alder Tree, IgE       LT 0.35 kU/L
Box Elder, IgE             LT 0.35 kU/L
Common Silver Birch Tree,  LT 0.35 kU/L
 IgE            
Cottonwood Tree, IgE       Lt 0.35 kU/L
Pigweed, IgE               LT 0.35 kU/L
Mugwort, IgE               LT 0.35 kU/L
Russian Thistle(Saltwort), LT 0.35 kU/L
 IgE

[245]


ALLERGENS, MOLD PROFILE 5
Order Code MOLD5 Test Code MOLD5
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.75 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x 5
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Alternaria tenuis, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Candida albicans, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Penicillium chrysogenum, Ige, kU/L.
Reference ranges
  
Alternaria tenius, IgE        LT 0.35 kU/L
Aspergillus fumigatus, IgE    LT 0.35 kU/L
Candida albicans, IgE         LT 0.35 kU/L
Cladosporium herbarum, IgE    LT 0.35 kU/L
Penicillium chrysogenum, IgE  LT 0.35 kU/L

[246]


ALLERGENS, NUT PROFILE 6
Order Code NUT6 Test Code NUT6
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.75 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x 6
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Almond, IgE, kU/L; Cashew, IgE, kU/L; Hazelnut, IgE, kU/L; Pecan nut, IgE, kU/L; Peanut, kU/L; Walnut, IgE, kU/L.
Reference ranges
  
Almond, IgE               LT 0.35 kU/L
Cashew, IgE               LT 0.35 kU/L
Hazelnut, IgE             LT 0.35 kU/L
Pecan nut, IgE            LT 0.35 kU/L
Peanut, IgE               LT 0.35 kU/L
Walnut, IgE               LT 0.35 kU/L

[247]


ALLERGENS, PACIFIC NORTHWEST 14
Order Code PNW14 Test Code PNW14
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2.5 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x 14
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D. pteronyssinus (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Box Elder, IgE, kU/L; Common Silver Birch Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; Pigweed, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L; Western Ragweed, IgE, kU/L.
Reference ranges
  
D. pteronyssinus (Mite),   LT 0.35 kU/L
 IgE
Cat Dander, IgE            LT 0.35 kU/L
Dog Dander, IgE            LT 0.35 kU/L
Timothy Grass, IgE         LT 0.35 kU/L
Cockroach, IgE             LT 0.35 kU/L
Alternaria tenuis, IgE     LT 0.35 kU/L
Grey Alder Tree, IgE       LT 0.35 kU/L
Box Elder, IgE             LT 0.35 kU/L
Common Silver Birch Tree,  LT 0.35 kU/L
 IgE
Oak Tree, IgE              LT 0.35 kU/L
Walnut Tree, IgE           LT 0.35 kU/L
Pigweed, IgE               LT 0.35 kU/L
Russian Thistle(Saltwort), LT 0.35 kU/L
 IgE
Western Ragweed, IgE       LT 0.35 kU/L

[248]


ALLERGENS, PEDIATRIC FOOD PROFILE 21
Order Code PDFP21 Test Code PDFP21
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x 21
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Barley, IgE, kU/L; Banana, IgE, kU/L; Yeast (Bakers/Brewers), IgE, kU/L; Codfish, IgE, kU/L; Chocolate/Cacao, IgE, kU/L; Cows Milk, IgE, kU/L; Corn (Maize), IgE, kU/L; Egg White, IgE, kU/L; Pea, Green, IgE, kU/L; Orange, IgE, kU/L; Oat, IgE, kU/L; Pork, IgE, kU/L; Peanut, IgE, kU/L; Potato (White), IgE, kU/L; Rice, IgE, kU/L; Rye, IgE, kU/L; Soybean, IgE, kU/L; Strawberry, IgE, kU/L; Tomato, IgE, kU/L; White/Navy Bean, IgE, kU/L; Wheat, IgE, kU/L.
Reference ranges
  
Barley, IgE               LT 0.35 kU/L
Banana, IgE               LT 0.35 kU/L
Yeast (Bakers/Brewers),   LT 0.35 kU/L
 IgE
Codfish, IgE              LT 0.35 kU/L
Chocolate/Cacao, IgE      LT 0.35 kU/L
Cows Milk, IgE            LT 0.35 kU/L
Corn (Maize), IgE         LT 0.35 kU/L
Egg White, IgE            LT 0.35 kU/L
Pea, Green, IgE           LT 0.35 kU/L
Orange, IgE               LT 0.35 kU/L
Oat, IgE                  LT 0.35 kU/L
Pork, IgE                 LT 0.35 kU/L
Peanut, IgE               LT 0.35 kU/L
Potato (White), IgE       LT 0.35 kU/L
Rice, IgE                 LT 0.35 kU/L
Rye, IgE                  LT 0.35 kU/L
Soybean, IgE              LT 0.35 kU/L
Strawberry, IgE           LT 0.35 kU/L
Tomato, IgE               LT 0.35 kU/L
White/Navy Bean, IgE      LT 0.35 kU/L
Wheat, IgE                LT 0.35 kU/L

[249]


ALLERGENS, PEDIATRIC PROFILE 11
Order Code PEDS11 Test Code PEDS11
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunolchemistry
CPT codes 86003 x 11
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Cows Milk, IgE, kU/L; Soybean, IgE, kU/L; Egg White, IgE, kU/L; Wheat, IgE, kU/L; Peanut, IgE, kU/L; Codfish (Whitefish), IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L .
Reference ranges
  
D. farinae (Mite),IgE      LT 0.35 kU/L
Cat Dander, IgE            LT 0.35 kU/L
Dog Dander, IgE            LT 0.35 kU/L
Cows Milk, IgE             LT 0.35 kU/L
Soybean, IgE               LT 0.35 kU/L
Egg White, IgE             LT 0.35 kU/L
Wheat, IgE                 LT 0.35 kU/L
Peanut, IgE                LT 0.35 kU/L
Codfish (Whitefish), IgE   LT 0.35 kU/L
Cockroach, IgE             LT 0.35 kU/L
Alternaria tenuis, IgE     LT 0.35 kU/L

[250]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 1, NORTH ATLANTIC STATES (CT,MA,NJ,NY,PA,VT,ME,NH,RI)
Order Code RDPNA Test Code RDPNA
Synonyms Respiratory Disease Profile Region 1, North Atlantic States (CT,MA,NJ,NY,PA,VT,ME,NH,RI)
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
CPT codes 86003 x 25
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder Tree, IgE, kU/L; Common Silver Birch, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Maple Leaf Sycamore, kU/L; Mountain Cedar-Junifer Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; White Ash Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Mugwort, IgE, kU/L; Pigweed, IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L.
Reference ranges
  
D. pteronyssinus (mite), IgE            LT 0.35      kU/L
D. farinae (mite), IgE                  LT 0.35      kU/L
Cat dander, IgE                         LT 0.35      kU/L
Dog dander, IgE                         LT 0.35      kU/L
Bermuda Grass, IgE                      LT 0.35      kU/L
Timothy Grass, IgE                      LT 0.35      kU/L
Cockroach, IgE                          LT 0.35      kU/L
Penicillium chrysogenum/notatum, IgE    LT 0.35      kU/L
Cladosporium herbarum, IgE              LT 0.35      kU/L
Aspergillus fumigatus, IgE              LT 0.35      kU/L
Alternaria tenuis, IgE                  LT 0.35      kU/L
Box Elder Tree, IgE                     LT 0.35      kU/L
Common Silver Birch, IgE                LT 0.35      kU/L
Cottonwood, IgE                         LT 0.35      kU/L
Elm Tree, IgE                           LT 0.35      kU/L
Maple Leaf Sycamore, IgE                LT 0.35      kU/L
Mountain Cedar-Juniper Tree, IgE        LT 0.35      kU/L
Mulberry Tree, IgE                      LT 0.35      kU/L
Oak Tree, IgE                           LT 0.35      kU/L
Walnut Tree, IgE                        LT 0.35      kU/L
White Ash Tree, IgE                     LT 0.35      kU/L
Short (common) Ragweed, IgE             LT 0.35      kU/L
Mugwort, IgE                            LT 0.35      kU/L
Pigweed, IgE                            LT 0.35      kU/L
Sheep Sorrel (Yellow Dock), IgE         LT 0.35      kU/L

[6725]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 10 SOUTHWESTERN GRASSLAND STATES (TX, OK)
Order Code RDPSWG Test Code RDPSWG
Synonyms Respiratory Disease Profile Region 10, Southwestern Grassland States (TX, OK)
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
CPT codes 86003 x 25
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder Tree, IgE, kU/L; Common Silver Birch, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Pecan (white hickory) Tree, IgE, kU/L; White Ash Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Pigweed, IgE, kU/L; Rough Marsh Elder, IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L; Nettle, IgE, kU/L.
Reference ranges
  
D. pteronyssinus (mite), IgE            LT 0.35      kU/L
D. farinae (mite), IgE                  LT 0.35      kU/L
Cat dander, IgE                         LT 0.35      kU/L
Dog dander, IgE                         LT 0.35      kU/L
Bermuda Grass, IgE                      LT 0.35      kU/L
Timothy Grass, IgE                      LT 0.35      kU/L
Cockroach, IgE                          LT 0.35      kU/L
Penicillium chrysogenum/notatum, IgE    LT 0.35      kU/L
Cladosporium herbarum, IgE              LT 0.35      kU/L
Aspergillus fumigatus, IgE              LT 0.35      kU/L
Alternaria tenuis, IgE                  LT 0.35      kU/L
Box Elder Tree, IgE                     LT 0.35      kU/L
Common Silver Birch, IgE                LT 0.35      kU/L
Cottonwood, IgE                         LT 0.35      kU/L
Elm Tree, IgE                           LT 0.35      kU/L
Mountain Cedar-Juniper Tree, IgE        LT 0.35      kU/L
Mulberry Tree, IgE                      LT 0.35      kU/L
Oak Tree, IgE                           LT 0.35      kU/L
Pecan (white hickory) Tree, IgE         LT 0.35      kU/L
White Ash Tree, IgE                     LT 0.35      kU/L
Short (common) Ragweed, IgE             LT 0.35      kU/L
Mugwort, IgE                            LT 0.35      kU/L
Pigweed, IgE                            LT 0.35      kU/L
Rough Marsh Elder, IgE                  LT 0.35      kU/L
Sheep Sorrel (Yellow Dock), IgE         LT 0.35      kU/L
Nettle, IgE                             LT 0.35      kU/L

[6730]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 11, ROCKY MOUNTAIN STATES (AZ[MTN], ID[MTN],NM,WY,CO,UT[MTN])
Order Code RDPRM Test Code RDPRM
Synonyms Respiratory Disease Profile Region 11, Rocky Mountain States (AZ[MTN],ID[MTN],NM,WY,CO,UT[MTN])
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
CPT codes 86003 x 24
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Box Elder Tree, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Mugwort, IgE, kU/L; Russian Thistle, IgE, kU/L; Pigweed, IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L.
Reference ranges
  
D. pteronyssinus (mite), IgE            LT 0.35      kU/L
D. farinae (mite), IgE                  LT 0.35      kU/L
Cat dander, IgE                         LT 0.35      kU/L
Dog dander, IgE                         LT 0.35      kU/L
Bermuda Grass, IgE                      LT 0.35      kU/L
Timothy Grass, IgE                      LT 0.35      kU/L
Cockroach, IgE                          LT 0.35      kU/L
Penicillium chrysogenum/notatum, IgE    LT 0.35      kU/L
Cladosporium herbarum, IgE              LT 0.35      kU/L
Aspergillus fumigatus, IgE              LT 0.35      kU/L
Alternaria tenuis, IgE                  LT 0.35      kU/L
Grey Alder, IgE                         LT 0.35      kU/L
Box Elder Tree, IgE                     LT 0.35      kU/L
Cottonwood, IgE                         LT 0.35      kU/L
Elm Tree, IgE                           LT 0.35      kU/L
Mountain Cedar-Juniper Tree, IgE        LT 0.35      kU/L
Mulberry Tree, IgE                      LT 0.35      kU/L
Oak Tree, IgE                           LT 0.35      kU/L
Olive Tree, IgE                         LT 0.35      kU/L
Short (common) Ragweed, IgE             LT 0.35      kU/L
Mugwort, IgE                            LT 0.35      kU/L
Russian Thistle, IgE                    LT 0.35      kU/L
Pigweed, IgE                            LT 0.35      kU/L
Sheep Sorrel (Yellow Dock), IgE         LT 0.35      kU/L

[6727]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 12, ARID SOUTHWEST (S.AZ, SE CA DESERT)
Order Code RDPASW Test Code RDPASW
Synonyms Respiratory Disease Profile Region 12, Arid Southwest (S. AZ, SE CALIF Desert)
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
CPT codes 86003 x 22
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Johnson Grass, kU/L; Perennial Rye Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Acacia Tree IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Mugwort, IgE, kU/L; Russian Thistle, IgE, kU/L; Pigweed, IgE kU/L.
Reference ranges
  
D. pteronyssinus (mite), IgE            LT 0.35      kU/L
D. farinae (mite), IgE                  LT 0.35      kU/L
Cat dander, IgE                         LT 0.35      kU/L
Dog dander, IgE                         LT 0.35      kU/L
Bermuda Grass, IgE                      LT 0.35      kU/L
Johnson Grass, IgE                      LT 0.35      kU/L
Perennial Rye Grass, IgE                LT 0.35      kU/L
Cockroach, IgE                          LT 0.35      kU/L
Penicillium chrysogenum/notatum, IgE    LT 0.35      kU/L
Cladosporium herbarum, IgE              LT 0.35      kU/L
Aspergillus fumigatus, IgE              LT 0.35      kU/L
Alternaria tenuis, IgE                  LT 0.35      kU/L
Acacia Tree, IgE                        LT 0.35      kU/L
Cottonwood, IgE                         LT 0.35      kU/L
Elm Tree, IgE                           LT 0.35      kU/L
Mountain Cedar-Juniper Tree, IgE        LT 0.35      kU/L
Oak Tree, IgE                           LT 0.35      kU/L
Olive Tree, IgE                         LT 0.35      kU/L
Short (common) Ragweed, IgE             LT 0.35      kU/L
Mugwort, IgE                            LT 0.35      kU/L
Russioan Thistle, IgE                   LT 0.35      kU/L
Pigweed, IgE                            LT 0.35      kU/L

[6716]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 13 SOUTH COASTAL CALIFORNIA (CA)
Order Code RDPSCC Test Code RDPSCC
Synonyms Respiratory Disease Profile Region 13 South Coastal California (CA)
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
CPT codes 86003 x 24
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Johnson Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Mugwort, IgE, kU/L; Russian Thistle, IgE, kU/L; Pigweed, IgE, kU/L.
Reference ranges
  
D. pteronyssinus (mite), IgE            LT 0.35      kU/L
D. farinae (mite), IgE                  LT 0.35      kU/L
Cat dander, IgE                         LT 0.35      kU/L
Dog dander, IgE                         LT 0.35      kU/L
Bermuda Grass, IgE                      LT 0.35      kU/L
Timothy Grass, IgE                      LT 0.35      kU/L
Johnson Grass, IgE                      LT 0.35      kU/L
Cockroach, IgE                          LT 0.35      kU/L
Penicillium chrysogenum/notatum, IgE    LT 0.35      kU/L
Cladosporium herbarum, IgE              LT 0.35      kU/L
Aspergillus fumigatus, IgE              LT 0.35      kU/L
Alternaria tenuis, IgE                  LT 0.35      kU/L
Grey Alder Tree, IgE                    LT 0.35      kU/L
Cottonwood, IgE                         LT 0.35      kU/L
Elm Tree, IgE                           LT 0.35      kU/L
Mountain Cedar-Juniper Tree, IgE        LT 0.35      kU/L
Mulberry Tree, IgE                      LT 0.35      kU/L
Oak Tree, IgE                           LT 0.35      kU/L
Olive Tree, IgE                         LT 0.35      kU/L
Walnut Tree, IgE                        LT 0.35      kU/L
Short (common) Ragweed, IgE             LT 0.35      kU/L
Mugwort, IgE                            LT 0.35      kU/L
Russian Thistle, IgE                    LT 0.35      kU/L
Pigweed, IgE                            LT 0.35      kU/L

[6729]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 14, CENTRAL CALIFORNIA (CA)
Order Code RDPCC Test Code RDPCC
Synonyms Respiratory Disease Profile Region 14, Central California (CA)
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
CPT codes 86003 x 23
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Common Silver Birch, kU/L; Elm Tree, IgE, kU/L; Maple Leaf Sycamore Tree, IgE, kU/L; Mountain Cedar-Junifer Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Mugwort, IgE, kU/L; Russian Thistle, IgE, kU/L; Pigweed,IgE, kU/L.
Reference ranges
  
D. pteronyssinus (mite), IgE            LT 0.35      kU/L
D. farinae (mite), IgE                  LT 0.35      kU/L
Cat dander, IgE                         LT 0.35      kU/L
Dog dander, IgE                         LT 0.35      kU/L
Bermuda Grass, IgE                      LT 0.35      kU/L
Timothy Grass, IgE                      LT 0.35      kU/L
Cockroach, IgE                          LT 0.35      kU/L
Penicillium chrysogenum/notatum, IgE    LT 0.35      kU/L
Cladosporium herbarum, IgE              LT 0.35      kU/L
Aspergillus fumigatus, IgE              LT 0.35      kU/L
Alternaria tenuis, IgE                  LT 0.35      kU/L
Grey Alder Tree, IgE                    LT 0.35      kU/L
Common Silver Birch, IgE                LT 0.35      kU/L
Elm Tree, IgE                           LT 0.35      kU/L
Maple Leaf Sycamore Tree, IgE           LT 0.35      kU/L
Mountain Cedar-Juniper Tree, IgE        LT 0.35      kU/L
Mulberry Tree, IgE                      LT 0.35      kU/L
Oak Tree, IgE                           LT 0.35      kU/L
Olive Tree, IgE                         LT 0.35      kU/L
Short (common) Ragweed, IgE             LT 0.35      kU/L
Mugwort, IgE                            LT 0.35      kU/L
Russian Thistle, IgE                    LT 0.35      kU/L
Pigweed, IgE                            LT 0.35      kU/L

[6717]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 15, INTERMOUNTAIN WEST (SOUTH ID,NV)
Order Code RDPIMW Test Code RDPIMW
Synonyms Respiratory Disease Profile Region 15, Intermountain West (South ID,NV)
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
CPT codes 86003 x 22
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Junifer Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Mugwort, IgE, kU/L; Russian Thistle, IgE, kU/L; Pigweed, IgE, kU/L.
Reference ranges
  
D. pteronyssinus (mite), IgE            LT 0.35      kU/L
D. farinae (mite), IgE                  LT 0.35      kU/L
Cat dander, IgE                         LT 0.35      kU/L
Dog dander, IgE                         LT 0.35      kU/L
Bermuda Grass, IgE                      LT 0.35      kU/L
Timothy Grass, IgE                      LT 0.35      kU/L
Cockroach, IgE                          LT 0.35      kU/L
Penicillium chrysogenum/notatum, IgE    LT 0.35      kU/L
Cladosporium herbarum, IgE              LT 0.35      kU/L
Aspergillus fumigatus, IgE              LT 0.35      kU/L
Alternaria tenuis, IgE                  LT 0.35      kU/L
Box Elder Tree, IgE                     LT 0.35      kU/L
Cottonwood, IgE                         LT 0.35      kU/L
Elm Tree, IgE                           LT 0.35      kU/L
Mountain Cedar-Juniper Tree, IgE        LT 0.35      kU/L
Mulberry Tree, IgE                      LT 0.35      kU/L
Oak Tree, IgE                           LT 0.35      kU/L
Olive Tree, IgE                         LT 0.35      kU/L
Short (common) Ragweed, IgE             LT 0.35      kU/L
Mugwort, IgE                            LT 0.35      kU/L
Russian Thistle, IgE                    LT 0.35      kU/L
Pigweed, IgE                            LT 0.35      kU/L

[6722]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 16, INLAND NORTHWEST(CENTRAL & EASTERN WA, OR)
Order Code RDPINW Test Code RDPINW
Synonyms Respiratory Disease Profile Region 16, Inland Northwest (Central & Eastern WA,OR)
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
CPT codes 86003 x 21
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Box Elder Tree, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Junifer Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Mugwort, IgE, kU/L; Russian Thistle, IgE, kU/L; Pigweed, IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L.
Reference ranges
  
D. pteronyssinus (mite), IgE            LT 0.35      kU/L
D. farinae (mite), IgE                  LT 0.35      kU/L
Cat dander, IgE                         LT 0.35      kU/L
Dog dander, IgE                         LT 0.35      kU/L
Timothy Grass, IgE                      LT 0.35      kU/L
Cockroach, IgE                          LT 0.35      kU/L
Penicillium chrysogenum/notatum, IgE    LT 0.35      kU/L
Cladosporium herbarum, IgE              LT 0.35      kU/L
Aspergillus fumigatus, IgE              LT 0.35      kU/L
Alternaria tenuis, IgE                  LT 0.35      kU/L
Grey Alder Tree, IgE                    LT 0.35      kU/L
Box Elder Tree, IgE                     LT 0.35      kU/L
Common Silver Birch, IgE                LT 0.35      kU/L
Cottonwood, IgE                         LT 0.35      kU/L
Elm Tree, IgE                           LT 0.35      kU/L
Mountain Cedar-Juniper Tree, IgE        LT 0.35      kU/L
Oak Tree, IgE                           LT 0.35      kU/L
Mugwort, IgE                            LT 0.35      kU/L
Russian Thistle, IgE                    LT 0.35      kU/L
Pigweed, IgE                            LT 0.35      kU/L
Sheep Sorrel (Yellow Dock), IgE         LT 0.35      kU/L

[6723]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 17, CASCADE/PACIFIC NORTHWEST (NW CA, WESTERN WA & OR)
Order Code RDPCPN Test Code RDPCPN
Synonyms Respiratory Disease Profile Region 17, Cascade/Pacific Northwest (NW CA, Western WA & OR)
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
CPT codes 86003 x 23
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Common Silver Birch, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Junifer Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; White Ash Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Pigweed,IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L; Nettle, IgE, kU/L.
Reference ranges
  
D. pteronyssinus (mite), IgE            LT 0.35      kU/L
D. farinae (mite), IgE                  LT 0.35      kU/L
Cat dander, IgE                         LT 0.35      kU/L
Dog dander, IgE                         LT 0.35      kU/L
Timothy Grass, IgE                      LT 0.35      kU/L
Cockroach, IgE                          LT 0.35      kU/L
Penicillium chrysogenum/notatum, IgE    LT 0.35      kU/L
Cladosporium herbarum, IgE              LT 0.35      kU/L
Aspergillus fumigatus, IgE              LT 0.35      kU/L
Alternaria tenuis, IgE                  LT 0.35      kU/L
Box Elder Tree, IgE                     LT 0.35      kU/L
Grey Alder Tree, IgE                    LT 0.35      kU/L
Common Silver Birch, IgE                LT 0.35      kU/L
Cottonwood, IgE                         LT 0.35      kU/L
Elm Tree, IgE                           LT 0.35      kU/L
Mountain Cedar-Juniper Tree, IgE        LT 0.35      kU/L
Mulberry Tree, IgE                      LT 0.35      kU/L
Oak Tree, IgE                           LT 0.35      kU/L
Walnut Tree, IgE                        LT 0.35      kU/L
White Ash Tree, IgE                     LT 0.35      kU/L
Short (common) Ragweed, IgE             LT 0.35      kU/L
Pigweed, IgE                            LT 0.35      kU/L
Sheep Sorrel (Yellow Dock), IgE,        LT 0.35      kU/L
Nettle, IgE                             LT 0.35      kU/L

[6719]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 18, ALASKA (AK)
Order Code RDPAK Test Code RDPAK
Synonyms Respiratory Disease Profile Region 18, Alaska (AK)
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
CPT codes 86003 x 15
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Common Silver Birch, kU/L; Cottonwood, IgE, kU/L; Mugwort, IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L.
Reference ranges
  
D. pteronyssinus (mite), IgE            LT 0.35      kU/L
D. farinae (mite), IgE                  LT 0.35      kU/L
Cat dander, IgE                         LT 0.35      kU/L
Dog dander, IgE                         LT 0.35      kU/L
Timothy Grass, IgE                      LT 0.35      kU/L
Cockroach, IgE                          LT 0.35      kU/L
Penicillium chrysogenum/notatum, IgE    LT 0.35      kU/L
Cladosporium herbarum, IgE              LT 0.35      kU/L
Aspergillus fumigatus, IgE              LT 0.35      kU/L
Alternaria tenuis, IgE                  LT 0.35      kU/L
Grey Alder Tree, IgE                    LT 0.35      kU/L
Common Silver Birch, IgE                LT 0.35      kU/L
Cottonwood, IgE                         LT 0.35      kU/L
Mugwort, IgE                            LT 0.35      kU/L
Sheep Sorrel (Yellow Dock), IgE         LT 0.35      kU/L

[6715]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 2, MID-ATLANTIC STATES (DE,MD,VA,DC,NC)
Order Code RDPMA Test Code RDPMA
Synonyms Respiratory Disease Profile Region 2, Mid-Atlantic States (DE,MD,VA,DC,NC)
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
CPT codes 86003 x 23
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Johnson Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder Tree, IgE, kU/L; Common Silver Birch, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Junifer Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Pecan (white hickory) Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Pigweed, IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L.
Reference ranges
  
D. pteronyssinus (mite), IgE            LT 0.35      kU/L
D. farinae (mite), IgE                  LT 0.35      kU/L
Cat dander, IgE                         LT 0.35      kU/L
Dog dander, IgE                         LT 0.35      kU/L
Bermuda Grass, IgE                      LT 0.35      kU/L
Timothy Grass, IgE                      LT 0.35      kU/L
Johnson Grass, IgE                      LT 0.35      kU/L
Cockroach, IgE                          LT 0.35      kU/L
Penicillium chrysogenum/notatum, IgE    LT 0.35      kU/L
Cladosporium herbarum, IgE              LT 0.35      kU/L
Aspergillus fumigatus, IgE              LT 0.35      kU/L
Alternaria tenuis, IgE                  LT 0.35      kU/L
Box Elder Tree, IgE                     LT 0.35      kU/L
Common Silver Birch, IgE                LT 0.35      kU/L
Cottonwood, IgE                         LT 0.35      kU/L
Elm Tree, IgE                           LT 0.35      kU/L
Mountain Cedar-Juniper Tree, IgE        LT 0.35      kU/L
Mulberry Tree, IgE                      LT 0.35      kU/L
Oak Tree, IgE                           LT 0.35      kU/L
Pecan (white hickory) Tree, IgE         LT 0.35      kU/L
Short (common) Ragweed, IgE             LT 0.35      kU/L
Pigweed, IgE                            LT 0.35      kU/L
Sheep Sorrel (Yellow Dock), IgE         LT 0.35      kU/L

[6724]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 5, GREATER OHIO VALLEY (IN,OH,TN,WV,KY)
Order Code RDPGOV Test Code RDPGOV
Synonyms Respiratory Disease Profile Region 5, Greater Ohio Valley (IN,OH,TN,WV,KY)
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
CPT codes 86003 x 26
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder, IgE, kU/L; Common Silver Birch, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Junifer Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; Maple Leaf Sycamore Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Pecan (white hickory) Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; White Ash Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Russian Thistle, IgE, kU/L; Pigweed,IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L.
Reference ranges
  
D. pteronyssinus (mite), IgE            LT 0.35      kU/L
D. farinae (mite), IgE                  LT 0.35      kU/L
Cat dander, IgE                         LT 0.35      kU/L
Dog dander, IgE                         LT 0.35      kU/L
Bermuda Grass, IgE                      LT 0.35      kU/L
Timothy Grass, IgE                      LT 0.35      kU/L
Cockroach, IgE                          LT 0.35      kU/L
Penicillium chrysogenum/notatum, IgE    LT 0.35      kU/L
Cladosporium herbarum, IgE              LT 0.35      kU/L
Aspergillus fumigatus, IgE              LT 0.35      kU/L
Alternaria tenuis, IgE                  LT 0.35      kU/L
Box Elder Tree, IgE                     LT 0.35      kU/L
Common Silver Birch, IgE                LT 0.35      kU/L
Cottonwood, IgE                         LT 0.35      kU/L
Elm Tree, IgE                           LT 0.35      kU/L
Maple Leaf Sycamore Tree, IgE           LT 0.35      kU/l
Mountain Cedar-Juniper Tree, IgE        LT 0.35      kU/L
Mulberry Tree, IgE                      LT 0.35      kU/L
Oak Tree, IgE                           LT 0.35      kU/L
Pecan (white hickory) Tree, IgE         LT 0.35      kU/L
Walnut Tree, IgE                        LT 0.35      kU/L
White Ash Tree, IgE                     LT 0.35      kU/L
Short (common) Ragweed, IgE             LT 0.35      kU/L
Russian Thistle, IgE                    LT 0.35      kU/L
Pigweed, IgE                            LT 0.35      kU/L
Sheep Sorrel (Yellow Dock), IgE,        LT 0.35      kU/L
Nettle, IgE                             LT 0.35      kU/L

[6720]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 6, SOUTH CENTRAL STATES (AL, AR, LA, MS)
Order Code RDPSC Test Code RDPSC
Synonyms Respiratory Disease Profile Region 6, South Central States (AL, AR, LA, MS)
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
CPT codes 86003 x 22
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder Tree, IgE, kU/L; Common Silver Birch, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Pecan (white hickory) Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Pigweed, IgE, kU/L; Rough Marsh Elder, IgE, kU/L.
Reference ranges
  
D. pteronyssinus (mite), IgE            LT 0.35      kU/L
D. farinae (mite), IgE                  LT 0.35      kU/L
Cat dander, IgE                         LT 0.35      kU/L
Dog dander, IgE                         LT 0.35      kU/L
Bermuda Grass, IgE                      LT 0.35      kU/L
Timothy Grass, IgE                      LT 0.35      kU/L
Cockroach, IgE                          LT 0.35      kU/L
Penicillium chrysogenum/notatum, IgE    LT 0.35      kU/L
Cladosporium herbarum, IgE              LT 0.35      kU/L
Aspergillus fumigatus, IgE              LT 0.35      kU/L
Alternaria tenuis, IgE                  LT 0.35      kU/L
Box Elder Tree, IgE                     LT 0.35      kU/L
Common Silver Birch, IgE                LT 0.35      kU/L
Elm Tree, IgE                           LT 0.35      kU/L
Mountain Cedar-Juniper Tree, IgE        LT 0.35      kU/L
Mulberry Tree, IgE                      LT 0.35      kU/L
Oak Tree, IgE                           LT 0.35      kU/L
Pecan (white hickory) Tree, IgE         LT 0.35      kU/L
Walnut Tree, IgE                        LT 0.35      kU/L
Short (common) Ragweed, IgE             LT 0.35      kU/L
Pigweed, IgE                            LT 0.35      kU/L
Rough Marsh Elder, IgE                  LT 0.35      kU/L

[6728]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 7, NORTHERN ,MIDWEST STATES (MI,WE,MN)
Order Code RDPNMW Test Code RDPNMW
Synonyms Respiratory Disease Profile Region 7, Northern Midwest States (MI,WI,MN)
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
CPT codes 86003 x 23
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder Tree, IgE, kU/L; Common Silver Birch, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; White Ash Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Russian Thistle, IgE, kU/L; Rough Marsh Elder, IgE, kU/L; Nettle, IgE, kU/L.
Reference ranges
  
D. pteronyssinus (mite), IgE            LT 0.35      kU/L
D. farinae (mite), IgE                  LT 0.35      kU/L
Cat dander, IgE                         LT 0.35      kU/L
Dog dander, IgE                         LT 0.35      kU/L
Bermuda Grass, IgE                      LT 0.35      kU/L
Timothy Grass, IgE                      LT 0.35      kU/L
Cockroach, IgE                          LT 0.35      kU/L
Penicillium chrysogenum/notatum, IgE    LT 0.35      kU/L
Cladosporium herbarum, IgE              LT 0.35      kU/L
Aspergillus fumigatus, IgE              LT 0.35      kU/L
Alternaria tenuis, IgE                  LT 0.35      kU/L
Box Elder Tree, IgE                     LT 0.35      kU/L
Common Silver Birch, IgE                LT 0.35      kU/L
Cottonwood, IgE                         LT 0.35      kU/L
Elm Tree, IgE                           LT 0.35      kU/L
Mountain Cedar-Juniper Tree, IgE        LT 0.35      kU/L
Mulberry Tree, IgE                      LT 0.35      kU/L
Oak Tree, IgE                           LT 0.35      kU/L
White Ash Tree, IgE                     LT 0.35      kU/L
Short (common) Ragweed, IgE             LT 0.35      kU/L
Russian Thistle, IgE                    LT 0.35      kU/L
Rough Marsh Elder, IgE                  LT 0.35      kU/L
Nettle, IgE                             LT 0.35      kU/L

[6726]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 8, CENTRAL MIDWEST STATES (IL, MO, IA)
Order Code RDPCMW Test Code RDPCMW
Synonyms Respiratory Disease Profile Region 8, Midwest States (IL, MO, IA)
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
CPT codes 86003 x 25
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Maple Leaf Sycamore Tree, IgE, kU/L; Mountain Cedar-Junifer Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Pecan (white hickory) Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; White Ash Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Russian Thistle, IgE, kU/L; Pigweed,IgE, kU/L; Rough Marsh Elder, IgE, kU/L.
Reference ranges
  
D. pteronyssinus (mite), IgE            LT 0.35      kU/L
D. farinae (mite), IgE                  LT 0.35      kU/L
Cat dander, IgE                         LT 0.35      kU/L
Dog dander, IgE                         LT 0.35      kU/L
Bermuda Grass, IgE                      LT 0.35      kU/L
Timothy Grass, IgE                      LT 0.35      kU/L
Cockroach, IgE                          LT 0.35      kU/L
Penicillium chrysogenum/notatum, IgE    LT 0.35      kU/L
Cladosporium herbarum, IgE              LT 0.35      kU/L
Aspergillus fumigatus, IgE              LT 0.35      kU/L
Alternaria tenuis, IgE                  LT 0.35      kU/L
Box Elder Tree, IgE                     LT 0.35      kU/L
Cottonwood, IgE                         LT 0.35      kU/L
Elm Tree, IgE                           LT 0.35      kU/L
Maple Leaf Sycamore Tree, IgE           LT 0.35      kU/L
Mountain Cedar-Juniper Tree, IgE        LT 0.35      kU/L
Mulberry Tree, IgE                      LT 0.35      kU/L
Oak Tree, IgE                           LT 0.35      kU/L
Pecan (white hickory) Tree, IgE         LT 0.35      kU/L
Walnut Tree, IgE                        LT 0.35      kU/L
Short (common) Ragweed, IgE             LT 0.35      kU/L
Russian Thistle, IgE                    LT 0.35      kU/L
Pigweed, IgE                            LT 0.35      kU/L
Rough Marsh Elder, IgE                  LT 0.35      kU/L

[6718]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 9, GREAT PLAINS STATES (KS,NE,ND,SD)
Order Code RDPGP Test Code RDPGP
Synonyms Respiratory Disease Profile Region 9, Great Plains States (KS,NE,ND,SD)
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
CPT codes 86003 x 22
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Junifer Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; White Ash Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Russian Thistle, IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L; Nettle, IgE, kU/L.
Reference ranges
  
D. pteronyssinus (mite), IgE            LT 0.35      kU/L
D. farinae (mite), IgE                  LT 0.35      kU/L
Cat dander, IgE                         LT 0.35      kU/L
Dog dander, IgE                         LT 0.35      kU/L
Bermuda Grass, IgE                      LT 0.35      kU/L
Timothy Grass, IgE                      LT 0.35      kU/L
Cockroach, IgE                          LT 0.35      kU/L
Penicillium chrysogenum/notatum, IgE    LT 0.35      kU/L
Cladosporium herbarum, IgE              LT 0.35      kU/L
Aspergillus fumigatus, IgE              LT 0.35      kU/L
Alternaria tenuis, IgE                  LT 0.35      kU/L
Box Elder Tree, IgE                     LT 0.35      kU/L
Cottonwood, IgE                         LT 0.35      kU/L
Elm Tree, IgE                           LT 0.35      kU/L
Mountain Cedar-Juniper Tree, IgE        LT 0.35      kU/L
Mulberry Tree, IgE                      LT 0.35      kU/L
Oak Tree, IgE                           LT 0.35      kU/L
Pecan (white hickory) Tree, IgE         LT 0.35      kU/L
Walnut Tree, IgE                        LT 0.35      kU/L
White Ash Tree, IgE                     LT 0.35      kU/L
Short (common) Ragweed, IgE             LT 0.35      kU/L
Russian Thistle, IgE                    LT 0.35      kU/L
Sheep Sorrel (Yellow Dock), IgE,        LT 0.35      kU/L
Nettle, IgE                             LT 0.35      kU/L

[6721]


ALLERGENS, ROCKY MOUNTAIN 15
Order Code RMS15 Test Code RMS15
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2.5 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x 15
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Redtop Bentgrass, IgE, kU/L; Bermuda Grass, IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Box Elder, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar (Juniper), IgE, kU/L; Oak Tree, IgE, kU/L; Kochia (Firebush), IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L.
Reference ranges
  
D. farinae (Mite),IgE      LT 0.35 kU/L
Cat Dander, IgE            LT 0.35 kU/L
Dog Dander, IgE            LT 0.35 kU/L
Redtop Bentgrass, IgE      LT 0.35 kU/L
Bermuda Grass, IgE         LT 0.35 kU/L
Cockroach, IgE             LT 0.35 kU/L
Alternaria tenuis, IgE     LT 0.35 kU/L
Grey Alder Tree, IgE       LT 0.35 kU/L
Box Elder, IgE             LT 0.35 kU/L
Cottonwood Tree, IgE       LT 0.35 kU/L
Elm Tree, IgE              LT 0.35 kU/L
Mountain Cedar(Juniper)    LT 0.35 kU/L
 IgE
Oak Tree, IgE              LT 0.35 kU/L
Kochia (Firebush), IgE     LT 0.35 kU/L
Russian Thistle(Saltwort), LT 0.35 kU/L
 IgE

[251]


ALLERGENS, SEAFOOD PROFILE 7
Order Code SEAFD7 Test Code SEAFD7
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.75 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x7
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Codfish (whitefish), IgE, kU/L; Clam, IgE, kU/L; Crab, IgE, kU/L; Lobster, IgE, kU/L; Salmon, IgE, kU/L; Shrimp, IgE, kU/L; Tuna, IgE, kU/L.
Reference ranges
  
Codfish (whitefish), IgE      LT 0.35 kU/L
Clam, IgE                     LT 0.35 kU/L
Crab, IgE                     LT 0.35 kU/L
Lobster, IgE                  LT 0.35 kU/L
Salmon, IgE                   LT 0.35 kU/L
Shrimp, IgE                   LT 0.35 kU/L
Tuna, IgE                     LT 0.35 kU/L

[252]


ALLERGENS, SOUTH CENTRAL STATES 18
Order Code SOCN18 Test Code SOCN18
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x 18
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Alternaria tenuis, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Bermuda Grass, IgE, kU/L; Cat dander, IgE, kU/L; Cockroach, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; D. farinae (mite), IgE, kU/l; D. pteronyssinus (mite), IgE, kU/L; Dog dander, IgE, kU/L; Elm Tree, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Johnson grass, IgE, kU/L; Meadow (Kentucky Blue) grass, IgE, kU/L; Oak Tree, IgE, kU/L; Pecan (white hickory) Tree, IgE, kU/L; Penicillium chrysogenum notatum, IgE, kU/L; Rough Marsh Elder, IgE, kU/L; Walnut Tree, IgE, kU/L.
Reference ranges
  
Alternaria tenuis, IgE     LT 0.35   kU/L
Aspergillus fumigatus, IgE LT 0.35   kU/L
Bermuda Grass, IgE         LT 0.35   kU/L
Cat dander, IgE            LT 0.35   kU/L
Cockroach, IgE             LT 0.35   kU/L
Short (common Ragweed),IgE LT 0.35   kU/L
D. farinae (mite), IgE     LT 0.35   kU/L
D. pteronyssinus(mite),IgE LT 0.35   kU/L
Dog dander, IgE            LT 0.35   kU/L
Elm Tree, IgE              LT 0.35   kU/L
Cladosporium herbarum,IgE  LT 0.35   kU/L
Johnson Grass, IgE         LT 0.35   kU/L
Meadow (Ktky Blue Grass)   LT 0.35   kU/L
 IgE
Oak Tree, IgE              LT 0.35   kU/L
Pecan (White hickory)      LT 0.35   kU/L
 Tree, IgE
Penicillium chrysogenum/   LT 0.35   kU/L
 notatum, IgE
Rough Marsh Elder, IgE     LT 0.35   kU/L
Walnut Tree, IgE           LT 0.35   kU/L

[5607]


ALLERGENS, SOUTHERN CALIFORNIA 21
Order Code SCAL21 Test Code SCAL21
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x 21
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
D. pteronyssinus (Mite), IgE, kU/L; D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE kU/L; Bermuda Grass, IgE, kU/L; Brome Grass, IgE, kU/L; Cultivated Oat, IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Box Elder, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; Maple Leaf Sycamore Tree, IgE, kU/L; Japanese Cedar, IgE, kU/L; False Ragweed, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L; Pigweed, IgE, kU/L; Scale (Lenscale), IgE, kU/L.
Reference ranges
  
D. pteronyssinus (Mite),   LT 0.35 kU/L
 IgE
D. farinae (Mite), IgE     LT 0.35 kU/L
Cat Dander, IgE            LT 0.35 kU/L
Dog Dander, IgE            LT 0.35 kU/L
Bermuda Grass, IgE         LT 0.35 kU/L
Brome Grass, IgE           LT 0.35 kU/L
Cultivated Oat, IgE        LT 0.35 kU/L
Cockroach, IgE             LT 0.35 kU/L
Alternaria tenuis, IgE     LT 0.35 kU/L
Aspergillus fumigatus, IgE LT 0.35 kU/L
Cladosporium herbarum, IgE LT 0.35 kU/L
Box Elder, IgE             LT 0.35 kU/L
Oak Tree, IgE              LT 0.35 kU/L
Olive Tree, IgE            LT 0.35 kU/L
Walnut Tree, IgE           LT 0.35 kU/L
Maple Leaf Sycamore Tree,  LT 0.35 kU/L
 IgE
Japanese Cedar, IgE        LT 0.35 kU/L
False Ragweed, IgE         LT 0.35 kU/L
Russian Thistle(Saltwort), LT 0.35 kU/L
 IgE
Pigweed, IgE               LT 0.35 kU/L
Scale (Lenscale), IgE      LT 0.35 kU/L

[253]


ALLERGENS, SOUTHWEST INHALENTS COMPREHENSIVE 2 [ARUP]
Order Code ICSWAR Test Code ICSWAR
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.6 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, icteric or lipemic specimens.
CPT codes 86003 x 24
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Immunocap
Test includes
Cat Epithelium/Dander, IgE, kU/L; Dog Dander, IgE, kU/L; A. alternata, IgE, kU/L; A. fumigatus, IgE, kU/L; Helminthsporium, IgE, kU/L; Hormodendrum, IgE, kU/L; Bahia, IgE, kU/L; Bermuda Grass, IgE, kU/L; Johnson Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; D. farinae, IgE, kU/L; D.pteronyssinus, IgE, kU/L; Elm Tree, Ige, kU/L; Mountain Cedar Tree, IgE, kU/L; Pecan Tree, IgE, kU/L; Privet Tree, IgE, kU/L; Sycamore Tree, IgE, kU/L; Virginia Live Oak, IgE, kU/L; White Ash Tree, IgE, kU/L; Common/Short Ragweed,IgE, kU/L; English Plantain, IgE, kU/L; Marsh Elder, IgE, kU/L; Pigweed, IgE, kU/L; Russian Thistle, IgE, kU/L; Interp, Immunocap Score.
Reference ranges
  
Cat Epi/Dander, IgE     LT 0.35          kU/L
Dog Dander, IgE         LT 0.35          kU/L
A. alternata, IgE       LT 0.35          kU/L
A. fumigatus, IgE       LT 0.35          kU/L
Helminthospirium, IgE   LT 0.35          kU/L
Hormodendrum, IgE       LT 0.35          kU/L
Bahia, IgE              LT 0.35          kU/L
Bermuda Grass, IgE      LT 0.35          kU/L
Johnson Grass, IgE      LT 0.35          kU/L
Timothy Grass, IgE      LT 0.35          kU/L
D. farinae, IgE         LT 0.35          kU/L
D. pteronyssinus, IgE   LT 0.35          kU/L
Elm Tree, IgE           LT 0.35          kU/L
Mountain Cedar Tree,    LT 0.35          kU/L
 IgE
Pecan Tree, IgE         LT 0.35          kU/L
Privet Tree, IgE        LT 0.35          kU/L
Sycamore Tree, IgE      LT 0.35          kU/L
Virginia Live Oak, IgE  LT 0.35          kU/L
White ASh Tree, IgE     LT 0.35          kU/L
Common Short Ragweed,   LT 0.35          kU/L
 IgE
English Plantain, IgE   LT 0.35          kU/L
Marsh Elder, IgE        LT 0.35          kU/L
Pigweed, IgE            LT 0.35          kU/L
Russian Thistle, IgE    LT 0.35          kU/L
Interp, Immunocap
 Score

[5371]


ALLERGENS, TREE PROFILE 11
Order Code TREE11 Test Code TREE11
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 0.75 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x 11
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Box Elder Tree, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Common Silver Birch Tree, IgE, kU/L; Cottonwood Tree IgE, kU/L; Elm Tree, IgE, kU/L; Hazelnut Tree, IgE, kU/L; Mountain Cedar (Juniper) Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Walnut Tree, kU/L.
Reference ranges
  
Box Elder Tree, IgE         LT 0.35 kU/L
Grey Alder Tree, , IgE      LT 0.35 kU/L
Common Silver Birch Tree,   LT 0.35 kU/L
 IgE
Cottonwood Tree, IgE        LT 0.35 kU/L
Elm Tree, IgE               LT 0.35 kU/L
Hazelnut Tree, IgE          LT 0.35 kU/L 
Mountain Cedar (Juniper),   LT 0.35 kU/L
 Tree, IgE
Mulberry Tree, IgE          LT 0.35 kU/L
Oak Tree, IgE               LT 0.35 kU/L
Olive Tree, IgE             LT 0.35 kU/L
Walnut Tree,  IgE           LT 0.35 kU/L

[254]


ALLERGENS, WEED PROFILE 12
Order Code WEED12 Test Code WEED12
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 0.75 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86003 x 12
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Cocklebur, IgE, kU/L; English Plantain (Ribwort), IgE, kU/L; Kochia (Firebush), IgE, kU/L; Lamb's Quarters (Goosefoot), IgE, kU/L; Rough Marsh Elder, IgE, kU/L; Mugwort, IgE, kU/L; Nettle, IgE, kU/L; Short (Common) Ragweed, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L; Scale (Lenscale), IgE, kU/L; Sheep Sorrel (Yellow Dock), kU/L; Pigweed, IgE, kU/L.
Reference ranges
  
Cocklebur, IgE              LT 0.35 kU/L
English Plantain (Ribwort), LT 0.35 kU/L
 IgE
Kochia (Firebush), IgE      LT 0.35 kU/L
Lamb's Quarters (Goosefoot),LT 0.35 kU/L
 IgE
Rough Marsh Elder, IgE      LT 0.35 kU/L
Mugwort, IgE                LT 0.35 kU/L 
Nettle, IgE                 LT 0.35 kU/L
Short (Common) Ragweed,     LT 0.35 kU/L
 IgE
Russian Thistle (Saltwort), LT 0.35 kU/L
 IgE
Scale (Lenscale), IgE       LT 0.35 kU/L
Sheep Sorrel (Yellow Dock), LT 0.35 kU/L
 IgE
Pigweed,IgE                 LT 0.35 kU/L

[255]


ALPHA ANTIPLASMIN ACTIVITY
Order Code ALP2A Test Code ALP2A
Specimen Required
       Container type Sodium citrate (light blue top tube)  Specimen type Frozen platelet-poor plasma  Preferred volume 1 mL  Minimum volume 1 mL
Collection procedure Fill tube to capacity.
Specimen processing Centrifuge specimen, separate plasma, recentrifuge, separate into clean plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 2 hours   Refrigerated 2 hours   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Serum, nonfrozen or hemolyzed samples.
CPT codes 85410
Test schedule Tue
Turnaround time 2-9 days
Method Chromogenic Assay
Test includes
Alpha 2 Antiplasmin Activity, %.
Reference ranges
  
Alpha 2 Antiplasmin Activity           %
 1-4 days          55-115
 5-29 days         70-130
 30-89 days        76-124
 90-179 days       76-140
 180-364 days      83-139
 1-5 yrs           93-117
 6 yrs             89-110
 7-9 yrs           88-147
 10-11 yrs         90-144
 12-13 yrs         87-142
 14-15 yrs         83-136
 16-17 yrs         77-134
 18 yrs +          82-133

[5579]


ALPHA FETOPROTEIN (MATERNAL)
Order Code AFP Test Code AFPMS
Synonyms AFP, Maternal
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Required patient info Race, Gestational Age (wks), Maternal Weight (lbs), Diabetic (y/n), Other Gestational Information.
Stability-   Room temp   Refrigerated 3 days   Frozen (-20°C) 30 days   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed specimens.
Alternate specimens Heparinized or EDTA plasma (green or lavender top tube).
Limitations Must be drawn at 14-22 weeks gestation.
Department Immunology
CPT codes 82105
Test schedule Mon-Fri days
Turnaround time 2-5 days
Method Immunometric
Test includes
Alpha fetoprotein, ng/mL; Gestational Age, wk; Maternal Weight, lbs; MOM; Weight Corrected MOM; Diabetic Corrected MOM; Comment.
Reference ranges
  
AFP                               ng/mL
Gestational age                   wk
Maternal Weight                   lbs
MOM
Weight corrected MOM
 30 yrs and under  0.40-2.50 MOM
 Over 30 yrs old   0.50-2.50 MOM
 2.50 MOM equals OSB Risk of 1/605
Diabetic Corrected MOM
Comment
Notes
Assay is reliable from 14-22 weeks gestation.

[261]


ALPHA FETOPROTEIN (NON-MATERNAL)
Order Code AFP-NM Test Code AFPTM
Synonyms AFP, Tumor Marker; AFP, Non-Maternal
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen or refrigerated.
Stability-   Room temp   Refrigerated 3 days   Frozen (-20°C) 30 days   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed specimens.
Alternate specimens Heparinized or EDTA plasma (green or lavender top tube).
Department Immunology
CPT codes 82105
Test schedule Mon-Sat days
Turnaround time 1-2 days
Method Immunometric
Test includes
Alpha Fetoprotein, ng/mL.
Reference ranges
  
Alpha Fetoprotein
 Males & non-pregnant females 0.6-6.6 ng/mL

[262]


ALPHA FETOPROTEIN, AMNIOTIC FLUID (REFLEXIVE)
Order Code AFAFP Test Code AFAFP
Complete a Cytogenetics Congential Disorders Request form available from PAML.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms AFP, Amniotic Fluid
Specimen Required
        Specimen type Amniotic fluid  Preferred volume 2-3 mL  Minimum volume 2 mL
Collection procedure Collect amniotic fluid and place in sterile screw capped tubes (centrifuge tube Falcon 2037 or equivalent). If cytogenetics is also ordered, do not split or pour off specimen; send all specimen to cytogenetics. A Cytogenetics paper requisition must be completed including the following: clinical indication, maternal birthdate, gestation age (weeks and days) as determined by LMP or Ultrasound (identify method), maternal diabetic status, also note on form if twins or multiple pregnancy. Acceptable gestational age weeks 14 through 22.
Specimen processing Handle specimen using sterile technique. Do not centrifuge the specimen. Store and transport room temperature.
Required patient info See collection procedure
Stability-   Room temp 48 hours   Refrigerated 3 days AFP, 5 days Fetal Hgb, 7 days AChE   Frozen (-20°C)   Frozen (-70°C)
Department Immunology
CPT codes 82106
Test schedule Mon-Fri
Turnaround time 1-10 days
Method Immunometric
Test includes
Blood Present; Alpha Fetoprotein, ug/mL; MoM, MoM; Interpretation; Fetal Hemoglobin F.
Reference ranges
  
Blood Present
Alpha Fetoprotein,                  ug/mL
 Amniotic Fluid
MoM                  LT 2.0         MoM                
Interpretation       Negative Screen
Fetal Hemoglobin F   Negative
Notes
Fetal Hemoglobin F will be done on samples blood tinged and AFP MoM GT 1.9. AChE will be done on positive samples (GT 1.9 MoM).

[264]


ALPHA FETOPROTEIN, TOTAL AND L3 PERCENT
Order Code AFPL3 Test Code AFPL3
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from the cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 1 week   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Plasma.
Alternate specimens Serum (plain red top tube).
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 82107
Test schedule Thu
Turnaround time 2-9 days
Method Liquid-phase Binding Immunoassay
Test includes
Alpha Feto Protein, Total, ng/mL; Alpha Feto Protein, L3%, %.
Reference ranges
  
Alpha Feto Protein, Total      0-15          ng/mL
Alpha Feto Protein, L3%        10% or less   %
 The Wako LiBASSys method is used. Results obtained
 with different assay methods or kits cannot be used
 interchangeably. The Wako AFP-L3% assay is intended as 
 a risk assessment test for the development of
 hepatocellular carcinoma in patients with chronic liver
 diseases. Elevated AFP-L3% values have been shown to be
 associated with a seven-fold increase in the risk of
 developing hepatocellular carcinoma within the next 21 
 months. Patients with elevated serum AFP-L3% should be
 more intensely evaluated for evidence of hepatocellular
 carcinoma. The result is not interpretable as a tumor
 marker in pregnant females.

[5578]


ALPHA SUBUNIT PITUITARY TUMOR MARKER
Order Code ALPHA.PGH Test Code ASUB
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or lipemic specimens.
Alternate specimens Refrigerated specimens if received by testing laboratory within 7 days of time of draw.
CPT codes 83520
Test schedule Tue
Turnaround time 5-9 days
Method ICMA
Test includes
Alpha Subunit, ng/mL.
Reference ranges
  
Alpha Subunit Pituitary Tumor Marker                                             ng/mL
   5 days or less     50 or less
   5 days -Lt 3 mo    10 or less
   3 mo-LT 2 yrs      1.2 or less
   2 yrs-puberty      1.2 or less
   Tanner II-IV       1.2 or less
 M Adult              0.5 or less
 F Premenopausal      1.2 or less
 F Postmenopausal     1.8 or less

[256]


ALPHA-1 ANTITRYPSIN, FECES
Order Code A1AF Test Code A1AF
Synonyms Fecal Alpha-1 Antitrypsin; Alpha-1 Antitrypsin, Stool
Specimen Required
       Container type Leakproof plastic container  Specimen type Frozen stool  Preferred volume 5 grams  Minimum volume 1 gram
Collection procedure Collect a stool specimen .
Specimen processing Put stool in a leakproof plastic container and freeze. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 1 week   Frozen (-70°C)
CPT codes 82103
Test schedule Sun-Sat
Turnaround time within 8 days
Method Radial Immunodiffusion
Test includes
Alpha-1 Antitrypsin, Feces, mg/g.
Reference ranges
  
Alpha-1 Antitrypsin  0.00-0.62    mg/g

[257]


ALPHA-1-ANTITRYPSIN
Order Code AAT Test Code AAT
Synonyms Alpha-1-Trypsin Inhibitor; Alpha-1-AT; Alpha-1-Proteinase Inhibitor; Alpha-1-PI; AAT; A1-Antitrypsin
Specimen Required
       Container type Red Top Tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Patient Prep Prefer a fasting specimen.
Specimen processing Separate serum from cells within 2 hours of collection and place in separate plastic tube. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions SST, avoid marked lipemia
Alternate specimens PST tube, heparin plasma.
Limitations Rheumatoid factor may cause interference. It is less than 10% up to 800 IU/mL.
Department Chemistry
CPT codes 82103
Test schedule Mon-Fri
Turnaround time 1-3 days
Method Turbidimetric
Test includes
Alpha-1-Antitrypsin, mg/dL.
Reference ranges
  
Alpha-1-Antitrypsin  100-200 mg/dL

[258]


ALPHA-1-ANTITRYPSIN PHENOTYPE
Order Code AAT-PHENO Test Code AATPH
Synonyms AAT, Phenotype
Specimen Required
       Container type SST tube  Specimen type serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells and place in separate plastic tube.. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 5 days   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Limitations Avoid repeat freeze/thaw cycles.
CPT codes 82103, 82104
Test schedule Mon, Wed, Fri
Turnaround time 3-8 days
Method Isoelectric Focusing/ Immunoturbidimetric
Test includes
AAT-Phenotype; Alpha-1-Antitrypsin, mg/dL.
Reference ranges
  
AAT-Phenotype
Alpha-1-Antitrypsin  100-200   mg/dL
 Interpret with caution if the
 patient has been transfused
 previous 21 days.

[259]


ALPHA-GLOBIN GENE ANALYSIS
Order Code ALGGA Test Code ALGGA
Due to the sensitivity of this test, submit the entire specimen in the original collection tube.
Synonyms Alpha Thalassemia (DNA probe); Hemoglobin-H Disease; Thalassemia, Alpha
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 3 mL
Specimen processing Store and transport at room temperature. Specimens must arrive at Mayo within 96 hours of draw.
Required patient info Source, a "molecular genetics congenital disorders request form" including relevant clinical and family history information.
Unacceptable conditions Specimens not received in the original collection tubes.
Alternate specimens ACD whole blood (yellow top tube).
CPT codes 83891, 83894, 83900, 83909, 83912, 83914 x 16
Test schedule Varies depending upon when recieved
Turnaround time up to 21 days
Method PCR. MLPA and Luminex
Test includes
Specimen; Specimen ID; Source; Order date; Method; Result; Interpretation; Amendment; Reviewed by; Release date.
Reference ranges
  
Specimen
Specimen ID
Source
Order date
Method
Result
Interpretation
Amendment
Reviewed by
Release date
Notes
Do not use this workpar for prenatal specimens, amniotic fluid or chorionic villus. Those specimens must be sent as reference specimens and have different specimen requirements.

[265]


ALPRAZOLAM
Order Code XANAX Test Code ALPRAZ
Synonyms Xanax
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.6 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Stability-   Room temp 7 days   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens Heparinized, EDTA or sodium fluoride/potassium oxalated plasma (green, lavender or grey top tube).
Limitations Avoid the use of serum separator tubes and gels.
CPT codes 80154
Test schedule Sun, Tue, Thu
Turnaround time 3-5 days
Method Liquid Chromatography/Tandem Mass Spectrometry
Test includes
Alprazolam, ng/mL.
Reference ranges
  
Alprazolam                           ng/mL
 Anxiety        10-40 (Dose 1-4 mg/d)  
 Phobia & Panic 50-100 (Dose 6-9 mg/d)
 The lowest possible effective dose should
 be used, as side effected increase & anti-
 anxiety efficiency decrease as dosage
 increases.

[266]


ALT
Order Code SGPT Test Code ALT
Synonyms SGPT; Alanine Aminotransferase
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Collection procedure Avoid hemolysis.
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Sodium fluoride-potassium oxalate plasma (grey top tube).
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 84460
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Enzymatic
Test includes
ALT, U/L.
Reference ranges
  
ALT  5-50   U/L

[267]


ALTERNATE AMPHETAMINES
Order Code ALTAMP Test Code ALTAMP
Synonyms methylenedioxyamphetamine,MDA,Love pill, love drug, Mellow drug of america, Methylenedioxymethamphetamine,MDMA, ecstasy, XTC, Adam, clarity, Eve, lover's speed, peace, STP, X
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff at 500 ng/ml
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Test includes
Methylenedioxyamphetamine(MDA), Methylenedioxymethamphetamine(MDMA)

[6933]


ALTERNATE AMPHETAMINES BY GC/MS
Order Code MSALAP Test Code MSALAP
Synonyms methylenedioxyamphetamine,MDA,Love pill, love drug, Mellow drug of america, Methylenedioxymethamphetamine,MDMA, ectasy, XTC, Adam, clarity, Eve, lovers speed, peace, STP, X
Specimen Required
       Container type Leakproof plastic urine container  Specimen type Urine  Preferred volume 30 ml  Minimum volume 5 ml
Collection procedure Collect a random urine specimen
Stability-   Room temp 48 hours   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Limitations Cutoff 500 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Gas Chromatography Mass Spectrometry
Test includes
Methylenedioxyamphetamine and Methylenedioxymethamphetamine

[7002]


ALTERNATE OPIATE CONFIRMATION BY GC/MS
Order Code MSALOP Test Code MSALOP
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 300 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Gas Chromatography Mass Spectrometry
Test includes
Hydrocodone, Hydromorphone, Oxycodone

[6908]


ALUMINUM, PLASMA
Order Code ALUMINUM Test Code AL
Synonyms Al, Plasma
Specimen Required
       Container type Green top tube (lithium heparin)  Specimen type Plasma  Preferred volume 2.5 mL  Minimum volume 0.6 mL
Collection procedure Use 20 gauge needle for venipuncture.
Specimen processing Separate plasma or serum from cells with plastic pipette within 2 hours and place in separate plastic tube using a plastic pipette. Use of polyethylene sample containers should be avoided. FEP, PTFE, polystyrene or polycarbonate materials are preferred. Respin and transfer if RBC's are present. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 10 days   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Plasma or serum not separated from cells within 2 hours. Samples from separator gel tubes are not acceptable.
Alternate specimens Serum (plain red top tube or royal blue top tube) or sodium heparinized plasma (heparinized royal blue top tube).
Limitations Avoid any prolonged contact with glass.
Department Chemistry, Trace Metals
CPT codes 82108
Test schedule Mon-Sat
Turnaround time 1-3 days/Kidney Center Screening 5 days
Method Electrothermal (Flameless) AAS
Test includes
Aluminum, ug/L.
Reference ranges
  
Aluminum   ug/L
 0-10 Normal
 0-40 Normal for dialysis patients
 10-60 Increased aluminum uptake
 60-100 Potential clinical problems
 GT 100 Generally leads to clinical symptoms

[268]


ALUMINUM, URINE
Order Code ALU-U Test Code ALUUQ
Synonyms Al, Urine
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection or random urine collection.  Preferred volume 10 mL  Minimum volume 5 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container or a random urine collection. Refrigerate during collection.
Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection or random urine collection into a leakproof plastic urine container. Store and transport refrigerated. ARUP studies indicate that refrigeration of urine alone, during & after collectio preserves specimens adequately if tested within 14 days of collection. Record total volume and collection time. Submit specimen in two ARUP Trace Element-Free Transport Tubes (43116).
Required patient info Collection period, volume.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Urine collected within 48 hours after administration of gadalinium (Gd) containing contrast media (may occur with MRI studies) or acid preserved urine specimens.
CPT codes 82108
Test schedule Mon-Fri
Turnaround time 2-5 days
Method ICP/MS
Test includes
Time, hr; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Aluminum, Urine, ug/L; Aluminum, Urine, ug/d; Aluminum, Urine ug/gCreat.
Reference ranges
  
Collection Period                hr
Volume                           mL
Creatinine, Urine                mg/dL
Creatinine, Urine                mg/d
 M 0-2 yrs       Not established 
   3-8 yrs       140-700
   9-12 yrs      300-1300
   13-17 yrs     500-2300
   18-50 yrs     1000-2500    
   51-80 yrs     800-2100
   81+ yrs       600-2000
 F 0-2 yrs       Not established
   3-8 yrs       140-700
   9-12 yrs      300-1300
   13-17 yrs     400-1600
   18-50 yrs     700-1600
   51-80 yrs     500-1400
   81+ yrs       400-1300
Aluminum, Urine     0-7           ug/L
Aluminum, Urine     0-10          ug/d
Aluminum, Urine     No reference  ug/gCr
                    range established.
                    Urine aluminum values
                    do not correlate well
                    with exposure. Elevated
                    levels should be 
                    confirmed with a second
                    specimen due to a high
                    susceptibility of the
                    specimen to collection-
                    related environmental
                    contamination.

[269]


AMENORRHEA PROFILE
Order Code AMEN Test Code AMEN
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 .5 mLs  Minimum volume 1 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Plasma, grossly hemolyzed or grossly lipemic serum.
Department Immunochemistry
CPT codes 83002, 83001, 84146
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
LH, mIU/mL; FSH, mIU/mL; Prolactin, ng/mL.
Reference ranges
  
LH                             mIU/mL
 M 7-9 yrs           0.0-0.7
   10-12 yrs         0.0-3.4
   13-15 yrs         0.3-5.6
   16-17 yrs         1.1-9.0
   18 yrs+           1.7-8.6
   Tanner Stage I    0.0-1.0
   Tanner Stage II   0.0-3.6
   Tanner Stage III  0.2-6.4
   Tanner Stage IV-V 0.9-8.3
 F 7-9 yrs           0.0-0.7
   10-12 yrs         0.0-6.8
   13-15 yrs         0.3-23.0
   16-17 yrs         0.0-26.4
   18 yrs+
  Follicular         2.4-12.6
  Mid-cycle          14.00-95.6
  Luteal phase       1.0-11.4  
  Post menopausal    7.7-58.5
  Tanner Stage I     0.0-9.3
  Tanner Stage II    0.0-16.0
  Tanner Stage III   0.0-23.0
  Tanner Stage IV-V  0.0-19.1
FSH                            mIU/mL
 M  7-9 yrs          0.3-2.3
    10-12 yrs        0.5-4.4
    13-15 yrs        1.0-6.7
    16-17 yrs        0.8-7.0
    18 yrs +         1.4-11.2
   Tanner Stage I    0.3-2.6
   Tanner Stage II   0.5-4.3
   Tanner Stage III  0.9-5.8
   Tanner Stage IV-V 0.9-7.3    
 F  7-9 yrs          0.4-4.0
    10-12 yrs        0.6-7.5
    13-15 yrs        0.9-8.2
    16-17 yrs        0.4-8.9
    18 yrs+           
   Follicular        3.2-11.3
   Midcycle peak     4.2-19.4       
   Luteal phase      1.5-6.9                   
   Postmenopausal    23.2-121.3
   Tanner Stage I    0.5-7.6
   Tanner Stage II   0.5-8.0
   Tanner Stage III  0.5-8.0
   Tanner Stage IV-V 0.6-8.4
Prolactin                     ng/mL
 M                   1.6-18.8   
 Non-Pregnant
  Females            1.4-24.2

[270]


AMIKACIN (SINGLE)
Order Code AMIK Test Code AMIKR
Synonyms Amikin
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 0.6 mL  Minimum volume 0.4 mL
Collection procedure Draw trough specimen 15 minutes prior to next dose(no more than 1 hour prior to next dose). Draw peak specimen 1 hour after IM dose or 1/2 hour after IV infusion completed. Clearly label specimen.
Specimen processing Separate serum or plasma from cells and place each in separate plastic tube and freeze. Clearly label specimen. Store and transport frozen.
Required patient info Trough or peak specimens, times of dose and drawing.
Stability-   Room temp   Refrigerated 8 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Kanamycin shows significant cross-reactivity with this assay. Results of this assay cannot be used to accurately quantitate amikacin levels in patients using both amikacin and kanamycin.
Alternate specimens Lithium or sodium heparin plasma (green top tube).
Department Chemistry
CPT codes 80150
Test schedule Daily days and STAT available evening shift
Turnaround time 1-2 days
Method FPIA
Test includes
Amikacin, ug/mL.
Reference ranges
  
Amikacin                       ug/mL
 Trough     4.0-8.0    Toxic GT 8.0  
 Peak       10.0-30.0  Toxic GT 35.0  

[271]


AMIKACIN, PEAK
Order Code AMIK.PK Test Code AMIKPK
Synonyms Amikin, Peak Level
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum.  Preferred volume 0.6 mL  Minimum volume 0.4 mL
Collection procedure Draw peak specimen 1 hour after IM dose or 1/2 hr after IV infusion completed. Note time of dose and drawing.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimen. Store and transport frozen.
Required patient info Time of dose and drawing.
Stability-   Room temp   Refrigerated 8 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Kanamycin shows significant cross-reactivity with this assay. Results of this assay cannot be used to accurately quantitate amikacin levels in patients using both amikacin and kanamycin.
Alternate specimens Lithium or sodium heparin plasma (green top tube).
Department Chemistry
CPT codes 80150
Test schedule Daily days, STAT available evening shift
Turnaround time 24-48 hours
Method FPIA
Test includes
Amikacin, Peak, ug/mL.
Reference ranges
  
Amikacin,         ug/mL
 Peak  10.0-30.0   
 Toxic GT 35.0

[272]


AMIKACIN, TROUGH
Order Code AMIK.TR Test Code AMIKTR
Synonyms Amikin, Trough Level
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum.  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Draw trough specimen 15 minutes prior to next dose (no more than 1 hour prior to next dose). Note time of dose and drawing.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimen. Store and transport frozen.
Required patient info Time of dose and drawing.
Stability-   Room temp   Refrigerated 8 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Kanamycin shows significant cross-reactivity with this assay. Results of this assay cannot be used to accurately quantitate amikacin levels in patients using both amikacin and kanamycin.
Alternate specimens Lithium or sodium heparin plasma (green top tube).
Department Chemistry
CPT codes 80150
Test schedule Daily days, STAT available evening shift
Turnaround time 1-2 days
Method FPIA
Test includes
Amikacin, Trough, ug/mL.
Reference ranges
  
Amikacin,                 ug/mL
 Trough   4.0-8.0         
 Toxic    GT 8.0

[273]


AMINO ACIDS, PLASMA (QUANTITATIVE)
Order Code AA.QUANT Test Code AAQ
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 0.5 mL plasma or serum.
Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Serum is to be processed quickly.
Alternate specimens Frozen CSF or body fluid.
CPT codes 82139
Test schedule Mon-Fri
Turnaround time 3-6 days
Method HPLC
Test includes
Taurine, umol/L; Aspartic Acid, umol/L; OH-Proline, umol/L; Theonine, umol/L; Serine, umol/L; Asparagine, umol/L; Glutamic Acid, umol/L; Glutamine, umol/L; Proline, umol/L; Glycine, umol/L; Alanine, umol/L; Citrulline, umol/L; Valine, umol/L; Cystine, umol/L; Methionine, umol/L; Isoleucine, umol/L; Leucine, umol/L; Tyrosine, umol/L; Phenylalanine, umol/L; Ornithine, umol/L; Lysine, umol/L; Histidine, umol/L; Arginine, umol/L; Amino Acids Interpretation.
Reference ranges
  
Taurine                   umol/L
 Newborn      19-265
 1 mo-5 yrs   11-93
 6+ yrs       0-240
Aspartic Acid             umol/L
 Newborn      0-8
 1 mo-5 yrs   3-12
 6+ yrs       0-14
OH-Proline                umol/L
 Newborn      18-72
 1 mo-5 yrs   0-50
 6+ yrs       0-50
Threonine                 umol/L 
 Newborn      65-147
 1 mo-5 yrs   40-225
 6+ yrs       74-202
Serine                    umol/L
 Newborn      62-161
 1 mo-5 yrs   93-176
 6+ yrs       71-181
Asparagine                umol/L
 Newborn      6-33
 1 mo-5 yrs   23-79
 6+ yrs       32-62
Glutamic Acid             umol/L
 Newborn      30-103
 1 mo-5 yrs   11-79
 6+ yrs       7-65
Glutamine                 umol/L
 Newborn      243-822
 1 mo-5 yrs   475-746
 6+ yrs       360-740
Proline                   umol/L
 Newborn      144-329
 1 mo-5 yrs   40-332
 6+ yrs       58-324
Glycine                   umol/L
 Newborn      106-318
 1 mo-5 yrs   105-318
 6+ yrs       158-302
Alanine                   umol/L
 Newborn      132-455
 1 mo-5 yrs   148-475
 6+ yrs       193-545
Citrulline                umol/L
 Newborn      3-36
 1 mo-5 yrs   8-47
 6+ yrs       19-52
Valine                    umol/L                   
 Newborn      78-264
 1 mo-5 yrs   85-334
 6+ yrs       156-288
Cystine                   umol/L
 Newborn      26-71
 1 mo-5 yrs   23-68
 6+ yrs       36-58
Methionine                umol/L
 Newborn      6-36
 1 mo-5 yrs   5-34
 6+ yrs       16-37
Isoleucine                umol/L
 Newborn      27-80
 1 mo-5 yrs   13-81
 6+ yrs       38-95
Leucine                   umol/L
 Newborn      61-183
 1 mo-5 yrs   40-158
 6+ yrs       79-174
Tyrosine                  umol/L
 Newborn      32-124
 1 mo-5 yrs   24-110
 6+ yrs       43-88
Phenylalanine             umol/L
 Newborn      16-71
 1 mo-5 yrs   24-101
 6+ yrs       39-76
Ornithine                 umol/L
 Newborn      38-207
 1 mo-5 yrs   27-117
 6+ yrs       19-81
Lysine                    umol/L
 Newborn      71-272
 1 mo-5 yrs   85-218
 6+ yrs       108-233
Histidine                 umol/L
 Newborn      32-107
 1 mo-5 yrs   22-108
 6+ yrs       64-106
Arginine                  umol/L              
 Newborn      17-119
 1 mo-5 yrs   32-142
 6+ yrs       44-130
Amino Acids Interpretation

[274]


AMINO ACIDS, URINE (QUANTITATIVE)
Order Code AAU.QUANT Test Code AAURQ
State a specific reason for ordering this test.
Specimen Required
       Container type 24-hr dark plastic urine container.  Specimen type 24-hour or random urine collection  Preferred volume 10 mL  Minimum volume 1 mL
Collection procedure Collect a 24-hour or random urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 10 mL of a well-mixed 24-hour or random urine collection into a leakproof plastic urine container. Record total volume. Store and transport refrigerated.
Required patient info Collection period, volume.
CPT codes 82139
Test schedule Mon-Fri
Turnaround time 3-6 days
Method Anion Exchange Chromatography
Test includes
Time, h; Volume, mL; Amino Acids, Urine (Quant).
Reference ranges
  
Amino Acids, Urine (Quantitative)
 Separate Report to Follow

[275]


AMINOLEVULINIC ACID, URINE
Order Code ALA-U Test Code ALAUQ
Synonyms ALA, Urine; 5-Aminolevulinic Acid (ALA): D-ALA, Urine; Delta-Aminolevulinic Acid, Urine; Tyrosinemia (Hereditary) Metabolite, Urine
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour or random urine collection.  Preferred volume 5 mL  Minimum volume 3 mL
Collection procedure Collect a 24-hour or random urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Protect from light during collection, storage and transport. Store and transport refrigerated or frozen.
Required patient info Record total volume and collection time interval on transport tube and test request form.
Stability-   Room temp unacceptable   Refrigerated 4 days   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 82135
Test schedule Mon, Wed, Thu, Sat
Turnaround time 2-6 days
Method Chromatography/Spectrophotometry
Test includes
Time, h; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Aminolevulinic Acid, Urine, umol/L; Aminolevulinic Acid, Urine, umol/d.
Reference ranges
  
Collection Period          h
Volume                     mL
Creatinine Urine           mg/dL
Creatinine Urine           mg/d 
 M  0-2 yrs      Not established
    3-8 yrs      140-700
    9-12 yrs     300-1300
    13-17 yrs    500-2300   
    18-50 yrs    1000-2500 
    51-80 yrs    800-2100
    81+ yrs      600-2000
 F  0-2 yrs      Not established
    3-8 yrs      140-700
    9-12 yrs     300-1300
    13-17 yrs    400-1600
    18-50 yrs    700-1600
    51-60 yrs    500-1400
    81+ yrs      400-1300
Aminolevulinic Acid, Urine umol/L
 0-35
Aminolevulinic Acid, Urine umol/d
 0-60
Notes
Specimen preservation with acid or base is discouraged and may cause assay interference.

[276]


AMIODARONE
Order Code AMIO Test Code AMIO
Synonyms Cordarone
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 0.8 mL
Specimen processing Separate serum or plasma from cells and freeze in separate plastic tube. Protect from light. Store and transport frozen.
Stability-   Room temp 1 month   Refrigerated 6 weeks   Frozen (-20°C) 6 weeks   Frozen (-70°C)
Alternate specimens EDTA, sodium heparinized or fluoride/potassium oxalated plasma (lavender, green or grey top tube).
Limitations Avoid use of serum separator tubes and gels. Protect from light.
CPT codes 80299 x 2
Test schedule Sun-Fri
Turnaround time 3-5 days
Method HPLC
Test includes
Amiodarone, ug/mL; Desethylamiodarone, ug/mL
Reference ranges
  
Amiodarone                 ug/mL
 1.0-3.0                   
 GT 3.0   Potentially Toxic
Desethlyamiodarone         ug/mL
 No Normals Established

[277]


AMITRIPTYLINE & METABOLITE
Order Code AMI Test Code AMITR
Synonyms Elavil; Endep; Etrafon; Triavil
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 3.5 mL  Minimum volume 2.5 mL
Collection procedure Draw 10-14 hours post-dose. If a divided dose is given, draw before morning dose.
Specimen processing Separate serum from cells within 4 hours and place in separate 4 or 10 mL polypropylene (not polystyrene) plastic tube with screw on cap. Store and transport refrigerated.
Required patient info Date and time of dose and draw.
Stability-   Room temp 5 days   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Limitations SST and gel-type tubes are not recommended because they may artifactually, randomly lower results. Disopyramide (Norpace) interferes with nortriptyline.
Department Chemistry
CPT codes 80152, 80182
Test schedule Mon-Fri days
Turnaround time 1-3 days
Method HPLC
Test includes
Amitriptyline, ng/mL; Nortriptyline, ng/mL; Total Drug, ng/mL.
Reference ranges
  
Amitriptyline                     ng/mL
 No reference range established
 for parent drug. See Total for reference
 range, which takes into account all
 metabolites.
Nortriptyline                     ng/mL
 Therapeutic 50-150  Toxic  GT 499  
Total Drug                        ng/mL
 Therapeutic 80-220  Toxic  GT 499 
 Studies have determined that Norpace
 will interfere with the measurement of
 the Amitriptyline metabolite, Nortrip-
 tyline. Nortriptyline results & total
 tricyclic results are not valid for
 patients on Norpace.
Notes
Nortriptyline is an active metabolite.

[278]


AMITRIPTYLINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR .
Order Code TLCAMI Test Code TLCAMI
Synonyms Elavil, endep, etrafon, amitid, limbitrol, triavil
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Amitriptyline, Nortriptyline
Notes
Test is also included in Drug-Sur as part of panel.

[6938]


AMMONIA
Order Code AMM Test Code AMM
Synonyms NH3; Ammonia Level
Specimen Required
       Container type Green top tube (sodium or lithium heparin)  Specimen type Frozen plasma, Collect venous or arterial sample.  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Collection procedure Collect venous or arterial sample. If specimen is to be delivered directly to hospital laboratory, it must be put on wet ice immediately after collection and delivered within 20 minutes. Do not send through the pneumatic tube system.
Specimen processing Separate plasma from the cells within 20 minutes of collection and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens and specimens collected in sursep tubes. Unacceptable if thawed and refrozen. Capillary samples. Serum.
Alternate specimens EDTA frozen plasma handled the same as in specimen processing directions.
Limitations Levels increase rapidly as specimen sits at room temperature or refrigerated. A decrease of 8 to 40 umol/L in ammonia results has been observed in specimens containing glucose levels over 600 mg/dL.
Department Chemistry
CPT codes 82140
Test schedule Daily & STAT
Turnaround time 24-48 hours
Method Thin Layer Colorimetric
Test includes
Ammonia, umol/L.
Reference ranges
  
Ammonia  9-33    umol/L
Notes
Hepatic coma and the terminal stages of cirrhosis are often marked by elevated blood ammonia. It is also used in the diagnosis of Reye Syndrome.

[279]


AMNIOTIC FLUID SCAN
Order Code DOD Test Code AMNFS
Gestational age is required for report.
Synonyms Amniotic Scan, OD 450
Specimen Required
       Container type Leakproof brown container.  Specimen type Amniotic fluid  Preferred volume 10 mL  Minimum volume 5 mL after centrifugation
Collection procedure Call laboratory before collection to arrange for transportation. Collect 10 mL amniotic fluid in brown container. Immediately refrigerate or place on ice. Must be transported within 30 minutes of collection. Protect from light.
Specimen processing Separate cells from fluid by centrifugation at 2500 rpm for 10 minutes. Freeze fluid. Protect from light. Note if any rbc's were in the cell button after centrifugation. Store and transport frozen.
Required patient info Gestational age.
Unacceptable conditions Grossly bloody specimens or specimens containing meconium.
Limitations Protect from light.
Department Chemistry
CPT codes 82143
Test schedule Mon-Fri, days, evenings
Turnaround time 1-3 days
Method Spectrophotometry
Test includes
Appearance; Color; RBC'S; Gestational Age, wk; Abs 450 Corr, Abs; Amniotic Fluid Scan Interpretation.
Reference ranges
  
Amniotic Fluid Scan
 Appearance
 Color
 RBCS
 Gestational Age        wk
 Abs at 450             Abs 
 Interpretation

[280]


AMOXAPINE
Order Code AMOX Test Code AMOX
Synonyms Asendin
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 4 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Stability-   Room temp 7 days   Refrigerated 14 days   Frozen (-20°C) 10 months   Frozen (-70°C)
Unacceptable conditions SST or PST tubes.
Limitations No SST tubes.
CPT codes 82492
Test schedule Mon, Wed, Fri
Method HPLC
Test includes
Amoxapine, ng/mL; 8-Hydroxy Amoxapine, ng/mL.
Reference ranges
  
Amoxapine                      ng/mL
8-Hydroxyamoxapine             ng/mL
 Optimal therapeutic range 
 (Amoxapine + Active Metabolite)
 200-400 ng/mL

[282]


AMPHETAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCAMP Test Code TLCAMP
Synonyms Adderall, bennies, black beauties, crosses, hearts, LA turnaround, speed, truck drivers, uppers,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Amphetamine and Methamphetamine
Notes
Test is also included in Comprehensive Drug Survey.

[6992]


AMPHETAMINES BY GC/MS
Order Code MSAMP Test Code MSAMP
Synonyms amphetamine, biphetamine, dexedrine, methamphetamine, desoxyn, Adderall,Speed, Uppers, Meth, bennies, black beauties, crosses, hearts, LA turnaround, truck drivers, chalk, crank, crystal, fire, glass, go, fast, ice,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 500 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Gas Chromatography Mass Spectrometry
Test includes
Confirmation for both Amphetamine and Methamphetamine

[6884]


AMPHETAMINES BY TLC
Order Code TLCAMP Test Code TLCAMP
Confirmation test
Synonyms Speed, Uppers, Meth, methamphetamine, biphetamine, dexedrine, desoxyn,Adderall, bennies, black beauties, crosses, hearts, LA turnaround, truckdrivers, chalk, crank, crystal, fire, glass, go, fast, ice,
Specimen Required
       Container type Radom Urine Container  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 500 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Modified Thin Layer Chromatography
Test includes
Confirmation for both Amphetamine and Methamphetamine

[6881]


AMPHETAMINES SCREEN
Order Code AMP Test Code AMPH
Synonyms Methamphetamine,Biphetamine, Dexedrine, Desoxyn, Adderall, Speed, Uppers, Meth, bennies, black beauties, crosses, hearts, LA turnaround, truck drivers, chalk, crank, crystal, fire, glass, go, fast, ice,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 1000 ng/ml
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Test includes
Amphetamine and Methamphetamine
Notes
Positive results will automatically be confirmed by TLC

[6880]


AMYLASE
Order Code AMY Test Code AMY
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions EDTA or sodium fluoride-potassium oxalate plasma (grey top tube).
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 82150
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Amylase, U/L.
Reference ranges
  
Amylase  16-108  U/L

[284]


AMYLASE ISOENZYMES
Order Code AMY.ISO Test Code AMYISO
Synonyms Amylase Fractionation, Isoenzyme
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Allow serum to clot completely at room temperatue. Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 7 days   Refrigerated 1 month   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Hemolyzed or frozen specimens.
Alternate specimens Plasma from PST tube.
CPT codes 82150 x 2
Test schedule Sun-Sat
Turnaround time 3-10 days
Method Enzymatic
Test includes
Amylase, Pancreatic, U/L; Amylase, Salivary, U/L; Amylase, Total, U/L.
Reference ranges
  
Amylase Pancreatic             U/L
 6-35 mo              2-28
 3-6 yrs              8-34
 7-17 yrs             9-39
 18 yrs & more        12-52
Amylase Salivary      
 18 mo & more         9-86     U/L
Amylase Total                  U/L
 3-90 days            0-30
 3-6 mo               7-40
 7-8 mo               5-57
 9-11 mo              11-70
 12-17 mo             11-79
 13-35 mo             19-92
 3-4 yrs              26-106
 5-12 yrs             30-119
 13 yrs & more        30-110

[285]


AMYLASE, FLUID
Order Code AMY.FLD Test Code AMYFL
Specimen Required
       Container type Red top tube (plain)  Specimen type Fluid  Preferred volume 2 mL  Minimum volume 0.1 mL
Specimen processing Store and transport refrigerated.
Required patient info Indicate source.
Unacceptable conditions Specimens in EDTA.
Alternate specimens Heparinized fluid (green top tube).
CPT codes 82150
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Amylase, Fluid, U/L.
Reference ranges
  
Amylase, Fluid            U/L
 No normals established

[286]


AMYLASE, URINE (2HR)
Order Code AMYLASE-URINE Test Code AMYU2H
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 2-hour urine collection  Preferred volume 3 mL  Minimum volume 1 mL
Collection procedure Collect a 2-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 3 mL of a well-mixed 2-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Urines that have been acidified.
Alternate specimens Frozen specimens.
Department Chemistry
CPT codes 82150
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Time, h; Volume, mL; Amylase, Urine (2 Hr), U/2h.
Reference ranges
  
Collection Period     h
Volume                mL
Amylase, Urine  0-28  U/2h

[287]


AMYLASE, URINE (PANCREATIC TRANSPLANT)
Order Code AMY.PANCR Test Code AMYU12
This order code is used to monitor pancreatic transplant patients. Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 12-hour urine collection  Preferred volume 3 mL  Minimum volume 1 mL
Collection procedure Collect a 12-hour urine in a 24-hour dark plastic urine container with no preservative. Refrigerate during collection.
Specimen processing Aliquot 3 mL of a well-mixed 12-hour urine collection into a leakproof plastic container. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Urines that have been acidified.
Alternate specimens Frozen specimens.
Department Chemistry
CPT codes 82150
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Time, h; Volume, mL; Amylase, Urine, U/L; Amylase, Urine, U/h.
Reference ranges
  
Collection Period      h
Volume                 mL
Amylase, Urine 0-500   U/L
Amylase, Urine 0-14    U/h

[288]


AMYLASE, URINE (QUANTITATIVE)
Order Code AMYUQ Test Code AMYUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type 24-hour dark plastic urine container  Specimen type 24-hour urine collection  Preferred volume 10 mL  Minimum volume 3 mL
Collection procedure Collect a 24-hour in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 10 mL of a well-mixed 24-hour collection into a leakproof plastic urine container. Record total volume and collection period. Store and transport refrigerated.
Required patient info Total volume and collection period.
Unacceptable conditions Urines that have been acidifed.
Alternate specimens Specimens that have been frozen.
Department Chemistry
CPT codes 82150
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Time, h; Volume, mL; Amylase, Urine, U/h.
Reference ranges
  
Collection Period      h
Volume                 mL
Amylase, Urine   0-14  U/h

[289]


AMYLASE, URINE (RANDOM)
Order Code AMY.R Test Code AMYUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine  Preferred volume 3 mL  Minimum volume 1 mL
Collection procedure Collect random urine in leakproof plastic urine container.
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Urines that have been acidified.
Alternate specimens Frozen specimens.
Department Chemistry
CPT codes 82150
Test schedule Sun-Fri nights
Turnaround time 24-48 hrs
Method Enzymatic
Test includes
Amylase, Urine (Random), U/L.
Reference ranges
  
Amylase, Urine (Random)  0-500  U/L

[290]


AMYLASE/CREATININE CLEARANCE
Order Code AMY-CL Test Code AMYCL
Specimen Required
       Container type Red top tube (plain) and Leakproof plastic urine container.  Specimen type Serum and urine, random  Preferred volume 2 mL serum and 25 mL urine  Minimum volume 0.5 mL serum and 2 mL urine
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 25 mL of a random urine specimen. Separate serum from cells and place in separate plastic tube. Store and transport both specimens refrigerated.
Alternate specimens Lithium heparin plasma (green top tube) and urine.
Limitations Optimal urine sample should be free of contaminants including red blood cell contamination.
Department Chemistry
CPT codes 82565, 82150 x 2, 82570
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Enzymatic, Enzymatic (IDMS Traceable), Calculation
Test includes
Creatinine, mg/dL; Creatinine, Urine, mg/dL; Amylase, U/L; Amylase, Urine, U/L; Amylase/Creatinine; Amylase/Creatinine Clearance Ratio, Ratio.
Reference ranges
  
Creatinine
 F                 0.40-1.00   mg/dL
 M                 0.50-1.30   mg/dL
Creatinine, Urine
 No normals established        mg/dL
Amylase            16-108      U/L
Amylase, Urine     0-500       U/L       
Amylase/Creatinine 0.2-3.2
Amylase/Creatinine             Ratio
 Clearance Ratio   LT 5

[291]


AMYLASE/CREATININE, URINE (RANDOM)
Order Code AMY-U Test Code AMYCUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 2 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated.
Alternate specimens Frozen specimens.
Limitations Optimal urine sample should be free of contaminants including red blood cell contamination.
Department Chemistry
CPT codes 82150, 82570
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Enzymatic, Enzymatic (IDMS Traceable), Calculation
Test includes
Amylase, Urine, U/L; Creatinine, Urine, mg/dL; Amylase/Creatinine, Ratio.
Reference ranges
  
Amylase, Urine        0-500    U/L
Creatinine, Urine
 No normals established        mg/dL
Amylase/Creatinine    0.2-3.2  Ratio

[292]


ANA SCREEN (REFLEXIVE)
Order Code ANAMP Test Code ANAMP
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Antinuclear Antibodies; Lupus; Connective Tissue Disorder; Autoimmune Disease; SLE; Anti-Nuclear Antibody, Screen; ANA Screen
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three).
Alternate specimens EDTA or heparinized plasma (lavender or green top tube).
Department Chemistry
CPT codes 86038
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex
Test includes
ANA; (If positive the following tests will be done and reported). DSDNA Autoantibody, IU/mL; Smith Autoantibody, AI; Ribosomal P Autoantibody, AI; Chromatin Autoantibodies, AI; RNP Autoantibody, AI; SMRNP Autoantibody, AI; SCL-70 Autoantibody, AI; Centromere B Autoantibody, AI; SSA (RO) Autoantibody, AI; SSB (LA) Autoantibody, AI; JO-1 Autoantibody, AI.
Reference ranges
  
ANA                        Negative
 A multiplex screen for 11 autoantibodies
 (dsDNA, Smith, Ribosomal P, Chromatin, RNP, 
 SmRNP, Scl-70, Centromere B, SSA, SSB and
 J0-1) was performed and no autoantibodies
 were detected. A negative multiplex ANA
 does not rule out all possibility of a 
 connective tissue or autoimmune disease,
 and further studies should be considered
 if clinical suspicion is high.
DSDNA Autoantibody    Negative       LT 5         IU/mL
                      Indeterminate  5-9
                      Positive       10 or more
Smith Autoantibody    Negative       LT 1.0       AI
                      Positive       1.0 or more  
Ribosomal P Auto-     Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
Chromatin Auto-       Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
RNP Autoantibody      Negative       LT 1.0       AI
                      Positive       1.0 or more 
SMRNP Auto-           Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
SCL-70 Auto-          Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
Centromere B Auto-    Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
SSA (RO) Auto-        Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
SSB (LA) Auto-        Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
JO-1 Autoantibody     Negative       LT 1.0       AI
 antibody             Positive       1.0 or more

[293]


ANALYZER
Order Code ANALZ4 Test Code ANALZ4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 4 mL  Minimum volume 2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Lipemic & moderately or grossly icteric and hemolyzed samples.
CPT codes 83520, 86038, 86160 x 2, 86235 x 5, 86376, 86431, 86225
Test schedule Tue-Sat
Turnaround time 2-5 days
Method EIA/LIA
Test includes
ANA, IU/mL; ANA Pattern; dsDNA AutoAbs, IU/mL; RNP/Sm; Sm(Smith) IgG AutoAbs; SS-A IgG AutoAbs; SS-B IgG AutoAbs; Scl-70 IgG AutoAbs; Thyroid Peroxidase, AutoAbs U/mL; C3 Complement, mg/dL; C4 Complement, mg/dL; Rheumatoid Factor, IU/mL; Ribosomal P Protein AutoAbs, Units.
Reference ranges
  
ANA                        LT 7.5    IU/mL
ANA Pattern       
dsDNA AutoAbs              LT 5.0    
RNP/Sm    Negative         LT 5.0
          Borderline       5.0-10.0
          Positive         GT 10.0
Sm(Smith) Negative         LT 5.0    
 IgG      Borderline       5.0-10.0        
 AutoAbs  Positive         GT 10.0
SS-A IgG  Negative         LT 5.0    
 AutoAbs  Borderline       5.0-10.0
          Positive         GT 10.0
SS-B IgG  Negative         LT 5.0    
 AutoAbs  Borderline       5.0-10.0
          Positive         GT 10.0
Scl-70    Negative         LT 5.0    
 IgG      Borderline       5.0-10.0
 AutoAbs  Positve          GT 10.0
Thyroid                    LT 60     U/mL
 Peroxidase
 AutoAbs
C3 Complement              90-180    mg/dL
C4 Complement              16-47     mg/dL
Rheumatoid Factor          LT 14     IU/mL
Ribosmal  Negative         LT 5.0    Units
 P        Borderline       5.0-10.0
 AutoAbs  Positive         GT 10.0

[294]


ANCA PANEL (REFLEXIVE)
Order Code ANCAME Test Code ANCAME
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Anti-Neutrophil Cytoplasmic Antibody; MPO AB; PR3 AB; ANCASR
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells ASAP and put in 2 separate plastic tubes. Store and transport both tubes refrigerated.
Stability-   Room temp 8 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma, hemolyzed, lipemic, contaminated samples; samples containing fluorescing drugs and ther body fluids and repeat freeze/thaw cycles.
Department Chemistry & Virology
CPT codes 86038, 86255, 83516 x 2
Test schedule Sun, Tue, Thu
Turnaround time 2-4 days
Method Multiplex luminex, IFA, ELISA
Test includes
ANA; (If positive the following tests will be done and reported). DSDNA Autoanitobdy, IU/mL; Smith Autoantibody, AI; Ribosomal P Autoantibody, AI; Chromatin Autoantibodies, AI; RNP Autoantibody, AI; SMRNP Autoantibody, AI; SCL-70 Autoantibody, AI; Centromere B Autoantibody, AI; SSA (RO) Autoantibody, AI; SSB (LA) Autoantibody, AI; JO-1 Autoantibody, AI; ANCA Titer, IFA; ANCA Pattern; Proteinase 3 Antibody, U/mL; Myeloperoxidase Antibody, U/mL.
Reference ranges
  
ANA                        Negative
 A multiplex screen for 11 autoantibodies
 (dsDNA, Smith, Ribosomal P, Chromatin, RNP, 
 SmRNP, Scl-70, Centromere B, SSA, SSB and
 J0-1) was performed and no autoantibodies
 were detected. A negative multiplex ANA
 does not rule out all possibility of a 
 connective tissue or autoimmune disease,
 and further studies should be considered
 if clinical suspicion is high.
DSDNA Autoantibody    Negative       LT 5         IU/mL
                      Indeterminate  5-9
                      Positive       10 or more
Smith Autoantibody    Negative       LT 1.0       AI
                      Positive       1.0 or more  
Ribosomal P Auto-     Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
Chromatin Auto-       Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
RNP Autoantibody      Negative       LT 1.0       AI
                      Positive       1.0 or more 
SMRNP Auto-           Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
SCL-70 Auto-          Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
Centromere B Auto-    Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
SSA (RO) Auto-        Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
SSB (LA) Auto-        Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
JO-1 Autoantibody     Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
ANCA Titer, IFA
ANCA Pattern
Proteinase 3                         LT 3.5       U/mL
 Antibody
Myeloperoxidase                      LT 9.0       U/mL
 Antibody

[295]


ANCA PANEL-NO ANA
Order Code ANCAPR Test Code ANCAPR
Synonyms Anti-Neutrophil Cytplasmic Antibody Panel-no ANA; ANCA Panel no ANA; MPO AB; PR3 AB; ANCA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and tranpsort refrigerated.
Stability-   Room temp 8 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma, hemolyzed, lipemic, contaminated sampes, samples containing fluorescing drugs, other body fluids, repeat freeze/thaw cycles.
Department Virology
CPT codes 86255,83516 x 2
Test schedule Sun, Tue, Thu
Turnaround time 2-4 days
Method IFA, EIA
Test includes
ANCA titer, IFA; ANCA Pattern; Myeloperoxidase Antibody, U/mL; Proteinase 3 Antibody, U/mL.
Reference ranges
  
ANCA Titer, IFA          LT 1:20 Negative
ANCA Pattern
Myeloperoxidase Antibody  LT 9.0                                       U/mL
Proteinase 3 Antibody     LT 3.5                                       U/mL

[1873]


ANDROSTENEDIONE
Order Code ANDSDE Test Code ANDSDE
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Collect between 6-10 AM.
Specimen processing Separate serum or plasma from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 6 months   Frozen (-70°C)
Alternate specimens Sodium or lithium plasma (green top tube) or EDTA plasma (lavender top tube).
CPT codes 82157
Test schedule Sun-Sat
Turnaround time 2-5 days
Method HPLC/TMS
Test includes
Androstenedione, ng/mL.
Reference ranges
  
Androstenedione                  ng/mL
 F  Premature 26-28 weeks-day 4   0.920-2.820
    Premature 31-35 weeks-day 4   0.800-4.460
    Full-term 1-7 days            0.200-2.900
    8-30 days                     0.180-0.800
    1 mo-11 mo                    0.060-0.680
    1-6 yrs                       0.080-0.500
    7-9 yrs                       0.038-0.490
    10-11 yrs                     0.094-1.270
    12-13 yrs                     0.190-2.090
    14-15 yrs                     0.430-2.090
    16-17 yrs                     0.390-2.150
    18-40 yrs  Pre-menopausal     0.260-2.140
    41 yrs+    Post-menopausal    0.130-0.820
    Tanner Stage I                0.039-0.760
    Tanner Stage II               0.170-1.530
    Tanner Stage III              0.400-2.350
    Tanner Stage IV-V             0.390-2.090
 M  Premature 26-28 weeks-day 4   0.920-2.820
    Premature 31-35 weeks-day 4   0.800-4.460
    Full-term 1-7 days            0.200-2.900
    8-30 days                     0.180-0.800
    1 mo-11 mo                    0.600-0.680
    1-6 yrs                       0.080-0.500
    7-9 yrs                       0.031-0.310
    10-11 yrs                     0.072-0.410
    12-13 yrs                     0.110-0.640
    14-15 yrs                     0.180-1.010
    16-17 yrs                     0.310-1.140
    18-40 yrs                     0.330-1.340
    41 yrs+                       0.230-0.890
    Tanner Stage I                0.037-0.330
    Tanner Stage II               0.078-0.480
    Tanner Stage III              0.160-1.000
    Tanner Stage IV-V             0.280-1.070
  

[5052]


ANDROSTERONE, URINE
Order Code ANDR-U Test Code ANDRUQ
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 50 mL  Minimum volume 11 mL
Collection procedure Add 25 mL of 50% acetic acid to a 24-hour dark plastic urine container. Use 15 mL 50% acetic acid for children less than 5 years old. Collect a 24-hour urine specimen. Refrigerate during collection.
Specimen processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 2-4. Store and transport refrigerated. Record total volume.
Required patient info Total volume and collection period.
CPT codes 83593
Test schedule Mon, Thu
Turnaround time 5-10 days
Method GC/MS
Test includes
Collection Period, hrs; Volume, mLs; Androsterone, Urine, ug/24hr.
Reference ranges
  
Collection Period                 Hrs
Volume                            mL
Androsterone (Urine)              ug/24h
 M  12 yrs or less    6.0-725
    More than 12 yrs  234-2,703           
 F  12 yrs or less    6.0-725
    More than 12 yrs  55-1,589

[297]


ANEMIA PROFILE
Order Code ANEMPR Test Code ANEMPR
Specimen Required
       Container type SST tube and Lavender top tube (EDTA) and slides.  Specimen type Serum, EDTA whole blood and smears  Preferred volume 2 mL serum, 2 EDTA whole blood tubes and 2 smears  Minimum volume 0.5 mL serum, 2 EDTA tubes
Specimen processing Prefer all specimens except blood smears be stored and transported refrigerated.
Limitations EDTA tube must be at least 1/2 full. Appropriate comments are generated with report if sample integrity is compromised.
Department Hematology
CPT codes 85025, 86880, 83550, 85045, 83540
Test schedule Sun-Thu nights (Aut & Retic Daily)
Turnaround time 48 hours
Method Automated/Hemagglutination/Colorimetric
Test includes
Autoheme; Reticulocyte Count, %; Reticulocytes, Abs, K/uL; Immature Reticulocyte Fraction; Total Iron, ug/dL; Iron Binding Capicity, ug/dL; % Saturation, %; Direct Coombs.
Reference ranges
  
Anemia Profile
 Autoheme
 Retic Count                 %
  0-2 days        3.0-7.0
  3-6 days        1.0-3.0
  7 days-1 mo     0.0-1.0
  2 mo-4 yr       1.0-2.0
  5+ yrs          0.4-2.7    
 Retic Abs                   K/uL
  5+ yrs          16-123
 Immature Retic Fraction     %
  1+ yrs          0.17-0.43
 Direct Coombs    Negative
 Iron            
  M 35-190                   ug/dL
  F 30-150
 Iron Binding Capacity
  M 230-430                  ug/dL
  F 250-450
 % Saturation
  M 20-55                    %
  F 15-50
 Interpretation   No longer reported
 Reviewed by      No longer reported

[298]


ANGIOTENSIN CONVERTING ENZYME
Order Code ANGIO Test Code ACE
Synonyms ACE
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp unacceptable   Refrigerated 1 week   Frozen (-20°C) 6 months   Frozen (-70°C)
Alternate specimens Lithium or sodium heparin plasma (green top tube) or PST.
Limitations ACE activity may be inhibited by EDTA, heavy metals, oxalate, hemolysis, lipemia. ACE activity may be falsely increased by acetate, bromide, chloride, fluoride or nitrate.
Department Chemistry
CPT codes 82164
Test schedule Mon-Fri
Turnaround time 1-3 days
Method Enzymatic
Test includes
Angiotensin-1- Converting Enzyme, U/L.
Reference ranges
  
Angiotensin Converting Enzyme  4-60 U/L

[299]


ANGIOTENSIN CONVERTING ENZYME (ACE) POLYMORPHINSM
Order Code ACEP Test Code ACEP
Synonyms ACE Insertion/Deletion
Specimen Required
       Container type Lavender top tube  Specimen type EDTA whole blood  Preferred volume 5 mL  Minimum volume 3 mL
Collection procedure Collect 5 mL EDTA whole blood.
Specimen processing Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Hemolysis or clotted blood.
Alternate specimens Sodium heparin, EDTA, or ACD B whole blood (green, EDTA royal blue, or yellow top tube).
CPT codes 83891, 83900, 83909, 83912
Test schedule 1 day a week
Turnaround time 5-7 days
Method FPCR & Capillary Electrophoresis
Test includes
Angiltensin Converting Enzyme Polymorphism.
Reference ranges
  
Angiotensin Converting Enzyme Polymorphism Result.

[4015]


ANGIOTENSIN CONVERTING ENZYME, CSF
Order Code ACECF Test Code ACECF
Synonyms ACE, CSF
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type Frozen CSF  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Store and transport frozen.
Stability-   Room temp 4 hours   Refrigerated 7 days   Frozen (-20°C) 6 months   Frozen (-70°C)
CPT codes 82164
Test schedule Mon, Wed, Fri
Turnaround time 2-6 days
Method Spectrophotometry
Test includes
Angiotensin Converting Enzyme, CSF, U/L.
Reference ranges
  
Angiotensin Converting Enzyme, CSF   U/L
 0.0-2.5

[300]


ANNA, TITER & WB CONFIRMATION, SF
Order Code ASFCON Test Code ASFCON
Specimen Required
       Container type Sterile plastic tube.  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp Unacceptable   Refrigerated 7days   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86256, 84181
Test schedule Mon-Fri
Turnaround time 2-4 days
Method IFA and Western Blot
Test includes
ANNA Titer, SF; ANNA Western Blot.
Reference ranges
  
ANNA Titer, SF       LT 1:1
ANNA Wester Blot     Negative
Notes
This test is used to confirm a positive ANNA screen on CSF.

[1865]


ANTABUSE
Order Code ANTABUSE Test Code ABUSE
Synonyms Disulfiram; DEDTC; Diethyldithiocarbamate
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 6 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen.
Alternate specimens Frozen EDTA plasma (lavender top tube).
Limitations No SST tubes.
CPT codes 82491
Test schedule Wed
Turnaround time 10-15 days
Method GC
Test includes
Antabuse, ug/mL.
Reference ranges
  
Antabuse              ug/mL
 None detected
 Therapeutic  0.3-1.5

[301]


ANTI-CONVULSANT PROFILE
Order Code CONV-PAN Test Code CONV
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Draw just prior to next oral dose or 2-4 hours after IV loading dose. Note times of dose and drawing.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Required patient info Note times of dose and drawing.
Alternate specimens Plasma specimens. SST & other gel type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated.
Department Chemistry
CPT codes 80185, 80184
Test schedule Sun-Fri nights and STAT
Turnaround time 24-48 hours
Method ICMA
Test includes
Dilantin, ug/mL; Phenobarbital, ug/mL.
Reference ranges
  
Dilantin                                ug/mL
 Therapeutic  10.0-20.0  Toxic  GT 25.0 
Phenobarbital                           ug/mL 
 Therapeutic  15.0-40.0  Toxic  GT 50.0

[302]


ANTI-DNA (FARR TECHNIQUE)
Order Code DNA.FARR Test Code DNAFA
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated, ambient or frozen temperature.
Stability-   Room temp 2 weeks   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
CPT codes 86225
Test schedule Mon-Sat
Turnaround time 3-5 days
Method RIA
Test includes
Anti-DNA (Farr Technique), IU/mL.
Reference ranges
  
Anti-DNA (Farr Technique)  LT 7.0 IU/mL

[303]


ANTI-GLIADIN ANTIBODIES, IGA & IGG
Order Code GLIGA Test Code GLIGA
Synonyms Gliadin Antibodies; Gliadin Peptide Antibodies; Deamindated Gliadin Peptide Antibodies
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Heat inactivated samples.
Limitations Avoid repeated freeze/thaw cycles.
Department Immunology
CPT codes 83516 x 2
Test schedule Tue-Sat
Turnaround time 1-3 days
Method ELISA
Test includes
Anti-Gliadin Antibodies, IgA, U/mL; Anti-Gliadin Antibodies, IgG, U/mL.
Reference ranges
  
Anti-Gliadin Ab, IgA         U/mL
 Negative    LT 10.0
 Positive    10.0 or greater
Anti-Gliadin Ab, IgG         U/mL
 Negative    LT 10.0
 Positive    10.0 or greater

[304]


ANTI-ISLET CELL ANTIBODY
Order Code ISLET Test Code ISLET
Synonyms Islet Cell Antibody
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, hemolyzed or contaminated specimens.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86341
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method IFA
Test includes
Anti-Islet Cell Antibody, Titer.
Reference ranges
  
Anti-Islet Cell Ab             Titer
 LT 1:4  No antibody detected
 Islet cell antibodies have been associated
 with "autoimmune" endocrine disorders and
 insulin-dependent diabetes. This disorder
 is characterized by the presence of
 antibodies in patients that may be
 detected years before the onset of the
 clinical symptoms. To calculate Juvenile
 Diabetes Foundation (JDF) units; multiply
 the titer x 5 (1.8  8x5=40 JDF Units).

[305]


ANTI-MYOCARDIAL ANTIBODY (REFLEXIVE)
Order Code ABMYO Test Code ABMYO
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Myocardial Antibody
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma and severely lipemic, contaminated, or hemolyzed samples. Avoid repeated freeze/thaw cycles.
CPT codes 86255
Test schedule Mon-Fri
Turnaround time 2-5 days
Method Indirect Fluorescent Ab
Test includes
Myocardial Antibody IgG, Screen; Myocardial Antibody IgG,Titer.
Reference ranges
  
Myocardial Ab, IgG Screen   LT 1:20              
Myocardial Ab, IgG Titer    LT 1:20

[306]


ANTI-NEUTROPHIL CYTOPLASMIC ANTIBODY SCREEN (REFLEXIVE)
Order Code ANCASR Test Code ANCASR
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms ANCA Screen; ANCA Antibody Screen; MPO AB; PR3 AB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma, hemolyzed, lipemic, contaminated samples, samples containing fluorescing drugs; other body fluids; repeat freeze/thaw cycles.
Department Virology
CPT codes 86255
Test schedule Sun, Tue, Thu
Turnaround time 2-4 days
Method IFA
Test includes
ANCA Titer; ANCA Pattern.
Reference ranges
  
ANCA Titer, IFA     LT 1:20 Negative
ANCA Pattern

[314]


ANTI-PARIETAL CELL ANTIBODY, TOTAL, IGA, IGG & IGM
Order Code PARIETAL CELL AB Test Code APCA
Synonyms Parietal Cell Antibody
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 5 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions All specimens drawn with anticoagulant.
Department Chemistry
CPT codes 86256
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method IFA
Test includes
Parietal Cell Antibody, Total, IgA, IgG & IgM.
Reference ranges
  
Parietal Cell Ab, Total(IgA, IgG, IgM)
 Negative LT 1:20

[316]


ANTI-SMOOTH MUSCLE ANTIBODY
Order Code ASM Test Code ASM
Synonyms Smooth Muscle Antibody; SMA; ANTI-SMA; Anti-SMA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 5 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Turbid or lipemic serum specimens.
Limitations Turbidity, hemolysis, visible bacterial growth or drugs capable of fluorescing may interfere with accuracy of test.
Department Chemistry
CPT codes 86255
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method IFA
Test includes
Smooth Muscle Antibodies.
Reference ranges
  
Smooth Muscle Ab  Negative  LT 1:40

[317]


ANTI-THYROID ANTIBODIES
Order Code TAB Test Code TAB
Synonyms Anti-Thyroglobulin Antibody; TG and TPO Antibody; Thyroid Ab; Anti-Microsomal Ab
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from the cells and place in separate plastic tube. Store & transport refrigerated.
Stability-   Room temp 4 days   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Other body fluids, grossly hemolyzed or lipemic specimens.
Department Immunology
CPT codes 86800, 86376
Test schedule Sun-Fri
Turnaround time 1-3 days
Method ICMA
Test includes
Thyroglobulin Autoantibodies, IU/mL; Thyroid Peroxidase Autoantibodies, IU/mL.
Reference ranges
  
Thyroglobulin Autoantibodies      IU/mL
 0.0-40.0                  
Thyroid Peroxidase Autoantibodies IU/mL
 0.0-35.0

[318]


ANTIBODY IDENTIFICATION
Order Code AB ID Test Code MABID
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms AB IB
Specimen Required
       Container type Red top tube (plain) and Lavender top tube (EDTA)  Specimen type Serum and EDTA whole blood  Preferred volume 4 mL serum and 3 mL EDTA whole blood  Minimum volume 1 mL serum and 2 mLs whole blood
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport all samples refrigerated.
Stability-   Room temp   Refrigerated 14 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, grossly icteric or grossly lipemic specimens.
Department Immunology
CPT codes 86870
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Hemagglutination
Test includes
Antibody Screen; Antibody Identification; Antibody Titer.
Reference ranges
  
Antibody Screen 
Antibody ID
Antibody Titer

[319]


ANTICARDIOLIPIN ANTIBODY, IGG, IGM & IGA
Order Code CARDS Test Code CARDS
Synonyms Cardiolipin Antibodies
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store & transport frozen.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Heat inactivated samples may give false positive results. Avoid repeated freeze/thaw cyles.
Limitations Avoid freeze/thaw cycles.
Department Immunology
CPT codes 86147 x 3
Test schedule Tue-Sat
Turnaround time 2-3 days
Method EIA
Test includes
Cardiolipin Antibody, IgG, GPL U/mL; Cardiolipin Antibody, IgM, MPL U/mL; Cardiolipin Antibody, IgA, APL U/mL.
Reference ranges
  
Cardiolipin Ab, IgG           GPL U/mL
 Negative          LT 10 
 Indeterminate     10-19
 Low-Med Positive  20-80
 Strong Positive   GT 80                   
Cardiolipin Ab, IgM           MPL U/mL
 Negative          LT 10
 Indeterminate     10-19
 Low-Med Positive  20-80
 Strong Positive   GT 80
Cardiolipin Ab, IgA           APL U/mL
 Negative          LT 13
 Positive          13 or more

[5368]


ANTICARDIOLIPIN ANTIBODY, IGA
Order Code CARDA Test Code CARDA
Specimen Required
       Container type SST Tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples may give false positive results, avoid repeated freeze/thaw cyles.
Department Immunology
CPT codes 86147
Test schedule Tue-Sat days
Turnaround time 2-3 days
Method ELISA
Test includes
Cardiolipin Antibody , IgA, APL U/mL.
Reference ranges
  
Cardiolipin Antibody, IgA     Negative   LT 13          APL U/mL
                              Positive   13 or more

[321]


ANTICARDIOLIPIN ANTIBODY, IGG
Order Code CARDG Test Code CARDG
Synonyms Cardiolipin Ab, IgG; Anti-Phospholipid Ab, IgG; Phospholipid Ab, IgG
Specimen Required
       Container type SST Tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples may give false positive results, avoid repeated freeze/thaw cyles.
Department Immunology
CPT codes 86147
Test schedule Tue-Sat days
Turnaround time 2-3 days
Method ELISA
Test includes
Cardiolipin Antibody , IgG, GPL U/mL.
Reference ranges
  
Cardiolipin Antibody, IgG     Negative         LT 10          GPL U/mL
                              Indeterminate    10-19
                              Low-Med Positive 20-80
                              Strong Positive  GT 80

[322]


ANTICARDIOLIPIN ANTIBODY, IGM
Order Code CARDM Test Code CARDM
Synonyms Cardiolipin Ab, IgM; Anti-Phospholipid Ab, IgM; Phospholipid Ab, IgM
Specimen Required
       Container type SST Tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples may give false positive results, avoid repeated freeze/thaw cyles.
Department Immunology
CPT codes 86147
Test schedule Tue-Sat days
Turnaround time 2-3 days
Method ELISA
Test includes
Cardiolipin Antibody , IgM, MPL U/mL.
Reference ranges
  
Cardiolipin Antibody, IgM     Negative         LT 10          MPL U/mL
                              Indeterminate    10-19
                              Low-Med Positive 20-80
                              Strong Positive  GT 80

[323]


ANTINEURONAL ANTIBODIES IGG BY IMMUNOBLOT (HU, RI, YO, AMPHIPHYSIN)
Order Code NEUIGG Test Code NEUIGG
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Synonyms Neuronal
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 2 days   Refrigerated 5 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, heat-inactivated, lipemic, contaminated, or hemolyzed specimens.
CPT codes 83516
Test schedule Thu
Turnaround time 2-9 days
Method Immunoblot
Test includes
Neuronal Ab (Hu); Neuronal Ab (Ri); Neuronal Ab (Yo); Neuronal Ab (Amphiphysin).
Reference ranges
  
Neuronal Ab (Hu)    Negative
Neuronal Ab (Ri)    Negative
Neruonal Ab (Yo)    Negative
Neuronal Ab         Negative
 (Amphiphysin)   

[5600]


ANTINEURONAL CELL ANTIBODY
Order Code NCABUW Test Code NCABUW
Specimen Required
       Container type Plain red top tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in a separate plastic tube and freeze at -20C. Store and transport frozen.
Stability-   Room temp Unacceptable   Refrigerated 2 weeks   Frozen (-20°C) Long term   Frozen (-70°C)
Alternate specimens Serum separator tube (SST)
CPT codes 83520
Test schedule Mon, Wed, Fri
Turnaround time 3-11 days
Method Enzyme Linked Immunosorbent Assay
Reference ranges
  
Anti-Neuronal          Units
 Cell Ab
Interpretation

[6080]


ANTINEURONAL NUCLEAR ANTIBODY (REFLEXIVE)
Order Code ANEU Test Code ANEU
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Anti-HU; Anti-RI; ANNA-1; ANNA Antibody
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 7 days   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86255
Test schedule Mon-Fri
Turnaround time 2-5 days
Method IFA
Test includes
Anti Neuronal Nuclear AB.
Reference ranges
  
Anti-Neuronal Nuclear Ab       Negative

[309]


ANTINEURONAL NUCLEAR ANTIBODY, SF (REFLEXIVE)
Order Code ANEUSF Test Code ANEUSF
This test may reflex to additional tests depending upon the results of this test. Additional charges may be added.
Synonyms ANNA, CSF
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp Unacceptable   Refrigerated 7 days   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86255
Test schedule Mon-Fri
Turnaround time 2-4 days
Method IFA
Test includes
Anti Neuronal Nuclear Ab, SF.
Reference ranges
  
Anti Neuronal Nuclear Ab, SF      Negative

[310]


ANTINUCLEAR ANTIBODY TITER BY IFA
Order Code IFANA Test Code IFANA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Plasma and heat-inactivated specimens.Interfering substances include turbidity, hemolysis, visible bacterial growth, lipemia, and fluorescing drugs. Avoid repeat freeze/thaw cycles.
Department Chemistry
CPT codes 86039
Test schedule Sun-Fri
Turnaround time 1-2 days
Method IFA
Test includes
ANA by IFA; ANA by IFA Pattern.
Reference ranges
  
ANA by IFA Titer    LT 1:40      Titer
ANA by IFA Pattern

[324]


ANTIPHOSPHATIDYLSERINE, IGA
Order Code APSA Test Code APSA
Specimen Required
       Container type SST Tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples may give false positive results, avoid repeated freeze/thaw cyles.
Department Immunology
CPT codes 86148
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method ELISA
Test includes
Antiphosphatidylserine, IgA, APS U/mL.
Reference ranges
  
Antiphosphatidylserine,   Negative      LT 20       APS U/mL
 IgA                      Positive      20 or more
 The presence of phosphatidylserine Abs maybe
 associated with anti-phospholipid
 syndrome characterized by recurrent
 fetal loss, thrombosis and
 thrombocytopenia.

[325]


ANTIPHOSPHATIDYLSERINE, IGG
Order Code APSG Test Code APSG
Specimen Required
       Container type SST Tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples may give false positive results, avoid repeated freeze/thaw cyles.
Department Immunology
CPT codes 86148
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method ELISA
Test includes
Antiphosphatidylserine, IgG, GPS U/mL.
Reference ranges
  
Antiphosphatidylserine,   Negative      LT 11       GPS U/mL
 IgG                      Positive      11 or more
 The presence of phosphatidylserine Abs maybe
 associated with anti-phospholipid
 syndrome characterized by recurrent
 fetal loss, thrombosis and
 thrombocytopenia.

[326]


ANTIPHOSPHATIDYLSERINE, IGM
Order Code APSM Test Code APSM
Specimen Required
       Container type SST Tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples may give false positive results, avoid repeated freeze/thaw cyles.
Department Immunology
CPT codes 86148
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method ELISA
Test includes
Antiphosphatidylserine, IgM, MPS U/mL.
Reference ranges
  
Antiphosphatidylserine,   Negative      LT 25       MPS U/mL
 IgM                      Positive      25 or more
 The presence of phosphatidylserine Abs maybe
 associated with anti-phospholipid
 syndrome characterized by recurrent
 fetal loss, thrombosis and
 thrombocytopenia.

[327]


ANTIPHOSPHOLIPID PANEL 1, (REFLEXIVE)
Order Code APP1 Test Code AP1
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Anti-Phospholipid Panel 1
Specimen Required
       Container type Red top tube (plain) and Blue top tube (buffered sodium citrate)  Specimen type Frozen serum and frozen plasma  Preferred volume 1.5 mL frozen serum and 4 mL frozen buffered plasma.  Minimum volume 1 mL serum and 2 mL plasma
Specimen processing 1.5 mL frozen serum (red top tube) and 4 mL frozen buffered sodium citrate plasma (liquid blue top tubes filled to capacity). Tubes should be transported uncentrifuged or centrifuged with plasma on top to the cells in unopened tubes kept at 2-4 C or 22-24 C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, re-centrifuge, separate into 2 plastic tubes (2 aliquots) and freeze at -20C or less. Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp Serum-2 days; Plasma-4 hours   Refrigerated Serum-2 days; Plasma-4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Unable to test for lupus inhibitor with heparin inhibitor present. Severely hemolyzed, clotted or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Limitations May not be able to interpret testing in the presence of heparin, LMWH, direct thrombin inhibitors or oral anticoagulants.
Department Immunology, Coagulation
CPT codes 85670, 85613, 86147 x 2, 86146 x 2, 85610, 85730
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method ELISA and Electromechanical
Test includes
Cardiolipin Antibody, IgG; GPL U/mL; Cardiolipin Antibody, IgM, MPL U/mL; Beta-2 Glycoprotein 1 Antibody, IgG, U/mL; Beta-2 Glycoprotein 1 Antibody, IgM, U/mL; Protime, Patient, sec; Protime, PT/NL Mix, sec; Thrombin Time, Patient, sec; TT, PT/PS Mix, sec; APTT, Patient, sec; APTT, Control; APTT, PT/CT Mix; PNP; dRVVT, sec; dRVVT Mix Ratio; dRVVT Confirm Ratio; dRVVT Confirm Mix Ratio.
Reference ranges
  
Cardiolipin Ab IgG    Negative          LT 10       GPL U/mL
                      Indeterminate     10-19 
                      Low-Med Positive  20-80
                      Strong Positive   GT 80
Cardiolipin Ab IgM    Negative          LT 10       MPL U/mL
                      Indeterminate     10-19
                      Low-Med Positive  20-80
                      Strong Positive   GT 80
Beta-2 Glycoprotein   Negative          LT 20       U/mL
 1 Ab, IgG            Positive          20 or more
Beta-2 Glycoprotein   Negative          LT 10       U/mL
 1 Ab, IgM            Positive          10 or more
PT, Patient           0-1 month         13.0-20.0   sec
                      2+ months         11.9-15.0
PT, PT/NT Mix                                       sec
Thrombin Time, Patient                  15.6-20.0   sec
TT, PT/PS Mix                                       sec
APTT, Patient         0-1 month         40-50       sec
                      2 mon-4 yrs       25-40
                      5+ years          26-36
APTT Control
APTT, PT/CT Mix
PNP                                     0.0-7.0
dRVVT                                   31.8-45.7   sec
dRVVT Mix Ratio                         LT 1.2
dRVVT Confirm Ratio                     LT 1.2
dRVVT Confirm Mix Ratio                 LT 1.2

[328]


ANTIPHOSPHOLIPID PANEL 2, (REFLEXIVE)
Order Code APP2 Test Code APP2
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Anti-Phospholipid Panel 2
Specimen Required
       Container type Red top tube (plain) and Blue top tube (buffered sodium citrate)  Specimen type Frozen serum and frozen plasma  Preferred volume 1.5 mL frozen serum and 4 mL frozen buffered plasma.  Minimum volume 1 mL serum and 2 mL plasma
Specimen processing 1.5 mL frozen serum (red top tue) and 4 mL frozen buffered sodium citrate plasma (liquid blue top tubes filled to capacity). Tubes should be transported uncentrifuged or centrifuges with plasma on top to the cells in unopened tubes kept at 2-4 C or 22-24 C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, re-centrifuge, separate into 2 plastic tubes (2 aliquots) and freeze at -20C or less. Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp Serum-2 days; Plasma-4 hours   Refrigerated Serum-2 days; Plasma-4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Unable to test for lupus inhibitor with heparin inhibitor present. Severely hemolyzed, clotted or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Immunology, Coagulation
CPT codes 85613, 86147 x 3, 86148 x 3
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method ELISA and Electromechanical
Test includes
Antiphosphatidylserine, IgA; APS U/mL; Antiphosphatidylserine, IgG, GPS U/mL; Antiphophatidylserine, IgM, MPS U/mL; Cardiolipin Antibody , IgA, APL U/mL; Cardiolipin Antibody, IgG; GPL U/mL; Cardiolipin Antibody, IgM, MPL U/mL; dRVVT, sec; dRVVT Mix Ratio; dRVVT Confirm Ratio; dRVVT Confirm Mix Ratio.
Reference ranges
  
Antiphosphatidylserine,   Negative      LT 20       APS U/mL
 IgA                      Positive      20 or more
 The presence of phosphatidylserine Abs maybe
 associated with anti-phospholipid
 syndrome characterized by recurrent
 fetal loss, thrombosis and
 thrombocytopenia.
Antiphosphatidylserine,   Negative      LT 11       GPS U/mL
 IgG                      Positive      11 or more
 The presence of phosphatidylserine Abs maybe
 associated with anti-phospholipid
 syndrome characterized by recurrent
 fetal loss, thrombosis and
 thrombocytopenia.
Antiphosphatidylserine,   Negative      LT 25       MPS U/mL
 IgM                      Positive      25 or more
 The presence of phosphatidylserine Abs maybe
 associated with anti-phospholipid
 syndrome characterized by recurrent
 fetal loss, thrombosis and
 thrombocytopenia.
Cardiolipin Ab IgA    Negative          LT 13       APL U/mL
                      Positive          13 or more     
Cardiolipin Ab IgG    Negative          LT 10       GPL U/mL
                      Indeterminate     10-19 
                      Low-Med Positive  20-80
                      Strong Positive   GT 80
Cardiolipin Ab IgM    Negative          LT 10       MPL U/mL
                      Indeterminate     10-19
                      Low-Med Positive  20-80
                      Strong Positive   GT 80
dRVVT                                   31.8-45.7   sec
dRVVT Mix Ratio                         LT 1.2
 Negative for Lupus Inhibitor screen.
dRVVT Confirm Ratio                     LT 1.2
 Negative for Lupus Inhibitor screen.
dRVVT Confirm Mix Ratio                 LT 1.2
 Negative for Lupus Inhibitor screen.

[329]


ANTIPHOSPHOLIPID PANEL 3, (REFLEXIVE)
Order Code APP3 Test Code APP3
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Anti-Phospholipid Panel 3
Specimen Required
       Container type Red top tube (plain) and Blue top tube (buffered sodium citrate)  Specimen type Frozen serum and frozen plasma  Preferred volume 1.5 mL frozen serum and 4 mL frozen buffered plasma.  Minimum volume 1 mL serum and 2 mL plasma
Specimen processing 1.5 mL frozen serum (red top tue) and 4 mL frozen buffered sodium citrate plasma (liquid blue top tubes filled to capacity). Tubes should be transported uncentrifuged or centrifuges with plasma on top to the cells in unopened tubes kept at 2-4 C or 22-24 C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, re-centrifuge, separate into 2 plastic tubes (2 aliquots) and freeze at -20C or less. Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp Serum-2 days; Plasma-4 hours   Refrigerated Serum-2 days; Plasma-4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Unable to test for lupus inhibitor with heparin inhibitor present. Severely hemolyzed, clotted or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Immunology, Coagulation
CPT codes 85613, 86147 x 3, 86148 x 3, 86146 x 3
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method ELISA and Electromechanical
Test includes
Antiphosphatidylserine, IgA; APS U/mL; Antiphosphatidylserine, IgG, GPS U/mL; Antiphophatidylserine, IgM, MPS U/mL; Cardiolipin Antibody , IgA, APL U/mL; Cardiolipin Antibody, IgG; GPL U/mL; Cardiolipin Antibody, IgM, MPL U/mL; Beta-2 Glycoprotein 1 Antibody, IgA, U/mL; Beta-2 Glycoprotein 1 Antibody, IgG, U/mL; Beta-2 Glycoprotein 1 Antibody, IgM, U/mL; dRVVT, sec; dRVVT Mix Ratio; dRVVT Confirm Ratio; dRVVT Confirm Mix Ratio.
Reference ranges
  
Antiphosphatidylserine,   Negative      LT 20       APS U/mL
 IgA                      Positive      20 or more
 The presence of phosphatidylserine Abs maybe
 associated with anti-phospholipid
 syndrome characterized by recurrent
 fetal loss, thrombosis and
 thrombocytopenia.
Antiphosphatidylserine,   Negative      LT 11       GPS U/mL
 IgG                      Positive      11 or more
 The presence of phosphatidylserine Abs maybe
 associated with anti-phospholipid
 syndrome characterized by recurrent
 fetal loss, thrombosis and
 thrombocytopenia.
Antiphosphatidylserine,   Negative      LT 25       MPS U/mL
 IgM                      Positive      25 or more
 The presence of phosphatidylserine Abs maybe
 associated with anti-phospholipid
 syndrome characterized by recurrent
 fetal loss, thrombosis and
 thrombocytopenia.
Cardiolipin Ab IgA    Negative          LT 13       APL U/mL
                      Positive          13 or more     
Cardiolipin Ab IgG    Negative          LT 10       GPL U/mL
                      Indeterminate     10-19 
                      Low-Med Positive  20-80
                      Strong Positive   GT 80
Cardiolipin Ab IgM    Negative          LT 10       MPL U/mL
                      Indeterminate     10-19
                      Low-Med Positive  20-80
                      Strong Positive   GT 80
Beta-2 Glycoprotein   Negative          LT 10       U/mL
 1 Ab, IgA            Positive          10 or more
Beta-2 Glycoprotein   Negative          LT 20       U/mL
 1 Ab, IgG            Positive          20 or more
Beta-2 Glycoprotein   Negative          LT 10       U/mL
 1 Ab, IgM            Positive          10 or more
dRVVT                                   31.8-45.7   sec
dRVVT Mix Ratio                         LT 1.2
 Negative for Lupus Inhibitor screen.
dRVVT Confirm Ratio                     LT 1.2
 Negative for Lupus Inhibitor screen.
dRVVT Confirm Mix Ratio                 LT 1.2
 Negative for Lupus Inhibitor screen.

[330]


ANTIPHOSPHOLIPID SYNDROME EVALUATION (REFLEXIVE)
Order Code APSEEX Test Code APSEEX
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Anti-Phospholipid Syndrome Evaluation
Specimen Required
       Container type SST tube and Blue top tube (buffered sodium citrate)  Specimen type Frozen serum and frozen plasma  Preferred volume 2 mL serum and 2 mL plasma  Minimum volume 0.8 mL serum and 1 mL plasma
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Separate plasma from cells using double centrifugation and place platelet-poor plasma in two plastic tubes and freeze. Store and transport all tubes frozen.
Stability-   Room temp Unacceptable   Refrigerated Plasma-unacceptable; Serum-14 days   Frozen (-20°C) Plasma-14 days; Serum -2 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed samples, microclots, tubes incorrectly filled or HCT GT 55 and collected without anticoagulant adjustment.
CPT codes 85613, 86147 x 3, 86148 x 3, 83516 x 9
Test schedule Tue-Sat
Turnaround time 4-9 days
Method EIA, Clot detection
Test includes
Antiphospholipid Syndrome Evaluation.
Reference ranges
  
Antiphospholipid Syndrome Evaluation
 See separate report

[331]


ANTITHROMBIN III ACTIVITY
Order Code THROMBIN III.ACT Test Code AT3
Separate samples must be submitted when multiple tests are ordered.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 1 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Limitations Specimen should be heparin free.
Department Coagulation
CPT codes 85300
Test schedule Tue, Fri
Turnaround time 3-5 days
Method Chromogenic
Test includes
Antithrombin III Activity, %.
Reference ranges
  
Antithrombin III Activity  85-126  %

[332]


ANTITHROMBIN III ANTIGEN
Order Code THROMBIN.III.AG Test Code AT3AG
Separate samples must be submitted when multiple tests are ordered.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 0.5 mL
Patient Prep Patient should be fasting.
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85301
Test schedule Tue, Fri
Turnaround time 3-5 days
Method Immuno-turbidimetric
Test includes
Antithrombin III Antigen, mg/dL.
Reference ranges
  
Antithrombin III Antigen  21-33  mg/dL

[333]


APO E MUTATION DETECTION FOR CARDIOVASCULAR RISK
Order Code APOEC Test Code APOEC
This test is for cardiovascular risk assessment only.
Synonyms APO E, Cardiac Risk
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 3 mL
Specimen processing Store and transport refrigerated.
Required patient info Consent form recommended (required in NY). Forms available at www.aruplab.com.
Stability-   Room temp 3 days   Refrigerated 1 week   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Serum, frozen whole blood and severely hemolyzed samples.
Alternate specimens ACD, sodium citrate or sodium heparin whole blood (yellow, blue or green top tubes).
Limitations Not recommended for nonsymptomatic patients under 18 years of age.
CPT codes 83891, 83900, 83896 x 2, 83912 Additional CPT modifiers may be required for procedures performed to test for oncologic or inherited disorders.
Test schedule Varies
Turnaround time 4-10 days
Method PCR/FM
Test includes
APO E Specimen, APO E for Cardiovascular Risk.
Reference ranges
  
APO E Specimen                    blood
APO E for Cardiovascular Risk
 Homozygous apo e3 (e3/e3): This is 
 the most common (normal) genotype.

[5785]


APOLIPOPROTEIN A-1
Order Code APO A Test Code APOA
Synonyms High Density Liproprotein, A-1
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Patient Prep Patient should be fasting 12-14 hours prior to collection.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 8 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens.
CPT codes 82172
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Nephelometry
Test includes
Apolipoprotein A-1, mg/dL.
Reference ranges
  
Apolipoprotein A-1  mg/dL
 M  94-178
 F  101-199

[335]


APOLIPOPROTEIN B-100
Order Code APO B Test Code APOB
Synonyms Low Density Lipoprotein, B-100; Low Density Lipoprotein, B
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Patient Prep Fasting sample recommended.
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 8 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens.
CPT codes 82172
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Nephelometry
Test includes
Apolipoprotein B-100, mg/dL.
Reference ranges
  
Apolipoprotein B-100  mg/dL
 M  55-140
 F  55-125

[336]


APT
Order Code APT Test Code APT
A screen to differentiate fetal hemoglobin from maternal hemoglobin.
Synonyms Downey Test; Fetal Hgb (Qual); APT Test; Fetal Hemoglobin, Qualitative
Specimen Required
       Container type Leakproof plastic container.  Specimen type Blood-tinged stool, sputum, gastric or vaginal specimens  Minimum volume At least one visibly bloody area
Specimen processing Store and transport at room temperature.
Unacceptable conditions Tarry stools because the proteins have been denatured and will not react.
Limitations The presence of adult red cells, mixed with fetal may mask the end result.
Department Hematology
CPT codes 83033
Test schedule Sun-Sat days & STAT
Turnaround time 24-48 hours
Method Visual Hemolysis
Test includes
Source; APT.
Reference ranges
  
Source
APT

[337]


ARBOVIRUS ANTIBODY PANEL, IGG & IGM
Order Code ARBO Test Code ARBO
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
CPT codes 86651 x 2, 86652 x 2, 86653 x 2, 86654 x 2
Turnaround time 2-6 days
Method IFA
Test includes
Eastern Equine Encephalitis Ab, IgG; Eastern Equine Encephalitis Ab, IgM; Eastern Equine Encephalitis Ab, Interp; California Encephalitis Ab, IgG; California Encephalitis Ab, IgM; California Encephalitis Ab, Interp; St. Louis Encephalitis Ab, IgG; St. Louis Encephalitis Ab, IgM; St. Louis Encephalitis Ab, Interp; Western Equine Encephalitis Ab, IgG; Western Equine Encephalitis Ab, IgM; Western Equine Encephalitis Ab, Interp.
Reference ranges
  
Eastern Equine Encephalitis Ab, IgG      LT 1:16
Eastern Equine Encephalitis Ab, IgM      LT 1:20
Eastern Equine Encephalitis Ab, Interp   
California Encephalitis Ab, IgG          LT 1:16
California Encephalitis Ab, IgM          LT 1:20
California Encephalitis Ab, Interp
St. Louis Encephalitis Ab, IgG           LT 1:16
St. Louis Encephalitis Ab, IgM           LT 1:20
St. Louis Encephalitis Ab, Interp
Western Equine Encephalitis Ab, IgG      LT 1:16
Western Equine Encephalitis Ab, IgM      LT 1:20
Western Equine Encephalitis Ab, Interp
 Specimens positive for arbovirus antibody
 are CDC reportable. Please contact your
 local public health agency.
 Human infections caused by aroboviruses
 are seasonal, from mid-summer to late-
 summer. Typical geographic distributions
 are: Eastern equine encephalitis virus
 from New England to Texas, California
 encephalitis virus in the north-central
 states, St. Louis encephalitis virus
 throughout the southern, south-western,
 and west-central states and Western
 encephalitis virus throughout the 
 western states.

[338]


ARBOVIRUS ANTIBODY PANEL, IGG & IGM, CSF
Order Code ARBOSF Test Code ARBOSF
Specimen Required
       Container type Sterile leakproof plastic tube  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 5 days   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86651 x 2, 86652 x 2, 86653 x 2, 86654 x 2
Test schedule Mon-Fri
Turnaround time 3-6 days
Method IFA
Test includes
Eastern Equine Encephalitis Ab, IgG, CSF; Eastern Equine Encephalitis Ab, IgM, CSF; Eastern Equine Encephalitis Ab, CSF, Interp; California Encephalitis Ab, IgG, CSF; California Encephalitis Ab, IgM, CSF; California Encephalitis Ab, Interp, CSF; St. Louis Encephalitis Ab, IgG, CSF; St. Louis Encephalitis Ab, IgM, CSF; St. Louis Encephalitis Ab, Interp, CSF; Western Equine Encephalitis Ab, IgG, CSF; Western Equine Encephalitis Ab, IgM, CSF; Western Equine Encephalitis Ab, CSF, Interp.
Reference ranges
  
Eastern Equine Encephalitis Ab, IgG, CSF      LT 1:4
Eastern Equine Encephalitis Ab, IgM, CSF      LT 1:4
Eastern Equine Encephalitis Ab, Interp, CSF   
California Encephalitis Ab, IgG, CSF          LT 1:4
California Encephalitis Ab, IgM, CSF          LT 1:4
California Encephalitis Ab, Interp, CSF
St. Louis Encephalitis Ab, IgG, CSF           LT 1:4
St. Louis Encephalitis Ab, IgM, CSF           LT 1:4
St. Louis Encephalitis Ab, Interp, CSF
Western Equine Encephalitis Ab, IgG, CSF      LT 1:4
Western Equine Encephalitis Ab, IgM, CSF      LT 1:4
Western Equine Encephalitis Ab, Interp, CSF
 Interpretive Criteria: 
  LT 1:4        Antibody not detected     
  1:4 or more   Antibody detected
 Specimens positive for arbovirus antibody
 are CDC reportable. Please contact your
 local public health agency.
 Diagnosis of infections of the central 
 nervous system can be accomplished by
 demonstrating the presence of intrathecally-
 produced specific antibody. However, 
 interpreting results is complicated by
 low antibody levels fround in CSF,
 passive transfer of antibody from blood,
 and contamination via bloody taps. The
 interpretation of CSF results must
 consider CSF-serum ratios of the
 infectious agent.

[3020]


ARBOVIRUS ANTIBODY PANEL, IGM
Order Code ARBVM Test Code ARBVM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.75 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
CPT codes 86651, 86652, 86653, 86654
Test schedule Mon-Fri
Turnaround time 2-6 days
Method IFA
Test includes
California Encephalitis Ab, IgM; Eastern Equine Encephalitis Ab, IgM; St. Louis Encephalitis Ab, IgM; Western Equine Encephalitis Ab, IgM.
Reference ranges
  
California Encephalitis Ab, IgM          LT 1:20
Eastern Equine Encephalitis Ab, IgM      LT 1:20
St. Louis Encephalitis Ab, IgM           LT 1:20
Western Equine Encephalitis Ab, IgM      LT 1:20
 Interpretive Criteria:
 LT 1:20        Antibody not detected
 1:20 or more   Antibody detected
 Specimens positive for arbovirus antibody
 are CDC reportable. Please contact your
 local public health agency.
 Human infections caused by aroboviruses
 are seasonal, from mid-summer to late-
 summer. Typical geographic distributions
 are: Eastern equine encephalitis virus
 from New England to Texas, California
 encephalitis virus in the north-central
 states, St. Louis encephalitis virus
 throughout the southern, south-western,
 and west-central states and Western
 encephalitis virus throughout the 
 western states.

[3022]


ARBOVIRUS ANTIBODY PANEL, IGM, CSF
Order Code ARBMSF Test Code ARBMSF
Specimen Required
       Container type Sterile leakproof plastic tube  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.1 mL
Specimen processing Store and transport refrigerated.
CPT codes 86651, 86652, 86653, 86654
Test schedule Mon-Fri
Turnaround time 2-6 days
Method IFA
Test includes
California Encephalitis Ab, IgM, CSF; Eastern Equine Encephalitis Ab, IgM, CSF; St. Louis Encephalitis Ab, IgM, CSF; Western Equine Encephalitis Ab, IgM, CSF.
Reference ranges
  
California Encephalitis Ab, IgM, CSF          LT 1:4
Eastern Equine Encephalitis Ab, IgM, CSF      LT 1:4      
St. Louis Encephalitis Ab, IgM, CSF           LT 1:4
Western Equine Encephalitis Ab, IgM, CSF      LT 1:4
 Interpretive Criteria:
 LT 1:4          Antibody not detected
 1:4 or more     Antibody detected
 Specimens positive for arbovirus antibody
 are CDC reportable. Please contact your
 local public health agency.
 Diagnosis of infections of the central 
 nervous system can be accomplished by
 demonstrating the presence of intrathecally-
 produced specific antibody. However, 
 interpreting results is complicated by
 low antibody levels fround in CSF,
 passive transfer of antibody from blood,
 and contamination via bloody taps. The
 interpretation of CSF results must
 consider CSF-serum ratios of the
 infectious agent.

[3021]


ARBOVIRUS IGM ANTIBODY PANEL, CSF
Order Code ARBMSF Test Code ARBMSF
Specimen Required
       Container type Sterile leakproof plastic tube  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.1 mL
Specimen processing Store and transport refrigerated.
CPT codes 86651, 86652, 86653, 86654
Test schedule Mon-Fri
Turnaround time 2-6 days
Method IFA
Test includes
California Ab, IgM, CSF; Eastern Equine Ab, IgM, CSF; St. Louis Ab, IgM, CSF; Western Equine Ab, IgM, CSF.
Reference ranges
  
California Encephalitis Ab, IgM, CSF          LT 1:4
Eastern Equine Encephalitis Ab, IgM, CSF      LT 1:4      
St. Louis Encephalitis Ab, IgM, CSF           LT 1:4
Western Equine Encephalitis Ab, IgM, CSF      LT 1:4
 Interpretive Criteria:
 LT 1:4          Antibody not detected
 1:4 or more     Antibody detected
 Specimens positive for arbovirus antibody
 are CDC reportable. Please contact your
 local public health agency.
 Diagnosis of infections of the central 
 nervous system can be accomplished by
 demonstrating the presence of intrathecally-
 produced specific antibody. However, 
 interpreting results is complicated by
 low antibody levels fround in CSF,
 passive transfer of antibody from blood,
 and contamination via bloody taps. The
 interpretation of CSF results must
 consider CSF-serum ratios of the
 infectious agent.

[3019]


ARGININE VASOPRESSIN HORMONE
Order Code ADH Test Code AVH
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Synonyms ADH; Anti-Diuretic; Antidiuretic Hormone (ADH/AVH) Vasopressin
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen plasma  Preferred volume 6 mL  Minimum volume 2.1 mL
Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 2 hours   Refrigerated unstable   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Non-frozen specimens.
CPT codes 84588
Test schedule Tue, Fri
Turnaround time 5-12 days
Method RIA
Test includes
Arginine Vasopressin Hormone, pg/mL.
Reference ranges
  
Arginine Vasopressin Hormone     pg/mL 
 0.0-4.7

[343]


ARIPIPRAZOLE
Order Code ARI Test Code ARI
Synonyms Abilify
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells and put in spearate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 weeks   Refrigerated 2 weeks   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions SST or PST (gel separator tubes).
Alternate specimens Plasma.
CPT codes 82542
Test schedule Mon-Sun
Turnaround time 8-10 days
Method HPLC/MS/MS
Test includes
Aripirazole, ng/mL.
Reference ranges
  
Aripiprazole            Steady state plasma levels in         ng/mL
                        adults following a daily regimen
                        have been reported as:
                         5 mg  70-126 
                         10 mg 109-216
                         15 mg 206-278
                         20 mg 212-574
                         30 mg 320-585

[3555]


ARSENIC
Order Code ARS Test Code ARS
Synonyms As
Specimen Required
       Container type Royal blue top tube (metal free K2EDTA)  Specimen type Whole blood  Preferred volume 7 mL  Minimum volume 1 mL
Specimen processing Store and transport in original collection tube at room temperature.
Unacceptable conditions Heparin anticoagulant.
Alternate specimens NA2EDTA whole blood (NA2EDTA royal blue top tube).
CPT codes 82175
Test schedule Mon-Sat
Turnaround time 3-7 days
Method ICP/MS
Test includes
Arsenic, ug/L.
Reference ranges
  
Arsenic      0.0-13.0             ug/L
 

[344]


ARSENIC CREATININE RATIO, RANDOM URINE
Order Code ARCR Test Code ARCR
Synonyms As/Creatinine Ratio, Random Urine
Specimen Required
       Container type Leakproof plastic urine container  Specimen type Random Urine  Preferred volume 25 mL  Minimum volume 5 mL
Collection procedure Collect a random urine in a leakproof plastic urine container.
Specimen processing Aliquot 25 mL of a well-mixed random urine collection, collected in a plastic container. Refrigerate immediately after collection. Adjust collection to pH 2 with 6N nitric acid within 20 hours of collection. Store and transport refrigerated.
Stability-   Room temp 3 days if acidified   Refrigerated 2 weeks if acidified   Frozen (-20°C) 3 months if acidified   Frozen (-70°C)
Unacceptable conditions Specimens contaminated with blood or fecal material.
Alternate specimens Acidified urine.
Department SHMC-Trace Metals Chemistry
CPT codes 82175, 82570
Test schedule Tue, Thu, Sat
Turnaround time 2-3 days
Method Atomic Absorption & Enzymatic (IDMS Traceable)
Test includes
Arsenic, Urine Random, ug/L; Creatinine, Urine Random, mg/dL; Arsenic Creatinine Ratio, ug/gCR.
Reference ranges
  
Arsenic, Urine Random         No reference range established          ug/L
Creatinine, Urine Random      No reference range established          mg/dL
Arsenic Creatinine            No reference range established          ug/gCR

[2477]


ARSENIC TOTAL INORGANIC, URINE (SPECIATED)
Order Code ARTISU Test Code ARTISU
Synonyms As, Total Inorganic, Urine, Speciated
Specimen Required
       Container type Trace metal free or acid washed leakproof plastic urine container.  Specimen type Timed urine  Preferred volume 4 mL  Minimum volume 2 mL
Collection procedure Collect an end of shift end of work week urine specimen in a trace metal free or acid washed plastic container.
Specimen processing Aliquot 5 mL of end of shift end of work week urine specimen. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 week   Frozen (-20°C) 28 days   Frozen (-70°C)
CPT codes 82175, 82570
Test schedule Tue, Thu, Sun
Turnaround time 4-8 days
Method ICP/MS, Colorimetric
Test includes
Creatinine, Urine, mg/L; Arsenic, Total Inorganic, Urine, ug/L; Arsenic, Total Inorganic (Creatinine corrected), Urine, ug/gCr.
Reference ranges
  
Creatinine, Ur  ACGIH Normal  mg/L 
                adult range
                300-3400      
Arsenic, Total  35 ug/L       ug/L
 Inorganic, Ur  meausred in the end
                of work week specimen-
                ACGIH
Arsenic, Total                ug/gCr
 Inorganic, Ur  (Creatinine corrected) 
 Various states require that levels
 above certain cutoffs must be reported
 to the state in which the patient resides.

[345]


ARSENIC, URINE (QUANTITATIVE)
Order Code ARS-U Test Code ARSUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Synonyms As, Urine, Quantitative
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 50 mL  Minimum volume 2 mL
Collection procedure Add 20mL 6N nitric acid to a 24-hour dark plastic urine container at the start of collection. Collect a 24-hour urine specimen. Use only SAGE, GUARD, P-Splitter or HEDWIN jugs. Pretest other jugs. Do not use VOLLRATH jugs. Refrigerate during collection.
Specimen processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic container. Record collection time and total volume. Adjust pH to 2. Store and transport refrigerated.
Required patient info pH, collection period and total volume.
Stability-   Room temp 72 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Specimens contaminated with blood or fecal material.
Alternate specimens May add 20 mL 6N HNO3 at end of collection. Adjust pH to 2. This procedure may be done after the specimen has been received at PAML, however, it must be shipped in the original collection container & performed before it is aliquoted. Entire collection should be kept refrigerated and acid added to entire collection within 20 hours.
Department Chemistry, Trace Metals
CPT codes 82175
Test schedule Tue, Thu, Sat
Turnaround time 2-4 days
Method Electrothermal (Flameless) AAS
Test includes
Time, h; Volume, mL; Arsenic, Urine, ug/L; Arsenic, Urine, ug/24h.
Reference ranges
  
Collection Period                   h
Volume                              mL
Arsenic, Urine                      ug/L
 No reference range established     
Arsenic, Urine       5-50           ug/24h

[346]


ARSENIC, URINE (RANDOM)
Order Code ARS-RU Test Code ARSUR
Synonyms As, Urine (Random)
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 50 mL  Minimum volume 5 mL
Collection procedure Collect a random urine collection.
Specimen processing Aliquot 50 mL of a random urine specimen. Adjust pH to 2 with 6N HNO3. Store and transport refrigerated.
Required patient info pH
Stability-   Room temp 72 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Specimens contaminated with blood or fecal materials.
Department Chemistry, Trace Metals
CPT codes 82175
Test schedule Tue, Thu, Sat
Turnaround time 2-4 days
Method Electrothermal (Flameless) AAS
Test includes
Arsenic, Urine, ug/L.
Reference ranges
  
Arsenic, Urine (Random)   ug/L
 No normals established

[347]


ARSENIC, URINE REFLEX TO FRACTIONS
Order Code ARSURF Test Code ARSURF
This test may reflex to additional tests depending on the results of this test. An additional fee may be added.
Synonyms As, Urine, Reflex
Specimen Required
       Container type 24-hour trace-metal free plastic urine container.  Specimen type 24-hour urine collection.  Preferred volume 10 mL  Minimum volume 5.0 mL
Collection procedure Collect a 24 hour urine in a trace-metal free urine container and refrigerate during collection.
Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof trace-metal free urine container. Record total volume and collection time. Store and transport refrigerated.
Stability-   Room temp unacceptable   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Urine collected within 48 hours after administration of a gadolinium (Gd) containing constrast media (may occur with MRI studies), acid preserved urine.
Alternate specimens Random urine.
CPT codes 82175
Test schedule Mon-Fri
Turnaround time 2-4 days
Method ICP/MS/HPLC
Test includes
Collection Period,h; Volume, mL; Creatinine, Urine mg/dL; Creatinine, Urine mg/d; Arsenic, Urine mg/d; Arsenic,Urine ug/L; Arsenic, Urine ug/gCr; Arsenic, Organic ug/L; Arsenic, Inorganic ug/L; Arsenic, Methylated ug/L
Reference ranges
  
Collection Period                           h
Volume                                      mL
Creatinine, Urine                           mg/dL
Creatinine, Urine                           mg/d
Creatinine, 24hr Urine                      mg/d
 Male 3-8 yrs:     140-700                  mg/d
 Male 9-12 yrs:    300-1300                 mg/d
 Male 13-17 yrs:   500-2300                 mg/d
 Male 18-50 yrs:   1000-2500                mg/d
 Male 51-80 yrs:   800-2100                 mg/d
 Male 81+ yrs:     600-2000                 mg/d
 Female 3-8 yrs:   140-700                  mg/d
 Female 9-12 yrs:  300-1300                 mg/d
 Female 13-17 yrs: 400-1600                 mg/d
 Female 18-50 yrs: 700-1600                 mg/d
 Female 51-80 yrs: 500-1400                 mg/d
 Female 81+ yrs:   400-1300                 mg/d
Arsenic, Urine     0-35.0                   ug/L
Arsenic, Urine     0-50.0                   ug/d
Arsenic, Urine     No reference interval    ug/gCR
Arsenic, Organic                            ug/L
Arsenic, Inorganic                          ug/L
Arsenic, Methylated                         ug/L
Notes
ARUP studies indicate refrigeration, during and after collection, preserves specimens as well as preservatives, if tested within 8 days of collection.

[3037]


ARTERIAL BLOOD GASES BATTERY
Order Code ABG Test Code ABG
Synonyms ABG
Specimen Required
       Container type Capped syringe designed for blood gases.  Specimen type Arterial whole blood  Preferred volume 1 mL  Minimum volume 0.2 mL
Collection procedure Contact nearest hospital.
Specimen processing 1 mL arterial whole blood with 120 IU lyophilized heparin added to syringe designed for blood gases. Cap with stopper. Test must be performed immediately upon obtaining specimen. Maximum stability is 1 hour on ice.
Required patient info Patient's temperature.
Alternate specimens Heparin tube.
Limitations Some plastic syringes may allow loss of oxygen.
Department Respiratory Therapy
CPT codes 82803
Test schedule Daily & STAT
Turnaround time 24-48 hours
Method Ion Transfer Electrode/Potentiometry/Co-oximeter
Test includes
pH; PCO2, mm Hg; PO2, mm Hg; O2 Content, vol%; O2 SAT, %; HCO3, mmol/L; BE, mmol/L; Base Deficit, mmol/L; Hgb, g/dL; CO Hgb, %; Met Hgb, %; O2, %; Additional Data.
Reference ranges
  
pH            7.37-7.47
PCO2          32-43                mm Hg
PO2           65-80                mm Hg
O2 Content    15-23                Vol %
O2 SAT        92-99.9              %
HCO3          23-28                mmol/L
BE            -2.5 to +2.5         mmol/L
Base Deficit  0.0-2.5              mmol/L 
Hemoglobin                         g/dL
 0-3 days            14.5-22.5
 3-7 days            13.5-21.5
 7-14 days           12.5-20.5
 14-30 days          10.0-18.0
 30-60 days          9.0-14.0
 2-6 mo              10.5-13.5
 6-24 mo             11.5-13.5
 2-6 yrs             11.5-13.5
 6-12 yrs            11.5-15.5
 12-18 yrs     M     13.0-16.0
 18 yrs+       M     13.7-16.7
 12-18 yrs     F     12.0-16.0
 18 yrs+       F     11.6-15.5
Co Hgb        1-3                 %
Met Hgb       0.4-1.5             %
O2                                %
Additional Data

[348]


ARTHRITIS PROFILE
Order Code AR Test Code ARPF
Specimen Required
       Container type SST tube and Lavender top tube (EDTA)  Specimen type Serum and whole blood  Preferred volume 2 mL serum and 5 mL whole blood
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport both specimens refrigerated.
Alternate specimens 1 mL lithium heparin plasma (green top tube) and 1.5 mL EDTA whole blood.
Department Chemistry, Immunnology, SHMC-Hematology
CPT codes 86431, 85651, 84550
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Enzymatic/Nephelometry
Test includes
Uric Acid, mg/dL; Sed Rate, mm/h; RA, IU/mL.
Reference ranges
  
Uric Acid              mg/dL
 M  0-16 yrs  2.0-5.5
    17+ yrs   3.1-8.1  
 F  0-16 yrs  2.0-5.5
    17+ yrs   2.0-6.7
Sed Rate               mm/h
 M  0-10     
 F  0-20
RA LT 20               IU/mL

[350]


ARTHROPOD IDENTIFICATION, MACROSCOPIC
Order Code ARTHID Test Code ARTHID
Synonyms Tick ID
Specimen Required
       Container type See below.  Specimen type See below.
Collection procedure Submit specimen in sterile capped container. If for scabies see detailed instructions. If any questions call for assistance.
Specimen processing Store and transport at room temperature.
Required patient info Source.
Department Microbiology
CPT codes 87168
Test schedule Sun-Sat
Turnaround time 1-3 days
Method Macroscopic Inspection
Test includes
Source; Arthropod ID; Arthropod ID, Status.
Reference ranges
  
Source
Arthropod Identification
Arthropod Identification, Status
Notes
SPECIMEN COLLECTION FOR SCABIES:`In the normal (immunocompetent) host, there are usually no more than 5-10 adult mites present. Most are located on the hands, wrists, and arms.`Skin samples are obtained by scraping the superficial layers of skin over a burrow or papule (bump) using a scalpel.`COLLECTION PROTOCOL:`The following materials are needed: gloves, mineral oil, a No. 15 scalpel, a glass slide, a 24 X 30 or a 24 X 40 mm glass cover slip, and an empty petri plate for slide transport.`After donning appropriate personal protection equipment (gown or lab coat and gloves), identify the area(s) to be scraped. `Place one drop of mineral oil on a sterile No. 15 scalpel. Mites and skin scales will adhere to the oil.`Allow some of the mineral oil to flow onto the site (papule - aka bump) to be scraped. `Scrape vigorously 6-7 times to remove the top of the papule. The objective is to remove the superficial layers of the skin over a burrow or papule to a depth at which pinpoint bleeding occurs - remembering that the goal is to 'coax' the happy adult mite and any eggs from their warm, comfortable home at the terminal end of a burrow or papule. There should be tiny flecks of blood in the oil. Be sure to retract the scalpel blade when not in use to avoid puncturing yourself. `FOR INPATIENTS ONLY: `Making sure the etched portion of the glass slide is facing up, transfer the oil and scraped material onto a labeled glass slide.`Add 1 drop of mineral oil to the transferred material on the slide, and stir the mixture. Any large clumps can be crushed to expose hidden mites.`Place a coverslip on the slide.`Place the prepared slide into a plastic petri plate for transport to Microbiology. `FOR OUTPATIENTS:`Place the skin scrapings in a red-top Vacutainer tube for`transport to the testing laboratory.`REFERENCES:`Principles and Practice of Infectious Diseases, 5th edition, 2000, pg. 2974-2976.`Diagnostic Medical Parasitology, 3rd edition, 1997, pg. 549-553.`Manual of Clinical Microbiology, 7th edition, 1999, pg. 1463.

[351]


ARYLSULFATASE A, URINE
Order Code ARYSUQ Test Code ARYSUQ
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour or random urine collection.  Preferred volume 10 mL  Minimum volume 5 mL
Collection procedure Collect a 24-hour or random urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 10 mL of a well-mixed 24-hour or random urine collection into a leakproof plastic urine container. Record total volume and time of collection. Store and transport refrigerated.
Required patient info Total volume and Collection period.
Stability-   Room temp unstable   Refrigerated 7 days   Frozen (-20°C) unstable   Frozen (-70°C)
Unacceptable conditions Ambient and frozen samples.
Limitations Random samples are acceptable but normal values have not been established.
CPT codes 84311
Test schedule Varies
Turnaround time Within 14 days
Method Colorimetric/Kinetic
Test includes
Time, h; Volume, mL; Arylsulfatase A, Urine, U/L.
Reference ranges
  
Time                                h
Volume                              mL
Arylsulfatase A, Ur   1.1 or more   U/L

[352]


ASO
Order Code ASO Test Code ASO
Synonyms Anti-Streptolysin O Antibody; ASO Ab
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Department Immunology
CPT codes 86060
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Nephelometry
Test includes
ASO, IU/mL.
Reference ranges
  
ASO          250 or less  IU/mL

[353]


ASPERGILLUS ANTIBODIES PANEL
Order Code ASPABP Test Code ASPABP
Acute and convalescent samples advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labeled as such; parallel testing is preferred and convalescent samples must be received within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic or contaminated samples.
CPT codes 86606 x 2
Test schedule Sun-Fri
Turnaround time 3-5 days
Method CF/ID
Test includes
Aspergillus Ab, CF; Aspergillus Ab, ID.
Reference ranges
  
Aspergillus Ab, CF  
 LT 1:8  No antibody detected.
 A serum titer of LT 1:8 is expected.
 Higher titers tend to be a stronger
 indication of diseaSe and its severity.
 Cross reactions with dimorphic fungi
 are uncommon, but not unusual within
 the genus Aspergillus. Negative test
 does not exclude infection, especially
 in immunocompromised patients. Best
 use of test is with paried sera taken
 three weeks apart to detect a rise in
 titer against a single antigen.
Aspergillus Ab, ID
 None detected.
 In general immunodiffusion measures
 IgG and a positive result may suggest
 active or recent infection. The test
 is positive in about 90% of sera from
 patients with aspergilloma and 50-70%
 of patients with allergic bronchopul-
 monary aspergillosis. A negative test
 (none detected) does not exclude 
 aspergillosis.

[354]


ASPERGILLUS ANTIBODY
Order Code ASPER Test Code ASPAB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Body fluid samples.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86606
Test schedule Sun-Fri
Turnaround time 3-6 days
Method ID
Test includes
Aspergillus Antibody.
Reference ranges
  
Aspergillus Antibody 
 by Immunodiffusion    None detected
Notes
This test uses culture filtrates of Aspergillus fumigatus, Aspergillus flavus, Aspergillus niger, and Aspergillus terreus.

[355]


ASPERGILLUS GALACTOMANNAN ANTIGEN BY EIAshipping instruction code
Order Code ASGAG Test Code ASGAG
Synonyms Platelia aspergillus
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and put in sterile plastic tube. Store and transport frozen. Ship 650.
Stability-   Room temp Unacceptable   Refrigerated 1 week   Frozen (-20°C) 1 week   Frozen (-70°C)
Unacceptable conditions SST or gel tubes or plasma.
CPT codes 87305
Test schedule Sun-Sat
Turnaround time 2-3 days
Method EIA
Test includes
Aspergillus Galactomannan Antigen
Reference ranges
  
Aspergillus Galactomannan Antigen        Negative
Notes
Interpretive data: Negative results do not exclude the diagnosis of invasive aspergillosis. A single positive test result (index equal to or greater than 0.5)should be clinically correlated by testing a separate serum specimen because many agents (e.g.food, antibiotics) may cross-react with the assay. If invasive aspergillosis is suspected in high-risk patients, serial sampling is recommended. The false positive rate is higher in children than adults.

[3072]


ASPIRIN WORKS
Order Code ASAWK Test Code ASAWK
Specimen Required
       Container type BD Urine C&S Preservative Vacutainer tube  Specimen type Frozen random urine  Preferred volume 4 mL  Minimum volume 3 mL
Collection procedure Collect a random urine specimen. Transfer collection to BD Urine C&S Preservative Vacutainer tube within 4 hours of collection. Shake tube vigorously to ensure complete dissolution of the preservative. Store and transport frozen.
Specimen processing Store and transport frozen.
Stability-   Room temp unpreserved 4 hours   Refrigerated preserved 24 hours   Frozen (-20°C) preserved 3 months   Frozen (-70°C)
Unacceptable conditions Unpreserved urines greater than 4 hours at room temperature or refrigerated, preserved urines greater than 24 hours refrigerated.
Department Hematology
CPT codes 84431, 82570
Test schedule Mon, Thu
Turnaround time 3-5 days
Method ELISA
Test includes
11-Dehydro Thromboxane B2, pg/mg.
Reference ranges
  
11-Dehydro Thromboxane B2    1500 or less Normalized levels of 11-Dehydro Thromboxane B2         pg/mg
                             indicates an aspirin effect.
                             GT 1500      Normalized levels of 11-Dehydro Thromobxane B2
                             indicates a lack of an aspirin effect.

[2030]


AST
Order Code GOT Test Code AST
Synonyms SGOT; Aspartate Aminotransferase
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Collection procedure Avoid hemolysis.
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 84450
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Enzymatic
Test includes
AST, U/L.
Reference ranges
  
AST                U/L
 0-6 yrs     20-60
 6-10 yrs    20-40
 10-18 yrs   14-40
 18 yrs+     5-40

[356]


AUTOIMMUNE PROFILE (REFLEXIVE)
Order Code AIP Test Code AIP
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in 2 separate plastic tubes. Store and transport both tubes refrigerated.
Stability-   Room temp   Refrigerated 3 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Department Chemistry
CPT codes 86038, 86160, 86140, 86431
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex, Nephelometry
Test includes
ANA; (If positive the following tests will be done and reported). DSDNA Autoanitobdy, IU/mL; Smith Autoantibody, AI; Ribosomal P Autoantibody, AI; Chromatin Autoantibodies, AI; RNP Autoantibody, AI; SMRNP Autoantibody, AI; SCL-70 Autoantibody, AI; Centromere B Autoantibody, AI; SSA (RO) Autoantibody, AI; SSB (LA) Autoantibody, AI; JO-1 Autoantibody, AI; Complement, C3, mg/dL; CRP, mg/dL; RA, IU/mL.
Reference ranges
  
ANA                        Negative
 A multiplex screen for 11 autoantibodies
 (dsDNA, Smith, Ribosomal P, Chromatin, RNP, 
 SmRNP, Scl-70, Centromere B, SSA, SSB and
 J0-1) was performed and no autoantibodies
 were detected. A negative multiplex ANA
 does not rule out all possibility of a 
 connective tissue or autoimmune disease,
 and further studies should be considered
 if clinical suspicion is high.
DSDNA Autoantibody    Negative       LT 5         IU/mL
                      Indeterminate  5-9
                      Positive       10 or more
Smith Autoantibody    Negative       LT 1.0       AI
                      Positive       1.0 or more  
Ribosomal P Auto-     Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
Chromatin Auto-       Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
RNP Autoantibody      Negative       LT 1.0       AI
                      Positive       1.0 or more 
SMRNP Auto-           Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
SCL-70 Auto-          Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
Centromere B Auto-    Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
SSA (RO) Auto-        Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
SSB (LA) Auto-        Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
JO-1 Autoantibody     Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
Complement, C3        0-1 days       50-168       mg/dL
                      2-60 days      55-170
                      2-5 months     59-176
                      6-24 months    66-180
                      25-60 months   74-184
                      5-9 years      74-190
                      10-14 years    77-198
                      15+ years      90-200
CRP                                  1.5 or less  mg/dL
RA                                   LT 20        IU/mL

[358]


B-TYPE NATRIURETIC PEPTIDE
Order Code BTNP Test Code BNPEPR
Synonyms BNP; BTNP; Brain Type Natriuretic Peptide
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate plasma from cells within 4 hrs and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp Separated-4 hours, unspun-up to 4 hours   Refrigerated Separated-24 hours, unspun-up to 24 hours.   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Unacceptable conditions: severe hemolyzed samples and specimens collected in non-EDTA tubes or EDTA tubes with a plasma separator gel or suresep or glass collection tubes. Do not freeze whole blood.
Department Chemistry Department
CPT codes 83880
Test schedule Sun-Sat & Stat
Turnaround time 1-2 days
Method CMIA
Test includes
B-Type Natriuretic Peptide, pg/mL.
Reference ranges
  
B-Type Natriuretic Peptide  LT 100 pg/mL

[360]


BABESIA MICROTI ANTIBODY, IGG & IGM
Order Code BABMIC Test Code BABMIC
Acute and convalescent samples advised.
Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration approval. This test was developed and its performance characteristics determined by ARUP Laboratories, Inc. It has not been approved by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Acute and convalescent samples must be labeled as such. Parallel testing is preferred, and convalescent samples must be received within 30 days from receipt of the acute samples. Please mark samples plainly as acute or convalescent. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions CSF and lipemic, hemolyzed or bacterially contaminated specimens.
CPT codes 86753 x 2
Test schedule Wed
Turnaround time 3-11 days
Method IFA
Test includes
Babesia microti Antibody, IgG; Babesia microti Antibody, IgM; Babesia Interpretation.
Reference ranges
  
Babesia microti, IgG   LT 1:16 Negative
 Negative   LT 1:16  No significant
 level of detectable Babesia IgG antibodies.
 Equivocal  1:16     Repeat testing in
 10-14 days may be helpful.
 Positive   GT 1:16  IgG Ab to Babesia
 detected, which may indicate a current
 or previous infection.
Babesia microti IgM  LT 1:20  Negative
 Negative   LT 1:20  No significant
 level of detectable Babesia IgM antibodies.
 Equivocal  1:20     Repeat testing in
 10-14 days may be helpful.
 Positive   GT 1:20  IgM Ab to Babesia
 detected, which may indicate a current
 or recent infection. 
Babesia Interpretation

[363]


BACLOFEN, SERUM
Order Code BACLQT Test Code BACLQT
Synonyms Lioresal
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 14 days   Refrigerated 14 days   Frozen (-20°C) 14 days   Frozen (-70°C)
Unacceptable conditions SST or PST type tubes.
CPT codes 83789
Test schedule Mon, Wed, Fri
Turnaround time 4-6 days
Method LC/MS/MS
Test includes
Baclofen, Serum, mcg/mL.
Reference ranges
  
Baclofen, Serum    0.08-0.40  mcg/mL

[364]


BAL PROFILE (REFLEXIVE)
Order Code BALPR Test Code BALPR
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Bronchoalveolar Lavage Profile
Specimen Required
        Specimen type Bronchoalveolar lavage, no anticoagulant  Preferred volume 25 mL
Specimen processing Store and transport immediately at room temperature.
Limitations Grossly bloody specimens or those more than 3/4 mucous may be uninterpretable.
Department Hematology
CPT codes 88108, 89125, 88313, 80500
Test schedule Sun-Sat days
Turnaround time 72 hours
Method Microscopic
Test includes
BAL,Volume, mL; BAL, Color; BAL, Clarity; BAL, Neutrophils, %; BAL, Lymphocytes, %; BAL, Atypical Lymphs; BAL, Macro/Mono; BAL, Phag/Mono; BAL, Eosinophils, %; BAL, Basophils, %; Squamous Epithelial Cells, %; BAL, Columnar Epithelial Cells, %; BAL, Others; BAL, Fungus; BAL, Bacteria; BAL, Note; BAL, Oil Red O; BAL, Iron; BAL, Interpretation; BAL, Reviewed by.
Reference ranges
  
BAL-Volume
BAL-Color
BAL-Clarity
BAL-Neut                Smoker     1 % or less
                        Nonsmoker  up to 3 %
BAL-Lymph               6-8 %
BAL-Atypical Lymphs
BAL-Macro/Mono
BAL-Phag/Mono
BAL-Eos                 0-1 %
BAL-Baso                0-1 %
BAL-Squam.Epis
BAL-Column.Epis
BAL-Others
BAL-Fungus
BAL-Bacteria
BAL-Note
BAL-Oil Red O           Normal     0-50
                        Equivocal  51-100
                        GT 100 indicates aspiration
BAL-Iron                Low        0-20
                        Moderate   21-100
                        Elevated   GT 100
BAL-Interp
BAL-Reviewed By
Notes
A BAL routing slip must accompany the specimen. If there are GT 10% lymphocytes present, immunophenotyping studies are performed to determine the percent of CD4 and CD8 cells present and a CD4/CD8 ratio is calculated. Cytochemical stains will be performed as necessary. A fee will be added for this work.

[367]


BAL, BODY FLUID CONSULT REVIEW
Order Code BAL.REV Test Code BALVWI
Specimen Required
       Container type Leakproof plastic container.  Specimen type Bronchoalveolar lavage, no anticoagulant  Preferred volume 25 mL
Specimen processing Store and transport at room temperature.
Department Cellular Hematology
CPT codes 80500
Test schedule Mon-Fri
Turnaround time 72 hours
Test includes
Interpretation, BAL; Reviewed by.
Reference ranges
  
BAL-Source
BAL-Interpretation
Notes
Interpretive report is provided on all BAL cell counts.

[368]


BAL, DIFFERENTIAL (REFLEXIVE)
Order Code BALDIF Test Code BALDIF
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Bronchoalveolar Cell Count & Differential
Specimen Required
       Container type Leakproof plastic container.  Specimen type Bronchoalveolar lavage, no anticoagulant  Preferred volume 25 mL
Specimen processing Store and transport immediately at room temperature.
Unacceptable conditions Grossly bloody specimens or those more than mucous.
Department Hematology
CPT codes 88108
Test schedule Sun-Sat
Turnaround time 72 hours
Method Microscopic
Test includes
Neutrophils, %; Lymphocytes, %; Variant Lymphocytes, %; Macrophages/Monocytes, %; Phagocytic Monocytes, %; Eosinophils, %; Basophils, %; Squamous Epithelial Cells, %; Columnar Epithelial Cells, %; Others; Fungus; Bacteria; BAL Note.
Reference ranges
  
Neutrophils         smoker     0-1 %
                    non-smoker up to 3
Lymphocytes                    6-8 %
Variant Lymphs                     %
Macrophages/Monos                  %
Phagocytic Monos                   %
Eosinophils                    0-1 %
Basophils                      0-1 %
Squamous Epi Cells                 %
Columnar Epi Cells                 %
Others                             %
Fungus              
Bacteria            
Bal Note
Notes
If there are GT 10% lymphocytes present, immunophenotyping studies are performed to determine the percent of CD4 and CD8 cells present and a CD/CD8 ratio is calculated. Cytochemical stains will be performed as necessary.

[369]


BAL, IRON STAIN
Order Code BAL.IRN Test Code BALFE
Synonyms Bronchoalveolar Lavage Iron Stain
Specimen Required
       Container type Leakproof plastic container.  Specimen type Bronchoalveolar lavage, no anticoagulant  Preferred volume 25 mL
Specimen processing Store and transport at room temperature.
Department Cytochemical Hematology
CPT codes 88313
Test schedule Sun-Sat days
Turnaround time 72 hours
Method Cytochemical Stain
Test includes
BAL, Iron.
Reference ranges
  
BAL-Iron   Low       0-20
           Moderate  21-100
           Elevated  GT 100
Notes
Automatically done on all BAL specimens.

[370]


BAL, LYMPH SUBSETS (REFLEXIVE)
Order Code BAL.LYMPH Test Code BALSUB
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Bronchoalveolar Lavage Lymph Subsets
Specimen Required
       Container type Leakproof plastic container.  Specimen type Bronchoalveolar lavage, no anticoagulant  Preferred volume 25 mL
Specimen processing Store and transport at room temperature.
Department Hematology
CPT codes 86360, 86355, 86359
Test schedule Mon-Fri days
Turnaround time 72 hours
Method Immunocytochemical
Test includes
BAL, CD3, %; BAL, CD4, %; BAL, CD8, %; BAL, CD19, %; BAL, CD4/CD8, Ratio.
Reference ranges
  
BAL-CD3                %
BAL-CD4                %
BAL-CD8                %
BAL-CD19               %
BAL-CD4/CD8 Ratio
Notes
Used for pulmonary, immunosuppressed patients. If there are GT 10% lymphocytes present in the BAL, immunophenotyping studies are automatically performed.

[371]


BAL, OIL RED O STAIN
Order Code BAL.ORO Test Code BALORO
Synonyms Bronchoalveolar Lavage Oil Red O Stain
Specimen Required
       Container type Leakproof plastic container.  Specimen type Bronchoalveolar lavage, no anticoagulant  Preferred volume 25 mL
Specimen processing Store and transport at room temperature.
Department Cellular Hematology
CPT codes 89125
Test schedule Sun-Sat
Turnaround time 72 hours
Method Cytochemical Stain
Test includes
BAL, Oil Red O.
Reference ranges
  
BAL, Oil Red O     
 Normal                0-50              
 Equivocal             51-100               
 Indicates aspiration  GT 100
Notes
Automatically done on all BAL specimens.

[372]


BARBITURATE SCREEN
Order Code BARB Test Code BARBS
Synonyms Barbiturates,Downers, Sleepers, butalbital, amobarbital, pentobarbital, phenobarbital, secobarbital, Buff-A-Comp, esgic, fiorinal, fioricet, fiorpap, medigesic, amytal, tuinal, nembutal, carbrital, WANS, luminol, antrocol, arcolase plus, bronkotabs, cardo
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 200 ng/ml
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Test includes
Screens for Amobarbital, Butalbital, Pentobarbital, Phenobarbital, Secobarbital
Notes
Positive results will automatically be confirmed by TLC

[6882]


BARBITURATES BY GC/MS
Order Code MSBAR Test Code MSBAR
Synonyms (Butalbital), candy, goofballs, peanuts, sleepers,(Amobarbital), blue angels, blue birds, downers, blues,(Pentobarbital), downers, goofballs, nembies, nemmies,(Secobarbital), bullets, candies, barbs, reds, red birds, phennies, tooies, (Phenobarbital),
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff at 200 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Gas Chromatography Mass Spectrometry
Test includes
Amobarbital, Butalbital, Pentobarbital, Phenobarbital, Secobarbital

[6885]


BARBITURATES BY TLC
Order Code TLCBAR Test Code TLCBAR
Synonyms phenobarbital, luminol, antrocol, arcolase plus, bronkotabs, chardonna-2, isordil, levsinex, mudrane, probanthine, quadrinal, Downers, Sleepers,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 100 - 500 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Modified Thin Layer Chromatography
Test includes
Phenobarbital, Barbiturates other than Phenobarbital

[6883]


BARTONELLA DNA BY PCR
Order Code BARPCR Test Code BARPCR
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 10 mL
Specimen processing Store and transport at room temperature.
Stability-   Room temp 72 hours   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens ACD whole blood (yellow top tube) at room temperature or GT 3mm frozen tissue sent frozen.
CPT codes 87801
Test schedule Daily
Turnaround time 3-6 days
Method PCR
Test includes
Bartonella henselae DNA by PCR; Bartonella quintana DNA by PCR.
Reference ranges
  
Bartonella henselae DNA by PCR
 Not detected
Bartonella quintana DNA by PCR
 Not detected
 The detection of Bartonella henselae
 & Bartonella quintana DNA is based
 upon the amplification of specific
 Bartonella genomic DNA sequences by
 PCR form total DNA extracted from
 the specimen. Probes specific for
 B. henselae & B. quintana are used to
 identify & differentiate the products
 of the PCR amplification. The diagnosis
 of B. henselae or B. quintana infection
 should not rely solely upon the result
 of a PCR assay. A positive PCR result
 should be considered in conjunction 
 with the clinical presentation &
 additional established diagnostic
 tests prior to establishing diagnosis.
 A negative PCR result indicates only
 the absence of B. henselae or B.
 quintana DNA in the sample tested &
 does not exclude the diagnosis of
 disease.

[373]


BARTONELLA HENSELAE ANTIBODY
Order Code ROCHAL Test Code ROCHAL
Acute and convalescent samples advised.
Synonyms Cat Scratch Fever; Rochalimaea henselae Antibody
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, contaminated or hemolyzed specimens.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86611x 2
Test schedule Mon, Thu
Turnaround time 3-9 days
Method IFA
Test includes
Bartonella henselae, IgG Antibody; Bartonella henselae, IgM Antibody.
Reference ranges
  
Bartonella henselae, IgG Ab       
 LT 1:64            Negative-No significant level
 of Bartonella henselae IgG Ab detected.
 1:64-1:128         Equivocal-Questionable 
 presence of Bartonella henselae IgG Ab
 detected. Repeat testing in 10-14 days
 may be helpful.
 1:256 or greater   Positive-Presence of IgG Ab to
 Bartonella henselae detected, suggest-
 ive of current or past infection.
Bartonella henselae, IgM
 LT 1:16            Negative-No significant level
 of Bartonella henselae IgM Ab detected.
 1:16 or greater    Equivocal-Questionable pre-
 sence of Bartonella henselae IgM Ab 
 detected. Repeat testing in 10-14 days
 may be helpful.

[374]


BARTONELLA SPECIES ANTIBODY, IGG/IGM (REFLEXIVE)
Order Code BARGM Test Code BARGM
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
CPT codes 86611x 4
Test schedule Mon-Sat
Turnaround time 3-5 days
Method IFA
Test includes
Bartonella henselae, IgG Screen; Bartonella henselae, IgG Titer; Bartonella quintana, IgG Screen; Bartonella quintana, IgG Titer; Bartonella henselae, IgM Screen; Bartonella henselae, IgM Titer; Bartonella quintana, IgM Screen; Bartonella quintana, IgM Titer.
Reference ranges
  
Bartonella henselae IgG Screen   Negative    
Bartonella henselae IgG Titer    LT 1:64
Bartonella quintana IgG Screen   Negative
Bartonella quintana IgG Titer    LT 1:64
Bartonella henselae IgM Screen   Negative
Bartonella henselae IgM Titer    LT 1:20
Bartonella quintana IgM Screen   Negative      
Bartonella quintana IgM Titer    LT 1:20

[375]


BASIC METABOLIC PANEL
Order Code BMPA Test Code BMPA
Specimen Required
       Container type SST tube or Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Allow specimen to clot completely. Separate serum or plasma from cells ASAP and transport refrigerated. If red top tube is collected, separate serum from cells ASAP and place in separate plastic tube and cap immediately. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 day   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens If plasma must be used, use lithium heparin (green top tube).
Limitations Avoid hemolysis.
Department Chemistry
CPT codes 80048
Test schedule Sun-Fri nights and STAT
Turnaround time 24-48 hours
Method Colorimetric, Enzymatic, ISE, Hexokinase, Enzymatic (IDMS Traceable)
Test includes
Glucose, mg/dL; BUN, mg/dL; Creatinine, mg/dL; BUN/Creatinine Ratio, Ratio; Calcium, mg/dL; Sodium, mmol/L; Potassium, mmol/L; Chloride, mmol/L; CO2, mmol/L; Anion Gap, mmol/L.
Reference ranges
  
Ranges as they appear on report:
Glucose                    mg/dL
 0-2 days premature   30-80
 0-2 days full term   40-90
 2 days to 1 month    60-105
 Adults               65-99

ADA diagnostic comments:
Glucose                                  mg/dL
 0-2 days premature  30-80
 0-2 days fullterm   40-90
 2 days-1 month      60-105
 Adult               65-99
 Pregnant            65-94

ADA Diagnostic Categories for nonpregnant
adults:
 Impaired fasting glucose  100-125 mg/dL
 A fasting glucose result of 126 mg/dL or
 greater indicates diabetes if the
 abnormality is confirmed on a subsequent
 day.
 A random glucose result of GT 200 mg/dL
 indicates diabetes if the abnormality
 is confirmed on a subsequent day.                     
BUN                            7-23      mg/dL
Creatinine              M      0.50-1.30 mg/dL
                        F      0.40-1.00
BUN/Creatinine Ratio           11.0-35.0 Ratio
Calcium                        8.5-10.5  mg/dL
Sodium                         135-145   mmol/L
Potassium        0-30 days     3.9-6.9   mmol/L
                 1-12 mo       3.6-6.8
                 1-5 yrs       3.2-5.7
                 5-10 yrs      3.4-5.4
                 10 yrs+       3.5-5.3
Chloride                       98-109    mmol/L
CO2              0-10 days     13-22     mmol/L
                 11 days-4 yrs 20-28
                 5+ yrs        22-31                       
Anion Gap                      5-16      mmol/L
Notes
Hemolysis will cause elevated potassium and minimal volumes will concentrate.

[376]


BCL-1/JH, T (11;14) TRANSLOCATION, FLUID
Order Code BCL1F Test Code BCL1F
Specimen Required
       Container type Lavender top tube  Specimen type EDTA whole blood  Preferred volume 10 mL  Minimum volume 3 mL
Collection procedure Collect 2-5 mL lavender top tubes.
Specimen processing Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 5 days   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Serum, frozen whole blood, or clotted blood and severely hemolyzed specimens.
Alternate specimens 10 mL ACD A whole blood (yellow top tube), or 3 mL bone marrow in EDTA or K2EDTA (lavender or pink top tubes). CSF and pleural fluid are also acceptable.
CPT codes 83891, 83898 x 3, 83894 x 2, 83912
Test schedule Varies
Turnaround time 3-8 days
Method PCR
Test includes
bcl-1 JH, t(11:14) by PCR, Fluid.
Reference ranges
  
bcl-1/JH, t(11;14) by PCR, Fluid      Negative: bcl-1/JH gene rearrangement is not detected.
                                      Positive: blc-1/JH gene rearrangement is detected.
                                      A positive result indicates the presence of a bcl-1/JH
                                      (11;14) chromosomal translocation. A negative result does
                                      not entirely exclude the presence of a bcl-1/JH chromosomal
                                      t(11;14) translocation.

[3556]


BCL-2/JH, T(14;18) BY PCR, FLUID
Order Code BCLJHT Test Code BCLJHT
Specimen Required
       Container type Lavender top tube (EDTA) or Yellow top tube (ACD A)for whole blood specimen or bone marrow.  Specimen type EDTA whole blood and bone marrow.  Preferred volume 5 mL  Minimum volume 3 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 5 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Serum, heparinized whole blood, frozen whole blood, clotted blood or severely hemolyzed specimen.
Alternate specimens ACD A whole blood or bone marrow (yellow top tube), CSF and pleural fluid.
CPT codes 83891, 83898 x 6, 83894 x 3, 83912`Additional CPT modifiers may be required for `procedures performed to test for oncologic or inherited disorders.
Test schedule Sun-Sat
Turnaround time 4-10 days
Method PCR
Test includes
bcl-2/JH, t(14;18) mbr, Fluid; bcl-2/JH, t(14;18) mcr, Fluid.
Reference ranges
  
bcl-2/JH, t(14;18) mbr, Fluid
 Negative  bcl-2/JH major breakpoint region 
           gene rearrangement is
           not detected.
 Positive  bcl-2/JH major breakpoint region
           gene rearrangement is
           detected.
bcl-2/JH, t(14;18) mcr, Fluid
 Negative  bcl-2/JH minor cluster region
            gene rearrangement is not
            detected.
 Positive:  bcl-2/JH minor cluster region
            gene rearrangement is detected.
This test is performed pursuant to an agree-
ment with Roche Molecular Systems, Inc.

[377]


BCR-ABL GENE REARRANGEMENT
Order Code BCRAB Test Code BCRAB
Synonyms BCR/ABL1 Fusion gene, t(9;22) translocation; Molecular test; leukemia
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood or bone marrow  Preferred volume 5 mL whole blood or 1 mL bone marrow  Minimum volume 3 mL whole blood or 0.5 mL bone marrow.
Specimen processing Store and transport unopened original collection tube refrigerated. Do not freeze. Samples must arrive in the lab within 48 hours of collection. Indicate source.
Required patient info Indicate source.
Stability-   Room temp unacceptable   Refrigerated 2 days   Frozen (-20°C) unacceptable.   Frozen (-70°C)
Unacceptable conditions Whole blood in sodium heparin, serum/plasma, grossly hemolyzed sample, frozen whole blood or bone marrow, shared sample (other than bone marrow).
Alternate specimens Sodium citrate whole blood or bone marrow (blue top tube).
Department Molecular Diagnostics
CPT codes 83891, 83902, 83898 x 2, 83903 x 2, 83912
Test schedule Weekly
Turnaround time 2-9 days
Method Real-time qRT-PCR
Test includes
Source; BCR/ABL translocation by RT-PCR.
Reference ranges
  
Source
BCR/ABL Translocation          Not detected
                               A bcr/abl t(9;22) translocation was not detected.
                               Major fusion transcript (p210 fusion gene product): Not detected
                               Minor fusion transcript (p190 fusion gene product): Not detected
                               The bcr/abl fusion gene transcript is found in GT 99% of patients 
                               with chronic myelogenous leukemia (CML) & 25-40% of adult patients 
                               with ALL. A negative result does not absolutely rule out the 
                               presence of the fusion transcript in this patient's sample.
 This test is performed by real-time quantitative reverse transcription PCR using fluorescence detection.        
Analytical specificity: detects the three major fusion transcripts, b3a2,   b2a2, and e1a2. Limit of detection and limit of quantification p210: 0.0005% and 0.005%. Limit of detection and limit of quantification for p190: 0.01% and 0.1%.
Notes
Direct comparison of results generated in different laboratories is not recommended due to variation between assay configurations. Direct comparison of sequential results generated from the same sample type will provide the most meaningful information. Test results should always be considered complimentary to morphologic and other relevant data; therefore, should not be independently used to make a diagnosis of malignancy.

[5216]


BENCE JONES PROTEIN, QUANTITATIVE FREE KAPPA & LAMBDA LIGHT CHAINS,URINE
Order Code BJKLQ Test Code BJKLQ
Synonyms Electrophoresis, Protein, Urine; Free Kappa & Lambda Light Chains (Bence Jones Protein); Urine by Immunofixation Electophoresis, Quantitative Urine; Protein Electorphoresis, Urine
Specimen Required
       Container type Leakproof plastic urine containers  Specimen type Urine, 24-hour  Preferred volume 9 mL  Minimum volume 3 mL
Collection procedure Collect a 24-hour urine specimen in a leakproof plastic urine container.
Specimen processing Submit 2 -4.5 mL aliquots from a well-mixed 24-hour collection. Refrigerate during collection. Submit in two leakproof plastic urine containers. Store and transport refrigerated.
Required patient info Total volume and collection time
Stability-   Room temp 2 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Specimens that not refrigerated.
Alternate specimens Urine supernate, random urine collection although they are not the preferred specimen.
CPT codes 84156, 86335, 83883 x 2
Test schedule Mon-Fri
Turnaround time 3-7 days
Method Immunofixation/Electrophoresis/Nephelometry
Test includes
Collection Time, hours; Total Volume, mL; Total Protein, mg/d; Albumin, Urine; Alpha-1, Urine; Alpha-2, Urine; Urine Beta Globulin; Gamma, Urine; Free Urinary Kappa Light Chains, mg/dL; Free Urinary Kappa Excretion/day, mg/d; Free Urinary Lambda Light Chains, mg/dL; Free Urinary Lambda Excretion/day, mg/d; Free Urinary Kappa/Lambda Ratio, Ratio; IFE Interpretation.
Reference ranges
  
Collection time                                   hr
Total Volume                                      mL
Total Protein        10-140                       mg/d
Albumin, Urine       None detected
Alpha-1, Urine       None detected
Alpha-2, Urine       None detected
Urine Beta Globulin  None detected
Gamma, Urine         None detected
Free Urinary Kappa   0.14-2.42                   mg/dL
 Light Chains
Free Uinary Kappa                                mg/d
 Excretion/day
Free Urinary Lambda                              mg/dL
 Light Chains
Free Urinary Lambda  0.02-0.67                   mg/dL
 Excretion/day                                   mg/d
Free Urinary Kappa/  2.04-10.37                  ratio
 Lambda Ratio
IFE Interpretation   Total urinary protein is determined
                     nephelometrically by adding the albumin
                     and kappa and/or lambda light chains.
                     This value may not agree with the total
                     protein as determined by chemical methods,
                     which characteristically underestimate urinary
                     light chains.
 
 

[6687]


BENZENE, WHOLE BLOOD
Order Code BENZENE Test Code BENZWB
Synonyms Benzol, Whole Blood
Specimen Required
       Container type Grey top tube (fluoride/oxalate)  Specimen type Refrigerated whole blood  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp unacceptable   Refrigerated 2 weeks   Frozen (-20°C) 3 weeks   Frozen (-70°C)
Unacceptable conditions Samples received at room temperature.
Alternate specimens EDTA whole blood (lavendar top tube)
CPT codes 84600
Test schedule Mon, Tue, Wed, Thu, Fri
Turnaround time 3-6 days
Method GC
Test includes
Benzene, mcg/mL.
Reference ranges
  
Benzene       mcg/mL
 Following exposure to 25 ppm in air
 for 2 hours   Approximately 0.2

[379]


BENZODIAZEPINES BY GC/MS
Order Code MSBENA Test Code MSBENA
Synonyms alpha-hydroxy-alprazolam, temazepam, lorazepam, oxazepam, xanax, niravam, restoril, normison, ativan, serax, candy, downs, nerve pills, tranks, depressant
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff at 200 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon-Fri
Turnaround time 24-48 hours
Method Gas Chromatography Mass Spectrometry
Test includes
Oxazepam, Alprazolam, Tempazepam, Lorazepam and Desalkylflurazepam

[6887]


BENZODIAZEPINES BY TLC
Order Code TLCBEN Test Code TLCBEN
Synonyms chlordiazepoxide, clorazepate, diazepam, halazepam, oxazepam, prazepam, temazepam, valium, diastat, dizac, librium, libritabs, normison, restoril, serax, paxipam, centrax, tranxene,depressant, minor tranquilizer, tranks, candy, downs, nerve pills, t
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5mls
Limitations Limit of detection 100 - 300 ng/ml for benzophenones
Department Toxicology
CPT codes 80102
Test schedule Mon-Fri
Turnaround time 24 - 48 hours
Method Modified Thin Layer Chromatography
Test includes
Chlordiazepoxide, Chlorazepate, Oxazepam, Nordiazepam, Diazepam, Temazepam, and Prazepam as benzophenones.

[6888]


BENZODIAZEPINES SCREEN
Order Code BENZ Test Code BENZ
Synonyms Tranquilizers, Alpha-hydroxy-alprazolam, Temazepam, Lorazepam, Oxazepam Chlordiazepoxide, Clorazepate, Diazepam, Halazepam, Prazepam, Xanax, Niravam, Restoril, Normison, Ativan, serax, valium, diastat,dizac,Librium,Libritabs,Paxipam,Centrax,Tranxene,cand
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 200 ng/ml
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Test includes
Chlordiazepoxide, Clorazepate, Diazepam, Halazepam, Oxazepam, Prazepam, and Temazepam
Notes
Positive results will automatically be confirmed by TLC.

[6886]


BENZODIAZEPINES, (QUANTITATIVE)
Order Code BENUQ Test Code BENUQ
Synonyms Flurazepam, Serax, Ativan, Restoril, Librium, Versed, Dalmane, Alprazolam, Xanax, Triazolam, Halcion, Prosom
Specimen Required
       Container type Leakproof, amber plastic urine container.  Specimen type Urine, random  Preferred volume 3 mL  Minimum volume 1.2 mL
Collection procedure Collect a random urine specimen in a leakproof plastic urine container.
Specimen processing Store and transport refrigerated.
Stability-   Room temp Unacceptable   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
CPT codes 80154
Test schedule Mon-Sat
Turnaround time 4-6 days
Method LC-MS/MS
Test includes
Diazepam, ng/mL; Nordiazepam, ng/mL; Oxazepam, ng/mL; Temazepam, ng/mL; Clobazam, ng/mL; Chlordiazepoxide, ng/mL; Lorazepam, ng/mL; 7-Amino Clonazepam, ng/mL; Alprazolam, ng/mL; Alpha-Hydroxyalprazolam, ng/mL; 1-Hydroxymidazolam, ng/mL; Hydroxytriazolam, ng/mL; Hydroxyethylflurazepam, ng/mL; Desalkylflurazepam, ng/mL; Estazolam, ng/mL
Reference ranges
  
Diazepam                        ng/mL
Nordiazepam                     ng/mL
Oxazepam                        ng/mL
Temazepam                       ng/mL
Clobazam                        ng/mL
Chlordiazepoxide                ng/mL
Lorazepam                       ng/mL
7-Amino Clonazepam              ng/mL
Alprazolam                      ng/mL
Alpha-Hydroxyalprazolam         ng/mL
1-Hydroxymidazolam              ng/mL
Hydroxytriazolam                ng/mL
Hydroxyethylflurazepam          ng/mL
Desalkylflurazepam              ng/mL
Estazolam                       ng/mL

[3054]


BENZYL ALCOHOL (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCBZA Test Code TLCBZA
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/ml
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Benzyl Alcohol
Notes
Test is also included in Drug-Sur as part of panel.

[6939]


BERYLLIUM
Order Code BERY Test Code BERY
Synonyms Be
Specimen Required
       Container type Royal blue top tube (metal free EDTA)  Specimen type Whole blood  Preferred volume 4 mL  Minimum volume 0.5 mL
Specimen processing Store and transport refrigerated or at room temperature.
CPT codes 83018
Test schedule Mon, Thu
Turnaround time 2-5 days
Method ICP/MS
Test includes
Beryllium, Blood, ug/L.
Reference ranges
  
Beryllium  LT 1.0  ug/L

[381]


BETA 2 TRANSFERRIN
Order Code B2TRAN Test Code B2TRAN
Specimen Required
       Container type SST tube(serum) AND sterile plastic leakproof container (fluid)  Specimen type Serum and Aural or Nasal Fluid  Preferred volume 2 mL serum and 2 mL aural or nasal fluid  Minimum volume 0.5 mL serum and 1 mL aural or nasal fluid
Specimen processing Collect aural or nasal fluid in a sterile leakproof container without preservative. Separate serum from cells and put in separate plastic tube and transport all specimens refrigerated. DO NOT FREEZE.
Stability-   Room temp 4 hours   Refrigerated 3 days   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Plasma and frozen specimens.
CPT codes 86334, 86335
Test schedule Mon-Fri
Turnaround time 2-5 days
Method Immunofixation Electrophoresis
Test includes
Beta 2 Transferrin.
Reference ranges
  
Beta 2 Transferrin   None Detected
 Detection of a beta-2 transferrin band by IFE is
 diagnostic for the presence of CSF. This test is a
 consideration in the differential diagnosis for CSF
 otorrhea or CSF rhinorrhea. Beta-2 transferrin is not
 detected in normal serum, tears, saliva, sputum, nasal,
 aural fluid, or endolymph by this method.

[5580]


BETA STREP GROUP B PCR
Order Code BSBPCR Test Code BSBPCR
Synonyms Streptococcus, Beta Group B by PCR
Specimen Required
       Container type See below  Specimen type Vaginal/rectal swab in BD culturette Plus
Collection procedure See below
Specimen processing Vaginal/rectal swab in BD culturette Plus. Minimize contact with surrounding mucosa. Store and transport refrigerated.
Required patient info Source
Stability-   Room temp 24 hours   Refrigerated 6 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Samples that have been frozen or exposed to excessive heat.
Limitations Protect from freezing or exposure to excessive heat.
Department Microbiology
CPT codes 87653
Test schedule Sun-Sat
Turnaround time 1-2 days
Method PCR
Test includes
Source; Beta Strep Group B PCR Result; Beta Strep Group B PCR Status.
Reference ranges
  
Source
Beta Strep Group B PCR Result
Beta Strep Group B PCR Status

[382]


BETA-2 GLYCOPROTEIN 1, IGA
Order Code B2GP1A Test Code B2GP1A
Specimen Required
       Container type SST Tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples may give false positive results, avoid repeated freeze/thaw cyles.
Department Immunology
CPT codes 86146
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method ELISA
Test includes
Beta-2 Glycoprotein 1 Antibody, IgA, U/mL.
Reference ranges
  
Beta-2 Glycoprotein 1 Ab,   Negative      LT 10       U/mL
 IgA                        Positive      10 or more

[383]


BETA-2 GLYCOPROTEIN 1, IGG
Order Code B2GP1G Test Code B2GP1G
Specimen Required
       Container type SST Tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples may give false positive results, avoid repeated freeze/thaw cyles.
Department Immunology
CPT codes 86146
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method ELISA
Test includes
Beta-2 Glycoprotein 1 Antibody, IgG, U/mL.
Reference ranges
  
Beta-2 Glycoprotein 1 Ab,   Negative      LT 20       U/mL
 IgG                        Positive      20 or more

[384]


BETA-2 GLYCOPROTEIN 1, IGG & IGM
Order Code B2GPGM Test Code B2GPGM
Specimen Required
       Container type SST Tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples may give false positive results, avoid repeated freeze/thaw cyles.
Department Immunology
CPT codes 86146 x 2
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method ELISA
Test includes
Beta-2 Glycoprotein 1 Antibody, IgG, U/mL; Beta-2 Glycoprotein 1 Antibody, IgM, U/mL.
Reference ranges
  
Beta-2 Glycoprotein 1 Ab,   Negative      LT 20       U/mL
 IgG                        Positive      20 or more
Beta-2 Glycoprotein 1 Ab,   Negative      LT 10       U/mL
 IgM                        Positive      10 or more

[385]


BETA-2 GLYCOPROTEIN 1, IGM
Order Code B2GP1M Test Code B2GP1M
Specimen Required
       Container type SST Tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples may give false positive results, avoid repeated freeze/thaw cyles.
Department Immunology
CPT codes 86146
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method ELISA
Test includes
Beta-2 Glycoprotein 1 Antibody, IgM, U/mL.
Reference ranges
  
Beta-2 Glycoprotein 1 Ab,   Negative      LT 10       U/mL
 IgM                        Positive      10 or more

[386]


BETA-2-MICROGLOBULIN, CSF
Order Code B2M.CSF Test Code B2MSF
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type CSF  Preferred volume 0.5 mL  Minimum volume 0.4mL
Specimen processing Centrifuge to remove cellular material and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 7 days   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Alternate specimens CSF specimens collected in plain red tubes, or sodium/lithium heparin (green top tubes).
CPT codes 82232
Test schedule Sun-Sat
Turnaround time 2-4 days
Method Immunoturbidimetric
Test includes
Beta-2-Microglobulin, CSF, mg/L.
Reference ranges
  
Beta-2-Microglobulin, CSF  0.0-2.4  mg/L

[388]


BETA-2-MICROGLOBULIN, SERUM
Order Code BETA.2.MIC Test Code B2MIC
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Department Chemistry
CPT codes 82232
Test schedule Mon-Sat days
Turnaround time 1-2 days
Method CLIA
Test includes
Beta-2-Microglobulin, ug/L
Reference ranges
  
Beta-2-Microglobulin   1010-1730    ug/L

[387]


BETA-2-MICROGLOBULIN, URINE
Order Code B2M-U Test Code B2MU
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, timed  Preferred volume 2 mL  Minimum volume 1 mL
Patient Prep Void, drink large glass of water, collect urine specimen within 1 hour.
Collection procedure Collect urine within 1 hour of drinking a large glass of water after voiding.
Specimen processing Within 2 hours of collection, aliquot 2 mL of a well-mixed timed urine specimen. Check pH and if necessary, adjust pH to 6-8 with 1M NaOH and freeze. Store and transport frozen.
Stability-   Room temp 2 hours   Refrigerated 2 days (with pH 6-8)   Frozen (-20°C) 2 months (with pH 6-8)   Frozen (-70°C)
Unacceptable conditions Unfrozen or pH not adjusted on samples.
Department Immunology
CPT codes 82232
Test schedule Mon-Sat days
Turnaround time 1-4 days
Method CLIA
Test includes
Beta-2-Microglobulin, Urine, ug/L.
Reference ranges
  
Beta-2-Microglobulin Urine  0-160 ug/L

[389]


BETA-HYDROXYBUTYRIC ACID
Order Code BOHA Test Code BOHA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from the cells and place in a separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens EDTA, heparin, or sodium fluoride/potassium oxalate (lavender, green, or gray top tube).
CPT codes 82010
Test schedule Mon, Wed, Fri
Turnaround time 3-6 days
Method Enzymatic
Test includes
Beta-Hydroxybutyric Acid, mg/dL.
Reference ranges
  
Beta-Hydroxybutyric Acid  0.0-3.0  mg/dL

[390]


BICARBONATE, URINE
Order Code BICARU Test Code BICARU
Synonyms HCO3, Urine
Specimen Required
       Container type Leakproof plastic container  Specimen type Frozen urine  Preferred volume 4.5 mL  Minimum volume 0.5 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 4.5 mL of a random urine collection into a sealed leakproof urine container and freeze. Store and tranpsort frozen. Do not expose to air.
Unacceptable conditions Room temperature, refrigerated or specimens that have been frozen thawed, and refrozen.
CPT codes 82374
Test schedule Sun-Sat
Turnaround time 2-4 days
Method Enzymatic
Test includes
Bicarbonate, Urine, mmol/L.
Reference ranges
  
Bicarbonate, Urine         mmol/L
 No reference range established

[391]


BILE ACIDS, FRACTIONATED
Order Code BILEAF Test Code BILEAF
Synonyms Chenodeoxycholic Acid; Cholic Acid; Deoxycholic Acid
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Patient Prep Overnight fasting is preferred.
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated or frozen..
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 83789
Test schedule Mon-Thu
Turnaround time 4-6 days
Method LCTMS
Test includes
Cholic Acid, umol/L; Deoxycholic Acid, umol/L; Chenodeoxycholic Acid, umol/L; Total Bile Acids, umol/L.
Reference ranges
  
Cholic Acid               umol/L
 3.1 or less
Deoxycholic Acid          umol/L
 7.3 or less
Chenodeoxycholic Acid     umol/L 
 9.9 or less
Total Bile Acids          umol/L
 4.5-19.2

[392]


BILE ACIDS, TOTAL (CONJUGATED)
Order Code BILE ACIDS Test Code BILEA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Patient Prep Patient must be fasting a minimum of 8 hours prior to collection.
Specimen processing Allow sample to clot completely at room temperature before centrifugation. Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Heparinized or hemolyzed samples or body fluid specimens.
CPT codes 82239
Test schedule Sun-Sat
Turnaround time 2-5 days
Method Enzymatic
Test includes
Bile Acids, umol/L.
Reference ranges
  
Bile Acids  Fasting    0-10    umol/L

[393]


BILIRUBIN, DIRECT
Order Code DBIL Test Code DBIL
Synonyms Bilirubin, Conjugated
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Protect from light. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2weeks when protected from light.   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Sodium fluoride-potassium oxalate plasma (grey top tube), hemolyzed or lipemic samples.
Alternate specimens EDTA or lithium heparin plasma (lavender or green top tube).
Limitations Protect from light.
Department Chemistry
CPT codes 82248
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Bilirubin, Direct, mg/dL.
Reference ranges
  
Bilirubin, Direct  0.0-0.4   mg/dL

[394]


BILIRUBIN, FLUID
Order Code BILFL Test Code BILFL
Specimen Required
       Container type Sodium heparin (green top tube)  Specimen type Body fluid  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate fluid from cells and put in separate plastic tube. Note type of fluid. Store and transport refrigerated, protected from light.
Required patient info Type of fluid.
Stability-   Room temp 4 hours   Refrigerated 1 week   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Any more than slight hemolysis.
Alternate specimens Specimens collected in plain red top tubes.
Limitations Lipemia may interfere with testing. Protect specimens from light.
Department Chemistry
CPT codes 82247
Test schedule Daily
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Bilirubin, Fld, mg/dL.
Reference ranges
  
Bilirubin, Fluid    mg/dL
 No reference range established.
 Method not validated for body fluid.
 Clinical correlation necessary.

[395]


BILIRUBIN, FRACTIONATED
Order Code FRBIL Test Code BILFR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Protect from light. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks when protected from the light.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (green top tube).
Limitations Protect from light.
Department Chemistry
CPT codes 82247, 82248
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Colorimetric, Calculation
Test includes
Bilirubin, Total, mg/dL; Bilirubin, Direct, mg/dL; Bilirubin, Indirect (CALC), mg/dL.
Reference ranges
  
Bilirubin, Total             mg/dL
 0-30 days       LT 11.7
 1 mo-18 yrs     LT 2.0
 18-60 yrs       0.1-1.5
 60-90 yrs       0.2-1.1
 90 yrs+         0.2-0.9
Direct           0.0-0.4      mg/dL
Indirect         0.3-1.0      mg/dL

[396]


BILIRUBIN, TOTAL
Order Code BIL Test Code TBIL
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Protect from light. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks when protected from light.   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Hemolyzed samples.
Alternate specimens EDTA or lithium heparin plasma (lavender or green top tube).
Limitations Protect from light.
Department Chemistry
CPT codes 82247
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Bilirubin, Total, mg/dL.
Reference ranges
  
Bilirubin, Total        mg/dL
 0-30 days       LT 11.7
 1 mo-18 yrs     LT 2.0
 18-60 yrs       0.1-1.5
 60-90 yrs       0.2-1.1
 90 yrs+         0.2-0.9
Notes
Direct exposure from sunlight can decrease bilirubin by 50% within 1 hour.

[397]


BILIRUBIN, URINE
Order Code BILE Test Code BILUD
Synonyms Bilirubin, Urine
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 5 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine specimen. Protect from light. Store and transport refrigerated.
Alternate specimens Frozen specimens.
Limitations Protect from light.
Department Chemistry
CPT codes 81005
Test schedule Mon-Sat days, Mon-Fri nights
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Bile, Urine.
Reference ranges
  
Bilirubin, Urine   Negative

[398]


BIOTINIDASE, WITH PARIED NORMAL CONTROL
Order Code BIOTAS Test Code BIOTAS
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL
Collection procedure Draw specimen from patient and one from an healthy unrelated individual within 30 minutes of each other.
Specimen processing Separate serum from cells and put each in separate plastic tube and freeze. Label accordingly. Store and transport frozen.
Stability-   Room temp 1 hour   Refrigerated 1 hour   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Ambient or refrigerated specimens or more than one freeze/thaw cycle.
CPT codes 82261
Test schedule Tue, Fri
Turnaround time 2-7 days
Method Spectrophotometry
Test includes
Biotinidase, Patient, U/L; Biotinidase, Normal Control, U/L.
Reference ranges
  
Biotinidase, Patient       3.5-13.8   U/L
Biotinidase, Normal Control           U/L

[1871]


BK VIRUS DNA QUANTITATIVE BY PCR (VIRACOR)
Order Code BKVCOR Test Code BKVCOR
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 5 mL  Minimum volume 3 mL serum
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport at room temperature.
Required patient info Source
Unacceptable conditions Serum samples greater than 96 hrs old.
Alternate specimens Whole Blood: 3 to 5 mL collected in EDTA (lavender top) tube. Do not freeze; ship ambient. Testing will be performed on plasma separated from the submitted whole blood specimen. Whole blood specimens are accepted as a matter of convenience for the originating laboratory. Plasma: 3 to 5 ml separated from whole blood collected in EDTA (lavender top) tube; ship ambient. Bone Marrow: 2 mL minimum, collected in an EDTA (lavender top) tube. Do not freeze; ship ambient. Bronchial Lavage/Bronchial Wash: 1 to 3 mL, collected in sterile, screw-cap tube; ship ambient. CSF: 1 mL minimum, submitted in sterile, screw-cap tube; ship on dry ice. Tissue: Place in a sterile, screw-cap tube, add a small amount of saline to keep moist. Prefer 1 mm x 1 mm specimen. Prefer fresh over formalin fixed for maximum sensitivity; ship ambient. Urine: 1 to 2 mL sample collected in a sterile urinalysis container. Transfer to a 15 mL sterile, screw-cap tube; ship ambient. Call ViraCor for authorization prior to sending any specimen type other than those listed above. If another specimen type has received authorization for testing the following comment will appear in the final report: 'The clinical utility of this result has not yet been demonstrated in the peer reviewed literature and is therefore unknown.'
CPT codes 87799
Test schedule Mon-Sat
Turnaround time 2-4 days
Method RT qPCR
Test includes
BK Source;BK Virus, Quant by PCR.
Reference ranges
  
BK Source
BK Virus Quant by PCR             Not detected
                                  Assay Range: 500 copies/mL 
                                  to 1x10e10 copies/mL.
                                  Results should be used in conjunction
                                  with clinical findings & should not form
                                  the sole basis for a diagnosis or treatment
                                  decision. PCR tests are performed pursuant 
                                  to a license with Roche Molecular Systems.

[5566]


BK VIRUS DNA, QUANTITATIVE REAL TIME PCR
Order Code BKPCR Test Code BKPCR
Specimen Required
       Container type Lavender top tube (EDTA) or Yellow top tube (ACD A or B)  Specimen type Frozen plasma  Preferred volume 0.7 mL  Minimum volume 0.7 mL
Specimen processing Separate plasma from cells and put in separate plastic tube and freeze. Store and transport frozen.
Required patient info Source
Stability-   Room temp   Refrigerated   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens 0.7 mL frozen urine, serum or CSF or 0.7 mL ACD A or B or EDTA whole blood (yellow or lavender top tube) at room temperature.
CPT codes 87799
Test schedule Mon-Sun
Turnaround time 3-5 days
Method Real Time PCR
Test includes
Source; BKV DNA Quantitiative, copies/mL.
Reference ranges
  
Source
BKV DNA Quantitative     LT 500 copies/mL
 PCR

[402]


BKV PCR, URINE (VIRACOR)
Order Code BKPCRU Test Code BKPCRU
Specimen Required
       Container type Sterile leakproof plastic urine container  Specimen type Random urine  Preferred volume 10 mL  Minimum volume 5 mL
Collection procedure Collect a random urine sample in a sterile leakproof plastic urine container.
Specimen processing Transfer specimen to a sterile screw-cap tube. Store and transport at room temperature.
Required patient info Indicate source
CPT codes 87799
Test schedule Mon-Sat
Turnaround time 2-4 days
Method RT qPCR
Test includes
BK Virus, Urine.
Reference ranges
  
BK Virus, Urine    Not detected
 Assay Range: 500 copies/mL to 1x10e10 copies/mL.
 Results should be used in conjunction with clinical
 findings, and should not form the sole bases for a
 diagnosis or treatment. 
 PCR tests are performed pursuant to a license agreement
 with Roche Molecular Systems.

[5564]


BLADDER TUMOR ASSOCIATED ANTIGEN
Order Code BLTA Test Code BLTA
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 2 mL  Minimum volume 2 mL
Collection procedure Collect a voided or catherterized urine only. Use a clean urine cup without preservatives or fixatives.
Specimen processing Aliquot 2 mL of urine into a leakproof, plastic urine container. The specimen should be labeled with the patient's first and last name, date of birth, specimen source, medical record number (or other unique identifier), and collection date. Submit the specimen along with the completed ARUP Cytology request form to the Cytopathology Laboratory. The request form must have the requested test marked and pertinent clinical history recorded. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 1 week   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Bladder washing (barotage) specimens, serum, plasma, or whole blood.
CPT codes 86294
Test schedule Mon-Fri
Turnaround time 2-6 days
Method Qualitative Immunoassay
Test includes
Bladder Tumor Associated Antigen.
Reference ranges
  
Bladder Tumor Associated Antigen
 Negative    Bladder tumor associated
 antigen not detected.
 Interpretation
 Negative    Bladder tumor associated
 antigen not detected.
 Positive    Bladder tumor associated
 antigen detected.
 Results of BTA stat test should not
 be interpreted as absolute evidence for
 the presence or absence of bladder 
 cancer. Any disease that would cause
 endogenous hCFH to leak into the bladder
 can cause a positive test result, 
 including renal stones, nephritis, renal
 cancer, urinary tract infections, cystitis,
 or recent trauma to the bladder or 
 urinary tract.

[403]


BLASTOMYCES ANTIBODIES PANEL
Order Code BLABP Test Code BLABP
Acute and convalescent samples advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labeled as such; parallel testing is preferred and convalescent samples must be recieved within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic or contaminated samples.
CPT codes 86612 x 2
Test schedule Sun-Fri
Turnaround time 3-5 days
Method CF/ID
Test includes
Blastomyces Ab, CF; Blastomyces Ab, ID.
Reference ranges
  
Blastomyces Ab, CF
 LT 1:8  No antibody detected
Blastomyces Ab, ID
 None detected.
 In general, immunodiffusion measures
 IgG, and a positive result may suggest
 active or recent infection. The test
 is positive in about 80% of cases. 
 Cross reactions occur, especially with
 histoplasmosis. A negative test (none
 detected) does not exclude blasto-
 mycosis.

[404]


BLASTOMYCES ANTIBODY BY CF
Order Code BLASTO.CF Test Code BLASCF
Acute and convalescent samples advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic or contaminated specimens.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86612
Test schedule Sun-Fri
Turnaround time 3-6 days
Method CF
Test includes
Blastomyces Antibody, Titer.
Reference ranges
  
Blastomyces Ab (by CF)        Titer
 LT 1:8  No antibody detected

[405]


BLASTOMYCES ANTIBODY BY ID
Order Code BLASTO Test Code BLASTO
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma specimens or other body fluids.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86612
Test schedule Sun-Fri
Turnaround time 3-6 days
Method ID
Test includes
Blastomyces Precipitin Antibody.
Reference ranges
  
Blastomyces Precipitin Ab by ID    None detected

[406]


BLEEDING DIATHESIS PANEL (REFLEXIVE)
Order Code BLDPAN Test Code BLDPAN
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Bleeding Evaluation
Specimen Required
       Container type Buffered sodium citrate (blue top tubes)  Specimen type Frozen plasma  Preferred volume 18 mL (6-3 mL aliquots)  Minimum volume 12 mL (4-3 mL aliquots)
Specimen processing If the interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge and put in 6 separate plastic tubes (6 aliquots) and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or in appropriately filled liquid blue top tubes. Samples older than 4 hours that have not be separated and frozen at -20C or less.
Department Coagulation
CPT codes 85610, 85730, 85670, 85384, 85291, 85379, 85240, 85245, 85246
Test schedule Mon-Fri
Turnaround time 2-4 days
Method Electromechanical Clot Detection, Urea Solubility, Latex Immunoassay, Ristocetin Induced Platelet Aggregation
Test includes
Protime, Patient, sec; Protime, Patient/Control Mix, sec; Protime, Control Plasma, sec; APTT, Patient, sec; APTT, Patient/Control Mix, sec; APTT, Control, sec; APTT, Patient Post Incubation, sec; Heparinase APTT, sec; TT, Patient, sec; TT, Control, sec; TT, Patient/Control Mix, sec; TT, Patient/PSO4 Mix, sec; Fibrinogen, mg/dL; Reptilase, Patient, sec; Reptilase, Control, sec; Reptilase, Patient/Control Mix, sec; Factor XIII; D-Dimer, Quant, ug/mL FEU; Factor VIII, %; von Willebrand Factor Acitivity, %; von Willebrand Factor Antigen, %; Factor II, %; Factor V, %; Factor X, %; Factor VII, %; Factor IX, %; Factor XI, %; PNP, sec; dRVVT, sec; dRVVT Mix Ratio; dRVVT Confirm Ratio; dRVVT Confirm Mix Ratio; Factor VIII Inhibitor, Quant, Bethesda Units; Factor II Inhibitor, Inhibitor Units; Factor V Inhibitor, Inhibitor Units; Factor X Inhibitor, Inhibitor Units; Factor VII Inhibitor, Inhibitor Units; Factor IX Inhibitor, Inhibitor Units; Factor XI Inhibitor, Inhibitor Units; Interpretation; Reviewed By.
Reference ranges
  
PT, Pt   0-1 mo     13.0-20.0                          sec
         2+ mo      10.9-14.8
PT, Pt/Clt Mix      A protime that is not within 3     sec
                    sec of the control plasma may
                    suggest an inhibitor.
PT, Ctl Plasma                                         sec
APTT, Patient
 0-1 mo             40-50                              sec
 2 mo-4 yr          25-60
 5+ yr              26-36
APTT, Pt/Ctl Mix    A PTT mix is not within 5          
                    seconds of the control
                    plasma ususally suggests
                    an inhibitor.
APTT Ctl Plasma                                        sec 
APTT, Pt Post                                          sec
Incubation  
Heparinase APTT     26-38                              sec
                    Neutralization suggests heparin
                    effect.
TT, Pt              15.6-20.0                          sec
TT, Control         15.6-20.0                          sec
TT, Pt/Ctl Mix                                         sec
TT, Pt/PSO4 Mix                                        sec
Fibrinogen          211-419                            mg/dL
Reptilase, Pt       14.8-21.2                          sec
Reptilase, Ctl      14.8-21.2                          sec
Reptilase, Pt/                                         sec
 Ctl Mix
Factor XIII         No clot dissolution
D-Dimer, Quant      LT 0.50                            ug/mL FEU
Factor VIII         55-150                             %
von Willebrand      GT 40                              %
 Factor Activity
von Willebrand      50-165                             %
 Factor Antigen
Factor II           80-117                             %
Factor V            50-150                             %
Factor X            45-155                             %
Factor VII          65-135                             %
Factor IX           60-140                             %
Factor XI           65-135                             %
PNP                 0-7                                sec
dRVVT               31.8-45.7                          sec
dRVVT Mix           0.0-1.2
 Ratio
dRVVT Confirm       LT 1.2
 Ratio
dRVVT Confirm       LT 1.2
 Mix Ratio
Factor VIII         Negative                      Bethesda Units
 Inhibitor, Qnt
Factor II           Negative                      Bethesda Units
 Inhibitor
Factor V            Negative                      Bethesda Units
 Inhibitor
Factor X            Negative                      Bethesda Units
 Inhibitor
Factor VII          Negative                      Bethesda Units
 Inhibitor
Factor IX           Negative                      Bethesda Units
 Inhibitor
Factor XI           Negative                      Bethesda Units
 Inhibitor
Interpretation
Reviewed by         
Notes
Additional testing will be performed to define abnormalities found in screening tests. Specific Factor Inhibitor studies will be performed if Factor Levels are below 40%.

[5581]


BLEEDING TIME
Order Code BLEED Test Code BTIVY
Synonyms Ivy Bleeding Time
Specimen Required
        Specimen type Filter paper wheel
Specimen processing Timed blotted filter paper wheel. Performed at any Patient Service Center.
Department Hematology
CPT codes 85002
Test schedule Mon-Sat & STAT
Turnaround time 24-48 hours
Method Template
Test includes
Bleeding Time, min.
Reference ranges
  
Bleeding Time     2.0-9.5    min

[407]


BORDETELLA PERTUSSIS IGA, IGG, IGM ANTIBODIES
Order Code BPAGM Test Code BPAGM
Paired sera preferred.
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be received within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Severely lipemic, contaminated, heat-inactivated, or hemolyzed samples.
CPT codes 86615 x 3
Test schedule Tue
Turnaround time 3-9 days
Method ELISA
Test includes
Bordetella pertussis Antibody IgA, U/mL; Bordetella pertussis Antibody IgG, U/mL; Bordetella pertussis Antibody IgM, U/mL.
Reference ranges
  
Bordetella pertussis Ab, IgA        U/mL
 0.9 or less     Negative-No significant
 level of detectable Bordetella pertussis
 IgA antibody.
 1.0-1.1         Equivocal-Repeat testing 
 in 10-14 days may be helpful.
 1.2 or more     Positive-IgA Ab to
 Bordetella pertussis detected which may
 indicate a current or past exposure/
 immunization to B. pertussis.
Bordetella pertussis Ab, IgG        U/mL
 0.9 or less     Negative-No siginficant
 level of Bordetella perutssis IgG Ab.
 1.0-2.4         Equivocal-Repeat testing
 in 10-14 days may be helpful.
 2.5 or more     Positive-IgG Ab to
 Bordetella pertussis detected, which may
 indicate a current or past exposure/
 immunization to B. pertussis.
Bordetella pertussis Ab, IgM        U/mL
 0.9 or less     Negative-No significant
 level of detectable Bordetella pertussis
 IgM Ab.
 1.0-1.1         Equivocal-Repeat testing in
 10-14 days may be helpful.
 1.2 or more     Positive-IgM ab to Bordetella
 pertussis detected, which may indicate a 
 current or recent exposure/immunization
 to B. pertussis.

[5053]


BORDETELLA PERTUSSIS SCREEN
Order Code PERT Test Code PERTSM
Synonyms Bordetella Pertussis Screen; DFA B. Pertussis; Pertussis Smear
Specimen Required
       Container type Slide transport pack.  Specimen type Nasopharyngeal slides
Collection procedure Collect specimen using dacron nasopharyngeal swab. Pass the swab through the nares until resistance is met. Hold in place for up to 30 seconds. Remove the swab and roll the specimen in the center of a slide, in a 1 cm round circular area. A second swab is collected from the contralateral nostril and a second slide is prepared.
Specimen processing Store and transport both air dried slides in a slide transport pack.
Required patient info Specimen source.
Limitations DFA testing should be performed only as an adjunct to culture or PCR, and the results should be considered presumptive.
Department Microbiology
CPT codes 87206
Test schedule Sun-Sat
Turnaround time 1-3 days
Method FA
Test includes
Source; Bordetella pertussis Screen; Bordetella pertussis Screen Status.
Reference ranges
  
Source
Bordetella pertussis Screen  Negative
Bordetella pertussis Status
Notes
Contact the lab if PCR or pertussis culture is requested.

[409]


BORDETELLA PERTUSSIS/PARAPERTUSSIS BY PCR shipping instruction code
Order Code BORPCR Test Code BORPCR
Synonyms Molecular test
Specimen Required
        Specimen type NP swab OR NP wash  Preferred volume NP Swab: 2 swabs, OR NP wash: 1 mL  Minimum volume NP Swab: 1 swab, OR NP wash: 0.5 mL
Collection procedure Collect two NP swabs (dacron or rayon tip with plastic or wire shaft) by inserting the swab through the nose into the posterior nasopharynx and rotate at least 5 seconds, OR collect 1 mL nasopharyngeal wash. Place swabs or wash in sterile capped container. Do not freeze.
Specimen processing Store and transport refrigerated. Store at 4C upon receipt. Ship 650. shipping instruction code
Stability-   Room temp unacceptable   Refrigerated 1 week   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Swabs with calcium alginate or heparin, swabs older than 7 days. In general, throat swabs, although exceptions may be made in certain circumstances as determined by the director or supervisor.
Alternate specimens Samples in M4, M4RT, M5 or universal viral transport medium.
Department Molecular Diagnostics
CPT codes 87801
Test schedule Mon-Fri
Turnaround time 1-3 days
Method RT-PCR
Test includes
Bordetella pertussis/parapertussis by PCR Result; Comment; Method; Comment.
Reference ranges
  
Bordetella pertussis/parapertussis
 by PCR Result
  Negative for Bordetella pertussis DNA.
  Negative for Bordetella parapertussis DNA. 
Comment   The analytic sensitivity of this assay is 1 organism per 3 microliters of processed specimen.
          A false positive result for Bordetella pertussis may occur in samples containing Bordetella 
          holmesii or Bordetella bronchiseptica.
Method    This test was performed by PCR and fluorescent hydrolysis probe detection. 
Comment        

[410]


BORON, SERUM/PLASMA
Order Code BORONS Test Code BORONS
Specimen Required
       Container type Royal blue top tube, Trace metal free, no additive  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0,7 mL
Specimen processing Separate serum from cells and put in a separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 month   Refrigerated 1 month   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Glass container, polymer gel separation tube (SST or PST).
Alternate specimens EDTA plasma (Royal blue top tube, plastic, Trace metal free).
CPT codes 83018
Test schedule Fri
Turnaround time 2-3 days
Method ICP/MS
Test includes
Boron, mcg/L.
Reference ranges
  
Boron       None Detected        mcg/L
            Normally: LT 100

[5582]


BORRELIA BURGDORFERI ANTIBODY, IGG/IGM BY WESTERN BLOT
Order Code LYWBCF Test Code LYWBCF
Synonyms Lyme Ab IgG/IgM, WB
Specimen Required
       Container type Clean leakproof plastic container.  Specimen type CSF  Preferred volume 3 mL  Minimum volume 2 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Contaminated or heat-inactivated samples.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86617 x 2
Test schedule Sun, Tue, Thu, Fri
Turnaround time 2-4 days
Method Western Blot
Test includes
Borrelia burgdorferi Ab, IgG, CSF; Borrelia burgdorferi Ab, IgM, CSF.
Reference ranges
  
Borrelia burgdorferi Ab, IgG-CSF       Positive   Any five of the following 10 bands: 18, 23,
                                                  28, 30, 39, 41, 45, 58, 66 or 93 kDa
                                       Negative   Any pattern that does not meet the IgG-positive
                                                  criteria.
Borrelia burgdorferi Ab, IgM-CSF       Positive   Any two of the following 3 bands: 23, 39, or 41 kDa.
                                       Negative   Any pattern that does not meet the IgM-positive 
                                                  criteria.
                                       The detection of Abs to Borrelia burgdorferi in CSF may indicate
                                       central nervous system infection. However, consideration must be
                                       given to possible contamination by blood or transfer of serum
                                       Abs across the blood-brain barrier.

[5597]


BORRELIA BURGDORFERI ANTIBODY, IGM
Order Code LYME.IGM Test Code LYMEM
Synonyms B. burgdorferi, IgM; Lyme, IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Stability-   Room temp 1 week   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
CPT codes 86618
Test schedule Mon-Fri
Turnaround time 6-9 days
Method EIA
Test includes
Borrelia burgdorferi, IgM, Index.
Reference ranges
  
Borrelia burgdorferi, IgM        LT 0.8      Index
 LT 0.8    Not detected
 0.8-1.2   Indeterminate
 GT 1.2    Positive

[411]


BORRELIA HERMSII ANTIBODY PANEL
Order Code BHERAB Test Code BHERAB
Acute and convalescent specimens recommended.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 5 days   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions CSF samples.
CPT codes 86619 x 2
Test schedule Fri
Turnaround time 2-9 days
Method IFA
Test includes
Borrelia hermsii, IgG; Borrelia hermsii, IgM; Interpretation.
Reference ranges
  
Borrelia hermsii, IgG         LT 1:64
Borrelia hermsii, IgM         LT 1:16
Interpretation

[2478]


BORRELIA HERMSII, SMEAR (BLOOD PARASITES)
Order Code BLD-PARA BOR Test Code BORR
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood and 4 unstained peripheral blood smears  Preferred volume 5 mL  Minimum volume 0.5 mL and 4 blood smears
Specimen processing Store and transport at room temperature.
Limitations Does not detect Borrellia burgdorferi.
Department Hematology
CPT codes 87207
Test schedule Sun-Sat & STAT
Turnaround time 24-48 hours
Method Microscopic
Test includes
Borrelia, number of parasites/KRBC
Reference ranges
  
Borrelia (Bld)   None Seen
(If present reported as "Parasites seen" with
the number of parasites/1000 RBC)
Notes
All positives are reported to SHMC Epidemiology Department. Procedure includes the examination of buffy coat preparations.

[414]


BORRELIA SPECIES DNA DETECTION BY PCR shipping instruction code
Order Code LYMPCR Test Code LYMPCR
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Sterile technique is required for handling all samples. Separate serum from cells and place in separate sterile plastic tube and freeze. Store and transport frozen.
Required patient info Source
Stability-   Room temp 8 hours (except tissue)   Refrigerated 2 weeks (except tissue)   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heparinized samples, non-sterile or leaking containers, frozen or clotted whole blood, and severely hemolyzed samples.
Alternate specimens 3-5 mm3 skin punch biopsy snap-frozen and sent on dry ice; 2 mL frozen CSF, synovial fluid or plasma.
CPT codes 87476
Test schedule Assay-Tue, Thu, Sat; DNA-Sun, Wed, Fri
Turnaround time 2-5 days
Method PCR
Test includes
Source; Borrelia Species by PCR.
Reference ranges
  
Source
Borrelia Species by PCR
 Negative-Borrelia species DNA not detected
 by PCR. 
 This test is performed pursuant
 to an agreement with Roche Molecular Systems,
 Inc.

[415]


BRETYLIUM TOSYLATE
Order Code BRET Test Code BRET
Synonyms Bretylol
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Collection procedure Draw approximately 30 minutes following a 300 MG IM dose of Bretylium Tosylate.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Limitations No SST tubes.
CPT codes 82491
Test schedule Varies
Turnaround time 5-10 days
Method HPLC
Test includes
Bretylium Tosylate, mcg/mL.
Reference ranges
  
Bretylium tosylate    mcg/mL
 Following a 300 mg IM dose the average
 plasma concentration is 1.3 mcg/mL at
 approximately 30 minutes.

[416]


BRILLIANT CRESYL BLUE
Order Code BCB Test Code BCB
Specimen Required
       Container type Lavender top tube (EDTA) and slides.  Specimen type Whole blood and peripheral blood slides.  Preferred volume 5 mL  Minimum volume 1 mL or 2 EDTA microtainers and peripheral slides.
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated 10 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Specimens more than 10 days old or frozen specimens.
Department Hematology
CPT codes 87207
Test schedule Wed
Turnaround time 1 week
Method Visual Microscopic
Test includes
Brilliant Cresyl Blue.
Reference ranges
  
Brilliant Cresyl Blue       Negative

[417]


BROMIDES
Order Code BROMIDE Test Code BROMID
Synonyms Triple Bromide
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Stability-   Room temp 7 days   Refrigerated 7 days   Frozen (-20°C) Indefinitely   Frozen (-70°C)
Alternate specimens Heparinized or EDTA plasma (green or lavender top tube).
CPT codes 80299
Test schedule Mon, Thu
Turnaround time 3-6 days
Method Spectrophotometric
Test includes
Bromide, mg/dL.
Reference ranges
  
Bromide                               mg/dL                      
 Sedation                      10-50    
 Seizure control               75-150
 Toxic for many patients       75-150
 Possibly debilitatingly toxic GT 150
 Possibly fatal                GT 300

[418]


BRUCELLA AB, IGG & IGM
Order Code BRABGM Test Code BRABGM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86622 x 2
Test schedule Mon-Fri
Turnaround time 2-4 days
Method ELISA
Test includes
Brucella AB, IgG,U; Brucella AB, IgM, U.
Reference ranges
  
Brucella Ab, IgG      LT 0.80                     U
  LT 0.80            Antibody not detected
  0.80-1.09          Equivocal
  1.10 or greater    Antibody detected
Brucella Ab, IgM      LT 0.80                     U
  LT 0.80            Antibody not detected
  0.80-1.09          Equivocal
  1.10 or greater    Antibody detected

[420]


BUN
Order Code BUN Test Code BUN
Synonyms Urea Nitrogen; Blood Urea Nitrogen; BUN
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 84520
Test schedule Sun-Fri & STAT
Turnaround time 24-48 hours
Method Enzymatic
Test includes
BUN (UREA), mg/dL.
Reference ranges
  
BUN (UREA)  7-23    mg/dL

[421]


BUN/CREATININE RATIO
Order Code BUN/CRE Test Code BUNCRE
Synonyms Blood Urea Nitrogen/Creatinine Ratio
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Alternate specimens Lithium heparinized (green top tube) or SST tube.
Department Chemistry
CPT codes 84520, 82565
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Enzymatic, Enzymatic (IDMS Traceable), Calculation
Test includes
BUN (UREA), mg/dL; Creatinine, mg/dL; Bun/Cre.
Reference ranges
  
BUN (UREA)        7-23          mg/dL
Creatinine  M     0.50-1.30     mg/dL
            F     0.40-1.00       
BUN/Cre           11.0-35.0      Ratio

[422]


BUPRENORPHINE COMPLIANCE CONFIRMATION TESTING
Order Code CPBUP Test Code CPBUP
Specimen Required
       Container type Random Urine Leakproof Plastic Container  Specimen type Urine  Preferred volume 30 mLs  Minimum volume 5 mLs
Stability-   Room temp 48 hours   Refrigerated After 48 hours   Frozen (-20°C)   Frozen (-70°C)
Limitations Store and Transport at Room Temperature. Refrigerate after 48 hours
Department Toxicology
CPT codes 80102
Test schedule Mon-Sat
Turnaround time 24-48 hours
Method GC/MS
Test includes
Compliance Buprenorphine Confirmation Testing to LOD/LOQ.

[7013]


BUPROPION
Order Code BUPROPION Test Code BUPRO
Synonyms Wellbutrin
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 2.5 mL  Minimum volume 1.5 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze within 2 hours. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Non-frozen specimens.
Alternate specimens Frozen heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube).
Limitations Avoid the use of serum separator tubes and gels.
CPT codes 80299
Test schedule Mon, Thu
Turnaround time 3-6 days
Method HPLC
Test includes
Bupropion, ng/mL.
Reference ranges
  
Bupropion  50-100  ng/mL
The therapeutic range is not well established.
Patient response appears to improve with
concentrations between 50-100 ng/mL. Levels
below 25 ng/mL may have no effect. Poor
response and increased toxicity have been 
reported at concentrations above 100 ng/mL.

[423]


BUTALBITAL
Order Code BUT Test Code BUTALB
Synonyms Fiorinal
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.6 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Stability-   Room temp 3 months   Refrigerated 3 months   Frozen (-20°C) 1 year   Frozen (-70°C)
Alternate specimens EDTA, sodium heparinized or fluoride/oxalate plasma (lavender, green or grey top tube).
Limitations Avoid the use of serum separator tubes & gels.
CPT codes 82205
Test schedule Sun, Tue, Thu
Turnaround time 3-5 days
Method GC
Test includes
Butalbital, ug/mL.
Reference ranges
  
Butalbital            ug/mL
 Therapeutic  1-10      
 Toxic        GT 30

[424]


C-PEPTIDE
Order Code CPEPS Test Code CPEPS
Synonyms C PEPTIDE; C-PEPTIDE; PEPTIDE
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Collection procedure Fasting sample is preferred.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 14 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Department Immunology
CPT codes 84681
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
C-Peptide, ng/mL.
Reference ranges
  
C-Peptide    Fasting   1.0-5.5  ng/mL

[425]


C-TELOPEPTIDE, BETA-CROSS LINKED
Order Code CTXAR Test Code CTXAR
Synonyms CTx
Specimen Required
       Container type SST Tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 8 hours   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed, heparinized and specimens received in plasma separator tubes.
CPT codes 82523
Test schedule Tue, Thu, Sat
Turnaround time 2-5 days
Method Electrochemiluminescent Immunoassay
Test includes
C-Telopeptide, Beta-Cross Linked, pg/mL.
Reference ranges
  
C-Telopeptide, Beta-Cross Linked          pg/mL
 F    18-29 yrs         64-640
      30-39 yrs         60-650
      40-49 yrs         40-465
      Postmenopausal    104-1008
 M    18-29 yrs         87-1200
      30-39 yrs         70-780
      40-49 yrs         60-700
      50-69 yrs         87-345
      70 yrs +          80-1050

[4016]


C1 ESTERASE INHIBITOR (FUNCTIONAL)
Order Code C-1 FUNC Test Code C1FUNC
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Must have a dedicated sample. Store and transport frozen.
Stability-   Room temp 2 hours   Refrigerated unacceptable   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Non-frozen specimens.
Alternate specimens Frozen EDTA plasma (lavender top tube).
CPT codes 86161
Test schedule Sun, Wed, Fri
Turnaround time 4-7 days
Method ELISA
Test includes
C1 Esterase Inhibitor (Functional), %.
Reference ranges
  
C1 Esterase Inhibitor, Functional  %
 Normal         GT 67   
 Indeterminate  41-67
 Abnormal       40 or less

[426]


C1 ESTERASE INHIBITOR (TOTAL)
Order Code C-1 EST Test Code C1EST
Synonyms C1 Inhibitor; C1INH
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Must have a dedicated sample. Store and transport frozen.
Stability-   Room temp 2 hours   Refrigerated   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Non-frozen specimens.
CPT codes 86160
Test schedule Sun, Wed , Fri
Turnaround time 4-7 days
Method Nephelometric
Test includes
C1 Esterase Inhibitor (Total), mg/dL.
Reference ranges
  
C1 Esterase Inhibitor, Total  21-39 mg/dL

[427]


C1Q BINDING ASSAY
Order Code C1Q Test Code C1Q
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Let sample stand on clot for 2 hours. Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Separate specimens must be submitted when multiple tests are ordered.
Stability-   Room temp 2 hours   Refrigerated unstable   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Non-frozen specimens.
Limitations Avoid repeated freeze-thaw cycles.
CPT codes 86332
Test schedule Mon, Thu
Turnaround time 3-10 days
Method ELISA
Test includes
C1Q Binding, ugE/mL.
Reference ranges
  
C1Q Binding                     ugE/mL  
 LT 4 is considered negative for 
 circulating complement binding immune
 complexes.

[428]


C2 COMPLEMENT COMPONENT
Order Code C2 Test Code C2
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Synonyms C2
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Allow to clot for 30 minutes to 1 hour at room temperature. Separate serum from the cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 2 hours   Refrigerated unstable   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Specimens allowed to clot at 2-8C. Specimens subjected to repeated freeze-thaw cycles and non-frozen specimens.
Limitations Plasma samples are not recommended.
CPT codes 86160
Test schedule Mon, Thu
Turnaround time 6-11 days
Method RID
Test includes
C2, mg/dL.
Reference ranges
  
Complement, C2    1.0-4.0  mg/dL

[429]


C3 & C4 COMPLEMENT COMPONENTS
Order Code C3/C4 Test Code C3C4
Synonyms Complement C3 and C4; C3C4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or frozen.
Stability-   Room temp 6 hours   Refrigerated 3 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Department Immunology
CPT codes 86160 x 2
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Nephelometry
Test includes
C3C, mg/dL; C4, mg/dL.
Reference ranges
  
C3C    0-1 days     50-168      mg/dL
      2-60 days     55-170
       2-5 mo       59-176
      6-24 mo       66-180
     25-60 mo       74-184
       5-9 yrs      74-190
     10-14 yrs      77-198
       15+ yrs      90-200
C4     0-7 days     0.0-45.7     mg/dL
      8-60 days     1.5-47.9
       2-5 mo       1.5-47.9
      6-24 mo       3.0-47.9
     25-60 mo       4.5-48.4
       5-9 yrs      5.3-50.6
     10-14 yrs      6.0-52.8
       15+ yrs      15.0-55.0

[430]


C3 COMPLEMENT COMPONENT
Order Code C3 Test Code C3
Synonyms C3c; Complement C3
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or frozen.
Stability-   Room temp 6 hours   Refrigerated 3 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Department Immunology
CPT codes 86160
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Nephelometry
Test includes
C3C, mg/dL.
Reference ranges
  
C3C  0-1 days       50-168  mg/dL
    2-60 days       55-170
     2-5 mo         59-176
    6-24 mo         66-180
   25-60 mo         74-184
     5-9 yrs        74-190
   10-14 yrs        77-198
     15+ yrs        90-200

[431]


C4 COMPLEMENT COMPONENT
Order Code C4 Test Code C4
Synonyms Complement C4; C4
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 6 hours   Refrigerated 3 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Department Immunology
CPT codes 86160
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Nephelometry
Test includes
C4, mg/dL.
Reference ranges
  
C4     0-7 days     0.0-45.7     mg/dL
      8-60 days     1.5-47.9
       2-5 mo       1.5-47.9
      6-24 mo       3.0-47.9
     25-60 mo       4.5-48.4
       5-9 yrs      5.3-50.6
     10-14 yrs      6.0-52.8
       15+ yrs      15.0-55.0

[432]


CA 125
Order Code CA125 Test Code CA125
Synonyms Cancer Antigen 125
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 2 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Plasma, hemolysis or lipemia.
Alternate specimens SST (brick top tube).
Department Immunochemistry
CPT codes 86304
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
CA 125, U/mL.
Reference ranges
  
CA 125      0-35      U/mL
 The Bayer Advia Centaur immunoassay
 method is used. Results obtained with
 different assay methods or kits cannot
 be used interchangeably.

[433]


CA 15-3
Order Code CA15-3 Test Code CA153
Synonyms Cancer Antigen 15-3; Breast Cancer Antigen 15-3; Carbohydrate Antigen 15-3
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed specimens.
Alternate specimens SST (brick top tube).
Department Immunochemistry
CPT codes 86300
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA-Bayer Centaur
Test includes
Ca 15-3, U/mL.
Reference ranges
  
Ca 15-3     32 or less  U/mL

[434]


CA 27.29
Order Code CA27.29 Test Code C2729
Synonyms Cancer Antigen 27.29
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 48 hours   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions EDTA or heparin plasma.
Alternate specimens SST (brick top tube).
Department Immunochemistry
CPT codes 86300
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
CA27.29, U/mL.
Reference ranges
  
CA27.29  0-40 U/mL
 Based on a prospective study of 166
 stage II and III breast cancer
 patients who were clinically free of
 the disease at the time of enroll-
 ment, the sensitivity and specificity
 of CA 27.29 for breast cancer re-
 currence are 58% and 98% respectivly.
 The usefulness of this test in stage
 I patients or in therapeutic monitor-
 ing has not been established.
 CA 27.29 can be elevated by non-
 malignant conditions and by malig-
 nancies other than breast cancer.

[435]


CA 72-4
Order Code C724 Test Code C724
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Synonyms Cancer Antigen 72-4
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 2 days   Refrigerated 2 days   Frozen (-20°C) 2 months   Frozen (-70°C)
CPT codes 86316
Test schedule Mon, Thu
Turnaround time 3-5 days
Method Immunoradiometric Assay
Test includes
CA 72-4, IU/mL.
Reference ranges
  
CA 72-4    0-6        IU/mL
 CA72-4 is for research use only. The
 performance characteristics of this test 
 have not been established. CA72-4 is not 
 to be used as a diagnostic procedure without
 confirmation of the diagnosis by another
 established product or procedure.

[436]


CA19-9
Order Code CA19-9 Test Code CA199
Synonyms Cancer Antigen 19-9; Carbohydrate Antigen 19-9; CA-GI
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 2 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Plasma, grossly hemolyzed or grossly turbid specimens.
Alternate specimens SST (brick top tube).
Department Immunochemistry
CPT codes 86301
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
CA 19-9, U/mL.
Reference ranges
  
CA 19-9      0-37      U/mL

[437]


CADMIUM EXPOSURE PANEL (OSHA)
Order Code CADOSH Test Code CADOSH
Synonyms Cd, Exposure Panel
Specimen Required
       Container type Royal blue top tube (metal free K2EDTA) and leakproof plastic urine container.  Specimen type Whole blood and urine.  Preferred volume 7 mL K2EDTA whole blood and 25 mL urine  Minimum volume 1 mL whole blood and 10 mL urine
Specimen processing Split urine into 3 aliquots. Immediately pH one aliquot, use 1M HCL or 5% NaOH to adjust pH between 6 and 8, label for beta-2-microglobulin, store and transport frozen. For second aliquot, add 0.1 mL of 12M HNO3, label for cadmium, store and transport refrigerated. The third aliquot is labeled creatinine and shipped refrigerated. Store and transport the blood refrigerated.
Stability-   Room temp 10 days   Refrigerated 15 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Urine collected within 48 hours after administration of gadalinium (Gd) containing contrast media (may occur with MRI studies) or heparin anticoagulant.
Department Trace Metals, Immunology and Chemistry
CPT codes 82300 x 2, 82232, 82570
Test schedule Wed, Fri
Turnaround time 3-6 days
Method Flameless AAS, ICMA, Colorimetric
Test includes
Cadmium, Urine, ug/L; Cadmium, Urine, ug/g Creatinine; Cadmium, Whole Blood, ug/L; Creatinine, Urine, mg/dL; Beta-2-Microglobulin, Urine, ug/L; Beta-2-Microglobulin, Urine, ug/g Creat.
Reference ranges
  
Cadmium, Urine               0.0-2.6  ug/L
Cadmium, Urine               0.0-3.0  ug/gCr
Cadmium, Whole Blood         0.0-5.0  ug/L
Creatinine, Urine                     mg/dL
Beta-2-Microglobulin, Urine  0-160    ug/L
Beta-2-Microglobulin, Urine  0-300    ug/gCr

[438]


CADMIUM, URINE (QUANTITATIVE)
Order Code CAD Test Code CADUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Synonyms Cd, Urine (Quant)
Specimen Required
       Container type 24-hour dark plastic urine container  Specimen type Urine  Preferred volume 50 mL  Minimum volume 5 mL
Collection procedure Add 20 mL 6N nitric acid to a 24-hour dark plastic urine container at the start of collection. Use only SAGE, HEDWIN, P-Splitter or GUARD jugs. Pretest other jugs. Do not use VOLLRATH jugs. Refrigerate during collection.
Specimen processing Aliquot of a well-mixed 24-hour urine collection into a leakproof plastic container. Record collection time and total volume. Adjust pH to 2. Store and transport refrigerated.
Required patient info pH, collection period and volume.
Stability-   Room temp 3 days   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Specimens contaminated with blood or fecal material, or if specimen is collected by rubber catheterization.
Alternate specimens May add 20 mL 6N HNO3 at end of collection. Adjust pH to 2. This procedure may be done after the specimen has been received at PAML, however, it must be shipped in the original collection container & performed before it is aliquoted. Entire collection should be kept refrigerated and acid added to entire collection within 20 hours.
Limitations Urine cadmium cannot be run if specimen is collected by rubber catheterization.
Department Chemistry, Trace Metals
CPT codes 82300
Test schedule Wed, Fri
Turnaround time 2-4 days
Method Electrothermal (Flameless) AAS
Test includes
Cadmium, Urine, ug/L; Cadmium, Urine, ug/24h; Cadmium, Urine ug/gCr.
Reference ranges
  
Cadmium, Urine  0.0-2.6        ug/L
Cadmium, Urine  0.0-3.3        ug/24h
Cadmium, Urine  0.0-3.0        ug/gCr

[439]


CADMIUM, URINE (RANDOM)
Order Code CADUUR Test Code CADUUR
Synonyms Cd, Urine, Random
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 25 mL  Minimum volume 10 mL
Collection procedure Collect a random urine in a leakproof plastic urine container.
Specimen processing Aliquot 25 mL of a random urine specimen. Adjust to pH 2 with 6N nitric acid within 20 hours of collection. Store and transport acidified urine refrigerated or at room temperature.
Stability-   Room temp 10 days   Refrigerated 15 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Specimens collected with a rubber catheter or specimens contaminated with blood or fecal material.
Alternate specimens Urine that is not acidified, but frozen immediately and transported frozen.
Department Chemistry, Trace metals
CPT codes 82300, 82570
Test schedule Wed, Fri
Turnaround time 2-4 days
Method Flameless AAS
Test includes
Cadmium, Urine, ug/L; Cadmium, Urine, ug/gCr.
Reference ranges
  
Cadmium, Urine           0.0-2.6  ug/L
Cadmium, Urine           0.0-3/0  ug/gCr

[440]


CADMIUM, WHOLE BLOOD
Order Code CADWB Test Code CADWB
Synonyms Cd, Whole Blood; Cd, Blood
Specimen Required
       Container type Royal blue top tube (metal free K2EDTA)  Specimen type Whole blood  Preferred volume 7 mL  Minimum volume 1 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 10 days   Refrigerated 15 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Heparin anticoagulant.
Department Trace Metals
CPT codes 82300
Test schedule Wed, Fri
Turnaround time 3-6 days
Method Flameless AAS
Test includes
Cadmium, ug/L.
Reference ranges
  
Cadmium, Blood   0.0-5.0  ug/L

[441]


CAFFEINE
Order Code CAFN Test Code CAFN
Synonyms Vivarin
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL; 1 microtainer
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 7 days   Refrigerated 7 days   Frozen (-20°C) 60 days   Frozen (-70°C)
Unacceptable conditions Plasma or whole blood specimens.
Department Chemistry
CPT codes 80299
Test schedule Daily
Turnaround time 1-3 days
Method EIA
Test includes
Caffeine, ug/mL.
Reference ranges
  
Caffeine              ug/mL
 Therapeutic   6-20
 Toxic         GT 40

[442]


CAFFEINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCCAF Test Code TLCCAF
Synonyms Vivarin, No-doz,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48
Method Thin Layer Chromatography
Test includes
Caffeine
Notes
Test is also included in Drug-Sur as part of panel.

[6940]


CAH PEDIATRIC PROFILE 6
Order Code CAHPP6 Test Code CAHPP6
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 3.5 mL  Minimum volume Adult-2.5 mL; Child-2.0 (does not permit repeat analysis)
Specimen processing Separate serum from cells within one hour of collection and place in separate plastic tube and freeze. Store and transport frozen.
CPT codes 84403, 82157, 82634, 82633, 84143, 82533, 82626, 84144, 83498
Test schedule Varies
Turnaround time 10-24 days
Test includes
Androstenedione, ng/dL; Cortisol, ug/dL; Dehydroepiandrosterone, ng/dL; Deoxycorticosterone, ng/dL; 11-Desoycortisol, ng/dL; 17-OH-Pregnenolone, ng/dL; Progesterone, ng/dL; 17-Alpha-Hydroxyprogesterone, ng/dL;`Testosterone, ng/dL.
Reference ranges
  
Androstenedione                   ng/dL
 Premature (26-28 w) Day 4    92-892
 Premature (31-35 w) Day 4    80-446
 Full-term (1 week)           20-290
 Levels decrease rapidly after one week
 (18-80
 1 month-11 months            6-68
 Androstenedione gradually decreases
 during the first six months to pre-
 pubertal levels.
 Prepubertal Children         8-50
 Adult Males (18-40 yr)       75-250
 Adult Females (18-40 yr)     60-245
 Females Postmenopausal       30-120
Cortisol                          ug/dL
 Premature (26-28 W) Day 3    1.0-11
 Premature (31-35 w) Day 4    2.5-9.1
 Full-term Day 3              1.7-14
 Full-term Day 7              2.0-11
 31 days-11 months            2.8-23
 12 months-15 yrs (8:00 am)   3.0-21
 Adults            8:00 am    8.0-19
                   4:00 pm    4.0-11
Dehydroepiandrosterone (DHEA)     ng/dL
 Premature (26-28 w) Day 4    236-3640
 Premature (31-35 w) Day 4    80-3150
 Full-term Day 3              65-1250
 8-30 days                    50-760
 31 days-5 months             26-385
 6-11 months                  20-100
 12 months-5 years            20-130
 6-7 years                    20-275
 Prepubertal                  31-345
 Adults                       160-800
 Values begin to increase progressively
 at about six years of age, prior to
 any physical evidence of puberty.
Deoxycorticosterone (DOC)         ng/dL
 Premature (26-28 w) Day 4    20-105
 Premature (34-36 w) Day 4    28-78
 Newborn: levels are markedly elevated
 at birth and decrease rapidly during
 the first week to the range of 7-49 
 as found in older infants.
 1-11 months                  7-49
 Prepubertal Children         2-34
 Pubertal Children & Adults
 8:00 am                      2-19
11-Desoxycortisol (Specific       ng/dL
 Compound S)
 Premature (26-28 w) Day 4    110-1376
 Premature (31-35 w) Day 4    48-579
 Newborn Day 3                13-147
 31 days-11 months            LT 10-156
 Prepubertal   (8:00 am)      20-155
 Pubertal Children & Adults   12-158
 (8:00 am)
17-OH Pregnenolone                ng/dL
 Premature (26-28 w) Day 4    375-3559
 Premature (31-35 w) Day 4    64-2380
 3 days                       10-829
 1- 5 months                  36-763
 6-11 months                  42-540
 12-23 months                 14-207
 24 months-5 years            10-103
 6-9 years                    10-186
 Pubertal                     44-357
 Adults                       53-357
Progesterone                      ng/dL
 Premature (26-28 w) Day 4    18-640
 Premature (31-35 w) Day 4    84-1360
 Prepubertal                  7-52
 Adult Males                  13-97
 Adult Females    
  Follicular                  15-70
  Luteal                      200-2500
 Full-term infants: Progesterone levels
 are markedly elevated in the neonate
 but fall rapidly to reach prepubertal
 levels of 7-52 by seven days where they
 remain until puberty.
17-Alpha-hydroxyprogesterone      ng/dL
 Premature (26-28 w) Day 4    124-841
 Premature (31-35 w) Day 4    26-568
 Full-term Day 3              7-77
 Males: Levels increase after the first
 week to peak values ranging from
 40-200 between 30 and 60 days. Values
 then decline to the prepubertal range
 of 3-90 before one year.
 Prepubertal                  3-90
 Adult Males                  27-199
 Females
  1-11 months                 13-106
  Prepubertal                 3-90
  Adult Females
   Follicular                 15-70
   Luteal                     35-290
Testosterone, Total               ng/dL
 Males
  Premature (26-28 w) Day 4   59-125
  Premature (31-35 w) Day 4   37-198
  Newborns 1-7 months: Levels decrease
  rapidly the first week to 20-50, then
  increase to 60-400 between 20-60
  days. Levels then decline to prepubertal
  range levels of LT 3-10 by seven
  months.
 Females
  Premature (26-28 w) Day 4   5-16
  Premature (31-35 w) Day 4   5-22
  Newborns 1-7 months: Levels decrease
  during the first month to less than
  10 and remain there until puberty.
 Prepubertal Male & Female    LT 3-10
 Males (20-50 years)          350-1030
 Females (20-50 years)
  Premenopausal               10-55
  Postmenopausal              7-40

[443]


CALCITONIN
Order Code CALCI Test Code CALCI
Synonyms Thyrocalcitonin
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 0.8 mL
Specimen processing Separate serum from cells and place in 1 mL aliquot in each of two plastic tubes and freeze. Store and transport frozen
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 2 months   Frozen (-70°C)
CPT codes 82308
Test schedule Tue-Sat
Turnaround time 2-4 days
Method ICMA
Test includes
Calcitonin, pg/mL.
Reference ranges
  
Calcitonin    LT 13.0    pg/mL

[444]


CALCIUM
Order Code CAL Test Code CA
Synonyms Ca
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions EDTA, sodium citrated or sodium fluoride-potassium oxalate plasma.
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 82310
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Calcium, mg/dL.
Reference ranges
  
Calcium   8.5-10.5     mg/dL

[445]


CALCIUM, IONIZED
Order Code CAL-ION Test Code ICAL
Separate samples must be submitted when multiple tests are ordered.
Synonyms Ionized Calcium; Ca Ionized
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Patient Prep Prefer patient be fasting with minimal exercise of patient's arm.
Collection procedure Collect and handle anaerobically. The tube should be filled completely to limit the loss of CO2.
Specimen processing Allow the tube to clot 0.5-1 hour. Recommend centrifuging at 1000 RCF for 10-15 minutes. refrigerate and transport. Centrifuged samples are stable at RT-2 hours and Refrigerated-1 week.
Stability-   Room temp 2 hours   Refrigerated 1 week   Frozen (-20°C) See notes below.   Frozen (-70°C)
Unacceptable conditions Specimens shipped on dry ice, hemolyzed or setting in ice cubes only without water. Samples frozen on separator gel.
Alternate specimens Serum (plain red top tubes). Allow to clot as for SST, then without delay cleanly transfer 1-2 mL serum closest to cells into separate plastic tube, cap, and refrigerate. If serum cannot be analyzed within the 1 week refrigerated stability, remove cap and obtain sample from the area close to serum separator gel. Put serum in a separate plastic tube and freeze. Stable frozen - 6 months. DO NOT freeze sample on separator gel.
Limitations Bedrest for 3 days or more may elevate ionized calcium into the abnormal range. Within the pH range of 7.2-7.6 the normalized calcium value included in the report represents what the ionized calcium concentration would be if the pH of the sample was 7.4 For specimens with pH values outside the 7.2-7.6 range, only the ionized calcium value will be reported since the pH is out of range to calculate the normalized value. This ionized calcium result alone may not reflect the physiologic calcium status due to the pH of the specimen. In rare instances where either the ionized calcium or the pH is beyond the range of the instrument (i.e., ionized calcium <0.8 or >20 mg/dL, and pH < 6.0 or > 8.8), no results will be reported.
Department Chemistry
CPT codes 82330
Test schedule Daily & STAT
Turnaround time 1-2 days
Method ISE
Test includes
Calcium, Ionized, mg/dL; Calcium, Normalized, mg/dL.
Reference ranges
  
Calcium, Ionized                 mg/dL
 0-18   yrs     4.90-5.50             
 19+ yrs        4.75-5.30
Calcium, Normalized              mg/dL             
 0-18   yrs     4.90-5.50        
 19+ yrs        4.75-5.30
Notes
The pH range is critical. For specimens with pH values outside the 7.2-7.6 range only the ionized calcium will be reported. Do not ship on dry ice, ship on cold packs, dry ice can cause supersaturation of CO2 and lower pH. In rare instances where the ionized calcium is beyond the range of the instrument (LT 0.8 or GT 8.8 mg/dL) results will be reported as less than or greater than these limits. The least preferred specimen is a full Sursep microtainer ensuring minimum air exposure when drawing. Handle as above. Cord blood handled as above.

[446]


CALCIUM, URINE (QUANTITATIVE)
Order Code CAL-U Test Code CAUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mL. It will report the collection time & total volume. There is no charge for this test.
Synonyms Ca, Urine, Quantitation
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 10 mL  Minimum volume 2 mL
Collection procedure Add 30 mL 6N HCl to a 24-hour dark plastic urine container. Collect a 24-hour urine specimen. Refrigerate during collection.
Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to between 1.0-2.0 with 6N HCl. Record collection time and total volume. Store and transport at refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp Acidified: 2 days   Refrigerated Acidified: 4 days   Frozen (-20°C) Acidified: 3 weeks   Frozen (-70°C)
Unacceptable conditions Specimens contaminated with fecal material.
Alternate specimens For timed urine samples, add 1 mL 6N HCL/100 mL urine at end of collection as soon as possible. Adjust pH 1.0-2.0 using HCL and let stand one hour before analysis.
Limitations A pH less than 1 can cause assay interference.
Department Chemistry
CPT codes 82340
Test schedule Daily
Turnaround time 1-2 days
Method Spectrophotometry
Test includes
Time, h; Volume, mL; Calcium, Urine, mg/dL; Calcium, Urine, mg/24h.
Reference ranges
  
Collection Period                 h  
Volume                            mL
Calcium, Urine                    mg/dL
Calcium, Urine         100-300    mg/24h

[447]


CALCIUM, URINE (RANDOM)
Order Code CAL-R Test Code CAUR
Synonyms Ca, Urine, Random
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 2 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine collection into a leakproof plastic urine container. Adjust pH to between 1.0-2.0 with 6N HCl. Record collection time and total volume. Store and transport at refrigerated.
Stability-   Room temp Acidified: 2 days   Refrigerated Acidified: 4 days   Frozen (-20°C) Acidified: 3 weeks   Frozen (-70°C)
Unacceptable conditions Specimens with fecal material.
Limitations A pH less than 1 can cause assay interference.
Department Chemistry
CPT codes 82310
Test schedule Daily
Turnaround time 1-2 days
Method Spectrophotometry
Test includes
Calcium, Urine, mg/dL.
Reference ranges
  
Calcium, Urine         No normals established             mg/dL

[448]


CALCIUM/CREATININE RATIO
Order Code CAL/CRE Test Code CACRER
Synonyms Ca/Creatinine Ratio
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Random urine  Preferred volume 20 mL  Minimum volume 2 mL
Collection procedure Collect a random urine specimen in a leakproof plastic container.
Specimen processing Aliquot 10 mL of the specimen into a leakpoof plastic urine container and adjust pH to 1.0-2.0 with 6N HCL and store and transport refrigerated. Aliquot the remaining 10 mL for the creatinine into a leakproof platic urine container and store and transport refrigerated.
Department PAML-Chemisty, SHMC-Chemistry
CPT codes 82310, 82570
Test schedule Sun-Fri
Turnaround time 1-2 days
Method ISE/Modified Jaffe Reaction
Test includes
Calcium, Urine,Random, mg/dL; Creatinine Urine, Random, mg/dL. Calcium/Creatinine Ratio.
Reference ranges
  
Calcium, Urine, Random       No normals established         mg/dL
Creatinine, Urine, Random    No normals established         mg/dL
Calcium/Creatinine Ratio     No normals established 

[2043]


CALCULI (STONE) ANALYSIS
Order Code STONEC Test Code STONEC
Synonyms Stone Analysis; Kidney Stone; Calculi
Specimen Required
       Container type Dry container (urine cup with lid)  Specimen type Calculi for analysis, renal, bladder or bile  Minimum volume 0.1 cubic mm
Collection procedure Submit air dried calculi (renal, bladder or bile) for analysis in DRY container (urine cup with lid). Stones less than 2 mg or sent on filter paper in dry container (urine cup with lid) will also be done. Package very carefully.
Required patient info Indicate source.
Stability-   Room temp indefinitely   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Limitations Calculi transported in liquid (saline or formalin), require special handling to be processed. Blood and moisture interfere with this methodology. Samples wrapped in tape (adhesive tape), or embedded in wax, will delay or prevent analysis and should not be submitted.
CPT codes 82365
Test schedule Sun-Sat
Turnaround time Dependent upon size of calculus(i) & constituents found; usually 3-5 days but may take up to 3 weeks.
Method FTIR/Polar & Infrared Mircroscopy/Total Reflectance
Test includes
Stone Mass, mg; Calculi Number; Calculi Size, mm; Calculi Description; Stone Composition.
Reference ranges
  
Stone Mass          mg
Calculi Number
Calculi Size        mm
Calculi Description
Composition
Stone Compostition

[1538]


CALPROTECTIN, FECAL
Order Code CALPFC Test Code CALPFC
Synonyms Calprotectin, Feces; Calprotectin, Stool
Specimen Required
       Container type Leakproof plastic container  Specimen type Stool  Preferred volume 20 grams  Minimum volume 10 grams
Specimen processing Store and transport at room temperature or refrigerated.
Stability-   Room temp 5 days   Refrigerated 5 days   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 83993
Test schedule Mon, Wed, Fri
Turnaround time 2-6 days
Method ELISA
Test includes
Calprotectin, Fecal; ug/g.
Reference ranges
  
Calprotectin, Fecal     50 ug/g or less         Normal                ug/g
                        51-120                  Borderline elevated
                        121 ug/g or more        Abnormal Suggestive 
                                                of inflammatory bowel
                                                disease (IBD).

[3109]


CAMPYLOBACTER JEJUNI ANTIBODY IGG
Order Code CAMPAB Test Code CAMPAB
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.15 mL
Specimen processing Separate the serum from the cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Avoid repeated freeze/thaw cycles.
Alternate specimens Plasma
CPT codes 86625
Test schedule Thu
Turnaround time 2-9 days
Method Indirect Fluorescent Antibody
Test includes
Campylobacter jejuni Ab, IgG.
Reference ranges
  
Campylobacter      LT 1:320           Negative-no significant level of
                                      C. jejuni IgG Ab detected.
                   1:320 or higher    Positive-IgG Ab to C. jejuni
                                      detected, suggestive of current or past
                                      infection. 
                                      The best evidence for current infection is
                                      a significant change on two appropriately 
                                      timed specimens, where both tests are done 
                                      in the same laboratory at the same time.

[5583]


CANDIDA ANTIBODY & ANTIGEN PANEL
Order Code CAAGAB Test Code CAAGAB
This test was developed and its performance characteristics have been determined by Focus Diagnostics. It has not been cleared or approved by the U.S. Food & Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
CPT codes 86628 x 3, 87899
Turnaround time 2-5 days
Method ELISA & LA
Test includes
Candida albicans Antigen Detection; Candida albicans IgG Antibody; Candida albicans IgA Antibody; Candida albicans IgM Antibody.
Reference ranges
  
Candida albicans Antigen Detection     LT 1:2
 Interpretive Criteria
 LT 1:2       Antigen not detected
 1:2 or more  Antigen detected
 Detection of Candida albicans antigen
 in serum is highly suggestive of 
 systemic or disseminated candidiasis.
Candida albicans IgG Antibody          LT 1.00
Candida albicans IgA Antibody          LT 1.00
Candida albicans IgM Antibody          LT 1.00
 Interpretative Criteria:
 LT 1.00          Antibody not detected
 1.00 or more     Antibody detected
 Systemic candidiasis is often
 characterized by markedly elevated
 levels of IgG, IgA, and IgM antibodies
 recognizing Candida. However, inter-
 pretation of Candida antibody levels 
 is complicated by detection of 
 antibodies in 20-30% of healthy individuals,
 and blunted antibody responses in
 immunocompromised patients at risk
 for candidiasis.
 Candida antibody results should be
 considered within the context of
 clinical findings and results from
 other relevant laboratory tests, such
 as Candida antigen detection and/or
 culture.

[449]


CANDIDA ANTIGENshipping instruction code
Order Code CANAG Test Code CANAG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 hour   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions CSF or whole blood and ambient samples.
CPT codes 87899
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Latex Agglutination
Test includes
Candida Antigen.
Reference ranges
  
Candida Antigen      Negative
 A negative reaction does not exlude
 the possibility of systemic Candida
 infection.

[450]


CANDIDA IGG, IGA & IGM ANTIBODY PANEL
Order Code CANAGM Test Code CANAGM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) indefinitely   Frozen (-70°C)
CPT codes 86628 x 3
Test schedule Mon, Thu
Turnaround time 3-6 days
Method ELISA
Test includes
Candida IgG Antibody; Candida IgA Antibody; Candida IgM Antibody.
Reference ranges
  
Candida IgG Antibody          LT 1.0
Candida IgA Antibody          LT 1.0
Candida IgM Antibody          LT 1.0
 Interpretative Criteria:
 LT 1.0          Antibody not detected
 1.0 or more     Antibody detected
 Systemic candidiasis is often
 characterized by markedly elevated
 levels of IgG, IgA, and IgM antibodies
 recognizing Candida. However, inter-
 pretation of Candida antibody levels 
 is complicated by detection of 
 antibodies in healthy individuals,
 and blunted antibody responses in
 immunocompromised patients at risk
 for candidiasis.

[451]


CANDIDA PRECIPITINS
Order Code CAN AB Test Code CANDID
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma and other body fluids.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86628
Test schedule Mon-Fri
Turnaround time 3-6 days
Method Immunodiffusion
Test includes
Candida Precipitins.
Reference ranges
  
Candida Precipitins    None detected

[452]


CANNABINOID CONFIRMATION BY GC/MS
Order Code MSTHC Test Code MSTHC
Synonyms Cannabinoids, Carboxy THC,Marijuana, Weed, THC, hashish, boom, chronic, gangster, hash, hash oil, hemp, blunt, dope, ganja, grass, herb, joints, Mary Jane, pot, reefer, sinsemilla, skunk,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff at 15 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 -48 hours
Method Gas Chromatography Mass Spectrometry

[6892]


CANNABINOID CONFIRMATION BY TLC. TEST IS ALSO INCLUDED IN DRUG-SUR.
Order Code TLCTHC Test Code TLCTHC
Synonyms Cannabinoids, Carboxy THC,Marijuana, Weed, hashish, boom, chronic, gangster, hash, hash oil, hemp, blunt, dope, ganja, grass, herb, joints, Mary Jane, pot, reefer, sinsemilla, skunk,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff at 20 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Modified Thin Layer Chromatography
Notes
Test is also included in Comprehensive Drug Screen.

[6891]


CANNABINOID QUANTITATION
Order Code THC-Q Test Code THCQ
Synonyms Cannabinoids, THC,marijuana, Hashish, boom, chronic, gangster, hash, hash oil, hemp, blunt, dope, ganja, grass, herb, joints, joint, Mary Jane, pot, reefer, sinsemilla, skunk, weed,
Specimen Required
       Container type Urine Random  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Limit of detection 25 ng/ml
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EIA
Notes
Positive results will automatically be confirmed by TLC

[6922]


CANNABINOID SCREEN AT 20 NG/ML
Order Code CANN20 Test Code CAN20
Synonyms Cannabinoids,Marijuana, Weed, THC, Hashish, boom, chronic, gangster, hash, hash oil, hemp, blunt, dope, ganja, grass, herb, joints, Mary Jane, pot, reefer, sinsemilla, skunk,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff at 20 ng/mls
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Notes
Positive results will automatically be confirmed by TLC

[6890]


CANNABINOIDS (QUANTITATIVE)
Order Code CANNQS Test Code CANNQS
Synonyms Marijuana; THC
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 3 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport at room temperature.
Stability-   Room temp 7 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Limitations Do not use SST or gel type tubes.
CPT codes 82542
Test schedule Mon, Wed, Fri
Turnaround time 5-8 days
Method GC/MS
Test includes
Delta-9 THC, ng/mL; Delta-9 Carboxy THC, ng/mL; 11-Hydroxy THC, ng/mL.
Reference ranges
  
Delta-9 THC                     ng/mL
 Usual peak levels in serum for 1.75% 
 or 3.55% THC marijuana cigarettes:
 50-270 ng/mL at 6-9 minutes after
 beginning smoking, decreasing to
 LT 5 ng/mL by 2 hours. Passive
 inhalation: up to 2 ng/mL.
Delta-9 Carboxy THC             ng/mL
 Usual peak levels in serum for 1.75%
 or 3.55% THC marijuana cigarettes:
 10-101 ng/mL about 32 to 240 minutes
 after beginning smoking, with a slow
 decline. Usually not detectable after
 passive inhalation.
11-Hydroxy THC                  ng/mL
 Usual peak levels: LT 10% of the THC
 levels after smoking.

[453]


CANNABINOIDS SCREEN AT 50 NG/ML
Order Code CANN50 Test Code CAN50
Synonyms Marijuana, Weed, THC, Woopie Weed, Hashish, boom, chronic, gangster, hash, hash oil, hemp, blunt, dope, ganja, grass, herb, joints, Mary Jane, pot, reefer, sinsemilla, skunk,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff at 50 ng/ml
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Notes
Positive results will automatically be confirmed by TLC

[6889]


CARBAMAZEPINE
Order Code CARB Test Code CARB
Synonyms Tegretol; Carbatol
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Collection procedure Draw sample just prior to next dose. Note times of dose and drawing.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Required patient info Note times of dose and drawing.
Stability-   Room temp   Refrigerated 4 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Serum collected and stored in SST for more than 24 hours.
Alternate specimens Heparin or EDTA plasma (green or lavender top tube).
Department Chemistry
CPT codes 80156
Test schedule Sun-Fri nights and STAT
Turnaround time 24-48 hours
Method ICMA
Test includes
Carbamazepine, ug/mL.
Reference ranges
  
Carbamazepine           ug/mL
 Therapeutic  4-12    
 Toxic        GT 15  
 Toxicity can also be seen at lower
 levels with combined therapy.

[454]


CARBAMAZEPINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCCAR Test Code TLCCAR
Synonyms Tegretol,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Carbamazepine
Notes
Test is also included in Drug-Sur as part of panel.

[6941]


CARBAMAZEPINE EPOXIDE & TOTAL
Order Code CAREPO Test Code CAREPO
Synonyms Tegretol; Tegretol Metabolite
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 6 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Avoid the use of serum separator tubes and gels.
Limitations Do not use SST or gel type tubes.
CPT codes 80156, 80299
Test schedule Mon, Thu
Turnaround time 2-6 days
Method HPLC
Test includes
Carbamazepine-10, 11 Epoxide, ug/mL; Carbamazepine Total, ug/mL.
Reference ranges
  
Carbamazepine-10,11 Epoxide  0.5-2.0   ug/mL
Carbamazepine, Total         4.0-12.0  ug/mL
 The 10,11 epoxide metabolite has 
 anticonvulsant activity similar to
 the parent drug. The expected range
 following chronic therapeutic dose
 (5.2-20.0 mg/kg) of carbamazepine
 is 0.5-2.0 ug/mL. No critical value
 has been established.

[455]


CARBAMAZEPINE, FREE & TOTAL
Order Code CARB.FREE Test Code CARBFR
Synonyms Free Carbamazepine; Tegretol, Free; Free Tegretol
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum or plasma from cells ASAP and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Stability-   Room temp 5 days   Refrigerated 5 days   Frozen (-20°C) 4-6 months   Frozen (-70°C)
Unacceptable conditions EDTA plasma (lavender top tube)
Alternate specimens Heparinized or sodium fluoride/potassium oxalate (green or grey top tube) plasma.
Limitations Avoid the use of serum separator tubes and gels.
CPT codes 80156, 80157
Test schedule Mon-Fri
Turnaround time 3-5 days
Method Immunoassay
Test includes
Carbamazepine, Free, ug/mL; Carbamazepine, Total, ug/mL; % Carbamazepine, Free, %.
Reference ranges
  
Free Carbamazepine     1.0-3.0      ug/mL
 Toxic range           GT 3.8
Total Carbamazepine    4.0-12.0     ug/mL
 Toxic range           GT 20
% Free Carbamazepine   8.0-35.0     %

[456]


CARBOXYHEMOGLOBIN
Order Code CO HGB Test Code CXHGB
Synonyms Carboxyhemoglobin; COHB; CO HGB
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type EDTA whole blood  Preferred volume 5 mL
Collection procedure Fill EDTA lavender top tube completely. Put on wet ice immediately.
Specimen processing Do not remove stopper. Do not centrifuge. Put tube on wet ice immediately and transport without delay.
Stability-   Room temp 30 minutes; Stable 4 hours on wet ice.   Refrigerated 7 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Specimen that has been at room temperature longer than 30 minutes, been opened, recapped or spun.
Alternate specimens Sodium or lithium heparinized whole blood (green top tube).
Limitations Stable 4 hours on wet ice.
Department Respiratory Therapy
CPT codes 82375
Test schedule Sun-Sat
Turnaround time 24-48 hours
Method Colorimetric/Co-oximeter
Test includes
Hemoglobin, g/dL; Carboxyhemoglobin, %.
Reference ranges
  
Hemoglobin                      g/dL
 0-3 days            14.5-22.5
 3-7 days            13.5-21.5
 7-14 days           12.5-20.5
 14-30 days          10.0-18.0
 30-60 days          9.0-14.0
 2-6 mo              10.5-13.5
 6-24 mo             11.5-13.5
 2-6 yrs             11.5-13.5
 6-12 yrs            11.5-15.5
 12-18 yrs     M     13.0-16.0
 18 yrs+       M     13.7-16.7
 12-18 yrs     F     12.0-16.0
 18 yrs+       F     11.6-15.5
Carboxyhemoglobin    1.0-3.0     %

[458]


CARCINOEMBRYONIC ANTIGEN
Order Code CEA Test Code CEA
Synonyms CEA
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube within 6 hours. Ensure that complete clot formation has taken place prior to centrifugation. Store and transport refrigerated or frozen.
Stability-   Room temp   Refrigerated 14 days   Frozen (-20°C) 12 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed specimens.
Alternate specimens SST (brick top tube).
Department Immunochemistry
CPT codes 82378
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA-Bayer Centaur
Test includes
CEA, ng/mL.
Reference ranges
  
CEA (ICMA)  Non-Smokers  0.0-3.0  ng/mL
            Smokers      0.0-5.0

[459]


CARCINOEMBRYONIC ANTIGEN (CEA), FLUID
Order Code CEAFL Test Code CEAFL
Synonyms CEA, Fluid
Specimen Required
       Container type Leakproof plastic container.  Specimen type Body fluid.  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Send sample in a leakproof plastic container. Indicate a source on the test form. Store and transport refrigerated.
Required patient info Source
Stability-   Room temp 8 hours   Refrigerated 1 week   Frozen (-20°C) 6 months   Frozen (-70°C)
CPT codes 82378
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Electrochemiluminescent Immunoassay
Test includes
Source, Fluid; CEA, Fluid, ng/mL.
Reference ranges
  
Source, Fluid
CEA, Fluid                       ng/mL
 The Roche Modular E170 CEA
 electrochmiluminescent immuno-
 assay is used. Results obtained
 with different assay methods or
 kits cannot be used inter-
 changeable. Measurements of CEA
 have been shown to be clinically
 relevant in the management of
 patients with colorectal, breast,
 lung, prostatic, pancreatic, &
 ovarian carcinomas. Smokers may
 have slightly eleveated levels of
 CEA. The CEA assay value, regardless
 of level, should not be interpreted
 as absence of malignant disease and is
 not recommended for use as a screening
 procedure to detect the presence of cancer
 in the general population.

[5584]


CARCINOEMBRYONIC ANTIGEN, CSF
Order Code CEA.CSF Test Code CEASF
Synonyms CEA, CSF; CSF CEA;
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type CSF  Preferred volume 0.5 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 7 days   Refrigerated 7 days   Frozen (-20°C) unacceptable   Frozen (-70°C)
CPT codes 82378
Test schedule Mon-Sun
Turnaround time 2-4 days
Method Chemiluminometric immunoassay
Test includes
CEA, CSF, ng/mL.
Reference ranges
  
CEA, CSF    LT 0.6   ng/mL
 Tumor markers are not specific for
 malignancy, and values may vary by
 method.

[460]


CARDIAC RISK ASSESSMENT BATTERY
Order Code CRABAT Test Code CRABAT
Specimen Required
       Container type SST tube and Lavender top tube (EDTA)  Specimen type Serum and EDTA or heparinized plasma  Preferred volume 5 mL serum and 1 mL EDTA or heparinized plasma  Minimum volume 2.5 mL serum and 0.5 mL EDTA or heparinized plasma
Patient Prep Patient should be fasting 12-14 hours prior to collection.
Collection procedure Put EDTA tube on ice immediately after drawing and separate from plasma within 6 hours.
Specimen processing Separate serum from cells and place in separate plastic tube. Separate plasma from cells within 6 hours of collection and place in separate plastic tube. Store and transport all tubes refrigerated.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen specimens.
Alternate specimens Serum specimens that have been placed on ice immediately after drawing can be used for the homocysteine in place of the EDTA plasma. Heparinized plasma.
Department Chemistry, Immunology, SHMC-Chemistry
CPT codes 80061, 83090, 86141, 82947
Test schedule Homocysteine: Mon-Fri; All others: Sun-Fri
Turnaround time 1-3 days
Method Enzymatic, Hexokinase, FPIA, Neph
Test includes
Cholesterol, mg/dL; Triglyceride, mg/dL; HDL, mg/dL; LDL (Calculated), mg/dL; LDL/HDL Ratio; CHO/HDL Ratio; High Sensitivity CRP, mg/L; Homocysteine, Cardiac Risk, umol/L; Glucose, mg/dL.
Reference ranges
  
Cholesterol                      mg/dL
 LT 200        Desirable
 200-239       Borderline high
 240 or more   High
Triglycerides                    mg/dL
 LT 150        Normal
 150-199       Borderline high
 200-499       High
 500 or more   Very high
HDL                              mg/dL
 LT 40         Low
 40-59         Within normal limits
 60 or more    High
 HDL Cholesterol greater than or equal
 to 60 mg/dL is considered to be a
 'negative' risk factor, serving to
 remove one risk factor from the total
 count.
LDL (calculated)                 mg/dL
 LT 100        Optimal
 100-129       Near or above normal
 130-159       Borderline high
 160-189       High
 190 or more   Very high
 To calculate 10-year cardiac risk for
 the patient, go to http://www.paml.com,
 click on testing, then on ranges/
 algorithms, and then on lipid results.
LDL/HDL Ratio
 No longer applicable or reported.
CHO/HDL Ratio
 No longer applicable or reported.
High Sensitivity CRP             mg/L
 Low risk        LT 1.0
 Average risk    1.0-3.0
 High risk       GT 3.0
 Relative risk categories follow the
 recommendations of the American Heart
 Association and the CDC. Measurement
 of hsCRP should be done twice (averaging
 results), optimally two weeks apart,
 in metabolically stable patients. If
 the hsCRP level is GT 10 mg/L, the test
 should be repeated and the patient
 examined for non-cardiovascular sources
 of inflammation, such as infection.
Homocysteine     4.0-12.0       umol/L
Glucose                         mg/dL
 0-2 days premature 30-80
 0-2 days fullterm  40-90
 2 days-1 month     60-105
 Adult              65-99
 Pregnant           65-94

ADA Diagnostic Categories for nonpregnant
adults:
 Impaired fasting glucose  100-125 mg/dL
 A fasting glucose result of 126 mg/dL or
 greater indicates diabetes if the
 abnormality is confirmed on a subsequent
 day.
 A random glucose result of GT 200 mg/dL
 indicates diabetes if the abnormality
 is confirmed on a subsequent day.

[461]


CARDIOLIPIN ANTIBODY , IGG & IGM
Order Code CARD.AB Test Code CARD
Synonyms Anti-Phospholipid Antibody; Cardiolipin Antibody
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store & transport frozen.
Stability-   Room temp   Refrigerated 72 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Heat inactivated samples may give a false positive results. Avoid repeated freeze/thaw cyles.
Limitations Avoid freeze/thaw cycles.
Department Immunology
CPT codes 86147x 2
Test schedule Mon-Fri nights
Turnaround time 2-3 days
Method ELISA
Test includes
Cardiolipin Antibody, IgG, GPL U/mL; Cardiolipin Antibody, IgM, MPL U/mL.
Reference ranges
  
Cardiolipin Ab, IgG           GPL U/mL
 Negative          LT 10 
 Indeterminate     10-19
 Low-Med Positive  20-80
 Strong Positive   GT 80                   
Cardiolipin Ab, IgM           MPL U/mL
 Negative          LT 10
 Indeterminate     10-19
 Low-Med Positive  20-80
 Strong Positive   GT 80

[320]


CARNITINE, FREE & TOTAL
Order Code CARFTR Test Code CARFTR
Specimen Required
       Container type Green top tube (heparin)  Specimen type Frozen plasma  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated 12 hours   Frozen (-20°C) 1 month (avoid repeat freeze/thaw cycles).   Frozen (-70°C)
Unacceptable conditions Ambient samples and refrigerated samples greater than 12 hours.
Limitations Avoid hemolysis.
CPT codes 82379
Test schedule Tue-Sat
Turnaround time 3-5 days
Method Tandem Mass Spectrophotometry
Test includes
Carnitine, Free, umol/L; Carnitine, Total, umol/L; Carnitine, Esterified (Acyl), umol/L; Carnitine Esterified/Free Ratio.
Reference ranges
  
Carnitine, Free                 umol/L
 0-31 days          15-55
 1-12 mo            29-61
 13 mon-6 yrs       25-55
 7-20 yrs           22-63
 21 yrs +           25-60
Carnitine, Total                umol/L
 0-31 days          21-83
 1-12 mo            38-73
 13 mon-6 yrs       35-90
 7-20 yrs           31-78
 21 yrs +           34-86
Carnitine, Esterified           umol/L
 0-31 days          4-29
 1-12 mo            7-24
 13 mon-6 yrs       4-36
 7-20 yrs           3-38
 21 yrs +           5-29
Carnitine, Esterified/Free Ratio
 0-31 days          0.2-0.8
 1-12 mo            0.1-0.8
 13 mon-6 yrs       0.1-0.8
 7-20 yrs           0.1-0.9
 21 yrs +           0.1-1.0

[462]


CAROTENE
Order Code CAROT Test Code CAR
Synonyms Beta-carotene
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 3 mL  Minimum volume 2.1 mL
Patient Prep Patient should be fasting.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Protect from light. Store and transport frozen.
Stability-   Room temp   Refrigerated 24 hours from time of collection   Frozen (-20°C) 1 week from time of collection   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimen.
Limitations Protect from light.
Department Chemistry
CPT codes 82380
Test schedule Mon & Thu
Turnaround time 1-5 days
Method Extraction/Spectrophotometric
Test includes
Carotene, ug/dL.
Reference ranges
  
Carotene  50-200   ug/dL

[463]


CATECHOLAMINES, PLASMA FRACTIONATED
Order Code PCAT Test Code PCAT
Specimen Required
       Container type Green top tube (sodium or lithium heparin)  Specimen type Frozen plasma  Preferred volume 4 mL  Minimum volume 2.5 mL
Patient Prep Patient should be calm and in a supine position. For optimum results, patient should be supine with a venous catheter in place for 30 minutes prior to collection.
Collection procedure Collect on ice.
Specimen processing Separate plasma from cells within 1 hour and place in separate plastic tube and freeze. Store and transport frozen. Separate samples must be submitted when multiple tests are ordered.
Stability-   Room temp unacceptable   Refrigerated 2 days   Frozen (-20°C) 1 month   Frozen (-70°C) 1 year
Unacceptable conditions EDTA plasma, serum or urine samples. SST tube collection.
Limitations Medications which may interfere with catecholamines and metabolites include amphetamines and amphetamine-like compounds, appetite suppressants, bromocriptine, buspirone, caffeine, carbidopa-levodopa (Sinemet), clonidine, dexamethasone, diuretics (in doses sufficient to deplete sodium), ethanol, isoproterenol, labetalol, methyldopa (Aldomet), MAO inhibitors, nicotine, nose drops, propafenone (Rythmol), reserpine, theophylline, tricyclic antidepressants, and vasodilators. The effect of drugs on catecholamine results may not be predictable.
Department Special Chemistry
CPT codes 82384
Test schedule Mon, Thu may be reported next day
Turnaround time 1-4 days
Method HPLC
Test includes
Dopamine, pg/mL; Epinephrine, pg/mL; Norepinephrine, pg/mL.
Reference ranges
  
Catecholamines 
Dopamine       2 days-150 yrs   0-20     pg/mL
Epinephrine    2-10 days        36-400   pg/mL
               11 days-3 mo     55-200
               4-11 mo          55-440
               12-23 mo         36-640
               24-35 mo         18-440
               3-17 yrs         18-460
               18+ yrs          10-200
Norepinephrine 2-10 days        170-1180 pg/mL
               11 days-3 mo     370-2080
               4-11 mo          270-1120
               12-23 mo         68-1810
               24-35 mo         170-1470
               3-17 yrs         85-1250
               18+ yrs          80-520
 All reference rnges assume patient is in 
 a supine pisition.
Notes
'Standing' ranges typically show norepinephrine up to 700 pg/mL, epinephrine up to 900 pg/mL and dopamine essentially unchanged.

[3116]


CATECHOLAMINES, URINE (FRACTIONATED)
Order Code CAT.UF Test Code CATUQ
Order the workpar '1TV' with this test. Enter the collection (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Synonyms Free Catecholamine Fractionation; Noradrenalin, Urine; Norepinephrine, Urine; Epinephrine, Urine; Urinary Free Catecholamines; Dopamine, Urine
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 30 mL  Minimum volume 7 mL
Collection procedure Add 25 mL 6N HCl to a 24-hour dark plastic urine container at the start of the collection. Collect a 24-hour urine specimen. Refrigerate during collection. At the end of the collection adjust the pH to 1-3 with 6N HCL.
Specimen processing Aliquot 30 mL of a well-mixed 24-hour urine collection into a leakproof plastic container. Adjust pH to 1-3 with 6N HCl. Record collection time and total volume. Freeze within 8 hours of collection. Store and transport frozen.
Required patient info Collection time and total volume.
Stability-   Room temp   Refrigerated   Frozen (-20°C) Acidified: 1 month.   Frozen (-70°C)
Unacceptable conditions Specimens collected with boric acid.
Alternate specimens 24-hour urine collected with 25 mL of 50% acetic acid or collected with no preservative, refrigerated during collection and pH adjusted to 1-3 upon receipt and frozen.
Limitations A pH less than 1 can cause assay interference. Aldomet can interfere with quantitation. Isoproteranol and isoetharine can interfere when found in high concentration.
Department Special Chemistry
CPT codes 82384
Test schedule Mon, Wed, Fri
Turnaround time 3-7 days
Method HPLC/Electrochemical Detection
Test includes
Time, h; Volume, mL; Epinephrine, ug/24h; Norepinephrine, ug/24h; Dopamine, ug/24h; Catecholamines, Total, ug/24h.
Reference ranges
  
Collection Period                 h                          
Volume                            mL
Epinephrine              2-24     ug/24h
Norepinephrine           12-86    ug/24h
Dopamine                 88-420   ug/24h
Catecholamines, Total    14-110   ug/24h

[465]


CATECHOLAMINES, URINE (RANDOM)
Order Code CATEUR Test Code CATEUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random frozen  Preferred volume 30 mL  Minimum volume 10 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 30 mL of a random urine specimen. Adjust pH to 1-3 with 6N HCl and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated   Frozen (-20°C) 1 month   Frozen (-70°C)
Limitations A pH less than 1 can cause assay interferance. Aldomet can interfere with quantitation. Isoproternol and isoetharine can interfere when found in high concentrations.
Department Special Chemistry
CPT codes 82384, 82570
Test schedule Mon, Wed, Fri
Turnaround time 3-7 days
Method HPLC/Enzymatic (IDMS Traceable)
Test includes
Creatinine, Urine Random , mg/dL; Epinephrine,Urine Random, ug/L; Epinephrine (Calculation), ug/gCr; Norepinephrine, Urine Random, ug/L; Norepinephrine (Calculation), ug/gCr; Dopamine,Urine Random, ug/L; Dopamine, (Calculation), ug/gCr.
Reference ranges
  
Creatinine, Urine Random     No reference range established     mg/dL
Epinephrine, Urine Random    No reference range established     ug/L 
Epinephrine (Calculation)                                       ug/gCr
 0-1 yrs        0-375
 2-4 yrs        0-82
 5-10 yrs       0-93
 11-Adults      9-58
Norepinephrine, Urine Random  No reference range established ug/L
Norepinephrine (Calculation)                                 ug/gCr  
 0-1 yr         25-310
 2-4 yrs        25-390
 5-10 yrs       27-108
 11-Adults      4-105
Dopamine, Urine Random        No reference range established   ug/L
Dopamine (Calculation)                                         ug/gCr
 0-1 yr         240-1290
 2-4 yrs        80-1220
 5-10 yrs       220-720
 11-Adults      120-450
 Please note: A 24-hr urine collection is the preferred specimen.
 These reference ranges for random urine collections are based
 on literature review.
                                    

[5554]


CATHARTIC LAXATIVES PROFILE, URINE
Order Code LAXPUR Test Code LAXPUR
Synonyms Phenolphthalein, Urine
Specimen Required
       Container type Leakproof acid washed or trace metal free plastic urine container  Specimen type Urine, random  Preferred volume 20 mL  Minimum volume 11.2 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 20 mL of a random urine specimen in a leakproof plastic urine container. Store and transport refirgerated.
Stability-   Room temp 1 day   Refrigerated 2 weeks   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Room temperature samples.
Limitations Avoid exposure to gadolinium-based contrast media for 48 hours prior to sample collection.
CPT codes 82489, 83735, 84100
Test schedule Fri
Turnaround time 3-10 days
Method FAAS/ ICP/MS/TLC
Test includes
Anthraquinones, mcg/mL; Bisacodyl, mcg/mL; Oxphenisatin, mcg/mL; Phenolphthalein, mcg/mL; Magnesium, mg/L; Phosphorus, g/L.
Reference ranges
  
Anthraquinones                     mcg/mL
 Following 150 mg dose:
 Detectable up to approximately
 32 hours post dose.
Bisacodyl                          mcg/mL
 Following 5 mg dose: 
 Detectable up to approximately
 32 hours post dose.
Oxphenisatin                       mcg/mL
 Following 10 mg dose:
 Detectable in urine up to
 approximately 18 hours 
 post dose.
Phenolphthalein                    mcg/mL
 Following 150 mg dose:
 Detectable up to approximately
 32 hours post dose.
Magnesium                          mg/L
 Based on 24-hour urine:
 72-120 mg/L
Phosphorus                         g/L
 Calculated normal:
 0.3-1.1 g/L
 Based on the reported
 excretion rate for
 phosphorus of 0.4-1.3 g/24 
 hours and an average urine
 rate of 1200 ml/day

[3572]


CBC WITH PLATELET
Order Code CBC Test Code CBCP2
Synonyms Complete Blood Count
Specimen Required
       Container type Lavender top tube (EDTA) and Blood smears.  Specimen type Whole blood and smears  Minimum volume 0.30 mL, slides
Specimen processing EDTA whole blood (lavender top tube) and 2 peripheral blood smears. Prefer to receive specimen within 12 hours of collection. Prefer specimen be stored and transported refrigerated.
Department Hematology
CPT codes 85025
Test schedule Daily-24 hours & STAT
Turnaround time 24-48 hours
Method Automated
Test includes
WBC, K/uL; RBC, M/uL; HGB, g/dL; HCT, %; MCV, fL; MCH, pg; MCHC, g/dL; RDW, %; Platelet Count, K/uL; Neut, % (if Automated Diff); Neut, Abs, K/uL ( if Automated Diff); Segs, %; Segs, Abs, K/uL; Bands, %; Bands, Abs, K/uL; Lymphs, %; Lymphs, Abs, K/uL; Variant Lymphs, %; Variant Lymphs, Abs, K/uL; Monocytes, %; Monocytes, Abs, K/uL; Eosinophils, %; Eosinophils, Abs, K/uL; Basophils, %; Basophils, Abs, K/uL; Metamyelocytes, %; Myelocytes, %; Promyelocytes, %; Blast Cells, %; Other, %; NRBC, /100 WBC; Meg Frag, /100 WBC; RBC Morph; WBC Morph; Platelet Morph; Cells Counted.
Reference ranges
  
WBC                           K/uL
 0 days            9.0-30.0
 1-7 days          5.0-21.0
 7-30 days         5.0-19.5
 1-12 mo           6.0-17.5
 1-2 yrs           5.0-15.5
 2-4 yrs           6.0-15.5
 4-6 yrs           5.0-13.5
 6-10 yrs          4.5-13.5
 10-14 yrs         5.0-11.0
 14-18 yrs         4.5-11.0
 18 yrs+           4.0-11.0
RBC                           M/uL
 0-3 days          4.00-6.60
 3-7 days          3.90-6.30
 7-14 days         3.60-6.20
 14-30 days        3.00-5.40
 30-60 days        2.70-4.90
 2-6 mo            3.10-4.50
 6-24 mo           3.70-5.30
 2-6 yrs           3.90-5.30
 6-12 yrs          4.00-5.20
 12-18 yrs    M    4.50-5.30
 18 yrs+      M    4.30-5.70
 12-18 yrs    F    4.10-5.10
 18 yrs+      F    3.80-5.20
Hemoglobin                    g/dL
 0-3 days          14.5-22.5
 3-7 days          13.5-21.5
 7-14 days         12.5-20.5
 14-30 days        10.0-18.0
 30-60 days         9.0-14.0
 2-6 mo            10.5-13.5
 6-24 mo           11.5-13.5
 2-6 yrs           11.5-13.5
 6-12 yrs          11.5-15.5
 12-18 yrs     M   13.0-16.0
 18 yrs+       M   13.7-16.7
 12-18 yrs     F   12.0-16.0
 18 yrs+       F   11.6-15.5
Hematocrit                    %
 0-3 days          45.0-67.0
 3-7 days          42.0-66.0
 7-14 days         39.0-63.0
 14-30 days        31.0-55.0
 30-60 days        28.0-42.0
 2-6 mo            29.0-41.0
 6-24 mo           33.0-39.0
 2-6 yrs           34.0-40.0
 6-12 yrs          35.0-45.0
 12-18 yrs     M   37.0-49.0
 18 yrs+       M   40.0-50.0
 12-18 yrs     F   36.0-46.0
 18 yrs+       F   35.0-46.0
MCV                           fL
 0-3 days          95.0-121.0
 3-7 days          88.0-126.0
 7-14 days         86.0-124.0
 14-30 days        85.0-123.0
 30-60 days        77.0-115.0
 2-6 mo            74.0-108.0
 6-24 mo           70.0-86.0
 2-6 yrs           75.0-87.0
 6-12 yrs          77.0-95.0
 12-18 yrs     M   78.0-98.0
 12-18 yrs     F   78.0-102.0
 18 yrs+           80.0-100.0
MCH                           pg
 0-3 days          31.0-37.0
 3-30 days         28.0-37.0
 30-60 days        26.0-34.0
 2-6 mo            25.0-35.0
 6-24 mo           23.0-31.0
 2-6 yrs           24.0-30.0
 6-12 yrs          25.0-33.0
 12-18 yrs         25.0-35.0
 18 yrs+           27.0-34.0
MCHC                          g/dL
 0-3 days          29.0-37.0
 3-14 days         28.0-37.0
 14-60 days        29.0-37.0
 2-24 mo           30.0-36.0
 2-18 yrs          31.0-37.0
 18 yrs+           32.0-35.5
RDW                           %
 0-7 days          11.0-18.0
 7-60 days         11.0-17.0
 2-6 mo            11.0-16.5
 6-24 mo           11.0-16.0
 2-6 yrs           11.0-15.0
 6-18 yrs          11.0-14.5
 18 yrs+           11.0-15.0
Platelet Count                K/uL
 0-3 days          250-450
 3-9 days          200-400
 9-30 days         250-450
 1-6 mo            300-750
 6 mo-2 yrs        250-600
 2-8 yrs           250-550 
 8-12 yrs          200-450
 12-18 yrs         150-450
 18 yrs+           150-400
Neutrophils       Newborn          44.0-85.0                           %
  (Automated)     1-7 days         28.0-62.0
                  8-14 days        23.0-57.0
                  15-60 days       18.0-52.0
                  2-11 mon         15.0-49.0
                  1-4 yrs          14.0-59.0
                  5-12 yrs         34.0-71.0
                  13-18 yrs        40.0-74.0
                  19+ yrs          40.0-80.0
 Segs (Manual)    0-1 day          33-70                               %
                  1-7 days         15-50
                  7-30 days        15-45
                  1-12 mo          15-70
                  1-4 yrs          25-70
                  4-10 yrs         30-70
                  10-14 yrs        25-70
                  14-18 yrs        30-70
                  18 yrs+          38-70
 Bands            0-2 days         10-18                               %
  (Automated)     3 days - 36 mon  7-19
                  37 mon - 4 yrs   5-12
                  5-16 yrs         5-11
                  17+ yrs          0-8
 Metamyelocytes                                                        %
 Myelocytes                                                            %
 Promyelocytes                                                         %
 Blasts                                                                %
 Lymphocytes      Newborn          9.0-46.0                            %
  (Automated)     1-3 days         16.0-46.0
                  4-7 days         26.0-56.0
                  8-14 days        33.0-63.0
                  15-60 days       41.0-71.0
                  2-11 mon         46.0-76.0
                  1-4 yrs          35.0-76.0
                  5-12 yrs         23.0-57.0
                  13-18 yrs        20.0-50.0
                  19+ yrs          15.0-45.0
 Variant Lymphs                    0-6                                 %
 Monocytes        Newborn          1.0-10.0                            %
  (Automated)     1-3 days         2.0-10.0
                  4-14 days        5.0-13.0
                  15-60 days       3.0-11.0
                  2 mon-4 yrs      1.0-9.0
                  5-12 yrs         0.0-9.0
                  13-18 yrs        1.0-9.0
                  19+ yrs          0.0-12.0
 Eosinophils                       0.0-7.0                             %
  (Automated)
 Basophils                         0.0-2.0                             %
  (Automated)
 Others                                                                %
 Nucleated RBCs                                                        /100WB
 Megakaryocyte                                                         /100WB
  fragments
 Neutrophils,     Newborn          6.00-28.00                          K/uL
  Absolute        1-7 days         1.50-10.00
   (Automated)    8-60 days        1.00-9.50
                  2-11 mon         1.00-8.50
                  1-4 yrs          1.50-8.50
                  5-12 yrs         1.50-8.00
                  13-18 yrs        1.80-8.00
                  19+ yrs          2.00-7.30
 Segs, Absolute   0-1 day          3.00-12.00                          K/uL
  (Manual)        1-7 days         2.00-6.00
                  1 wk-1 yr        1.50-5.00
                  1-4 yrs          1.50-7.50
                  4-10 yrs         1.80-7.00
                  10-18 yrs        1.50-7.00
                  18 yrs+          1.80-7.70
 Bands, Abs                                                            K/uL
  (Automated)
 Lymphs, Abs      Newborn          2.00-11.00                          K/uL
  (Automated)     1-3 days         2.00-11.50
                  4-14 days        2.00-17.00
                  15-60 days       2.50-16.50
                  2-11 mon         4.00-13.50
                  1-4 yrs          2.00-10.50
                  5-12 yrs         1.50-7.00
                  13-18 yrs        1.20-5.20
                  19+ yrs          1.00-3.40
 Var Lymph, Abs                                                        K/uL
 Monocytes, Abs   Newborn          0.90-1.40                           K/uL
  (Automated)     1-7 days         0.90-1.30
                  8-14 days        0.80-1.20
                  15-60 days       0.50-0.90
                  2-11 mon         0.40-0.80
                  1-4 yrs          0.30-0.80
                  5-18 yrs         0.20-0.60
                  19+ yrs          0.00-0.80
 Eos, Abs                          0.00-0.50                           K/uL
  (Automated)
 Baso, Abs                         0.00-0.10                           K/uL
  (Automated)
 RBC Morphology                    Normal
 WBC Morphology                    Normal
 Platelet Morph                    Normal
 No. of Cells
  in Diff
Notes
If delay in test performance is anticipated, slides are required. Appropriate comments are generated with report if sample integrity is compromised. Microtainers must be filled to SECOND mark. Automated differential fields are not reported if manual differential is done. Manual differential is not reported if automated differential is reported.

[467]


CBC WITH PLATELET + MANUAL DIFFERENTIAL
Order Code CBCMDI Test Code CBCPM2
This workpar will automatically order a manual differential to be done.
Specimen Required
       Container type Lavender top tube (EDTA) and Blood smears  Specimen type Whole blood and smears  Minimum volume 0.30 mL, slides
Specimen processing EDTA whole blood (lavender top tube) and 2 peripheral blood smears. Prefer to receive specimen within 12 hours of collection. Prefer specimen be stored and transported refrigerated.
Department Hematology
CPT codes 85027, 85007
Test schedule Daily-24 hours
Turnaround time 24-48 hours
Method Automated/Microscopic
Test includes
WBC, K/uL; RBC, M/uL; HGB, g/dL; HCT, %; MCV, fL; MCH, pg; MCHC, g/dL; RDW, %; Platelet Count, K/uL; Segs, %; Segs, Abs, K/uL; Bands, %; Bands, Abs, K/uL; Lymphs, %; Lymphs, K/uL; Variant Lymphs, %; Variant Lymphs, Abs, K/uL; Monos, %; Monos, Abs, K/uL; Eosinophils, %; Eosinophils, Abs, K/uL; Basophils, %; Basophils, Abs, K/uL; Metamyelocytes, %; Myelocytes, %; Promyelocytes, %; Blast Cells, %; Other, %; NRBC, /100 WBC; Meg Frag, /100 WBC; RBC Morph; WBC Morph; Platelet Morph; Cells Counted.
Reference ranges
  
WBC                           K/uL
 0 days            9.0-30.0
 1-7 days          5.0-21.0
 7-30 days         5.0-19.5
 1-12 mo           6.0-17.5
 1-2 yrs           5.0-15.5
 2-4 yrs           6.0-15.5
 4-6 yrs           5.0-13.5
 6-10 yrs          4.5-13.5
 10-14 yrs         5.0-11.0
 14-18 yrs         4.5-11.0
 18 yrs+           4.0-11.0
RBC                           M/uL
 0-3 days          4.00-6.60
 3-7 days          3.90-6.30
 7-14 days         3.60-6.20
 14-30 days        3.00-5.40
 30-60 days        2.70-4.90
 2-6 mo            3.10-4.50
 6-24 mo           3.70-5.30
 2-6 yrs           3.90-5.30
 6-12 yrs          4.00-5.20
 12-18 yrs    M    4.50-5.30
 18 yrs+      M    4.30-5.70
 12-18 yrs    F    4.10-5.10
 18 yrs+      F    3.80-5.20
Hemoglobin                    g/dL
 0-3 days          14.5-22.5
 3-7 days          13.5-21.5
 7-14 days         12.5-20.5
 14-30 days        10.0-18.0
 30-60 days        9.0-14.0
 2-6 mo            10.5-13.5
 6-24 mo           11.5-13.5
 2-6 yrs           11.5-13.5
 6-12 yrs          11.5-15.5
 12-18 yrs     M   13.0-16.0
 18 yrs+       M   13.7-16.7
 12-18 yrs     F   12.0-16.0
 18 yrs+       F   11.6-15.5
Hematocrit                    %
 0-3 days          45.0-67.0
 3-7 days          42.0-66.0
 7-14 days         39.0-63.0
 14-30 days        31.0-55.0
 30-60 days        28.0-42.0
 2-6 mo            29.0-41.0
 6-24 mo           33.0-39.0
 2-6 yrs           34.0-40.0
 6-12 yrs          35.0-45.0
 12-18 yrs     M   37.0-49.0
 18 yrs+       M   40.0-50.0
 12-18 yrs     F   36.0-46.0
 18 yrs+       F   35.0-46.0
MCV                           fL
 0-3 days          95.0-121.0
 3-7 days          88.0-126.0
 7-14 days         86.0-124.0
 14-30 days        85.0-123.0
 30-60 days        77.0-115.0
 2-6 mo            74.0-108.0
 6-24 mo           70.0-86.0
 2-6 yrs           75.0-87.0
 6-12 yrs          77.0-95.0
 12-18 yrs     M   78.0-98.0
 12-18 yrs     F   78.0-102.0
 18 yrs+           80.0-100.0
MCH                           pg
 0-3 days          31.0-37.0
 3-30 days         28.0-37.0
 30-60 days        26.0-34.0
 2-6 mo            25.0-35.0
 6-24 mo           23.0-31.0
 2-6 yrs           24.0-30.0
 6-12 yrs          25.0-33.0
 12-18 yrs         25.0-35.0
 18 yrs+           27.0-34.0
MCHC                          g/dL
 0-3 days          29.0-37.0
 3-14 days         28.0-37.0
 14-60 days        29.0-37.0
 2-24 mo           30.0-36.0
 2-18 yrs          31.0-37.0
 18 yrs+           32.0-35.5
RDW                           %
 0-7 days          11.0-18.0
 7-60 days         11.0-17.0
 2-6 mo            11.0-16.5
 6-24 mo           11.0-16.0
 2-6 yrs           11.0-15.0
 6-18 yrs          11.0-14.5
 18 yrs+           11.0-15.0
Platelet Count                K/uL
 0-3 days          250-450
 3-9 days          200-400
 9-30 days         250-450
 1-6 mo            300-750
 6 mo-2 yrs        250-600
 2-8 yrs           250-550 
 8-12 yrs          200-450
 12-18 yrs         150-450
 18 yrs+           150-400
Differential (Manual)
 Segs                           %
  0-1 day          33-70
  1-7 days         15-50
  7-30 days        15-45
  1-12 mo          15-70
  1-4 yrs          25-70
  4-10 yrs         30-70
  10-14 yrs        25-70
  14-18 yrs        30-70
  18 yrs+          38-70
 Segs, Abs                      K/uL
  0-1 day          3.00-12.00
  1-7 days         2.00-6.00
  1 wk-1 yr        1.50-5.00
  1-4 yrs          1.50-7.50
  4-10 yrs         1.80-7.00
  10-18 yrs        1.50-7.00
  18 yrs+          1.80-7.70
 Bands                          %
  0-18 yrs         0-9
  18 yrs+          0-8
 Bands, Abs                     K/uL
  0-1 day          0.00-1.50
  1-7 days         0.00-1.20
  7-30 days        0.00-0.50
  1-12 mo          0.00-0.40
  1-4 yrs          0.00-0.30
  4-10 yrs         0.00-0.20
  10-18 yrs        0.00-0.20
 Lymphocytes                    %
  0-1 day          10-35
  1-7 days         15-70
  1 wk-4 yrs       30-70
  4-6 yrs          20-70
  6-10 yrs         20-50
  10-18 yrs        20-40
  18 yrs+          21-49
 Lymphocytes, Abs               K/uL
  0-1 day          2.00-11.00
  1-7 days         2.00-7.00
  7-30 days        3.00-7.00
  1-12 mo          1.50-8.50
  1-4 yrs          1.50-5.00
  4-10 yrs         1.20-5.00
  10-18 yrs        1.10-4.50
  18 yrs+          1.00-5.00
 Variant Lymph     0-6          %
 Variant Lymphs, Abs            K/uL
 Monocytes                      %
  0-18 yrs         0-10
  18 yrs+          3-11
 Monocytes, Abs                 K/uL
  0-1 day          0.00-1.10
  1-7 days         0.00-0.90
  7-30 days        0.00-0.60
  1-12 mo          0.00-0.50
  1-4 yrs          0.00-0.50
  4-10 yrs         0.00-0.40
  10-18 yrs        0.00-0.90
  18 yrs+          0.00-0.80
 Eosinophils                    %
  0-18 yrs         0-4
  18 yrs+          0-7
 Eosinophils, Abs               K/uL
  0-1 day          0.00-0.40
  1-7 days         0.00-0.50
  7 days-1 yr      0.00-0.30
  1-10 yrs         0.00-0.30
  10-18 yrs        0.00-0.20
  18 yrs+          0.00-0.50
 Basophils                      %
  1-18 yrs         0-1
  18 yrs+          0-2
 Basophils, Abs                 K/uL
  0-7 days         0.00-0.10
  1 wk-4 yrs       0.00-0.01
  4-18 yrs         0.00-0.01
  18 yrs+          0.00-0.20 
 Metamyelocytes                 %
 Myelocytes                     %
 Promyelocytes                  %
 Blast Cells                    %
 Other                          %
 NRBC                           /100WBC
 Meg Frag                       /100WBC
 RBC Morph
 WBC Morph
 Platelet Morph
 Cells Counted
Notes
If delay in test performance is anticipated, slides are required. Appropriate comments are generated with report if sample integrity is compromised. Microtainers must be filled to second mark.

[468]


CD19shipping instruction code
Order Code CD19S Test Code CD19S
Synonyms CD19, Flow Cytometry
Specimen Required
       Container type Yellow top tube (ACD Type A or B) and Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 7 mL ACD and 5 mL EDTA  Minimum volume 5 mL ACD and 2.5 mL EDTA whole blood
Specimen processing Store and transport at room temperature.
Required patient info In accordance with CDC guidelines please provide the following patient information: WBC count and percent lymphocytes on the day of collection if the specimen will arrive after 24 hours.
Unacceptable conditions EDTA tube is only for WBC and % lymph counts. Cannot be sent by itself for antibody testing.
Limitations Samples must arrive and be processed within 72 hours of collection.
Department Hematology Cellular Immunology
CPT codes 86355
Test schedule Mon-Sat by 11 am
Turnaround time 48 hours
Method Flow Cytometry
Test includes
Source; WBC, K/uL; Lymphocytes, %; Lymph Abs, K/uL; CD19, %; CD19 Abs, /uL; Note; Note.
Reference ranges
  
Source 
WBC                          K/uL
 0 days        9.0-30.0
 1-7 days      5.0-21.0
 7-30 days     5.0-19.5
 1-12 mo       6.0-17.5
 1-2 yrs       5.0-15.0
 2-4 yrs       6.0-15.5
 4-6 yrs       5.0-13.5
 6-10 yrs      4.5-13.5
 10-14 yrs     5.0-11.0
 14-18 yrs     4.5-11.0
 18 yrs+       4.0-11.0
Lymphocytes       Newborn          9.0-46.0        %                   
                  1-3 days         16.0-46.0       
                  4-7 days         26.0-56.0
                  8-14 days        33.0-63.0
                  15-60 days       41.0-71.0
                  2-11 mo          46.0-76.0
                  1-4 yrs          35.0-76.0
                  5-12 yrs         23.0-57.0
                  13-18 yrs        20.0-50.0
                  19+ yrs          15.0-45.0
Lymphs, Abs       Newborn          2.00-11.00     K/uL
                  1-3 days         2.00-11.50
                  4-7 days         2.00-17.00
                  8-14 days        2.00-17.00
                  15-60 days       2.50-16.50
                  2-11 mo          4.00-13.50
                  1-4 yrs          2.00-10.50
                  5-12 yrs         1.50-7.00
                  13-18 yrs        1.20-5.20
                  19+ yrs          1.00-3.40
CD19              0-2 yrs          11.0-45.0     %
                  3 yrs            9.0-29.0
                  4+ yrs           3.0-21,0
CD19 Abs          0-2 yrs          430-3300      /uL
                  3 yrs            200-1300
                  4+ yrs           80-450                                        
Note
Note

[469]


CD3
Order Code CD3 Test Code CD3
Synonyms CD3, Flow Cytometry
Specimen Required
       Container type Yellow top tube (ACD Type A or B) and Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 7 mL ACD and 5 mL EDTA  Minimum volume 5 mL ACD whole blood and 2.5 mL EDTA whole blood
Specimen processing Store and transport at room temperature.
Required patient info In accordance with the CDC guidelines please provide the following patient information: WBC count and percent lymphocytes on the day of collection if the specimen will arrive after 24 hours.
Unacceptable conditions EDTA tube is only for WBC and % lymph counts. Cannot be sent by itself for antibody testing.
Limitations Specimens must arrive within 72 hours of collection.
Department Hematology Cellular Immunology
CPT codes 86359
Test schedule Mon-Sat by 11 am
Turnaround time 48 hours
Method Flow Cytometry
Test includes
Source; WBC, K/uL; Lymphocytes, %; Lymph Abs, K/uL; CD3, %; CD3 Abs, /uL, Note; Note.
Reference ranges
  
Source
WBC                                          K/uL
                  0 days           9.0-30.0
                  1-7 days         5.0-21.0
                  7-30 days        5.0-19.5
                  1-12 mo          6.0-17.5
                  1-2 yrs          5.0-15.5
                  2-4 yrs          6.0-15.5
                  4-6 yrs          5.0-13.5
                  6-10 yrs         4.5-13.5
                  10-14 yrs        5.0-11.0
                  14-18 yrs        4.5-11.0
                  18 yrs+          4.0-11.0
Lymphocytes       Newborn          9.0-46.0   %
                  1-3 days         16.0-46.0
                  4-7 days         26.0-56.0
                  8-14 days        33.0-63.0
                  15-60 days       41.0-71.0
                  2-11 mo          46.0-76.0
                  1-4 yrs          35.0-76.0
                  5-12 yrs         23.0-57.0
                  13-18 yrs        20.0-50.0
                  19+ yrs          15.0-45.0
Lymphs, Abs       Newborn          2.00-11.00     K/uL
                  1-3 days         2.00-11.50
                  4-7 days         2.00-17.00
                  8-14 days        2.00-17.00
                  15-60 days       2.50-16.50
                  2-11 mo          4.00-13.50
                  1-4 yrs          2.00-10.50
                  5-12 yrs         1.50-7.00
                  13-18 yrs        1.20-5.20
                  19+ yrs          1.00-3.40
CD3               0-3 yrs          55.0-82.0  %
                  4+ yrs           53.0-91.0
CD3 Abs           0-5 mo           3500-5000  /uL
                  6-11 mo          3400-4600
                  12-17 mo         3200-3900
                  18-29 mo         2800-3500
                  30-35 mo         1900-3100
                  3 yrs            1000-3900
                  4+ yrs           560-3000
Note 
Note

[470]


CD4shipping instruction code
Order Code CD4 Test Code CD4
Synonyms Helper Cells; CD4, Flow Cytometry
Specimen Required
       Container type Yellow top tube (ACD Type A or B) and Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 7 mL ACD and 5 mL EDTA  Minimum volume 5 mL ACD and 2.5 mL EDTA whole blood
Specimen processing Store and transport at room temperature.
Required patient info In accordance with CDC guidelines please provide the following patient information: WBC count and percent lymphocytes on the day of collection if the specimen will arrive after 24 hours.
Unacceptable conditions EDTA tube is only for WBC and % lymph counts. Cannot be sent by itself for antibody testing.
Limitations Samples must arrive and be processed within 72 hours of collection.
Department Hematology Cellular Immunology
CPT codes 86361
Test schedule Mon-Sat by 11 am
Turnaround time 48 hours
Method Flow Cytometry
Test includes
Source; WBC, K/uL; Lymphocytes, %; Lymph Abs, K/uL; CD4, %; CD4 Abs, /uL; Note; Note.
Reference ranges
  
Source
WBC                          K/uL
 0 days        9.0-30.0
 1-7 days      5.0-21.0
 7-30 days     5.0-19.5
 1-12 mo       6.0-17.5
 1-2 yrs       5.0-15.5
 2-4 yrs       6.0-15.5
 4-6 yrs       5.0-13.5
 6-10 yrs      4.5-13.5
 10-14 yrs     5.0-11.0
 14-18 yrs     4.5-11.0
 18 yrs+       4.0-11.0
Lymphocytes       Newborn          9.0-46.0                            %
                  1-3 days         16.0-46.0
                  4-7 days         26.0-56.0
                  8-14 days        33.0-63.0
                  15-60 days       41.0-71.0
                  2-11 mo          46.0-76.0
                  1-4 yrs          35.0-76.0
                  5-12 yrs         23.0-57.0
                  13-18 yrs        20.0-50.0
                  19+ yrs          15.0-45.0
Lymphs, Abs       Newborn          2.00-11.00                          K/uL
                  1-3 days         2.00-11.50
                  4-7 days         2.00-17.00
                  8-14 days        2.00-17.00
                  15-60 days       2.50-16.50
                  2-11 mo          4.00-13.50
                  1-4 yrs          2.00-10.50
                  5-12 yrs         1.50-7.00
                  13-18 yrs        1.20-5.20
                  19+ yrs          1.00-3.40
CD4               0-5 mo           50.0-57.0                           %
                  6-11 mo          49.0-55.0
                  12-17 mo         46.0-51.0
                  24-29 mo         38.0-46.0
                  30-35 mo         33.0-44.0
                  3 yrs            27.0-57.0
CD4 Abs           0-5 mo           2800-3900                           /uL
                  6-11 mo          2600-3500
                  12-17 mo         2300-2900
                  18-23 mo         1900-2500
                  24-29 mo         1500-2200
                  30-35 mo         1200-2000
                  3 yrs            560-2700
                  4+ yrs           490-1400
Note
Note

[471]


CD57 Antibody
Order Code CD57AB Test Code CD57AB
Specimen Required
       Container type Yellow top tube (ACD Type A)  Specimen type ACD whole blood  Preferred volume 7 mL  Minimum volume 2 mL
Specimen processing Samples must be processed within 48 hours of collection. Store and transport at room temperature.
Required patient info Source
Alternate specimens Sodium heparin whole blood (green top tube).
Department Hematology Cellular Immunology
CPT codes 88184
Test schedule Mon-Sat by 11 am
Turnaround time 1-3 days
Method Flow Cytometry
Test includes
Source; Result; Note.
Reference ranges
  
Source
Result
Note

[3059]


CELIAC PANEL, BASIC
Order Code CELPAN Test Code CELPAN
Synonyms Tissue Transglutaminase Ab, IgA and Tissue Transglutaminase Ab, IgG; Gluten Sensitivities; Sprue
Specimen Required
       Container type SST Tube  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples. Avoid repeated freeze/thaw cycles.
Department Immunology
CPT codes 83516 x 2
Test schedule Tue & Fri
Turnaround time 2-4 days
Method ELISA
Test includes
Tissue Transglutaminase Antibody, IgA, U/mL; Tissue Transglutaminase Antibody, IgG, U/mL.
Reference ranges
  
Tissue Transglutaminase Ab, IgA    U/mL
 Negative   LT 4.0
 Equivocal  4.0-10.0
 Positive   GT 10.0
Tissue Transglutaminase Ab, IgG    U/mL
 Negative   LT 6.0
 Equivocal  6.0-9.0
 Positive   GT 9.0
 tTG antibody, especially IgA, is 
 sensitive and specific for untreated
 celiac disease. Levels can decrease
 significantly in response to a gluten-
 free diet. The IgG assay is used 
 mainly to detect celiac patients who
 are IgA-deficient.

[472]


CELIAC PANEL, EXTENDED
Order Code CELPEX Test Code CELPEX
Synonyms Gluten Sensitivities; Sprue
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 1.0 mL
Specimen processing Separate serum from cells and put in 2 separate plastic tubes. Store and transport one tube frozen and the other one refrigerated.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples. Avoid repeated freeze/thaw cycles.
Department Immunology
CPT codes 83516 x 4, 82784
Test schedule Tue-Sat
Turnaround time 2-4 days
Method ELISA/Nephelometry
Test includes
Tissue Transglutaminase Antibody, IgA, U/mL; Tissue Transglutaminase Antibody, IgG, U/mL; Anti-gliadin Antibody, IgA, U/mL; Anti-gliadin Antibody, IgG, U/mL; IgA, mg/dL.
Reference ranges
  
Tissue Transglutaminase Ab, IgA     U/mL
 Negative   LT 4.0
 Equivocal  4.0-10.0
 Positive   GT 10.0
Tissue Transglutaminase Ab, IgG     U/mL
 Negative   LT 6.0
 Equivocal  6.0-9.0
 Positive   GT 9.0
 tTG antibody, especially IgA, is 
 sensitive and specific for untreated
 celiac disease. Levels can decrease
 significantly in response to a gluten-
 free diet. The IgG assay is used 
 mainly to detect celiac patients who
 are IgA-deficient.
Anti-gliadin Ab, IgA                U/mL
 Negative   LT 10.0
 Positive   10.0 or greater
Anti-gliadin Ab, IgG                U/mL
 Negative   LT 10.0
 Positive   10.0 or greater
IgA                                 mg/dL
 0-4 months    No normals established
 5-9 months    14-77
 10-11 months  16-90
 1 year        21-113
 2 years       27-153
 3 years       31-176
 4 years       34-194
 5 years       40-225
 6 years       54-297
 7 years       66-374
 8 years       68-387
 9 years       71-387
 10+ years     80-450

[473]


CELIAC PROFILE, PEDIATRIC BASIC
Order Code CELPED Test Code CELPED
Synonyms Gluten Sensitivities; Sprue
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and put in 2 separate plastic tubes. Store and transport one tube frozen and the other one refrigerated.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples. Avoid repeated freeze/thaw cycles.
Department Immunology
CPT codes 83516, 82784
Test schedule Tue -Sat
Turnaround time 1-3 days
Method ELISA/Nephelometry
Test includes
IgA, mg/dL; Tissue Transglutaminase Antibody, IgA, U/mL.
Reference ranges
  
IgA                                 mg/dL
 0-4 months    No normals established
 5-9 months    14-77
 10-11 months  16-90
 1 year        21-113
 2 years       27-153
 3 years       31-176
 4 years       34-194
 5 years       40-225
 6 years       54-297
 7 years       66-374
 8 years       68-387
 9 years       71-387
 10+ years     80-450
Tissue Transglutaminase Ab, IgA     U/mL
 Negative   LT 4.0
 Equivocal  4.0-10.0
 Positive   GT 10.0
  tTG antibody, especially IgA, is 
 sensitive and specific for untreated
 celiac disease. Levels can decrease
 significantly in response to a gluten-
 free diet. The IgG assay is used 
 mainly to detect celiac patients who
 are IgA-deficient.

[474]


CELIAC PROFILE, PEDIATRIC EXTENDED
Order Code CELPRO Test Code CELPRO
Synonyms Gluten Sensitivities; Sprue
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and put in 2 separate plastic tubes. Store and transport one tube frozen and the other one refrigerated.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples. Avoid repeated freeze/thaw cycles.
Department Immunology
CPT codes 83516 x 3, 82784
Test schedule Tue -Sat
Turnaround time 1-3 days
Method ELISA/Nephelometry
Test includes
IgA, mg/dL; Tissue Transglutaminase Antibody, IgA, U/mL; Anti-gliadin Antibody, IgA, U/mL; Anti-gliadin Antibody, IgG, U/mL.
Reference ranges
  
IgA                                 mg/dL
 0-4 months    No normals established
 5-9 months    14-77
 10-11 months  16-90
 1 year        21-113
 2 years       27-153
 3 years       31-176
 4 years       34-194
 5 years       40-225
 6 years       54-297
 7 years       66-374
 8 years       68-387
 9 years       71-387
 10+ years     80-450
Tissue Transglutaminase Ab, IgA     U/mL
 Negative   LT 4.0
 Equivocal  4.0-10.0
 Positive   GT 10.0
Anti-gliadin Ab, IgA                U/mL
 Negative   LT 10.0
 Positive   10.0 or greater
Anti-gliadin Ab, IgG                U/mL
 Negative   LT 10.0
 Positive   10.0 or greater
 tTG antibody, especially IgA, is 
 sensitive and specific for untreated
 celiac disease. Levels can decrease
 significantly in response to a gluten-
 free diet. The IgG assay is used 
 mainly to detect celiac patients who
 are IgA-deficient.

[475]


CELL COUNT, DIFFERENTIAL, BODY FLUID
Order Code CBC.FLD Test Code CTDFFL
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Body fluid  Preferred volume 5 mL  Minimum volume 0.25 mL
Specimen processing Transport ASAP. Store and transport refrigerated.
Required patient info Source
Unacceptable conditions Samples received without anticoagulant, clotted specimens or specimens that have been at room temperature for 24 hours or more will be analyzed only with physician authorization.
Alternate specimens Heparinized fluid (green top tube).
Department Hematology
CPT codes 89051
Test schedule Sun-Sat & STAT
Turnaround time 24-48 hours
Method Manual Microscopy
Test includes
Color; Clarity; RBC, M/L; Nucleated Cells, M/L; Number of Cells Seen; Segs, %; Bands, %; Lymphocytes, %; Variant Lymphocytes, %; Mononuclear Phagocytes, %; Eosinophils, %; Basophils, %; Others, %; Non-Heme Cells, %; Nucleated RBC, /100 WBCs; Mesothelial Cells, /100 WBCs; Note; Reviewed By.
Reference ranges
  
Color
Clarity
RBC                     M/L
Nucleated Cells         M/L
Number of Cells Seen
Segs                    %
Bands                   %
Lymphocytes             %
Variant Lymphocytes     %
Mononuclear Phagocytes  %
Eosinophils             %
Basophils               %
Others                  %
Non-Heme Cells          %
Nucleated RBC           /100 WBCs
Mesothelial Cells       /100 WBCs
Note
Reviewed by

[476]


CELL COUNT, DIFFERENTIAL, CSF
Order Code CBCCSF Test Code CTDFSF
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type CSF  Preferred volume 1 mL
Collection procedure If three sterile tubes are collected, tube #3 should be sent for total cell count and differential.
Specimen processing Transport ASAP. Fluids delayed more than 2 hours should be refrigerated to a maximum of 72 hours.
Unacceptable conditions Clotted specimens or specimens that have been at room temperature for 24 hours of more will be analyzed only with physician authorization.
Department Hematology
CPT codes 89051
Test schedule Sun-Sat
Turnaround time 24-48 hours
Method Manual Microscopy
Test includes
Tube Number; Xanthochromia; Color; Clarity; RBC, M/L; Nucleated Cells, M/L; Number of Cells Seen; Segs, %; Bands, %; Lymphocytes, %; Variant Lymphocytes, %; Monocytes, %; Histiocytes, %; Eosinophils, %; Basophils, %; Others, %; Non-Heme Cells; Nucleated RBC, /100WBC; Note.
Reference ranges
  
Tube
Xanthochromia
Color
Clarity
RBC                        M/L
Nucleated Cells       0-5  M/L
Number of Cells Seen
Segs                       %
Bands                      %
Lymphocytes                %
Variant Lymphocytes        %
Monocytes                  %
Histiocytes                %
Eosinophils                %
Basophils                  %
Others                     %
Non-Heme Cells
Nucleated RBC              /100wbc

[477]


CENTROMERE B AUTOANTIBODY
Order Code CENTMP Test Code CENTMP
Synonyms Anti-Centromere B Autoantibody
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three).
Alternate specimens EDTA or heparinized plasma (lavender or green top tube).
Department Chemistry
CPT codes 86038
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex
Test includes
Centromere B Autoantibody, AI.
Reference ranges
  
Centromere B Auto-    Negative       LT 1.0       AI
 antibody             Positive       1.0 or more

[478]


CERULOPLASMIN
Order Code CER Test Code CER
Synonyms Copper oxidase
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells within 2 hours and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 72 hours   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Plasma and lipemic samples.
Department Immunology
CPT codes 82390
Test schedule Mon-Fri
Turnaround time 1-3 days
Method Nephelometry
Test includes
Ceruloplasmin, mg/dL.
Reference ranges
  
Ceruloplasmin  21-53   mg/dL

[479]


CH50 COMPLEMENT, TOTAL
Order Code CH50 Test Code CH50
Synonyms Complement, Total; Complement CH50
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.1 mL
Specimen processing Allow blood to clot at room temperature for 30 minutes to 1 hour. Separate serum from cells ASAP and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated   Frozen (-20°C) 30 days   Frozen (-70°C)
Unacceptable conditions Serum from SST tubes, plasma, samples left to clot at 2-8C, repeated freeze/thaw cycles and non-frozen samples.
Limitations Avoid repeated freeze/thaw cycles.
Department Immunology
CPT codes 86162
Test schedule Tue, Thu, Sat
Turnaround time 2-4 days
Method EIA
Test includes
CH50 Complement, Total, CAE Units
Reference ranges
  
CH50 Complement, Total 60-185 CAE Units

[480]


CHEMISTRY REFLEX PANEL
Order Code CHEMRA Test Code CHEMRA
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type SST tube or Red top tube (plain)  Specimen type Serum  Preferred volume 3 mL  Minimum volume 2 mL
Specimen processing Centrifuge ASAP, keep upright and keep the tube capped. Store and transport refrigerated. If red top tube is used, separate serum from the cells ASAP and handle anaerobically at all times to minimize exposure to air during collection, transfer and storage. Place the serum in separate plastic tube and cap immediately. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 day   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Plasma specimens.
Department Chemistry
CPT codes 80053, 80061, 84443
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Test includes
Comprehensive Metabolic Panel; Lipid Profile; TSH (Reflex).
Reference ranges
  
Comprehensive Metabolic Panel
Lipid Profile
TSH (Reflex)
Notes
Hemolysis will cause elevated potasssium values, minimal volumes will concentrate, previously frozen samples may show a marked decrease in ALP values immediately upon thawing, but returns to initial values, frozen samples will show decreased total LDH values and prolonged contact with cell clot will elevate phosphorus values.

[481]


CHLAMYDIA ANTIBODY PANEL. IGG/IGM
Order Code CHLGM Test Code CHLGM
Acute and convalescent samples advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hyperlipemic, hemolyzed or contaminated specimens.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86631 x 3, 86632 x 3
Test schedule Sun-Fri
Turnaround time 2-5 days
Method IFA
Test includes
C. pneumoniae, IgM; C. trachomatis, IgM; C. psittaci, IgM; C. pneumoniae, IgG; C. trachomatis, IgG,; C. psittaci, IgG.
Reference ranges
  
C. pneumoniae, IgM              
C. trachomatis, IgM              
C. psittaci, IgM                 
C. pneumoniae, IgG              
C. trachomatis, IgG              
C. psittaci, IgG

[482]


CHLAMYDIA & CHLAMYDOPHILIC ANTIBODY PANEL 3
Order Code CHLGAM Test Code CHLGAM
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.4 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86631 x 6, 86632 x 3
Test schedule Mon-Sat
Turnaround time 3-5 days
Method IFA
Test includes
C. trachomatis, IgG; C. trachomatis, IgA; C. trachomatis, IgM; Interpretation; C. pneumoniae, IgG; C. pneumoniae, IgA; C.pneumoniae, IgM; Interpretation; C. psittaci, IgG; C. psittaci, IgA; C. psittace, IgM; Interpretation.
Reference ranges
  
C. trachomatis, IgG           LT 1:64
C. trachomatis, IgA           LT 1:16
C. trachomatis, IgM           LT 1:10
Interpretation
C. pneumoniae, IgG            LT 1:64
C. pneumoniae, IgA            LT 1:16
C. pneumoniae, IgM            LT 1:10
Interpretation
C. psittaci, IgG              LT 1:64
C. psittaci, IgA              LT 1:16
C. psittaci, IgM              LT 1:10
Interpretation
 

[2032]


CHLAMYDIA (LGV) ANTIBODIES
Order Code CHLGV Test Code CHLGV
Acute and Convalescent samples advised.
Synonyms Lymphogranuloma Venereum (LGV) Antibodies
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.2 mL  Minimum volume 0.15 mL
Collection procedure If convalescent specimen draw 2-3 weeks after onset.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 4 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Grossly lipemic or hemolyzed specimens.
CPT codes 86631 x 3, 86632 x 3
Test schedule Mon-Fri
Turnaround time 2-4 days
Method Micro-immunofluorescent (MIF)
Test includes
Chlamydia pneumoniae, IgG, Titer; Chlamydia pneumoniae, IgM, Titer; Chlamydia trachomatis, IgG, Titer; Chlamydia trachomatis, IgM, Titer; Chlamydia psittaci, IgG, Titer; Chlamydia psittaci, IgM, Titer; Note.
Reference ranges
  
Chlamydia pneumoniae, IgG   LT 1:64
Chlamydia pneumoniae, IgM   LT 1:10
Chlamydia trachomatis, IgG  LT 1:64
Chlamydia trachomatis, IgM  LT 1:10
Chlamydia psittaci, IgG     LT 1:64
Chlamydia psittaci, IgM     LT 1:10

[484]


CHLAMYDIA ANTIBODY PANEL, IGM
Order Code CHLABM Test Code CHLABM
Acute and convalescent samples advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells as soon as possible and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hyperlipemic, hemolyzed or contaminated samples.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86632 x 3
Test schedule Mon-Sat
Turnaround time 2-5 days
Method IFA
Test includes
C. pneumoniae, IgM; C. trachomatis, IgM; C. psittaci, IgM; Chlamydia IgM Panel Interpretation.
Reference ranges
  
C. Pneumoniae IgM    LT 1:20     
C. Trachomatis IgM   LT 1:20 
C. Psittaci IgM      LT 1:20
Chlamydia IGM Panel Interpretation

[485]


CHLAMYDIA PNEUMONIAE CULTURE
Order Code CHLPC Test Code CHLPC
Synonyms Culture, Chlamydia pneumoniae;
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.  Minimum volume 2 mL
Collection procedure Transtracheal aspirate, tracheal aspirate or washings sent in chlamydial or viral chlamydial transport media or sterile container. Dilute 1 part specimen and 1 part transport media. If specimen will arrive at performing laboratory within 48 hours of collection store and transport refrigerated. If receipt will be after 48 hours freeze specimen below - 70C and ship frozen.
Unacceptable conditions Specimens received in viral transport media or GenProbe tubes. Do not use wooden shaft swabs.
Alternate specimens Expectorate from a deep cough only when other specimens are not available. Also NP aspirate or swab in chlamydia transport media.
Limitations Do not use wooden shaft swabs.
CPT codes 87110, 87140
Test schedule Mon-Sun
Turnaround time 7-10 days
Method Culture
Test includes
Chlamydia pneumoniae Culture.
Reference ranges
  
Chlamydia pneumoniae Culture
 No Chlamydia pneumoniae isolated

[487]


CHLAMYDIA TRACHOMATIS DFAshipping instruction code
Order Code CHDFA Test Code CHDFA
Specimen Required
       Container type SYVA Microtrak Direct Specimen Test collection kit (slides).  Specimen type Genital, eye, nasopharyngeal, or rectal swab.
Specimen processing Prepare and fix following directions. Indicate source. Store and transport at room temperature or refrigerated. Ship 650.
Required patient info Specimen source.
Stability-   Room temp 1 week   Refrigerated 1 week   Frozen (-20°C) 1 week   Frozen (-70°C)
Unacceptable conditions Dry swabs or swabs in gel or in transport systems designed for use with other methodologies (Aptima, Digene, EIA, etc).. If there are fewer than 20 columnar epithelial cells, the result will be reported as "sample inadequate".
CPT codes 87270
Test schedule Sun-Sat
Turnaround time 2-3 days
Method DFA
Test includes
C. trachomatis By DFA, Preliminary; C. trachomatis By DFA, Final.
Reference ranges
  
C. Trachomatis By DFA, Preliminary         
C. Trachomatis By DFA
 Negative-no Chlamydia trachomatis
 detected.
Notes
Collection kits available from Paml Suppy Department.

[490]


CHLAMYDIA TRACHOMATIS BY AMPLIFIED DETECTION (APTIMA)
Order Code APTCT Test Code APTCT
This test is not recommended for use in prepubescent children or medicolegal cases. Aptima collection kits required. This code may be used for conjunctival specimens.
Synonyms Molecular
Specimen Required
       Container type APTIMA Unisex Swab Specimen Collection Kit or APTIMA Urine Specimen Collection Kit  Specimen type See below.  Preferred volume See below.  Minimum volume 2 mL for urine, not to exceed 30 mL
Collection procedure Female endocervical or male urethral swab collected with the APTIMA Swab Specimen Transport Tube or urine, first void, not clean catch collected in the APTIMA Urine Specimen Transport Tube.
Specimen processing Transport all samples collected in the kits at room temperature, refrigerated or frozen. Urine samples not collected in these kits must be refrigerated and received within 24 hours of collection.
Required patient info Source
Stability-   Room temp Swabs-2 months, Urine in media-1 month, Urine not in media-not stable.   Refrigerated Swabs-2 months, Urine in media-1 month, Urine not in media-24 hours.   Frozen (-20°C) Swabs-3 months, Urine in media-3 months.   Frozen (-70°C)
Unacceptable conditions Respiratory, or rectal swabs; endocervical and urethral swabs not collected with the Aptima Swab and specimens collected and submitted with the white cleaning swab, which is for preparatory cleaning. GENPROBE PACE 2 collection tubes ae not acceptable.
Alternate specimens Conjunctival swabs submitted in Aptima specimen transport tubes. ThinPrep liquid pap also acceptable ONLY if special Aptima aliquot made prior to other testing. Vaginal swabs collected with designated Aptima vaginal swab collection kit.
Department Virology
CPT codes 87491
Test schedule Mon-Sat
Turnaround time 1-3 days Turnaround time will be extended if a single Thin-Prep specimen is submitted for CT/GC and PAP testing.
Method TMA
Test includes
Source; Chlamydia trachomatis by APTIMA.
Reference ranges
  
Source
Chlamydia trachomatis by APTIMA
 Not detected

[491]


CHLAMYDIA TRACHOMATIS CULTURE
Order Code CHLAM Test Code CHLAM
This is the only recommended method in all medicolegal cases and for samples from prepubescent children.
Synonyms Culture, Chlamydia trachomatis
Specimen Required
       Container type Dacron swab in M4 or other Chlamydia transport media.  Specimen type Conjunctival, endocervical, urethral, rectal, throat or nasopharyngeal (neonates only) swabs in M4 or other chlamydia transport media.
Specimen processing Store and transport refrigerated.
Required patient info Specimen source.
Stability-   Room temp unacceptable   Refrigerated 3 days   Frozen (-20°C) unacceptable   Frozen (-70°C) indefinitely
Unacceptable conditions Urine, sputum, stool, calcium alginate swab, dry swab, wooden swab, and swabs in gel media. NP swabs on non-neonates.
Alternate specimens Cotton swabs are acceptable.
Limitations Specific for C. trachomatis. Will not detect C. pneumoniae or C. psittaci.
Department Virology
CPT codes 87110, 87140 x 2
Test schedule Sun-Sat
Turnaround time Preliminary-1 day, Final-2 days
Method Isolation in Tissue Culture
Test includes
Source; C. trachomatis Culture; C. trachomatis Culture, Status.
Reference ranges
  
Source 
C Trachomatis Culture         Negative
C Trachomatis Culture, Status

[492]


CHLAMYDIA TRACHOMATIS IGG & IGM ANTIBODIES
Order Code CHLAB Test Code CHLAB
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.4 mL
Specimen processing Separate serum from cells and put in a separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 1 week   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens
CPT codes 86631, 86632
Test schedule Mon-Fri
Turnaround time 2-4 days
Method Micro-IF
Test includes
Chlamydia trachomatis, IgG Abs, titer; Chlamydia trachomatic, IgM, Abs, titer.
Reference ranges
  
Chlamydia trachomatis IgG Abs      LT 1:16     Titer
Chlamydia trachomatis IgM Abs      LT 1:10     Titer
 A positive result for Chlamydia IgM and/or IgG does
 not always indicate current acute infection. Anti-
Chlamydia antibodies can persist in some patients for
several months or more. Cross-reactivity may also occur 
with multiple Chlamydia species in primary Chlamydia infection.
Some patients may show cross-reactivity due to exposure to
more than on Chlamydia species.
Notes
Evaluate possible chlamydial infection. This test is useful for patients suspected of having trachoma, pelvic inflammatory disease, infantile pneumonia and lymphogranuloma venereum.

[6731]


CHLAMYDIA TRACHOMATIS/NEISSERIA GONORRHOEAE BY AMPLIFIED DETECTION (APTIMA)
Order Code APTCG Test Code APTCG
This test is not recommended for use in prepubescent children or medicolegal cases. Aptima collection kits required.
Synonyms Molecular; Chlamydia trachomatis/GC by Amplified Detection (APTIMA)
Specimen Required
       Container type APTIMA Unisex Swab Specimen Collection Kit or APTIMA Urine Specimen Collection Kit  Specimen type See below.  Preferred volume See below.  Minimum volume 2 mL for urine, not to exceed 30 mL
Collection procedure Female endocervical or male urethral swab collected with the APTIMA Swab Specimen Transport Tube or urine, first void, not clean catch collected in the APTIMA Urine Specimen Transport Tube.
Specimen processing Transport all samples collected in the kits at room temperature, refrigerated or frozen. Urine samples not collected in these kits must be refrigerated and received within 24 hours of collection.
Required patient info Source
Stability-   Room temp Swabs-2 months, Urine in media-1 month, Urine not in media-not stable.   Refrigerated Swabs-2 months, Urine in media-1 month, Urine not in media-24 hours.   Frozen (-20°C) Swabs-3 months, Urine in media-3 months.   Frozen (-70°C)
Unacceptable conditions Eye, respiratory, or rectal swabs; endocervical and urethral swabs not collected with the Aptima Swab. Specimens collected using the Gen-Probe PACE 2 tubes are not acceptable. Specimens collected and submitted with the white cleaning swab, which is for preparatory cleaning are not acceptable.
Alternate specimens ThinPrep liquid pap also acceptable ONLY if special Aptima aliquot is made prior to other testing. Vaginal swabs collected with designated Aptima vaginal swab collection kit.
Department Virology
CPT codes 87491, 87591
Test schedule Mon-Sat
Turnaround time 1-2 days. Turnaround time will be extended if a single Thin-Prep specimen is submitted for CT/GC and PAP testing.
Method TMA
Test includes
Source; Chlamydia trachomatis by APTIMA; Neisseria gonorrhoeae by APTIMA.
Reference ranges
  
Source
Chlamydia trachomatis by APTIMA
 Not detected
Neisseria gonorrhoeae by APTIMA
 Not detected

[493]


CHLAMYDOPHILA PNEUMONIAE DNA QUAL RT-PCR
Order Code CPPCR Test Code CPPCR
Synonyms Chlamydia pneumophila
Specimen Required
        Specimen type Bronchial wash/lavage or sputum.  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 48 hours   Refrigerated 2 weeks   Frozen (-20°C) 30 days   Frozen (-70°C)
Alternate specimens Throat swab, nasopharyngeal swab in 3 mL M4 media or V-C-M medium (green cap) tube or equivalent. Minimum volume 0.35 mL.
CPT codes 87486
Turnaround time 2-4 days
Method Real-Time PCR
Test includes
Chlamydophila pneumoniae PCR

[5763]


CHLORALHYDRATE
Order Code CHLORAL Test Code CHLORS
Synonyms Chloral Hydrate; Trichloraethanol; Chloral Hydrate Metabolite
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Limitations No SST tubes.
CPT codes 82491
Test schedule Tue & Thu
Turnaround time 4-6 days
Method GC
Test includes
Chloralhydrate, mcg/mL.
Reference ranges
  
Chloralhydrate       mcg/mL
 Therapeutic  2-12
  (Post 1 gram dose)

[494]


CHLORALHYDRATE, URINE
Order Code CHLORAL-U Test Code CHLUR
Synonyms Chloral Hydrate, Urine
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 2 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 2 mL of a random urine specimen. Store and transport refrigerated.
CPT codes 82491
Turnaround time 10-15 days
Method GC
Test includes
Chloralhydrate, Urine, ug/mL.
Reference ranges
  
Chloralhydrate, Urine    ug/mL
 No normals established

[495]


CHLORAMPHENICOL
Order Code CHLOR Test Code CHLOR
Synonyms Chloromycetin; Chlorcal
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.8 mL
Collection procedure Draw peak level 1.5-3 hours after oral dose or 0.5-1.5 hours after infusion is complete. Draw trough level 0.5 hours before dose.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 2 days   Refrigerated 3 weeks   Frozen (-20°C) 3 weeks   Frozen (-70°C)
Alternate specimens EDTA, heparin or sodium fluoride/potassium oxalate plasma (lavender, green or grey top tube).
Limitations Avoid use of serum separator tubes and gels.
CPT codes 82415
Test schedule Mon-Sat
Turnaround time 3-5 days
Method HPLC
Test includes
Chloramphenicol, ug/mL.
Reference ranges
  
Chloramphenicol           ug/mL
 Therapeutic Peak  10-20   
 Toxic             GT 25

[496]


CHLORIDE
Order Code CL Test Code CL
Synonyms Cl
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 82435
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method ISE
Test includes
Chloride, mmol/L.
Reference ranges
  
Chloride  98-109   mmol/L

[497]


CHLORIDE, CSF
Order Code CL-CSF Test Code CLSF
Synonyms Chloride, CSF;CL, CSF
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type CSF  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Clotted specimens.
Limitations Hemolysis may falsely elevate value.
Department Chemistry
CPT codes 82438
Test schedule Sun-Sat
Turnaround time 1-2 days
Method Ion Selective Electrode
Test includes
Chloride, CSF, mmol/L.
Reference ranges
  
Chloride, CSF  118-132  mmol/L

[498]


CHLORIDE, FLUID
Order Code CHFLD Test Code CHFLD
Synonyms Cl, Fluid
Specimen Required
       Container type Red top tube (plain) or leakproof plastic container  Specimen type Body fluid  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate fluid from cells and put in separate plastic tube or leakproof plastic container. Note type of fluid. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Clotted samples.
Alternate specimens Heparin (green top tube).
Department Chemistry
CPT codes 82438
Test schedule Daily
Turnaround time 1-2 days
Method ISE
Test includes
Chloride, Fluid, mmol/L.
Reference ranges
  
Chloride, Fluid       mmol/L
 No reference range established.
 Method not validated for body fluid.
 Clinical correlation necessary.

[499]


CHLORIDE, URINE (QUANTITATIVE)
Order Code CL-U Test Code CLUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Synonyms Cl, Urine
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 50 mL  Minimum volume 0.1 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Frozen specimens.
Department Chemistry
CPT codes 82436
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Time, h; Volume, mL; Chloride, Urine, mmol/24h.
Reference ranges
  
Collection Period         h
Volume                    mL
Chloride, Urine  110-250  mmol/24h

[500]


CHLORIDE, URINE (RANDOM)
Order Code CL-R Test Code CLUR
Synonyms Cl, Urine
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 0.1 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Frozen specimens.
Department Chemistry
CPT codes 82436
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Chloride, Urine, mmol/L.
Reference ranges
  
Chloride, Urine, Random     mmol/L
 No normals established

[501]


CHLORPROMAZINE
Order Code THOR Test Code CHLORP
Synonyms Thorazine
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Collection procedure Draw 8-12 hours post dose.
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Protect from light. Store and transport refrigerated.
Stability-   Room temp 12 hours   Refrigerated 3 days   Frozen (-20°C) 5 days   Frozen (-70°C)
Alternate specimens EDTA, heparin or sodium fluoride/potassium oxalate plasma (labender, green or grey top tube).
Limitations Avoid the use of serum separator tubes and gels. Protect from light.
CPT codes 84022
Test schedule Sun, Tue, Thu
Turnaround time 3-5 days
Method HPLC
Test includes
Chlorpromazine, ng/mL.
Reference ranges
  
Chlorpromazine (Thorazine)       ng/mL
 0-11 yrs  Therapeutic  30-80   
           Toxic        GT 200
 12+ yrs   Therapeutic  50-300
           Toxic        GT 500

[502]


CHOLESTEROL
Order Code CHO Test Code CHOL
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Oxalate, citrate or fluoride plasma.
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 82465
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Cholesterol, mg/dL.
Reference ranges
  
Cholesterol                     mg/dL
 LT 200        Desirable
 200-239       Borderline high
 240 or more   High

[503]


CHOLINESTERASE, PLASMA & RBC
Order Code CHESCR Test Code CHESCR
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type EDTA whole blood  Preferred volume 5 mL  Minimum volume 1 mL
Specimen processing Do not spin down or separate sample. Store and transport refrigerated. Do not place whole blood directly on cool pack when shipping.
Stability-   Room temp 4 hours   Refrigerated 1 week   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Frozen whole blood sodium or lithium heparin (green top tube), clotted or hemolyzed samples.
Alternate specimens K2 EDTA whole blood (pink top tube).
CPT codes 82480, 82482
Test schedule Mon-Fri
Turnaround time 2-6 days
Method Enzymatic
Test includes
Cholinesterase, Plasma, U/mL; Cholinesterase, RBC, U/mL; Cholinesterase RBC Hgb Ratio, U/gHgb; Cholinesterase, Plasma Ellman Standard, U/mL; Cholinesterase RBC Ellman Standard, U/mL.
Reference ranges
  
Cholinesterase, Plasma     2.9-7.1     U/mL
Cholinesterase, RBC        7.9-17.1    U/mL
Cholinesterase, RBC Hgb    25-52       U/gHgb
 Ratio
Cholinesterase, Plasma     1.0-2.4     U/mL
 Ellman Standard
Cholinesterase, RBC Ellman 4.0-9.0     U/mL
 Standard

[504]


CHROMATIN AUTOANTIBODIES
Order Code CHROMP Test Code CHROMP
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three).
Alternate specimens EDTA or heparinized plasma (lavender or green top tube).
Department Chemistry
CPT codes 86235
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex
Test includes
Chromatin Autoantibody, AI.
Reference ranges
  
Chromatin Auto-       Negative       LT 1.0       AI
 antibody             Positive       1.0 or more

[505]


CHROMIUM
Order Code CHROM.S Test Code CHRM
This workpar is for serum specimens only.
Synonyms Cr, Serum
Specimen Required
       Container type Royal blue top tube (metal free plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells within 6 hours and place in separate trace element-free transport tube. Store and transport at room temperature.
Unacceptable conditions Avoid the use of glass, serum separator or gel tubes. Specimens that have not been separated from the red cells or clot within 6 hours.
Limitations Do not allow serum to remain on the cells.
CPT codes 82495
Test schedule Tue, Thu, Sat
Turnaround time 2-6 days
Method ICP/MS
Test includes
Chromium, ug/L.
Reference ranges
  
Chromium  5.0 or less ug/L

[506]


CHROMIUM, URINE (QUANTITATIVE)
Order Code CHROM-U Test Code CHRMUQ
Synonyms Cr, Urine, Quantitative
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection or random urine collection.  Preferred volume 10 mL  Minimum volume 5 mL
Collection procedure Collect a 24-hour urine specimen or random urine collection. Refrigerate during collection.
Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection or random urine collection into a leakproof plastic urine container. Store and transport refrigerated. ARUP studies indicate that refrigeration of urine alone, during and after collection preserves specimens adequately if tested within 14 days of collection.Record total volume and collection time. Submit specimen in two ARUP Trace Element-Free Transport Tubes (43116).
Required patient info Record total volume and collection time interval on transport tube and request form.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Urine collected within 48 hours after administration of gadalinium (Gd) containing contrast media (may occur with MRI studies) or acid preserved urine specimens.
CPT codes 82495
Test schedule Tue, Fri
Turnaround time 3-7 days
Method ICP/MS(DRC)
Test includes
Time, h; Volume, mL; Chromium, Urine, ug/L; Chromium, Urine, ug/d; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Chromium, Urine, ug/gCr.
Reference ranges
  
Collection Period             h
Volume                        mL
Chromium, Ur     0.0-5.0      ug/L
Chromium, Ur     0.0-6.0      ug/d
Creatinine, Ur                mg/dL
Creatinine, Ur                mg/d
 M 0-2 yrs      Not established
   3-8 yrs      140-700
   9-12 yrs     300-1300
   13-17 yrs    500-2300   
   18-50 yrs    1000-2500      
   51-80 yrs    800-2100
   81+ yrs      600-2000
 F 0-2 yrs      Not established
   3-8 yrs      140-700
   9-12 yrs     300-1300
   13-17 yrs    400-1600
   18-50 yrs    700-1600
   51-80 yrs    500-1400
   81+ yrs      400-1300
Chromium, Ur    No reference range         ug/gCr

[507]


CHROMIUM, WHOLE BLOOD
Order Code CHROM Test Code CHROM
Do not use the order code for sending serum or plasma specimens.
Synonyms Cr, Whole Blood
Specimen Required
       Container type Royal blue top tube (metal free EDTA)  Specimen type Whole blood  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Do not centrifuge tube. Send whole blood. Store and transport refrigerated.
Unacceptable conditions Sodium or lithium heparin (tan, green, heparin royal blue, or light green tubes).
CPT codes 82495
Test schedule Mon-Fri
Turnaround time 1-3 days
Method GFAAS
Test includes
Chromium, Blood, ug/L.
Reference ranges
  
Chromium, Blood  0.5-5.0  ug/L

[508]


CHROMOGRANIN A
Order Code CHROMA Test Code CHROMA
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen. This is a critical frozen. Separate samples must be submitted when multiple tests are ordered.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma, icteric or lipemic samples.
Alternate specimens SST tube.
CPT codes 86316
Test schedule Mon, Wed, Fri
Turnaround time 2-7 days
Method EIA
Test includes
Chromogranin A, ng/mL.
Reference ranges
  
Chromogranin A      0-50       ng/mL
 This assay is performed using ALPCO
 Diagnostics chromogranin A EIA. 
 Results obtained with different assay
 methods or kits cannot be used
 interchangeably.

[509]


CHRONIC URTICARIA INDEX PANEL [IBT]
Order Code CUPIBT Test Code CUPIBT
Specimen Required
       Container type SST  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Patient Prep Patients taking calcineurin inhibitors should stop their medication for 72 hours prior to draw. Patients on prednisone should be off their medication 2 weeks prior to draw.
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport at room temperature or refrigerated.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86343, 83088, 86021, 86376, 84443, 86800
Test schedule Mon, Wed, Fri
Turnaround time 4-7 days
Method Ex Vivo Challenge, Cell Culture and Histamine Analysis
Test includes
Anti-Thyroid peroxidase IgG; Anti-Thyroglobulin; TSH (Thyrotropin); CU Index
Reference ranges
  
Anti-Thyroid Peroxidase IgG              LT 35         IU/mL
Anti-Thyroglobulin                       LT 40         IU/mL
TSH (Thyrotropin)                        0.4-4.0       uIU/mL
CU Index                                 LT 10.0
Notes
The CU Index is the second generation Functional Anti-FcER test. Patients with a CU Index GT or equal to 10 have basophil reactive factors in their serum which supports an autoimmune basis for disease.

[3078]


CHRONIC URTICARIA INDEX [IBT]
Order Code CUIIBT Test Code CUIIBT
Specimen Required
       Container type SST  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 1.0 mL
Patient Prep Patients taking calcineurin inhibitors should stop their medication for 72 hours prior to draw.
Specimen processing Blood should be collected and allowed to clot prior to centrifugation. Separate into a clean plastic tube and store at room temperature. Store and transport at room temperature.
Stability-   Room temp 1 week   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86352
Test schedule Mon-Fri
Turnaround time 4-7 days
Method Ex Vivo Challenge, Cell Culture and Histamine Analysis
Test includes
CU Index
Reference ranges
  
CU Index             LT 10.0
Notes
The CU Index test is the second generation Functional Anti-FcER test. Patients with a CU Index GT or equal to 10 have basophil reactive factors in their serum which supports an autoimmune basis for disease.

[3077]


CIMETIDINE
Order Code TAG Test Code TAG
Synonyms Tagamet
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Limitations No SST tubes.
CPT codes 82491
Test schedule Mon, Fri
Turnaround time 7-10 days
Method HPLC
Test includes
Cimetidine, mcg/mL.
Reference ranges
  
Cimetidine (Tagamet)      mcg/mL
 Therapeutic    0.5-1.5

[510]


CIMETIDINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCCIM Test Code TLCCIM
Synonyms Tagamet
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 3000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Cimetidine
Notes
Test is also included in Drug-Sur as part of panel.

[6942]


CITALOPRAM
Order Code CELEX Test Code CELEX
Synonyms Celexa
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport at room temperature.
Stability-   Room temp 14 days   Refrigerated 14 days   Frozen (-20°C) 14 days   Frozen (-70°C)
Limitations Do not use SST or gel type tubes.
CPT codes 82491
Test schedule varies
Turnaround time varies
Method GC
Test includes
Citalopram, ng/mL.
Reference ranges
  
Citalopram                   ng/mL
 Steady-state serum levels from
 patients on a dialy regimen of
 30-60 mg citalopram:  9-200.

[511]


CITALOPRAM (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCCIT Test Code TLCCIT
Synonyms Celexa, Cipramil,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 2000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Citalopram
Notes
Test is also included in Drug-Sur as part of panel.

[6943]


CITRIC ACID, URINE
Order Code CITQU Test Code CITQU
Synonyms Citric Acid; Citrate, Urine
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection.  Preferred volume 4 mL  Minimum volume 0.5 mL
Collection procedure Add 10 mL 6N HCl to a 24-hour dark plastic urine container. Collect a 24-hour urine specimen. Refrigerate during collection.
Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 2 or less with 6N HCl. Record total volume. Store and transport refrigerated.
Required patient info Record total volume and collection time interval on the transport tube and request form.
Stability-   Room temp 8 hours   Refrigerated 1 week   Frozen (-20°C) indefinitely   Frozen (-70°C)
Alternate specimens Random urine specimen.
CPT codes 82507
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Enzymatic
Test includes
Time, hr; Volume, mL; Citric Acid, Urine, mg/L; Citric Acid, Urine, mg/d; Creatinine, Urine, mg/L; Creatinine, Urine, mg/d; Citric Acid/CRT Ratio, Urine, mg/g.,
Reference ranges
  
Collection Period                hr
Volume                           mL
Citric Acid, Urine               mg/L
Citric Acid, Urine               mg/d
 18 yrs and older 320-1240
Creatinine, Ur                   mg/dL
Creatinine, Ur                   mg/d
 M 0-2 yrs        Not established
   3-8 yrs        140-700
   9-12 yrs       300-1300
   13-17 yrs      500-2300
   18-50 yrs      1000-2500      
   51-80 yrs      800-2100
   81+ yrs        600-2000
 F 0-2 yrs        Not established
   3-8 yrs        140-700
   9-12 yrs       300-1300
   13-17 yrs      400-1600   
   18-50 yrs      700-1600
   51-80 yrs      500-1400
   81+ yrs        400-1300
Citric Acid/                     mg/g
 CRT Ratio Urine  
   1 yr or older  150 or more

[512]


CLINICAL HEMATOLOGY INTERPRETATION, COMPREHENSIVE
Order Code CHICOM Test Code CHICOM
This workpar is to be used to request an interpretation by a pathologist or hematologist on comprehensive submitted specimens and/or test results.
Specimen Required
       
Department Hematology
CPT codes 80502
Test includes
Reviewed material; Interpretation; Reviewed by; Comment.
Reference ranges
  
Reviewed material
Interpretation
Reviewed by
Comment

[513]


CLINICAL HEMATOLOGY INTERPRETATION, LIMITED
Order Code CHILIM Test Code CHILIM
This workpar is to be used to request an interpretation by a pathologist or hematologist on limited submitted specimens and/or test results.
Specimen Required
       
CPT codes 80500
Test includes
Reviewed material; Interpretation; Reviewed by; Comment.
Reference ranges
  
Reviewed material
Interpretation
Reviewed by
Comment

[514]


CLOMIPRAMINE & METABOLITE
Order Code CLOMIP Test Code CLOMIP
Synonyms Anafranil
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.8 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 5 days   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Alternate specimens Heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube).
Limitations Avoid the use of serum separator tubes and gels. If gel separator is used, separate serum/plasma from the gel within 2 hours of collection. Do not refrigerate on gel separator.
CPT codes 80299 x 2
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method HPLC
Test includes
Clomipramine, ng/mL; Desmethylclomipramine, ng/mL; Total, ng/mL.
Reference ranges
  
Clomipramine                                                    ng/mL
Desmethylclomipramine                                           ng/mL
Total                     220-500                               ng/mL
                          Plasma concentrations vary widely
                          among patients. The therapeutic 
                          range listed relates to the 
                          antidepressant characteristics of
                          the drug. A therapeutic range for 
                          treating obsessive compulsive
                          disorder is not well defined.

[515]


CLONAZEPAM
Order Code CLON Test Code CLON
Synonyms Klonopin
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 6 weeks   Refrigerated 6 weeks   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens Heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube).
Limitations Avoid the use of serum separator tubes and gels.
CPT codes 80154
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Liquid Chromatography/Tandem Mass Spectrometry
Test includes
Clonazepam, ng/mL.
Reference ranges
  
Clonazepam                      ng/mL
 Therapeutic range  10-75
 based on dosages up to 6 mg/d

[516]


CLONIDINE
Order Code CLONIDINE Test Code CLONID
Synonyms Catapres
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 5 mL  Minimum volume 2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 weeks   Refrigerated 2 weeks   Frozen (-20°C) 7 months   Frozen (-70°C)
Limitations No SST tubes.
CPT codes 83789
Test schedule Mon, Thu
Turnaround time 5-7 days
Method LC-MS/MS
Test includes
Clonidine, ng/mL.
Reference ranges
  
Clonidine (Catapres)        ng/mL
 Therapeutic  0.5-4.5

[517]


CLORAZEPATE
Order Code TRAN Test Code CLORAZ
Synonyms Tranxene
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 0.9 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Stability-   Room temp 7 days   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens Heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube).
Limitations Avoid the use of serum separator tubes and gels.
CPT codes 80154
Test schedule Sun-Sat
Turnaround time 3-5 days
Method GC
Test includes
Clorazepate, ug/mL.
Reference ranges
  
Tranxene (Clorazepate) 0.10-2.20  ug/mL
 Clorazepate dose related range
 0.10-2.20 ug/mL based on common dosage
 amounts.
 Minor adverse effects may occur within
 this range. Clorazepate is assayed as
 Nordiazepam.

[518]


CLOSTRIDIUM DIFFICILE BY PCR
Order Code CDTPCR Test Code CDTPCR
Synonyms Clostridium difficile; Clostridium difficile toxin; C. diff toxin; C. diff; C. difficile Toxin B
Specimen Required
       Container type Dry, sterile, leakproof container  Specimen type Stool, soft or liquid  Preferred volume 1 gram
Collection procedure Collect 1 gram liquid or soft feces in a dry, sterile, leakproof container.
Specimen processing Store and transport refrigerated.
Required patient info Source
Stability-   Room temp 2 days   Refrigerated 5 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Formed or hard stool, urine, toilet paper, water or soap contamination of specimen.
Department Microbiology
CPT codes 87493
Test schedule Mon-Sun
Turnaround time 1-3 days
Method RT-PCR
Test includes
Source; Clostridium difficile Toxin B gene Result; Clostridium difficile Toxin B gene Status.
Reference ranges
  
Source
C. difficile Toxin B gene Result      Negative for Clostridium difficile 
                                      Toxin B gene by PCR                             
C. difficile Toxin B gene Status

[5056]


CLOSTRIDIUM DIFFICILE CYTOTOXIN ANTIBODY
Order Code CDIFAB Test Code CDIFAB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) indefinitely   Frozen (-70°C)
CPT codes 87230
Test schedule Tue
Turnaround time 3-9 days
Method Neutralization
Test includes
Clostridium difficile Cytotoxin Antibody.
Reference ranges
  
Clostridium Difficile Cytotoxin Antibody
 LT 1:2
 Clostridium difficile cytotoxin is
 measured by an in vitro neutralization
 assay. The level of antibody is reported
 as the final serial dilutuion showing
 neutralization of cytotoxins. Patients
 with C. difficile-associated diarrhea
 usually produce secretory and serum
 antibodies to both toxins. Therefore,
 the presence of antibodies indicates
 past or current exposure to C. difficile
 toxins, but the associations between
 antibody levels and disease protection
 is undefined. Evidence suggesting a
 protective role for antibodies can be
 found in a recent report where it was
 shown that children with chronic
 relapsing C. difficile-associated colitis
 do not produce antibodies and can be
 successfully treated with hyperimmune
 gamma gobulin.

[520]


CLOSTRIDIUM DIFFICILE CYTOTOXIN ASSAY
Order Code CL-TOX Test Code CLTOX
Synonyms C. difficile Toxin; C-Diff; Clostridium Difficile Toxin; CDIFF; CLTOX; CL-TOX; C. difficile
Specimen Required
       Container type Clean, leakproof, wax-free container.  Specimen type Fresh stool  Preferred volume Walnut-sized portion
Specimen processing Store and transport refrigerated.
Required patient info Specimen source.
Stability-   Room temp 2 hours   Refrigerated 3 days   Frozen (-20°C) GT 3 days avoid freeze/thaw cycles   Frozen (-70°C)
Unacceptable conditions Stool stored at room temperature GT 2 hrs and stool received in transport media.
Department Virology
CPT codes 87230
Test schedule Sun-Sat days
Turnaround time 1-3 days
Method Tissue culture cytotoxin assay
Test includes
Source; C. difficile Toxin; C. difficile Toxin, Status.
Reference ranges
  
Source
C Difficile Toxin           Negative
C Difficile Toxin, Status
Notes
This test detects presence of C. difficle cytotoxin, but does not differentiate between toxins A and B. Suggest alternate C. difficile by PCR (CDTPCR) as a rapid screen for presence of C. difficile toxin in unformed stools.

[1592]


CLOZAPINE
Order Code CLOZAP Test Code CLOZAP
Synonyms Clozaril
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.6 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or.
Stability-   Room temp 5 weeks   Refrigerated 2 months   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens EDTA, sodium heparinized or sodium fluoride/potassium oxalate plasma (lavender, green or grey top tube).
Limitations Avoid the use of serum separator tubes and gels.
CPT codes 80299
Test schedule Mon-Fri
Turnaround time 3-5 days
Method HPLC
Test includes
Clozapine, ng/mL.
Reference ranges
  
Clozapine                  ng/mL
 Suggested minimum threshold  100 ng/mL.
 Concentrations between 200-700 correlate
 more with response. However, non-response
 does occur within this range.
 For schizophrenia, at least 350 mg/d is 
 suggested for therapeutic repsonse. After
 initial therapeutic response occurs, the
 dose should be progressively reduced to the
 minimum level to maintain clinical
 remission. The likelihood of seizures
 and other side effects increase with
 clozapine levels GT 1200 ng/mL 
 and/or dosages GT 600 mg/d.

[521]


CO2
Order Code CO2 Test Code CO2
Synonyms Bicarbonate
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Centrifuge ASAP, keep upright and do not remove stopper. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 day   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Serum (red top tube) or lithium heparin plasma (green top tube).. Separate serum or plasma from the cells ASAP and handle anaerobically at all times to minimize exposure to air during collection, transfer and storage. Place in separate plastic tube and cap immediately. Store and transport refrigerated.
Department Chemistry
CPT codes 82374
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Enzymatic
Test includes
C02, mmol/L.
Reference ranges
  
CO2                   mmol/L
 0-10 days      13-22
 11 days-4 yrs  20-28
 5+ yrs         22-31

[522]


COAGULATION CONSULT FOR VON WILLEBRAND
Order Code VONPCC Test Code VONPCC
Separate samples must be submitted when multiple tests are ordered.
Synonyms Von Willebrand Coagulation Consultation
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Whole blood  Preferred volume 9 mL  Minimum volume 4 mL
Collection procedure 3-3 mL liquid blue top tubes filled to capacity. Must be performed within 4 hours from time of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 3 clean plastic tubes (3 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85240, 85246, 85245, 80500
Test schedule Mon-Sat
Turnaround time 72 hours
Method Electromechanical
Test includes
Factor VIII, %; Von Willebrand Factor Antigen, %; Von Willebrand Factor Activity, %; Interpretation; Reviewed By.
Reference ranges
  
Factor VIII                     55-150    %
Von Willebrand Factor Antigen   50-165    %
Von Willebrand Factor Activity  GT 40     %
Interpretation
Reviewed by

[523]


COAGULATION PROFILE
Order Code COAG-BAT Test Code COAGB
Specimen Required
       Container type Lavender top tube (EDTA), Blue top tube (buffered sodium citrate) and Smears.  Specimen type EDTA whole blood and buffered sodium citrate whole blood and smears.  Preferred volume Whole blood samples filled to capacity  Minimum volume 3 mL blue top, 0.5 EDTA microtainer plus slides.
Collection procedure Bleeding Time procedure performed at any Patient Service Center.
Specimen processing Sodium citrated whole blood and EDTA whole blood. Two peripheral blood smears. EDTA whole blood should be transported at refrigerated temperature. Assays on nonheparinized patients must be performed within 24 hours of collection. Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at RT (22-24C). Assays on specimens suspected to contain unfractionated heparin therapy kept at RT (22-24C) should be centrifuged and the plasma removed from the cells within 1 hour of collection and performed within 4 hours of collection. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Unacceptable conditions Severely hemolyzed, clotted, improperly filled tubes or specimens more than 4 hours old that have not been handled as described.
Department Hematology
CPT codes 85002, 85025, 85610, 85730
Test schedule Daily-all shifts
Turnaround time 1-2 days
Test includes
Bleeding Time, min; PT, sec; PTT, sec; PLT, K/uL; Interpretation; Reviewed By.
Reference ranges
  
Bleeding Time     2.0-9.5         min
PT    0-1 mo      13.0-20.0       sec
      2+ mo       10.9-14.8       
PT, Pop Mean      13.4                sec
PT, INR           0.9-1.2
                  2.0-3.0  Usual oral anticoagulation range.
                  2.5-3.5  High level oral anticoagulation range.
PTT    0-1 mo     40-50           sec
       2 mo-4 yrs 25-40
       5+ yrs     26-36
       Deep venous thrombosis or pulmonary
       embolism therapeutic heparin levels
       of 0.3 to 0.7 Units/mL anti-factor
       Xa levels usually correspond to an
       aPTT of 60-85 seconds. Acute cardiac
       syndrome therapeutic range based on
       heparin levels of 0.2 to 0.5
       usually correspond to an aPTT of
       55 to 75 seconds.          
PTT, Pop Mean     31              sec              
Platelet Count                    K/uL
 0-3 days         250-450
 3-9 days         200-400
 9-30 days        250-450
 1-6 mo           300-750
 6 mo-2 yrs       250-600
 2-8 yrs          250-550 
 8-12 yrs         200-450
 12-18 yrs        150-450
 18 yrs+          150-400
Interpretation
Reviewed by

[524]


COCAINE & METABOLITES
Order Code COCQTS Test Code COCQTS
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 4 mL  Minimum volume 1.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Unacceptable conditions No SST or gel-type tubes.
CPT codes 82520
Test schedule Mon, Tue, Wed, Thu, Fri
Turnaround time 3-5 days
Method GC/MS
Test includes
Cocaine, ng/mL; Cocaethylene, ng/mL; Benzoylecgonine, ng/mL.
Reference ranges
  
Cocaine                          ng/mL
 Up to 200 ng/mL following oral dose or
 nasal intake of 2 mg/kg.
Cocaethylene                     ng/mL
Benzoylecgonine                  ng/mL

[525]


COCAINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCCOC Test Code TLCCOC
Synonyms Benzoylecgonine, cocaine metabolite, Cocaine HCL injectable, blow, bump, C, candy, Charlie, coke, crack, flake, rock, snow, toot,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
The Cocaine metabolite(Benzylecgonine).
Notes
Test is also included in Comprehensive Drug Survey.

[6993]


COCAINE CONFIRMATION BY GC/MS
Order Code MSCOC Test Code MSCOC
Synonyms Benzoylecgonine, cocaine HCL injectable, blow, bump, C, candy, Charlie, Coke, Crack, Flake, Snow, rock, toot,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff at 150 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Gas Chromatography Mass Spectrometry
Notes
Identifies Cocaine's major metabolite benzoylecgonine

[6895]


COCAINE CONFIRMATION BY TLC. TEST IS ALSO INCLUDED IN DRUG-SUR.
Order Code TLCCOC Test Code TLCCOC
Synonyms Benzoylecgonine,Cocaine HCL injectable,blow, bump, C, candy, Charlie, rock, toot, Coke, Crack, Flake, Snow,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff at 700 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Modified Thin Layer Chromatography
Test includes
Benzoylecgonine, Cocaine
Notes
Identifies Cocaine's major metabolite benzoylecgonine. Test is also included in Comprehensive Drug Survey.

[6894]


COCAINE SCREEN
Order Code COC+ Test Code COC
Synonyms Cocaine HCL injectable, Benzoylecgonine,Coke, Crack, Flake, Snow, Blow, Bump, C, candy, Charlie, rock, toot
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff at 300 ng/ml
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 -48 hours
Method EMIT
Notes
Positive results will automatically be confirmed by TLC

[6893]


COCCIDIOIDES ANTIBODIES, IGG & IGM BY ELISA
Order Code COCAB Test Code COCAB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Collection procedure Parallel testing is preferred and convalescent specimens must be received within 30 days from the receipt of acute specimens, Store and transport refrigerated.
Specimen processing Separate the serum from the cells ASAP and put in a separate plastic tube. Mark the specimens as acute or convalescent.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Severely lipemic, contaminated, or hemolyzed specimens. Avoid repeated freeze/thaw cycles.
Alternate specimens CSF.
CPT codes 86635 x 2
Test schedule Mon-Fri
Turnaround time 2-6 days
Method ELISA
Test includes
Coccidioides Ab, IgG, IV; Coccidioides Ab, IgM, IV.
Reference ranges
  
Coccidioides Ab, IgG         0.9 or less         Negative-no significant level of        IV
                                                 Coccidioides IgG Ab detected.
                             1.0-1.4             Equivocal-Questionable presence
                                                 of Coccidioides IgG Ab detected.
                                                 Repeat tsting in 10-14 days may be
                                                 helpful.
                             1.5 or greater      Positive-Presence of IgG Ab 
                                                 Coccidiodes detected, suggestive
                                                 of current or past infection.
                                                 IgG Abs usually appear by the third
                                                 week of infection and may persist for
                                                 years. Both tube precipitin (TP) and 
                                                 CF antigens are represented by the
                                                 ELISA tests.
Coccidioides Ab, IgM          0.9 or less        Negative-No significant level of         IV
                                                 Coccidioides IgM Ab detected.
                              1.0-1.4            Equivocal-Questionable presence of
                                                 Coccidioides IgM Ab detected. Repeat
                                                 testing in 10-14 days may be helpful.
                              1.5 or greater     Positive-Presence of IgM Ab to
                                                 Coccidioides detected, suggestive of
                                                 current or past infection.
                                                 In most symptomatic patients, IgM Abs
                                                 usually appear by the second week of
                                                 infection and disappear by the fourth
                                                 month. Both tube precipitin (TP) and CF
                                                 antigens are represented in the ELISA
                                                 tests.
                                                 Note: Negative fungal serology does not
                                                 rule our the possibility of current
                                                 infection.

[5585]


COCCIDIOIDES ANTIBODY BY CF
Order Code COCC.CF Test Code COCCAB
Acute and convalescent samples advised.
Synonyms San Joaquin Fever AB By CF; Valley Fever By CF
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place is separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic or contaminated specimens.
Alternate specimens 2 mL CSF.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86635
Test schedule Sun-Fri
Turnaround time 3-5 days
Method CF
Test includes
Coccidioides Antibody.
Reference ranges
  
Coccidioides Ab by CF          Titer
 LT 1:2   No antibody detected

[526]


COCCIDIOIDES ANTIBODY PANEL, CSF
Order Code COC.AB-CSF Test Code COCPSF
Synonyms San Joaquin Fever Antibodies, CSF; Valley Fever, CSF
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type CSF  Preferred volume 2 mL  Minimum volume 2- 0.5 mL aliquots
Specimen processing 2-1 mL aliquots of spinal fluid in two sterile plastic tubes. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year (avoid repeat freeze/thaw cycles).   Frozen (-70°C)
Unacceptable conditions Grossly bloody or hemolyzed specimens.
CPT codes 86635 x 4
Test schedule Mon-Fri
Turnaround time 3-6 days
Method CF, ELISA, ID
Test includes
Coccidioides Antibody, CSF by CF, Titer; Coccidioides Antibody, IgG, IV; Coccidioides Antibody, IgM, IV; Coccidioides Antibody, by ID.
Reference ranges
  
Coccidioides Ab     LT 1:2        No Antibody Detected         
 CSF by CF
Coccidioides Ab, CSF                                         IV
 IgG  Negative      0.9 or less  No significant level
                                 of Coccidioides IgG 
                                 Ab detected.
      Equivocal     1.0-1.4      Questionable presence
                                 of Coccidioides IgG
                                 Ab detected. Repeat
                                 testing in 10-14 days
                                 may be helpful.
      Positive      1.5 or more  Presence of IgG Ab to
                                 Coccidioides detected,
                                 suggestive of current or 
                                 past infection.
Coccidioides Ab, CSF                                         IV
 IgM  Negative      0.9 or less  No significant level
                                 of Coccidioides IgM 
                                 Ab detected.
      Equivocal     1.0-1.4      Questionable presence
                                 of Coccidioides IgM
                                 Ab detected. Repeat
                                 testing in 10-14 days
                                 may be helpful.
      Positive      1.5 or more  Presence of IgM Ab to
                                 Coccidioides detected,
                                 suggestive of current or 
                                 past infection.            
Coccidioides Ab     None detected
  CSF by ID

[527]


COCCIDIOIDES ANTIBODY PROFILE
Order Code COCCIDIO.CF Test Code COCPAN
Acute and convalescent samples advised.
Synonyms San Joaquin Fever AB ; Valley Fever AB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in two separate plastic tubes. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, contaminated, hemolyzed specimens or other body fluids.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86635 x 4
Test schedule Mon-Fri
Turnaround time 4-6 days
Method CF, ID and ELISA
Test includes
Coccidioides Antibody by CF, Titer; Coccidioides Antibody, IgG, IV; Coccidioides Antibody, IgM, IV; Coccidioides Antibody by ID.
Reference ranges
  
Coccidioides Ab     LT 1:2        No Antibody Detected         
 by CF
Coccidioides Ab                                        IV
 IgG  Negative      0.9 or less  No significant level
                                 of Coccidioides IgG 
                                 Ab detected.
      Equivocal     1.0-1.4      Questionable presence
                                 of Coccidioides IgG
                                 Ab detected. Repeat
                                 testing in 10-14 days
                                 may be helpful.
      Positive      1.5 or more  Presence of IgG Ab to
                                 Coccidioides detected,
                                 suggestive of current or 
                                 past infection.
Coccidioides Ab                                         IV
 IgM  Negative      0.9 or less  No significant level
                                 of Coccidioides IgM 
                                 Ab detected.
      Equivocal     1.0-1.4      Questionable presence
                                 of Coccidioides IgM
                                 Ab detected. Repeat
                                 testing in 10-14 days
                                 may be helpful.
      Positive      1.5 or more  Presence of IgM Ab to
                                 Coccidioides detected,
                                 suggestive of current or 
                                 recent infection.            
Coccidioides Ab     None detected
 by ID

[528]


COCCIDIOIDES IMMITIS ID BY DNAshipping instruction code
Order Code COCIPR Test Code COCIPR
Specimen Required
       Container type See below  Specimen type See below  Preferred volume See below
Collection procedure See below
Specimen processing Viable fungal isolate in pure culture on nonblood-containing fungal medium.
Required patient info Source and suspected pathogen.
Stability-   Room temp 2 weeks   Refrigerated 2 weeks   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Nonviable cultures, frozen cultures, mixed cultures, leaking containers, and organisms submitted on agar plates.
CPT codes 87149
Test schedule Sun-Sat
Turnaround time 2-4 days
Method Nucleic Acid Probe
Test includes
Source; Coccidioides Immitis ID by DNA Probe.
Reference ranges
  
Source
Coccidioides Immitis ID by DNA Probe

[529]


CODEINE
Order Code COD Test Code COD
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2mL  Minimum volume 1 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated.
Alternate specimens EDTA plasma (lavender top tube).
Limitations No SST tubes.
CPT codes 83925
Test schedule Mon-Sun
Turnaround time 2-4 days
Method GC
Test includes
Codeine, ng/mL.
Reference ranges
  
Codeine                     ng/mL
 Therapeutic range  30-120

[530]


CODEINE CONFIRMATION BY LC/MS
Order Code LCOP6 Test Code LCOP6
Synonyms codeine, tylenol 3, robitussin A-C,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Alternate specimens none
Limitations Cutoff 150 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Liquid Chromatography Mass Spectrometry
Test includes
Codeine
Notes
Test is also included in Comprehensive Drug Survey. Replaces TLCOPA

[6996]


COENZYME Q10A, TOTAL
Order Code CQ10A Test Code CQ10A
Synonyms CQ10A
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Let sample stand on clot for 2 hours. Separate serum from cells and place in separate, amber plastic tube and freeze. Store and transport frozen. Protect from light. Separate specimens must be submitted when multiple tests are ordered.
Stability-   Room temp unacceptable   Refrigerated 3 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Non-frozen specimens, hemolyzed or not protected from light.
Limitations Avoid repeated freeze-thaw cycles.
CPT codes 82491
Test schedule Mon, Thu
Turnaround time 2-7 days
Method HPLC
Test includes
Coenzyme Q10A, Serum
Reference ranges
  
Coenzyme Q10A, Serum          0.4-1.6        mg/L

[3060]


COLD AGGLUTININS
Order Code COLD Test Code COLD
Submit both serum and cells.
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum and cells  Minimum volume 0.5 mL serum
Collection procedure Draw one 10 mL red top tube. Allow blood to clot in 37C incubator.
Specimen processing After tube has clotted in the 37C incubator, separate the serum from the cells. Store and transport the serum refrigerated. Store and transport the cells at room temperature. If patient cells are not submitted, Group O cells will be used in testing.
Unacceptable conditions Separator tubes (SST/Corvac).
Department Immunology
CPT codes 86157
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Agglutination
Test includes
Cold Agglutinins, Titer.
Reference ranges
  
Cold Agglutinins  LT 1:32
Notes
Any Group O cells may be used in lieu of patient's cells.

[531]


COLONY COUNT DIALYSATE
Order Code CCDI Test Code CCDI
Specimen Required
       Container type Sterile leakproof container  Specimen type Dialysate fluid  Preferred volume 10 mL  Minimum volume 1 mL
Specimen processing Dialysate samples should be collected from a dialysate port of the dialyzer, if possible. Samples should be refrigerated and are stable for up to 24 hours.
Stability-   Room temp Unacceptable   Refrigerated 24 hours   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Refrigerated samples GT 24 hours old, room temperature or frozen samples.
Department SHMC Microbiology
CPT codes 87070
Test schedule Sun-Sat
Turnaround time 2 days
Method Organism Isolation
Test includes
Source; Culture, Fluid; Report Status
Reference ranges
  
Source
Culture, Fluid
Report Status

[3074]


COLONY COUNT DIALYSIS WATER
Order Code CCDW Test Code CCDW
Specimen Required
       Container type Sterile leakproof container  Specimen type Dialysis water  Preferred volume 10 mL  Minimum volume 1 mL
Specimen processing Water samples should be collected after allowing the water to run for at least 60 seconds before a sample is collected in a sterile, endotoxin-free container. Samples should be refrigerated and are stable for up to 24 hours.
Stability-   Room temp Unacceptable   Refrigerated 24 hours   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Refrigerated samples GT 24 hours old, room temperature or frozen samples.
Department SHMC Microbiology
CPT codes 87070
Test schedule Sun-Sat
Turnaround time 2 days
Method Organism Isolation
Test includes
Source; Culture, Fluid; Report Status
Reference ranges
  
Source
Culture, Fluid
Report Status

[3075]


COLORADO TICK FEVER IGG ANTIBODY
Order Code COL.TICK Test Code COTICK
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
CPT codes 86790
Test schedule Tue, Thu
Turnaround time 3-5 days
Method IFA
Test includes
Colorado Tick Fever IgG Antibody, Titer.
Reference ranges
  
Colorado Tick Fever IgG Antibody  LT 1:16
Interpretive criteria 
 LT 1:16         Antibody not detected
 1:16 or greater Antibody detected
 A four-fold or greater change in IgG titer
 between acute and convalescent sera is 
 indicative of recent or current infection.

[532]


COMPLEMENT COMPONENT 1, FUNCTIONAL
Order Code COM1 Test Code COM1
Synonyms C1
Specimen Required
       Container type Plain red top tube  Specimen type Frozen serum  Preferred volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze within 2 hours of collection. Store and transport frozen. This is a critical frozen specimen.
Unacceptable conditions Plasma samples.
CPT codes 86161
Test schedule Varies
Turnaround time 4 weeks
Method Hemolytic Assay
Test includes
Complement Component 1, Functional, C1H50 Units/mL.
Reference ranges
  
Complement Component 1, Functional
 75672-190932  C1H50 Units/mL

[538]


COMPLEMENT COMPONENT C5
Order Code C5SP Test Code C5SP
Synonyms C5 Complement; C5
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.1 mL
Specimen processing Separate serum from cells and place in plastic tubes. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86160
Test schedule 3 days a week
Turnaround time 2-5 days
Method RID
Test includes
C5, mg/dL.
Reference ranges
  
C5   6-20  mg/dL
 Low levels of C5 indicate either increased catabolism or decreased synthesis.

[3105]


COMPLEMENT COMPONENT C7
Order Code C7SP Test Code C7SP
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Synonyms C7 Complement; C7
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.1 mL
Specimen processing Separate plasma from the cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens EDTA plasma (lavender top tube).
CPT codes 86160
Test schedule 2 days a week
Turnaround time 2-5 days
Method RID
Test includes
C7, mg/dL.
Reference ranges
  
C7     4-11 mg/dL
 Low levels of C7 indicate either increased catabolism or decreased synthesis.

[3106]


COMPLEMENT COMPONENT C8
Order Code C8SP Test Code C8SP
Synonyms C8 Complement; C8
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.1 mL
Specimen processing Separate plasma from cells and place in plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 3 weeks   Frozen (-70°C)
CPT codes 86160
Test schedule 1 day a week
Turnaround time 4-6 days
Method RID
Test includes
C8, mg/dL.
Reference ranges
  
C8     10.7-24.9 mg/dL
 Low levels of C8 indicates either increased catbolism or decreased synthesis.

[3107]


COMPLEMENT COMPONENT C9
Order Code C9CSP Test Code C9CSP
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Synonyms C9 Complement; C9
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.1 mL
Specimen processing Separate plasma form cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens EDTA or PPT plasma (lavender or white top tube).
CPT codes 86160
Test schedule 2 days a week
Turnaround time 4-7 days
Method RID
Test includes
C9, mg/dL.
Reference ranges
  
C9   6-20    mg/dL
 Low levels of C9 indicate either catabolism or decreased synthesis.

[3108]


COMPLEMENT SPLIT PRODUCT C3AL
Order Code C3AL Test Code C3AL
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Synonyms C3AL Complement Split Product
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen plasma  Preferred volume 1 mL
Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. This is a critical frozen specimen.
CPT codes 86160
Test schedule Thu
Turnaround time 7-10 weeks
Method RIA
Test includes
Complement Split Product C3AL, ng/mL.
Reference ranges
  
Complement Split Product C3AL  100-400 ng/mL
 For Research Use Only

[539]


COMPLEX DRUG ANALYSIS
Order Code CDA Test Code CDA
Specimen Required
       
Department Toxicology
CPT codes 80299
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Will vary with specimen
Notes
The Complex Drug analysis provides testing on miscellaneous specimens including pills, unknown substances, syringe concentration comparison, and other non biological specimens not listed in the PAML directory. The methods of analysis will vary with the specimen. You must contact the Toxicology Department prior to sending specimens for acceptability.

[6925]


COMPLIANCE METHADONE TESTING
Order Code CPMETD Test Code CPMETD
Synonyms dolophine, dollies, meth, fizzies, amidone
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method GC/MS
Test includes
Methadone
Notes
This work par will have the sample tested for Methadone by GC/MS to the Limit of Detection.

[6928]


COMPLIANCE MORPHINE TESTING
Order Code CPMORP Test Code CPMORP
Synonyms roxanol, duramorph, MS contin, oramorph, MSIR, kadian, astramorph, avinza, M, Miss Emma, monkey, white stuff,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method GC/MS
Test includes
Morphine
Notes
This work par will have Morphine tested to the Limit of Detection by GC/MS.

[6927]


COMPLIANCE OPIATE (ALTERNATE) CONFIRMATION BY GC/MS. INCLUDES OXYCODONE, HYDROCODONE, HYDROMORPHONE.
Order Code CPALOP Test Code CPALOP
Synonyms (Oxycodone)Oxycontin, percodan, Oxyir, Roxicodone, Percolone, Roxicet, Percocet, Tylox,(Hydrocodone), Anexsia, Lorcet, Lortab, Norco, Panacet, Zydone,(Hydromorphone), Dilaudid, Palladone,
Specimen Required
       Container type Leakproof plastic urine container  Specimen type Urine  Preferred volume 30 mL  Minimum volume 5 mL
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method GC/MS
Test includes
Oxycodone, Hydrocodone, Hydromorphone
Notes
This work par will test Oxycodone, Hydrocodone, and Hydromorphone down to the limit of detection by GC/MS.

[7001]


COMPLIANCE OXYCODONE TESTING
Order Code CPOXY Test Code CPOXY
Synonyms oxycodone, oxycontin, percodan, oxyir, roxicodone, percolone, roxicet, percocet, tylox, perkies, 40, 40-bar, 80, kicker, OCs, Os, Ox, Oxy, Oxycotton, pills
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method GC/MS
Test includes
Oxycodone
Notes
This work par will test for Oxycodone down to the limit of detection by GC/MS.

[6926]


COMPREHENSIVE DRUG SURVEY
Order Code DRUG-SUR Test Code CDRS
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 50 mls  Minimum volume 10 mls
Limitations Most drugs with .5 to 2 ug/ml cutoffs.
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Emit/TLC
Test includes
Acetminophen, Amitriptlyine, Amphetamine, Benzl Alcohol, Caffeine, Carboxy Thc, Carbamazepine, Cimetidine, Citalopram, Cocaine and or metabolite (BEG), Codeine, Cyclobenzaprine, Desipramine, Dextromethor -phan, Diphenhydramine, Doxepin, Doxylamine, Ephedrine/Pseudoephedrine, Erythromycin, Fluoxetine, Flurazepam, Hydrocodone, Hydrocortisone, Hydromorphone, Imipramine, Ketamine, Lidocaine, Methylenedioxyamphetamine(MDA), Methylenedioxymethamphetamine(MDMA), Meperidine, Meprobamate, Methadone, Methamphetamine, Methocarbamol, Metoprolol, Mirtazepine, Morphine, Nicotine, Nortriptyline, Olanzaprine, Oxycodone, Paroxetine, Pentazocine, Phencyclidine, Phenobarbital, Phenolphthalein, Phenothiazines, Phentermine, Phenylpropanolamine, Phenytoin, Proxpoxyphene, Norpropoxyphene, Propranolol, Psilocin(OD only), Quetiapine, Quinine/Quinidine, Ranitidine, Sertraline, Spironolactone, Strychnine, Theophylline, Temazepam, Tramadol, Trazodone/Nefazodone, Triamterine, Trihexyphenidyl, Trimethoprim, Trimipramine, Tripelenamine, Venlafaxine, Verapamil, Ethanol, Methaqualone, Benzodiazepine group.
Notes
The Comprehensive Drug Survey offers qualitative identification of a broad spectrum of licit and illicit drugs. The sample is tested by Emit and TLC.

[6920]


COMPREHENSIVE DRUG SURVEY/GASTRIC
Order Code DRUG-SUR.G Test Code CDRSG
Specimen Required
       Container type Random Urine  Specimen type Gastric  Preferred volume 15 mls  Minimum volume 5 mls
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Emit
Notes
TheComprehensive Drug Survey (Gastric) offers qualitative identification of a broad spectrum of licit and illicit drugs. The sample is tested by Emit and TLC.

[6921]


COMPREHENSIVE METABOLIC PANEL
Order Code CMPA Test Code CMPA
Specimen Required
       Container type SST tube or Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Allow specimen to clot completely. Separate serum or plasma from cells ASAP and transport refrigerated. If red top tube is collected, separate serum from cells ASAP and place in separate plastic tube and cap immediately. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 day   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions EDTA, sodium citrate or sodium fluoride-potassium oxalate plasma specimens.
Alternate specimens If plasma must be used, use lithium heparin.
Limitations Avoid hemolysis.
Department Chemistry
CPT codes 80053
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Colorimetric, Enzymatic, ISE, Hexokinase, Enzymatic (IDMS Traceable)
Test includes
Glucose, mg/dL; BUN, mg/dL; Creatinine, mg/dL; BUN/Creatinine Ratio; Calcium, mg/dL; Total Protein, g/dL; Albumin, g/dL; Globulin, g/dL; A/G Ratio; Bilirubin, Total, mg/dL; Alkaline Phosphatase, U/L; ALT (SGPT), U/L; AST(SGOT), U/L; Sodium, mmol/L; Potassium, mmol/L; Chloride, mmol/L; CO2, mmol/L; Anion Gap.
Reference ranges
  
Ranges as they appear on report:
Glucose                    mg/dL
 0-2 days premature   30-80
 0-2 days full term   40-90
 2 days to 1 month    60-105
 Adults               65-99

ADA diagnostic comments:

Glucose                                            mg/dL
 0-2 days premature  30-80
 0-2 days fullterm   40-90
 2 days-1 month      60-105
 Adult               65-99
 Pregnant            65-94

ADA Diagnostic Categories for nonpregnant
adults:
 Impaired fasting glucose  100-125 mg/dL
 A fasting glucose result of 126 mg/dL or
 greater indicates diabetes if the
 abnormality is confirmed on a subsequent
 day.
 A random glucose result of GT 200 mg/dL
 indicates diabetes if the abnormality
 is confirmed on a subsequent day.   
BUN                                 7-23           mg/dL                                     
Creatinine           M              0.50-1.30      mg/dL
                     F              0.40-1.00
BUN/Creatinine ratio                11.0-35.0
Calcium                             8.5-10.5       mg/dL
Total Protein        0-12 mo        4.3-6.9        g/dL
                     1-3 yrs        5.2-7.4
                     3-6 yrs        5.6-7.7
                     6-10 yrs       6.5-8.3
                     10-18 yrs      6.1-8.0 
                     18-60 yrs      6.3-8.0
                     60 yrs+        6.1-7.8       
Albumin              0-4 days       2.9-4.6        g/dL
                     4 days-14 yrs  3.9-5.6
                     14-18 yrs      3.3-4.7
                     18-60 yrs      3.5-5.0
                     60-90 yrs      3.3-4.8
                     90 yrs+        3.0-4.7
Globulin                            1.8-3.5        g/dL
A/G Ratio                           1.1-2.2            
Bilirubin, Total                                   mg/dL
                     0-30 days      LT 11.7
                     1 mo-18 yrs    LT 2.0
                     18-60 yrs      0.1-1.5
                     60-90 yrs      0.2-1.1
                     90 yrs+        0.2-0.9                                
Alkaline Phosphatase 0-6 yrs        72-307         U/L
                     6-9 yrs        133-340
                  M  9-15 yrs       103-429
                  M  15-18 yrs      49-210
                  F  9-13 yrs       99-453
                  F  13-15 yrs      53-186
                  F  15-18 yrs      38-110
                     18 yrs+        38-110    
ALT (SGPT)                          5-50           U/L
AST(SGOT)            0-6 yrs        20-60          U/L
                     6-10 yrs       20-40
                     10-18 yrs      14-40
                     18 yrs+        5-40
Sodium                              135-145        mmol/L
Potassium            0-30 days      3.9-6.9        mmol/L
                     1-12 mo        3.6-6.8
                     1-5 yrs        3.2-5.7
                     5-10 yrs       3.4-5.4
                     10 yrs+        3.5-5.3
Chloride                            98-109         mmol/L
C02                  0-10 days      13-22          mmol/L
                     11 days-4 yrs  20-28
                     5+ yrs         22-31
Anion Gap                           7-16
Notes
Hemolysis will cause elevated potassium values and minimal volumes will concentrate. Plasma is not recommended since fibrinogen will add to the protein being measured.

[540]


CONNECTIVE TISSUE DISEASE (REFLEXIVE)
Order Code CTD Test Code CTD
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Lupus
Specimen Required
       Container type SST Tube  Specimen type Serum. Frozen serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in 3 separate plastic tubes. Store and transport 2 tubes refrigerated and 1 tube frozen.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or lipemic, contaminated or heat-treated samples.
Department Chemistry
CPT codes 86038, 86160,x 2, 86200. 86431
Test schedule Tue, Thu, Sat
Turnaround time 2-5 days
Method Multiplex luminex, Nephelometry, ELISA
Test includes
Complement, C3, mg/dL; Complement, C4, mg/dL; Cyclic Citrullinated Peptide Antibody, IgG, EU; RA, IU/mL; ANA; (If positive the following tests will be done and reported). DSDNA Autoanitobdy, IU/mL; Smith Autoantibody, AI; Ribosomal P Autoantibody, AI; Chromatin Autoantibodies, AI; RNP Autoantibody, AI; SMRNP Autoantibody, AI; SCL-70 Autoantibody, AI; Centromere B Autoantibody, AI; SSA (RO) Autoantibody, AI; SSB (LA) Autoantibody, AI; JO-1 Autoantibody, AI.
Reference ranges
  
ANA                        Negative
 A multiplex screen for 11 autoantibodies
 (dsDNA, Smith, Ribosomal P, Chromatin, RNP, 
 SmRNP, Scl-70, Centromere B, SSA, SSB and
 J0-1) was performed and no autoantibodies
 were detected. A negative multiplex ANA
 does not rule out all possibility of a 
 connective tissue or autoimmune disease,
 and further studies should be considered
 if clinical suspicion is high.
DSDNA Autoantibody    Negative       LT 5         IU/mL
                      Indeterminate  5-9
                      Positive       10 or more
Smith Autoantibody    Negative       LT 1.0       AI
                      Positive       1.0 or more  
Ribosomal P Auto-     Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
Chromatin Auto-       Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
RNP Autoantibody      Negative       LT 1.0       AI
                      Positive       1.0 or more 
SMRNP Auto-           Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
SCL-70 Auto-          Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
Centromere B Auto-    Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
SSA (RO) Auto-        Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
SSB (LA) Auto-        Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
JO-1 Autoantibody     Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
Complement, C3        0-1 days       50-168       mg/dL
                      2-60 days      55-170
                      2-5 months     59-176
                      6-24 months    66-180
                      25-60 months   74-184
                      5-9 years      74-190
                      10-14 years    77-198
                      15+ years      90-200
Complement, C4        0-7 days       0.0-45.7     mg/dL
                      8-60 days      1.5-47.9
                      2-5 months     1.5-47.9
                      6-24 months    3.0-47.9
                      25-60 months   4.5-48.4
                      5-9 years      5.3-50.6 
                      10-14 years    6.0-52.8
                      15+ years      15.0-55.0
Cyclic Citrullinated  Negative       LT 20        EU
 Peptide Antibody,    Weak Positive  20-39
 IgG                  Mod Positive   40-59
                      Strong Positive 60 or more
                      Approximately 70% of patients
                      with RA are positive for CCP IgG, 
                      while only 2% of random blood
                      donors and disease controls
                      are positive. The diagnostic
                      value of antibodies to
                      arthritis patients has not been
                      determined.
RA                    LT 20                       IU/mL

[541]


CONNEXIN 26 TESTING (GJB2) SEQUENCE ANALYSIS shipping instruction code
Order Code CON26 Test Code CON26
This test must be ordered on a paper requisition that accompanies the specimen. It is an orderable test using PAML computer system if you are interfaced.
This test may reflex to additional tests depending on the results of this test. Additional fees may be added.
Synonyms Deaf; Molecular testing
Specimen Required
       Container type EDTA (lavender top tube)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 3 mL
Specimen processing Submit original, unopened tube only. Do not transfer from original draw tube. Store and transport at room temperature or refrigerated.shipping instruction code
Required patient info Patient family history and clinical indication.
Stability-   Room temp 3 days   Refrigerated 5 days   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Plasma, serum, heparinized whole blood, frozen whole blood, severely hemolyzed specimens, specimens in leaking containers, specimens over 5 days old, specimens not received in the original collection tubes and aliquoted specimens.
Alternate specimens Sodium citrate or ACD whole blood (blue or yellow top tube).
Department Molecular Diagnostics
CPT codes 83891, 83898, 83904 x 3, 83912
Test schedule Weekly
Turnaround time 1-2 weeks
Method DNA Sequencing
Test includes
Connexin 26 Sequence Analysis
Reference ranges
  
Connexin 26            Not detected
                       No mutations detected within the coding region of the GJB2 gene.
Notes
This test triggers follow-up reflex testing to CONNUR (GJB2) sequence analysis and CONN#) deletion testing when only a single mutation has been identified in the coding region of the GJB2 gene.

[5769]


CONSULT/REVIEW, FLUID
Order Code REVFL Test Code REVFL
Specimen Required
       Container type Sterile plastic tube.  Specimen type CSF  Preferred volume 3 mL  Minimum volume 0.5 mL CSF or body fluid, or 2 cytospin slides.
Specimen processing Store and transport refrigerated.
Alternate specimens Body fluid in EDTA (lavender top tube) or cytospin slides.
Department Hematology
CPT codes 80500
Test schedule Mon-Fri days
Turnaround time 2-4 days
Method Visual Microscopic
Test includes
Fluid, Interpretation; Fluid, Reviewed By.
Reference ranges
  
Fluid, Interpretation
Fluid, Reviewed by

[543]


COOMBS, DIRECT
Order Code DCM Test Code MDC
Synonyms DCM; Direct Coombs; Anti-Human Globulin; DAT; Direct Antiglobulin; Direct Antihuman Globulin test
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type EDTA whole blood  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated 14 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed cells and all samples collected in plain red top tubes that are not cord blood samples.
Alternate specimens Cord blood samples collected in plain red top tubes and clearly labeled as cord blood, other specimen types collected in red top tubes will not be accepted.
Department Immunology
CPT codes 86880
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Hemagglutination
Test includes
Direct Coombs.
Reference ranges
  
Direct Coombs  Negative

[544]


COOMBS, DIRECT & INDIRECT
Order Code DICM Test Code MDCIC
Synonyms Direct and Indirect Coombs
Specimen Required
       Container type Red top tube (plain) and Lavender top tube (EDTA)  Specimen type Serum and EDTA whole blood  Preferred volume 4 mL serum and 3 mLs whole blood  Minimum volume 1 mL serum and 2 mLs whole blood
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport all samples refrigerated.
Stability-   Room temp   Refrigerated 14 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, grossly icteric or grossly lipemic specimens.
Alternate specimens Serum for the indirect coombs, none for the direct coombs, cord blood samples collected in plain red top tubes and cleaerly labeled as cord blood.
Department Immunology
CPT codes 86850, 86880
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Hemagglutination
Test includes
Direct Coombs; Indirect Coombs.
Reference ranges
  
Direct Coombs     Negative
Indirect Coombs   Negative

[545]


COOMBS, INDIRECT (ANTIBODY SCREEN)
Order Code ABS Test Code MABS
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Indirect Coombs (ICM); Antibody Screen; Indirect Antiglobulin, Screen
Specimen Required
       Container type Red top tube (plain) and Lavender top tube (EDTA)  Specimen type Serum and EDTA whole blood  Preferred volume 4 mL serum and 3 mLs whole blood  Minimum volume 1 mL serum and 2 mLs EDTA whole blood
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport all specimens refrigerated.
Stability-   Room temp   Refrigerated 14 days   Frozen (-20°C) 6 months, unacceptable for cells   Frozen (-70°C)
Unacceptable conditions Hemolyzed, grossly icteric or grossly lipemic specimens.
Alternate specimens Cord blood samples collected in plain red top tubes and clearly labeled as cord blood.
Department Immunology
CPT codes 86850
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Hemagglutination
Test includes
Indirect Coombs.
Reference ranges
  
Antibody Screen  Negative

[546]


COOMBS, INDIRECT (NON-CROSSMATCH)
Order Code ICM Test Code MIC
Synonyms Antibody Screen (ABS)
Specimen Required
       Container type Red top tube (plain) and Lavender top tube (EDTA)  Specimen type Serum and EDTA whole blood  Preferred volume 4 mL serum and 3 mLs whole blood  Minimum volume 1 mL serum and 2 mLs whole blood
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport all samples refrigerated.
Stability-   Room temp   Refrigerated 14 days   Frozen (-20°C) 6 months, unacceptable for cells   Frozen (-70°C)
Unacceptable conditions Hemolyzed, grossly icteric or grossly lipemic specimens.
Alternate specimens Serum for the indirect coombs, none for the direct coombs, cord blood samples collected in plain red top tubes and clearly labeled as cord blood.
Department Immunology
CPT codes 86850
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Hemagglutination
Test includes
Indirect Coombs.
Reference ranges
  
Direct Coombs     Negative

[547]


COPPER
Order Code COPPER Test Code COP
Synonyms Cu, Serum
Specimen Required
       Container type Royal blue top tube (metal free plain)  Specimen type Serum  Preferred volume 3 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells within 2 hours and place in separate plastic plastic tube. Store and transport refrigerated.
Required patient info Age.
Stability-   Room temp 48 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Samples from separator gel tubes.
Alternate specimens Serum or sodium heparinized plasma (plain red top or green top tube).
Limitations There is diurnal variation, with highest levels of copper appearing in the morning.
Department Chemistry, Trace Metals
CPT codes 82525
Test schedule Mon, Wed, Fri
Turnaround time 1-3 days
Method AAS
Test includes
Copper, ug/dL.
Reference ranges
  
Copper                     ug/dL
 0-6 mo           20-70
 7 mo-6 yrs       90-190
 7-12 yrs         80-160
 13-60 yrs   M    70-140
 13-60 yrs   F    80-155
 61+ yrs     M    85-170
 61+ yrs     F    85-190

[548]


COPPER, URINE
Order Code COPPER.UR Test Code COPPUQ
Synonyms CU, Urine
Specimen Required
       Container type 24-hour dark plastic urine container or random urine.  Specimen type 24-hour urine collection or random urine.  Preferred volume 10 mL  Minimum volume 5 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container or a random urine. Refrigerate during collection.
Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection or random urine collection into a leakproof plastic urine container. Store and transport refrigerated. ARUP studies indicate thatrefrigeration of urine alone, during and after collection preserves specimens adequately if tested within 14 days of collection.Record total volume and collection time. Submit specimen in two ARUP Trace Element-Free Transport Tubes (43116).
Required patient info Record total volume and collection time interval on trasnport tube and request form.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Urine collected within 48 hours after administration of gadalinium (Gd) containing contrast media (may occur with MRI studies) or acid preserved urine specimens.
CPT codes 82525
Test schedule Mon-Sat
Turnaround time 3-5 days
Method ICP/MS
Test includes
Time, h; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Copper, Urine, ug/dL; Copper, Urine, ug/d; Copper, Urine, ug/gCr.
Reference ranges
  
Collection Period          h
Volume                     mL
Creatinine, Ur             mg/dL
Creatinine, Ur             mg/d
 M  0-2 yrs     Not established
    3-8 yrs     140-700
    9-12 yrs    300-1300
    13-17 yrs   500-2300
    18-50 yrs   1000-2500  
    51-80 yrs   800-2100
    81+ yrs     600-2000
 F  0-2 yrs     Not established
    3-8 yrs     140-700
    9-12 yrs    300-1300
    13-17 yrs   400-1600
    18-50 yrs   700-1600
    51-80 yrs   500-1400
    81+ yrs     400-1300
Copper, Ur      0.2-8.0    ug/dL
Copper, Ur      3-50       ug/d
Copper, Ur                 ug/gCr
 No reference range established

[550]


COPROPORPHYRIN ISOMERS I & III
Order Code COPI13 Test Code COPI13
Synonyms Inherited Conjugated Hyperbilirubenemias, Urine
Specimen Required
       Container type 24-hour plastic urine container  Specimen type Frozen urine  Preferred volume 50 mL  Minimum volume 20 mL
Patient Prep The patient should be off medication for at least 1 week and abstain from alcohol and caffeine containing beverages for t least 24 hours before and during the collection period.
Collection procedure Collect a 24-hour urine collection in a leakproof plastic urine container. Add 5 grams NA2CO3 at the start of the collection to achieve a pH of GT 7.0. The preservative must be added before the start of the collection. Protect from light.
Specimen processing Aliquot 50 mLs of the 24-hour urine collection which has been preserved with 5 g NA2CO3 at the start of the collection into a plastic urine container and freeze. Protect from light. Store and transport frozen.
Required patient info Total volume and collection period.
Limitations If the patient is unable to be off of medications, forward a list of medication with the specimen.
CPT codes 84120
Test schedule Varies
Turnaround time 5-10 days
Method HPLC
Test includes
Collection Period, hr; Volume, mLs; Coproporphyrin Isomers I & III, ug/24 hr; % Coproporhyrin, %; Coproporphyrin Interpretation.
Reference ranges
  
Collection Period                  hr
Volume                             mLs
Coproporphyrin Isomers             ug/24h
 I & III          
 M LT 16 yrs        not established
   16 yrs or more   24-150
 F LT 16 yrs        not established
   16 yrs or more   8-110
% Coproporphyrin                   %
  LT 16 yrs        not established
  16 yrs or more   20-45
Coproporphyrin Interp

[551]


CORDSTAT 12 DRUG SCREEN (REFLEXIVE)
Order Code UMB12 Test Code UMB12
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Umbilical cord container.  Specimen type Umbilical cord.
Collection procedure 6-8 inches of umbilical cord. Drain cord and discard any cord blood. Rinse exterior with normal saline and place in the umbilical cord container & sign the completed requisition form.
Specimen processing Store and transport refrigerated.
CPT codes 80101 x 12, 80103
Method LC-MS/MS, GC/MS
Test includes
CordStat 12 Result; Amphetamines; Amphetamines, ng/g; Methamphetamine, ng/g; MDA, ng/g; MDMA, ng/g; MDEA, ng/g; Barbituates; Butalbital, ng/g; Amobarbital, ng/g; Pentobarbital, ng/g; Secobarbital, ng/g; Phenobarbital, ng/g; Benzodiazepine; Midazolam, ng/g; Oxazepam, ng/g; Alprazolam, ng/g; Temezepam, ng/g; Nordiazepam, ng/g; Diazepam, ng/g; Cocaine; Benzoylecgonine, ng/g; Methadones; Methadone, ng/g; EDDP, ng/g; Meperidine; Meperidine, ng/g; Normeperidine, ng/g; Opiates; Codeine, ng/g; Morphine, ng/g; Hydrocodone, ng/g; Hydromorphone, ng/g; 6-MAM, ng/g; PCP; Phencyclidine, ng/g; Oxycodone; Oxycodone, ng/g; Oxymorphone, ng/g; Propoxyphene; Propoxyphene, ng/g; Norpropoxphene, ng/g; Cannabinoids; Carboxy-THC, pg/g; Tramadol; Tramadol, ng/g; Certification.
Reference ranges
  
CordStat 12 Result   Negative
Amphetamines         Negative
Amphetamines         LT 1.0     ng/g
Metamphetamine       LT 1.0     ng/g
MDA                  LT 1.0     ng/g
MDMA                 LT 1.0     ng/g
MDEA                 LT 1.0     ng/g
Barbituates          Negative
Butalbital           LT 1.0     ng/g
Amobarbital          LT 1.0     ng/g
Pentobarbital        LT 1.0     ng/g
Secobarbital         LT 1.0     ng/g
Phenobarbital        LT 1.0     ng/g
Benzodiazepine       Negative
Midazolam            LT 2.0     ng/g
Oxazepam             LT 2.0     ng/g
Alprazolam           LT 2.0     ng/g
Temezepam            LT 2.0     ng/g
Nordiazepam          LT 2.0     ng/g
Diazepam             LT 2.0     ng/g
Cocaine              Negative
Benzoylecgonine      LT 1.0     ng/g
Methadones           Negative
Methadone            LT 2.0     ng/g
EDDP                 LT 2.0     ng/g
Meperidine           Negative
Meperidine           LT 2.0     ng/g
Normeperidine        LT 2.0     ng/g
Opiates              Negative
Codeine              LT 2.0     ng/g
Morphine             LT 2.0     ng/g
Hydrocodone          LT 2.0     ng/g
Hydromorphone        LT 2.0     ng/g
6-MAM                LT 2.0     ng/g
PCP                  Negative
Phencyclidine        LT 1.0     ng/g
Oxycodone            Negative
Oxycodone            LT 2.0     ng/g
Oxymorphone          LT 2.0     ng/g
Propoxyphene         Negative
Propoxyphene         LT 2.0     ng/g
Norpropoxphene       LT 2.0     ng/g
Cannabinoids         Negative
Carboxy-THC          LT 50      pg/g 
Tramadol             Negative
Tramadol             LT 2.0     ng/g
Certification

[5373]


CORDSTAT 5 DRUG SCREEN (REFLEXIVE)
Order Code UMB5 Test Code UMB5
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Umbilical cord container.  Specimen type Umbilical cord.
Collection procedure 6-8 inches of umbilical cord. Drain cord and discard any cord blood. Rinse exterior with normal saline and place in the umbilical cord container & sign the completed requisition form.
Specimen processing Store and transport refrigerated.
CPT codes 80101 x 5, 80103
Method LC-MS/MS, GC/MS
Test includes
CordStat 5 Result; Amphetamines; Amphetamines, ng/g; Methamphetamine, ng/g; MDA, ng/g; MDMA, ng/g; MDEA, ng/g; Cocaine; Benzoylecgonine, ng/g; Opiates; Codeine, ng/g; Morphine, ng/g; Hydrocodone, ng/g; Hydromorphone, ng/g; PCP; Phencyclidine, ng/g; Cannabinoids; Carboxy-THC, pg/g; Certification.
Reference ranges
  
CordStat 5 Result   Negative
Amphetamines         Negative
Amphetamines         LT 1.0     ng/g
Metamphetamine       LT 1.0     ng/g
MDA                  LT 1.0     ng/g
MDMA                 LT 1.0     ng/g
MDEA                 LT 1.0     ng/g
Cocaine              Negative
Benzoylecgonine      LT 1.0     ng/g
Opiates              Negative
Codeine              LT 2.0     ng/g
Morphine             LT 2.0     ng/g
Hydrocodone          LT 2.0     ng/g
Hydromorphone        LT 2.0     ng/g
PCP                  Negative
Phencyclidine        LT 1.0     ng/g
Cannabinoids         Negative
Carboxy-THC          LT 50      pg/g 
Certification

[5374]


CORDSTAT 7 DRUG SCREEN (REFLEXIVE)
Order Code UMB7 Test Code UMB7
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Umbilical cord container.  Specimen type Umbilical cord.
Collection procedure 6-8 inches of umbilical cord. Drain cord and discard any cord blood. Rinse exterior with normal saline and place in the umbilical cord container & sign the completed requisition form.
Specimen processing Store and transport refrigerated.
CPT codes 80101 x 7, 80103
Method LC-MS/MS, GC/MS
Test includes
CordStat 7 Result; Amphetamines; Amphetamines, ng/g; Methamphetamine, ng/g; MDA, ng/g; MDMA, ng/g; MDEA, ng/g; Barbituates; Butalbital, ng/g; Amobarbital, ng/g; Pentobarbital, ng/g; Secobarbital, ng/g; Phenobarbital, ng/g; Cocaine; Benzoylecgonine, ng/g; Methadones; Methadone, ng/g; EDDP, ng/g; Opiates; Codeine, ng/g; Morphine, ng/g; Hydrocodone, ng/g; Hydromorphone, ng/g; 6-MAM, ng/g; PCP; Phencyclidine, ng/g; Cannabinoids; Carboxy-THC, pg/g; Certification.
Reference ranges
  
CordStat 7 Result    Negative
Amphetamines         Negative
Amphetamines         LT 1.0     ng/g
Metamphetamine       LT 1.0     ng/g
MDA                  LT 1.0     ng/g
MDMA                 LT 1.0     ng/g
MDEA                 LT 1.0     ng/g
Barbituates          Negative
Butalbital           LT 1.0     ng/g
Amobarbital          LT 1.0     ng/g
Pentobarbital        LT 1.0     ng/g
Secobarbital         LT 1.0     ng/g
Phenobarbital        LT 1.0     ng/g
Cocaine              Negative
Benzoylecgonine      LT 1.0     ng/g
Methadones           Negative
Methadone            LT 2.0     ng/g
EDDP                 LT 2.0     ng/g
Opiates              Negative
Codeine              LT 2.0     ng/g
Morphine             LT 2.0     ng/g
Hydrocodone          LT 2.0     ng/g
Hydromorphone        LT 2.0     ng/g
6-MAM                LT 2.0     ng/g
PCP                  Negative
Phencyclidine        LT 1.0     ng/g
Cannabinoids         Negative
Carboxy-THC          LT 50      pg/g 
Certification

[5375]


CORDSTAT 9 DRUG SCREEN (REFLEXIVE)
Order Code UMB9 Test Code UMB9
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Umbilical cord container.  Specimen type Umbilical cord.
Collection procedure 6-8 inches of umbilical cord. Drain cord and discard any cord blood. Rinse exterior with normal saline and place in the umbilical cord container & sign the completed requisition form.
Specimen processing Store and transport refrigerated.
CPT codes 80101 x 9, 80103
Method LC-MS/MS, GC/MS
Test includes
CordStat 9 Result; Amphetamines; Amphetamines, ng/g; Methamphetamine, ng/g; MDA, ng/g; MDMA, ng/g; MDEA, ng/g; Barbituates; Butalbital, ng/g; Amobarbital, ng/g; Pentobarbital, ng/g; Secobarbital, ng/g; Phenobarbital, ng/g; Benzodiazepine; Midazolam, ng/g; Oxazepam, ng/g; Alprazolam, ng/g; Temezepam, ng/g; Nordiazepam, ng/g; Diazepam, ng/g; Cocaine; Benzoylecgonine, ng/g; Methadones; Methadone, ng/g; EDDP, ng/g; Opiates; Codeine, ng/g; Morphine, ng/g; Hydrocodone, ng/g; Hydromorphone, ng/g; 6-MAM, ng/g; PCP; Phencyclidine, ng/g; Propoxyphene; Propoxyphene, ng/g; Norpropoxphene, ng/g; Cannabinoids; Carboxy-THC, pg/g; Certification.
Reference ranges
  
CordStat 9 Result    Negative
Amphetamines         Negative
Amphetamines         LT 1.0     ng/g
Metamphetamine       LT 1.0     ng/g
MDA                  LT 1.0     ng/g
MDMA                 LT 1.0     ng/g
MDEA                 LT 1.0     ng/g
Barbituates          Negative
Butalbital           LT 1.0     ng/g
Amobarbital          LT 1.0     ng/g
Pentobarbital        LT 1.0     ng/g
Secobarbital         LT 1.0     ng/g
Phenobarbital        LT 1.0     ng/g
Benzodiazepine       Negative
Midazolam            LT 2.0     ng/g
Oxazepam             LT 2.0     ng/g
Alprazolam           LT 2.0     ng/g
Temezepam            LT 2.0     ng/g
Nordiazepam          LT 2.0     ng/g
Diazepam             LT 2.0     ng/g
Cocaine              Negative
Benzoylecgonine      LT 1.0     ng/g
Methadones           Negative
Methadone            LT 2.0     ng/g
EDDP                 LT 2.0     ng/g
Opiates              Negative
Codeine              LT 2.0     ng/g
Morphine             LT 2.0     ng/g
Hydrocodone          LT 2.0     ng/g
Hydromorphone        LT 2.0     ng/g
6-MAM                LT 2.0     ng/g
PCP                  Negative
Phencyclidine        LT 1.0     ng/g
Propoxyphene         Negative
Propoxyphene         LT 2.0     ng/g
Norpropoxphene       LT 2.0     ng/g
Cannabinoids         Negative
Carboxy-THC          LT 50      pg/g 
Certification

[5376]


CORTISOL & CORTISONE, FREE URINE (QUANTITATIVE)
Order Code CCFUQ Test Code CCFUQ
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hr urine collection  Preferred volume 1 mL  Minimum volume 1 mL
Collection procedure Collect a 24-hour urine specimen. Refrigerate during collection.
Specimen processing Aliquot 5 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record total volume. Store and transport refrigerated.
Required patient info Record total volume and collection time interval on the transport tube and request form.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
CPT codes 82530, 88185
Test schedule Mon-Sat
Turnaround time 3-5 days
Method LC-MS/MS
Test includes
Cortisol, Urine, mcg/24 hr; Cortisone, Urine, mcg/24 hr; Collection Period, h; Volume, mL.
Reference ranges
  
Cortisol, Urine                    mcg/24h
 LT 2 yrs          not established
 3-8 yrs           1.4-20.0
 9-12 yrs          2.6-37.0
 13-17 yrs         4.0-56.0
 18 yrs or more    3.5-45.0
Cortisone, Urine                   mcg/24h
 LT 2 yrs          not established
 3-8 yrs           5.5-41.0
 9-12 yrs          9.9-73.0
 13-17 yrs         15.0-108.0
 18 yrs or more    17.0-129.0
Collection Period                  h
Volume                             mL

[552]


CORTISOL (ACTH STIMULATION 30 MINUTE & 60 MINUTE)
Order Code COR-STIM2 Test Code CST3
Synonyms ACTH Stimulation II; Adrenocorticotropic hormone stimulation
Specimen Required
       Container type See component tests.  Specimen type See component tests.  Minimum volume 0.2 mL
Specimen processing Refer to COR-STIM for protocol.
Stability-   Room temp   Refrigerated 10 days   Frozen (-20°C)   Frozen (-70°C)
Department Immunochemistry
CPT codes 80400, 82533
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method ICMA
Test includes
Cortisol Baseline, ug/dL; Time Drawn; Cortisol, Post #1, ug/dL; Time Drawn; Cortisol, Post #2, ug/dL; Time Drawn.
Reference ranges
  
Cortisol Baseline                ug/dL
 AM Sample  4.3-22.4       
 PM Sample  3.0-16.0   
Time Drawn
Cortisol, Post #1                ug/dL
Time Drawn
Cortisol, Post #2                ug/dL
 Normal post stimulation  GT 20 
Time Drawn

[554]


CORTISOL (ACTH STIMULATION)
Order Code COR-STIM Test Code CST
Synonyms ACTH Stimulation; Adrenocorticotropic hormone stimlutation
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL for each timed sample  Minimum volume 0.2 mL for each timed sample
Collection procedure Hypoadrenalism Screen: Draw cortisol immediately before and 1 hour after IV injection of 0.25 mg cosyntropin (synthetic ACTH). Procedure should be performed under physician or nurse supervision.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimens. Store and transport frozen.
Stability-   Room temp   Refrigerated 10 days   Frozen (-20°C)   Frozen (-70°C)
Department Immunochemistry
CPT codes 80400
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method ICMA
Test includes
Cortisol Baseline, ug/dL; Time Drawn; Cortisol Post-Stim, ug/dL; Time Drawn.
Reference ranges
  
Cortisol Baseline                ug/dL
 AM Sample  4.3-22.4           
 PM Sample  3.0-16.0
Time Drawn
Cortisol Post-Stim               ug/dL
 Normal post stimulation  GT 20  
Time Drawn

[553]


CORTISOL (PAIRED SPECIMENS)
Order Code COR-2 Test Code CORP
Synonyms Cortisol
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Collection procedure Draw in morning (8:00 AM) and afternoon (4:00 PM). Note times of drawing.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimens. Store and transport frozen.
Stability-   Room temp   Refrigerated 10 days   Frozen (-20°C)   Frozen (-70°C)
Department Immunochemistry
CPT codes 82533 x 2
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method ICMA
Test includes
Cortisol AM, ug/dL; Cortisol PM, ug/dL.
Reference ranges
  
Cortisol AM  4.3-22.4  ug/dL
Cortisol PM  3.0-16.0  ug/dL

[555]


CORTISOL, AM
Order Code CORAM Test Code CORAM
Synonyms Cortisol
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Collection procedure Prefer specimen be drawn at 8 AM. Must draw between 4:00 am and 3:59 pm.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 10 days   Frozen (-20°C)   Frozen (-70°C)
Department Immunochemistry
CPT codes 82533
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method ICMA
Test includes
Cortisol, AM, ug/dL.
Reference ranges
  
Cortisol, AM    4.3-22.4   ug/dL

[556]


CORTISOL, FREE URINE
Order Code COR-U Test Code UFCUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Synonyms Urinary free cortisol
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 5 mL  Minimum volume 2 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 5 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated or frozen.
Required patient info Collection period and total volume.
Stability-   Room temp   Refrigerated 13 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Grey top urine preservative tubes. Any preservative other than boric acid.
Alternate specimens Specimen collected with 1 gm boric acid.
Limitations Cross reactivity with prednisolone.
Department Chemistry
CPT codes 82530
Test schedule Mon, Wed, Fri evenings
Turnaround time 1-3 days
Method ICMA
Test includes
Time, h; Volume, mL; Cortisol, Urine, ug/24h.
Reference ranges
  
Collection Period               h
Volume                          mL
Cortisol, Urine 10.0-80.0       ug/24h

[558]


CORTISOL, FREE URINE (RANDOM)
Order Code COR-R Test Code UFCUR
Synonyms Urinary free Cortisol
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 5 mL  Minimum volume 2 mL
Collection procedure Collect a random urine specimen.
Specimen processing Store and transport refrigerated or frozen.
Stability-   Room temp   Refrigerated 13 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Grey top urine preservative tubes. Any preservative other than boric acid.
Alternate specimens Specimen collected with 1 gm boric acid.
Limitations Cross reactivity with prednisolone.
Department Chemistry
CPT codes 82530
Test schedule Mon, Wed, Fri evenings
Turnaround time 1-3 days
Method ICMA
Test includes
Cortisol, Urine Free, ug/dL.
Reference ranges
  
Cortisol, Urine Free       ug/dL
 No reference range established

[559]


CORTISOL, PM
Order Code CORPM Test Code CORPM
Synonyms Cortisol
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Collection procedure Prefer specimen be drawn at 4 PM. Must draw between 4:00 pm and 3:59 am.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 10 days   Frozen (-20°C)   Frozen (-70°C)
Department Immunochemistry
CPT codes 82533
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method ICMA
Test includes
Cortisol, PM, ug/dL.
Reference ranges
  
Cortisol, PM   3.0-16.0    ug/dL

[557]


CORTISOL, SALIVA
Order Code CORSAL Test Code CORSAL
Synonyms Cortisol
Specimen Required
       Container type See below  Specimen type See below  Preferred volume 1 mL
Collection procedure See below
Specimen processing 1 mL of freshly collected saliva in clean tube using salivette. Store and transport room temperature or frozen.
CPT codes 82533
Test schedule Wed
Turnaround time 3-10 days
Method HPLC/Tandem MS
Test includes
Cortisol, Saliva, ug/dL.
Reference ranges
  
Cortisol, Saliva              ug/dL
 Children & Adults
  8:00 am              0.025-0.600
  Noon                 LT 0.010-0.330
  4:00 pm              0.010-0.200
  Midnight             LT 0.01-0.090
 
Notes
Salivette collection device available from PAML Supply Department.

[560]


CORTISOL, SERUM FREE
Order Code FCORTS Test Code FCORTS
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type Red top tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from the cells and put in separate plastic tube and freeze. Label plainly with AM or PM collection. Store and transport frozen.
Required patient info Label plainly as AM or PM collection.
Stability-   Room temp 4 hours   Refrigerated 5 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed samples.
Alternate specimens EDTA or K2EDTA (lavender or pink top tubes).
CPT codes 82530
Test schedule Tue, Fri
Turnaround time 3-7 days
Method Equilibrium Dialysis/ Electrochemiluminescent Immunoassay
Test includes
Cortisol, Serum Free.
Reference ranges
  
Cortisol, Serum Free     By report

[5590]


CORTISOL, URINE FREE BY LC-MS/MS
Order Code CUFAR Test Code CUFAR
Specimen Required
       Container type 24-hour leak-proof plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 5 mL  Minimum volume 1.5 mL
Collection procedure Collect a 24-hour urine in a 24-hour leak-proof plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 5 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Samples with preservatives or acidified.
Alternate specimens Random urine specimens.
CPT codes 82530
Test schedule Sun-Sat
Turnaround time 3-4 days
Method Tandem MS (LC-MS/MS)
Test includes
Time, h; Volume, mL; Creatinine Urine, mg/L; Creatinine, Urine; mg/d; Cortisol Urine Free, ug/gCr; Cortisol, Urine Free, ug/L; Cortisol, Urine, ug/d.
Reference ranges
  
Collection Period             hrs
Volume                        mL
Creatinine, Urine             mg/L
Creatinine, Urine             mg/d
 M  0-2 yrs    Not established
    3-8 yrs    140-700
    9-12 yrs   300-1300
    13-17 yrs  500-2300
    18-50 yrs  1000-2500
    51-80 yrs  800-2100
    81 yrs+    600-2000
 F  0-2 yrs    Not established
    3-8 yrs    140-700
    9-12 yrs   300-1300
    13-17 yrs  400-1600
    18-50 yrs  700-1600
    51-80 yrs  500-1400
    81 yrs+    400-1300
Cortisol, Urine Free          ug/gCr
 F  Prepubertal LT 25
    18 yrs+     LT 25
    Pregnancy   LT 59
 M Prepubertal  LT 25
   18 yrs+      LT 32
Cortisol, Urine Free          ug/L
Cortisol, Urine               ug/d
 F 3-8 yrs      LT 18
   9-12 yrs     LT 37
   13-17 yrs    LT 56
   18 yrs+      LT 45
 M 3-8 yrs      LT 18
   9-12 yrs     LT 37
   13-17 yrs    LT 56
   18 yrs +     LT 60
Notes
The urine cortisol to creatinine ratio will be reported when the urine collection is random, less than 20 hours, or the urine volume is less than 400 mL/24 hours.

[5369]


COTININE
Order Code NIC Test Code NIC
Synonyms Nicotine
Specimen Required
       Container type Leakproof plastic container.  Specimen type Urine, random  Preferred volume 30 mL
Collection procedure Collect a random urine in leakproof plastic container.
Specimen processing Aliquot 30 mL of a random urine specimen. Store and transport refrigerated.
Department Toxicology
CPT codes 83887
Test schedule Mon, Wed, Fri evenings
Turnaround time 24-48 hours
Method ELISA
Test includes
Cotinine.
Reference ranges
  
Cotinine   Negative

[561]


COUMADIN
Order Code COUM Test Code COUM
Synonyms Warfarin
Specimen Required
       Container type Plain Red Top Tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Unacceptable conditions SST tubes.
CPT codes 80299
Test schedule Every other Thu
Turnaround time 5-10 days
Method HPLC
Test includes
Coumadin, mcg/mL.
Reference ranges
  
Coumadin                       mcg/mL
 Therapeutic   2.0-5.0       
 Toxic         10.0 or greater

[562]


COXIELLA BURNETII ANTIBODY, IGG PHASE 1 & 2
Order Code QFEVRG Test Code QFEVRG
Acute and convalescent samples advised.
Synonyms Coxiella burnetii; Q Fever
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Severely lipemic, hemolyzed or contaminated specimens.
CPT codes 86638 x 2
Test schedule Tue, Fri
Turnaround time 3-6 days
Method IFA
Test includes
Coxiella burnetti Antibody, Phase 1, IgG; Coxiella burnetti Antibody, Phase 2, IgG.
Reference ranges
  
Coxiella burnetti (Q Fever) Phase 1, 
 IgG     LT 1:16  No antibody detected
Coxiella burnetti (Q Fever) Phase 2,
 IgG     LT 1:16  No antibody detected
 Single phase II IgG titers of 1:256
 and greater are considered evidence of
 C. burnetii infection at some time 
 prior to the date of the serum
 specimen. Phase 1 antibody titers of
 1:16 and greater are consistent with
 chronic infection or convalescent 
 phase of Q fever.

[563]


COXSACKIE A ANTIBODY PANEL
Order Code COXAB6 Test Code COXAB6
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
CPT codes 86658 x 6
Test schedule Sun-Thu
Turnaround time 3-6 days
Method CF
Test includes
Coxsackie A, Type 2; Coxsackie A, Type 4; Coxsackie A, Type 7; Coxsackie A, Type 9; Coxsackie A, Type 10; Coxsackie A, Type 16.
Reference ranges
  
Coxsackie A, Type 2       LT 1:8
Coxsackie A, Type 4       LT 1:8
Coxsackie A, Type 7       LT 1:8
Coxsackie A, Type 9       LT 1:8
Coxsackie A, Type 10      LT 1:8
Coxsackie A, Type 16      LT 1:8
 Interpretive Criteria:
 LT 1:8          Antibody not detected
 1:8 or more     Antibody detected
 Single titers of 1:32 or more are
 indicative of recent infection. Titers
 of 1:8 or 1:16 may be indicative of
 either past or recent infection since
 CF antibody levels persist for only
 a few months. A four-fold or greater
 increase in titer between acute
 and convalescent specimens confirms
 the diagnosis. There is considerable
 cross-reactivity among enteroviruses;
 however, the highest titer is usually
 associated with the infecting serotype.

[564]


COXSACKIE A9 VIRUS ANTIBODIES
Order Code COXAAB Test Code COXAAB
Acute and convalescent samples advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, urine, severely lipemic, contaminated or hemolyzed specimens.
Limitations Avoid repeat freeze/thaw cycles.
CPT codes 86658
Test schedule Mon-Fri
Turnaround time 3-5 days
Method CF
Test includes
Coxsackie A9 Antibodies.
Reference ranges
  
Coxsackie A9 Antibodies  LT 1:8
 Single positive Ab titers of 1:32 or
 greater may indicate past or current 
 infection. Seroconversion or an
 increase in titers between acute and
 convalescent sera of at least fourfold
 is considered strong evidence of 
 current or recent infection.

[565]


COXSACKIE B VIRUS ANTIBODY
Order Code COX B Test Code COXB
Acute and convalescent samples advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 2 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Required patient info Specimen source.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma specimens.
Alternate specimens CSF refrigerated or frozen.
CPT codes 86658 x 6
Test schedule Mon-Sat
Turnaround time 8-12 days
Method Serum Neutralization
Test includes
Source; Coxsackie B Antibody (Type 1), Titer; Coxsackie B Antibody (Type 2), Titer; Coxsackie B Antibody (Type 3), Titer; Coxsackie B Antibody (Type 4), Titer; Coxsackie B Antibody (Type 5), Titer; Coxsackie B Antibody (Type 6), Titer.
Reference ranges
  
Source
Coxsackie B Ab  LT 1:10    No antibody detected    Titer
(Type 1)
Coxsackie B Ab  LT 1:10    No antibody detected    Titer
(Type 2)
Coxsackie B Ab  LT 1:10    No antibody detected    Titer
(Type 3)
Coxsackie B Ab  LT 1:10    No antibody detected    Titer
(Type 4)
Coxsackie B Ab  LT 1:10    No antibody detected    Titer
(Type 5)
Coxsackie B Ab  LT 1:10    No antibody detected    Titer
(Type 6)
 Single positive antibody titers of 
 greater than or equal to 1:80 may
 indicate past or current infection.
 Seroconversion or an increase in titers
 between acute and convalescent sera of
 at least fourfold is considered strong
 evidence of current or recent infection.
 The clinical significance and criteria
 for interpretation of results from CSF
 have not been established.

[566]


CREATINE KINASE
Order Code CPK Test Code CK
Synonyms CPK; CK Total; Creatine Phosphokinase; Creatine Phosphokinase; CK; CPK
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 14 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Sodium fluoride-potassium oxalate plasma (grey top tube).
Alternate specimens EDTA or lithium heparin plasma (lavender or green top tube).
Department Chemistry
CPT codes 82550
Test schedule Sun-Fri and STAT
Turnaround time 24-48 hours
Method Enzymatic
Test includes
CK, U/L.
Reference ranges
  
CK (CPK)   M    25-287 U/L
           F    20-200

[568]


CREATINE KINASE ISOENZYMES
Order Code ISOCK Test Code ISOCK
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.6 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated 24 hours   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Ambient samples and samples preserved in heparin, EDTA, citrate, fluoride or iodoacetate.
Limitations Repeated freeze/thaw cycles destroy CK activity. Samples should be frozen at -20C if the assay cannot be performed within 24 hours.
CPT codes 82552, 82550
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Electrophoresis
Test includes
Creatine Kinase, Total, U/L; CK-MM, %; CK-MB, %; CK-BB, %.
Reference ranges
  
Creatine Kinase, Total                         U/L
 M   0-1 mo                   108-564
     1 mo-19 yrs              72-367
     20+ yrs                  20-200
 F   0-1 mo                   108-564
     1 mo-19 yrs              72-367
     20+ yrs                  20-180
CK-MM                         96-100           % 
CK-MB                         0-4               
CK-BB                         0                

[569]


CREATINE KINASE-MB
Order Code CKMB Test Code CKMB
Synonyms Creatine Phosphokinase-MB Isoenzyme; Creatine Phosphokinase-MB Isoenzyme; CK.MB; CKMB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells within 4 hours of collection and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 24 hours   Frozen (-20°C) 12 months   Frozen (-70°C)
Alternate specimens Heparinized plasma (green top tube). If sending a frozen sample, it is critical that separate samples are submitted when multiple tests are ordered.
Department Chemistry
CPT codes 82550, 82553
Test schedule Sun-Sat and STAT
Turnaround time 24-48 hours
Method Enzymatic/MEIA
Test includes
CK, Total, U/L; CK-MB, ng/mL; Relative Index (if appropriate).
Reference ranges
  
CK (CPK) Total
 M  25-287                   U/L
 F  20-200
CK-MB    5.0 or less         ng/mL
Relative Index               %
 3.0 or less
 To be used only if
 CK-MB and total CK
 (CPK) are elevated.

[570]


CREATINE, SERUM OR PLASMA
Order Code KREATS Test Code KREATS
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated 1 week   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Specimens exposed to more than one freeze/thaw cycle.
Alternate specimens Serum (plain red top tube), sodium or lithium heparin plasma (green top tube) or EDTA plasma (lavender top tube).
CPT codes 82540
Test schedule Mon
Turnaround time 3-10 days
Method Liquid Chromatography/Tandem Mass Spectrophotometry
Test includes
Creatine, umol/L; Creatine, mg/dL.
Reference ranges
  
Creatine   9.0-90.0   umol/L
Creatine              mg/dL

[5552]


CREATINE, URINE
Order Code CREATINE-U Test Code CRTUQ
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 3 mL  Minimum volume 2 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 3 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container and freeze. Record total volume. Store and transport frozen.
Required patient info Collection period and total volume.
Stability-   Room temp 4 hours   Refrigerated 24 hours   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Unfrozen, acidified or preserved specimens.
CPT codes 82540
Test schedule Thu, Sun
Turnaround time 3-5 days
Method Enzymatic, Colorimetric
Test includes
Collection Period, hrs; Volume, mLs; Creatine, Urine, mg/24h; Creatinine, Urine, g/24h.
Reference ranges
  
Collection Period               h
Volume                          mLs
Creatine, Urine                 mg/24h
 M   6-56                      
 F   8-170   
Creatinine, Urine               g/24h             
 3-8 yrs   0.11-0.68                   
 9-12 yrs  0.17-1.41
 13-17 yrs 0.29-1.87
 18+ yrs   0.63-2.50

[571]


CREATININE
Order Code CRE Test Code CRE
Synonyms EGFR; GFR; Estimated Glomular Filtration Rate; Glomular Filtration Rate, Estimated
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Patient Prep Patient should be fasting 12-14 hours prior to collection.
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Required patient info Age and gender in order to provide the EGFR calculation.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Icteric samples.
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 82565
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Enzymatic (IDMS Traceable)
Test includes
Creatinine, mg/dL; Estimated Glomerular Filtration Rate, mL/min/1.73m2.
Reference ranges
  
Creatinine                             mg/dL
 M  0.50-1.30                          
 F  0.40-1.00
Estimated Golmerular Filtration Rate   mL/min/1.73m2
 LT 60      Chronic kidney disease, if found over a
            3 month period.
 LT 15      Kidney failure
 For African Americans, multiply
 the calculated GFR by 1.21          
Notes
The EGFR will be automatically provided on all orders and panels which include a serum creatinine result. Age and gender must be included in the test request for the calculation to be performed. There is no charge for the calculation. The calculation is valid only for individuals age 20 yrs or older.

[572]


CREATININE CLEARANCE
Order Code CRE CL Test Code CRCL
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type SSt tube and 24-hour dark plastic urine container.  Specimen type Serum and 24-hour urine collection  Preferred volume 2 mL serum and 40 mL urine  Minimum volume 0.2 mL serum and 1 mL urine
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Separate serum from cells and place in separate plastic tube. Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport both specimens refrigerated.
Required patient info Height, weight, collection period and total volume.
Stability-   Room temp   Refrigerated 4 days   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (green top tube) and urines preserved in the boric acid tubes (BD C&S tubes).
Limitations Serum should be collected within 24 hours of urine collection start or finish. Serum specimen should be free of hemolysis. Optimal urine sample should be free of contaminants including red blood cell contamination, serum specimen will be accepted if collected within 7 days of urine collection.
Department Chemistry
CPT codes 82575
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Enzymatic (IDMS Traceable)
Test includes
Height, in; Weight, lbs, Time, h; Volume, mL; Creatinine, mg/dL; Creatinine, Urine, g/24hr; Creatinine Clearance, mL/min.
Reference ranges
  
Height                           in
Weight                           lbs
Collection Period                h
Volume                           mL
Creatinine  M     0.50-1.30      mg/dL
            F     0.40-1.00 
Creatinine, Urine
            M     0.8-2.0        g/24h
            F     0.6-1.8  
Creatinine Clearance
 0-2 yrs    M  51-73   F  51-73  mL/min
 2-10 yrs   M  64-92   F  64-92
 10-12 yrs  M  83-119  F  83-119
 12-40 yrs  M  97-137  F  88-128
 40-50 yrs  M  91-131  F  82-122 
 50-60 yrs  M  85-125  F  76-116 
 60-70 yrs  M  79-119  F  70-110  
 70-80 yrs  M  73-113  F  64-104  
 80+ yrs    M  67-107  F  58-98
Notes
MUST HAVE PATIENT'S HEIGHT, WEIGHT, COLLECTION TIME & the TOTAL VOLUME to calculate results.

[573]


CREATININE CLEARANCE, 12HR
Order Code CRE CL.12 Test Code CRCL12
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type SST tube and 24-hour dark plastic urine container.  Specimen type Serum and 12-hour urine collection  Preferred volume 2 mL serum and 40 mL urine  Minimum volume 0.2 mL serum & 1 mL urine
Collection procedure Collect a 12-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Separate serum from cells and place in separate plastic tube. 40 mL aliquot of a well-mixed 12-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport both specimens refrigerated.
Required patient info Height, weight, collection period and total volume.
Alternate specimens Lithium heparin plasma (green top tube) and urines preserved in the boric acid tubes (BD C&S tubes)..
Limitations Serum should be collected within 24 hours of urine collection start or finish. Serum specimen should be free of hemolysis. Optimal urine sample should be free of contaminants including red blood cell contamination, serum specimen will be accepted if collected within 7 days of urine collection.
Department Chemistry
CPT codes 82575
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Enzymatic (IDMS Traceable)
Test includes
Time, h; Volume, mL; Creatinine, mg/dL; Creatinine, Urine, g/12hr; Creatinine Clearance, mL/min.
Reference ranges
  
Collection Period                 h
Volume                            mL
Creatinine                        mg/dL
 M   0.50-1.30                      
 F   0.40-1.00       
Creatinine, Urine                 g/12h
 No normals established for 12h  
Creatinine Clearance
 0-2 yrs    M  51-73   F  51-73   mL/min
 2-10 yrs   M  64-92   F  64-92
 10-12 yrs  M  83-119  F  83-119
 12-40 yrs  M  97-137  F  88-128
 40-50 yrs  M  91-131  F  82-122 
 50-60 yrs  M  85-125  F  76-116 
 60-70 yrs  M  79-119  F  70-110  
 70-80 yrs  M  73-113  F  64-104  
 80+ yrs    M  67-107  F  58-98
Notes
MUST HAVE PATIENT'S HEIGHT, WEIGHT, COLLECTION TIME & the TOTAL VOLUME to calculate the results.

[574]


CREATININE CLEARANCE, 48HR
Order Code CRCL48 Test Code CRCL48
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type SST tube and 24-hour dark plastic urine container.  Specimen type Serum and 48 hour urine collection  Preferred volume 40 mL urine and 2 mL serum.  Minimum volume 0.2 mL serum and 1 mL urine
Collection procedure Collect a 48-hour urine collection in a 24-hour dark plastic urine container. Refrigerate during collection. Serum should be collected within 24 hours of urine collection start or finish.
Specimen processing Aliquot 40 mL of a well-mixed 48-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Required patient info Height, weight, collection period and total volume.
Alternate specimens Lithium heparin plasma (green top tube) and urines preserved in the boric acid tubes (BD C&S tubes).
Limitations Serum should be collected within 24 hours of urine collection start or finish. Serum specimen should be free of hemolysis. Optimal urine sample should be free of contaminants including red blood cell contamination, serum will be accepted if collected within 7 days of urine collection.
Department Chemistry
CPT codes 82575
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method Enzymatic (IDMS Traceable)
Test includes
Time, h; Volume, mL; Creatinine, Serum, mg/dL; Creatinine, Urine, g/48h; Creatinine Clearance, mL/min.
Reference ranges
  
Collection Period                h
Volume                           mL
Creatinine                       mg/dL
 M   0.50-1.30                     
 F   0.40-1.00 
Creatinine, Ur, 48h              g/48h
 No normals established for 48h                        
Creatinine Clearance             mL/min                     
 0-39  yrs M 97-137  F 88-128    
 40-49 yrs M 91-131  F 82-122      
 50-59 yrs M 85-125  F 76-116
 60-69 yrs M 79-119  F 70-110
 70-79 yrs M 73-113  F 64-104
 80+   yrs M 67-107  F 58-98
Notes
PATIENT'S HEIGHT, WEIGHT, COLLECTION TIME and the TOTAL VOLUME ARE REQUIRED to calculate the results.

[575]


CREATININE, AMNIOTIC FLUID
Order Code CRE.A Test Code CREAF
Specimen Required
       Container type Sterile leakproof container.  Specimen type Frozen amniotic fluid  Minimum volume 0.2 mL
Collection procedure Amniotic fluid collected by amniocentesis.
Specimen processing Do not centrifuge. Protect from light. Store and transport frozen.
Required patient info Gestational age.
Stability-   Room temp   Refrigerated 1 week if refrigerated immediately after collection.   Frozen (-20°C) 2 months   Frozen (-70°C)
Limitations Protect from light.
Department Chemistry
CPT codes 82570
Test schedule Mon-Fri days & STAT
Turnaround time 1-3 days
Method Enzymatic (IDMS Traceable)
Test includes
Creatinine, Amniotic Fluid, mg/dL.
Reference ranges
  
Creatinine Amniotic Fluid    mg/dL
 Amniotic fluid creatinine increases
 with gestational age.

[576]


CREATININE, FLUID
Order Code CRE.FLD Test Code CREFL
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Body fluid  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate fluid from cells and place in separate plastic tube. Note type of fluid. Store and transport refrigerated.
Required patient info Type of fluid.
Stability-   Room temp 5 days   Refrigerated 1 month   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Clotted or viscous fluids.
Alternate specimens Specimens collected in plain red top tube.
Department Chemistry
CPT codes 82570
Test schedule Daily
Turnaround time 24-48 hours
Method Enzymatic (IDMS Traceable)
Test includes
Creatinine, Fluid, mg/dL.
Reference ranges
  
Creatinine, Fluid        mg/dL
 No reference range established.
 Method not validated for body fluid. 
 Clinical correlation necessary.

[577]


CREATININE, URINE (QUANTITATIVE)
Order Code CRE-U Test Code CREUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time, & total volume. There is no charge for this test.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 40 mL  Minimum volume 1 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and volume.
Stability-   Room temp   Refrigerated 4 days   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Frozen specimens and urines preserved in the boric acid tubes (BD C&S tubes).
Limitations Optimal urine sample should be free of contaminants including red blood cell contamination.
Department Chemistry
CPT codes 82570
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Enzymatic (IDMS Traceable)
Test includes
Time, h; Volume, mL; Creatinine, Urine, g/24h.
Reference ranges
  
Collection Period        h
Volume                   mL
Creatinine, Ur           g/24h
 M      0.8-2.0          
 F      0.6-1.8

[578]


CREATININE, URINE (RANDOM)
Order Code CRE-R Test Code CREUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 1 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 4 days   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Frozen specimens and urines preserved in the boric acid tubes (BD C&S tubes).
Limitations Optimal urine sample should be free of contaminants including red blood cell contamination.
Department Chemistry
CPT codes 82570
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Enzymatic (IDMS Traceable)
Test includes
Creatinine, Urine, mg/dL.
Reference ranges
  
Creatinine, Urine       mg/dL
 No normals established

[579]


CRP
Order Code CRP Test Code CRP
Synonyms C reactive protein
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in a separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Department Immunology
CPT codes 86140
Test schedule Sun-Fri nights & STAT (see note)
Turnaround time 24-48 hours
Method Immunoturbidimetric
Test includes
CRP, mg/dL.
Reference ranges
  
CRP      1.5 or less        mg/dL
Notes
If ordered as Stat they will be done at SHMC in immunology department.

[580]


CRYOFIBRINOGEN
Order Code CRFB Test Code CRFB
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Plasma  Preferred volume 2 mL
Specimen processing Immediately centrifuge at room temperature for 5 minutes, separate plasma from cells and place in separate plastic tube. Store and transport at room temperature.
Unacceptable conditions Heparinized specimens.
Alternate specimens EDTA plasma (lavender top tube).
Department Immunology
CPT codes 82585
Test schedule Sun-Fri nights
Turnaround time 9 days
Method Precipitation
Test includes
Cryofibrinogen, 24 hours; Cryofibrinogen, 48 hours; Cryofibrinogen, 72 hours, Cryofibrinogen, 7 days.
Reference ranges
  
Cryofibrinogen, 24 hours     Negative
Cryofibrinogen, 48 hours     Negative
Cryofibrinogen, 72 hours     Negative
Cryofibrinogen, 7 days       Negative

[581]


CRYOGLOBULIN
Order Code CRYO Test Code CRYO
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL
Collection procedure Draw one 10 mL red top tube. Allow blood to clot in 37C incubator, water bath or heat block for 60 minutes.
Specimen processing Centrifuge for 5 minutes and immediately place serum in separate plastic tube. Store and transport at room temperature.
Required patient info Record time of collection.
Department Immunology
CPT codes 82595
Test schedule Sun-Fri
Turnaround time 9 days
Method Precipitation
Test includes
Cryoglobulin, 24 hours; Cryoglobulin, 48 hours, Cryoglobulin 72 hours, Cryoglobulin, 7 days.
Reference ranges
  
Cryoglobulin, 24 hours        Negative
Cryoglobulin, 48 hours        Negative
Cryoglobulin, 72 hours        Negative
Cryoglobulin, 7 days          Negative

[582]


CRYOGLOBULIN & CRYOFIBRINOGEN
Order Code CRGCRF Test Code CRGCRF
Specimen Required
       Container type See component tests  Specimen type See component tests  Preferred volume See component tests
Specimen processing See component tests
Required patient info See component tests
Unacceptable conditions See component tests
Alternate specimens See component tests
Department Immunology
CPT codes 82585, 82595
Test schedule Sun-Fri
Turnaround time 9 days
Method Precipitation
Test includes
Cryoglobulin, 24 hours; Cryoglobulin, 48 hours, Cryoglobulin 72 hours, Cryoglobulin, 7 days; Cryofibrinogen, 24 hours; Cryofibrinogen, 48 hours; Cryofibrinogen, 72 hours, Cryofibrinogen, 7 days.
Reference ranges
  
Cryoglobulin, 24 hours        Negative
Cryoglobulin, 48 hours        Negative
Cryoglobulin, 72 hours        Negative
Cryoglobulin, 7 days          Negative
Cryofibrinogen, 24 hours     Negative
Cryofibrinogen, 48 hours     Negative
Cryofibrinogen, 72 hours     Negative
Cryofibrinogen, 7 days       Negative

[583]


CRYOGLOBULINS, SERUM AND PLASMA, REFLEX TO FRACTIONS
Order Code CRYOGF Test Code CRYOGF
This test may reflex to additional tests depending upon the results of this test. Additional fees may be added.
Specimen Required
       Container type Red top tube (plain) and Lavender top tube (EDTA).  Specimen type Serum and plasma  Preferred volume 5 mL serum and 1 mL EDTA plasma  Minimum volume 3 mL serum and 0.5 mL plasma
Specimen processing Keep specimens at 37C until after centrifugation and separation of cells. Separate serum and plasma from cells and place in separate plastic tubes. Label specimens appropriately (serum and plasma). Store and transport at refrigerated. Includes cryofibrinogen.
Stability-   Room temp acceptable   Refrigerated acceptable   Frozen (-20°C) acceptable   Frozen (-70°C)
Unacceptable conditions Serum or plasma separator tubes & gels.
CPT codes 82595, 82585
Test schedule Mon-Fri
Turnaround time 4-12 days
Method IEP
Test includes
Cryoglobulins, Serum, %ppt. Cryofibrinogen, Plasma %ppt.
Reference ranges
  
Cryoglobulins, Serum,       Negative    %ppt
Cryofibrinogen, Plasma      Negative    %ppt
Notes
Includes cryofibrinogen. 2-day test time.

[3056]


CRYPTOCOCCUS ANTIBODY
Order Code CRYPTO.AB Test Code CRYPAB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
CPT codes 86641
Test schedule Mon-Fri
Turnaround time 3-5 days
Method IFA
Test includes
Cryptococcus Antibody, Titer.
Reference ranges
  
Cryptococcus AB, IFA                     Titer
 LT 1:16            Antibody Not Detected
 GT or = to 1:16    Antibody Detected
 Cryptococcal antibody, primarily directed
 against a galactoxylomannan capsular antigen,
 is often detectable in the early (pulmonary)
 phase prior to antigenemia.  Detectable levels
 in convalescence are indicative of a good
 prognosis.  This assay shows crossreactivity
 with sera containing Ab to Histoplasma & 
 Blastomyces.  This test has not been cleared
 or approved by the USDA.

[586]


CRYPTOCOCCUS ANTIBODY, CSF
Order Code CRYPTO.AB.CSF Test Code CRYPSF
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Store and transport refrigerated.
CPT codes 86641
Test schedule Mon-Fri
Turnaround time 3-5 days
Method IFA
Test includes
Cryptococcus Antibody, Titer.
Reference ranges
  
Cryptococcus Ab, IFA               Titer
 LT 1:1             Antibody Not Detected
 GT or = to 1:1     Antibody Detected
 Diagnosis of infections of the central
 nervous system can be accomplished by
 demonstrating the presence of intrathecally-
 produced specific Ab. However, interpretation of
 results is complicated by low Ab levels
 found in CSF, passive transfer of Ab
 from blood, & contamination via bloody taps.
 This test has not been cleared or
 approved by the USDA.

[587]


CRYPTOCOCCUS ANTIGEN, CSF
Order Code CRYPTO-CSF Test Code CRYPT
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Store and transport refrigerated.
Required patient info Specimen source.
Department Microbiology
CPT codes 86403
Test schedule Sun-Sat
Turnaround time 24-48 hours
Method LA
Test includes
Source; Cryptococcus Antigen, CSF; Cryptococcus Antigen, Status.
Reference ranges
  
Source
Cryptococcus Ag, CSF         Negative
Cryptococcus Ag, Status

[588]


CRYPTOCOCCUS ANTIGENshipping instruction code
Order Code CRYPTO Test Code ACRYP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 hour   Refrigerated 7 days   Frozen (-20°C) indefinitely   Frozen (-70°C)
Unacceptable conditions Specimens collected in anticoagulants.
CPT codes 87327
Test schedule Sun-Sat
Turnaround time 2-4 days
Method EIA
Test includes
Cryptococcus Antigen.
Reference ranges
  
Cryptococcus Antigen Prelim  
Cryptococcus Antigen Final   Negative

[589]


CRYPTOSPORIDIUM ANTIGEN
Order Code CRYPAG Test Code CRYPAG
Specimen Required
       Container type Clean, leakproof plastic container  Specimen type Stool, random  Preferred volume 10 grams  Minimum volume 1 gram
Collection procedure See below
Specimen processing Collect 10 grams of stool preserved in 10% formalin (5 to 1 ratio by volume of stool) within 1 hour of collection in a clean, leakproof plastic container. Store and transport at room temperature.
Stability-   Room temp 9 months preserved   Refrigerated 9 months preserved   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Preservative other than 10% formalin.
CPT codes 87328
Test schedule Sun-Sat
Turnaround time 2-4 days
Method EIA
Test includes
Cryptosporidium Antigen.
Reference ranges
  
Cryptosporidium Antigen     Negative

[590]


CRYSTALS, FLUID
Order Code CRYST Test Code CRYFL
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Synovial fluid  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Store and transport refrigerated.
Unacceptable conditions Oxalated, powdered EDTA or lithium heparinized specimens because they can cause artifacts.
Alternate specimens Samples collected with liquid EDTA.
Department Hematology
CPT codes 89060
Test schedule Sun-Sat
Turnaround time 24-48 hours
Method Microscopic/Polarization
Test includes
Crystals; Crystals ID.
Reference ranges
  
Crystals      None Seen 
Crystals ID

[591]


CRYSTALS, SYNOVIAL FLUID BATTERY
Order Code CRSSYN Test Code CRSSYN
Specimen Required
       Container type Red top tube (plain) and 2 Green top tubes (sodium heparin).  Specimen type Synovial fluid  Preferred volume 6 mL  Minimum volume 1 mL in each tube.
Specimen processing Place 3 mL synovial fluid in red top tube and divide remainder into two sodium heparin tubes (green top tubes). Transport ASAP. Store and transport refrigerated.
Unacceptable conditions Samples collected in any SST type tubes.
Department Hematology
CPT codes 89060, 84315
Test schedule Sun-Sat
Turnaround time 24-48 hours
Test includes
Crystals, Synovial Fluid; Crystal Identification; Specific Gravity.
Reference ranges
  
Crystals, Synovial Fluid Battery
 Crystals          None seen
 Crystal ID
 Specific Gravity
  Exudate          1.015 or greater
  Transudate       LT 1.015
 Fibrin            No longer performed

[592]


CSF PROFILE
Order Code CSF; Cerebral spinal fluid profile Test Code SFEXM
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Spinal Fluid Profile; Ce
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type CSF  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Transport specimen immediately. Prefer specimen be transported refrigerated.
Limitations Fluids delayed more than 2 hours should be refrigerated to a maximum of 72 hours.
Department Hematology, Chemistry and Immunology.
CPT codes 89051, 82945, 84157, 86592
Test schedule Sun-Sat and STAT
Turnaround time 24-48 hours
Test includes
Tube Number; Xanthochromia: Color; Clarity; RBC, M/L; Nucleated Cells, M/L; Number of Cells Seen; Segs, %; Bands, %; Lymphocytes, %; Variant Lymphocytes, %; Monocytes, %; Histiocytes, %; Eosinophils, %; Basophils, %; Others, %; Non-Heme Cells; Nucleated RBC, /100 WBCs; Note; Glucose, CSF, mg/dL; Protein, CSF, mg/dL; VDRL, CSF.
Reference ranges
  
Tube Number
Xanthochromia
Color
Clarity
RBC      No reference range       M/L
Nucleated Cells
 0-11 mo                   0-3    M/L
 1-4  yrs                  0-20
 5-15 yrs                  0-10
 16+  yrs                  0-5
Number of cells seen        
Segs                             
 0-42 days                 0-8    %
 43+ days                  0-6
Bands                             %
Lymphocytes 
 16+ yrs                   40-80  %
Variant Lymphocytes               %
Monocytes
 16+ yrs                   15-45  %
Histiocytes                       %
Eosinophils                       %
Basophils                         %
Others                            %
Non-Heme Cells 
Nucleated RBC                     /100 WBCs
Note
Tube
Glucose (CSF)
 0-10 yrs                 60-80   mg/dL
 11+ yrs                  40-70 
Protein (CSF)
 LT 1 day                 40-120  mg/dL
 1-30 days                20-80
 1 mo-adult               15-45
VDRL                      Nonreactive
Notes
Additional turn around time for VDRL and culture.`If three sterile tubes are collected, tube #1 should be sent for chemical & immunologic studies, tube #2 for microbiologic examination and tube #3 for total cell count and differential.

[593]


CSF/SERUM IGG INDEX
Order Code IGG INDEX Test Code IGGI
Specimen Required
       Container type Red top tube (plain) and CSF sterile plastic tube.  Specimen type Serum and CSF  Preferred volume 1.0 mL serum and 1.0 mL CSF  Minimum volume 0.5 mL serum and 0.3 mL CSF
Specimen processing Separate serum from cells and place in separate plastic tube. Aseptically separate CSF from cells ASAP and put in sterile tube. Store and transport both specimens refrigerated.
Stability-   Room temp Serum 8 hours, CSF unstable   Refrigerated 3 days   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions RBC contamination of CSF.
Alternate specimens SST
Department Chemistry
CPT codes 82784 x 2, 82040, 82042
Test schedule Mon-Fri
Turnaround time 1-3 days
Method Nephelometry
Test includes
IgG, CSF, mg/dL; Albumin, CSF, mg/dL; IgG, Serum, mg/dL; Albumin, Serum, mg/dL; CSF/Serum Index.
Reference ranges
  
IgG, CSF          0.5-7.7        mg/dL
Albumin, CSF      5-30           mg/dL
IgG, Serum                       mg/dL
 0-4 mo           600-1560             
 5-9 mo           252-655
 10-11 mo         300-780
 1 yr             330-858
 2 yrs            372-967 
 3 yrs            450-1170
 4 yrs            504-1326
 5 yrs            540-1404
 6 yrs            552-1435   
 7+ yrs           600-1560      
Albumin, Serum
 0-4 days         2900-4600      mg/dL
 4 days-14 yrs    3900-5600
 14-18 yrs        3300-4700
 18-60 yrs        3500-5000
 60-90 yrs        3300-4800
 90 yrs+          3000-4700
CSF/Serum Index   0.25-0.75

[594]


CULTURE IF INDICATED
Order Code CULIF Test Code CULIF
This workpar is to allow clients to order the "Culture If Indicated" Urinalysis.
Specimen Required
       

[595]


CULTURE, AFB (NO SMEAR) (REFLEXIVE)
Order Code CAFBNS Test Code CAFBNS
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Acid Fast Culture, Blood/Bone Marrow; AFB, Blood/Bone Marrow, Culture; Mycobacterium Culture
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.
Collection procedure Blood/Bone Marrow: 10 mL SPS (yellow top tube) drawn aseptically.
Specimen processing Store and transport at room temperature.
Required patient info Specimen source.
Unacceptable conditions Clotted blood specimens.
Alternate specimens Heparinized whole blood (green top tubes). SPS tubes are preferred.
Department Microbiology
CPT codes 87116, 87015
Test schedule Sun-Sat
Turnaround time Positive culture as soon as detected. Negative culture preliminary at 2 weeks. Final negative at 8 weeks.
Method Organism Isolation
Test includes
Source; Culture, AFB; Culture Status.
Reference ranges
  
Source
Culture, AFB     Negative
Culture, Status
Notes
For other specimen types please contact the microbiology department for instructions. SPS tubes are available from the PAML Supply Department.

[596]


CULTURE, AFB (REFLEXIVE)
Order Code AFB Test Code CAFB
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Acid Fast Culture; TB Culture; Mycobacteria Culture
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.
Collection procedure Sputum: 6-10 mL early morning collection. Urine: Entire first morning void. Place sample in tightly sealed sterile container without fixative.
Specimen processing Store and transport sputum, urine, body fluids, aspirates and tissues refrigerated.
Required patient info Specimen source.
Unacceptable conditions 24-hour urine or 24-hour sputum specimens.
Alternate specimens Blood/Bone Marrow see CAFBNS.
Department Microbiology
CPT codes 87116, 87206, 87015
Test schedule Sun-Sat
Turnaround time Smear within 1 day. Positive culture as soon as detected. Negative culture preliminary at 2 weeks. Final negative at 8 weeks.
Method Organism Isolation
Test includes
Source; Culture, AFB; Culture Status.
Reference ranges
  
Source
Culture, AFB     Negative
Culture, Status
Notes
For other specimen types please contact the microbiology department for instructions. For maximum diagnostic value submit early AM specimens on three consecutive days.

[597]


CULTURE, BETA STREP A SCREEN (REFLEXIVE)
Order Code CBSAS Test Code CBSAS
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Beta Strep A Screen Culture
Specimen Required
       Container type Culturette.  Specimen type Throat swab
Collection procedure Throat (Group A only): Swab posterior of pharynx, tonsils or other areas of inflammation with a sterile culturette. Avoid oral mucosa.
Specimen processing Store and transport at room temperature.
Unacceptable conditions Dry swab.
Department Microbiology
CPT codes 87081
Test schedule Sun-Sat
Turnaround time 1-2 days
Method Organism Isolation
Test includes
Culture, Beta Strep A Screen; Beta Strep Screen, Status.
Reference ranges
  
Culture, Beta Strep A Screen  Negative
Beta Strep A Screen, Status
Notes
Specimens are screened for the presence of Beta Strep Group A only.

[598]


CULTURE, BETA STREP B SCREEN (REFLEXIVE)
Order Code CBSBS Test Code CBSBS
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Beta Strep B Screen Culture
Specimen Required
       Container type Culturette.  Specimen type vaginal/rectal swab
Collection procedure Vaginal/Rectal (Group B only): Obtain specimen with sterile swab. Minimize contact with surrounding mucosa.
Specimen processing Store and transport at room temperature.
Department Microbiology
CPT codes 87081
Test schedule Sun-Sat
Turnaround time 1-2 days
Method Organism Isolation
Test includes
Culture, Beta Strep BScreen; Beta Strep B Screen, Status.
Reference ranges
  
Culture, Beta Strep B Screen  Negative
Beta Strep B Screen, Status
Notes
Specimens are screened for the presence of Beta Strep Group B only.

[599]


CULTURE, BLOOD (2ND SPECIMEN/SAME DAY)
Order Code BLOOD2 Test Code CBLD2
Synonyms Blood Culture (2nd specimen/same day)
Specimen Required
       
Department Microbiology
CPT codes 87040

[1862]


CULTURE, BLOOD (REFLEXIVE)
Order Code BLOOD Test Code CBLD
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Blood Culture; 2ND SPEC/SAME DAY
Specimen Required
       Container type Blood culture vials.  Specimen type Whole blood  Minimum volume See notes
Collection procedure Clean site with 70% alcohol followed by 2% iodine. Label one aerobic (blue) blood culture bottle and one anaerobic (purple) blood culture bottle with patient name, date and time. Aseptically draw 20 mL of blood into syringe and inoculate each vial using the same needle with 10 mL of sample after preparing the top with an alcohol pad. Hold at room temperature or 37 C until shipment. NOTE: A second set of blood cultures SHOULD be drawn to provide the optimal volume of blood to recover pathogens and aid in the interpretation of growth. If blood is obtained from a central line, a separate venipuncture should be performed.
Required patient info Specimen source.
Department Microbiology
CPT codes 87040
Test schedule Sun-Sat
Turnaround time Positive phoned as soon as detected. Negative preliminary at 48 hours & final at 5 days. Positive culture ID & susc 2-3 days.
Method Organism Isolation
Test includes
Source; Culture, Blood; Culture, Blood, Status.
Reference ranges
  
Source
Culture, Blood         Negative
Culture, Blood, Status
Notes
Guidelines for short samples: If 10-20 mL, inoculate anaerobic vial (purple) first with 1/2 of the sample, then the aerobic vial (blue) with the remainder. If 8-10 mL then inoculate anaerobic with 3 mL and the remainder into the aerobic vial. If less than 8 mL, inoculate entire sample into aerobic vial. Catheter collections for blood cultures should be avoided whenever possible.

[600]


CULTURE, BLOOD DIPHASIC FUNGUS (REFLEXIVE)
Order Code CBF Test Code CBF
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Fungus Blood Culture; Blood Culture, Fungus
Specimen Required
       Container type SPS or Isolator Tube  Specimen type Whole blood  Preferred volume 10 mL
Collection procedure Clean site with 70% alcohol followed by 2% iodine. Label an Isolator tube or SPS tube with patient's name, date and time. Aseptically draw 10 mL blood into syringe and transfer to the Isolator or SPS tube. Maintain at room temperature until shipment.
Required patient info Specimen source.
Department Microbiology
CPT codes 87103
Test schedule Daily
Turnaround time Positive phoned as soon as detected. Negative preliminary at 1 week. Final up to 4 weeks.
Method Organism Isolation
Test includes
Culture, Blood Fungus; Culture, Blood Fungus, Status.
Reference ranges
  
Source
Culture, Blood Fungus        Negative
Culture, Blood Fungus, Status

[601]


CULTURE, BODY FLUID (REFLEXIVE)
Order Code CULT.FLD Test Code CFL
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Body Fluid Culture
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Body fluid  Preferred volume 3mL
Specimen processing CSF should be transported immediately at room temperature. Store and transport at room temperature.
Required patient info Specimen source.
Alternate specimens Peritoneal fluid, synovial fluid, etc. If an anticoagulant is necessary, SPS is the optimal choice.
Department Microbiology
CPT codes 87070, 87205, 87075
Test schedule Sun-Sat
Turnaround time 2-10 days
Method Organism Isolation
Test includes
Source; Gram Stain; Culture, Fluid; Culture Fluid, Status.
Reference ranges
  
Source
Gram Stain
Culture, Fluid          Negative
Culture, Fluid, Status

[602]


CULTURE, BORDETELLA PERTUSSIS (REFLEXIVE) shipping instruction code
Order Code CBPERT Test Code CBPERT
Specimen Required
       Container type NP swab (BD BBL Culture Swab Plus, Amies gel w/ charcoal. Item#1755) or NP wash  Preferred volume Swab: 2 NP swabs, Wash: 1 mL,  Minimum volume Wash: 0.5 mL
Collection procedure Wash: Collect 1 mL NP wash/aspirate, and place in a sterile capped container. Swab: Collect 2 NP swabs, one from each nostril. Collect each swab by inserting a swab with a flexible aluminum wire shaft through the nose into the posterior nasopharynx. Rotate the swabs in place for a few seconds to absorb secretions. Place swabs in BD BBL Culture swab plus, Amies gel with charcoal for transport.
Specimen processing Transport swab or washings at room temperature or refrigerated. Ship 650. shipping instruction code
Stability-   Room temp 2 days   Refrigerated 2 days   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Swabs for the external nares or sputum samples. NP swabs submitted in transport media other than those indicated.
Alternate specimens Regan-Lowe transport medium
Limitations A negative culture does not exclude the possibility of B. pertussis infection. B. pertussis/parapertussis by PCR also available.
Department Microbiology
CPT codes 87081
Test schedule Daily
Turnaround time Preliminary-3 days; Final-7 days
Method Culture
Test includes
B pertussis result, B. pertussis status.
Reference ranges
  
B. pertussis Result               Negative
B. pertussis Status
Notes
For fluorescent antibody stain, refer to Bordetella pertussis Screen (PERT/PERTSM)

[5764]


CULTURE, CAMPYLOBACTER SCREEN
Order Code CCAMS Test Code CCAMS
Supplies are available from the PAML Supply Department.
Synonyms Campylobacter Culture Screen
Specimen Required
       Container type Clean leakproof plastic container.  Specimen type Stool  Preferred volume Walnut sized portion
Collection procedure Submit a walnut-sized portion of fresh stool in a clean leakproof plastic container. If a delay of 2 hours or more in anticipated for the specimen to reach the lab, submit a portion of stool on a transport swab. Up to two specimens may be submitted from each patient. Samples must be collected on successive or alternate days. Cultures are not recommended from inpatients that have been in the hospital for 3 or more days.
Specimen processing Store and transport at room temperature.
Unacceptable conditions Refrigerated specimen.
Department Microbiology
CPT codes 87081
Test schedule Daily
Turnaround time 2-3 days
Method Organism Isolation
Test includes
Source; Campylobacter Screen; Campylobacter Screen, Status.
Reference ranges
  
Source
Campylobacter Screen         Negative
Campylobacter Screen, Status

[3073]


CULTURE, E COLI 0157 WITH SHIGA TOXIN TEST (REFLEXIVE)
Order Code CECST Test Code CECST
This test may reflex to additional tests depending upon the results of this test. Additional fees will be added.
Synonyms E. coli 0157 Shiga Toxin
Specimen Required
       Container type Clean leakproof plastic container.  Specimen type Fresh stool  Preferred volume 1 mL  Minimum volume 1 mL
Collection procedure Collect stool sample in a clean, leakproof plastic container. If transportation time will exceed 2 hours from time of collection, specimen should be refrigerated or placed in enteric transport medium (Modified Cary-Blair).
Specimen processing Store and transport refrigerated.
Stability-   Room temp 2 hours   Refrigerated 1 day   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Cultures are not recommended from inpatients that have been in the hospital for 3 or more days.
Department Microbiology
CPT codes 87081, 87015, 87899 x 2
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Culture and Immunochromographic
Reference ranges
  
Culture, E.coli 0157 with Shiga Toxin Report
Culture, E.coli 0157 with Shiga Toxin Status

[5567]


CULTURE, EAR (REFLEXIVE)
Order Code CULT.EAR Test Code CEAR
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Ear Culture
Specimen Required
       Container type Sterile transport swab.  Specimen type Sterile transport swab
Collection procedure Submit suppurative material from ear collected on sterile transport swab.
Specimen processing Store and transport at room temperature.
Department Microbiology
CPT codes 87205, 87070, 87075
Test schedule Daily
Turnaround time 2-3 days
Method Organism Isolation
Test includes
Source; Gram Stain; Culture, Ear; Culture, Ear, Status.
Reference ranges
  
Source
Gram Stain
Culture, Ear           Negative
Culture, Ear, Status

[606]


CULTURE, EXTENDED BETA LACTAMASE (ESBL) CONFIRMATION
Order Code CESBLS Test Code CESBLS
Synonyms ESBL Confirmation
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Pure culture of E. coli or Klebsiella species
Specimen processing Pure culture of E. coli or Klebsiella species in a sterile container. Store and transport at room temperature.
Required patient info Specimen source.
Department Microbiology
CPT codes 87184
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Disk diffusion
Test includes
Culture, ESBL Confirmation; Culture, ESBL Report Status.
Reference ranges
  
Culture, ESBL Confirmation Report
Culture, ESBL Confirmation Report Status

[607]


CULTURE, EYE (REFLEXIVE)
Order Code CULT.EYE Test Code CEYE
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Eye Culture; Corneal Culture; Optic Culture; Vitreous Fluid Culture
Specimen Required
       Container type Sterile transport swab.  Specimen type Sterile transport swab
Collection procedure Submit suppurative material from lower cul-de-sac or inner canthus, collected on sterile transport swab,
Specimen processing Store and transport at room temperature.
Required patient info Specimen source.
Department Microbiology
CPT codes 87205, 87070
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Organism Isolation
Test includes
Source; Gram Stain; Culture, Eye; Culture, Eye, Status.
Reference ranges
  
Source
Gram Stain
Culture, Eye         Negative
Culture, Eye, Status

[608]


CULTURE, FUNGUS (REFLEXIVE)
Order Code FUNG Test Code CFC
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Fungus Culture
Specimen Required
       Container type See below.  Specimen type See below.
Collection procedure Body fluids, aspirates, respiratory secretions and tissues. Submit in sterile screw-cap container.
Specimen processing Store and transport refrigerated.
Required patient info Specimen source and include pertinent clinical information.
Limitations Certain sources such as genital and oral specimens should be ordered as a yeast screen (YST.SCR).
Department Microbiology
CPT codes 87102
Test schedule Sun-Sat
Turnaround time Positive culture reported as soon as detected. Negative culture preliminary at 1 week. Final negative at 4 weeks.
Method Organism Isolation
Test includes
Source; Fungus Stain; Culture, Fungus; Culture, Fungus, Status.
Reference ranges
  
Source
Fungus Stain
Culture, Fungus         Negative
Culture, Fungus, Status

[612]


CULTURE, FUNGUS, SKIN, HAIR, NAILS (REFLEXIVE)
Order Code CFS Test Code CFS
Please comment if a fungus stain is not needed.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Fungus Culture, Skin, Hair Nails
Specimen Required
       Container type Sterile leakproof plastic container.  Preferred volume 2 x 2 mm if skin  Minimum volume 1 x 1 mm
Collection procedure Nail scrapings should be from subsurface portion of infected nail. Skin, 2 x 2 mm piece, should be taken from active border of lesion. Hair should include the base of the shaft. Submit in sterile leakproof container.
Specimen processing Store and transport at room temperature.
Required patient info Specimen source and pertinent clinical information. Please comment if a fungus stain is not needed.
Department Microbiology
CPT codes 87101, 87220
Test schedule Daily
Turnaround time Positive culture reported as soon as detected. Negative culutre preliminary at 1 week. Final negative at 4 weeks.
Method Culture
Test includes
Source; Fungus Skin, Hair, Nails Stain; Culture, Fungus, Skin, Hair, Nails; Culture Fungus, Skin, Hair, Nails, Status.
Reference ranges
  
Source
Fungus, Skin, Hair, Nails Stain
Culture, Fungus, Skin, Hair, Nails       Negative
Culture, Fungus, Skin, Hair, Nails Status

[613]


CULTURE, GENITAL (REFLEXIVE)
Order Code GEN Test Code CGEN
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
If testing for single pathogen only, such as N. gonorrhoeae, Group B strep or yeast, order as individual test (CGC, CBSBS, or CYEST respectively).
Synonyms Genital Culture, Haemophilus, ducreyi, chancroid ulcer
Specimen Required
       Container type BD culturette Plus media.  Specimen type Sterile swab
Collection procedure Male: Collect urethral discharge or anterior urethral scraping. Female: Cervical swab is preferred to urethral or vaginal swab. Dacron swabs are recommended. Place in BD Culturette Plus media.
Specimen processing Store and transport at room temperature, preferably within 8 hours of collection.
Required patient info Specimen source.
Limitations If testing for single pathogen only, such as N. gonorrhoeae, Group B strep or yeast, order as individual test (CGC, CBSBS, or YST.SCR respectively).
Department Microbiology
CPT codes 87205, 87070
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Organism Isolation
Test includes
Source; Gram Stain; Culture, Genital; Culture, Genital, Status.
Reference ranges
  
Source
Gram Stain
Culture, Genital           Negative
Culture, Genital, Status
Notes
If testing a genital ulcer to rule out Haemophilus ducreyi, collect sample from the base and undermined margins of the chancroid lesion with a saline-moistened swab and submit in BD Culturette Plus. Transport specimen refrigerated. Order test code CWND and indicate 'r/o Haemophilus ducreyi.' Culture requires extended incubation (up to 1 week).

[615]


CULTURE, LEGIONELLA (REFLEXIVE)
Order Code LEGION Test Code CLEG
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Legionella Culture
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Pleural fluid, bronchial brushings/washings, transtrachael aspirate, sputum (least desirable specimen) or small piece of lung tissue.  Preferred volume 3-5 mL
Specimen processing Store and transport refrigerated.
Required patient info Specimen source.
Department Microbiology
CPT codes 87081
Test schedule Sun-Sat
Turnaround time Positive reported when detected. Negative preliminary 4 days. Final up to 7 days.
Method Organism Isolation
Test includes
Source; Culture, Legionella; Culture, Legionella, Status
Reference ranges
  
Source
Culture, Legionella         Negative
Culture, Legionella, Status

[616]


CULTURE, LOWER RESPIRATORY (REFLEXIVE)
Order Code CLRSP Test Code CLRSP
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms RESPIRATORY, LOWER CULTURE
Specimen Required
       Container type Sterile leakproof container.  Specimen type Sputum  Preferred volume 3 mL
Collection procedure Sputum specimen should be collected early in the morning and be a deep, productive sample.
Specimen processing Store and transport at room temperature.
Required patient info Specimen source.
Unacceptable conditions Spit or saliva.
Alternate specimens Bronch or BAL specimens.
Department Microbiology
CPT codes 87070, 87205
Turnaround time 2-5 days
Method Organism Isolation
Test includes
Source; Gram Stain; Culture, Lower Respiratory; Culture, Lower Respiratory, Status.
Reference ranges
  
Source
Gram Stain
Culture, Lower Respiratory    Negative
Culture, Lower Respiratory, Status

[617]


CULTURE, METHICILLIN RESISTANT STAPH AUREUS SCREEN (REFLEXIVE)
Order Code CMRSA Test Code CMRSA
This test screens only for the presence or absence of methicillin resistant Staph aureus; no other isolates are identified or reported.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms MRSA; STAPH AUREUS SCREEN
Specimen Required
       Container type See below  Specimen type See below
Collection procedure Open wounds or Ulcers: Obtain swab or aspirate of deep area, avoiding skin flora. Place the swab in a BD Culturette Plus. To determine colonization, insert swab into the nares as far back as is comfortable. Rotate swab and remove. Place swab into culturette. Store and transport at room temperature.
Specimen processing Store and transport at room temperature.
Required patient info Specimen source.
Department Microbiology
CPT codes 87081
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Organism Isolation
Test includes
Source; Culture, Methicillin Resistant Staph aureus; Culture, Methicillin Resistant Staph aureus, Status.
Reference ranges
  
Source; 
Culture, Methicillin Resistant Staph aureus           Negative
Culture, Methicillin Resistant Staph aureus, Status

[618]


CULTURE, NEISSERIA GONORRHOEAE (REFLEXIVE)
Order Code CGC Test Code CGC
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms GC Culture
Specimen Required
       Container type Culturette with Amies or Stuarts media.  Specimen type Male: Collect urethral discharge or anterior urethral scraping. Female: Cervical specimen is preferred to urethral or vaginal swab.
Specimen processing Store and transport at room temperature.
Required patient info Specimen source.
Limitations Culturettes should be received in laboratory within 8 hours of collection.
Department Microbiology
CPT codes 87081, 87205
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Organism Isolation
Test includes
Source; Gram Stain; Culture, Neisseria gonorrhoeae; Culture, Neisseria gonorrhoeae, Status.
Reference ranges
  
Source
Gram Stain
Culture, Neisseria gonorrhoeae          Negative
Culture, Neisseria gonorrhoeae, Status
Notes
If delay in transportation is anticipated, inoculate directly to GC agar and incubate in 5% CO2 at 35C.

[619]


CULTURE, RESPIRATORY CYSTIC FIBROSIS (REFLEXIVE)
Order Code CRCF Test Code CRCF
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Respiratory cystic fibrosis culture; CF culture
Specimen Required
       Container type Sterile leakproof container or throat swab in culturetteNP swab in transport media  Specimen type Sputum, bronch, BAL or throat swab  Preferred volume 2 mL
Collection procedure Sputum specimen should be collected early in the morning and be a deep, productive sample.
Specimen processing Store and transport refrigerated.
Required patient info Source.
Unacceptable conditions Spit or saliva.
Department Microbiology
CPT codes 87070, 87205
Test schedule Daily
Turnaround time 5-12 days
Method Organism Isolation
Test includes
Source; Culture, Respiratory Cystic Fibrosis; Culture, Respiratory, Cystic Firbrosis, Status.
Reference ranges
  
Source
Culture, Respiratory, Cystic Fibrosis         Negative
Culture, Respiratory, Cystic Fibrosis Status

[620]


CULTURE, STOOL WITH YERSINIA AND SHIGA TOXIN (REFLEXIVE)
Order Code CSTLYS Test Code CSTLYS
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Feces Culture with Yersinia and Shiga Toxin; Yersinia, Feces Culture; Shiga Toxin; Culture, Feces
Specimen Required
       Container type Clean leakproof plastic container.  Specimen type Fresh stool  Preferred volume 1 mL  Minimum volume 1 mL
Collection procedure Collect stool sample in a clean, leakproof plastic container. If transportation time will exceed 2 hours from time of collection, specimen should be refrigerated or placed in enteric transport medium (Modified Cary-Blair). This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen processing Store and transport refrigerated.
Stability-   Room temp 2 hours   Refrigerated 1 day   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Cultures are not recommended for inpatients that have been hospitalized for 3 or more days.
Limitations If Vibrio, Aeromonas, or Plesiomonas are suspected, please note on request form.
Department Microbiology
CPT codes 87045, 87046 x 3, 87015, 87899 x 2
Test schedule Sun-Sat
Turnaround time 2-7 days
Method Culture and Immunochromographic
Test includes
Culture, Feces with Yersinia and Shiga Toxin, Result; Culture, Feces with Yersinia and Shiga Toxin, Status.
Reference ranges
  
Culture, Stool with Yersinia & Shiga Toxin, Result
Culture, Stool with Yersinia & Shiga Toxin, Status
Notes
Culture for Salmonella, Shigella, Campylobacter, Yersinia enterocolitica, E. coli 0157, and Shiga

[5573]


CULTURE, STOOL, WITH SHIGA TOXIN TEST (REFLEXIVE)
Order Code CSTLST Test Code CSTLST
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Culture, Feces
Specimen Required
       Container type Leakproof plastic container.  Specimen type Fresh stool  Preferred volume GT 1 mL  Minimum volume 1 mL
Collection procedure Collect stool sample in a clean, leakproof plastic container. If transportation time will exceed 2 hours from time of collection, specimen should be refrigerated or placed in enteric transport medium (Modified Cary-Blair).
Specimen processing Store and transport refrigerated.
Required patient info Specimen source.
Stability-   Room temp 2 hours   Refrigerated 1 day   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Cultures are not recommended for inpatients that have been hospitalized for 3 or more days.
Limitations If Vibrio, Aeromonas, or Plesiomonas are suspected, please note on request form.
Department Microbiology
CPT codes 87045, 87046 x 2, 87015, 87899 x 2
Test schedule Sun-Sat
Turnaround time 2-7 days
Method Culture & Immunochromatographic
Test includes
Culture, Stool Report; Culture, Stool, Status.
Reference ranges
  
Culture, Stool, Report          Negative
Culture, Stool, Status
Notes
Includes culture for Salmonella, Shigella, Campylobacter and E. coli 0157 and Shiga Toxin Assay. If Yersinia enterocolitica is suspected please order CSTLYS test code.

[5556]


CULTURE, TISSUE (REFLEXIVE)
Order Code CULT.TISSUE Test Code CTIS
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Tissue Culture
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Tissue
Collection procedure Submit tissue specimen in sterile leakproof plastic container. Do not allow tissue to dry. Moisten with a small amount of sterile saline.
Specimen processing Store and transport at room temperature.
Required patient info Indicate source.
Department Microbiology
CPT codes 87070, 87205, 87075
Test schedule Daily
Turnaround time 2-10 days
Method Organism Isolation
Test includes
Source; Gram Stain; Culture, Tissue; Culture, Tissue, Status.
Reference ranges
  
Source
Gram Stain
Culture, Tissue          Negative
Culture, Tissue, Status

[621]


CULTURE, TRICHOMONAS
Order Code CTRICH Test Code CTRICH
Synonyms Trichomonas Culture
Specimen Required
        Specimen type Urogenital discharge on sterile cotton swab collected using the InPouch Collection System
Collection procedure Female: Vaginal swab. Male: Urethral swab. Use swab to innoculate the top chamber of the InPouch system. REMOVE SWAB & DISCARD. Squeeze closure strip with thumb and forefinger. Hold bottom of pouch with other hand and move the medium from top chamger to lower chamber by pulling it upward across the edge of a counter in a 'shoe shine' motion. Roll the EMPTY upper chamber down to the top of the label, fold the tabs over to prevent the InPouch from reopening. Place patient information in the label area not on the bottom viewing chamber. InPouch systems available in PAML Supply Department.
Specimen processing Store and transport InPouch device at room temperature.
Stability-   Room temp Up to 48 hours   Refrigerated unacceptable   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Samples greater than 48 hours old, and samples held below room temperature.
Alternate specimens Male-15 mL of fresh urine (process within 30 minutes). Centrifuge at 500 rpm for 5 minutes, decant supernatant and use glass pipette to transfer sediment to InPouch. Seminal fluid no more than 60 minutes old. Use a glass pipette to collect a drop of specimen to inoculate InPouch.
Department Microbiology
CPT codes 87070
Test schedule Sun-Sat
Turnaround time Preliminary-1 day, Final-4 days
Method Culture & Microscopy
Test includes
Trichomonas Culture Result; Trichomonas Culture Status.
Reference ranges
  
Trichomonas Culture Result
Trichomonas Culture Status
Notes
Collection devices available from PAML Supply Department.

[622]


CULTURE, UPPER RESPIRATORY (REFLEXIVE)
Order Code CURSP Test Code CURSP
Specimens collected from the posterior pharynx and tonsilar area will be screened for Group A Streptococcus only and should be ordered as a strep screen.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Respiratory, Upper Culture
Specimen Required
       Container type NP swab in transport media  Specimen type Sterile nasopharyngeal (thin, plastic-shafted) swab.
Collection procedure Gently insert nasopharyngeal swab through the nostril until it touches the back of the nasopharynx. Leave the swab in place for 15-30 seconds to absorb specimen. Remove the swab and place it in transport media (culturette or similar). NOTE: Collection is made easier if the plastic is bent in a slight downward curve before inserting. If diphtheria or pertussis is suspected, contact the Microbiology Dept. for specific instructions.
Required patient info Source.
Department Microbiology
CPT codes 87070
Test schedule Daily
Turnaround time 2-5 days
Method Organism Isolation
Test includes
Source; Culture, Upper Respiratory; Culture, Upper Respiratory, Status.
Reference ranges
  
Source
Culture, Upper Respiratory     Negative
Culture, Upper Respiratory, Status

[623]


CULTURE, UREAPLASMA AND MYCOPLASMA
Order Code CURMY Test Code CURMY
Synonyms Ureaplasma Urealyticum Mycoplasma Hominis Culture
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.
Collection procedure Submit urine, urethral or cervical swab, semen, biopsy tissue, or body fluid. For neonates, collect CSF, tracheal, or NP aspirate fluid. For urethral or cervical swabs, semen, biopsy tissue, tracheal aspirate and body fluids other than urine with a volume of LT 2 mL, transfer specimens to M4 transport media. Body fluid GT 2 mL or any urine sample must be frozen in a leakproof, sterile container & shipped on dry ice OR centrifuged at 600 x g for 15 minutes with the pellet transferred to M4 transport media. All M4 samples must be transported refrigerated. M-4 transport media is available from the PAML Supply Department.
Specimen processing If transport time will exceed 24 hours, freeze sample at -70C and transport on dry ice.
Required patient info Specimen source.
Stability-   Room temp 8 hours   Refrigerated 24 hours   Frozen (-20°C)   Frozen (-70°C) 1 month
Unacceptable conditions Other transport media (including M4RT), dry swabs, or wooden shaft cotton swabs.
Department Microbiology
CPT codes 87109
Test schedule Daily
Turnaround time Preliminary-3 days, Fianl-7 days
Method Organism Isolation
Test includes
Source; Culture, Ureaplasma urealyticum/Mycoplasma hominis Result; Culture, Ureaplasma/Mycoplasma, Status.
Reference ranges
  
Culture, Ureaplasma urealyticum/Mycoplasma hominis Result
Culture, Ureaplasma urealyticum/Mycoplasma hominis Status

[624]


CULTURE, URINE COLONY COUNT (NO SMEAR) (REFLEXIVE)
Order Code CURNNS Test Code CURNNS
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Urine Colony Count Culture
Specimen Required
       Container type Sterile leakproof plastic urine container and then transfer to a urine boric acid tube.  Specimen type Urine, random  Minimum volume 2-3 mL for fungal screen, full first morning void for TB
Collection procedure Aseptically collect urine. Morning first voided urine is preferred. Note time and method of collection (clean catch, straight cath, foley cath). Foley Catheter: Aspirate through disinfected tubing with a needle and syringe. Do not drain from bag. Place urine in a sterile container and then transfer to a urine boric acid tube. Male Clean Catch: Draw foreskin back (hold in this position until specimen is obtained). Begin voiding, obtain midstream urine specimen in container and transfer to a urine boric acid tube. Female Clean Catch: Separate the folds of the vulva (hold in this position until urine is obtained). Wipe the opening from front to back with four wipes. Use wipe for one stroke only. Obtain mid-stream urine specimen in container and transfer to a urine boric acid tube.
Specimen processing Store and transport urine boric acid tube at room temperature or refrigerated.
Required patient info Specimen source.
Stability-   Room temp Unpreserved-2 hours, Preserved-48 hours   Refrigerated Unpreserved-12 hours   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Unpreserved urines GT 2 hours at room temperature or GT 12 hours refrigerated or GT 48 hrs preserved at RT.
Alternate specimens Specimens in sterile leakproof container refrigerated.
Department Microbiology
CPT codes 87086
Test schedule Sun-Sat
Turnaround time 2-5 days
Method Organism Isolation
Test includes
Source; Culture, Urine; Culture, Urine, Status.
Reference ranges
  
Source
Culture, Urine          Negative
Culture, Urine, Status

[625]


CULTURE, VANCOMYCIN RESISTANT ENTEROCOCCUS SCREEN (REFLEXIVE)
Order Code CVRE Test Code CVRE
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms VRE Screen; Culture, VRE Screen; Enterococcus, Vancomycin Resistant Screen
Specimen Required
       Container type See below  Specimen type See below
Collection procedure Rectal swab, culturette or isolated enterococcus organism in a leakproof sterile container.
Specimen processing Store and transport refrigerated.
Required patient info Specimen source.
Department Microbiology
CPT codes 87081
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Organism Isolation
Test includes
Source; Culture, Vancomycin Resistant Enterococcus; Culture, Vancomycin Resistant Enterococcus, Status.
Reference ranges
  
Source 
Culture, Vancomycin Resistant Enterococcus, Result      Negative
Culture, Vancomycin Resistant Enterococcus, Status

[627]


CULTURE, WOUND (REFLEXIVE)
Order Code WOUND Test Code CWND
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Wound Culture; Aerobic; Anaerobic
Specimen Required
       Container type See below.  Specimen type See below.
Collection procedure Open wounds, ulcers or sinus tracts: Obtain swab or aspirate of deep area, avoiding skin flora. Transport in a transport swab. Closed abscesses or fistulas: Using needle and syringe, collect specimen by puncturing cleaned skin until needle penetrates abscess. Aspirate material and submit in syringe with needle removed. Place sterile cap on syringe. A transport swab may also be used.
Specimen processing Store and transport at room temperature.
Required patient info Specimen source; note if wound is superficial or deep.
Department Microbiology
CPT codes 87205, 87070
Test schedule Sun-Sat
Turnaround time 2-10 days
Method Organism Isolation, Aerobic, Anaerobic if appropriate
Test includes
Source; Gram Stain; Culture, Wound; Culture, Wound, Status.
Reference ranges
  
Source
Gram Stain
Culture, Wound           Negative
Culture, Wound, Status

[628]


CULTURE, WOUND, DEEP (REFLEXIVE)
Order Code CWNDD Test Code CWNDD
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Deep Wound Culture; Wound, Culture; Aerobic; Anaerobic
Specimen Required
       Container type See collection procedure.
Collection procedure OPEN WOUND, ULCERS OR SINUS TRACTS: Obtain swab or aspirate of deep area, avoiding skin flora. Transport in transport swab. CLOSED ABSCESSES, FISTULAS: Using needle and syringe collect specimen by puncturing cleaned skin until needle penetrates abscess. Aspirate material and submit in syringe with needle removed. Place sterile cap on syringe. A transport swab may also be used.
Specimen processing Store and transport at room temperature.
Required patient info Indicate source.
Department Microbiology
CPT codes 87070, 87075, 87205
Test schedule Daily
Turnaround time 2-10 days
Method Organism Isolation. Aerobic, Anaerobic
Test includes
Source; Gram Stain; Culture, Wound, Deep; Culture, Wound, Status.
Reference ranges
  
Source
Gram Stain
Culture, Wound, Deep         Negative
Culture, Wound, Deep, Status

[629]


CULTURE, YEAST SCREEN (REFLEXIVE)
Order Code YST-SCR Test Code CYEST
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Yeast Screen Culture
Specimen Required
       Container type Cary-Blair transport media or culturette.  Specimen type Sterile transport swab
Collection procedure Submit specimen in a transport swab.
Specimen processing Store and transport at room temperature.
Required patient info Specimen source.
Department Microbiology
CPT codes 87205, 87102
Test schedule Sun-Sat
Turnaround time 2-7 days
Method Organism Isolation
Test includes
Source; Gram Stain; Culture, Yeast Screen; Culture, Yeast Screen, Status.
Reference ranges
  
Source
Gram Stain
Culture, Yeast Screen         Negative
Culture, Yeast Screen, Status

[630]


CULTURE, YERSINIA SCREEN (REFLEX)
Order Code YERS.SCR Test Code CYER
Supplies are available from the PAML Supply Department.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Fresh stool  Preferred volume Walnut-size portion
Collection procedure Submit a walnut-sized portion of fresh stool in a sterile leakproof plastic container. If a delay of 2 hours or more is anticipated for the specimen to reach the lab, submit a portion of stool on a transport swab. Up to two specimens may be submitted from each patient. Samples must be collected on successive or alternate days. Cultures are not recommended from inpatients that have been in the hospital for 3 or more days.
Specimen processing Store and transport at room temperature.
Unacceptable conditions Refrigerated specimens.
Department Microbiology
CPT codes 87081
Test schedule Daily
Turnaround time 2-3 days
Method Organism Isolation
Test includes
Souce; Yersinia Screen; Yersinia Screen, Status.
Reference ranges
  
Source
Yersinia Screen         Negative
Yersinia Screen, Status

[631]


CYANIDE
Order Code CYANIDE Test Code CYANID
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Whole blood  Preferred volume 7 mL  Minimum volume 4 mL
Specimen processing Do not freeze or refrigerate. Store and transport at room temperature.
Stability-   Room temp 2 days if tightly capped   Refrigerated unacceptable   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Clotted or hemolyzed specimens.
Alternate specimens EDTA whole blood (lavender top tube).
CPT codes 82600
Test schedule Sun-Sat
Turnaround time 2-4 days
Method Spectrophotometric
Test includes
Cyanide, ug/dL.
Reference ranges
  
Cyanide, Blood               ug/mL
 Normal              LT 20      
 Potentially Toxic   GT 50
 Elevated values seldom indicate
 toxicity for patients on nitro-
 prusside therapy.

[632]


CYCLIC CITRULLINATED PEPTIDE ANTIBODY IGG
Order Code CCPABG Test Code CCPABG
Synonyms Anti-CCP; CCP Ab; CCP, IgG; Citrulline Antibody
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 2 days   Frozen (-20°C) 1 year (avoid repeat freeze/thaw cycles).   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or lipemic, contaminated or heat-treated samples.
Department Immunology
CPT codes 86200
Test schedule Tue, Thu, Sat
Turnaround time 2-5 days
Method ELISA
Test includes
Cyclic Citrullinated Peptide Antibody, IgG, EU.
Reference ranges
  
Cyclic Citrullinated Peptide Ab, IgG     EU
 Negative           LT 20
 Weak positive      20-39
 Moderate positive  40-59
 Strong positive    60 or greater
 Approximately 70% of patients with RA
 are positive for CCP IgG, while only
 2% of random blood donors and disease
 controls are positive. The diagnostic
 value of antibodies to CCP in juvenile
 rheumatoid arthritis patients has not
 been determined.

[633]


CYCLOBENZAPRINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCCYC Test Code TLCCYC
Synonyms Flexeril
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Cyclobenzaprine
Notes
Test is also included in Drug-Sur as part of panel.

[6944]


CYCLOSPORA DETECTION
Order Code CYCDET Test Code CYCDET
Specimen Required
       Container type Leakproof plastic container  Specimen type Fresh stool  Preferred volume 0.5 grams or 1 mL
Collection procedure Collect a stool specimen.
Specimen processing Submit either a fresh stool or stool in 10% formalin. Store and transport refrigerated or at room temperature.
CPT codes 87210, 87015
Turnaround time 3-4 days
Method FM
Test includes
Cyclospora Detection.
Reference ranges
  
Cyclospora Detection   Not detected
 Cyclospora is a coccidian parasite that
 inhabits the intestinal mucosa and is
 a cause of prolonged non-bloody diarrheal
 disease in humans. The organism is 
 spherical and 8 to 10 micrometers in
 diameter. Infection by the organism is
 found worldwide and occurs in birds,
 insectivores, reptiles, and insects.
 Outbreaks in humans have been associated
 with ingestion of food, notably berries,
 basil and sprouts.

[634]


CYCLOSPORINE A BY LC-MS/MS
Order Code CYC Test Code CYC
Synonyms Sandimmune; Cyclosporine A; CSA Level; Gengraf; Neoral
Specimen Required
       Container type Lavender top tube  Specimen type EDTA whole blood  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Do not centrifuge or freeze specimen. Send whole blood refrigerated in original vacutainer. Specimens can be sent refrigerated or room temperature if less than or equal to 24 hours transport.
Stability-   Room temp 1day   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Specimens other than blood collected in lavender EDTA top tube.
Department Bioanalytics
CPT codes 80158
Test schedule Mon-Fri
Turnaround time 1-3 days
Method Tandem Mass Spectrometry
Test includes
Cyclosporine A by LC-MS/MS, ng/mL.
Reference ranges
  
Cyclosporine A by LC-MS/MS                                ng/mL
 Renal transplant: therapeutic range     50-200
 Other transplants: therapeutic range    150-300
 Toxic                                   GT 600
 Cyclosporine -A is performed at PAML utilizing
 LC-MS/MS technology. This method replaces the
 HPLC method. Both methods measure the parent
 compound only. Please note, the lower limit
 of the therapeutic range has been decreased
 and this assay has improved sensitivity. 
 Duplicate testing on both methods to re-baseline
 patients is available upon request until
 August 1, 2010.
Notes
The recommended therapeutic range applies to trough specimens drawn just before the next dose. Blood drawn at other times will yield higher results.

[5557]


CYCLOSPORINE, TDX (HEART TRANSPLANT)
Order Code CYCLO.WB.TDX Test Code CYCTDX
Synonyms CSA; Neoral Sandiimmune
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood.  Preferred volume 5 mL  Minimum volume 1.5 mL
Collection procedure Draw 3 ml EDTA whole blood for transplant patients.
Specimen processing Store and transport on ice packs or on dry ice.
Required patient info Amount, date and time of dose and draw.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Department Chemistry
CPT codes 80158
Test schedule Daily
Turnaround time 1-2 days
Method CMIA
Test includes
Cyclosporine TDX, ng/mL.
Reference ranges
  
Cyclosporine TDX              ng/mL          
 Therapeutic trough  150-250  
 Toxic               GT 600

[636]


CYSTATIN C
Order Code CYSC Test Code CYSC
Specimen Required
       Container type SST  Specimen type Serum or plasma  Preferred volume 1.0 mL  Minimum volume 0.4 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 1 week   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolysis.
Alternate specimens PST
CPT codes 82610
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Nephelometry
Test includes
Cystatin C mg/L
Reference ranges
  
Cystatin C                     mg/L
 0-3 months       0.8-2.3
 4-11 months      0.7-1.5
 1-3 years        0.5-1.3
 4-8 years        0.5-1.3
 9-17 years       0.5-1.3
 18+ years        0.5-1.0

[3041]


CYSTIC FIBROSIS CARRIER SCREEN & DIAGNOSIS REFLEX
Order Code CFSCRA Test Code CFSCRA
This test must be ordered on a paper requisition that accompanies the specimen. It is an orderable test using PAML computer system if you have an interface. Due to the sensitivity of this test, submit the entire specimen unopened in the original collection tube.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms CFTR; CF; Molecular testing; CF Carrier Screen and Diagnosis
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1 mL
Specimen processing Submit original and unopened tube only. Store and transport at room temperature. If delayed more than 72 hours, store and transport refrigerated. Do not freeze specimen.
Required patient info Patient's race, clinical indication and family history.
Stability-   Room temp 3 days   Refrigerated 5 days   Frozen (-20°C) Unstable   Frozen (-70°C)
Unacceptable conditions Heparinized whole blood, serum, grossly hemolyzed specimens, frozen specimens, specimens over 5 days old and specimens in leaky containers. Also specimens not received in the original collection tubes.
Alternate specimens Sodium citrate or ACD whole blood (blue or yellow top tube). `This test can also be done on buccal cell specimens. Collect buccal cells with a cytology brush or buccal swab by rotating for no less than 20 seconds on each check covering entire areas. Place collection device into a clean dry container (preferably sterile) with no additives or transport medium (original packaging affixed with tape is acceptable if properly labeled). Send brush or swab in container at ambient temperature or refrigerated (4 C). Special collection requirements: Avoid eating, drinking, smoking, or chewing gum within 2 hours before collection. Specimen is stable 5 days at room or refrigerated temperature and unstable frozen. Unacceptable specimens include: specimens over 5 days old, improperly labeled specimens, brushes/swabs in containers with transport medium or additives, samples in mouthwash, frozen brushes/swabs, inadequately sealed containers or loose specimens.
Limitations Do not freeze specimen.
Department Molecular Diagnostics
CPT codes 83891, 83901 x 13, 83914 x 30, 83912, 83900, 83909.
Test schedule Tue, Fri
Turnaround time 3-6 days
Method PCR and OLA
Test includes
Cystic Fibrosis Carrier Screen or Diagnosis; Interpretation, Comment.
Reference ranges
  
Cystic Fibrosis Carrier Screen or Diagnosis,   
 Interpretation and Comments
Notes
Panel of mutations: R553X, G551D, I507del, F508del, 1717-1G>A, G542X, R560T, 3120+1G>A, R347P, 2183AA>G, W1282X, R334W, 1078delT, 3849+10kbC>T, R1162X, N1303K, 3659delC, A455E, R117H, 2184delA, 2789+5G>A, 1898+1G>A, 621+1G>T, 711+1G>T, G85E, S549N, S549R, V520F, 3876delA, R347H, 3905insT, 394delTT. Reflex: I506V, I507V, IVS-8 5T

[3040]


CYSTIC FIBROSIS EXPAND MUTATION PANEL (GENZYME)
Order Code GENCFP Test Code GENCFP
Specimen Required
       Container type ACD-A Yellow top tube  Specimen type ACD-A whole blood  Preferred volume 10 mL  Minimum volume 10 mL
Stability-   Room temp 1 week   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens EDTA whole blood (lavender top tube).
CPT codes 83891, 83892 x 2, 83900, 83901x 22, 83909, 83912, 83914 x 97
Test schedule Daily
Turnaround time 6-9 days
Test includes
Cystic Fibrosis Expanded Mutation Analysis Result.
Reference ranges
  
Cystic Fibrosis Expanded Mutation Analysis Result

[5210]


CYSTICERCOSIS ANTIBODY, CSF
Order Code CYSAB Test Code CYSAB
Synonyms Taenia Solium AB, CSF
Specimen Required
       Container type Sterile leakproof plastic tube  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.1 mL
Collection procedure Collect CSF in a sterile leakproof plastic tube.
Specimen processing Store and transport refrigerated.
CPT codes 86682
Turnaround time 3-4 days
Method ELISA
Test includes
Cysticercosis Antibody, CSF.
Reference ranges
  
Cysticercosis Antibody, CSF   LT 0.75 
 Interpretive Criteria
 LT 0.75       Antibody not detected
 0.75 or more  Antibody detected
 Cysticercosis is caused by infection 
 with the larval form (cysticercus) of
 the pork tapeworm, Taenia solium.
 Clinical manifectations of cyctericercosis
 most commonly result from the lodging
 of cysticerci in brain and neural
 tissue. Common symptoms of neuro-
 cysticercosis include seizures and
 convulsions. Antibodies to other 
 parasitic infections, particularly
 echinococcus, may crossreact in the
 cysticersuc IgG ELISA. Confirmation
 of positive ELISA results by the 
 cysticercus IfF antibody Western blot
 is thus recommended. Diagnosis of
 central nervous system infections can
 be accomplished by demonstrating the
 presence of intrathecally-produced
 specific antibody. Interpretation of
 results may be complicated by low
 antibody levels froun in CSF, passive 
 transfer of antibody from blood, and
 contamination via bloody taps.

[639]


CYSTICERCOSIS ANTIBODY, IGG, CSF
Order Code CYSGCF Test Code CYSGCF
Acute and convalescent samples advised.
Synonyms Taenia Solium AB, IgG, CSF
Specimen Required
       Container type Leakproof plastic tube  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Acute and convalescent samples must be labeled as such. Parallel testing is preferred, and convalescent samples must be received within 30 days from receipt of the acute samples. Please mark samples plainly as acute or convalescent.
Specimen processing Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Serum, lipemic, hemolyzed, icteric, contaminated, or heat-inactivated samples.
CPT codes 86682
Test schedule Tue, Fri
Turnaround time 2-6 days
Method ELISA
Test includes
Cysticercosis Antibody, IgG, CSF, OD.
Reference ranges
  
Cysticercosis Antibody IgG, CSF    OD
 0.34 or less Negative-no significant
 level of cysticercosis IgG antibody
 detected.
 0.35-0.50    Equivocal-questionable
 presence of cysticercosis IgG. Repeat
 testing in 10-14 days may be helpful.
 0.51 or more Positive-IgG antibody
 detected, which may suggest current
 or past infection.
 Diagnosis of central nervous system
 infections can be accomplished by
 demonstrating the presence of intrathe-
 cally produced specific antibody. 
 Interpretation of results may be
 complicated by low antibody levels
 found in CSF, passive transfer of
 antibody from blood, and contamination
 via bloody taps.

[640]


CYSTICERCUS ANTIBODY
Order Code CYSTICERCUS.AB Test Code CYSTAB
Synonyms Taenia Solium AB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
CPT codes 86682
Test schedule Tue, Fri
Turnaround time 2-5 days
Method ELISA
Test includes
Cysticercus Antibody.
Reference ranges
  
Cysticercus Ab   
 LT 0.90     Antibody no detected.
 0.90-1.15   Equivocal: Submission
             of a second specimen
             (collected 3-4 weeks 
             after initial specimen)
             suggested if clinically
             warranted.
 GT 1.15     Antibody detected.
 Cysticercosis is caused by infection
 with the larval form (cysticercus) of
 the pork tapeworm, Taenia solium.
 Clinical manifestations of cysticercosis
 most commonly result from the lodging of
 cysticerci in brain & neural tissue.
 Common symptoms of neuro-cysticercosis
 include seizures and convulsions.
 Antibodies from other parasitic 
 infections, particularly echinococcosis,
 may crossreact in the cysticercus IgG 
 Elisa. Confirmation of positive Elisa
 results by the cysticercus IgG Ab 
 western blot is thus recommended.

[641]


CYSTINE, URINE (QUANTITATIVE)
Order Code CYUQ Test Code CYUQ
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Frozen aliquot of random or 24 hour urine collection  Preferred volume 10 mL  Minimum volume 3 mL
Collection procedure Collect a random urine or 24 hour urine in leakproof plastic urine container. Avoid dilute urine.
Specimen processing Aliquot 10 mL of a random or 24 hour urine collection into a leakproof plastic urine container and freeze immediately. Store and transport frozen.
Required patient info Patient history form required. Additional required information includes age, gender, diet, drug therapy and family history. If 24 hour urine collection volume and collection period are required.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Ambient or refrigerated samples.
CPT codes 82131
Test schedule Mon-Fri
Turnaround time 4-8 days
Method Ion Exchange Chromatography
Test includes
Voume, mLs; Collection Period, h; Cystine, Urine, umol/gCr; Creatinine, Urine, mg/dL; Cystine, Urine, mg/dL; Cystine, Urine, mg/day.
Reference ranges
  
Volume                         mLs
Collection Period              h
Cystine, Urine                 umol/gCr
 0-5 months       62-345
 6-11 months      53-133
 1-3 yrs          53-186
 4-12 yrs         35-106
 13 yrs and more  27-151
Creatinine, Urine              mg/dL
Cystine, Urine                 mg/dL
Cystine, Urine                 mg/day
Notes
This test is indicated only to monitor patients with cystinuria on therapy.

[642]


CYTOCHROME P450 CYP2D6 14 MUTATIONS & GENE DUPLICATION
Order Code CP450 Test Code CP450
Counseling and informed consent are recommended for genetic testing. Consent forms are available online at www.aruplab.com .
Specimen Required
       Container type EDTA (lavender top tube) or K2EDTA (pink top tube)  Specimen type Whole blood  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Store and transport refrigerated.
Alternate specimens ACD A or B (yellow top tube)
CPT codes 83891, 83900, 83901 x 6, 83914 x 12, 83912. Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.
Test schedule Mon, Thu
Turnaround time 1-2 weeks
Method Polymerase chain reaction/primer extension
Test includes
CYP2D6 predicted phenotype, CYP2D6 Variant
Reference ranges
  
CYP2D6 Predicted Phenotype
CYP2D6 Variant
CYP2D6 Variant
CYP2D6 Variant
CYP2D6 Variant

[5774]


CYTOGENETICS, CHROMOSOME ANALYSIS, AMNIOTIC FLUID
Order Code AFCYTO Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Cytogenetics, Amniotic Fluid; karyotype; amniotic fluid
Specimen Required
        Specimen type Amniotic fluid  Preferred volume 15 -20 mL  Minimum volume 5 mL
Specimen processing 15-20 mL amniotic fluid, unspun in 15 mL centrifuge tube (Corning or Falcon or equivalent). Do not split or aliquot specimen if other tests are ordered. If additional studies are required, additional volume of fluid maybe necessary and charges will be added. Label all tubes with patient name and DOB. Do not split or aliquot specimen if other tests are ordered. Store and transport at room temperature.
Required patient info Date of Birth
Stability-   Room temp 48 hours   Refrigerated 5 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen or spun samples.
Alternate specimens Fluid from uterine saline infusion, cystic hygroma, fetal pleural fluid or urine (please specify).
Department Cytogenetics
CPT codes 88235, 88267, 88280, 88291
Test schedule Daily
Turnaround time 6-8 days
Method Cytogenetics
Test includes
Chromosome Analysis, Amniotic Fluid.
Reference ranges
  
Chromosome Analysis, Amniotic Fluid
 Separate Report to Follow

[643]


CYTOGENETICS, CHROMOSOME ANALYSIS, BONE MARROW, ASPIRATE/BONE CORE
Order Code BMCYTO Test Code
This test must be ordered on a paper requistion that accompanies the specimen. It is not an orderable test using PAML computer system.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Cytogenetics, Bone Marrow, Bone core
Specimen Required
       Container type Bone marrow transport tube or sterile tissue culture media  Specimen type Bone marrow aspirate or bone core biopsy  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing 2 mL bone marrow aspirate in sterile transport tube containing tissue culture media. If specimen is a core, use sterile technique to transfer it to tissue culture media as soon as possible. Store and transport at room temperature.
Stability-   Room temp 3 days   Refrigerated 3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, placed in additive other than sodium heparin, in fixative, spun or clotted.
Alternate specimens Sodium heparin vacutainer tube (green top tube).
Department Cytogenetics
CPT codes 88237, 88280 x 3, 88264, 88291
Test schedule Daily
Turnaround time 3-10 days
Method Cytogenetics
Test includes
Chromosome Analysis, Bone Marrow
Reference ranges
  
Chromosome Analysis, Bone Marrow
 Separate Report to Follow

[644]


CYTOGENETICS, CHROMOSOME ANALYSIS, FAMILY, PERIPHERAL BLOOD
Order Code PBFAM Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Cytogenetics, Peripheral Blood Family Study; karyotype
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 1 mL
Specimen processing Store and transport at room temperature.
Stability-   Room temp 3 days   Refrigerated 4 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun, clotted, or in additive other than sodium heparin.
Alternate specimens Whole blood in tissue culture media containing sodium heparin.
Department Cytogenetics
CPT codes 88230, 88261, 88291
Test schedule Daily
Turnaround time 3-7 days
Method Cytogenetics
Test includes
Chromosome Analysis, Peripheral Blood Family.
Reference ranges
  
Chromosome Analysis, Peripheral Blood Family
 Separate Report to Follow

[646]


CYTOGENETICS, CHROMOSOME ANALYSIS, HIGH RESOLUTION, PERIPHERAL BLOOD
Order Code HRPBCY Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Cytogenetics, Peripheral Blood, High Resolution; karyotype
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 1 mL
Specimen processing Store and transport at room temperature.
Stability-   Room temp 3 days   Refrigerated 4 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun, clotted, or in additive other than sodium heparin.
Alternate specimens Whole blood in tissue culture media containing sodium heparin.
Department Cytogenetics
CPT codes 88289, 88262, 88230, 88280, 88291
Test schedule Daily
Turnaround time 7-21 days
Method Cytogenetics
Test includes
Chromosome Analysis, Peripheral Blood High Resolution.
Reference ranges
  
Chromosome Analysis, Peripheral Blood High Resolution
 Separate Report to Follow

[647]


CYTOGENETICS, CHROMOSOME ANALYSIS, LEUKEMIC BLOOD
Order Code LBCYTO Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Cytogenetics, Leukemic Blood/Neoplastic Blood; karyotype
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 1 mL
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2 days   Refrigerated 3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun, clotted, or in additive other than sodium heparin.
Alternate specimens Whole blood in tissue culture media containing sodium heparin.
Department Cytogenetics
CPT codes 88237, 88280 x 3, 88264, 88291
Test schedule Daily
Turnaround time 3-10 days
Method Cytogenetics
Test includes
Chromosome Analysis, Leukemic Blood.
Reference ranges
  
Chromosome Analysis, Leukemic Blood
 Separate Report to Follow

[645]


CYTOGENETICS, CHROMOSOME ANALYSIS, MOSAIC, PERIPHERAL BLOOD
Order Code MOPBCY Test Code
This test must be ordered on a paper requistion that accompanies the specimen. It is not an orderable test using PAML computer system.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Cytogenetics, Peripheral Blood, Mosaicism; karyotype
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 1 mL
Specimen processing Store and transport at room temperature.
Stability-   Room temp 3 days   Refrigerated 4 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun, clotted, or in additive other than sodium heparin.
Alternate specimens Whole blood in tissue culture media containing sodium heparin.
Department Cytogenetics
CPT codes 88230, 88263, 88291, 88285
Test schedule Daily
Turnaround time 7-21 days
Method Cytogenetics
Test includes
Chromosome Analysis, Peripheral Blood Mosaic.
Reference ranges
  
Chromosome Analysis, Peripheral Blood Mosaic
 Separate Report to Follow

[648]


CYTOGENETICS, CHROMOSOME ANALYSIS, MOSIAC, SOLID TISSUE
Order Code MOSTI Test Code
This test must be ordered on a paper requistion that accompanies the specimen. It is not an orderable test using PAML computer system.
This test may reflex to additional tests depending upon the results of this test. An additinal fee may be added.
Synonyms Products of Conception R/O Mosaicism; Cytogenetics Solid Tissue R/O Mosaicism; karyotype
Specimen Required
        Specimen type Tissue biospy 5 mm3 in sterile tube with tissue culture media containing antibiotics.  Preferred volume 5 mm3  Minimum volume 5 mm3
Specimen processing Tissue biopsy 5 mm3 in sterile tube with tissue culture media containing antibiotics. Keep as sterile as possible, place tissue in cell culture media as soon as possible. Store and transport at room temperature.
Stability-   Room temp 2 days   Refrigerated 3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, placed in fixative of any kind or grossly contaminated with bacteria and/or fungus.
Alternate specimens Specimens in sterile saline. They are not optimal.
Department Cytogenetics
CPT codes 88233, 88263, 88291, 88285
Test schedule Daily
Turnaround time 7-21 days
Method Cytogenetics
Test includes
Chromosome Analysis, Solid Tissue Mosiac.
Reference ranges
  
Chromosome Analysis, Solid Tissue Mosiac
 Separate Report to Follow

[651]


CYTOGENETICS, CHROMOSOME ANALYSIS, PLEURAL OR ASCITES FLUID
Order Code PLCYTO Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Chromosome analysis; pleural fluid; ascites fluid; cyctic hygroma fluid; karyotype
Specimen Required
        Specimen type Pleural or ascites fluid  Preferred volume 15 -20 mL  Minimum volume 5 mL
Specimen processing 15-20 mL pleural or ascites fluid, unspun in sterile conical centrifuge tube. Do not split or aliquot specimen if other tests are ordered. If additional studies are required, additional volume of fluid maybe necessary and charges will be added. Store and transport at room temperature ASAP.
Required patient info Clinical indication (ultrasound findings, if applicable) and gestational age of fetus
Stability-   Room temp 48 hours   Refrigerated 5 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Spun or frozen samples.
Alternate specimens Cystic hygroma fluid
Department Cytogenetics
CPT codes 88235, 88267, 88280, 88291
Test schedule Daily
Turnaround time 6-8 days
Method Cytogenetics
Test includes
Chromosome Analysis, Pleural or Ascites Fluid.
Reference ranges
  
Chromosome Analysis, Plueral or Ascites Fluid
 Separate Report to Follow

[3051]


CYTOGENETICS, CHROMOSOME ANALYSIS, ROUTINE, PERIPHERAL BLOOD
Order Code PBCYTO Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
This test may reflex to addtional tests depending upon the results of this test. An addtional fee may be added.
Synonyms Cytogenetics, Peripheral Blood; karyotype
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 0.5-1 (newborns only)
Specimen processing Store and transport at room temperature.
Stability-   Room temp 3 days   Refrigerated 4 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun, clotted, or in additive other than sodium heparin.
Alternate specimens Whole blood in tissue culture media containing sodium heparin.
Department Cytogenetics
CPT codes 88230, 88262, 88280, 88291
Test schedule Daily
Turnaround time 7-21 days; 24-48 hours verbal preliminary results available for most newborn stubdies. Indicate on test requisition form where results should be called.
Method Cytogenetics
Test includes
Chromosome Analysis, Peripheral Blood Routine.
Reference ranges
  
Chromosome Analysis, Peripheral Blood Routine
 Separate Report to Follow

[649]


CYTOGENETICS, CHROMOSOME ANALYSIS, SOLID TISSUE
Order Code STICYT Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Cytogenetics, Products of Conception; Cytogenetics, Solid Tissue; karyotype
Specimen Required
        Specimen type Tissue biopsy in sterile tube with tissue culture media containing antibiotics.  Preferred volume 5mm3  Minimum volume 5mm3
Specimen processing Tissue biopsy 5mm3 minimum in sterile tube with tissue culture media containing antibiotics. Keep as sterile as possible, place tissue in cell culture media as soon as possible. Store and transport at room temperature.
Stability-   Room temp 2 days   Refrigerated 3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, placed in fixative of any kind, or grossly contaminated with bateria and/or fungus.
Alternate specimens Specimens in sterile saline. They are not optimal.
Department Cytogenetics
CPT codes 88233, 88262, 88280, 88291
Test schedule Daily
Turnaround time 7-21 days
Method Cytogenetics
Test includes
Chomosome Analysis, Solid Tissue.
Reference ranges
  
Chromosome Analysis, Solid Tissue
 Separate Report to Follow

[650]


CYTOGENETICS, CHROMOSOME ANALYSIS, SOLID TUMOR
Order Code STUCYT Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Cytogenetics, Solid Tumor; karyotype
Specimen Required
        Specimen type Solid tumor tissue 5mm3 in sterile tube with tissue culture media.  Preferred volume 5mm3  Minimum volume 5mm3
Specimen processing Solid tumor tissue 5mm3 in sterile tube with tissue culture media. Keep as sterile as possible, place tissue in cell culture media as soon as possible. Store and transport at room temperature.
Stability-   Room temp 2 days   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, placed in fixative of any kind or saline.
Department Cytogenetics
CPT codes 88239, 88280 x 3, 88264, 88291
Test schedule Daily
Turnaround time 3-6 days
Method Cytogenetics
Test includes
Chromosome Analysis, Solid Tumor Tissue.
Reference ranges
  
Chromosome Analysis, Solid Tumor Tissue
 Separate Report to Follow

[652]


CYTOGENETICS, FISH DNA PROBES FOR GLIOMA
Order Code GLIOFI Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
        Specimen type Formalin-fixed, paraffin-embedded tumor tissue block
Specimen processing Only a formalin-fixed, paraffin-embedded tumor tissue block in which tumor's presence has been documented by another method. Please specify which DNA probes are desired: 1p/19q, P16, PTEN or EGFR. If the desired probes are not specified, only 1p/19q will be hybridized and reported.
Required patient info Patient information and pathology interpretation.
Department Cytogenetics
CPT codes 88365 x number of probes chosen, 88274 x number of probes chosen, 88291 x number of probes chosen.
Test schedule Weekly
Turnaround time Up to 7 days
Method FISH
Reference ranges
  
See separate report
Notes
FISH (fluorescent in situ hybridization) using DNA probes to the following genes/chromosome regions: 1p/19q (1p36/19q13), PTEN (10q23), P16 (9q21), EGFR (7p11-12). Each assay is performed independently as a dual-color hybridization on unstained tissue sections with the control probe for each assay labeled in spectrum green and the test locus labeled in spectrum orange. The test has been validated for performance on paraffin-embedded brain tissue.

[653]


CYTOGENETICS, TISSUE CULTURE, AMNIOTIC FLUID
Order Code AFTC Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Amniotic Fluid Tissue Culture Only
Specimen Required
        Specimen type Amniotic fluid  Preferred volume 15 mL  Minimum volume 5 mL
Specimen processing 15 mL amniotic fluid, unspun in a 15 mL centrifuge tube (Corning or Falcon or equivalent). Discard first 3 mL drawn, do not centrifuge. Label all tubes with patient name and DOB. Store and transport at room temperature.
Required patient info Date of birth
Stability-   Room temp 48 hours   Refrigerated 5 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen or spun samples.
Alternate specimens Fluid from uterine saline infusion, cystic hygroma, or fetal pleural fluid.
Department Cytogenetics
CPT codes 88235
Test schedule Daily
Method Cytogenetics
Test includes
Tissue Culture, Amniotic Fluid.
Reference ranges
  
Tissue Culture, Amniotic Fluid
 Separate Report to Follow

[654]


CYTOGENETICS, TISSUE CULTURE, SOLID TISSUE
Order Code STITC Test Code
This test must be ordered on a paper requistion that accompanies the specimen. It is not an orderable test using PAML computer system.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Products of Conception Tissue Culture, Solid Tissue Culture
Specimen Required
        Specimen type Tissue biopsy in sterile tube with tissue culture media containing antibiotics.  Preferred volume 5 mm3  Minimum volume 5mm3
Specimen processing Tissue biopsy 5 mm3 minimum in sterile tube with tissue culture media containing antibiotics. Keep as sterile as possible, place tissue in cell culture media as soon as possible. Store and transport at room temperature.
Stability-   Room temp 2 days   Refrigerated 3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, placed in fixative of any kind or grossly comtaminated with bacteria and/or fungus.
Alternate specimens Specimens shipped in sterile saline. They are not optimal.
Department Cytogenetics
CPT codes 88233
Test schedule Daily
Method Cytogenetics
Test includes
Tissue Culture, Solid Tissue.
Reference ranges
  
Tissue Culture, Solid Tissue
 Separate Report to Follow

[655]


CYTOKINE PANEL 12 BY MAFD [ARUP]
Order Code CYTPAN Test Code CYTPAN
Specimen Required
       Container type Red top tube  Specimen type Serum or plasma  Preferred volume 3 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells ASAP and put in plastic tube and freeze. Store and transport frozen. This is a critical frozen. Additional specimens must be submitted when multiple tests are ordered.
Stability-   Room temp 30 minutes   Refrigerated Unacceptable   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat inactivated, refrigerated or contaminated specimens.
Alternate specimens Lithium heparin (green top tube)
CPT codes 83520 x 12
Test schedule Mon, Wed, FRi
Turnaround time 2-5 days
Method Multi-Analyte Fluorescent Detection
Test includes
Interleukin 2; Interleukin 2 Receptor: Interleukin 12; Interferon Gamma; Interleukin 4; Interleukin 5; Interleukin 10; Interleukin 13; Interleukin 1 Beta; Interleukin 6; Interleukin 8; Tumor Necrosis Factor Alpha
Reference ranges
  
Interleukin 2                         0-2           pg/mL
Interleukin 2 Receptor                0-1033        
Interleukin 12                        0-6           
Interferon Gamma                      0-5
Interleukin 4                         0-5
Interleukin 5                         0-5
Interleukin 10                        0-18
Interleukin 13                        0-5
Interleukin 1 Beta                    0-36
Interleukin 6                         0-5
Interleukin 8                         0-5
Tumor Necrosis Factor Alpha           0-22
           
Notes
Results are to be used for research purposes or in attempts to understand the pathophysiology of immune, infectious or inflammatory disorders.

[3079]


CYTOLOGY, PAP SMEAR, CONVENTIONAL SMEAR
Order Code CPAPSH Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms PAP Smear, Conventional
Specimen Required
       Container type Microscope slides  Specimen type Gynecological
Patient Prep Avoid douching and intercourse for at least twenty four hours prior to collection. Do not use topical creams or gels prior to test.
Collection procedure Obtain sample, smear on slide, fix immediately. Do not use lubricants. Ensure slide is labelled with two identifiers. Seal Pap-Pak.
Specimen processing Store and transport at room temperature.
Required patient info Full name, Date of Birth, Physician, Specimen Source, LMP, DOS
Unacceptable conditions Broken or unlabelled slides.
Alternate specimens SurePath or ThinPrep Liquid-Based collection.
Department Cytology
CPT codes 88164, 88141, 88148, G0148, P3000, P3001
Test schedule Sun-Fri
Turnaround time 5-7 days

[4029]


CYTOLOGY, SURE PATH PAP
Order Code SPPSH Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Specimen Required
       Container type Blue Top SP Vial  Specimen type Gynecological
Patient Prep Avoid douching and intercourse for at least twenty four hours prior to collection. Do not use topical creams or gels prior to test.
Collection procedure Obtain sample, swish device in vial, remove tip, drop in vial. Replace lid tightly. Shake vigorously. Do not use lubricants. Ensure vial is labelled with two identifiers.
Specimen processing Store and transport at room temperature.
Required patient info Full name, Date of Birth, Physician, Specimen Source, LMP, DOS
Unacceptable conditions Leaking or unlabelled vial.
Alternate specimens Thinprep or conventional smear.
Department Cytology
CPT codes 88175, G0145, 88141, 88142, G0123, G0124
Test schedule Sun-Fri
Turnaround time 5-7 days

[4028]


CYTOLOGY, THIN PREP PAP
Order Code THINSH Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms PAP, Thin Prep
Specimen Required
       Container type White top TP Vial  Specimen type Gynecological
Patient Prep Avoid douching and intercourse for at least twenty four hours prior to collection. Do not use topical creams or gels prior to test.
Collection procedure Obtain sample, swish device in vial, remove tip (optional) and drop in vial. Replace lid tightly. Shake vigorously. Do not use lubricants. Ensure vial is labelled with two identifiers.
Specimen processing Store and transport at room temperature.
Required patient info Full Name, Date of Birth, Physician, Specimen Source, LMP, DOS
Unacceptable conditions Leaking or unlabelled vial.
Alternate specimens SurePath or Conventional smear.
Department Cytology
CPT codes 88142, 88141, G0123, G0124
Test schedule Sun-Fri
Turnaround time 5-7 days

[4030]


CYTOMEGALOVIRUS ANTIBODY, IGG
Order Code CMVGL Test Code CMVGL
Synonyms CMV Antibody, IgG; CMV, IgG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated. Avoid freeze/thaw cycles.
Department Virology
CPT codes 86644
Test schedule Tue-Sat
Turnaround time 1-4 days
Method CLIA
Test includes
CMV Antibody, IgG, U/mL.
Reference ranges
  
CMV Ab, IgG         U/mL
 LT 0.60   Negative      No significant level
                         of IgG Ab detected.
 0.60-0.69 Equivocal     Repeat testing of a
                         second sample in 1-014
                         days may be helpful to
                         determine presence or
                         absence of infection.
 0.70 or greater         IgG Ab detected. May 
                         indicate a recent or
                         past infection.

[656]


CYTOMEGALOVIRUS ANTIBODY, IGG & IGM
Order Code CMVGML Test Code CMVGML
Synonyms CMV Antibody, IgG and IgM CMV, IgG & IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated. Avoid freeze/thaw cycles.
Department Virology
CPT codes 86644, 86645
Test schedule Tue-Sat
Turnaround time 1-4 days
Method CLIA
Test includes
CMV Antibody, IgG, U/mL; CMV Antibody, IgM, AU/mL.
Reference ranges
  
CMV AB, IgG   Negative  LT 0.60  U/mL
CMV AB, IgM   Negative  LT 30.0  AU/mL

[657]


CYTOMEGALOVIRUS ANTIBODY, IGM
Order Code CMVML Test Code CMVML
Synonyms CMV Antibody, IgM; CMV, IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated. Avoid freeze/thaw cycles.
Department Virology
CPT codes 86645
Test schedule Tue-Sat
Turnaround time 1-4 days
Method CLIA
Test includes
CMV Antibody, IgM, AU/mL.
Reference ranges
  
CMV Ab, IgM         AU/mL
 LT 30.0   Negative            No detectable IgM Abs. 
                               A negative result does
                               not always rule out acute
                               infection as the IgM
                               response is not always
                               detectable in very early
                               is immunocompromised. If
                               exposure to CMV is suspected
                               a second sample should be
                               collected and tested in 7-14
                               days.
 30.0-34.9       Equivocal     Repeat testing in 10-14 days
                               may be helpful to determine
                               presence or absence of 
                               infection.
 35.0 or greater Positive      IgM antibody detected. A
                               positive CMV IgM result is
                               generally indicative of acute
                               infection, reactivation or
                               persistent IgM production.

[658]


CYTOMEGALOVIRUS BY RT-PCR, QUALITATIVE shipping instruction code
Order Code CMVRT Test Code CMVRT
Dedicated specimen only.
Synonyms CMV by Real Time PCR; CMV; Cytomegalovirus; Molecular
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 1 mL
Specimen processing Separate plasma immediately from cells and place in sterile plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 24 hours   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Non-sterile or leaking containers, whole blood or bone marrow. Separate specimens must be submitted when muliple tests are ordered. A dedicated sample is required for molecular testing. This test cannot be ordered as an add-on test on samples previously tested.
Alternate specimens CSF, BAL, neonatal urine all frozen in sterile containers, or swab (flocked preferred) in viral transport media frozen. Polyester or cotton swabs are also acceptable.
Department Virology
CPT codes 87496
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method PCR
Test includes
Cytomegalovirus Source; Cytomegalovirus Result by PCR; Cytomegalovirus Comment.
Reference ranges
  
Cytomegalovirus Source
Cytomegalovirus Result by PCR
 Not detected
 A result of not detected does not rule out the 
 presence of PCR inhibitors in patient
 specimens, or Cytomegalovirus concentrations
 below the level of detection by the assay.
Cytomegalovirus Comment
 This test is performed pursuant with Roche
 Molecular Systems, Inc.

[659]


CYTOMEGALOVIRUS BY RT-PCR, QUANTITATIVE shipping instruction code
Order Code CMVRTQ Test Code CMVRTQ
Separate specimens must be submitted when multiple tests are ordered. A dedicated sample is required for molecular testing. This test cannot be ordered as an add-on test on samples previously tested.
Synonyms CMV, DNA, Quantitation; Molecular; Cytomegalovirus
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen EDTA plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate plasma immediately from cells and place in sterile plastic tube and freeze. Store and transport frozen. shipping instruction code
Stability-   Room temp 8 hours   Refrigerated 1 day   Frozen (-20°C) 3 months (do not freeze whole blood)   Frozen (-70°C)
Unacceptable conditions Frozen whole blood and plasma frozen in a PPT tube.
Alternate specimens 1 mL EDTA, ACD or PPT frozen plasma. Separate plasma from the cells IMMEDIATELY and put in a separate sterile plastic tube and freeze.
Department Virology
CPT codes 87497
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method Real-time PCR
Test includes
Cytomegalovirus DNA, Quantitation, copies/mL.
Reference ranges
  
Cytomegalovirus DNA, Quantitation   LT  326 copies/mL
A result of LT 326 copies/mL does not rule 
out the presence of PCR inhibitors in 
patient specimens, or Cytomegalovirus 
concentrations below the level of detection
of the assay.

[3024]


D-DIMER, QUANTITATIVE
Order Code XDIMQT Test Code XDIMQT
Synonyms D-Dimer; Dimer & Crosslinked Fibrin Degradation Product.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85379
Test schedule Sun-Sat & STAT
Turnaround time 24-48 hours
Method Immuno-turbidimetric
Test includes
D-Dimer, Quantitative, ug/mL FEU.
Reference ranges
  
D-Dimer, Quantitative         ug/mL FEU
 LT 0.5 
 This quantitative D-dimer assay has
 been evaluated for screening for 
 venous thrombotic disease, and may be
 useful in ruling out, but not ruling
 in disease. Values less than 0.40 ug/mL
 FEU have a negative predictive value
 of GT 95% for ruling out large
 pulmonary emoboli or proximal deep 
 vein thrombosis. Distal DVT are not
 excluded. Rheumatoid factor may 
 falsely elevate the determined D-
 dimer levels.

[662]


DANTRIUM
Order Code DANT Test Code DANT
Synonyms Dantrolene
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Plasma  Preferred volume 2 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Protect from light. Store and transport refrigerated or at room temperature.
Alternate specimens EDTA whole blood or serum (lavender or red top tube).
Limitations No SST tubes and protect from light.
CPT codes 80299
Test schedule Varies
Turnaround time 7 days
Method Spectrofluorometric
Test includes
Dantrolene, mcg/mL.
Reference ranges
  
Dantrolene  0.2-3.5 mcg/mL

[663]


DENGUE FEVER VIRUS ANTIBODY, IGG & IGM
Order Code DENGUE Test Code DENGUE
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Paired sera are advised. Clearly label tubes as acute or convalescent.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year (avoid repeat freeze/thaw cycles)   Frozen (-70°C)
Unacceptable conditions Severely lipemic, contaminated, heat-inactivated or hemolyzed samples.
CPT codes 86790 x 2
Test schedule Mon
Turnaround time 2-8 days
Method ELISA
Test includes
Dengue Fever Virus Antibody, IgG, IV; Dengue Fever Virus Antibody, IgM, IV.
Reference ranges
  
Dengue Fever Virus Antibody, IgG    IV
1.64 or less  Negative. No significant
               level of detectable Dengue Fever 
               Virus IgG Ab.
1.65-2.84      Equivocal. Questionable presence
               of Abs.Repeat testing in
               10-14 days may be helpful.
2.85 or more   Positive. IgG Ab to Dengue
               Fever Virus detected which
               may indicate a current or
               past infection.
Dengue Fever Virus Ab, IgM          IV
1.64 or less   Negative. No significant
               level of detectableDengue Fever 
               Virus IgM Ab.
1.65-2.84      Equivocal. Questionable presence
               of Antibody. Repeat testing in
               10-14 days may be helpful.
2.85 or more   Positive. IgM Ab to Dengue
               Fever Virus detected which
               may indicate a current or
               recent infection.
               The best evidence for current
               infection is a significant
               change on two appropriately
               timed specimens where both
               tests are done in the same
               laboratory at the same time.

[664]


DEOXYCORTICOSTERONE
Order Code DEOCOR Test Code DEOCOR
Synonyms DOC, 11-hydroxylase deficiency, congenital adrenal hyperplasia
Specimen Required
        Preferred volume 3 mL  Minimum volume 1.1 mL
Specimen processing Separate serum from cells and put in a separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 48 hours   Refrigerated 7 days   Frozen (-20°C) 2 years   Frozen (-70°C)
Unacceptable conditions Specimens received at room temperature past 48 hours from draw.
Alternate specimens Serum in serum separator tubes (SST), Plasma-EDTA, NaHeparin, and PPT Potassium EDTA. Amniotic Fluid in a clean plastic tube.
CPT codes 82633
Test schedule Sets up 1 day/week
Turnaround time 3-10 days
Method Extraction, Chromatography, RIA
Test includes
Deoxycorticosterone, ng/dL
Reference ranges
  
Deoxycorticosterone    ng/dL

[6078]


DESIPRAMINE
Order Code DES Test Code DESIP
Synonyms Norpramin; Pertofrane
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 3.5 mL  Minimum volume 2.5 mL
Collection procedure Draw 10-14 hours post-dose. If a divided dose is given draw before morning dose.
Specimen processing Separate serum from cells within 4 hours and place in separate 4 or 10 mL polypropylene (not polystyrene) plastic tube with screw on cap. Store and transport refrigerated.
Required patient info Time of dose and time drawn.
Stability-   Room temp 5 days   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Limitations SST and other gel-type tubes are not recommended because they may artifactually and randomly lower results.
Department Chemistry
CPT codes 80160
Test schedule Mon-Fri
Turnaround time 1-3 days
Method HPLC
Test includes
Desipramine, ng/mL.
Reference ranges
  
Desipramine           ng/mL
 Therapeutic  150-300
 Toxic        GT 499

[665]


DESIPRAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCDES Test Code TLCDES
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 ml  Minimum volume 10 ml
Limitations 500 ng/ml.
Department Toxicology
CPT codes 80100
Test schedule Mon-Fri
Turnaround time 24-48 hours
Method Thin Layer Chromatography
Test includes
Desipramine
Notes
Test also included in comprehensive drug survey (Drug-Sur).

[7000]


DEXAMETHASONE (SUPPRESSION-2)
Order Code DST2 Test Code DST
Synonyms Cortisol Suppression (2 samples)
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL for each timed sample  Minimum volume 0.2 mL for each timed sample
Collection procedure Draw cortisols at 8:00 AM the morning before and the morning after an 11:00 PM oral dose of 1.0 mg dexamethasone.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimens. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 10 days   Frozen (-20°C)   Frozen (-70°C)
Department Immunochemistry
CPT codes 82533 x 2
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
Cortisol Pre-Suppression, ug/dL; Time Drawn; Cortisol Post-Suppression, ug/dL; Time Drawn.
Reference ranges
  
Cortisol Pre Suppression        ug/dL
 4.3-22.4                       
Time Drawn
Cortisol Post Suppression       ug/dL
 Normal patients suppress their        
 cortisol levels to LT 5.0 g/dL.
Time Drawn
Notes
Low dose dexamethasone usually does not suppress cortisol production in Cushing's Syndrome.

[666]


DEXAMETHASONE (SUPPRESSION-3)
Order Code DST3 Test Code DST3
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.2 ml each specimen
Collection procedure REFER TO DST2 FOR PROTOCOL.
Specimen processing Separate serum from cells and place each in separate plastic tubes and freeze. Label each specimen clearly. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 10 days   Frozen (-20°C)   Frozen (-70°C)
Department Immunochemistry
CPT codes 82533 x 3
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
Cortisol Pre-Suppression, ug/dL; Time Drawn; Cortisol Post-Suppression #1, ug/dL; Time Drawn; Cortisol Post-Suppresion #2, ug/dL; Time Drawn.
Reference ranges
  
Cortisol Pre-Suppression        ug/dL
 4.3-22.4   
Time Drawn
Cortisol Post-Suppression #1    ug/dL
 Normal patients suppress their 
 cortisol levels to LT 5.0
Time Drawn
Cortisol Post-Suppression #2    ug/dL
Time Drawn

[667]


DEXAMETHASONE (SUPPRESSION-4)
Order Code DST4 Test Code DST4
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL each specimen  Minimum volume 0.2 mL each specimen
Collection procedure REFER TO DST2 FOR PROTOCOL.
Specimen processing Separate serum from cells and place each in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 10 days   Frozen (-20°C)   Frozen (-70°C)
Department Immunochemistry
CPT codes 82533 x 4
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
Cortisol Pre-Suppression, ug/dL; Time Drawn; Cortisol Post-Suppression #1, ug/dL; Time Drawn; Cortisol Post-Suppression #2, ug/dL; Time Drawn; Cortisol Post-Suppression #3, ug/dL; Time Drawn.
Reference ranges
  
Cortisol Pre-Suppression        ug/dL
 4.3-22.4 
Time Drawn
Cortisol Post-Suppression #1    ug/dL
 Normal patients suppress their 
 cortisol levels to LT 5.0.
Time Drawn
Cortisol Post-Suppression #2    ug/dL
Time Drawn
Cortisol Post-Suppression #3    ug/dL
Time Drawn

[668]


DEXAMETHASONE (SUPPRESSION-RANDOM)
Order Code DST1 Test Code DST1
Synonyms Cortisol suppression (random)
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Collection procedure See DST2 for protocol.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 10 days   Frozen (-20°C)   Frozen (-70°C)
Department Immunohemistry
CPT codes 82533
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
Cortisol, ug/dL.
Reference ranges
  
Cortisol                        ug/dL
 Normal patients suppress their    
 cortisol levels to LT 5.0.

[669]


DEXTROMETHORPHAN (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCDEX Test Code TLCDEX
Synonyms robotrip
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Dextromethorphan
Notes
Test is also included in Drug-Sur as part of panel.

[6945]


DHEA
Order Code DHYA Test Code DHYA
Synonyms Dehydroepiandrosterone
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Collection procedure Collect between 6-10 AM.
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Required patient info Patient's date of birth.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 6 months   Frozen (-70°C)
Alternate specimens EDTA, lithium or sodium heparinized plasma (lavender or green top tube).
CPT codes 82626
Test schedule Sun-Sat
Turnaround time 2-5 days
Method HPLC/TMS
Test includes
DHEA, ng/mL.
Reference ranges
  
DHEA                              ng/mL
  F  Premature         LT 40.000
     0-1 day           LT 11.000
     2-6 days          LT 8.700
     7 days-1 mo       LT 5.800
     1-23 mo           LT 2.900
     2-5 yrs           LT 2.300
     6-7 yrs           LT 3.400
     8-9 yrs           0.120-2.700
     10-11 yrs         0.130-3.690
     12-13 yrs         0.810-6.340
     14-15 yrs         1.230-7.630
     16-17 yrs         1.460-9.510
     18-40 yrs         1.330-7.780
     41 yrs+           0.630-4.700
     Tanner Stage I    0.130-2.740
     Tanner Stage II   0.600-5.380
     Tanner Stage III  1.140-8.540
     Tanner Stage IV-V 1.190-9.130
 M   Premature         LT 40.000
     0-1 day           LT 11.000
     2-6 days          LT 8.700
     7 days-1 mo       LT 5.800
     1-23 mo           LT 2.900
     2-5 yr            LT 2.300
     6-7 yr            LT 3.400
     8-9 yrs           0.092-2.460
     10-11 yrs         0.300-3.810
     12-13 yrs         0.058-4.110
     14-15 yrs         0.870-6.640
     16-17 yrs         1.210-7.630
     18-40 yrs         1.330-7.780
     41 yrs+           0.630-4.700
     Tanner Stage I    0.100-2.540
     Tanner Stage II   0.320-3.960
     Tanner Stage III  0.790-4.940
     Tanner Stage IV-V 1.210-6.450

[5054]


DHEA, URINE
Order Code DHEAU Test Code DHEAU
Synonyms Dehydroepiandrosterone, Urine; DHEA, Urine
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type Frozen urine, 24-hour collection  Preferred volume 5 mL  Minimum volume 2.1 mL
Collection procedure Collect a 24-hour urine specimen. Refrigerate during collection. Do not use preservatives.
Specimen processing Aliquot 5 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container and freeze. Store and transport frozen. Record total volume and collection period.
Required patient info Total volume and collection period.
Stability-   Room temp 8 hours   Refrigerated 2 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Specimens received at room temperature or refrigerated.
CPT codes 82626
Test schedule Tue
Turnaround time 3-10 days
Method GC/MS
Test includes
Collection Period, h; Volume, mL; DHEA, Urine, ug/24h; DHEA, Urine, ug/gCr; Creatinine, Urine, g/24h.
Reference ranges
  
Collection Period              h
Volume                         mL
DHEA, Urine  21-2710           ug/24h
DHEA, Urine                    ug/gCr
 M    24-1640
 F    13-730
Creatinine, Urine              g/24h
 3-8 yrs     0.11-0.68
 9-12 yrs    0.17-1.41
 13-17 yrs   0.29-1.87
 17 + yrs    0.63-2.50

[671]


DHEA-SO4
Order Code DHEA-SO4 Test Code DHEAS
Synonyms DHEA Sulfate; Dehydroepiandrosterone Sulfate; DHEA-S
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days from time of collection   Frozen (-20°C) 2 months from time of collection   Frozen (-70°C)
Alternate specimens .
Department Immunology
CPT codes 82627
Test schedule Mon-Sat days
Turnaround time 1-3 days
Method ICMA
Test includes
DHEA-SO4, ug/dL.
Reference ranges
  
DHEA-SO4                ug/dL
 M 0-6 days     90-504
   7-30 days    27-358
   1-11 mon     2-103
   1-4 yrs      0-16
   5-9 yrs      3-96
   10-14 yrs    18-276
   15-19 yrs    73-401
   20-29 yrs    232-531
   30-39 yrs    100-432
   40-49 yrs    79-440
   50-59 yrs    58-257
   60-69 yrs    35-241
   70 yrs +     23-145
 F 0-6 days     90-504
   7-30 days    27-358
   1-11 mon     2-103
   1-4 yrs      0-16
   5-9 yrs      5-77
   10-14 yrs    18-212
   15-19 yrs    52-310
   20-29 yrs    54-315
   30-39 yrs    37-224
   40-49 yrs    27-199
   50-59 yrs    22-166
   60-69 yrs    11-108
   70 yrs +     8-75
Tanner Stage I 
 M              6-173
 F              6-105
Tanner Stage II
 M              23-216
 F              11-200
Tanner Stage III
 M              32-324
 F              27-370
Tanner Stage IV & V
 M              67-405
 F              54-308
 M

[672]


DIAZEPAM
Order Code VALIUM Test Code DIAZ
Synonyms Valium
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 7 days   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens Heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube).
Limitations Avoid the use of serum separator tubes and gels.
CPT codes 80154 x 2
Test schedule Sun-Sat
Turnaround time 3-5 days
Method GC
Test includes
Diazepam, ug/mL; Nordiazepam, ug/mL.
Reference ranges
  
Diazepam    Therapeutic 0.20-1.00  ug/mL
 (Valium)   Based on normal dosages   
Nordiazepam Therapeutic 0.06-1.80  ug/mL
            Based on normal dosages
            Toxic       GT 2.50

[674]


DIC SCREEN, REFLEXIVE
Order Code DICB Test Code DIC
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms DIC Screen; Disseminated Intravascular Coagulation, Screen Reflex
Specimen Required
       Container type Lavender top tube (EDTA), 2 blue top tubes (citrated plasma) and 2 blood smears  Minimum volume 3 mL EDTA, 5 mL citrate, and 2 slides
Collection procedure 3 mL EDTA whole blood (lavender top tube), 2 blood smears, and 2-3 mL citrated plasma (blue top tubes).
Specimen processing Tests on nonheparinized patients must be performed within 4 hours of drawing. Transport uncentrifuged or centrifuged with plasma remaining on top of the cells at room temperature or refrigerated. Tests on specimens suspected of containing unfractionated heparin should be centrifuged, the plasma removed from the cells within 1 hour of drawing, kept at room temperature or refrigerated, and tested within 4 hours of drawing. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less..
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Hematology
CPT codes 85610, 85730, 85384, 85670 ,85379, 85049, 85008
Test schedule Daily
Turnaround time 1-2 days
Method Electromechanical, Microscopy
Test includes
Protime, sec; Population Mean, sec; INR; PTT, sec; PTT Population Mean, sec; Fibrinogen, mg/dL; Thrombin Time, Patient, sec; Thrombin Time, Control, sec; Thrombin Time PT/CT Mix, sec; Thrombin Time PT/SO4 Mix, sec; D-Dimer, Quantitative, ug/mL FEU; Fibrin Monomer; Fibrinolysis; Platelet Count, k/uL; RBC Morphology, DIC Comment.
Reference ranges
  
Protime                                                 sec
 0-1 mo                               13.0-20.0
 2+ mo                                 10.9-14.8
Population Mean                        13.4                 sec
INR                                    0.9-1.2
 Usual oral anitcoagulation range      2.0-3.0
 High-level oral anticoagulation range 2.5-3.5
PTT                                                     sec
 0-1 mo                                40-50 
 2 mo-4 yrs                            25-40
 5+ yrs                                26-36
PTT Population Mean                    31               sec
Fibrinogen                             211-419          mg/dL
Thrombin Time Patient                  15.6-20.0        sec
Thrombin Time Control                  15.6-20.0        sec
Thrombin Time PT/CT Mix                                 sec
Thrombin Time PT/SO4 Mix                                sec
D-dimer, Quantitative                  LT 0.50          ug/mL FEU
Fibrinolysis                           Negative in 8 hr
Platelet Count                                          K/uL 
 0-3 days                              250-450
 3-9 days                              200-400
 9-30 days                             250-450
 1-6 mo                                300-750
 6 mo-2 yrs                            250-600
 2-8 yrs                               250-550
 8-12 yrs                              200-450
 12-18 yrs                             150-450
 18 yrs+                               150-400
RBC Morphology
DIC Comment

[675]


DIFFERENTIAL SLIDE REVIEW BY PATH
Order Code DIF.PATH Test Code PATHD2
Specimen Required
       Container type Lavender top tube (EDTA) and slides.  Specimen type Blood smears, whole blood  Preferred volume 2 smears, 5 mL whole blood
Collection procedure Two peripheral blood smears; one stained and one unstained. Send a copy of autoheme results with slides. If autoheme results are not available include EDTA whole blood (lavender top tube).
Specimen processing EDTA whole blood (lavender top tube) must be received within 12 hours of collection.
Required patient info Autoheme results.
CPT codes 85060
Test schedule Mon-Fri, days
Turnaround time 72 hours
Method Microscopic
Test includes
See CBC; Impression; Reviewed By.
Reference ranges
  
CBC with Manual Differential
Impression
Reviewed By

[676]


DIFFERENTIAL, MANUAL
Order Code DIF.AD Test Code AMDIF2
Specimen Required
       Container type Lavender top tube (EDTA) and Peripheral blood smears.  Specimen type Whole blood and Peripheral blood smears
Specimen processing Please send a copy of autoheme results with specimens. Prefer to receive specimen within 12 hours of collection.
Department Hematology
CPT codes 85007
Test schedule Mon-Sat days, Mon-Fri nights and STAT
Turnaround time 24-48 hours
Method Microscopic
Test includes
Segs, %, Segs, Abs, K/uL; Bands, %; Bands, Abs, K/uL; Lymphocytes, %; Lymphocytes, Abs, K/uL; Variant Lymphocytes, %; Variant Lymphocytes, Abs, K/uL; Monocytes, %; Monocytes, Abs, K/uL; Eosinophils, %; Eosinophils, Abs, K/uL; Basophils, %; Basophils, Abs, K/uL; Metamyelocytes, %; Myelocytes, %; Promyelocytes, %; Blast, %; Other, %; NRBC, /100 WBC; Meg. Frag, /100 WBC; RBC Morph; WBC Morph; Platelet Morph; Cells Counted.
Reference ranges
  
Differential
 Segs                           %
  0-1 day          33-70
  1-7 days         15-50
  7-30 days        15-45
  1-12 mo          15-70
  1-4 yrs          25-70
  4-10 yrs         30-70
  10-14 yrs        25-70
  14-18 yrs        30-70
  18 yrs+          38-70
 Segs, Abs                      K/uL
  0-1 day          3.00-12.00
  1-7 days         2.00-6.00
  1 wk-1 yr        1.50-5.00
  1-4 yrs          1.50-7.50
  4-10 yrs         1.80-7.00
  10-18 yrs        1.50-7.00
  18 yrs+          1.80-7.70
 Bands                          %
  0-18 yrs         0-9
  18 yrs+          0-8
 Bands, Abs                     K/uL
  0-1 day          0.00-1.50
  1-7 days         0.00-1.20
  7-30 days        0.00-0.50
  1-12 mo          0.00-0.40
  1-4 yrs          0.00-0.30
  4-10 yrs         0.00-0.20
  10-18 yrs        0.00-0.20
 Lymphocytes                    %
  0-1 day          10-35
  1-7 days         15-70
  1 wk-4 yrs       30-70
  4-6 yrs          20-70
  6-10 yrs         20-50
  10-18 yrs        20-40
  18 yrs+          21-49
 Lymphocytes, Abs               K/uL
  0-1 day          2.00-11.00
  1-7 days         2.00-7.00
  7-30 days        3.00-7.00
  1-12 mo          1.50-8.50
  1-4 yrs          1.50-5.00
  4-10 yrs         1.20-5.00
  10-18 yrs        1.10-4.50
  18 yrs+          1.00-5.00
 Variant Lymph     0-6          %
 Variant Lymphs, Abs            K/uL
 Monocytes                      %
  0-18 yrs         0-10
  18 yrs+          3-11
 Monocytes, Abs                 K/uL
  0-1 day          0.00-1.10
  1-7 days         0.00-0.90
  7-30 days        0.00-0.60
  1-12 mo          0.00-0.50
  1-4 yrs          0.00-0.50
  4-10 yrs         0.00-0.40
  10-18 yrs        0.00-0.90
  18 yrs+          0.00-0.80
 Eosinophils                    %
  0-18 yrs         0-4
  18 yrs+          0-7
 Eosinophils, Abs               K/uL
  0-1 day          0.00-0.40
  1-7 days         0.00-0.50
  7 days-1 yr      0.00-0.30
  1-10 yrs         0.00-0.30
  10-18 yrs        0.00-0.20
  18 yrs+          0.00-0.50
 Basophils                      %
  1-18 yrs         0-1
  18 yrs+          0-2
 Basophils, Abs                 K/uL
  0-7 days         0.00-0.10
  1 wk-4 yrs       0.00-0.01
  4-18 yrs         0.00-0.01
  18 yrs+          0.00-0.20 
 Metamyelocytes                 %
 Myelocytes                     %
 Promyelocytes                  %
 Blast Cells                    %
 Other                          %
 NRBC                           /100WBC
 Meg Frag                       /100WBC
 RBC Morph
 WBC Morph
 Platelet Morph
 Cells Counted

[677]


DIGITOXIN
Order Code DGTXN Test Code DGTXN
Synonyms Digitalis; Cystodigin R; Lanatoxin R
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.8 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 5 days   Refrigerated 5 days   Frozen (-20°C) 2 -4 months   Frozen (-70°C)
Alternate specimens Heparinized, EDTA, sodium fluoride/potassium oxalated plasma (green, lavender or grey top tube).
Limitations Avoid serum separator or gel-type tubes.
CPT codes 80299
Test schedule Mon, Wed, Fri
Turnaround time 1-5 days
Method Fluoresence Polar Immunoassay
Test includes
Digitoxin, ng/mL.
Reference ranges
  
Digitoxin                ng/mL
 Therapeutic  10.0-32.0    
 Toxic        GT 35.0
Notes
Brand names include: Crystodigin, Purodigin, Digifortis, Digiglusin, Digitora, Digitaline, Nativelle, Gitaligin, Myodigin and Pil-Digis.

[678]


DIGOXIN
Order Code DIG Test Code DIG
Synonyms Lanoxin
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Draw just prior to next dose. Note times of dose and drawing.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Required patient info Time of dose and time drawn.
Stability-   Room temp 24 hours   Refrigerated 5 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens SST and other gel type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated. SHMC can run plasma samples.
Department Immunochemistry
CPT codes 80162
Test schedule Sun-Fri nights and STAT
Turnaround time 24-48 hours
Method ICMA
Test includes
Digoxin, ng/mL.
Reference ranges
  
Digoxin                ng/mL
 Therapeutic 0.8-2.0
 Toxic       GT 2.5
 Increased risk of Digoxin toxicity
 at levels GT 2.0 ng/mL, with a wide
 zone of concentrations that may be
 toxic in one individual and not in
 another. The risk is greater with CHD
 and with decreases in Potassium,
 Calcium and Magnesium. Digoxin 
 distribution phase complete after
 8-15 hours.
Notes
Brand names include: Lanoxin, Acylanid, Cedilanid, Cedilanid-D, Davoxin, Deslanoslide, Lantoslide C and Saroxin.

[679]


DIHYDROTESTOSTERONE
Order Code DHT Test Code DHT
Synonyms DHT; 5-a-Dihydrotestosterone
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 4 mL  Minimum volume 1.1 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated.
Required patient info Patient's age and sex.
Stability-   Room temp 2 days   Refrigerated 1 week   Frozen (-20°C) 2 years   Frozen (-70°C)
Alternate specimens Plasma.
CPT codes 82651
Test schedule Mon, Wed, Fri
Turnaround time 3-8 days
Method RIA/Extraction/Chromatography
Test includes
Dihydrotestosterone, ng/dL.
Reference ranges
  
Dihydrotestosterone        ng/dL
 Adult M       25-75                  
 Adult F       5-30 
 Cord Blood M  LT 2-8
 Cord Blood F  LT 2-5
 1-6 months M  12-85
 1-6 months F  LT 5
 Prepubertal M LT 5                  
 Prepubertal F LT 5
 Tanner Stages II-III  M  3-33
 Tanner Stages II-III  F  5-19
 Tanner Stages IV-V    M  22-75
 Tanner Stages IV-V    F  3=3-

[680]


DILTIAZEM (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCDIL Test Code TLCDIL
Synonyms Cardizem, heart medication,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Diltiazem
Notes
Test is also included in Drug-Sur as part of panel.

[7009]


DILUTE RUSSELL VIPER VENOM (REFLEXIVE)
Order Code ADRVVT Test Code ADRVVT
Separate samples must be submitted when multiple tests are ordered. Unable to test for lupus inhibitor with heparin inhibitor present.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms DRVVT
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 2 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Unable to test for lupus inhibitor with heparin inhibitor present. Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85613
Test schedule Daily
Turnaround time 1-3 days
Method Electromechanical
Test includes
dRVVT, sec; dRVVT Mix Ratio; dRVVT Confirm Ratio; dRVVT Confirm Mix Ratio.
Reference ranges
  
dRVVT                              31.8-45.7                                                 sec
dRVVT Mix Ratio                    0.0-1.2 Negative for Lupus Inhibitor Screen
dRVVT Confirm Ratio                LT 1.2 Negative for Lupus Inhibitor Screen
dRVVT Confirm Mix Ratio            LT 1.2 Negative for Lupus Inhibitor Screen
Notes
Prolonged dRVVT results require a mixing study with normal pooled plasma. dRVVT mix ratios greater than 1.2 require confirmatory testing.

[681]


DIPHENHYDRAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCDIP Test Code TLCDIP
Synonyms Banophen, Belix, Dermarest, Excedrin PM, Hydramine, Sleepinal, Sleep-Eze 3, Unisom Sleep Gels,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Diphenhydramine, Dimenhydrinate
Notes
Test also is included in Drug-Sur as part of panel.

[6946]


DIPHTHERIA/TETANUS ANTIBODY
Order Code DIPTEN Test Code DIPTEN
Synonyms Tetanus/Diphtheria AB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Pre and Post (1 month) vaccine specimens are recommended and must be clearly labelled.
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma specimens and other body fluids.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86317 x 2
Test schedule Mon, Wed, Fri
Turnaround time 3-7 days
Method Multi-analyte Fluorescent Detection
Test includes
Diphtheria Antibody, IU/mL; Tetanus Antibody, IU/mL.
Reference ranges
  
Diphtheria Ab                    IU/mL
 Antibody concentration
 of GT 0.10 IU/mL is considered 
 protective against diphtheria.
Tetanus Ab                       IU/mL
 Antibody concentration of
 GT 0.10 IU/mL is considered 
 protective against tetanus.

[682]


DIRECT EXAM, MISC shipping instruction code
Order Code MISCDE Test Code MISCDE
Specimen Required
       Container type Sterile leakproof plastic container.
Collection procedure Submit specimen in sterile leakproof plastic container or if appropriate in culturette.
Specimen processing Store and transport refrigerated. Ship 650. shipping instruction code
Required patient info Indicate source.
Department Microbiology
CPT codes 87205
Test schedule Daily
Turnaround time 24-48 hours
Test includes
Source; Direct Exam, Misc; Direct Exam, Status.
Reference ranges
  
Source 
Direct Exam, Misc     Negative
Direct Exam, Status
Notes
If testing is done at PSC use the workpar WET-MNT or Flexi ordercode WM or for KOH Prep use the workpar KOH or Flexi ordercode KOHPRP. If testing is done at SHMC use the workpar MISCDE.

[683]


DIRECT PLATELET ANTIBODIES, IGG & IGM
Order Code DIRPLT Test Code DIRPLT
Synonyms Anti-Platelet Antibody, Direct; Direct Platelet Antibodies, IgG & IgM; Platelet Antibody, Direct; Platelet AB; Direct IgG, IgM
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 10 mL  Minimum volume 5 mL
Specimen processing Store and transport at room temperature. Submit specimen ASAP as specimen stability is patient-dependent and should not exceed 48 hours. This must be received at the performing laboratory within 48 hours of collection. It must be received at the performing lab thru Friday only to meet this criteria. Required amount of blood may be dependent on platelet count. Critical ambient.
Stability-   Room temp 48 hours   Refrigerated unacceptable   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Samples over 48 hours old, clotted, refrigerated or frozen specimens.
Department Flow Cytometry
CPT codes 86023 x 2
Test schedule Mon-Fri
Turnaround time 1-2 days
Method Flow Cytometry
Test includes
Platelet Antibody, Direct, IgG; Platelet Antibody, Direct, IgM; Interpretation.
Reference ranges
  
Platelet Ab, Direct IgG  Negative
Platelet Ab, Direct IgM  Negative
Interpretation

[684]


DISACCHARIDASE ANALYSIS
Order Code DISAC Test Code DISAC
Specimen Required
       Container type See below  Specimen type See below  Preferred volume See below  Minimum volume 1-5 mg biopsy
Collection procedure See below
Specimen processing 5 mg frozen bowel tissue biopsies. Place in small, tightly capped plastic tube. Tissue should be placed on the wall of the plastic tube and frozen ASAP. Collect 1-2 biopsies, 2 samples are preferred. Store and transport frozen.
Unacceptable conditions Tissue placed on gauze or filter paper and ambient or refrigerated samples.
CPT codes 82657 x 4
Turnaround time 3-5 days
Method Spectrphotometry
Test includes
Lactase, uM/min/gram protein; Sucrase, uM/min/gram protein; Maltase, uM/min/gram protein; Palatinase uM/min/gram protein; Interpretation.
Reference ranges
  
Lactase     Normal    16.5-32.5    uM/min/gram protein
            Abnormal  LT 15.0
Sucrase     Normal    29.0-79.8    uM/min/gram protein
            Abnormal  LT 25.0
Maltase     Normal    98.0-223.6   uM/min/gram protein
            Abnormal  LT 100.0
Palatinase  Normal    4.6-17.6     uM/min/gram protein
            Abnormal  LT 5.0
Interpretation

[685]


DISOPYRAMIDE
Order Code DISOP Test Code DISOP
Synonyms Norpace
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 days   Refrigerated 2 months   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens Heparin or EDTA plasma.
Limitations Avoid the use of serum separator or gel tubes.
CPT codes 80299
Test schedule Sun-Sat
Turnaround time 2-4 days
Method Immunoassay
Test includes
Disopyramide, ug/mL.
Reference ranges
  
Disopyramide          ug/mL
 Therapeutic  2.0-5.0
 Toxic        GT 7.0

[686]


DNA CONTENT/CELL CYCLE ANALYSIS, MISCELLANEOUS
Order Code DNAMIS Test Code DNAMIS
Specimen Required
       Container type See below.  Specimen type See below.
Collection procedure Tumor tissue, fluids, blood, bone marrow or cell suspensions. 0.5 gram frozen tumor tissue; 0.5 gram fresh tumor tissue on saline-soaked gauze or in tissue media refrigerated; 10-100 mL fresh fluids refrigerated; 5 mL blood or bone marrow (heparin green top tube) at room temperature; cell suspensions fixed in 50% ethanol refirgerated; paraffin-embedded tissue block enriched with tumor at room temperature.
Required patient info Source and clinical information
Stability-   Room temp 48 hours for blood and bone marrow and 20 years for paraffin block   Refrigerated 24 hours for tissue and fluids   Frozen (-20°C) 1 month for tissue   Frozen (-70°C)
Unacceptable conditions No tumor in block, samples fixed in Bouin's solution, mercuric chloride containing fixatives or ethanol-based fixatives containing ethylene glycol, acetic acid and zinc chloride, decalcified samples, frozen samples that have thawed, hemolyzed or clotted blood or bone marrow samples.
CPT codes 88182
Test schedule Sun, Tue
Turnaround time 4-10 days
Method Flow Cytometry
Test includes
Source; DNA Content; S-Phase Interpretation.
Reference ranges
  
Source
DNA Content
S-Phase Interpretation
Notes
Interpretive information, if available for tumor type and source will be sent separate with the histogram.

[688]


DNA, DOUBLE STRANDED CRITHIDIA IFA
Order Code IFDNA Test Code IFDNA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Repeat freeze/thaw cycles.
Department Chemistry
CPT codes 86225
Test schedule Sun-Fri
Turnaround time 1-2 days
Method IFA-Crithidia
Test includes
DNA Double Stranded Crithidia.
Reference ranges
  
DNA Double Strand (Crithidia)  Negative  LT 1:10

[689]


DORIDEN
Order Code DOR Test Code GLUTET
Synonyms Glutethimide
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Unacceptable conditions Serum separator tubes and gels.
Alternate specimens EDTA, sodium heparinized or fluoride/oxalate plasma (lavender, green or grey top tube).
CPT codes 82980
Test schedule Tue, Thu
Turnaround time 2-4 days
Method GC/NPD
Test includes
Doriden, mcg/mL.
Reference ranges
  
Doriden (Glutethimide)         mcg/mL
 Usual Sedative-Hypnotic  2-6

[690]


DOXEPIN & METABOLITE
Order Code DOX Test Code DOX
Synonyms Sinequan; Adapin
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 3.5 mL  Minimum volume 2.5 mL
Collection procedure Draw 10-14 hours post dose. If a divided dose is given draw before morning dose.
Specimen processing Separate serum from cells within 4 hours and place in separate 4 or 10 mL polypropylene (not polystyrene) plastic tube with screw on cap. Store and transport refrigerated.
Required patient info Date and time of dose and draw.
Stability-   Room temp 5 days   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Limitations SST and gel-type tubes are not recommended because they may artifactually, randomly lower results. Disopyramide (Norpace) interferes with desmethyldoxepin.
Department Chemistry
CPT codes 80166, 80299
Test schedule Mon-Fri days
Turnaround time 1-3 days
Method HPLC
Test includes
Doxepin, ng/mL; Desmethyldoxepin, ng/mL; Total Drug, ng/mL.
Reference ranges
  
Doxepin                                    ng/mL
 No reference range established for parent
 drug. See Total for reference range, which
 takes into account all metabolites.
Desmethyldoxepin                           ng/mL
 No reference range established for this
 metabolite. See Total for reference range, 
 which takes into account all metabolites.
Total Drug
 Therapeutic   150-250                     ng/mL
 Toxic         GT 499                      ng/mL

[691]


DOXEPIN (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCDXP Test Code TLCDXP
Synonyms Sinequan, Adapin, Zaonalon, Prudoxin,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 28 hours
Method Thin Layer Chromatography
Test includes
Doxepin
Notes
Test also is included in Drug-Sur as part of panel.

[6947]


DOXYLAMINE
Order Code DOXY Test Code DOXY
Synonyms Unisom
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 3 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Alternate specimens EDTA plasma (lavender top tube).
Limitations No SST tubes.
CPT codes 82491
Turnaround time 10-15 days
Method GC-N/P Detector
Test includes
Doxylamine, ng/mL.
Reference ranges
  
Doxylamine  LT 170    ng/mL
 (following a single 25 mg dose)

[692]


DOXYLAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCDXL Test Code TLCDXL
Synonyms Bendectin
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 20 mL
Limitations 3000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Doxylamine
Notes
Test is also included in Drug-Sur as part of panel.

[6948]


DRUG & ALCOHOL SCREEN, SERUM (REFLEXIVE)
Order Code DRASER Test Code DRASER
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 8 mL  Minimum volume 3.25 mL
Collection procedure Collect specimen using alcohol free skin preparation.
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 10 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions No SST, PST tubes or specimens received at room temperature.
Alternate specimens Sodium fluoride/potassium oxalate plasma (grey top tube).
CPT codes 80100, 80101
Test schedule Sun-Fri
Turnaround time 3-5 days
Method Elisa, Enzymatic
Test includes
Ethanol, mg/dL; Opiates, ng/mL; Cocaine/Metabolites, ng/mL; Benzodiazepines, ng/mL; Cannabinoids, ng/mL; Amphetamines, ng/mL; Barbiturates, ng/mL; Methadone, ng/mL; Phencyclidine, ng/mL; Propoxyphene, ng/mL.
Reference ranges
  
Ethanol               mg/dL
Opiates               ng/mL
Cocaine/Metabolites   ng/mL
Benzodiazepines       ng/mL
Cannabinoids          ng/mL
Amphetamines          ng/mL
Barbiturates          ng/mL
Methadone             ng/mL
Phencyclidine         ng/mL
Propoxyphene          ng/mL

[693]


DRUG FACILITATED SEXUAL ASSAULT PANEL
Order Code DFSA1 Test Code DFSA1
Synonyms date rape panel
Specimen Required
       Container type Random collection in a leak proof plastic urine container. Protect from light.  Specimen type Urine  Preferred volume 50 mL  Minimum volume 30 mL
Collection procedure Chain of custody and control forms with Toxicology collection kits recommended.
Stability-   Room temp   Refrigerated Refrigeration preferred   Frozen (-20°C)   Frozen (-70°C)
Department Toxicology
CPT codes 80101 X12, 82055, 80100 X2, 82742, 80154, and 83921
Test schedule Mon - Fri
Turnaround time 24 - 72 hours
Method EMIT, EIA, LC/MS, GC/MS
Test includes
Comprehensive Drug Survey, Ketamine by GC/MS, Gamma-hydroxybutyric Acid by GC/MS, 7 amino Flunitrazepam by LC/MS, and 7 amino Clonazepam by LC/MS.
Notes
Some drugs are light sensitive. Protect from light during storage and transport.

[7007]


DRUG FACILITATED SEXUAL ASSAULT PANEL
Order Code DSFA1 Test Code DSFA1
Synonyms date rape panel
Specimen Required
       Container type Random collection in a leak proof plastic urine container. Protect from light.  Specimen type Urine  Preferred volume 30 mL  Minimum volume 20 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 10 days   Refrigerated 30 days   Frozen (-20°C)   Frozen (-70°C)
Department Toxicology
CPT codes 80100, 80101 x 11, 80154 x 2, 83921 x 2, 83925, 83986, 82570
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT/Confirmation by GC/MS, LC/MS, TLC, GC/FID or Refract
Test includes
Comprehensive Drug Survey, Opiate Compliance Panel 7, Ketamine by GC/MS, Gamma-hydroxybutyric Acid by GC/MS, 7 amino Flunitrazepam by LC/MS, and 7 amino Clonazepam by LC/MS, pH, Creatinine, Specific Gravity.
Reference ranges
  
Drug Survey				
 Comprehensive				
Codeine                positive cutoff 20                 ng/mL
Morphine               positive cutoff 20                 ng/mL
Hydrocodone            positive cutoff 20                 ng/mL
Hydromorphone          positive cutoff 20                 ng/mL
Oxycodone              positive cutoff 20                 ng/mL
Oxymorphone            positive cutoff 20                 ng/mL
6 MAM (Heroin          positive cutoff 10                 ng/mL
 metabolite)				
Clonazepam                                                ng/mL
Ketamine                                                  ng/mL
Flunitrazepam                                             ng/mL
GHB                                                       mcg/mL
pH                     3.0-11.0	
Creatinine             LT 19                              mg/dL
Specific				
 Gravity				
Notes
Some drugs are light sensitive. Protect from light during storage and transport.

[6391]


DRUG SCREEN, SERUM (REFLEXIVE)
Order Code DRUSER Test Code DRUSER
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 7 mL  Minimum volume 2.8 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated
Stability-   Room temp 1 day   Refrigerated 10 days   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Sodium fluoride/potassium oxalate plasma (grey top tube).
Limitations No SST or PST tubesor specimens sent at room temperature.
CPT codes 80101 x 9
Test schedule Sun-Fri
Turnaround time 3-5 days
Method Elisa
Test includes
Opiates, ng/mL; Cocaine/Metabolites, ng/mL; Benzodiazepines, ng/mL; Cannabinoids, ng/mL; Amphetamines, ng/mL; Barbiturates, ng/mL; Methadone, ng/mL; Phencyclidine, ng/mL; Propoxyphene, ng/mL.
Reference ranges
  
Opiates               ng/mL
Cocaine/Metabolites   ng/mL
Benzodiazepines       ng/mL
Cannabinoids          ng/mL
Amphetamines          ng/mL
Barbiturates          ng/mL
Methadone             ng/mL
Phencyclidine         ng/mL
Propoxyphene          ng/mL

[694]


DRUGS OF ABUSE CONFIRMATION, QUANTITATIVE, OPIATES
Order Code OPSCON Test Code OPSCON
Specimen Required
       Container type Red top tube  Specimen type Serum or plasma  Preferred volume 4 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions SST or gel tubes.
Alternate specimens Sodium fluoride/potassium oxalate, sodium heparin, EDTA or K2EDTA plasma (gray, green, lavender or pink top tube).
CPT codes 83925
Test schedule Sun-Sat
Turnaround time 2-5 days
Method Tandem Mass Spectrometry
Test includes
1) Drugs covered: codeine, dihydrocodeine, morphine, 6-acetylmorphine, hydrocodone, hydromorphone, oxycodone and oxymorphone. 2) Positive cutoff: 2 ng/mL. 3) For Medical purposes only: not valid for forensic use.
Reference ranges
  
1) Drugs covered: codeine, dihydrocodeine, morphine, 6-acetylmorphine, hydrocodone, hydromorphone, oxycodone and oxymorphone. 2) Positive cutoff: 2 ng/mL. 3) For Medical purposes only: not valid for forensic use.

[3092]


DRUGS OF ABUSE SCREEN 10
Order Code DA10 Test Code DA10
Synonyms PCP,benzodiazepines,methadone, methaqualone, cocaine , phencyclidine,opiates , propoxyphene,THC,cannabinoids, morphine, codeine, oxycodone, hydrocodone, hyrdromorphone, amphetamine, methamphetamine,barbiturates,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Test includes
Amphetamines, Cannabinoids, Cocaine, Opiates, PCP, Barbiturates, Benzodiazepines, Methadone, Methaqualone, and Propoxyphene.
Notes
Positive results will automatically be confirmed by TLC

[6917]


DRUGS OF ABUSE SCREEN 10 PLUS ALCOHOL
Order Code DA10+ Test Code DA10A
Synonyms PCP,ethanol,benzodiazepines,methadone, methaqualone, cocaine , phencyclidine,opiates , propoxyphene,THC,cannabinoids, morphine, codeine, oxycodone, hydrocodone, hyrdromorphone, amphetamine, methamphetamine,barbiturates,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 -48 hours
Method EMIT
Test includes
Amphetamines,Cannabinoids,Cocaine,Opiates,PCP,Barbiturates,Benzodiazepines,Methadone,Methaqualone,Propoxyphene and Alcohol.
Notes
Positive results will automatically be confirmed by TLC

[6907]


DRUGS OF ABUSE SCREEN 2
Order Code DA2 Test Code DA2
Synonyms Cocaine HCL injectable, Benzoylecgonine,Coke, Crack, Flake, Snow, Blow, Bump, C, candy, Charlie, rock, toot,Cannabinoids,Marijuana, Weed, THC, Hashish, boom, chronic, gangster, hash, hash oil, hemp, blunt, dope, ganja, grass, herb, joints, Mary Ja
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Test includes
Cannabinoids (Marijuana),Cocaine.
Notes
Positive results will automatically be confirmed by TLC

[6897]


DRUGS OF ABUSE SCREEN 2 PLUS ALCOHOL
Order Code DA2+ Test Code DA2A
Synonyms Ethanol, Cocaine HCL injectable, Benzoylecgonine,Coke, Crack, Flake, Snow, Blow, Bump, C, candy, Charlie, rock, tootCannabinoids,Marijuana, Weed, THC, Hashish, boom, chronic, gangster, hash, hash oil, hemp, blunt, dope, ganja, grass, herb, joints,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Test includes
Cannabinoids (Marijuana),Cocaine, and Ethyl Alcohol
Notes
Positive results will automatically be confirmed by TLC

[6914]


DRUGS OF ABUSE SCREEN 5
Order Code DA5 Test Code DA5
Synonyms PCP,cocaine , cannabinoids,THC, marijuana, opiates, morphine, codeine, oxycodone, hydrocodone, hydromorphone, Phencyclidine, amphetamine, methamphetamine, biphetamine, dexedrine, adderall, desoxyn, oxycontin, percodan, dilaudid, anexsia, lorcet, lortab, p
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Test includes
Amphetamines,Cannabinoids,Cocaine,Opiates,and PCP
Notes
Positive results will automatically be confirmed by TLC

[6915]


DRUGS OF ABUSE SCREEN 5 PLUS ALCOHOL
Order Code DA5+ Test Code DA5A
Synonyms PCP,ethanol,cocaine , cannabinoids,THC, marijuana, opiates, morphine, codeine, oxycodone, hydrocodone, hydromorphone, Phencyclidine, amphetamine, methamphetamine, biphetamine, dexedrine, adderall, desoxyn, oxycontin, percodan, dilaudid, anexsia, lorcet, l
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 -48 hours
Method Emit
Test includes
Amphetamines,Cannabinoids,Cocaine,Opiates,PCP and Alcohol.
Notes
Positive results will automatically be confirmed by TLC

[6918]


DRUGS OF ABUSE SCREEN 6
Order Code DA6 Test Code DA6
Synonyms benzodiazepines, cocaine , THC,cannabinoids, morphine, codeine, oxycodone, hydrocodone, hyrdromorphone, amphetamine, methamphetamine,barbiturates,opiates,marijuana,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Test includes
Amphetamines,Barbituates,Benzodiazepine,Cocaine,Opiates and Cannabinoids
Notes
Positive results will automatically be confirmed by TLC

[6929]


DRUGS OF ABUSE SCREEN 7
Order Code DA7 Test Code DA7
Synonyms PCP,benzodiazepines, Temazepam, Lorazepam, Oxazepam, opiates, Diazepam, cocaine , phencyclidine,Norpropoxyphene , propoxyphene,THC,cannabinoids, morphine, codeine, oxycodone, hydrocodone, hyrdromorphone, amphetamine, methamphetamine,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 -48 hours
Method EMIT
Test includes
Amphetamines, Cannabinoids, Cocaine, Opiates, PCP, Barbiturates, and Benzodiazepines.
Notes
Positive results will automatically be confirmed by TLC

[6916]


DRUGS OF ABUSE SCREEN 7 PLUS ALCOHOL
Order Code DA7+ Test Code DA7A
Synonyms PCP,Ethanol, benzodiazepines, Temazepam, opiates, Oxazepam , Diazepam, cocaine , phencyclidine,Norpropoxyphene , propoxyphene,THC,cannabinoids, morphine, codeine, oxycodone, hydrocodone, hyrdromorphone, amphetamine, methamphetamine
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Emit
Test includes
Amphetamines,Benzodiazepines,Cannabinoids,Cocaine,Opiates,PCP,Proproxyphene and Alcohol.
Notes
Positive results will automatically be confirmed by TLC

[6919]


DSDNA AUTOANTIBODY
Order Code DNAMP Test Code DNAMP
Synonyms Anti-DsDNA AB; Anti-Native DNA; Anti-Double Stranded DNA Ab
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three).
Alternate specimens EDTA or heparinized plasma (lavender or green top tube).
Department Chemistry
CPT codes 86225
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex
Test includes
DSDNA Autoantibody, IU/mL
Reference ranges
  
DSDNA Auto-           Negative       LT 5         IU/mL
 antibody             Indeterminate  5-9
                      Positive       10 or more

[695]


DULOXETINE
Order Code DUL Test Code DUL
Synonyms Cymbalta
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.4 mL
Collection procedure Protect from light during collection, storage, and transport.
Specimen processing Separate serum from cells immediately and put in separate preservative-free plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 month   Refrigerated 1 month   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Polymer gel separation tube (SST or PST), Samples not protected from light.
Alternate specimens Plasma collected in EDTA or K2EDTA (lavender or pink top tube).
CPT codes 83789
Test schedule Mon-Sun
Turnaround time 9-12 days
Method HPLC/LC/MS/MS
Test includes
Duloxetine, ng/mL.
Reference ranges
  
Duloxetine    Steady state trough plasma concentrations after 5 days of oral therapy were:        ng/mL
              20 mg twice daily   4-20
              30 mg twice daily   8-48
              40 mg twice daily   12-60

[3557]


DYPHYLLINE
Order Code DYP Test Code DYP
Synonyms Neophylline; Dilor R
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Alternate specimens EDTA plasma (lavender top tube).
Limitations No SST tubes.
CPT codes 82491
Test schedule Tue, Fri
Turnaround time 3-6 days
Method HPLC
Test includes
Dyphylline, mcg/mL.
Reference ranges
  
Dyphylline  Therapeutic  10-20   mcg/mL

[696]


ECHINOCOCCUS ANTIBODY, IGG
Order Code ECHINO Test Code ECHINO
Acute and convalescent samples advised.
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic or contaminated specimens.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86682
Test schedule Mon, Thu
Turnaround time 3-6 days
Method ELISA
Test includes
Echinococcus Antibody, IV.
Reference ranges
  
Echinococcus Ab      IV
 0.8 or less   Negative   No significant level
                     of Echinococcus IgG Ab
                     detected.
 0.9-1.1       Equivocal  Questionable presence of
                     Echinococcus IgG Ab 
                     detected.
                     Repeat testing in 10-14
                     days may be helpful.
 1.2 or more   Positive   Presence of IgG Ab
                     to Echinococcus detected,
                     suggestive of current or
                     past infection.

[697]


ECHOVIRUS ANTIBODY
Order Code ECHO Test Code ECHO
Acute and convalescent samples advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Required patient info Specimen source.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma specimens.
Alternate specimens CSF refrigerated or frozen.
CPT codes 86658 x 5
Test schedule Mon-Sat
Turnaround time 6-10 days
Method Serum neutralization assay
Test includes
Source; Echovirus Antibody, Type 6, Titer; Echovirus Antibody, Type 7, Titer; Echovirus Antibody, Type 9, Titer; Echovirus Antibody, Type 11, Titer; Echovirus Antibody, Type 30, Titer.
Reference ranges
  
Source
Echovirus Ab Type 6       LT 1:10
Echovirus Ab Type 7       LT 1:10
Echovirus Ab Type 9       LT 1:10
Echovirus Ab Type 11      LT 1:10
Echovirus Ab Type 30      LT 1:10
 Single positive antibody titers of equal to  
 or greater than 1:80 may indicate past or 
 current infection. Seroconversion or an 
 increase in titers between acute and convalescent 
 sera of at least fourfold is considered 
 strong evidence of current or recent 
 infection.
 CSF can be tested. However, the clinical
 significance and criteria for interpretation
 of results have not been established.

[698]


ECTOPIC PREGNANCY PANEL
Order Code ECTOPIC.PANEL Test Code ECPANL
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 48 hours   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Plasma samples and samples drawn on SST or other gel tubes and not separated immediately.
Department Immunochemistry
CPT codes 84144, 84702
Test schedule Sun-Fri & STAT
Method ICMA
Test includes
Progesterone, ng/mL; Beta HCG Quant, mIU/mL.
Reference ranges
  
Progesterone (Ectopic Evaluation)         ng/mL
Beta HCG Quant (Ectopic Evaluation)       mIU/mL
 Ectopic pregnancy reference note
 HCG GT or equal to 100,000 mIU/mL
 and Progesterone GT or equal to 
 25.00 ng/mL suggests probable viable
 intrauterine pregnancy. Progesterone 
 LT or equal to 5.00 ng/mL or abnormal 
 rising HCG suggests ectopic or non-
 viable pregnancy. Progesterone GT
 5.00 but LT 25.00 ng/mL is inconclusive,
 correlate with ultrasound.

[699]


EHRLICHIA CHAFFEENSIS ANTIBODY, IGG & IGM
Order Code EHRLGM Test Code EHRLGM
Acute and convalescent samples advised.
Synonyms Human Monocytic Ehrlichiosis (HME); HME AB IgG, IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Stoe and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, contaminated or hemolyzed samples.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86666 x 2
Test schedule Tue, Fri
Turnaround time 2-6 days
Method IFA
Test includes
Ehrlichia chaffeensis, IgG Antibody; Ehrlichia chaffeensis, IgM Antibody.
Reference ranges
  
Ehrlichia chaffeensis IgG Ab
 LT 1:64       Negative
 1:64-1:128    Equivocal
 1:256 or more Positive
Ehrlichia chaffeensis IgM Ab   
 LT 1:16       Negative
 1:16 or more  Positive

[701]


ELECTROLYTE & OSMOLALITY PROFILE, FECAL
Order Code FCELOS Test Code FCELOS
Specimen Required
       Container type Clean unpreserved leakproof plastic container  Specimen type Stool  Preferred volume 10 gms  Minimum volume 5 gms
Specimen processing Collect liquid stool, random or timed in a clean unpreserved leakproof plastic container. Store and transport frozen. Do not add water or saline to liquify sample. Indicate collection time and volume. Critical frozen.
Stability-   Room temp Unacceptable   Refrigerated Unacceptable   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Non-liquid stool
CPT codes 84999, 84302, 83735, 84999
Test schedule Sun-Sat
Turnaround time 2-4 days
Method ISE/Freezing Point Depression
Test includes
Collection time; Fecal total weight; Fecal Magnesium mg/dL; Fecal Magnesium mg/d; Fecal Sodium; Fecal Potassium; Fecal Osmolality; Fecal Osmolality, calculated; Osmolal Gap
Reference ranges
  
Collection time                                              hr
Fecal weight                                                             g
Fecal Magnesium                    0-110                                 mg/dL
Fecal Magnesium                    0-355                                 mg/d
Fecal Sodium                       Reference interval not established    mmol/L
Fecal Potassium                    Reference interval not established    mmol/L
Osmolality, Fecal                  280-303                               mOs/kg
Osmolality, Calculated                                                   mOs/kg
Osmolal Gap                                                              mOs/kg

[3080]


ELECTROLYTES PANEL
Order Code EP Test Code EP
Synonyms Lytes
Specimen Required
       Container type SST tube or Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Centrifuge ASAP, keep upright and do not remove stopper. Avoid hemolysis. Store and transport refrigerated. If specimen is drawn in a red top tube, separate serum from the cells ASAP and handle anaerobically at all times to minimize exposure to air during collection, transfer and storage. Put in separate plastic tube and cap immediately. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1day   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (green top tube).
Limitations Avoid hemolysis.
Department Chemistry
CPT codes 80051
Test schedule Sun-Fri nights and STAT
Turnaround time 24-48 hours
Method ISE, Colorimetric
Test includes
Sodium, mmol/L; Potassium, mmol/L; Chloride, mmol/L; CO2, mmol/L; Anion Gap, mmol/L.
Reference ranges
  
Sodium                      135-145  mmol/L
Potassium    0-30 days      3.9-6.9  mmol/L
             1-12 mo        3.6-6.8
             1-5 yrs        3.2-5.7
             5-10 yrs       3.4-5.4 
             10 yrs+        3.5-5.3            
Chloride                    98-109   mmol/L
CO2          0-10 days      13-22    mmol/L
             11 days-4 yrs  20-28
             5+ yrs         22-31
Anion Gap                   5-16     mmol/L
Notes
Hemolysis will cause elevated potassium values and minimal volumes will concentrate.

[702]


ELECTROLYTES, FECAL (NA,K,CL)
Order Code LYTST Test Code LYTST
Specimen Required
        Specimen type Liquid stool, random or timed.  Preferred volume 5 grams
Collection procedure Collect in a clean, unpreserved leakproof plastic container.
Specimen processing Store and transport refrigerated or frozen.
Required patient info If timed indicate hours of collection.
Stability-   Room temp unacceptable   Refrigerated 7 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Non-liquid stool.
CPT codes 84999, 82438, 84302
Test schedule Sun-Sat
Turnaround time 3-5 days
Method ISE
Test includes
Sodium, Stool, mmol/L; Potassium, Stool, mmol/L; Chloride, Stool, mmol/L.
Reference ranges
  
Stool
Sodium      No normals established    mmol/L
Potassium   No normals established    mmol/L
Chloride    No normals established    mmol/L

[703]


ELECTROPHORESIS, CITRATE GEL
Order Code CITGEL Test Code CITGEL
This procedure is used for the confirmation of abnormal hemoglobins identified on HPLC or cellulose acetate electrophoresis.
Synonyms ELP; Citrate Gel
Specimen Required
       Container type Lavender top tube (EDTA) and smears.  Specimen type Whole blood and smears.  Preferred volume 5 mL whole blood and 2 blood smears.  Minimum volume 1 EDTA microtainer and 2 blood smears.
Specimen processing Store and transport refrigerated.
Stability-   Room temp 4 days   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Specimens held at room temperature for more than 4 days or refrigerated more than 2 weeks.
Alternate specimens Heparinized (green top tube) or citrated (blue top tube) whole blood.
Department Hematology
CPT codes 82664
Test schedule Varies-weekly
Turnaround time 3-8 days
Method Gel Electrophoresis
Test includes
Citrate Gel Electrophoresis, Interpretation; Citrate Gel Electrophoresis; Reviewed By.
Reference ranges
  
Citrate Gel Electrophoresis, Interpretation
Citrate Gel Electrophoresis, Reviewed by

[704]


ELECTROPHORESIS, FLUID
Order Code ELP.FLD Test Code PELPFL
Synonyms Protein Electrophoresis, Fluid; ELP, Fluid
Specimen Required
       Container type Leakproof plastic container.  Specimen type Body Fluid  Preferred volume 4 mL  Minimum volume 3 mL
Specimen processing Store and transport refrigerated.
Department Immunology
CPT codes 84165
Test schedule Mon-Fri days
Turnaround time 1-4 days
Method Agarose Gel ELP (high resolution)
Test includes
Protein, Fld, g/dL; Albumin, Fld, g/dL; Alpha-1, Fld, g/dL, Alpha-2, Fld, g/dL; Beta-1, Fld, g/dL; Beta-2, Fld, g/dL; Gamma, Fld, g/dL; Albumin, Fld, %; Alpha-1, Fld, %; Alpha-2, Fld, %; Beta-1, Fld, %; Beta-2, Fld, %; Gamma, Fld, %; Interpretation.
Reference ranges
  
Protein, Fluid  No Normals established   g/dL
Albumin, Fluid  No Normals established   g/dL
Alpha-1, Fluid  No Normals established   g/dL
Alpha-2, Fluid  No Normals established   g/dL
Beta-1,  Fluid  No Normals established   g/dL
Beta-2,  Fluid  No Normals established   g/dL
Gamma,   Fluid  No Normals established   g/dL
Albumin, Fluid  No Normals established   %
Alpha-1, Fluid  No normals established   %
Alpha-2, Fluid  No Normals established   %
Beta-1,  Fluid  No Normals established   %
Beta-2,  Fluid  No Normals established   %
Gamma,   Fluid  No normals established   %

[705]


ELECTROPHORESIS, PROTEIN
Order Code ELP Test Code PELP
Synonyms Protein Electrophoresis; ELP; SPEP; ELP Protein
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 5 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma specimens.
Limitations Avoid hemolysis
Department Immunology
CPT codes 84165
Test schedule Mon-Fri days
Turnaround time 1-4 days
Method Agarose Gel ELP (high resolution)
Test includes
Protein, Serum, g/dL; Albumin, g/dL; Alpha-1, g/dL; Alpha-2, g/dL; Beta-1, g/dL; Beta-2, g/dL; Gamma, g/dL; Albumin, %; Alpha-1, %; Alpha-2, %; Beta-1, %; Beta-2, %; Gamma, %; ELP, Interpretation; Monoclonal Peak.
Reference ranges
  
Protein, Total                      g/dL
            0-12 mo       4.3-6.9
            1-3 yrs       5.2-7.4
            3-6 yrs       5.6-7.7
            6-10 yrs      6.5-8.3
            10-18 yrs     6.1-8.0
            18-60 yrs     6.3-8.0
            60 yrs+       6.1-7.8    
Albumin     0-4 days      2.9-4.6    g/dL
            4 days-14 yrs 3.9-5.6   
            14-18 yrs     3.3-4.7    
            18-60 yrs     3.5-5.0    
            60-90 yrs     3.3-4.8
            90 yrs+       3.0-4.7    
Alpha-1                   0.1-0.4    g/dL
Alpha-2                   0.5-1.1    g/dL
Beta-1                    0.4-0.8    g/dL
Beta-2                    0.2-0.5    g/dL
Gamma                     0.6-1.5    g/dL
Albumin                   45.0-80.0  %
Alpha-1                   1.0-6.0    %
Alpha-2                   6.0-17.0   %
Beta-1                    5.0-13.0   %
Beta-2                    2.0-8.0    %
Gamma                     7.5-24.0   %
Interpretation
Monoclonal Peak

[706]


ELECTROPHORESIS, PROTEIN (REFLEXIVE)
Order Code PELPIF Test Code PELPIF
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added.
Synonyms Protein Electrophoresis; ELP; SPEP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 5 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma specimens.
Limitations Plasma specimens.
Department Immunology
CPT codes 84165
Test schedule Mon-Fri days
Turnaround time 1-4 days
Method Agarose Gel ELP (high resolution)
Test includes
Protein, Serum, g/dL; Albumin, g/dL; Alpha-1, g/dL; Alpha-2, g/dL; Beta-1, g/dL; Beta-2, g/dL; Gamma, g/dL; Albumin, %; Alpha-1, %; Alpha-2, %; Beta-1, %; Beta-2, %; Gamma, %; Monoclonal Peak; Interpretation; Immunofixation Interp.
Reference ranges
  
Protein, Total                      g/dL
            0-12 mo       4.3-6.9
            1-3 yrs       5.2-7.4
            3-6 yrs       5.6-7.7
            6-10 yrs      6.5-8.3
            10-18 yrs     6.1-8.0
            18-60 yrs     6.3-8.0
            60 yrs+       6.1-7.8    
Albumin     0-4 days      2.9-4.6    g/dL
            4 days-14 yrs 3.9-5.6   
            14-18 yrs     3.3-4.7    
            18-60 yrs     3.5-5.0    
            60-90 yrs     3.3-4.8
            90 yrs+       3.0-4.7    
Alpha-1                   0.1-0.4    g/dL
Alpha-2                   0.5-1.1    g/dL
Beta-1                    0.4-0.8    g/dL
Beta-2                    0.2-0.5    g/dL
Gamma                     0.6-1.5    g/dL
Albumin                   45.0-80.0  %
Alpha-1                   1.0-6.0    %
Alpha-2                   6.0-17.0   %
Beta-1                    5.0-13.0   %
Beta-2                    2.0-8.0    %
Gamma                     7.5-24.0   %
Monoclonal Peak
Interpretation
Immunofixation Interp

[3117]


ELECTROPHORESIS, PROTEIN, CSF
Order Code ELPC Test Code ELPC
Synonyms Protein Electrophoresis, CSF; ELP, CSF; PELP, CSF; ELP, CSF
Specimen Required
       Container type CSF plastic tube.  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Submit in a plastic tube.
Specimen processing Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 7 days   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 84157, 84166
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method Electrophoresis
Test includes
Total Protein, CSF, mg/dL; Pre-albumin, mg/dL; Albumin, mg/dL; Alpha-1, mg/dL; Alpha-2, mg/dL; Beta, mg/dL; Gamma, mg/dL.
Reference ranges
  
Total Protein, CSF  15-45        mg/dL
 Pre-albumin        0.0-3.1      mg/dL
 Albumin            8.4-34.2     mg/dL
 Alpha-1            0.0-3.1      mg/dL
 Alpha-2            0.0-5.4      mg/dL
 Beta               0.0-8.1      mg/dL
 Gamma              0.0-5.4      mg/dL

[707]


ELECTROPHORESIS, PROTEIN, RANDOM URINE , (REFLEXIVE)
Order Code PEURIF Test Code PEURIF
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added.
Synonyms Protein Electrophoresis, Random Urine; Bence Jones Protein; ELP, Random Urine; UPEP
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Random urine collection.  Preferred volume 100 mL  Minimum volume 5 mL
Collection procedure Collect a random urine in a leakproof plastic urine container.
Specimen processing Aliquot 100 mL of a well-mixed random urine collection into a leakproof plastic urine container. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 5 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Acidified urine. Optimal samples should be free of contaminants including stool or gross RBCs.
Department Immunology
CPT codes 84166
Test schedule Mon-Fri
Turnaround time 1-4 days
Method Agarose Gel ELP (High resolution)
Test includes
Urine Protein Electrophoresis, Random Urine; Immunofixation Random Urine, Interpretation if indicated.
Reference ranges
  
Random Urine Protein Electrophoresis, 
Immunofixation,  Random Urine, Interp if indicated

[4751]


ELECTROPHORESIS, PROTEIN, URINE (REFLEXIVE)
Order Code PEPUIF Test Code PEPUIF
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added.
Synonyms Protein Electrophoresis, Urine; Bence Jones Protein; ELP, Urine; UPEP
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection.  Preferred volume 100 mL  Minimum volume 5 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 100 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp   Refrigerated 5 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Acidified urine. Optimal samples should be free of contaminants including stool or gross RBCs.
Department Immunology
CPT codes 84166
Test schedule Mon-Fri days
Turnaround time 1-4 days
Method Agarose Gel ELP (High resolution)
Test includes
Protein, Urine, Quant, mg/24h; Urine Protein Electrophoresis; Immunofixation Urine, Interpretation.
Reference ranges
  
Protein, Urine, Quant   50-80   mg/24h
Urine Protein Electrophoresis
Immunofixation, Urine, Interp

[3118]


ELECTROPHORESIS, SCAN, URINE (QUANTITATIVE)
Order Code SCANUQ Test Code SCANUQ
This workpar reports only the urine scan. Must be ordered with electrophoresis, workpar PELPUQ.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type Urine  Preferred volume 100 mL  Minimum volume 5 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerated during collection.
Specimen processing Aliquot 100 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Unacceptable conditions Acidified urine. Optimal samples should be free of contaminants including stool and gross RBCs.
Alternate specimens Specimens that have been frozen for a short time.
Department Immunology
CPT codes 84999
Method Agarose Gel ELP (High Resolution)
Test includes
Collection Period, h; Volume, mL; ELP Scan, Urine; Protein, mg/24h; Albumin, mg/24h; Alpha-1, mg/24h; Alpha-2, mg/24h; Beta-1, mg/24h; Beta-2, mg/24h; Gamma, mg/24h; Albumin, %; Alpha-1, %; Alpha-2, %; Beta-1, %; Beta-2, %; Gamma, %.
Reference ranges
  
Collection Period                h
Volume                           mL
ELP Scan, Urine
Protein              50-80       mg/24h
Albumin                          mg/24h
Alpha-1                          mg/24h
Alpha-2                          mg/24h
Beta-1                           mg/24h
Beta-2                           mg/24h
Gamma                            mg/24h
Albumin                          %
Alpha-1                          %
Alpha-2                          %
Beta-1                           %
Beta-2                           %
Gamma                            %

[708]


ELECTROPHORESIS, SCAN, URINE (RANDOM)
Order Code SCANUR Test Code SCANUR
This workpar reports only the urine scan. Must be ordered with electrophoresis, workpar PELPUR.
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 100 mL  Minimum volume 5 mL
Collection procedure Collect a random urine in a leakproof plastic urine container. Refrigerate during collection.
Specimen processing Store and transport refrigerated.
Unacceptable conditions Acidified urine. Optimal samples should be free of contaminants including stool and gross RBCs.
Alternate specimens Specimens that have been frozen for a short time.
Department Immunology
CPT codes 84999
Method Agarose Gel ELP (High Resolution)
Test includes
ELP Scan, Urine; Albumin, %; Alpha-1, %; Alpha-2, %; Beta-1, %; Beta-2, %; Gamma, %.
Reference ranges
  
ELP, Scan, Urine
Albumin                    %
Alpha-1                    %
Alpha-2                    %
Beta-1                     %
Beta-2                     %
Gamma                      %

[709]


ELECTROPHORESIS, URINE
Order Code ELP-U Test Code PELPUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Synonyms Protein Electrophoresis, Urine; Bence Jones Protein; ELP, Urine; UPEP
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection.  Preferred volume 100 mL  Minimum volume 5 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 100 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp   Refrigerated 5 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Acidified urine. Optimal samples should be free of contaminants including stool or gross RBCs.
Department Immunology
CPT codes 84166
Test schedule Mon-Fri days
Turnaround time 1-4 days
Method Agarose Gel ELP (High resolution)
Test includes
Collection Period, h; Volume, mL; Protein, Urine, Quant, mg/24h; Interpretation.
Reference ranges
  
Collection Period               h
Volume                          mL
Protein, Urine, Quant   50-80   mg/24h
Interpretation

[710]


ELECTROPHORESIS, URINE (RANDOM)
Order Code ELP-R Test Code PELPUR
Synonyms Bence Jones Protein, Urine; UPEP
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Urine, random  Preferred volume 50 mL  Minimum volume 5 mL
Collection procedure Collect a random urine in sterile leakproof plastic container. Refrigerate during collection.
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated 5 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Acidified urine. Optimal samples should be free of contaminants including stool and gross RBCs.
Department Immunology
CPT codes 84166
Test schedule Mon-Fri days
Turnaround time 1-4 days
Method Agarose Gel ELP(High Resolution)
Test includes
Electrophoresis, Urine, Random.
Reference ranges
  
Electrophoresis, Urine, Random

[711]


EMETINE (GASTRIC ONLY) TEST INCLUDED IN DRUG-SUR.G.
Order Code DRUG-SUR.G Test Code CDRSG
Synonyms Epecac
Specimen Required
        Specimen type Gastric  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 2 ug/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Emetine

[6949]


ENCEPHALITIS, EASTERN EQUINE ANTIBODY PANEL, IGG & IGM, CSF
Order Code EEECSF Test Code EEECSF
Synonyms Eastern Equine Encephalitis Antibody Panel, CSF; Eastern Equine Encephalitis Antibody , IgG & IgM, CSF
Specimen Required
       Container type Sterile leakproof plastic tube  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Store and transport refrigerated.
CPT codes 86652 x 2
Turnaround time 2-5 days
Method IFA
Test includes
Encephalitis, Eastern Equine Antibody, IgG, CSF; Encephalitis, Eastern Equine Antibody, IgM, CSF; Encephalitis, Eastern Equine Antibody CSF, Interpretation.
Reference ranges
  
Encephalitis, Eastern Equine Ab, IgG, CSF
 LT 1:4
Encephalitis, Eastern Equine Ab, IgM, CSF
 LT 1:4
Encephalitis, Eastern Equine Ab, CSF Interp
 Specimens positive for arbovirus antibody
 are CDC reportable. Please contact your
 local public health agency.
 Diagnosis of infections of the central
 nervous system can be accomplished by
 demonstrating the presence of 
 intrathecally-produced specific 
 antibody. However, interpreting results
 is complicated by low antibody levels
 found in CSF, passive transfer of 
 antibody from blood, and contamination
 via bloody taps. The interpretation
 of CSF results must consider CSF-serum
 ratios of the infectious agent.

[713]


ENCEPHALITIS, EASTERN EQUINE ANTIBODY, IGG
Order Code EEEGAB Test Code EEEGAB
Synonyms Eastern Equine Encephalitis Antibody; Eastern Encephalitis Antibody, IgG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
CPT codes 86652
Turnaround time 2-5 days
Method IFA
Test includes
Encephalitis, Eastern Equine Antibody, IgG.
Reference ranges
  
Encephalitis, Eastern Equine Antibody, IgG      
 LT 1:16          No antibody detected  
 1:16 or more     Antibody detected
 Specimens positive for arbovirus antibody
 are CDC-reportable. Please contact your
 local public health agency.
 Detection of IgG antibody indicates
 either past or recent infection. 
 Human infections are seasonal, from
 mid-summer to late summer, occurring
 from New England to Texas. Minimal
 cross-reactivity with other Group A
 arboviruses; i.e. Western equine 
 encephalitis virus is observed.

[714]


ENCEPHALITIS, EASTERN EQUINE ANTIBODY, IGG & IGM
Order Code EEEAB Test Code EEEAB
Synonyms Eastern Equine Encephalitis Antibody, IgG & IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
CPT codes 86652 x 2
Turnaround time 2-5 days
Method IFA
Test includes
Eastern Equine Encephalitis Virus,IgG, Eastern Equine Encephalitis Virus, IgM.
Reference ranges
  
Eastern Equine Encephalitis Virus, IgG      
 LT 1:16
Eastern Equine Encephalitis Virus, IgM
 LT 1:20   
 Specimens positive for arbovirus antibody
 are CDC-reportable. Please contact your
 local public health agency.
 This highly sensitive test usually detects
 IgG and/or IgM antibody in acute specimens.
 Human infections are seasonal, from
 mid-summer to late summer, occurring
 from New England to Texas. Minimal
 cross-reactivity with other Group A
 arboviruses; i.e. Western equine 
 encephalitis virus is observed.

[715]


ENCEPHALITIS, EASTERN EQUINE ANTIBODY, IGG, CSF
Order Code EQEGCF Test Code EQEGCF
Synonyms Eastern Equine Encephalitis Antibody, IgG, CSF
Specimen Required
       Container type Sterile leakproof plastic tube  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.1 mL
Specimen processing Store and transport refrigerated.
CPT codes 86652
Test schedule Mon-Fri
Turnaround time 2-6days
Method IFA
Test includes
Encephalitis, Eastern Equine Antibody, IgG, CSF.
Reference ranges
  
Encephalitis, Eastern Equine Antibody, IgG CSF             
 LT 1:4
 Interpretive Criteria
 LT 1:4         Antibody not detected
 1:4 or more    Antibody detected
 Specimens positive for arbovirus antibody
 are CDC reportable. Please contact your
 local public health agency.
 Diagnosis of infections of the central
 nervous system can be accomplished by
 demonstrating the presence of 
 intrathecally-produced specific 
 antibody. However, interpreting results
 is complicated by low antibody levels
 found in CSF, passive transfer of 
 antibody from blood, and contamination
 via bloody taps. The interpretation
 of CSF results must consider CSF-serum
 ratios of the infectious agent.

[3025]


ENCEPHALITIS, EASTERN EQUINE ANTIBODY, IGM
Order Code EEEMAB Test Code EEEMAB
Synonyms Eastern Equine Encephalitis Antibody, IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
CPT codes 86652
Turnaround time 2-5 days
Method IFA
Test includes
Encephalitis, Eastern Equine Antibody, IgM.
Reference ranges
  
Encephalitis, Eastern Equine Antibody, IgM      
 LT 1:20          No antibody detected  
 1:20 or more     Antibody detected
 Specimens positive for arbovirus antibody
 are CDC-reportable. Please contact your
 local public health agency.
 Detection of IgM antibody indicates
 recent or current infection. 
 Human infections are seasonal, from
 mid-summer to late summer, occurring
 from New England to Texas. Minimal
 cross-reactivity with other Group A
 arboviruses; i.e. Western equine 
 encephalitis virus is observed.

[717]


ENCEPHALITIS, EASTERN EQUINE ANTIBODY, IGM, CSF
Order Code EEEMCF Test Code EEEMCF
Synonyms Eastern Equine Encephalitis Antibody, IgM, CSF
Specimen Required
       Container type Sterile leakproof plastic tube  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Store and transport refrigerated.
CPT codes 86652
Turnaround time 2-4 days
Method IFA
Test includes
Encephalitis, Eastern Equine Antibody, IgM, CSF.
Reference ranges
  
Encephalitis, Eastern Equine Antibody, IgM CSF             
 LT 1:4
 Specimens positive for arbovirus antibody
 are CDC reportable. Please contact your
 local public health agency.
 Diagnosis of infections of the central
 nervous system can be accomplished by
 demonstrating the presence of 
 intrathecally-produced specific 
 antibody. However, interpreting results
 is complicated by low antibody levels
 found in CSF, passive transfer of 
 antibody from blood, and contamination
 via bloody taps. The interpretation
 of CSF results must consider CSF-serum
 ratios of the infectious agent.

[718]


ENCEPHALITIS, ST LOUIS ANTIBODY
Order Code ENC.STLOUIS Test Code ENCSTL
Acute and convalescent samples advised.
Synonyms St. Louis Encephalitis Antibody
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, hemolyzed or contaminated specimens.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86653
Test schedule Tue, Fri
Turnaround time 3-5 days
Method IFA
Test includes
Encephalitis, St. Louis Antibody, Titer.
Reference ranges
  
Encephalitis, St. Louis Antibody      Titer
 LT 1:16    A positive result for IgG
            may suggest current or past
            infection.

[719]


ENCEPHALITIS, ST. LOUIS ANTIBODY PANEL, IGG & IGM
Order Code SLEVAB Test Code SLEVAB
Synonyms St. Louis Encephalitis Antibody Panel, IgG & IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
CPT codes 86653 x 2
Turnaround time 3-5 days
Method IFA
Test includes
St. Louis Encephalitis Virus, IgG; St. Louis Encephalitis Virus, IgM.
Reference ranges
  
St. Louis Encephalitis Virus, IgG
 LT 1:16
St. Louis Encephalitis Virus, IgM
 LT 1:20
 Specimens positive for arbovirus
 antibody are CDC reportable. Please
 contact your local public health
 agency.
 This highly sensitive test usually
 detects IgG and/or IgM antibody in
 acute specimens. Human infections 
 are seasonal, from mid-summer to 
 late summer, occurring throughout
 the southern, south-western, and 
 west-central states. Cross-reactivity
 can occur with other Group B arbo-
 viruses (Flavivirus), including
 Dengue, Japanese encephalitis, Rio
 Bravo, Powassan, and yellow fever.

[720]


ENCEPHALITIS, ST. LOUIS ANTIBODY PANEL, IGG & IGM, CSF
Order Code SLEVSF Test Code SLEVSF
Synonyms St. Louis Encephalitis Antibody Panel, IgG & IgM, CSF
Specimen Required
       Container type Sterile leakproof plastic tube  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.1 mL
Specimen processing Store and transport refrigerated.
CPT codes 86653 x 2
Test schedule Mon-Fri
Turnaround time 2-6 days
Method IFA
Test includes
Encephalitis, St. Louis Antibody, IgG, CSF; Encephalitis, St. Louis Antibody, IgM, CSF; Interpretation.
Reference ranges
  
Encephalitis, St. Louis Ab, IgG, CSF
 LT 1:4
Encephalitis, St. Louis Ab, IgM, CSF
 LT 1:4
Encephalitis, St. Louis Ab, CSF Interp
 IgG         LT 1:4 Ab not detected
 IgM         LT 1:4 Ab not detected
 Specimens positive for arbovirus antibody
 are CDC reportable. Please contact your
 local public health agency.
 Diagnosis of infections of the central
 nervous system can be accomplished by
 demonstrating the presence of 
 intrathecally-produced specific 
 antibody. However, interpreting results
 is complicated by low antibody levels
 found in CSF, passive transfer of 
 antibody from blood, and contamination
 via bloody taps. The interpretation
 of CSF results must consider CSF-serum
 ratios of the infectious agent.

[3030]


ENCEPHALITIS, ST. LOUIS ANTIBODY, IGG, CSF
Order Code ENSTLG Test Code ENSTLG
Acute and convalescent samples advised.
Synonyms St. Louis Encephalitis Antibody, IgG, CSF
Specimen Required
        Specimen type CSF  Preferred volume 2 mL  Minimum volume 0.5 mL
Collection procedure Acute and convalescent samples must be labeled as such. Parallel testing is preferred, and convalescent samples must be received within 30 days from receipt of the acute sample. Please plainly mark sample as acute or convalescent.
Specimen processing Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat-inactivated or contaminated samples.
CPT codes 86653
Test schedule Tue, Fri
Turnaround time 3-5 days
Method IFA
Test includes
Encephalitis, St. Louis Antibody, IgG, CSF.
Reference ranges
  
Encephalitis, St. Louis Antibody, IgG CSF             
 LT 1:1   A positive result for IgG may
          suggest current or past infection.
 This test is intended to be used as a
 semi-quantitative means of detecting 
 St. Louis virus-specific IgG in CSF
 samples in which there is a clinical
 suspicion of St. Louis virus infection.
 This test should not be used solely for
 quantitative purposes, nor should the
 results be used without correlation to
 clinical history or other data. Because
 other members of the Flaviviridae family
 such as West Nile virus, show extensive
 cross-reactivity with St. Louis virus,
 serologic testing specific for these
 specimens should also be performed.

[722]


ENCEPHALITIS, ST. LOUIS ANTIBODY, IGM
Order Code SLEVM Test Code SLEVM
Synonyms St. Louis Encephalitis Antibody, IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
CPT codes 86653
Turnaround time 2-6 days
Method IFA
Test includes
Encephalitis, St. Louis Antibody, IgM.
Reference ranges
  
Encephalitis, St. Louis Antibody, IgM
 LT 1:20
 Interpretive Criteria
 LT 1:20         Antibody not detected
 1:20 or more    Antibody detected
 Specimens positive for arbovirus
 antibody are CDC reportable. Please
 contact your local public health
 agency.
 Detection of IgM antibody indicates
 recent or current infections. Human
 infections are seasonal, from mid-summer
 to late summer, occuring throughout
 the southern, south-western, and 
 west-central states. Cross-reactivity
 can occur with other Group B arbo-
 viruses (Flavivirus), including
 Dengue, Japanese encephalitis, Rio
 Bravo, Powassan, and yellow fever.

[723]


ENCEPHALITIS, ST. LOUIS ANTIBODY, IGM, CSF
Order Code ENSTLM Test Code ENSTLM
Acute and convalescent samples advised.
Synonyms St. Louis Encephalitis Antibody, IgM, CSF
Specimen Required
        Specimen type CSF  Preferred volume 2 mL  Minimum volume 0.5 mL
Collection procedure Acute and convalescent samples must be labeled as such. Parallel testing is preferred, and convalescent samples must be received within 30 days from receipt of the acute sample. Please plainly mark sample as acute or convalescent.
Specimen processing Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat-inactivated or contaminated samples.
CPT codes 86653
Test schedule Tue, Fri
Turnaround time 3-6 days
Method IFA
Test includes
Encephalitis, St Louis Antibody, IgM, CSF.
Reference ranges
  
Encephalitis, St. Louis Antibody, IgM CSF             
 LT 1:1  A positve result for IgM may 
         suggest current or recent infection.
 This test is intended to be used as a
 semi-quantitative means of detecting 
 St. Louis virus-specific IgM in CSF
 samples in which there is a clinical
 suspicion of St. Louis virus infection.
 This test should not be used solely for
 quantitative purposes, nor should the
 results be used without correlation to
 clinical history or other data. Because
 other members of the Flaviviridae family
 such as West Nile virus, show extensive
 cross-reactivity with St. Louis virus,
 serologic testing specific for these
 specimens should also be performed.

[724]


ENCEPHALITIS, WESTERN EQUINE ANTIBODY
Order Code ENC.WEST Test Code ENCW
Acute and convalescent samples advised.
Synonyms Western Equine Encephalitis Antibody
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, hemolyzed or contaminated specimens.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86654
Test schedule Tue, Fri
Turnaround time 2-6 days
Method IFA
Test includes
Encephalitis, Western Equine Antibody, Titer.
Reference ranges
  
Encephalitis, Western Equine Antibody      Titer
 LT 1:16    A positive result for IgG
            may indicate current or
            past infection.

[725]


ENCEPHALITIS, WESTERN EQUINE ANTIBODY PANEL, IGG & IGM, CSF
Order Code WEEGMC Test Code WEEGMC
Synonyms Western Equine Encephalitis Antibody Panel, CSF
Specimen Required
       Container type Sterile leakproof plastic tube  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Store and transport refrigerated.
CPT codes 86654 x 2
Turnaround time 2-5 days
Method IFA
Test includes
Encephalitis, Western Equine Antibody, IgG, CSF; Encephalitis, Western Equine Antibody, IgM, CSF; Encephalitis, Western Equine Antibody CSF, Interpretation.
Reference ranges
  
Encephalitis, Western Equine Ab, IgG, CSF
 LT 1:4
Encephalitis, Western Equine Ab, IgM, CSF
 LT 1:4
Encephalitis, Western Equine Ab, CSF Interp
 Specimens positive for arbovirus antibody
 are CDC reportable. Please contact your
 local public health agency.
 Diagnosis of infections of the central
 nervous system can be accomplished by
 demonstrating the presence of 
 intrathecally-produced specific 
 antibody. However, interpreting results
 is complicated by low antibody levels
 found in CSF, passive transfer of 
 antibody from blood, and contamination
 via bloody taps. The interpretation
 of CSF results must consider CSF-serum
 ratios of the infectious agent.

[726]


ENDOMYSIAL (EMA) ANTIBODY, IGG
Order Code EDTG Test Code EDTG
Synonyms Anti-Endomysial Ab, IgG
Specimen Required
       Container type Plain red top tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 5 days   Refrigerated 5 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolysis, lipemic, or icteric samples.
Alternate specimens SST tube.
CPT codes 86258
Test schedule Mon-Fri
Turnaround time 4-6 days
Method Immunofluorescence
Test includes
Endomysial Antibody, IgG
Reference ranges
  
Endomysial Ab, IgG     Negative   LT 1:2.5
                                  IgG-EMA is generally only significant in those individuals 
                                  who are IgA deficient and thus cannot produce IgA-EMA. 
                                  Test performed by IMMCO Diagnostics Inc.

[5773]


ENDOMYSIAL ANTIBODY, IGA (REFLEXIVE)
Order Code EMARX Test Code EMARX
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Anti-Endomysial Ab, IgA
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples. Avoid repeated freeze/thaw cycles.
Department Immunology
CPT codes 83516
Test schedule Tue-Sat
Turnaround time 1-4 days
Method IFA/ELISA
Test includes
Endomysial Antibody, IgA, Screen; Endomysial Antibody, IgA, Titer.
Reference ranges
  
Endomysial Ab, IgA, Screen   
 None detected                 
 Endomysial antibodies are screened 
 using an ELISA tissue transglutaminase
 (tTG) assay. All samples which are
 positive are titered by IFA. 
Endomysial Ab, IgA, Titer
 None detected

[727]


ENTAMOEBA HISTOLYTICA ANTIBODY, IGG
Order Code AM-AB Test Code AMOEBA
Synonyms Amebiasis histolytica Antibody; E. histolytica Antibody
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labelled as such and received within 30 days of the acute specimen.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Severely lipemic, contaminated, heat-inactivated, or hemolyzed samples. Avoid repeat freeze/thaw cycles.
Alternate specimens Plasma.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86753
Test schedule Tue, Fri
Turnaround time 3-6 days
Method EIA
Test includes
Entamoeba histolytica Ab, IgG, IV.
Reference ranges
  
Entamoeba histolytica Ab, IgG       IV
 0.79 or less    Negative-no significant level
                 of detectable E. histolytica I
                 IgG Ab.
 0.80-1.19       Equivocal-repeat testing in
                 10-14 days may be helpful.
 1.20 or more    Positive-IgG Ab to E. histo-
                 lytica detected suggestive of 
                 a current or recent infection.
 Seroconversion between acute and convalescent
 sera is considered strong evidence of recent
 infection. The best evidence for infection
 is a significant change on two appropriately
 timed specimens where both tests are done
 in the same laboratory at the same time.

[728]


ENTAMOEBA HISTOLYTICA ANTIGEN EIAshipping instruction code
Order Code ENTHA Test Code ENTHA
Specimen Required
       Container type Clean, leakproof plastic container  Specimen type Frozen random stool  Preferred volume 5 grams
Collection procedure Collect a random stool specimen and a clean leakproof container.
Specimen processing Store and transport frozen. Ship 650.
Stability-   Room temp Unacceptable   Refrigerated 2 days   Frozen (-20°C) 1 week   Frozen (-70°C)
Unacceptable conditions Specimens in preservative or at ambient temperature.
CPT codes 87337
Test schedule Sun-Sat
Turnaround time 2-3 days
Method EIA
Test includes
Entamoeba histolytica Antigen by EIA.
Reference ranges
  
Entamoeba histolytica Antigen by EIA     Negative

[5589]


ENTEROVIRUS DETECTION BY RT-PCR shipping instruction code
Order Code EVPCR Test Code EVPCR
Specimen Required
       Container type CSF, Stool (sterile container), EDTA plasma (Lavender top tube), NP and NP/throat swabs, Rectal swab in M4 viral transport media.  Specimen type Frozen CSF, see below.  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Put CSF in plastic tube and freeze. If sending plasma, separate plasma from the cells and place in separate sterile plastic tube and freeze. Store and transport frozen. Indicate source. Ship 650.
Required patient info Source
Stability-   Room temp less than 1 hour   Refrigerated 1 day   Frozen (-20°C)   Frozen (-70°C) indefinitely
Unacceptable conditions Nonfrozen samples, samples exposed to repeated freeze/thaw cycles, non-sterile or leaking containers, heparinized samples and hemolyzed samples.
Alternate specimens Stool, plasma, NP, NP/throat, or rectal swab in M4, M4RT, or UTM transport media.
CPT codes 87498
Test schedule Mon-Fri
Turnaround time 2-4 days
Method Real-Time PCR
Test includes
Source; Enterovirus Detection by RT-PCR.
Reference ranges
  
Source
Enterovirus Detection by RT-PCR         Not Detected
A result of not detected does not rule out the presence of PCR inhibitors in the patient specimen or Enterovirus nucleic acid in concentrations below the level of detection of the assay. This test performed pursuant to an agreement with Roche Molecular Systems, Inc.

[5568]


EOSINOPHILS, SMEAR
Order Code NASAL Test Code EOSBOD
Specimen Required
       Container type Slides  Specimen type Nasal smear
Specimen processing Swab of exudate rolled on glass slide. Carefully label slide. Store and transport at room temperature.
Department Hematology
CPT codes 89190
Test schedule Mon-Sat days, Mon-Fri nights
Turnaround time 24-48 hours
Method Microscopic
Test includes
Nasal smear, Eosinophils.
Reference ranges
  
Nasal Smear, Eosinophils   /100 WBC
 None seen to rare

[730]


EOSINOPHILS, URINE
Order Code EOS.UR Test Code EOSUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 5 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated.
Stability-   Room temp 3 hours   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Hematology
CPT codes 89190
Test schedule Mon-Sat days, Mon-Fri nights
Turnaround time 24-48 hours
Method Microscopic
Test includes
Eosinophils, Urine, %..
Reference ranges
  
Eosinophils, Urine      LT 1  %

[731]


EPIDERMAL (SKIN) ANTIBODY
Order Code EPIDAB Test Code EPIDAB
Synonyms Epidermal Antibody; Anti-Skin Antibody; Skin Immunofluorescent Studies; Skin Antibody; Anti-Epidermal (Skin), AL; Pemphigoid
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2-3 days   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C) 3-4 years
CPT codes 86255 x 2
Test schedule Mon-Fri
Turnaround time 2-5 days
Method IFA
Test includes
Intercellular Substance Antibody, Titer; Basement Membrane Antibody, Titer.
Reference ranges
  
Intercellular Substance Antibody   LT 1:10  Titer
Basement Membrane Antibody         LT 1:10  Titer
 Interpretive Criteria
  LT 1:10       Antibody not detected
  1:10 or more  Antibody detected
 This assay tests for two antibody
 specificities:
  1) Autoantibodies to intercellular
  substance of the epidermis. This 
  antibody strongly suggests the 
  diagnosis of pemphigus (all forms),
  although it may be rarely present in
  burn patients & trichophyton infections.
  The rise and fall of the titer may be
  indicative of relapse & remission of 
  the disease respectively.
 2) Antibody to the dermal-epidermal
  basement membrane. This antibody is
  highly specific for bullous pemphigoid
  and is present in 80% of these patients.

[732]


EPSTEIN BARR VIRUS ANTIBODY PANEL
Order Code EBPANL Test Code EBPANL
Synonyms EBV Ab Panel; EBV
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contian particulate matter or are contaminated. Avoid freeze/thaw cycles.
Department Virology
CPT codes 86665 x 2, 86663, 86664
Test schedule Mon-Fri
Turnaround time 1-4 days
Method CLIA
Test includes
EBV Capsid Antibody, IgG,U/mL; EBV Capsid Antibody, IgM, U/mL ; EBV Nuclear Antibody, U/mL; EBV Early Antibody, U/mL; Interpretation.
Reference ranges
  
EBV Capsid Ab, IgG                 U/mL
 Negative      LT 18.0           No significant level of     
                                 IgG Ab detected.
 Equivocal     18.0-21.9         Repeat testing of a sample
                                 in 10-14 days may be helpful 
                                 in determing presence or absence
                                 of infection. 
 Positive      22.0 or greater   IgG antibody detected.
                                 May indicate a recent or past
                                 infection.Negative    LT 18.0
EBV Capsid Ab, IgM                 U/mL
 Negative    LT 36.0
EBV Nuclear Ab                     U/mL
 Negative    LT 18.0    
EBV Early Ab   
 Negative    LT 9.0 
Interpretation

[733]


EPSTEIN BARR VIRUS ANTIBODY TO EARLY ANTIGEN, DIFFUSE IGG
Order Code EBVEAL Test Code EBVEAL
Synonyms EBV-EA, IgG; EBV
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated.
Department Virology
CPT codes 86663
Test schedule Mon-Fri
Turnaround time 1-4 days
Method CLIA
Test includes
Epstein Barr Virus Early Antigen, IgG, U/mL.
Reference ranges
  
EBV, Early AG, IgG  Negative   LT 9.0 No significant     U/mL
                               level of EBV EA-D IgG Abs
                               detected. 
                    Equivocal  9.0-10.9 Repeat testing of 
                               second sample in 10-14 days
                               may be helpful to determine
                               presence or absence of
                               infection.
                    Positive   11.0 or greater. EBV EA-D IgG
                               Antibody detected.

[734]


EPSTEIN BARR VIRUS ANTIBODY TO NUCLEAR ANTIGEN, IGG
Order Code EBVNAL Test Code EBVNAL
Synonyms EBV Nuclear Antigen; EBV
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 1 monrh   Frozen (-70°C)
Unacceptable conditions Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated. Avoid freeze/thaw cycles.
Department Virology
CPT codes 86664
Test schedule Mon-Fri
Turnaround time 1-4 days
Method CLIA
Test includes
Epstein Barr Virus, Nuclear Antibody, IgG, U/mL.
Reference ranges
  
EBV, Nuclear Ab, IgG       U/mL
 Negative       LT 18.0 No significant level of
                EBVA IgG Abs detected.
                A negative result generally
                excludes past EBV infection.
                If exposure to EBV is suspected
                a second sample should be collected
                and tested in 7-10 days.
 Equivocal      18.0-21.9 Repeat testing of a 
                second sample in 10-14 days may be
                helpful to determine presence or
                absence of infection.
 Positive       22.0 or greater EBNA IgG Abs detected.
                A positive result is indicative of past
                infection.

[735]


EPSTEIN BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN, IGG
Order Code EBVGL Test Code EBVGL
Synonyms EBV Ab to VCA, IgG; EBV
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Serum samples that are grossly hemolyzed, icteric, lipemic, or contain particulate matter or are contaminated. Avoid freeze/thaw cycles.
Department Virology
CPT codes 86665
Test schedule Mon-Fri
Turnaround time 1-4 days
Method CLIA
Test includes
Epstein Barr Virus Antibody to Viral Capsid Antigen, IgG, U/mL.
Reference ranges
  
EBV Ab to Viral Capsid Antigen, IgG                   U/mL
 Negative      LT 18.0           No significant level of     
                                 IgG Ab detected.
 Equivocal     18.0-21.9         Repeat testing of a sample
                                 in 10-14 days may be helpful 
                                 in determing presence or absence
                                 of infection. 
 Positive      22.0 or greater   IgG antibody detected.
                                 May indicate a recent or past
                                 infection.

[736]


EPSTEIN BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN, IGG & IGM
Order Code EBVGML Test Code EBVGML
Synonyms EBV, IgG & IgM; EBV
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated. Avoid freeze/thaw cycles.
Department Virology
CPT codes 86665 x 2
Test schedule Mon-Fri
Turnaround time 1-4 days
Method CLIA
Test includes
Epstein Barr Virus Antibody to Viral Capsid Antigen, IgG, U/mL; Epstein Barr Virus Antibody to Viral Capsid Antigen, IgM, U/mL.
Reference ranges
  
Epstein Barr Virus Ab to Viral Capsid    U/mL
 Antigen, IgG 
Negative      LT 18.0           No significant level of     
                                 IgG Ab detected.
 Equivocal     18.0-21.9         Repeat testing of a sample
                                 in 10-14 days may be helpful 
                                 in determing presence or absence
                                 of infection. 
 Positive      22.0 or greater   IgG antibody detected.
                                 May indicate a recent or past
                                 infection.
Epstein Barr Virus Ab to Viral Capsid    U/mL
 Antigen, IgM    Negative    LT 36.0

[737]


EPSTEIN BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN, IGM
Order Code EBVML Test Code EBVML
Synonyms EBV, IgM; EBV
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate mtter or are contaminated.
Department Virology
CPT codes 86665
Test schedule Mon-Fri
Turnaround time 1-4 days
Method CLIA
Test includes
Epstein Barr Virus Capsid Antibody, IgM, U/mL.
Reference ranges
  
EBV Capsid Ab, IgM                                U/mL                       ISR
 LT 36.0          Negative No detectable IgM Abs. If
                          exposure to EBV is suspected, 
                          a second sample should be 
                          collected and tested in 7-14 
                          days.     
 36.0-43.9        Equivocal Repeat testing in 10-14 days
                          may be helpful to determine
                          absence or presence of 
                          infection. 
 44.0 or greater  Positive IgM antibody detected. Specific
                          IgM Abs are usually found in
                          patients with recent primary
                          infection, but may also be
                          found in patients with re-
                          activated infection.
                          Suggestive of current
                          or recent infection.

[738]


EPSTEIN BARR VIRUS BY PCRshipping instruction code
Order Code EBVPCR Test Code EBVPCR
Synonyms EBV
Specimen Required
       Container type SST tube  Specimen type Frozen serum or CSF  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Sterile technique is required for handling samples.
Specimen processing Separate serum or plasma from cells and place in separate sterile plastic tube and freeze. Store and transport frozen.
Required patient info Source
Stability-   Room temp 8 hours (not tissue)   Refrigerated 3 days (not tissue)   Frozen (-20°C) 1 year (not tissue)   Frozen (-70°C)
Unacceptable conditions Nonsterile or leaking containers, heparinized, frozen or clotted whole blood. Tissues only in formalin or other preservatives, samples in Microtest M4.
Alternate specimens Plain red top tube, EDTA or K2EDTA (lavender or pink top tube). Tissue biopsy: fresh tissue, snap frozen on dry ice. Formalin fixed and/or paraffin embedded tissue at ambient temperature.
CPT codes 87798
Test schedule Sun-Sat
Turnaround time 2-5 days
Method PCR
Test includes
Epstein Barr Virus by PCR.
Reference ranges
  
Epstein Barr Virus by PCR
 Negative-EBV DNA not detected by PCR.
 Positive-EBV DNA detected by PCR.
 This test is performed pursuant to an
 agreement with Roche Molecular Systems,
 Inc.

[739]


EPSTEIN BARR VIRUS, QUANTITATIVE PCR, WHOLE BLOODshipping instruction code
Order Code EBVQWB Test Code EBVQWB
Synonyms EBV, Quant by PCR, Whole Blood
Specimen Required
       Container type EDTA lavender top tube  Specimen type EDTA whole blood  Preferred volume 5 mL  Minimum volume 0.25 mL
Patient Prep Specimen source
Specimen processing Store and transport refrigerated. Ship 650.
Stability-   Room temp 8 hours   Refrigerated 3 days   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Heparinized or frozen specimens.
Alternate specimens K2EDTA whole blood (pink top tube).
CPT codes 87799
Test schedule Sun-Sat
Turnaround time 2-5 days
Method Polymerase Chain Reaction
Test includes
EBV Quant, Source; EBV QuantLog, log; EBV DNA, Quant Interpretation; EBV Quant DNA, copies/mL.
Reference ranges
  
EBV Quant Source
EBV QuantLOG        LT 2.6       LOG
 The quantitative range of this
 assay is 2.6-7.6 log copies/mL
 (390-39,000,000 copies/mL).
 A negative result (LT 2.6 log 
 copies/mL or less than 390 copies
 /mL) does not rule out the 
 presence of PCR inhibitors in 
 the patient specimen or EBV DNA
 nucleic acid in concentrations 
 below the level of detection of 
 the assay. Inhibition may also
 lead to underestimation of viral
 quantitation. No international
 standard is currently available 
 for calibration of this assay.
 Caution should be taken when
 interpreting results generated by
 different assy methodologies.
EBV DNA, Quant     Not Detected
 Interp
 Analyte specific reagents (ASR)
 are used in many laboratory tests
 necessary for standard medical care
 and generally do not require U.S.
 Food & Drug Administration approval.
 This test was developed and its
 performance characteristics determined
 by ARUP Lab, Inc. It has not been
 approved or cleared by the U.S. Food
 & Drug Administration. This test
 should not be regarded as investigational
 or for research use. This test is
 performed pursuant to an agreement
 with Roche Molecular Systems, Inc.
EBV Quant DNA                     copies/mL
 copies/mL

[5587]


EPSTEIN BARR VIRUS, QUANTITATIVE PCRshipping instruction code
Order Code EBVQNT Test Code EBVQNT
Synonyms EBV, Quant by PCR
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Separate serum or plasma from the cells and place in a separate sterile plastic tube. If sending CSF, place in a separate sterile plastic tube Store and transport frozen. Ship 650.
Required patient info Specimen source
Stability-   Room temp 8 hours   Refrigerated 3 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Whole blood or heparinized specimens.
Alternate specimens Frozen K2EDTA plasma (pink top tube) or frozen EDTA plasma (lavender top tube) or CSF.
CPT codes 87799
Test schedule Sun-Sat
Turnaround time 2-5 days
Method Polymerase Chain Reaction
Test includes
EBV Quant, Source; EBV QuantLog, log; EBV DNA, Quant Interpretation; EBV Quant DNA, copies/mL.
Reference ranges
  
EBV Quant Source
EBV QuantLOG        LT 2.6       LOG
 The quantitative range of this
 assay is 2.6-7.6 log copies/mL
 (390-39,000,000 copies/mL).
 A negative result (LT 2.6 log 
 copies/mL or less than 390 copies
 /mL) does not rule out the 
 presence of PCR inhibitors in 
 the patient specimen or EBV DNA
 nucleic acid in concentrations 
 below the level of detection of 
 the assay. Inhibition may also
 lead to underestimation of viral
 quantitation. No international
 standard is currently available 
 for calibration of this assay.
 Caution should be taken when
 interpreting results generated by
 different assy methodologies.
EBV DNA, Quant     Not Detected
 Interp
 Analyte specific reagents (ASR)
 are used in many laboratory tests
 necessary for standard medical care
 and generally do not require U.S.
 Food & Drug Administration approval.
 This test was developed and its
 performance characteristics determined
 by ARUP Lab, Inc. It has not been
 approved or cleared by the U.S. Food
 & Drug Administration. This test
 should not be regarded as investigational
 or for research use. This test is
 performed pursuant to an agreement
 with Roche Molecular Systems, Inc.
EBV Quant DNA                     copies/mL
 copies/mL

[5588]


ERYTHROMYCIN (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCERY Test Code TLCERY
Synonyms Erythrocin, Ilosone, E-mycin, Robimicin,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 3000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Erythromycin and/or analogs
Notes
Test is also included in Drug-Sur as part of panel.

[6950]


ERYTHROPOIETIN
Order Code ERY Test Code ERTH
Synonyms EPO; Epogen
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Morning samples drawn between 7:30 am and 12 noon are preferred due to diurnal variation.
Specimen processing Separate the serum from the cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed, lipemic or EDTA plasma specimens. Avoid repeat freeze/thaw cycles.
Alternate specimens Heparin plasma (green top tube).
Department Chemistry
CPT codes 82668
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ICMA
Test includes
Erythropoietin, mIU/mL.
Reference ranges
  
Erythropoietin  3.5-24.0  mIU/mL
 The erythropoietin reference range is
 based on data from healthy adults with
 normal hematocrit values.

[740]


ESCITALOPRAM
Order Code ESCI Test Code ESCI
Synonyms Lexapro
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.2 mL
Specimen processing Separate serum from cells immediately and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 weeks   Refrigerated 2 weeks   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions SST or PST (gel separator tubes).
Alternate specimens Plasma.
CPT codes 82491
Test schedule Tue, Thu
Turnaround time 5-7 days
Method GC
Test includes
Escitalopram, ng/mL.
Reference ranges
  
Escitalopram     Steady state peak plasma levels for          ng/mL
                 patients on regimen of 10 or 30 mg/day:
                 21 and 64 ng/mL respectively, and occur at
                 approximately 4 hours post dose. This test
                 is not chiral specific. Patients who have
                 taken racemic Citalopram (Celexa), as opposed to
                 Escitalopram (Lexapro), within the past 3 days may
                 have falsely elevated values.

[3558]


ESTERASE STAIN, ACETATE
Order Code SS.NSE Test Code CSAE
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type See below.  Specimen type See below.
Collection procedure 3 blood smears, tissue touch preps, or bone marrow coverslips and/or sodium heparinized sample (green top tube). 3 mL EDTA (lavender top tube) of peripheral blood should also be sent. The slides should be air-dried, unstained and un-fixed. EDTA and heparin slides are acceptable.
Specimen processing Protect from light, store and transport at room temperature.
Required patient info Source
Limitations Protect from light.
Department Cytochemical Hematology
CPT codes 88319
Test schedule Mon-Sat days
Turnaround time 72 hours
Method Cytochemical Stain
Test includes
Esterase Stain, Acetate Source; Stain; Interpretation; Reviewed by.
Reference ranges
  
Esterase Stain, Acetate 
 Source
 Stain       Negative
 Interp
 Reviewed by
Notes
Alpha Naphthol Acetate Esterase.

[741]


ESTERASE STAIN, COMBINED
Order Code SS.CE Test Code CSCE
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type See below.  Specimen type See below.
Collection procedure 3 blood smears, tissue touch preps, or bone marrow coverslips and/or sodium heparinized sample (green top tube). 3 mL EDTA (lavender top tube) of peripheral blood should also be sent. The slides should be air-dried, unstained and unfixed.
Specimen processing Protect from light, store and transport at room temperature.
Required patient info Source
Alternate specimens EDTA and heparin slides.
Limitations Protect from light.
Department Cytochemical Hematology
CPT codes 88319 x 2
Test schedule Mon-Sat days
Turnaround time 72 hours
Method Cytochemical Stain
Test includes
Esterase Stain, Combined Source; Stain; Interpretation; Reviewed by.
Reference ranges
  
Esterase Stain, Combined
 Source
 Stain     Negative
 Interp
 Reviewed by
Notes
Includes specific esterase (Naphthol AS-D chloroacetate esterase) and non-specific esterase (Alpha-naphthyl acetate esterase).

[742]


ESTERASE, STAIN, CHLOROACETATE
Order Code SS.SE Test Code CSCAE
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Specific Esterase
Specimen Required
       
Collection procedure 3 blood smears, tissue touch preps, or bone marrow coverslips and/or sodium heparinized sample (green top tube). 3 mL EDTA (lavender top tube) of peripheral blood should also be sent. The slides should be air-dried, unstained and unfixed. EDTA and heparin slides are acceptable.
Specimen processing Protect from light, store and transport at room temperature.
Required patient info Source
Limitations Protect from light.
Department Cytochemical Hematology
CPT codes 88319
Test schedule Mon-Sat days
Turnaround time 72 hours
Method Cytochemical Stain
Test includes
Esterase Stain, Chloroacetate Source; Stain; Interpretation;`Reviewed by.
Reference ranges
  
Esterase Stain, Chloroacetate
 Source
 Stain         Negative
 Interp 
 Reviewed by
Notes
Naphthol AS-D Chloroacetate Esterase.

[743]


ESTRADIOL
Order Code ESTRADIOL Test Code EDIOL
If ordering this test STAT you must notify Client Services at 509-755-8999.
Synonyms E2
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport frozen or refrigerated.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens If sending a frozen sample, it is critical that separate samples are submitted when multiple tests are ordered.
Department Immunology
CPT codes 82670
Test schedule Mon-Sat days & STAT
Turnaround time 1-3 days
Method ICMA
Test includes
Estradiol, pg/mL.
Reference ranges
  
Estradiol                      pg/mL
 M                      0-56
 F  Follicular          0-160    
    Mid-follicular      0-84
    Late-follicular     34-400
    Luteal              27-246
    Post-menopausal     0-35
    Post-menopausal     0-93
     treated
This method may be used for patients 
taking hormone replacement therapy.
Notes
Prior arrangements must be made for IVF candidates.

[744]


ESTRADIOL BY LC-MS/MS
Order Code ESTMCP Test Code ESTMCP
Specimen Required
       Container type EDTA or K2EDTA (Lavender or pink top tube)  Specimen type Plasma  Preferred volume 0.5 mL
Specimen processing Separate from cells within 2 hours of collection into separate plastic tube and refrigerate. Store and transport refrigerated.
Required patient info Indicate age and sex of patient on the requisition.
Stability-   Room temp 2 days   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens SST or sodium or lithium heparin (green top tube).
CPT codes 82670
Test schedule Sun-Sat
Turnaround time 2-6 days
Method LC/TMS
Test includes
Estradiol by TMS pg/mL Tanner stages
Reference ranges
  
Estradiol by TMS          pg/mL
 Tanner Stages
 I              Male   LT 8
 II             Male   LT 10 
 III            Male   1-35
 IV AND V       Male   3-35
 I            Female   LT 56
 II           Female   2-133
 III          Female   12-277
 IV and V     Female   2-259
 Male    7-9 yrs      LT 7
 Male    10-12 yrs    LT 11
 Male    13-15 yrs    1-36
 Male    16-17 yrs    3-34
 Male    18+ yrs      10-42
 Female  7-9 yrs      LT 36
 Female  10-12 yrs    1-87
 Female  13-15 yrs    9-249
 Female  16-17 yrs    2-266
 Female  18+ yrs      Pre-menopausal
                      Early Follicular   30-100
                      Late Follicular   100-400  
                      Luteal             50-150
                      Post-Menopausal    2-21

[3042]


ESTRIOL, UNCONJUGATED
Order Code ESTRIOL Test Code ESTFR
This assay is for unconjugated/free Estriol
Synonyms Estriol, Free
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 3 days   Frozen (-20°C) 30 days   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or lipemic specimens.
Department Immunology
CPT codes 82677
Test schedule Mon-Fri days
Turnaround time 2-5 days
Method Immunometric
Test includes
Estriol, Unconjugated, ng/mL.
Reference ranges
  
Estriol, Unconjugated                     ng/mL
 Patient variation is considerable. Serial
 sampling is most valuable. 35-50% day to day
 decrease is significant and may suggest fetal
 distress.

[745]


ESTROGENS, FRACTIONATED
Order Code ESTF Test Code ESTF
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. The estradiol is a critical frozen specimen.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Lipemic or hemolyzed samples. Multiple freeze/thaw cycles may lower estrone levels.
CPT codes 82671
Test schedule Mon-Fri evenings
Turnaround time 2-4 days
Method ICMA/RIA/Calculation
Test includes
Estrone, pg/mL; Estradiol, pg/mL; Estrogens, Total, pg/mL.
Reference ranges
  
Estrone                           pg/mL
 Male                     LT 80
 Female Early follicular  0-150
        Late follicular   100-250
        Luteal            0-200
        Post-menopausal   15-103
Estradiol                         pg/mL
 Male                     0-56
 Female Early follicular  0-160
        Late follicular   34-400
        Luteal            27-246
        Post-menopausal   0-35
Estrogens, Total                  pg/mL
 Male                     LT 136
 Female Early follicular  0-310
        Late follicular   134-650
        Luteal            27-446
        Post-menopausal   15-138

[747]


ESTRONE
Order Code ESTN Test Code ESTN
Synonyms E1
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 4 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Lipemic or hemolyzed samples. Multiple freeze/thaw cycles may lower estrone levels.
CPT codes 82679
Test schedule Mon-Fri
Turnaround time 2-4 days
Method RIA
Test includes
Estrone, pg/mL.
Reference ranges
  
Estrone                           pg/mL
 Male                      LT 80
 Female  Early follicular  0-150
         Late follicular   100-250
         Luteal            0-200
         Post-menopausal   15-103

[748]


ETHOSUXIMIDE
Order Code ETHO Test Code ETHO
Synonyms Zarontin
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 5 days   Refrigerated 14 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
CPT codes 80168
Test schedule Sun-Sat
Turnaround time 1-3 days
Method EIA
Test includes
Ethosuximide, ug/mL.
Reference ranges
  
Ethosuximide             ug/mL
 Therapeutic  40-100    
 Toxic        GT 150

[750]


ETHOTOIN
Order Code ETHOTOIN Test Code ETHOT
Synonyms Peganone
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.8 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated .
Stability-   Room temp 4 days   Refrigerated 4 days   Frozen (-20°C) 3 weeks   Frozen (-70°C)
Unacceptable conditions Serum separator tubes & gels.
Alternate specimens EDTA, sodium heparinized or fluoride/oxalate plasma (lavender, green or grey top tube).
Limitations Avoid the use of serum separator tubes & gels.
CPT codes 80299
Test schedule Mon, Thu
Turnaround time 2-6 days
Method GC
Test includes
Ethotoin, ug/mL.
Reference ranges
  
Ethotoin (Peganone)   ug/mL
 Therapeutic  5-50  
 Toxic        GT 55

[751]


ETHYL GLUCURONIDE, URINE
Order Code ETGU Test Code ETGU
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Random Urine  Preferred volume 30 mLs  Minimum volume 5 mLs
Collection procedure Collect a random urine specimen in a leakproof plastic urine container.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 10 days   Refrigerated 30 days   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Blood, serum or plasma samples.
Department Toxicology
CPT codes 80101
Test schedule Mon-Fri
Turnaround time 2-3 days
Method EIA
Test includes
Ethyl Glucuronide, Urine, ng/mL.
Reference ranges
  
Ethyl Glucuronide, Urine   Negative  ng/mL

[752]


ETHYL GLUCURONIDE/ETHYL SULFATE BY LC-MS/MS
Order Code ETGA Test Code ETGA
Specimen Required
       Container type Leakproof plastic urine container  Specimen type Urine, Random  Preferred volume 30 mL  Minimum volume 20 mL
Collection procedure Collect a random urine specimen in a leakproof plastic urine container.
Specimen processing Store and at room temperature.
Stability-   Room temp 10 days   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Blood, serum or plasma samples.
Department Toxicology
CPT codes 83789
Test schedule Mon-Fri
Turnaround time 1-2 days
Method LC-MS/MS
Test includes
ETG, ng/mL; ETG, ng/mL.
Reference ranges
  
ETG      positive cutoff 250  ng/mL
ETS      positive cutoff 150  ng/mL

[5529]


ETHYLENE GLYCOL
Order Code ETHY Test Code ETHY
Synonyms antifreeze
Specimen Required
       Container type Serum (red top) or Plasma  Specimen type Serum  Preferred volume 2 mls  Minimum volume 1 ml
Collection procedure Transport at room temp.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Limitations 50 ug/ml
Department Toxicology
CPT codes 82693
Test schedule Mon - Fri and STAT
Turnaround time 24 - 48 hours
Method GC/FID

[6924]


EUGLOBULIN LYSIS
Order Code EUGLO Test Code EUGLYS
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 1.5 mL
Collection procedure Blood/anticoagulant volume is critical. Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85360
Test schedule Sun-Sat days
Turnaround time 24-48 hours
Method Clot Lysis
Test includes
Euglobulin Lysis, Patient, h; Euglobulin Lysis, Control, h.
Reference ranges
  
Euglobulin Lysis, Patient  GT 2.0  h
Euglobulin Lysis, Control          h

[753]


EXTRACTABLE NUCLEAR AUTOANTIBODIES
Order Code ENAMP Test Code ENAMP
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three).
Alternate specimens EDTA or heparinized plasma (lavender or green top tube).
Department Chemsitry
CPT codes 86235 x 3
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex
Test includes
SM Autoantibody, AI; RNP Autoantibody, AI; SMRNP Autoantibody, AI.
Reference ranges
  
SM Autoantibody     Negative    LT 1.0      AI
                    Positive    1.0 or more
RNP Autoantibody    Negative    LT 1.0      AI
                    Positive    1.0 or more
SMRNP Autoantibody  Negative    LT 1.0      AI
                    Positive    1.0 or more

[754]


FACTOR 10 INHIBITORS, QUANTITATIVE (REFLEXIVE)
Order Code F10INH Test Code F10INH
Separate samples must be submitted when multiple tests are ordered.
This test may reflex to additional tests depending upon the results of this test. Additional fees may be added.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Plasma, frozen  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity.
Specimen processing Centrifuge specimen, separate plasma, recentrifuge, and separate into 2 clean plastic tubes (2 aliquots). Freeze at -20C or less. Avoid repeat freeze/thaw cycles.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples.
Department Coagulation
CPT codes 85610, 85730, 85260
Test schedule Mon-Fri
Turnaround time 48 hours
Method Electromechanical
Test includes
Protime, Patient, sec; Protime Population Mean, sec, PTT, sec; PTT Population Mean, sec; PT 1/1 Mix, sec; PT Control Plasma, sec; PTT1/1 Mix, sec; PTT Control Plasma, sec, Factor X, %; Factor 10 Inhibitors, Inhibitor Units.
Reference ranges
  
Protime, Patient                   sec
 0-1 mon                13.0-20.0
 2+ mon                 10.9-14.8
Protime, Population Mean 13.4       sec
                        13.7
PTT                                sec
 0-1 mon                40-50 
 2 mon-4 yrs            25-40
 5+ mon                 26-31
PTT, Population Mean    31         sec
 Deep venous thrombosis or pulmonary
 embolism therapeutic heparin levels
 of 0.3-0.7 Units/mL anti-factor Xa
 levels usually correspond to an aPTT
 of 60-85 seconds. Acute cardiac
 syndrome therapeutic range based on
 heparin levels of 0.2 to 0.5 ususally
 correspond to an aPTT of 55-77 seconds.
Protime 1/1 Mix                   sec
PT Control Plasma                 sec
PTT 1/1 Mix                       sec
PTT Control Plasma                sec
Factor X                 45-155   %
Factor 10 Inhibitors     Negative Inhibitor Units

[755]


FACTOR 11 INHIBITORS, QUANTITATIVE (REFLEXIVE)
Order Code F11INH Test Code F11INH
Separate samples must be submitted when multiple tests are ordered.
This test may reflex to additional tests depending upon the results of this test. Additional fees may be added.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Plasma, frozen  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity.
Specimen processing Centrifuge specimen, separate plasma, recentrifuge, and separate into 2 clean plastic tubes (2 aliquots). Freeze at -20C or less. Avoid repeat freeze/thaw cycles.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples.
Department Coagulation
CPT codes 85610, 85730, 85270
Test schedule Mon-Fri
Turnaround time 48 hours
Method Electromechanical
Test includes
Protime, Patient, sec; Protime Population Mean, sec, PTT, sec; PTT Population Mean, sec; PT 1/1 Mix, sec; PT Control Plasma, sec; PTT1/1 Mix, sec; PTT Control Plasma, sec, Factor XI, %; Factor 11 Inhibitors, Inhibitor Units.
Reference ranges
  
Protime, Patient                   sec
 0-1 mon                13.0-20.0
 2+ mon                 10.9-14.8
Protime, Population Mean 13.4           sec
                        13.7
PTT                                sec
 0-1 mon                40-50 
 2 mon-4 yrs            25-40
 5+ mon                 26-31
PTT, Population Mean    31         sec
 Deep venous thrombosis or pulmonary
 embolism therapeutic heparin levels
 of 0.3-0.7 Units/mL anti-factor Xa
 levels usually correspond to an aPTT
 of 60-85 seconds. Acute cardiac
 syndrome therapeutic range based on
 heparin levels of 0.2 to 0.5 ususally
 correspond to an aPTT of 55-77 seconds.
Protime 1/1 Mix                   sec
PT Control Plasma                 sec
PTT 1/1 Mix                       sec
PTT Control Plasma                sec
Factor XI                65-135   %
Factor 11 Inhibitors     Negative Inhibitor Units

[756]


FACTOR 12 INHIBITORS, QUANTITATIVE (REFLEXIVE)
Order Code F12INH Test Code F12INH
Separate samples must be submitted when multiple tests are ordered.
This test may reflex to additional tests depending upon the results of this test. Additional fees may be added.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Plasma, frozen  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity.
Specimen processing Centrifuge specimen, separate plasma, recentrifuge, and separate into 2 clean plastic tubes (2 aliquots). Freeze at -20C or less. Avoid repeat freeze/thaw cycles.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples.
Department Coagulation
CPT codes 85610, 85730, 85280
Test schedule Mon-Fri
Turnaround time 48 hours
Method Electromechanical
Test includes
Protime, Patient, sec; Protime Population Mean, sec, PTT, sec; PTT Population Mean, sec; PT 1/1 Mix, sec; PT Control Plasma, sec; PTT1/1 Mix, sec; PTT Control Plasma, sec, Factor XII, %; Factor 12 Inhibitors, Inhibitor Units.
Reference ranges
  
Protime, Patient                   sec
 0-1 mon                13.0-20.0
 2+ mon                 10.9-14.8
Protime, Population Mean 13.4      sec
                        13.7
PTT                                sec
 0-1 mon                40-50 
 2 mon-4 yrs            25-40
 5+ mon                 26-31
PTT, Population Mean    31         sec
 Deep venous thrombosis or pulmonary
 embolism therapeutic heparin levels
 of 0.3-0.7 Units/mL anti-factor Xa
 levels usually correspond to an aPTT
 of 60-85 seconds. Acute cardiac
 syndrome therapeutic range based on
 heparin levels of 0.2 to 0.5 ususally
 correspond to an aPTT of 55-77 seconds.
Protime 1/1 Mix                   sec
PT Control Plasma                 sec
PTT 1/1 Mix                       sec
PTT Control Plasma                sec
Factor XII               50-150   %
Factor 12 Inhibitors     Negative Inhibitor Units

[757]


FACTOR 2 INHIBITORS, QUANTITATIVE (REFLEXIVE)
Order Code F02INH Test Code F02INH
Separate samples must be submitted when multiple tests are ordered.
This test may reflex to additional tests depending upon the results of this test. Additional fees may be added.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Plasma, frozen  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity.
Specimen processing Centrifuge specimen, separate plasma, recentrifuge, and separate into 2 clean plastic tubes (2 aliquots). Freeze at -20C or less. Avoid repeat freeze/thaw cycles.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples.
Department Coagulation
CPT codes 85610, 85730, 85210
Test schedule Mon-Fri
Turnaround time 48 hours
Method Electromechanical
Test includes
Protime, Patient, sec; Protime Population Mean, sec, PTT, sec; PTT Population Mean, sec; PT 1/1 Mix, sec; PT Control Plasma, sec; PTT1/1 Mix, sec; PTT Control Plasma, sec, Factor II, %; Factor 2 Inhibitors, Inhibitor Units.
Reference ranges
  
Protime, Patient                   sec
 0-1 mon                13.0-20.0
 2+ mon                 10.9-14.8
Protime, Population Mean           sec
                        13.4
PTT                                sec
 0-1 mon                40-50 
 2 mon-4 yrs            25-40
 5+ mon                 26-31
PTT, Population Mean    31         sec
 Deep venous thrombosis or pulmonary
 embolism therapeutic heparin levels
 of 0.3-0.7 Units/mL anti-factor Xa
 levels usually correspond to an aPTT
 of 60-85 seconds. Acute cardiac
 syndrome therapeutic range based on
 heparin levels of 0.2 to 0.5 ususally
 correspond to an aPTT of 55-77 seconds.
Protime 1/1 Mix                   sec
PT Control Plasma                 sec
PTT 1/1 Mix                       sec
PTT Control Plasma                sec
Factor II                80-117   %
Factor 2 Inhibitors      Negative Inhibitor Units

[758]


FACTOR 5 INHIBITORS, QUANTITATIVE (REFLEXIVE)
Order Code F05INH Test Code F05INH
Separate samples must be submitted when multiple tests are ordered.
This test may reflex to additional tests depending upon the results of this test. Additional fees may be added.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen Plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity.
Specimen processing Centrifuge specimen, separate plasma, recentrifuge, and separate into 2 clean plastic tubes (2 aliquots). Freeze at -20C or less. Avoid repeat freeze/thaw cycles.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples.
Department Coagulation
CPT codes 85610, 85730, 85220
Test schedule Mon-Fri
Turnaround time 48 hours
Method Electromechanical
Test includes
Protime, Patient, sec; Protime Population Mean, sec, PTT, sec; PTT Population Mean, sec; PT 1/1 Mix, sec; PT Control Plasma, sec; PTT1/1 Mix, sec; PTT Control Plasma, sec, Factor V, %; Factor 5 Inhibitors, Inhibitor Units.
Reference ranges
  
Protime, Patient                   sec
 0-1 mon                13.0-20.0
 2+ mon                 10.9-14.8
Protime, Population Mean 13.4       sec
                        13.7
PTT                                sec
 0-1 mon                40-50 
 2 mon-4 yrs            25-40
 5+ mon                 26-31
PTT, Population Mean    31         sec
 Deep venous thrombosis or pulmonary
 embolism therapeutic heparin levels
 of 0.3-0.7 Units/mL anti-factor Xa
 levels usually correspond to an aPTT
 of 60-85 seconds. Acute cardiac
 syndrome therapeutic range based on
 heparin levels of 0.2 to 0.5 ususally
 correspond to an aPTT of 55-77 seconds.
Protime 1/1 Mix                   sec
PT Control Plasma                 sec
PTT 1/1 Mix                       sec
PTT Control Plasma                sec
Factor V                 50-150   %
Factor 5 Inhibitors      Negative Inhibitor Units

[759]


FACTOR 7 INHIBITORS, QUANTITATIVE (REFLEXIVE)
Order Code F07INH Test Code F07INH
Separate samples must be submitted when multiple tests are ordered.
This test may reflex to additional tests depending upon the results of this test. Additional fees may be added.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen Plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity.
Specimen processing Centrifuge specimen, separate plasma, recentrifuge, and separate into 2 clean plastic tubes (2 aliquots). Freeze at -20C or less. Avoid repeat freeze/thaw cycles.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 2 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples.
Department Coagulation
CPT codes 85610, 85730, 85230
Test schedule Mon-Fri
Turnaround time 48 hours
Method Electromechanical
Test includes
Protime, Patient, sec; Protime Population Mean, sec, PTT, sec; PTT Population Mean, sec; PT 1/1 Mix, sec; PT Control Plasma, sec; PTT1/1 Mix, sec; PTT Control Plasma, sec, Factor VII, %; Factor 7 Inhibitors, Inhibitor Units.
Reference ranges
  
Protime, Patient                   sec
 0-1 mon                13.0-20.0
 2+ mon                 10.9-14.8
Protime, Population Mean 13.4           sec
                        13.7
PTT                                sec
 0-1 mon                40-50 
 2 mon-4 yrs            25-40
 5+ mon                 26-31
PTT, Population Mean    31         sec
 Deep venous thrombosis or pulmonary
 embolism therapeutic heparin levels
 of 0.3-0.7 Units/mL anti-factor Xa
 levels usually correspond to an aPTT
 of 60-85 seconds. Acute cardiac
 syndrome therapeutic range based on
 heparin levels of 0.2 to 0.5 ususally
 correspond to an aPTT of 55-77 seconds.
Protime 1/1 Mix                   sec
PT Control Plasma                 sec
PTT 1/1 Mix                       sec
PTT Control Plasma       65-135   %
Factor 7 Inhibitors      Negative Inhibitor Units

[760]


FACTOR 9 INHIBITORS, QUANTITATIVE (REFLEXIVE)
Order Code F09INH Test Code F09INH
Separate samples must be submitted when multiple tests are ordered.
This test may reflex to additional tests depending upon the results of this test. Additional fees may be added.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Plasma, frozen  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity.
Specimen processing Centrifuge specimen, separate plasma, recentrifuge, and separate into 2 clean plastic tubes (2 aliquots). Freeze at -20C or less. Avoid repeat freeze/thaw cycles.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples.
Department Coagulation
CPT codes 85610, 85730, 85250
Test schedule Mon-Fri
Turnaround time 2 days
Method Electromechanical
Test includes
Protime, Patient, sec; Protime Population Mean, sec, PTT, sec; PTT Population Mean, sec; PT 1/1 Mix, sec; PT Control Plasma, sec; PTT1/1 Mix, sec; PTT Control Plasma, sec, Factor IX, %; Factor 9 Inhibitors, Inhibitor Units.
Reference ranges
  
Protime, Patient                   sec
 0-1 mon                13.0-20.0
 2+ mon                 10.9-14.8
Protime, Population Mean 13.4       sec
                        13.7
PTT                                sec
 0-1 mon                40-50 
 2 mon-4 yrs            25-40
 5+ mon                 26-31
PTT, Population Mean    31         sec
 Deep venous thrombosis or pulmonary
 embolism therapeutic heparin levels
 of 0.3-0.7 Units/mL anti-factor Xa
 levels usually correspond to an aPTT
 of 60-85 seconds. Acute cardiac
 syndrome therapeutic range based on
 heparin levels of 0.2 to 0.5 ususally
 correspond to an aPTT of 55-77 seconds.
Protime 1/1 Mix                   sec
PT Control Plasma                 sec
PTT 1/1 Mix                       sec
PTT Control Plasma                sec
Factor IX                60-140   %
Factor 9 Inhibitors      Negative Inhibitor Units

[761]


FACTOR II
Order Code FAC2 Test Code F02ACT
Separate samples must be submitted when multiple tests are ordered.
Synonyms Factor II Activity
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 0.5 mL plasma
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85210
Test schedule Mon-Fri days
Turnaround time 48 hours
Method Electromechanical
Test includes
Factor II, %.
Reference ranges
  
Factor II  80-117  %

[762]


FACTOR IX
Order Code FAC9 Test Code F09ACT
Separate samples must be submitted when multiple tests are ordered.
Synonyms Christmas Factor; Factor IX Activity
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85250
Test schedule Mon-Fri days
Turnaround time 48 hours
Method Electromechanical
Test includes
Factor IX, %.
Reference ranges
  
Factor IX  60-140   %

[763]


FACTOR V
Order Code FAC5 Test Code F05ACT
Separate samples must be submitted when multiple tests are ordered. This is not the same test as Factor V Leiden. If Factor V Leiden is ordered the correct workpar is FVLMUT. It is utilized in association with APC resistance and venous thrombosis. This workpar is utilized to evaluate a prolonged PT.
Synonyms Factor V Activity
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 0.5 mL plasma
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not beenseparated and frozen at -20C or less.
Department Coagulation
CPT codes 85220
Test schedule Mon-Fri days
Turnaround time 48 hours
Method Electromechanical
Test includes
Factor V, %.
Reference ranges
  
Factor V  50-150  %

[764]


FACTOR V LEIDEN MUTATION
Order Code FVMUT Test Code FVLMUT
Due to the sensitivity of this test, submit the entire specimen in the original collection tube.
Synonyms Molecular testing
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood ( must be in original collection tube)  Preferred volume 5 mL  Minimum volume 1 mL or a full EDTA microtainer.
Specimen processing Store and transport at room temperature. If delayed more than 72 hours, store and transport refrigerated.
Stability-   Room temp 72 hours   Refrigerated 5 days   Frozen (-20°C) Unstable   Frozen (-70°C)
Unacceptable conditions Serum, heparinized whole blood, frozen whole blood, severely hemolyzed specimens, specimens in leaky containers or over 5 days old. Also specimens not received in the original collection tubes.
Alternate specimens ACD whole blood or sodium citrated whole blood (yellow or blue top tube).
Limitations Do not freeze.
Department Molecular Diagnostics
CPT codes 83891, 83903, 83912, 83898, 83896 x 2
Test schedule Mon-Sat
Turnaround time 2-5 days
Method PCR
Test includes
Factor V Leiden, Method; Factor V Leiden, Result; Factor V Leiden, Interpretation; Factor V Leiden, Comment; Factor V Leiden, Comment.
Reference ranges
  
Factor V Leiden, Method
Factor V Leiden, Result
Factor V Leiden, Interpretation
Factor V Leiden, Comment
Factor V Leiden, Comment
 This test is FDA approved and is 
 intended for in vitro diagnostic use.
 This test is performed pursuant to an
 agreement with Roche Molecular Systems.
 This test is performed by real-
 time PCR using the Roche LightCycler
 instrument. The product of PCR is 
 detected by fluorescence produced when
 a specific pair of probes, each labeled
 with a fluorophore, binds to the PCR
 product in close proximity.

[765]


FACTOR VII
Order Code FAC7 Test Code F07ACT
Separate samples must be submitted when multiple tests are ordered.
Synonyms Factor VII Activity
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 0.5 mL plasma
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85230
Test schedule Mon-Fri days
Turnaround time 48 hours
Method Electromechanical
Test includes
Factor VII, %.
Reference ranges
  
Factor VII  65-135  %

[766]


FACTOR VIII (COAGULANT ACTIVITY)
Order Code FAC8AS Test Code F08ACT
Separate samples must be submitted when multiple tests are ordered.
Synonyms F8 Activity; F8 Coagulant Activity; F8 Assay; F8 Clotting Assay; F8c; Factor 8 Functional
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85240
Test schedule Mon-Fri days
Turnaround time 48 hours
Method Electromechanical
Test includes
Factor VIII Coagulant Activity, %.
Reference ranges
  
Factor VIII Coagulant Activity  55-150  %

[767]


FACTOR VIII INHIBITOR (QUANTITATIVE)
Order Code FAC8.INH Test Code F08INH
Separate samples must be submitted when multiple tests are ordered.
Synonyms Factor VIII Antigen
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85335
Test schedule Mon-Fri days
Turnaround time 48 hours
Method Electromechanical
Test includes
Factor VIII Inhibitor, Bethseda Units.
Reference ranges
  
Factor VIII Inhibitor  Negative  Bethseda Units

[768]


FACTOR X
Order Code FAC10 Test Code F10ACT
Separate samples must be submitted when multiple tests are ordered.
Synonyms Factor X, Activity
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85260
Test schedule Mon-Fri days
Turnaround time 48 hours
Method Electromechanical
Test includes
Factor X, %.
Reference ranges
  
Factor X  45-155  %

[769]


FACTOR XI
Order Code FAC11 Test Code F11ACT
Separate samples must be submitted when multiple tests are ordered.
Synonyms Factor XI, Activity
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85270
Test schedule Mon-Fri
Turnaround time 48 hours
Method Electromechanical
Test includes
Factor XI, %.
Reference ranges
  
Factor XI  65-135  %

[770]


FACTOR XII
Order Code FAC12 Test Code F12ACT
Separate samples must be submitted when multiple tests are ordered.
Synonyms Hageman Factor
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85280
Test schedule Mon-Fri days
Turnaround time 48 hours
Method Electromechanical
Test includes
Factor XII, %.
Reference ranges
  
Factor XII  50-150  %

[771]


FACTOR XIII
Order Code FAC13 Test Code F13
Separate samples must be submitted when multiple tests are ordered.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85291
Test schedule Mon-Fri days
Turnaround time 48 hours
Method Urea Solubility
Test includes
Factor XIII.
Reference ranges
  
Factor XIII  No clot dissolution

[772]


FAT STAIN (OIL RED O)
Order Code FAT.ST Test Code OROSTN
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random.  Preferred volume 5mL  Minimum volume 1 mL
Collection procedure Collect a random urine.
Specimen processing BAL: transport immediately at room temperature to the lab. Unanticoagulated specimens are specimens of choice. Urine: 5 mL urine, random collection. Store and transport refrigerated.
Stability-   Room temp 3 hours   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Grossly bloody specimen and specimens which are 3/4 or more mucous or specimens that have been unrefrigerated more than 3 hours.
CPT codes 89125
Test schedule Mon-Sat Days
Turnaround time 72 hours
Method Cytochemical Stain
Test includes
Source; Fat Stain Interpretation; Fat Stain Reviewed By.
Reference ranges
  
Source
Fat Stain Interpretation
Fat Stain Reviewed by

[773]


FAT, FECAL QUANTITATIVE
Order Code FATQNT Test Code FATQNT
Synonyms Store Fat; Fat Quantitative; Fecal Fat; Fecal Lipids; Quantitative Fecal Fat; Total Fat, Quantitative
Specimen Required
       Container type Pre-weighed stool container.  Specimen type Frozen stool  Preferred volume 20 mL  Minimum volume 20 mL
Patient Prep The patient should be on a diet consisting of 50-150 g of fat/day for 3 days prior to the study.
Collection procedure Collect a 24, 48 or 72-hour stool in pre-weighed container. Weigh the entire sample and determine the final weight of the stool collection. Refrigerate during collection
Specimen processing Homogenate the specimen and add sufficient water using a graduated cylinder to give a milkshake consistency. Record the volume of water added to sample. Aliquot 20 mL of the homgenized sample and freeze. Store and transport frozen.
Required patient info Hours of collection, sample weight, and water volume added.
Stability-   Room temp 1 hour   Refrigerated 96 hours   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Fecal specimens containing media, preservatives, barium or charcoal. Containers larger than 500 mL (500 g), such as paint cans, will be rejected and discarded. Random collections. Submissions without collection time, weight, and water added information.
CPT codes 82710
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Nuclear Magnetic Resonance Spectrometry
Test includes
Collection Period, hr; Fecal Total Weight, grams; Fecal Fats, g/24h.
Reference ranges
  
Collection Period             hr
Fecal Total Weight            g
Fecal Fats
 0-5 yrs        0.0-2.0       g/24h
 6 yrs & more   0.0-6.0

[5549]


FAT, STOOL
Order Code STL-FAT Test Code FAT
Synonyms Fecal Fat, Qualitative
Specimen Required
       Container type Leakproof plastic container.  Specimen type Stool fresh, random
Specimen processing Store and transport refrigerated.
Required patient info Specimen source.
Stability-   Room temp   Refrigerated 24 hours   Frozen (-20°C)   Frozen (-70°C)
Department Microbiology
CPT codes 89125
Test schedule Mon-Sat days, Mon-Fri nights
Turnaround time 24-48 hours
Method Microscopic
Test includes
Source; Fat, Stool; Fat, Stool, Status.
Reference ranges
  
Source
Fat, Stool            Negative
Fat, Stool, Status

[774]


FATTY ACID PROFILE, PEROXISOMAL
Order Code FATTYA Test Code FATTYA
Synonyms Fatty; Long chain
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Patient Prep Patient is to have fasted overnight (12-14 hours), and must not consume any alcohol for 24 hours before the specimen is drawn.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Required patient info Patient's age, information regarding treatment, family history, and tentative diagnosis.
CPT codes 82726
Test schedule Mon-Fri
Turnaround time 3-8 days
Method GC/MS Stable isotope
Test includes
C22:0, umol/L; C24:0, umol/L; C26:0, umol/L; C24:0/C22:0, Ratio; C26:0/C22:0, Ratio; Pristanic Acid, umol/L; Phytanic Acid, umol/L; Pristanic Acid/Phytanic Acid Ratio, Ratio.
Reference ranges
  
C22:0                 96.3 or less    umol/L
C24:0                 91.4 or less    umol/L
C26:0                 1.30 or less    umol/L
C24:0/C22:0           1.39 or less    Ratio
C26:0/C22:0           0.023 or less   Ratio
Pristanic Acid                        umol/L    
 0-4 mo               0.60 or less    
 5-8 mo               0.84 or less
 9-12 mo              0.77 or less
 13-24 mo             1.47 or less
 GT 24 mo             2.98 or less
Phytanic Acid                         umol/L
 0-4 mo               5.28 or less
 5-8 mo               5.70 or less
 9-12 mo              4.40 or less
 13-24 mo             8.62 or less
 GT 24 mo             9.88 or less
Pristanic Acid/Phytanic Acid Ratio    Ratio
 0-4 mo               0.35 or less
 5-8 mo               0.28 or less
 9-12 mo              0.23 or less
 13-24 mo             0.24 or less
 GT 24 mo             0.39 or less

[775]


FATTY ACIDS PROFILE, ESSENTIAL
Order Code FAP Test Code FAP
Synonyms C12-C22
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Patient Prep Patient should be fasting overnight (12-14 hours). Patient must not consume any alcohol for 24 hours before the specimen is drawn.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Required patient info Patient's age, sex, and information regarding treatment, family history and tentative diagnosis..
CPT codes 82544
Test schedule Mon, Wed, Fri
Turnaround time 3-8 days
Method GC/MS Stable isotope dilution
Test includes
Fatty Acids Profile Essential.
Reference ranges
  
Fatty Acids Profile Essential
 Separate Report to Follow

[776]


FATTY ACIDS, FREE
Order Code FATTY Test Code FATTYF
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Patient Prep Fasting specimen is preferred.
Collection procedure Collect on ice.
Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp unstable   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Non-frozen or heparinized specimens.
Alternate specimens EDTA, sodium citrate, fluoride/potassium oxalated or ammonium oxalated plasma (lavender, blue or black top tube).
CPT codes 82725
Test schedule Mon, Wed, Fri
Turnaround time 2-6 days
Method Spectrophotometry
Test includes
Fatty Acids, Free, mmol/L.
Reference ranges
  
Free Fatty Acids               mmol/L
 0-30 days          0.43-1.37  
 1 mo-10 yrs        0.50-0.90
 11+ yrs            0.10-0.60

[777]


FECAL IMMUNOCHEMICAL TEST (FIT) FOR OCCULT BLOOD
Order Code IFOBT Test Code IFOBT
Synonyms Occult Blood by FIT for Feces
Specimen Required
       Container type See below  Specimen type Random stool
Collection procedure Random stool specimen collected with the Polymedco collection device. Scrape the surface of the fecal sample probe. Stool must cover the grooved portion of the sample probe of the collection device. There are no dietary restrictions and it is a 1 day sampling.
Specimen processing Store and transport device at room temperature.
Stability-   Room temp 15 days (in collection device)   Refrigerated 30 days in collection device, 3 days if not.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Obtain sample off of toilet paper rather than the toilet bowl. If not sending sample in collection device probe, prefer that it be stored and transport refrigerated.
CPT codes 82274
Test schedule Tue-Sat
Turnaround time 1-3 days
Method Immunoassay
Test includes
Fecal Occult Blood by FIT.
Reference ranges
  
Fecal Occult Blood by FIT     Negative
Notes
Collection devices available from PAML Supply Department.

[780]


FECAL LEUKOCYTE STAIN
Order Code FEC-LEUK Test Code FL
Specimen Required
       Container type Leakproof plastic container.  Specimen type Stool  Preferred volume Walnut-sized portion
Specimen processing Store and transport at room temperature.
Required patient info Specimen source.
Unacceptable conditions Swabs in Cary-Blair.
Department Microbiology
CPT codes 89055
Test schedule Sun-Sat
Turnaround time 24-48 hours
Method Gram Stain/Methylene Blue
Test includes
Source; Fecal Leukocyte Stain; Fecal Leukocyte Stain, Status.
Reference ranges
  
Source
Fecal Leukocyte Stain         Negative
Fecal Leukocyte Stain, Status

[781]


FELBAMATE
Order Code FELBAMATE Test Code FELB
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 1 month   Frozen (-20°C) 6 months   Frozen (-70°C)
Alternate specimens EDTA, sodium heparinized or sodium fluoride/potassium oxalate plasma (lavender, green or gray top tube).
Limitations Avoid the use of serum separator tubes and gels.
CPT codes 80299
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method HPLC
Test includes
Felbamate, ug/mL.
Reference ranges
  
Felbamate                       ug/mL
 Not well established
 The proposed therapeutic range for
 seizure control is 30-60 ug/mL. 
 Parmacokinetics varies widely,
 particularly with co-medication,
 age and/or compromised renal
 function. No critical value has
 been defined.

[782]


FENTANYL AND NORFENTANYL IN URINE BY LC/MS/MS
Order Code FENTU Test Code FENTU
Synonyms Fent, Magic, Percopop, China White, Sublimaze,
Specimen Required
       Container type Randon Urine Container (Clinical Specimens) Workplace Drug Testing Kit w/ COC (Forensic)  Specimen type Urine  Preferred volume 20 mls randon urine  Minimum volume 1 ml
Stability-   Room temp 1 month   Refrigerated 1 month   Frozen (-20°C) 9 months   Frozen (-70°C)
Alternate specimens None
Department Toxicology
CPT codes 83925
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Liquid Chromatography Tandom Mass Spectrometry LC/MS/MS
Test includes
Fentanyl and Norfentanyl
Reference ranges
  
Positive cutoffs Fentanyl 5.0 ng/ml Norfentanyl 10 ng/ml.

[7019]


FERRITIN
Order Code FERR Test Code FERR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Ensure that complete clot formation has taken place prior to centrifugation. Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 10 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Samples that have been at room temperature more than 8 hours.
Alternate specimens EDTA or heparin plasma (lavender or green top tubes).
Department Immunochemistry
CPT codes 82728
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
Ferritin, ng/mL.
Reference ranges
  
Ferritin   M    20-350    ng/mL
           F    6-250

[784]


FETAL FIBRONECTIN
Order Code FFN Test Code FFN
Specimen Required
       Container type See below  Specimen type See below  Preferred volume See below
Collection procedure Cervicovaginal swab in transport tube with buffer. A special collection kit is required for collection. Specimen must be obtained prior to digital examination. Care must be taken not to contaminate the swab of cervicovaginal secretions with lubricants, soaps, or disinfectants.
Specimen processing If testing will be done within 8 hours of collection, transport at room temperature. If not, sample must be stored at refrigerated temperature and the assay completed within 3 days of collection.
Stability-   Room temp 8 hours   Refrigerated 3 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Cotton swabs and culturettes.
Department Chemistry
CPT codes 82731
Test schedule Sun-Sat (SHMC runs these as STATS as soon as they receive them)
Turnaround time Within 2 hours of receipt in SHMC Lab.
Method Solid Phase Immunosorbent Assay
Test includes
Fetal Fibronectin.
Reference ranges
  
Fetal Fibronectin   Negative
Notes
The required collection kit is available from the PAML supply department.

[785]


FETAL HEMOGLOBIN F
Order Code FETALF Test Code FETALF
Synonyms KB
Specimen Required
       Container type EDTA (lavender top tube) or K2EDTA (pink top tube)  Specimen type Whole blood  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Store and transport refrigerated if test cannot be performed within 6 hours of collection.
Required patient info Source
Stability-   Room temp   Refrigerated 5 days   Frozen (-20°C)   Frozen (-70°C)
Department Hematology Cellular Flow Cytometry
CPT codes 88184
Test schedule Mon-Sat days
Turnaround time 24-48 hours
Method Flow Cytometry
Test includes
Source; Fetal Hemoglobin F, %.
Reference ranges
  
Source
Fetal Hemoglobin F      0.00-0.10  %

[786]


FIBRIN MONOMER
Order Code FIB.MONOMER Test Code FIBMON
Separate samples must be submitted when multiple tests are ordered.
Synonyms Protamine Paracoagulation
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85366
Test schedule Daily
Turnaround time 24-48 hours
Method Protamine Paracoagulant Precipitant
Test includes
Fibrin Monomer.
Reference ranges
  
Fibrin Monomer  Negative
Notes
Fibrin monomers are the building blocks for a fibrin clot. The test screens for soluble monomer complexes, the early products of fibrin formation.

[787]


FIBRINOGEN
Order Code XFIB Test Code XFIB
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85384
Test schedule Sun-Sat days & STAT
Turnaround time 24-48 hours
Method Electromechanical
Test includes
Fibrinogen, mg/dL.
Reference ranges
  
Fibrinogen      211-419       mg/dL
 Abnormalities of fibrinogen function may
 result in low reported levels. 
 Additional testing, including thrombin
 times, may be useful in interpreting
 low fribrinogen levels.
Notes
Fibrinogen is a quantitative measurement. The thrombin time is a qualitative test for how well fibrinogen functions.

[788]


FIBRINOGEN REFLEX TO THROMBIN TIME
Order Code QFIB Test Code QFIB
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen citrated plasma  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85384
Test schedule Daily
Turnaround time 24-48 hours
Method Electromechanical
Test includes
Fibrinogen, sec; Thrombin Time Patient, sec; Thrombin Time Control, sec; Thrombin Time PT/CT Mix, sec; Thrombin Time PT/PSO4 Mix, sec.
Reference ranges
  
Fibrinogen                 211-419   mg/dL
Thrombin Time Patient      15.6-20.0 sec
Thrombin Time Control      15.6-20.0 sec
Thrombin Time PT/CT Mix              sec
Thrombin Time PT/PSO4 Mix            sec
Notes
If the fibrinogen is abnormal, this test reflexes to a thrombin time, and an additional charge will be added.

[789]


FIBRINOLYSIS
Order Code FIBLYS Test Code FIBLYS
Separate samples must be submitted when multiple tests are ordered.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Whole blood.  Preferred volume 5 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Department Coagulation
CPT codes 85390
Test schedule Daily
Turnaround time 24-48 hours
Method Plasma Clot Lysis
Test includes
Fibrinolysis.
Reference ranges
  
Fibrinolysis    Negative in 8 hours

[790]


FIBRONECTIN AGGREGATES, IGA
Order Code FIBRON Test Code FIBRON
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
CPT codes 83516, 82784
Test schedule Wed
Turnaround time 2-10 days
Method ELISA, Nephelometry
Test includes
IgA Serum, mg/dL; Fibronectin Aggregrates, IgA, EIA Units.
Reference ranges
  
IgA                          mg/dL
 Cord Blood  0             
 1-3 mo      0-19
 4-6 mo      2-35
 7-14 mo     10-50
 15-35 mo    17-70
 3-12 yrs    23-208
 13+ yrs     70-407
Fibronectin Aggregates IgA   EIA Units
 LT 3.0    
Interpretive Criteria
 LT 3.0      Aggregates not detected
 3.0 or more Aggregates detected
Aggregates consisting of IgA complexed 
fibronectin are found in sera of most
patients with Henoch Schonlein purpura.
Detection of these aggregate is based 
on their specific attachment to a 
fragment of type I collagen.

[791]


FIS22Q
Order Code FIS22Q Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; 22q; DiGeorge; VCFS;TUPLE1
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun, SST or other additive tubes.
Alternate specimens Fixed cell pellet or slides from another cytogenetics laboratory.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88273
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of deletions of 22q11 region associated with DiGeorge and Velocardiofacial Syndromes. Patients with clinical signs of either of these syndromes should also have a full cytogenetic analysis performed.

[2920]


FISH ANIRIDIA
Order Code FIPAX6 Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
.
Synonyms FISH; Aniridia; WAGR Syndrome
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 0.5 mL
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Frozen specimens.
Alternate specimens Fixed cell pellet from another cytogenetics laboratory.
Department Cytogenetics
CPT codes 88291, 88283, 88273, 88271
Test schedule Mon-Fri
Turnaround time 7 days
Method FISH
Test includes
FISH Aniridia.
Reference ranges
  
FISH, Aniridia
 Separate Report to Follow
Notes
FISH for detection of WT1 and/or PAX6 gene deletion found in patients with Aniridia (WAGR Syndome).

[3095]


FISH BCL6 GENE REARRANGEMENT IN PARAFFIN
Order Code FBCL6P Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; BCL6; lymphoma
Specimen Required
       Container type Paraffin embedded tissue block  Specimen type Tissue embedded in paraffin
Collection procedure Submit tissue embedded in paraffin.
Specimen processing Store and transport at room temperature.
Stability-   Room temp Indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365, 88274
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for confirmation of BCL6 gene rearrangement in parrafin embedded tissue for patients with lymphoma.

[3096]


FISH FOR 6Q ABERRATIONS IN B-CELL DISORDERS
Order Code F6QENT Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; 6q; MYB; Lymphoma; Myeloma; Waldenstrom's
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271 X 3, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of 6q chromosome structural aberrations in B-cell disorders. DNA probes used are 258B3, MYB and 252P19.

[2992]


FISH FOR ABBERATIONS ASSOCIATED WITH DIFFUSE LARGE CELL LYMPHOMA
Order Code FISHDL Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; BCL6; BCL2; IGH; Lymphoma
Specimen Required
       Container type Sodium heparin (Green top tube) or specimen transport tube containing cell culture media  Specimen type Whole blood or bone marrow  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow sample or peripheral whole blood in sodium heparin (green top tube) or transport tube with cell culture media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88275 x 2, 88271 x 2
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of cytogenetic aberations common to diffuse large cell lymphoma. Probes for this panel include BCL2/IGH specific for the t(14;18) and variants and BCL6 (3q27).

[2924]


FISH FOR ABERRATIONS ASSOCIATED WITH DIFFUSE LARGE CELL LYMPHOMA IN PARAFFIN EMBEDDED TISSUE
Order Code FISDLP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; BCL6; BCL2; IGH; Lymphoma; Paraffin
Specimen Required
       Container type Paraffin embedded tissue block  Specimen type Tumor tissue embedded in paraffin
Collection procedure Submit tumor tissue embedded in paraffin.
Specimen processing Store and transport at room temperature.
Stability-   Room temp indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365 x 2, 88274 x 2
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of cytogenetic aberrations common to diffuse large cell lymphoma. Probes for this panel include BCL/IGH specific for the t(14;18) and variants and BCL6(3q27).

[2925]


FISH FOR AML SUB-TYPE CONFIRMATION
Order Code FISAML Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; AML; Myeloid; Leukemia
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271 x 4, 88275 x 4
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH panel for differentiation between AML FAB sub-types. DNA probes used are RUNX1/ETO, PML/RARA, CBFB and MLL.

[2993]


FISH FOR ANAPLASTIC LARGE CELL LYMPHOMA
Order Code FIALCL Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; ALCL; NPM; ALK; t(2;5); Lymphoma
Specimen Required
       Container type Sodium heparin (Green top tube), bone marrow or tissue transport tube containing cell culture media  Specimen type Bone marrow or leukemic whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or leukemic whole blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Alternate specimens Intact of dissociated cells from lymph node in tissue transport tube containing cell culture media.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH to detect t(2;5) or variant translocation associated with Anaplastic Large Cell Lymphoma.

[2998]


FISH FOR ANAPLASTIC LARGE CELL LYMPHOMA, PARAFFIN EMBEDDED TISSUE
Order Code FALCLP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; ALCL; NPM; ALK; t(2;5) Lymphoma; Paraffin
Specimen Required
       Container type Paraffin tissue block  Specimen type Lymph node tissue embedded in paraffin
Specimen processing Submit paraffin block. Store and transport at room temperature.
Stability-   Room temp indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365, 88274
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH to detect t(2;5) or variant translocation associated with Anaplastic Large Cell Lymphoma.

[3006]


FISH FOR BCL2 AND IGH GENE REARRANGEMENT
Order Code FISHBI Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; BCL2; IGH; Lymphoma; Follicular
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for confirmation of BCL2/IGH gene rearrangement found in patients with Follicular and less frequently, large B-cell lymphoma, associated with t(14:18). Assay can also detect variant rearrangement involving either locus.

[2967]


FISH FOR BCL2 AND IGH GENE REARRANGEMENT IN PARAFFIN EMBEDDED TISSUE
Order Code FISBIP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; IGH; BCL2; Follicular; Lymphoma; Paraffin
Specimen Required
       Container type Paraffin tissue block  Specimen type Lymph node tissue or other solid tissue embedded in paraffin
Specimen processing Submit paraffin block. Store and transport at room temperature.
Stability-   Room temp indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365, 88274
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for confirmation of BCL2/IGH gene rearrangement found in patients with Follicular and less frequently, large B-cell lymphoma, associated with t(14;18). Assay can also detect variant rearrangement involving either locus.

[3008]


FISH FOR BCL6 GENE REARRANGEMENT
Order Code FIBCL6 Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; BCL6; Lymphoma
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for confirmationj of BCL6 gene rearrangement in patients with lymphoma.

[2968]


FISH FOR CLL PROGNOSIS AND TO CONFIRM CLL VS MCL DIAGNOSIS
Order Code FICLPP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; CLL; Chronic Lymphocytic Leukemia; Mantle Cell Lymphoma; MCL; CCND1/IGH
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283 x 2, 88271 x 3, 88275 x 5
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH to help distinguish between diagnoses of Chronic Lymphocytic Leukemia and Mantle Cell Lymphoma.

[2972]


FISH FOR CONFIRMATION OF 7Q DELETIONS OR MONOSOMY 7 IN HEMATOLOGIC MALIGNANCY
Order Code FISH7Q Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; 7q; EGR1; D7S486; leukemia
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood if blasts are present  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for identification of abnormal cell clones containing either del (7)(q) or monosomy 7.

[2973]


FISH FOR DETECTION /CONFIRMATION OF DELETION OF THE XIST (X-INACTIVATION CENTER) LOCUS
Order Code FIXIST Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; XIST; X chromosome
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273, 88271 x 2
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection/confirmation of presence/absence of the XIST X-inactivation center. For use in patients with X-chromosome derived marker chromosomes or other known structural rearrangements of the X chromosome.

[2952]


FISH FOR DETECTION 6Q ABERRATIONS IN B-CELL DISORDERS
Order Code F6QDIS Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; MYB; 6q; SHPRH; Waldestrom's Myeloma
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271x 3, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH analysis for detection of 6q chromosome structural abnormalities in B-cell neoplasia. DNA probes used are SHPRH, MYB and CEP6.

[2991]


FISH FOR DETECTION OF 15Q11-Q13 DUPLICATI0N
Order Code FISD15 Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; Duplication; Chromosome 15
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 3-5 days   Refrigerated 3-5 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun, or samples in SST tubes.
Department Cytogenetics
CPT codes 88291, 88283, 88271 x 2, 88275
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection of duplication 15q11-q13 syndrome. Assay can detect either intrachromosome duplication or the presence of inverted duplication chromosomes derived from proximal 15q. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities.

[2926]


FISH FOR DETECTION OF 15q11q13 DELETIONS ASSOCIATED WITH ANGELMAN SYNDROME
Order Code FISHAS Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; UBE3A
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 3-5 days   Refrigerated 3-5 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun or SST samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273, 88271 x 2
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection of deletions of the 15q11q13 region. Parent of origin cannot be ascertained, so without clinical information, this test cannot distinguish between Prader-Willi or patients with Angelman Syndrome, as part of their diagnostic differential. Normal results for this assay do not rule out the diagnosis and patients with AS as port of their diagnsotic differential should be considered for 15q11q13 methylation analysis. Full cytogentic analysis should also be performed in these cases to rule out other cytogenetic abnormalities.

[2964]


FISH FOR DETECTION OF 20Q- OR DEL(20)(Q) IN HEMATOLOGIC MALIGNANCY
Order Code FIS20Q Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; 20q; DS20S108
Specimen Required
       Container type Sodium heparin (Green top tube) or tissue transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood if blasts are present  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or cell culture transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of 20q- or del(20)(q) abnormal cell clones in patients with hematologic malignancy.

[3102]


FISH FOR DETECTION OF 5Q DELETION OR MONOSOMY 5
Order Code FISH5Q Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; 5q; EGR1; Myeloid; MDS; myelodysplasia; leukemia
Specimen Required
       Container type Sodium heparin (Green top tube) or tissue transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 7 days
Method FISH
Notes
FISH for detection of 5q-(deletions of 5q)or Monosomy 5 positive abnormal cell clones, associated with myeloid hematologic disorders.

[2919]


FISH FOR DETECTION OF BCR/ABL1 GENE REARRANGEMENT
Order Code FISHBA Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; CML; ALL,BCR/ABL1; Chronic Myelogenous Leukemia; Acute Lymphocytic Leukemia
Specimen Required
       Container type Sodium heparin (Green top tube) or tissue transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271 x 2, 88275 x 2
Test schedule Mon-Fri
Turnaround time 3 days
Method FISH
Notes
FISH for detection of BCR/ABL 1 gene rearrangement, t(9;22) and variants. Provides conformation of CML diagnosis and provides prognostic information in both CML and ALL. The ASS DNA probe (proximal to ABL on 9q) is used as a control and to identify patients with deletions of the der(9) chromosome.

[2969]


FISH FOR DETECTION OF CBFB GENE REARRANGEMENT
Order Code FISHCB Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; CBFB; M4; Myeloid Leukemia
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of CBFB gene rearrangement associated with inv(16) or t(16;16) for diagnostic confirmation in patients with eosinophilia and either M4 or M2 Acute myelogenous leukemia.

[2970]


FISH FOR DETECTION OF CCND1/IGH GENE REARRANGEMENT
Order Code FISHCC Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; CDDND1; IGH; MCL; Mantle Cell Lymphoma; Lymphoma
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 3 days
Method FISH
Notes
FISH for detection of CCND1/IGH (BCL1/IGH) gene rearrangement associated with t(11:14). Can be used for diagnostic confirmation in patients with possible Mantle Cell Lymphoma (MCL) and to distinguish between MCL and Chronic Lymphocytic Leukemia. Assay can also detect variant translocations of either locus.

[2971]


FISH FOR DETECTION OF CCND1/IGH GENE REARRANGEMENT IN PARAFFIN-EMBEDDED TISSUE
Order Code FISCCP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; IGH; CCND1; MCL; Mantle Cell Lymphoma; Lymphoma; Paraffin
Specimen Required
       Container type Paraffin tissue block  Specimen type Lymph node or other solid tissue embedded in paraffin
Specimen processing Submit paraffin block. Store and transport at room temperature.
Stability-   Room temp indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365, 88274
Test schedule Mon-Fri
Turnaround time 3 days
Method FISH
Notes
FISH for detection of CCND1/IGH (BCL1/IGH) gene rearrangement associated with t(11;14). Can be used for diagnostic confirmation in patients with possible Mantle Cell Lymphoma (MCL)and to distinguish between MCL and Chronic Lymphocytic Leukemia. Assay can also detect variant translocation of either locus.

[3009]


FISH FOR DETECTION OF CHD7 DELETION ASSOCIATED WITH CHARGE SYNDROME
Order Code FISCHD Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; CHARGE; CHD7
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 3-5 days   Refrigerated 3-5 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun or SST samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273, 88271 x2
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection of deletions of the CHD7 locus at 8q12, found in patients with CHARGE syndome. Full cytogentic analysis should also be performed in these cases to rule out other cytogenetic abnormalities.

[2951]


FISH FOR DETECTION OF CHIC2 GENE DELETION
Order Code FISCHI Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; CHIC2; MGUS; Eosinophila; Hypereosinophila
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271 x 2, 88275
Test schedule Mon-Fri
Turnaround time 7 days
Method FISH
Notes
FISH for detection of CHIC2 deletion, surrogate aberration for the FIP1L1-PDGFRA gene rearrangement associated with hypereosinophila/eosinophila syndrome of Mast Cell Disease with eosinophila.

[2987]


FISH FOR DETECTION OF CHOP GENE REARRANGEMENT
Order Code FISCHO Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; CHOP; Liposarcoma; Sarcoma; Tumor
Specimen Required
       Container type Tumor tissue transport tube containig cell culture media  Specimen type Fresh tumor tissue  Preferred volume 1-3mm2  Minimum volume 1mm2
Specimen processing Submit fresh tumor tissue in tumor tissue transport tube containing cell culture media. Store and transport at room temperature.
Stability-   Room temp 1-2 days   Refrigerated 1-2 days   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88275, 88271, 88283
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of CHOP gene rearrangement associated with t(12;22). The gene rearrangement is found in patients with myxoid liposarcoma and can be used as diagnostic confirmation of pathology.

[3010]


FISH FOR DETECTION OF CHOP GENE REARRANGEMENT PARAFFIN-EMBEDDED TISSUE
Order Code FICHOP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; CHOP; Liposarcoma; Sarcoma; Paraffin; Tumor
Specimen Required
       Container type Paraffin tissue block  Specimen type Tumor tissue embedded in paraffin
Specimen processing Submit paraffin block. Store and transport at room temperature.
Stability-   Room temp indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365 , 88274
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of CHOP gene rearrangement associated with t(12;16) or vaiant t(12;22). The gene rearrangement is found in patients with myxoid liposarcoma and can be used as diagnostic confirmation of pathology.

[3016]


FISH FOR DETECTION OF CHROMOSOME DELETION ASSOCIATED WITH PRADER-WILLI SYNDROME
Order Code FISHPW Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; PWS; SNRPN; Prader-Willi Syndrome
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273, 88271
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection of deletions within 15q11 to q13 region; assay uses SNRPN locus DNA probe. Assay cannot distinguish parent of origin for the deletion. Full cytogentic analysis should also be performed in these cases to rule out other cytogenetic abnormalities.

[2960]


FISH FOR DETECTION OF DEK/CAN GENE REARRANGEMENT
Order Code FISHDC Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; DEK/CAN; Myeloid; Acute Myeloid Leukemia
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood or bone marrow  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow sample or peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88275, 88271
Test schedule Mon-Fri
Turnaround time 3 days
Method FISH
Notes
FISH for detection of DEK/CAN gene rearrangement associated with t(6;9). Translocation is found in patients with Acute Myeloid Leukemia.

[2923]


FISH FOR DETECTION OF DELETION ASSOCIATED WITH ALLAGILE SYNDROME
Order Code FIALLA Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; JAG1; Allagile
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 3-5 days   Refrigerated 3-5 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun or SST samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273, 88271 x 2
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection of deletions including the JAG1 locus on 20p12.2 associated with Allagile Syndrome. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnomalities.

[2948]


FISH FOR DETECTION OF DELETIONS ASSOCIATED WITH 3Q29 DELETION SYNDROME
Order Code FISH3Q Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; 3q29 Syndrome
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273, 88271 x 2
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection or confirmation of deletions within the 3q29q region. Full cytogentic analysis should also be performed in these cases to rule out other cytogenetic abnormalities.

[2965]


FISH FOR DETECTION OF DELETIONS ASSOCIATED WITH CONGENITAL DIAPHRAGMATIC HERNIA
Order Code FISCDH Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; DIH1; Congenital Diaphragmatic Hernia
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 0.5-1 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 1-2 days   Refrigerated 1-2 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun or SST samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273, 88271 x 2
Test schedule Mon-Fri
Turnaround time 3 days
Method FISH
Notes
FISH for detection of deletions including the DIH1 locus, associated with congenital diaphragmatic hernia. Full cytogentic analysis should also be performed in these cases to rule out other cytogenetic abnormalities.

[2950]


FISH FOR DETECTION OF DELETIONS ASSOCIATED WITH CORNELIA DE LANGE SYNDROME
Order Code FISCDL Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; CDL; NIPBL; Cornelia de Lange
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273, 88271 x 2
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection of deletions of 5p13 associated with Cornelia de Lange Syndrome. Full cytogentic analysis should also be performed in these cases to rule out other cytogenetic abnormalities.

[2966]


FISH FOR DETECTION OF DELETIONS ASSOCIATED WITH CRI DU CHAT SYNDROME
Order Code FISCDC Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; Cri du Chat; 5p-
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 3-5 days   Refrigerated 3-5 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun, or specimens in SST tubes.
Alternate specimens Fixed cell pellet or slides from another cytogenetics laboratory.
Department Cytogenetics
CPT codes 88291, 88283, 88271 x 2, 88273
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection or confirmation of deletions of 5p15 associated with Cri du Chat Syndrome. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities.

[2922]


FISH FOR DETECTION OF DELETIONS ASSOCIATED WITH KALLMAN SYNDROME
Order Code FISHKS Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; KAL1; Kallman Syndrome
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun or SST samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273, 88271
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection of deletions including the KAL1 locus associated with Kallman Syndrome.

[2946]


FISH FOR DETECTION OF DELETIONS ASSOCIATED WITH LANGER-GIDEON/MULTIPLE EXOSTOSIS SYNDROMES
Order Code FISHLG Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; EXT1; EXT2; Langer-Gideon; Multiple Exostosis
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun or SST samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273 x 2, 88271 x 4
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection of deletions involving the EXT1 and EXT2 loci associated with Langer-Gideon/Multiple Exostosis family of Syndromes. Full cytogentic analysis should also be performed in these cases to rule out other cytogenetic abnormalities.

[2945]


FISH FOR DETECTION OF DELETIONS ASSOCIATED WITH MILLER-DIEKER SYNDROME
Order Code FISHMD Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; Miller-Dieker Syndrome; LIS1
Specimen Required
       Container type Sodium heparin (Green top tube) .  Specimen type Peripheral whole blood  Preferred volume 3-5 mL  Minimum volume 0.5-1 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 1-2 days   Refrigerated 1-2 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Spun, frozen or sample collected in SST tube.
Alternate specimens Fixed cell pellet or slides from another cytogenetics laboratory.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88273
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of deletions including D17S25/LIS1 locus. Full cytogentic analysis should also be performed in these cases to rule out other cytogenetic abnormalities.

[3053]


FISH FOR DETECTION OF DELETIONS ASSOCIATED WITH NEUROFIBROMATOSIS
Order Code FISHNF Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; NF1; Neurofibromatosis
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun or SST samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273, 88271 x 2
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection of mosaic or non-mosaic deletions including NF1 locus. If the patient shows signs consistent with neurofibromatosis in addition to developmental delay, full cytogenetic analysis is also recommended.

[2962]


FISH FOR DETECTION OF DELETIONS ASSOCIATED WITH RUBENSTEIN-TAYBI SYNDROME
Order Code FISHRT Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; CREBBP; Rubenstein-Taybi
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun or SST samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273, 88271 x 2
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection of deletions including the CREBBP locus, associated with Rubenstein-Taybi Syndrome. Full cytogentic analysis should also be performed in these cases to rule out other cytogenetic abnormalities.

[2958]


FISH FOR DETECTION OF DELETIONS ASSOCIATED WITH SMITH-MAGENIS SYNDROME
Order Code FISHSM Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; SMS; Smith-Magenis Syndrome
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun or SST samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273 , 88271
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection or confirmation of deletions including the SMS gene region on 17p11. Full cytogentic analysis should also be performed in these cases to rule out other cytogenetic abnormalities.

[2957]


FISH FOR DETECTION OF DELETIONS ASSOCIATED WITH SOTO SYNDROME
Order Code FISOTO Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; NSD1; Soto
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun or SST samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273, 88271 x 2
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection of deletions including the NSD1 locus at 5q35. Full cytogentic analysis should also be performed in these cases to rule out other cytogenetic abnormalities.

[2956]


FISH FOR DETECTION OF DELETIONS ASSOCIATED WITH TRICHORHINOPHALANGEAL, TYPE 1 SYNDROME
Order Code FITRPS Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; TRPS; Trichorhinophalangeal Syndrome
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273, 88271 x 2
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection of chromosome deletions associated with Trichorhinophalangeal Syndrome, Type 1 using a DNA probe to the TRPS locus at 8q24. Full cytogentic analysis should also be performed in these cases to rule out other cytogenetic abnormalities.

[2955]


FISH FOR DETECTION OF DELETIONS ASSOCIATED WITH WILLIAMS SYNDROME
Order Code FISELN Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; ELN; Williams Syndrome
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun or SST samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273, 88271
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection of deletions including the ELN locus at 7q11.23 associated with Williams Syndrome. Full cytogentic analysis should also be performed in these cases to rule out other cytogenetic abnormalities.

[2954]


FISH FOR DETECTION OF DELETIONS INCLUDING THE APC LOCUS
Order Code FISFAP Test Code FISFAP
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; FAP; APC; Familial Adenomatous Polyposis
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics laboratory.
Department Cytogenetics
CPT codes 88291, 88282, 88271 x 2, 88273
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection or confirmation in patients with deletions of 5q21 which may include the APC locus. Test is appropriate for patients with FAP and developmental delay, but not for cognitively normal individuals with FAP/Gardner Syndrome. If developmental delay is present, full cytogenetic analysis should also be performed to rule out other cytogenetic abnormalities.

[2932]


FISH FOR DETECTION OF DELETIONS INCLUDING THE STS LOCUS
Order Code FISICT Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; STS; Icthyosis
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun or SST specimens.
Department Cytogenetics
CPT codes 88291, 88283, 88271 x 2, 88273
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection of STS locus (Xp22.3) deletions found in female carriers and affected male individuals with X-linked Icthyosis.

[2935]


FISH FOR DETECTION OF EGFR GENE AMPLIFICATION
Order Code FIEGFR Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; EGFR; NSCLC; Lung Cancer; Non Small Cell Lung Cancer; Glioma; Tumor
Specimen Required
       Container type 15 mL conical centrifuge tube or tube supplied by cytogenetics division  Specimen type Fresh or previously frozen tumor tissue in sterile cell culture media.  Preferred volume 1-3mm2  Minimum volume 1mm2
Collection procedure Obtain fresh or previous tumor tissue and submit in sterile cell culture media. If cytogenetics is also requested, specimen must be fresh.
Specimen processing Store and transport at room temperature. Ship as soon as possible to the laboratory in cell culture media.
Stability-   Room temp 1-2 days   Refrigerated 1-2 days   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88283, 88275, 88271 x 2
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of EGFR gene amplification status in either patients with tumor from Glioma family or patients with non-small cell lung carcinoma.

[2927]


FISH FOR DETECTION OF EITHER BCR/ABL1 OR MLL GENE REARRANGEMENT IN ADULTS WITH B-CELL ALL
Order Code FADALL Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; ALL; BCR/ABL1; MLL; leukemia
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271 x 3, 88275 x 2
Test schedule Mon-Fri
Turnaround time 3 days
Method FISH
Notes
FISH for detection of BCR/ABL1 or MLL gene rearrangements in adults with B-cell ALL. Both gene rearrangements have an adverse impact on prognosis in this disease.

[2982]


FISH FOR DETECTION OF EITHER DELETION OR DUPLICATION EVENTS INVOLVING THE BECKWITH WIEDMANN SYNDROME REGION
Order Code FISHBW Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; IGF2; Beckwith-Wiedemann
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 3-5 days   Refrigerated 3-5 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun or SST samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273 x 2, 88271 x 2, 88274
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection of cytogenetic aberrations including deletion or duplication of the 11p15 region including the IGF2 locus which would result in Beckwith-Weidemann Syndrome. Negative assay results do not rule out the diagnosis and patients with normal test results should have methylation analysis of the region performed or have the diagnosis made on clinical findings only. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities.

[2949]


FISH FOR DETECTION OF ETV6/RUNX1 (TEL/AML1) GENE REARRANGEMENT
Order Code FISTEL Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; TEL/AML1; ETV6; Pediatric Acute Leukemia; COG; RUNX1
Specimen Required
       Container type Sodium heparin (Green top tube) or tissue transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of ETV6/RUNX1 gene rearrangement associated with the cytogenetically cryptic t(12;21). Assay can also detect variant translocations, deletion or other rearrangement of ETV6 and amplification involving the RUNX1 locus.

[3099]


FISH FOR DETECTION OF EWING SARCOMA
Order Code FISHES Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; EWSR1; Ewings Sarcoma; Sarcoma; Tumor
Specimen Required
       Container type Tumor tissue transport tube containing cell culture media.  Specimen type Solid tumor tissue in cell culture media.  Preferred volume 1-3mm2  Minimum volume 1mm2
Collection procedure Collect solid tumor tissue in cell culture media.
Specimen processing Store and transport at room temperature. Ship as soon as possible to laboratory; please indicate if cytogenetic analysis is also desired.
Stability-   Room temp 1-2 days   Refrigerated 1-2 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 3 days
Method FISH
Notes
FISH for detection of t(11;22)or variant translocation considered diagnostic for Ewing Sarcoma.

[2930]


FISH FOR DETECTION OF EWSR GENE REARRANGEMENT
Order Code FISESP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; Ewings; Sarcoma; EWSR 1; Paraffin; tumor
Specimen Required
       Container type Paraffin embedded tissue block  Specimen type Tumor tissue embedded in paraffin
Collection procedure Submit tumor tissue embedded in paraffin.
Specimen processing Store and transport at room temperature.
Stability-   Room temp indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365, 88274
Test schedule Mon-Fri
Turnaround time 3 days
Method FISH
Notes
FISH for detection of t(11:22) or variant translocation considered diagnostic for Ewing Sarcoma.

[3097]


FISH FOR DETECTION OF FGFR3/IGH GENE REARRANGEMENT OR VARIANT
Order Code FFGFR3 Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; FGFR3; Multiple Myeloma; Myeloma; IGH
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube.  Specimen type Bone marrow  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow and put in bone marrow transport tube or sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of FGFR3/IGH gene rearrangement or variant; associated with t(4;14), found in patients with high-risk Multiple Myeloma.

[2933]


FISH FOR DETECTION OF FKHR GENE REARRANGEMENT
Order Code FISHFH Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; FKHR; Forkhead; Rhabdomyosarcoma; Sarcoma; Tumor
Specimen Required
       Container type Solid tumor transport tube containing sterile tissue culture media.  Specimen type Fresh solid tumor tissue  Preferred volume 1-3mm2  Minimum volume 1mm2
Collection procedure Collect fresh solid tumor tissue and put in sterile tube containing tissue culture media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 1-2 days   Refrigerated 1-2 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88275, 88271
Test schedule Mon-Fri
Turnaround time 3 days
Method FISH
Notes
FISH for detection of FKHR (Forkhead) gene rearrangement associated with t(2;13) or variant. Diagnostic for alveolar sub-type of Rhabdomyosarcoma.

[2934]


FISH FOR DETECTION OF FKHR GENE REARRANGEMENT IN PARAFFIN-EMBEDDED TISSUE
Order Code FISFHP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; FKHR; Forkhead; Rhabdomyosarcoma; Sarcoma; paraffin; Tumor
Specimen Required
       Container type Paraffin block  Specimen type Tumor tissue embedded in a paraffin block.
Specimen processing Submit tumor tissue embedded in a paraffin block. Store and transport at room temperatue.
Stability-   Room temp indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365, 88274
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of FKHR (Forkhead)gene rearrangement associated with t(2;13) or variant. Diagnostic for alveolar sub-type of Rhabdomyosarcoma.

[3001]


FISH FOR DETECTION OF IGH GENE REARRANGEMENT UNSPECIFIED
Order Code FISIGH Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; IGH; Lymphoma
Specimen Required
       Container type Sodium heparin (Green top tube) or specimen transport tube with cell culture media  Specimen type Whole blood or bone marrow  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect peripheral whole blood or bone marrow and put in soidum heparin (green top tube) or specimen transport tube with cell culture media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Alternate specimens Fresh lymph node or other tumor tissue in cell culture media.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of IGH gene rearrangements. The translocation partner to IGH cannot be confirmed by this assay unless the assay is performed using a specimen that also includes metaphases (that has been previously cultured for cytogenetic analysis).

[2936]


FISH FOR DETECTION OF IGH GENE REARRANGEMENT UNSPECIFIED IN PARAFFIN EMBEDDED TISSUE
Order Code FIIGHP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; IGH; Lymphoma; paraffin
Specimen Required
       Container type Paraffin block  Specimen type Tumor tissue embedded in a paraffin block.
Specimen processing Submit tumor tissue embedded in a paraffin block. Store and transport at room temperatue.
Stability-   Room temp indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365, 88274
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of IGH gene rearrangements. The translocation partner to IGH cannot be confirmed by this assay.

[2937]


FISH FOR DETECTION OF MAF/IGH GENE REARRANGEMENT OR VARIANT
Order Code FISMAF Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; MAF; Multiple Myeloma; Myeloma; IGH
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube  Specimen type Bone marrow  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of FGFR3/IGH gene rearrangement or variant; associated with t(14;16), found in patients with high-risk Multiple Myeloma.

[3098]


FISH FOR DETECTION OF MALT1 GENE REARRANGEMENT
Order Code FISHML Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; MALT1; Lymphoma
Specimen Required
       Container type Tumor tissue transport tube for tumor tissue, bone marrow transport tube or sodium heparin (Green top tube) for bone marrow  Specimen type Tumor tissue in media or bone marrow with known lymphoma involvment by pathology. Please indicate if cytogenetic analysis is also desired.
Specimen processing Store and transport at room temperatue.
Stability-   Room temp 1-2 days   Refrigerated 1-2 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88275, 88271
Test schedule Mon-Fri
Turnaround time 3-5 days
Method FISH
Notes
FISH for detection of MALT1 gene rearrangement associated with t(11;18); found in patients with marginal zone lymphoma, most often extranodal stomach or lung.

[3003]


FISH FOR DETECTION OF MALT1 GENE REARRANGEMENT IN PARAFFIN EMBEDDED TISSUE
Order Code FISMLP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; MALT; Lymphoma; Paraffin
Specimen Required
       Container type Paraffin tissue block  Specimen type Tumor tissue embedded in paraffin
Specimen processing Submit paraffin block. Store and transport at room temperature.
Stability-   Room temp indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365, 88274
Test schedule Mon-Fri
Turnaround time 3-5 days
Method FISH
Notes
FISH for detection of MALT1 gene rearrangement associated with t(11;18); found in patients with marginal zone lymphoma, most often extra nodal stomach or lung.

[3005]


FISH FOR DETECTION OF MLL GENE REARRANGEMENT
Order Code FISMLL Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; MLL; Leukemia; Myeloid; Lymphoid
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 3 days
Method FISH
Notes
FISH for detection of MLL rearrangement (11q23), including translocation, deletion or gene amplification.

[2996]


FISH FOR DETECTION OF MYC/IGH GENE REARRANGEMENT OR VARIANT
Order Code FISHMI Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; IGH; MYC; Burkitts;Lymphoma
Specimen Required
       Container type Sodium heparin (Green top tube), bone marrow transport tube containing cell culture media  Specimen type Bone marrow with known lymphoma involvement by pathology.  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow with known lymphoma involvent in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 1-3 days   Refrigerated 1-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Alternate specimens Fresh lymph node tissue in tissue transport tube containing cell culture media. Please indicate if cytogentic analysis is also desired.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of MYC,/IGH gene rearrangement associated with t(8;14) or variant. Assay can also detect alternate IGH or MYC gene rearrangements and MYC gene amplification.

[3000]


FISH FOR DETECTION OF MYC/IGH GENE REARRANGEMENT OR VARIANT PARAFFIN-EMBEDDED TISSUE
Order Code FISMIP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; MYC; Lymphoma; Paraffin; Burkitts
Specimen Required
       Container type Paraffin tissue block  Specimen type Solid tumor or lymph node embedded in paraffin
Specimen processing Submit paraffin block. Store and transport at room temperature.
Stability-   Room temp indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365, 88274
Test schedule Mon-Fri
Turnaround time 4 days
Method FISH
Notes
FISH for detection of MYC/IGH gene rearrangement associated with t(8;14) and found in patients with Burkitt's Lymphoma. Assay can detect variant rearrangement of either IGH or MYC and also MYC gene amplification.

[3004]


FISH FOR DETECTION OF MYCN GENE AMPLIFICATION
Order Code FIMYNP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; MYCN; Neuroblastoma; Paraffin; Tumor
Specimen Required
       Container type Tissue block  Specimen type Tumor tissue embedded in paraffin
Specimen processing Submit tumor tissue embedded in paraffin. Store and transport at room temperature.
Stability-   Room temp indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365 x 2, 88274
Test schedule Mon-Fri
Turnaround time 3 days
Method FISH
Notes
FISH for enumeration of MYCN copy number in neuroblastoma. CEP2 (chromosome 2 centromere probe) is used as the internal control for the assay to distinguish between amplicication and aneusomy for chromosome 2.

[2921]


FISH FOR DETECTION OF MYCN GENE AMPLIFICATION
Order Code FISMYN Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; MYCN; Neuroblastoma; Tumor
Specimen Required
       Container type Tumor transport tube containing sterile tissue culture media  Specimen type Fresh or frozen tumor tissue. If cytogenetic analysis is also desired, tissue must be fresh.  Preferred volume 1-3mm2  Minimum volume 1mm2
Specimen processing Store and transport at room temperatue. Please shop to the laboratory as soon as possible after collection.
Stability-   Room temp 1-2 days   Refrigerated 1-2 days   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88283, 88275, 88271 x 2
Test schedule Mon-Fri
Turnaround time 3 days
Method FISH
Notes
FISH for enumeration of MYCN copy number in neuroblastoma. CEP2 (chromosome 2 centromere probe) is used as the internal control for the assay to distinguish between amplification and aneusomy for chromosome 2.

[3002]


FISH FOR DETECTION OF PAX5 GENE REARRANGEMENT
Order Code FISPAX Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; PAX5; Lymphoma
Specimen Required
       Container type Sodium heparin (Green top tube) or specimen transport tube with cell culture media  Specimen type Whole blood or bone marrow  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect peripheral whole blood or bone marrow in sodium heparin (green top tube)or specimen transport tube with cell culture media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88275, 88271
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of PAX5/IGH gene rearrangement associated with t(9;14), found in patients with high-risk lymphoma.

[2961]


FISH FOR DETECTION OF PAX5 GENE REARRANGEMENT PARAFFIN-EMBEDDED TISSUE
Order Code FIPAXP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; PAX5; Lymphoma; Paraffin
Specimen Required
       Container type Paraffin tissue block  Specimen type Solid tumor or lymph node embedded in paraffin  Preferred volume 1-3mm2  Minimum volume 1mm2
Specimen processing Submit paraffin block. Store and transport at room temperature.
Stability-   Room temp indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365 , 88274
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of PAX5/IGH gene rearrangement associated with t(9;14), found in patients with high-risk lymphoma.

[3014]


FISH FOR DETECTION OF PDGFR-BETA GENE REARRANGEMENT
Order Code FPDGFR Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; PDGFR; Myeloid; Myeloproliferative
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 7 days
Method FISH
Notes
FISH for detection of PDGFR-Beta gene rearrangement, usually in the form of the near cryptic t(5;12). The rearrangement is found in patients with myeloproliferative disorders other than CML that may be responsive to treatment with Imatinib. .

[2977]


FISH FOR DETECTION OF PML/RARA GENE REARRANGEMENT
Order Code FISHPR Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; Myeloid Leukemia; M3; Promyelocytic; PML; RARA
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 1 day
Method FISH
Notes
FISH for detection of PML/RARA gene rearrangement associated with t(15;17). Some variant translocations may also be detected by the assay.

[2978]


FISH FOR DETECTION OF SYT GENE REARRANGEMENT
Order Code FISHYT Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; SYT; Synovial Sarcoma; Sarcoma, tumor
Specimen Required
       Container type Sodium heparin (Green top tube) or tissue transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 1-2 days   Refrigerated 1-2 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Alternate specimens Fresh tumor tissue, ship specimen to the cytogenetics lab ASAP.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of SYT gene rearrangement associated with t(X;18) and variants found in Synovial Sarcoma.

[3104]


FISH FOR DETECTION OF SYT GENE REARRANGEMENT IN PARAFFIN-EMBEDDED TISSUES
Order Code FISYTP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; SYT; Synovial Sarcoma; Sarcoma; Paraffin; Tumor
Specimen Required
       Container type Paraffin tissue block  Specimen type Tissue embedded in paraffin
Specimen processing Submit paraffin block. Store and transport at room temperature.
Stability-   Room temp indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365 , 88274
Test schedule Mon-Fri
Turnaround time 7 days
Method FISH
Notes
FISH for detection of SYT gene rearrangement associated with t(X;18) and variants found in Synovial Sarcoma in paraffin embedded tissues.

[3015]


FISH FOR DETECTION OF TP16 DELETION
Order Code FITP16 Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; TP16; Lymphoblastic Leukemia; Leukemia
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271 x 2, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of TP16 deletions associated with deletion of 9p found in patients with lymphoid leukemia.

[2983]


FISH FOR DETECTION OF TP53 DELETION
Order Code FITP53 Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; TP53; CLL; Myeloma; Myeloid Leukemia
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271 x 2, 88275
Test schedule Mon-Fri
Turnaround time 7 days
Method FISH
Notes
FISH for detection of TP53 deletions associated with poor prognosis in multiple types of hematologic malignancy. This probe can be ordered singly using this code, or as part of the CLL or Myeloma FISH panels.

[2984]


FISH FOR DETECTION OF TP58 GENE REARRANGEMENT
Order Code FITP58 Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; TP58; Neuroblastoma; Glioblastoma; Tumor
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271 x 2, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for confirmation of TP58 gene rearrangement at 1p36.

[2985]


FISH FOR DETECTION OF TP58 GENE REARRANGEMENT IN PARAFFIN EMBEDDED TISSUE
Order Code FTP58P Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; TP58; Neuroblastoma; Glioblastoma; Paraffin; Tumor
Specimen Required
       Container type Paraffin tissue block  Specimen type Tumor tissue embedded in paraffin
Specimen processing Submit paraffin block. Store and transport at room temperature.
Stability-   Room temp indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365 x 2, 88274
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for confirmation of TP58 gene rearrangement at 1p36.

[3012]


FISH FOR DETECTION OF TRANSLOCATIONS OF THE SRY GENE TO THE X CHROMOSOME OR TO AN AUTOSOME
Order Code FISSYT Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; SRT; Sex Reversal
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273, 88271 x 2
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for detection of translocation of the SRY sex determining gene to either the X chromosome or to an autosome (5 cell analysis). For use in patients with known sex reversal and with prior cytogenetic analysis.

[2963]


FISH FOR DETECTION OF WT1 GENE DELETION PARAFFIN-EMBEDDED TISSUE
Order Code FIWT1P Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; WT1; Wilm's Tumor; Paraffin; Tumor
Specimen Required
       Container type Paraffin tissue block  Specimen type Tumor tissue embedded in paraffin
Specimen processing Submit paraffin block. Store and transport at room temperature.
Stability-   Room temp indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365 x 2, 88274
Test schedule Mon-Fri
Turnaround time 7 days
Method FISH
Notes
FISH for detection of WT1 deletion in patients with Wilm's Tumor.

[3011]


FISH FOR DETECTION/CONFIRMATION OF DELETIONS ASSOCIATED WITH WOLF-HIRSCHORN SYNDROME
Order Code FISWHS Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; WHS; Wolf-Hirschorn Syndrome
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen,.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88273, 88271
Test schedule Mon-Fri
Turnaround time 7 days
Method FISH
Notes
FISH for detection or confirmation of chromosome deletions involving the 4p16.1 region using the WHS critical region DNA probe. Full cytogentic analysis should also be performed in these cases to rule out other cytogenetic abnormalities.

[2953]


FISH FOR DETECTION/CONFIRMATION OF NUP98 GENE REARRANGEMENT
Order Code FISHNU Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; NUP98; Myeloid Leukemia
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 4 days
Method FISH
Notes
FISH for detection and confirmation of NUP98 gene rearrangement associated with chromosome translocations involving 11p15; found in patients with Acute Myeloid Leukemia.

[2976]


FISH FOR DETECTION/IDENTIFICATION OF MARKER CHROMOSOMES, MOSAIC OR NON-MOSAIC
Order Code FISMAR Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; Marker chromosome
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1-2 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Alternate specimens Fixed cell pellet or slides from another cytogenetics lab.
Department Cytogenetics
CPT codes 88291, 88283, 88272 x number of probes used, 88271 x number of probes used
Test schedule Mon-Fri
Turnaround time 10 days
Method FISH
Notes
FISH for identification of chromosome source of marker chromosomes found during prior cytogenettic anaylsis. Billing charges depend on the number of DNA probes required for identification.

[2947]


FISH FOR EGFR GENE AMPLIFICATION STATUS IN PARAFFIN EMBEDDED TISSUE
Order Code FEGFRP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; EGFR; NSCLC; Lung Cancer; Non Small Cell Lung Cancer; Glioma; Paraffin; Tumor
Specimen Required
       Container type Tissue block  Specimen type Tumor tissue embedded in paraffin.
Specimen processing Submit tumor tissue embedded in paraffin. Store and transport at room temperature.
Stability-   Room temp indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365 x 2, 88274
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of EGFR gene amplification status in either patients with tumors from the Glioma family or patients with non-small cell lung carcinoma.

[2928]


FISH FOR GENETIC MARKERS ASSOCIATED WITH IGM MGUS OR WALDENSTROM'S MACROGLOBULINEMIA
Order Code FISIGM Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; CHIC2; SHPRH; MGUS; Waldenstrom
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube with cell culture media.  Specimen type Whole blood or bone marrow  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect peripheral whole blood or bone marrow in sodium heparin (green top tube) or bone marrow in bone marrow transport tube containing cell culture media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88283, 88275, 88271 x 2
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of CHIC2 deletion, surrogate aberration for the FIP1L1-PDGFRA gene rearrangement (chromosome 4), and SHPRH gene deletion (chromosome 6q).

[2943]


FISH FOR HER2 GENE AMPLIFICATION
Order Code FISHER Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms HER2; ERBb2
Specimen Required
        Specimen type Paraffin-embedded tissue block or 3 micron sections
Specimen processing Paraffin-embedded tissue block or 3 micron sections cut on distilled water bath. Slides must be baked at 65 C overnight before hybridization. Also include an H & E slide. If you send the block, it will be cut at SHMC and returned to you. Store and transport at room temperature.
Stability-   Room temp indefinitely   Refrigerated indefinitely   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88274, 88365 X 2
Test schedule Weekly
Turnaround time 7 days
Method In situ hybridization
Test includes
FISH HER-2/NEU.
Reference ranges
  
FISH HER-2/NEU
 Separate Report to Follow

[794]


FISH FOR MYELOID DISEASE INCLUDING MDS OR MYELOID LEUKEMIA
Order Code FISMYE Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; Myeloid; MDS; Myelodysplastic; leukemia
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood containing blasts  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271 x 4, 88275 x 4
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH to identify cytogenetic aberrations associated with myeloid disease, either Myelodysplastic Syndrome or Acute Myeloid Leukemia. DNA probes used as EGR1(5q-), D7S486 (7q- or monosomy 7), CEP8 (trisomy 8), and D20SI08 (20q-), all common cytogenetic aberrations in this category of neoplastic disease.

[2975]


FISH FOR PRENATAL INTERPHASE FISH ANEUPLOIDY SCREEN
Order Code FISHAN Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; Aneuvysion
Specimen Required
       Container type Sterile screw top centrifuge tube (Corning, Falcon or equivalent)  Specimen type Amniotic Fluid  Preferred volume 3-5 mLs  Minimum volume 3 mL
Collection procedure Collect 3-5 mLs amniotic fluid and put in 15 mL sterile screw top centrifuge tube (Corning, Falcon or equivalent). Do not spin.
Specimen processing Do not centrifuge or freeze. Store and transport at room temperature. Additional sterile amniotic fluid for accompanying cytogenetic analysis is also required, as this is not a stand-alone diagnostic test.
Stability-   Room temp 1-2 days   Refrigerated 5 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, spun or samples with visible blood.
Department Cytogenetics
CPT codes 88291, 88283, 88271x 5, 88274 x 2
Test schedule Mon-Fri
Turnaround time 1 day
Method FISH
Notes
Interphase FISH (fluorescent in situ hybridization) for detection of aneuploidy involving chromosomes 13, 18, 21, X and Y. This is not a stand-alone test; all specimens submitted for prenatal interphase FISH analysis must also have additional amniotic fluid volume submitted for cytoenetic analysis, per current standard of care.

[3069]


FISH FOR PROGNOSIS IN MULTIPLE MYELOMA
Order Code FISHMM Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; Multiple Myeloma; Myeloma
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271 x 6, 88275 x 4
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for confirmation of Myeloma diagnosis and to establish prognosis in patients diagnosed with Multiple Myeloma. DNA probes used are FGFR3/IGH, MLL, D13S19 and TP53. This panel is also required for patients enrolling on SWOG Multiple Myeloma treatment regimens.

[2989]


FISH FOR RB1 DELETION OR REARRANGEMENT IN PARAFFIN EMBEDDED TISSUE/TUMORS
Order Code FISRBP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; RB1; Retinoblastoma; Paraffin; Tumor
Specimen Required
       Container type Paraffin tissue block  Specimen type Tumor or other tissue embedded in paraffin
Specimen processing Submit paraffin block. Store and transport at room temperature.
Stability-   Room temp indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365 x 2, 88274
Test schedule Mon-Fri
Turnaround time 7 days
Method FISH
Notes
FISH for detection of RB1 gene deletion or other rearrangement in paraffin embedded neoplastic tissue.

[3013]


FISH FOR RB1 GENE DELETION IN CONSTITUTIONAL SPECIMEN
Order Code FISRBC Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; RB1; Retinoblastoma
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 1 mL
Collection procedure Collect peripheral whole blood in sodium heparin (green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88273, 88271 x 2
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
Metaphase FISH for detection of constitutional RB1 gene deletion.

[2959]


FISH FOR RB1 GENE DELETION OR REARRANGEMENT IN NEOPLASTIC SPECIMENS
Order Code FISRBN Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH;RB1; Retinoblastoma
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Alternate specimens Fresh tumor tissue in transport media.
Department Cytogenetics
CPT codes 88291, 88283, 88271 x 2, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of RB1 gene deletion or other alteration.

[2979]


FISH FOR RUNX1ETO GENE REARRANGEMENT
Order Code FISHRE Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; AML; RUNX1; ETO; M2; leukemia
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH to determine RUNX1/ETO gene rearrangement status, confirm t(8;21) or variant.

[2995]


FISH FOR SIL/TAL1 GENE REARRANGEMENT OR DELETION OF SIL
Order Code FISSIL Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; SIL/TAL1; SIL; TAL1; T-cell Acute Lymphocytic Leukemia; ALL
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of either SIL/TAL gene rearrangement or SIL gene deletion (1p32), abberations that are found in patients with T-cell ALL.

[2980]


FISH FOR T-CELL RECEPTOR GENE REARRANGEMENT ALPHA AND DELTA
Order Code FISTCR Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; T-cell Receptor; T-cell ALL; Acute Leukemia
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Alternate specimens Lymph node, lymph node embedded in paraffin.
Department Cytogenetics
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 7 days
Method FISH
Notes
FISH for detection of T-cell gene rearrangement involving the T-cell alpha/delta locus on 14q11.2.

[2981]


FISH FOR WT1 GENE DELETIONS DETECTION
Order Code FISWT1 Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; WT1; Wilms Tumor
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or bone  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or bone in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271 x 2, 88275
Test schedule Mon-Fri
Turnaround time 7 days
Method FISH
Notes
FISH for detection of WT1 gene deletion found in patients with Wilm's Tumor.

[2986]


FISH FOR X & Y CHROMOSOME DETECTION POST SEX-MISMATCHED BONE MARROW TRANSPLANT
Order Code FISHXY Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; BMT; Bone Marrow Transplant; Chimerism, XY
Specimen Required
       Container type Sodium heparin (Green top tube) or specimen transport tube with cell culture media  Specimen type Bone marrow  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow sample in sodium heparin (green top tube) or in specimen transport tube with cell culture media.
Specimen processing Store and tranpsort at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88275, 88271 x 2, 88283
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for assesment of graft post sex-mismatched bone marrow transplant.

[2918]


FISH MM IGH+, FGFR3/IGH REFLEX PANEL
Order Code FISMMR Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; MAF; CCND1; Myeloma; Multiple Myeloma
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271 x 2, 88275 x 2
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
Reflex FISH panel for patients diagnosed with Multiple Myeloma who, by FISH, test positive for IGH gene rearrangement, but negative for FGFR3/IGH gene rearrangement. DNA probes used are MAF/IGH and CCND/INH for the t(14;16)and t(11;14) which have prognostic implications in the patients with Myeloma.

[2994]


FISH PANEL FOR B-CELL LYMPHOMA SUB-CLASSIFICATION
Order Code FISHLY Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; IGH; CCND1; BCL2; MALT1; BCL6; MYC; PAX5; Lymphoma
Specimen Required
       Container type Sodium heparin (Green top tube), bone marrow transport tube containing cell culture media  Specimen type Bone marrow with known lymphoma infiltrate by morphology.  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or leukemic whole blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 1-3 days   Refrigerated 1-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Alternate specimens Fresh lymph node or disaggregated lymph node tissue in tumor transport tube with sterile cell culture media. Please indicate if cytogenetic analysis is also desired.
Department Cytogenetics
CPT codes 88291, 88283, 88271 x 6, 88275 x 6
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of gene rearrangements associated with various sub-types of B-cell lymphoma. CCND1/IGH: Mantle Cell Lymphoma, BCL2/IGH: Follicular Lymphoma, MALT1: MALT Lymphoma, BCL6: Large B-cell Lymphoma, MYC: Burkitt Lymphoma.

[2999]


FISH PANEL REQUIRED FOR COG CASE SUBMISSION AND PEDIATRIC B-CELL ALL PROGNOSIS
Order Code FISCOG Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; COG, pediatric ALL; ALL; Acute Lymphocytic Leukemia; Acute Lymphoblastic Leukemia
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271 x 7, 88275 x 5
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH panel for Children's Oncology Group case submission for COG study and for prognosis in pediatric B-cell Lymphocytic Leukemia. DNA probes used are BCR/ABL1, MLL, ETV6/RUNX1; TP16 and CEP4, 10, and 17.

[2988]


FISH PTEN DELETION IN PARAFFIN EMBEDDED TISSUE
Order Code FIPTEN Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; PTEN; Glioma; Paraffin; tumor
Specimen Required
       Container type Paraffin embedded tissue block  Specimen type Tumor tissue embedded in paraffin
Collection procedure Submit tumor tissue embedded in paraffin.
Specimen processing Store and transport at room temperature.
Stability-   Room temp indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Cytogenetics
CPT codes 88291, 88365 x 2, 88274
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for detection of PTEN deletion in patients with tumor from Glioma family.

[3103]


FISH TO DISTINGUISH BETWEEN ELL & ENL GENE REARRANGEMENT IN ACUTE LEUKEMIA
Order Code FISHEE Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; ELL; ENL; Leukemia; Myeloid, Lymphoid
Specimen Required
       Container type Sodium heparin (Green top tube)  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect a bone marrow or peripheral blood in a sodium heparin(green top tube).
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88275, 88271 x 2
Test schedule Mon-Fri
Turnaround time 3 days
Method FISH
Notes
FISH to distinguish between ENL & ELL gene rearrangement associated with t(11;19) in acute leukemia, either myeloid or lymphoid.

[2929]


FISH TO ESTABLISH PROGNOSIS IN CHRONIC LYMPHOCYTIC LEUKEMIA (CLL)
Order Code FICLPA Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; CLL; Chronic Lymphocytic Leukemia
Specimen Required
       Container type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271 x 4, 88275 x 2
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH panel to establish prognosis for patients diagnosed with Chronic Lymphocytic Leukemia. DNA probes used are ATM, CEP12, D13S25 and TP53.

[2974]


FISH TRISOMY 8 IN HEMATOLOGIC MALIGNANCY
Order Code FITRI8 Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
Synonyms FISH; trisomy 8; myeloid, leukemia
Specimen Required
       Container type Sodium heparin (Green top tube) or tissue transport tube containing cell culture media  Specimen type Bone marrow or peripheral whole blood if blasts are present  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Collection procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or cell culture transport media.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen samples.
Department Cytogenetics
CPT codes 88291, 88283, 88271; 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH
Notes
FISH for identification of abnormal cell clone containing trisomy 8.

[3100]


FISH WAGR SYNDROME
Order Code FIWAGR Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system.
.
Synonyms FISH; Aniridia; WAGR Syndrome; WT1; Wilms Tumor
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Whole blood  Preferred volume 3-5 mL  Minimum volume 0.5 mL
Specimen processing Store and transport at room temperature.
Stability-   Room temp 2-3 days   Refrigerated 2-3 days   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Frozen specimens.
Alternate specimens Fixed cell pellet from another cytogenetics laboratory.
Department Cytogenetics
CPT codes 88291, 88283, 88273 x 2, 88271 x 2
Test schedule Mon-Fri
Turnaround time 7 days
Method FISH
Notes
FISH for detection of WT1 and/or PAX6 gene deletion found in patients with Wilm's Tumor/ Aniridia (WAGR Syndome).

[3101]


FISH, CCND1 dual color break-apart gene rearrangement, t(11;14) or 11q13 variant
Order Code FCCND1 Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; CCND1; break-apart; t(11;14); 11q13; MCL; Mantle Cell Lymphoma; BCL1
Specimen Required
       Container type Bone Marrow transport tube containing cell culture media OR Sodium heparin (green top tube)  Specimen type Bone Marrow or whole peripheral blood  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Store and transport ASAP at room temperature.
Stability-   Room temp 3 days   Refrigerated   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Frozen samples
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 3-5 days
Method FISH

[6381]


FISH, ETV6 dual color break-apart probe, t(12;21) or variant
Order Code FIETV6 Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; ETV6; break-apart; t(12;21)
Specimen Required
       Container type Bone Marrow transport tube containing cell culture media OR Sodium heparin (green top tube)  Specimen type Bone Marrow or whole peripheral blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Specimen processing Store and transport ASAP at room temperature.
Stability-   Room temp 3 days   Refrigerated   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Frozen samples
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 3-5 days
Method FISH

[6384]


FISH, FGFR1 dual color break-apart probe, t(8;11), MPD eosinophilia
Order Code FFGFR1 Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; FGFR1; break-apart; t(8;11); myeloproliferative disorder; eosinophilia; MPD; EMS; t(8;6); t(8;9); t(8;13); t(8;22); 8p12
Specimen Required
       Container type Bone Marrow transport tube containing cell culture media OR Sodium heparin (green top tube)  Specimen type Bone Marrow or whole peripheral blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Specimen processing Store and transport ASAP at room temperature.
Stability-   Room temp 3 days   Refrigerated   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Frozen samples
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 3-5 days
Method FISH

[6382]


FISH, FIP1L1-CHIC2-PDGFRA, 4q12, tricolor break-apart probe, MPD eosinphilia
Order Code FISFCP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; FIP1L1; CHIC2; PDGFRA; 4q12; break-apart; myeloproliferative disorder; eosinophilia
Specimen Required
       Container type Bone Marrow transport tube containing cell culture media OR Sodium heparin (green top tube)  Specimen type Bone Marrow or whole peripheral blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Specimen processing Store and transport ASAP at room temperature.
Stability-   Room temp 3 days   Refrigerated   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Frozen samples
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 3-5 days
Method FISH

[6383]


FISH, FUS (TLS) 16p11, dual color break-apart probe, Low-grade Fibromyxoid Sarcoma (LGFMS), paraffin
Order Code FIFUSP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; FUS (TLS); 16p11; t(12;16); break-apart; Low-grade Fibromyxoid Sarcoma; LGFMS; malignant myxoid liposarcoma; MLS; CHOP; paraffin
Specimen Required
       Container type Paraffin embedded tissue block, formalin-fixed, AND 1 hematoxylin-and -eosin stained slide  Specimen type Tumor tissue in paraffin block
Specimen processing Store and transport at room temperature.
Required patient info Provide a pathology report with each tissue specimen.
Stability-   Room temp Indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens If slides are sent, provide 2-3 slides with one H+E stained slide, 3-4 um thick sections from paraffin embedded tissue block. Baking the slide is not required.
CPT codes 88291, 88365, 88274
Test schedule Mon-Fri
Turnaround time 5-7 days
Method FISH

[6385]


FISH, FUS (TLS), 16p11, dual color break-apart probe, Low-grade Fibromixoid Sarcoma
Order Code FISFUS Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; FUS; TLS; 16p11; t(12;16); break-apart; Low-grade Fibromyxoid Sarcoma; LGFMS; malignant myxoid liposarcoma; MLS; CHOP
Specimen Required
       Container type Solid tissue transport tube containing sterile tissue culture media  Specimen type Fresh solid tumor tissue  Preferred volume 1-3 mm2  Minimum volume 1 mm2
Collection procedure Collect fresh solid tumor tissue and put in a sterile tube containing tissue culture media.
Specimen processing Store and transport ASAP at room temperature.
Stability-   Room temp 2 days   Refrigerated   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Frozen samples
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 5 days
Method FISH

[6388]


FISH, MYC, dual color break-apart probe, t(8;14) or variant MYC, Burkitt Lymphoma
Order Code FISMYC Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; MYC; t(8;14); break-apart; Burkitt Lymphoma
Specimen Required
       Container type Bone Marrow transport tube containing cell culture media OR Sodium heparin (green top tube)  Specimen type Bone Marrow or whole peripheral blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Specimen processing Store and transport ASAP at room temperature.
Stability-   Room temp 3 days   Refrigerated   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Frozen samples
Alternate specimens Freash lymph node tissue in tissue transport tube containing sterile tissue culture media. Please indicate if cytogenetic analysis is also desired.
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 3-5 days
Method FISH

[6389]


FISH, MYC, dual color break-apart probe, t(8;14) or variant MYC, Burkitt Lymphoma, paraffin
Order Code FIMYCP Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; MYC; t(8;14); break-apart; Burkitt Lymphoma; paraffin
Specimen Required
       Container type Paraffin embedded tissue block, formalin-fixed, AND 1 hematoxylin-and -eosin stained slide  Specimen type Tumor tissue in paraffin block
Specimen processing Store and transport at room temperature.
Required patient info Provide a pathology report with each tissue specimen.
Stability-   Room temp Indefinite   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens If slides are sent, provide 2-4 slides with one H+E stained slide, 3 um thick sections from paraffin embedded tissue block. Baking the slide is not required.
CPT codes 88291, 88365, 88274
Test schedule Mon-Fri
Turnaround time 4-7 days
Method FISH

[6386]


FISH, RARA dual color break-apart probe, t(15;17), APL
Order Code FIRARA Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; RARA; break-apart; t(15;17); acute promyelocytic leukemia; myeloid leukemia; M3
Specimen Required
       Container type Bone Marrow transport tube containing cell culture media OR Sodium heparin (green top tube)  Specimen type Bone Marrow or whole peripheral blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Specimen processing Store and transport ASAP at room temperature.
Stability-   Room temp 3 days   Refrigerated   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Frozen samples
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 3-5 days
Method FISH

[6387]


FISH, TCF3/PBX1 dual color dual-fusion probe, t(1;19)(q23;p13) for B cell ALL
Order Code FITCF3 Test Code
This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system.
Synonyms FISH; TCF3; PBX1; dual-fusion; t(1;19); B cell acute lymphoblastic leukemia
Specimen Required
       Container type Bone Marrow transport tube containing cell culture media OR Sodium heparin (green top tube)  Specimen type Bone Marrow or whole peripheral blood  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Specimen processing Store and transport ASAP at room temperature.
Stability-   Room temp 3 days   Refrigerated   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Frozen samples
CPT codes 88291, 88283, 88271, 88275
Test schedule Mon-Fri
Turnaround time 3-5 days
Method FISH

[6380]


FK 506
Order Code FK506 Test Code FK506
Synonyms Tacrolimus; Prograf
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Draw specimen 30 minutes before the next dose.
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C) 6 months   Frozen (-70°C)
Limitations Avoid repeat freeze/thaw cycles.
Department Chemistry
CPT codes 80197
Test schedule Sun-Sat days; Mon-Fri evenings
Turnaround time 1-2 days
Method CMIA
Test includes
FK 506, ng/mL.
Reference ranges
  
FK 506                         ng/mL
 No established reference range.
 Therapeutic range for Tacrolimus
 not clearly defined. Target 12 hr
 trough whole blood concentrations
 are 5 to 20 ng/mL early post
 transplant. Higher concentrations
 show an increased incidence of
 adverse effects.

[795]


FLECAINIDE
Order Code FLEC Test Code FLEC
Synonyms Tambocar
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 0.8 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Stability-   Room temp 6 weeks   Refrigerated 6 weeks   Frozen (-20°C) 6 weeks   Frozen (-70°C)
Unacceptable conditions SST tubes or gel separators.
Alternate specimens EDTA, sodium heparin or sodium fluoride/potassium oxalate (lavender, green or grey top tube).
CPT codes 80299
Test schedule Mon-Sat
Turnaround time 2-3 days
Method HPLC
Test includes
Flecainide, ug/mL.
Reference ranges
  
Flecainide  0.20-1.00       ug/mL      
     Toxic  GT 1.50

[796]


FLEXERIL
Order Code FLEXERIL Test Code FLEX
Synonyms Cyclobenzaparine
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 4 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport at room temperature.
Limitations No SST tubes.
CPT codes 82491
Method GC
Test includes
Flexeril, ng/mL.
Reference ranges
  
Flexeril   Therapeutic 3-36     ng/mL
           Daily regimen of 30 mg

[797]


FLU A, FLU B, and RSV by PCR shipping instruction code
Order Code RESPCR Test Code RESPCR
Synonyms Flu A, Flu B, RSV, by Real Time PCR, Molecular
Specimen Required
       Container type Viral transport media (M4-RT)  Specimen type Nasopharyngeal (NP) swab - flocked preferred.
Specimen processing Store and transport refrigerated. Ship 650.
Stability-   Room temp Unacceptable   Refrigerated 3 days   Frozen (-20°C) Unacceptable   Frozen (-70°C) indefinitely
Alternate specimens Polyester, rayon, or nylon tipped swabs or flocked swabs in M4, M4RT, M5, M6, Copan or BD Universal Transport Media.
Department Virology
CPT codes 87798 x 3
Test schedule Mon-Fri
Turnaround time 2-4 days
Method Real-Time PCR
Test includes
Flu A, Flu B, RSV, Comment.
Reference ranges
  
Influenza A                   Not Detected
Influenza B                   Not Detected
Respiratory Synctial Virus    Not Detected
 A result of Not Detected does not rule out the possibility of influenza or RSV infection and      
 should not be used as the sole basis for treatment or management decisions.

[5570]


FLUNITRAZEPAM & METABOLITE URINE (REFLEX)
Order Code FLUNCO Test Code FLUNCO
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Rohypnol; Flunitrazepam Metabolite
Specimen Required
       Container type Leakproof plastic urine container  Specimen type Urine  Preferred volume 6 mL  Minimum volume 2.1 mL
Collection procedure Collect a random urine specimen in a leakproof plastic urine container.
Specimen processing Aliquot 6 mL urine into a leakproof plastic urine container. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
CPT codes 80100
Test schedule Tue, Thu
Turnaround time 3-6 days
Method HPLC, LC-MS/MS
Test includes
Flunitrazepam, Urine, ng/mL; Norflunitrazepam, Urine, ng/mL; 7-Amino Flunitrazepam, Urine, ng/mL; Flunitrazepam, Urine Confirmation, ng/mL; Norflunitrazepam, Urine Confirmation, ng/mL; 7-Amino Flunitrazepam, Urine Confirmation, ng/mL.
Reference ranges
  
Flunitrazepam, Urine                           ng/mL
Norflunitrazepam, Urine                        ng/mL
7-Amino Flunitrazepam, Urine                   ng/mL
 In urine approximately 10% of an oral
 dose is excreted as 7-Amino Flunitrzaepam
Flunitrazepam, Urine Confirmation              ng/mL
Norflunitrazepam, Urine, Confirmation          ng/mL
7-Amino Flunitrazepam Urine Confirmation       ng/mL

[3560]


FLUORESCENT PARASITE SMEAR
Order Code CRYSM Test Code CRYSM
Synonyms Cryptosporidium; Isospora; Cyclospora
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Stool  Preferred volume Walnut-sized portion.  Minimum volume Pea-sized portion.
Collection procedure Collect a walnut-sized portion of fresh stool in a sterile, leakproof plastic container.
Specimen processing Submit within 1 hour or put in 10% formalin. Store and transport at room temperature.
Department Microbiology
CPT codes 87206
Test schedule Daily
Turnaround time 24-48 hours
Method Concentration/Mod. Acid Fast Stain
Test includes
Fluorescent Parasite Smear; Report Status.
Reference ranges
  
Fluorescent Parasite Smear   Negative
Report Status

[799]


FLUORESCENT POLARIZATION, AMNIOTIC FLUID
Order Code FL.POLAR Test Code FPOLAF
Specimen Required
       Container type Leakproof plastic container.  Specimen type Amniotic fluid  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Collect on ice.
Specimen processing Do not centrifuge. Store and transport refrigerated.
Stability-   Room temp 1 hour   Refrigerated 48 hours   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 83663
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Fluorescence Polarization
Test includes
Fluorescence Polarization, mPOL.
Reference ranges
  
Fluorescence Polarization      mPOL
 Mature           260 or less
 Transitional     261-289
 Immature         290 or more
Notes
Amniocentesis fluid preferred.

[800]


FLUORESCENT TREPONEMAL ANTIBODY (REFLEXIVE)
Order Code FTA.ARUP Test Code FTA
This test may reflex to additional tests depending upon the results of this test. Additional charges may be added.
Synonyms FTA AB; FTA-ABS, IGG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions CSF, plasma, severely lipemic, hemolyzed, contaminated specimens or other body fluids.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86780
Test schedule Sun-Sat
Turnaround time 3-6 days
Method IFA
Test includes
FTA, Serum, IgG.
Reference ranges
  
FTA, Serum, IgG    Nonreactive
Notes
Reflex testing to TP-PA will only happen if the FTA is found to be inconclusive.

[801]


FLUORIDE
Order Code FLUORIDE Test Code FLUOR
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Plasma  Preferred volume 4 mL  Minimum volume 1.5 mL adult or 1.2 mL pediatric
Specimen processing Separate plasma from cells and place in separate plastic tube. Store and transport refrigerated.
Unacceptable conditions Grey top tubes or SST tubes.
Alternate specimens Serum (red top tube).
CPT codes 82735
Test schedule Wed
Turnaround time 10 days
Method Ion Chromatography
Test includes
Fluoride, mg/L.
Reference ranges
  
Fluoride    LT 0.2    mg/L
Notes
3-hr test time.

[802]


FLUORIDE, URINE
Order Code FLUOR.EXP.U Test Code FLUUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine  Preferred volume 6 mL
Collection procedure Pre-shift or end-of-shift urine collection.
Specimen processing 10 mL aliquot of a random urine specimen. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 82735, 82570
Test schedule Mon-Fri
Turnaround time 3-5 days
Method ISE/Colorimetric
Test includes
Creatinine, Urine, mg/L; Fluoride, Urine, mg/L; Fluoride, Urine, mg/g Cr.
Reference ranges
  
Creatinine, Urine                      mg/L
 Adults   300-3400 mg/L (mean 1000)    
          0.3-3.4 g/L (mean 1 g/L)
          1000-1600 mg/day
          1.0-1.6 g/day
Fluoride, Urine  Normal  0.2-3.2       mg/L
Fluoride, Urine                        mg/gCr
 Biological exposure index (ACGIH)     
  Prior to shift          3
  End of shift            10

[803]


FLUOXETINE & NORFLUOXETINE
Order Code FLUOX Test Code FLUOX
Synonyms Prozac
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Stability-   Room temp 12 hours   Refrigerated 5 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens EDTA, sodium heparinized or fluoride/oxalate plasma (lavender, green or grey top tube).
Limitations Avoid the use of serum separator tubes and gels.
CPT codes 80299 x 2
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method HPLC
Test includes
Fluoxetine, ng/mL; Norfluoxetine, ng/mL.
Reference ranges
  
Fluoxetine        50-480         ng/mL
Norfluoxetine     50-450         ng/mL
 Dose related ranges are based on
 20-60 mg doses.

[804]


FLUOXETINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCFLX Test Code TLCFLX
Synonyms Prozac, Sarafem,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Fluoxetine
Notes
Test is also included in Drug-Sur as part of panel.

[6951]


FLUPHENAZINE
Order Code FLUPHENAZINE Test Code FLUPH
Synonyms Prolixin
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 4 mL  Minimum volume 2 mL
Patient Prep Measure at least 2 weeks after initiating treatment.
Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Protect from light. Store and transport frozen.
Stability-   Room temp 2 days   Refrigerated 7 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens EDTA, sodium heparinized or fluoride/oxalate plasma (lavender, green or grey top tube).
Limitations Protect from light. Avoid the use of serum separator tubes and gels. Avoid repeat freeze/thaw cycles.
CPT codes 84022
Test schedule Tue, Fri
Turnaround time 3-6 days
Method HPLC
Test includes
Fluphenazine, ng/mL.
Reference ranges
  
Fluphenazine                   ng/mL
 Therapeutic  0.2-2.0   
 A dosage reduction should be 
 considered with levels GT 2.8.

[805]


FLURAZEPAM
Order Code DALMANE-Q Test Code FLURAZ
Synonyms Dalmane; N-Desalkylflurazepam
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 7 days   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens EDTA, heparinized or fluoride/oxalate plasma (lavender, green or grey top tube).
Limitations Avoid the use of serum separator tubes and gels.
CPT codes 82491
Test schedule Sun-Sat
Turnaround time 2-4 days
Method GC
Test includes
Flurazepam, ug/mL.
Reference ranges
  
Flurazepam                       ug/mL
  N-Desalkyflurazepam  0.01-0.14  
  Toxic                GT 0.30         
  Based on normal dosages.

[806]


FLURAZEPAM (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCFLR Test Code TLCFLR
Synonyms Dalmane, sleeping pills, tranks,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 2000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Flurazepam
Notes
Test is also included in Drug-Sur as part of panel.

[6952]


FLUVOXAMINE
Order Code LUVOX Test Code LUVOX
Synonyms Luvox
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport at room temperature.
Limitations No SST tubes.
CPT codes 82491
Test schedule Mon-Fri
Turnaround time 4-6 days
Method GC
Test includes
Fluvoxamine, ng/mL.
Reference ranges
  
Fluvoxamine             ng/mL
 78-920 (mean of 510) Steady state level
 following a daily regimen of 150-300 mg/day.

[807]


FOLATE
Order Code FOLATE Test Code FOL
Synonyms Folic Acid
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate 12 x 75 plastic tube and freeze. Store & transport frozen.
Stability-   Room temp 8 hours   Refrigerated 5 days   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Repeat freeze/thaw cycles.
Alternate specimens SST ( brick top tube).
Limitations Hemolysis significantly increases folate values due to the high folate concentrations in red blood cells.
Department Immunochemistry
CPT codes 82746
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
Folate, ng/mL.
Reference ranges
  
Folate                     ng/mL
 Deficient        0.4-3.4    
 Indeterminate    3.5-5.3
 Normal           5.4-24.0

[808]


FOLATE, RBC
Order Code FOL-R Test Code RBCFOL
Synonyms Folic Acid, RBC
Specimen Required
       Container type Two Lavender top tubes(EDTA)  Specimen type One Frozen EDTA whole blood and one refrigerated EDTA whole blood.
Specimen processing Frozen sample should be mixed well and poured into a plastic transport tube before freezing. Store & transport frozen. Refrigerated sample should be stored & transported refrigerated. Do not freeze both tubes.
Required patient info Hematocrit value if only frozen EDTA whole blood submitted.
Stability-   Room temp 3 hours   Refrigerated 4 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Repeat freeze/thaw cycles.
Alternate specimens One frozen EDTA whole blood and hematocrit value.
Department Immunochemistry
CPT codes 82747
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
Folate-RBC, ng/mL.
Reference ranges
  
Folate, RBC                  ng/mL
 Deficient        0-144    
 Indeterminate    145-279
 Normal           280-800

[809]


FOLLICLE STIMULATING HORMONE, PITUITARY
Order Code FSH Test Code FSH
Synonyms Follicle Stimulating Hormone; Serum Follitropin; FSH
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Plasma, grossly hemolyzed or grossly lipemic samples.
Department Immunochemistry
CPT codes 83001
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
FSH, mIU/mL.
Reference ranges
  
FSH                            mIU/mL
 M  7-9 yrs          0.3-2.3
    10-12 yrs        0.5-4.4
    13-15 yrs        1.0-6.7
    16-17 yrs        0.8-7.0
    18 yrs +         1.4-11.2
   Tanner Stage I    0.3-2.6
   Tanner Stage II   0.5-4.3
   Tanner Stage III  0.9-5.8
   Tanner Stage IV-V 0.9-7.3    
 F  7-9 yrs          0.4-4.0
    10-12 yrs        0.6-7.5
    13-15 yrs        0.9-8.2
    16-17 yrs        0.4-8.9
    18 yrs+           
   Follicular        3.2-11.3
   Midcycle peak     4.2-19.4       
   Luteal phase      1.5-6.9                   
   Postmenopausal    23.2-121.3
   Tanner Stage I    0.5-7.6
   Tanner Stage II   0.5-8.0
   Tanner Stage III  0.5-8.0
   Tanner Stage IV-V 0.6-8.4

[810]


FONDAPARINUX
Order Code FONDAP Test Code FOND
Synonyms Arixtra; Anti-Xa Level; LMWH
Specimen Required
       Container type Sodium Citrate (Blue top tube)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 1 mL- two 0.5 mL aliquots
Collection procedure Draw 3-4 hours post Fondaparinux dose. Blood/anticoagulant volume is critical.
Specimen processing Double spin and separate the plasma and put into two plastic tubes 1 mL each and freeze. Store and transport frozen.
Stability-   Room temp 2 hours   Refrigerated 2 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Specimens that are not double spun, clotted or short sample (proper volume is 9 parts blood to 1 part anticoagulant).
Department Coagulation Department
CPT codes 85520
Test schedule Mon-Fri days
Turnaround time 1-3 days
Method Anti-Xa Chromogenic
Test includes
Fondaparinux, mg/L.
Reference ranges
  
Fondaparinux         mg/L
 Fondaparinux levels have not been
 validated for therapeutic use.
 However, at 2.5 mg daily 0.2 to
 0.4 mg/L are expected and at 7.5 mg
 daily 0.5-1.5 mg/L are expected.

[5522]


FOOD PANEL II IGG [IBT]
Order Code FD2IBT Test Code FD2IBT
Specimen Required
       Container type SST  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport at room temperature or refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma
CPT codes 86001
Test schedule Mon-Fri
Turnaround time 4-7 days
Method ImmunoCap FEIA - IGG
Test includes
Barley IgG; Barley IgG Class; Beef IgG; Beef IgG Class; Casein IgG; Casein IgG Class; Chicken IgG; Chicken IgG Class; Chocolate/Cacao IgG; Chocolate/Cacao IgG Class; Codfish/Scrod IgG; Codfish/Scrod IgG Class; Corn IgG; Corn IgG Class; Egg White IgG; Egg White IgG Class; Malt IgG; Malt IgG Class; Oat IgG; Oat IgG Class; Orange IgG; Orange IgG Class; Peanut IgG; Peanut IgG Class; Pork IgG; Pork IgG Class; Potato White IgG; Potato White IgG Class; Rye Food IgG; Rye Food IgG Class; Soybean IgG; Soybean IgG Class; Tomato IgG; Tomato IgG Class; Wheat IgG; Wheat IgG Class; Yeast (Saccharomyces cerevisiae) IgG; Yeast (Saccharomyces cerevisiae) IgG Class
Reference ranges
  
Barley IgG                                   LT 6.1                  mcg/mL
 Barley IgG Class                           
Beef IgG                                     LT 3.4
 Beef IgG Class                         
Casein IgG                                   LT 5.7
Casein IgG Class
Chicken IgG                                  LT 1.9
 Chicken IgG Class
Chocolate/Cacao IgG                          LT 26.6 
 Chocolate/Cacao Class
Codfish/Scrod IgG                            LT 2.4
 Codfish/Scrod IgG Class
Corn IgG                                     LT 2.7 
 Corn IgG Class
Egg White IgG                                LT 41.6
 Egg White IgG Class
Malt IgG                                     LT 8.6
 Malt IgG Class
Oat IgG                                      LT 2.3
 Oat IgG Class
Orange IgG                                   LT 4.2
 Orange IgG Class
Peanut IgG                                   LT 7.6
Peanut IgG Class
Pork IgG                                     LT 5.0
 Pork IgG Class
Potato White IgG                             LT 3.0
 Potato White IgG Class
Rye Food IgG                                 LT 5.7
 Rye Food IgG Class 
Soybean IgG                                  LT 3.8
 Soybean IgG Class
Tomato IgG                                   LT 3.9
 Tomato IgG Class
Wheat IgG                                    LT 15.1
 Wheat IgG Class
Yeast (Saccharomyces cerevisiae) IgG         LT 5.5
 Yeast (Saccharomyces cerevisiae) IgG Class

[3081]


FORMIC ACID
Order Code FORM Test Code FA
Synonyms Formaldehyde
Specimen Required
       Container type Green top tube (sodium heparin) .  Specimen type Heparinized plasma  Preferred volume 2 mL
Specimen processing Separate plasma from the cells and put in separate plastic tube. Store and transport refrigerated or ambient temperature.
Unacceptable conditions Specimens collected in sodium fluoride (grey top tubes).
Alternate specimens Serum.
Limitations No SST tubes.
CPT codes 83921
Turnaround time 10-15 days
Method IC
Test includes
Formic Acid, Serum, mcg/mL.
Reference ranges
  
Formic Acid   0-12    mcg/mL

[811]


FORMIC ACID, URINE
Order Code FORM-U Test Code FAUQ
Synonyms Formaldehyde, Urine
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 5 mL
Collection procedure Collect urine prior to the last shift of workweek.
Specimen processing Aliquot 5 mL of a last shift of workweek urine specimen. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 week   Frozen (-20°C) 10 months   Frozen (-70°C)
CPT codes 83921, 82570
Turnaround time 10-15 days
Method Gas Chromatography
Test includes
Collection Period, hrs; Volume, mL; Creatinine, Urine, mg/L; Formic Acid, Urine, g/mL; Formic Acid, Urine, mg/g Cr.
Reference ranges
  
Collection Period                 h
Volume                            mLs
Creatinine, Urine
 ACGIH normal range in adults     mg/L
 300-3400 mg/L (mean 1000 mg/L)
 0.3-3.4 g/L (mean 1 g/L)
 1000-1600 mg/day (1.0-1.6 g/day)
Formic Acid, Urine    5-36        g/mL
 Normal range for 95% of population
Formic Acid, Urine
 Occupational exposure threshold  mg/gCr
 following exposure to methanol:
 80 mg formic acid/g creatinine
 collected before the shift at the
 end of the workweek.

[812]


FRAGILE X SYNDROME ANALYSIS
Order Code REF.FRAGX Test Code FRAGX
This test must be ordered on a paper requisition that accompanies the specimen. It is an orderable test using PAML computer system if you are interfaced.
Synonyms FMR-1; Molecular testing
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 7 mLs  Minimum volume 5 mL
Specimen processing Submit original and unopened tube only. Do not transfer from original draw tube. Store and transport at room temperature or refigerated.
Required patient info Patient family history and clinical indication.
Stability-   Room temp 72 hours   Refrigerated 5 days   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Plasma, serum, heparin, ACD whole blood, frozen whole blood, severely hemolyzed specimens, specimens in leaking containers or over 5 days old and specimens not received in the original collection tubes.
Alternate specimens Sodium citrate whole blood (blue top tube).
Department Molecular Diagnostics
CPT codes 83891, 83894, 83898, 83912, 83892 x 2, 83896, 83897, 83909
Test schedule Weekly
Turnaround time 2-3 weeks
Test includes
Fragile X Mutation Analysis.
Reference ranges
  
Fragile X Mutation Analysis
Notes
This test is only appropriate for patients with a family history of fragile X syndrome, premature ovarian failure or older males with tremor. If chromosome analysis is ordered or desired please see order code PBCYTO.

[813]


FRANCISELLA TULARENSIS ANTIBODY
Order Code FTULAB Test Code FTULAB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. `Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 2 months   Frozen (-20°C) indefinitely   Frozen (-70°C) unacceptable
CPT codes 86000
Test schedule Varies
Turnaround time 2-6 days
Method Direct Agglutination
Test includes
Francisella tularensis Antibody, Titer.
Reference ranges
  
Francisella tularensis Ab      Titer
 LT 1:20

[814]


FREE LIGHT CHAINS GAMMOPATHY DIAGNOSTIC PANEL
Order Code GAMPAN Test Code GAMPAN
Specimen Required
       Container type SST-Gold top tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 2 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and tranpsort refrigerated.
Stability-   Room temp   Refrigerated 5 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma. Repeated freeze/thaw cycles should be avoided; contaminated samples, samples containing particulate matter and lipemic or hemolyzed serum samples should not be used.
CPT codes 83883 x 2, 86334, 84165
Test schedule Tue, Fri
Turnaround time 2-6 days
Method Nephelometry/Agarose Gel ELP, IFE
Test includes
Kappa FLC, mg/dL; Lambda FLC, mg/dL, Kappa/Lambda FLC Ratio; Protein, Total, g/dL; Albumin, g/dL; Alpha-1, g/dL; Alpha-2, g/dL; Beta-1, g/dL; Gamma, g/dL; Albumin, %; Alpha-1, %; Alpha-2, %; Beta-1, %; Beta-2, %; Gamma, %; Interpretation; Monoclonal Peak; Immunofixation Interp.
Reference ranges
  
Kappa FLC       0.33-1.94           mg/dL
Lambda FLC      0.57-2.63
Kappa/Lambda    0.26-1.65
 FLC Ratio      Results obtained by using The
                Binding Site reagents on a Beckman
                Coulter Immage 800 analyzer.
Protein, Total                      g/dL
            0-12 mo       4.3-6.9
            1-3 yrs       5.2-7.4
            3-6 yrs       5.6-7.7
            6-10 yrs      6.5-8.3
            10-18 yrs     6.1-8.0
            18-60 yrs     6.3-8.0
            60 yrs+       6.1-7.8    
Albumin     0-4 days      2.9-4.6    g/dL
            4 days-14 yrs 3.9-5.6   
            14-18 yrs     3.3-4.7    
            18-60 yrs     3.5-5.0    
            60-90 yrs     3.3-4.8
            90 yrs+       3.0-4.7    
Alpha-1                   0.1-0.4    g/dL
Alpha-2                   0.5-1.1    g/dL
Beta-1                    0.4-0.8    g/dL
Beta-2                    0.2-0.5    g/dL
Gamma                     0.6-1.5    g/dL
Albumin                   45.0-80.0  %
Alpha-1                   1.0-6.0    %
Alpha-2                   6.0-17.0   %
Beta-1                    5.0-13.0   %
Beta-2                    2.0-8.0    %
Gamma                     7.5-24.0   %
Interpretation
Monoclonal Peak
Immunofixation Interpretation

[3561]


FREE T-3
Order Code FT3 Test Code FT3
This test is not for Free T3 by Equilibrium Dialysis
Synonyms FT3; Free Triiodothyronine; Triiodothyronine, Free; T-3, Free
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or freeze.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or grossly lipemic specimens.
Department Immunochemistry
CPT codes 84481
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
Free T3, pg/mL.
Reference ranges
  
Free T3  2.3-4.2  pg/mL

[815]


FREE T-4
Order Code FREE T4 Test Code FT4
Synonyms T4 Free; T-4, Free
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 hours   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Limitations Avoid repeat freeze-thaw cycles.
Department Immunochemistry
CPT codes 84439
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
Free T4, ng/dL.
Reference ranges
  
Free T4                     ng/dL
 Birth-7 days     1.4-3.3
 8 days-1 month   0.6-2.5
 1-12 months      0.7-1.4
 12 mon-18 yrs    0.6-1.2
 18 yrs+          0.7-1.5

[816]


FREE THYROXINE (T4) [UW]
Order Code T4DDUW Test Code T4DDUW
Specimen Required
       Container type SST  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 2 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions EDTA plasma, avoid repeat/freeze thaw cycles.
Alternate specimens Heparinized plasma or PST tube.
CPT codes 84439
Test schedule Sun-Sat
Turnaround time 2-4 days
Method Chemiluminescence
Test includes
Thyroxine (Free), ng/dl
Reference ranges
  
Thyroxine (Free)                       0.6-1.2                    ng/dL

[3093]


FRUCTOSAMINE
Order Code FRUCTO Test Code FRUCTO
Represents average glucose concentration over a 1-3 week period.
Synonyms Glycated Protein
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 3 days   Refrigerated 2 weeks   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed or icteric samples may cause falsely elevated results.
Alternate specimens Heparin or EDTA plasma (green or lavender top tubes).
Limitations Under therapeutic concentrations, Levodopa may produce elevated values.
Department Chemistry
CPT codes 82985
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Fructosamine, umol/L.
Reference ranges
  
Fructosamine  180-280  umol/L

[817]


FRUCTOSE, SEMEN
Order Code FRUCTOSE Test Code FRUC
Synonyms Semen Fructose
Specimen Required
       Container type Leakproof plastic container.  Specimen type Frozen semen  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Specimen processing Store and transport frozen.
Stability-   Room temp unstable   Refrigerated unstable   Frozen (-20°C) 2 years   Frozen (-70°C)
CPT codes 82757
Test schedule Fri
Turnaround time 3-9 days
Method Spectrophotometry
Test includes
Fructose, Semen, mg/dL.
Reference ranges
  
Fructose, Semen  91-520  mg/dL

[818]


FTA-ABS (MONTANA)
Order Code MONFTA Test Code MONFTA
This workpar is to be used only to confirm RPR reactive specimens from Montana state.
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 1 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. shipping instruction code
CPT codes 86781, 86592, 86593
Test schedule Wed
Turnaround time 10 days
Method VDRL; VDRL , Quantitative; FTA (ABS).
Test includes
VDRL VDRL, Quantitative FTA (ABS)
Reference ranges
  
VDRL
VDRL, Quantitative
FTA (ABS)

[5527]


FUNGAL ANTIBODY PROFILE
Order Code FUNGAL SER Test Code FUNGCF
Acute and convalescent samples advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic or contaminated specimens.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86612, 86635, 86698 x 2, 86606
Test schedule Sun-Fri
Turnaround time 3-6 days
Method CF
Test includes
Blastomyces Antibody, Titer; Coccidioides Antibody, Titer; Histoplasma mycelia Antibody, Titer; Histoplasma Yeast Antibody, Titer; Aspergillus Antibody, Titer.
Reference ranges
  
Fungal Antibody Panel
 Blastomyces Ab              LT 1:8  Titer
 Coccidioides Ab             LT 1:2  Titer
 Histoplasma Mycelia Ab      LT 1:8  Titer
 Histoplasma Yeast Ab        LT 1:8  Titer
 Aspergillus Ab              LT 1:8  Titer

[819]


FUROSEMIDE, (QUANTITATIVE)
Order Code FURUQ Test Code FURUQ
Synonyms Lasix
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 2 mL
Collection procedure Collect a random urine in a leakproof plastic urine container.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 7 days   Refrigerated 7 days   Frozen (-20°C) 6 months   Frozen (-70°C)
CPT codes 82491
Test schedule Tue, Fri
Turnaround time 3-5 days
Method HPLC
Test includes
Furosemide, mcg/mL.
Reference ranges
  
Furosemide                   mcg/mL
 Up to 40 mcg/mL following a single
 oral dose of 40 mg.

[821]


GABAPENTIN
Order Code GABAP Test Code GABAP
Synonyms Neurontin
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 0.8 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or frozen.
Stability-   Room temp 5 weeks   Refrigerated 6 weks   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Serum separator tubes and gels.
Alternate specimens Heparin, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender, grey top tube).
CPT codes 80299
Test schedule Mon-Fri
Turnaround time 3-5 days
Method HPLC
Test includes
Gabapentin, ug/mL.
Reference ranges
  
Gabapentin                       ug/mL
 Not well established
 The proposed therapeutic range for
 seizure control is 2-10 ug/mL. 
 Concentrations that exceed 25 ug/mL
 may contribute to adverse effects.
 Pharmacokinetics of gabapentin varies
 widely among patients, particularly 
 those with compromised renal function.

[822]


GALACTOSE, URINE
Order Code GAL-U Test Code GALUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Frozen urine, random  Preferred volume 5 mL  Minimum volume 2 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 5 mL of a random urine collection. Store and transport frozen.
CPT codes 82760
Test schedule Mon-Fri
Turnaround time 3-5 days
Method Enzymatic
Test includes
Galactose, Urine.
Reference ranges
  
Galactose, Urine    LT 30       mg/dL
Notes
If positive TLC results are confirmed by enzymatic method.

[823]


GAMMA GLUTAMYL TRANSFERASE
Order Code GGT Test Code GGT
Synonyms GGT
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Sodium fluoride-potassium oxalate plasma (grey top tube).
Alternate specimens EDTA or lithium heparin plasma (lavender or green top tube).
Department Chemistry
CPT codes 82977
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Colorimetric
Test includes
GGT, U/L.
Reference ranges
  
GGT                     U/L
 0-2 days       19-270
 3-5 days       13-198
 6-10 days      0-130
 11 days-4 mo   4-120
 5 -12 mo       5-65
 13 mo-16 yrs   0-23
 17-19 yrs      0-35
 20+yrs         5-65

[825]


GAMMA HYDROXY BUTYRIC ACID
Order Code GHBMS Test Code GHBMS
Synonyms G, Georgia home boy, grievous bodily harm, Xyrem, salty water, scoop, soap
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 50 mL  Minimum volume 10 mL
Limitations 50 ng/mL
Department Toxicology
CPT codes 83921
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Gas Chromatography/ Mass Spectrometry
Test includes
Gamma hydroxy butyric acid
Notes
Test is also included in Drug Facilitated Sexual Assault panel, DFSA1

[7003]


GANGLIOSIDE ASIALO GM1, GM2, GD1, GQ1
Order Code GM1COM Test Code GM1COM
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.1 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube and freeze. Store and transport frozen. CRITICAL FROZEN.
Stability-   Room temp Unacceptable   Refrigerated Unacceptable   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Room temperature and refrigerated samples. Plasma or other body fluids. Heat-inactivated, severely lipemic, contaminated, or hemolyzed specimens.
CPT codes 83516 x 6
Test schedule Tue, Fri
Turnaround time 2-7 days
Method ELISA
Test includes
Asialo GM1, IV; Ganglioside GM1 Ab, IgG/IgM, IV; Ganglioside GM2 Ab, IgG/IgM, IV; Ganglioside GD1a Ab, IgG/IgM, IV; Ganglioside GD1b Ab, IgG/IgM, IV; Ganglioside GQ1b Ab, IgG/IgM, IV.
Reference ranges
  
Asialo GM1                              IV
Ganglioside GM1 Ab IgG/IgM              IV
Ganglioside GM2 Ab IgG/IgM              IV
Ganglioside GD1a Ab IgG/IgM             IV
Ganglioside GD1b Ab IgG/IgM             IV
Ganglioside GQ1b Ab IgG/IgM
 29 or less     Negative
 30-50          Weak Positive
 51-150         Positive
 151 or more    Strong Positive

[5593]


GASTRIN
Order Code GAS Test Code GAST
This workpar is to be used when A SINGLE GASTRIN TEST is ordered.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Patient Prep Patient should fast at least 12 hours to determine an accurate basal level.
Specimen processing Separate serum from cells within 1 hour of collection, preferably in a refrigerated centrifuge, place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 1 hour from time of collection   Refrigerated 4 hours from time of collection   Frozen (-20°C) 30 days from time of collection   Frozen (-70°C)
Unacceptable conditions EDTA plasma, lipemic, icteric or grossly hemolyzed specimens.
Department Immunology
CPT codes 82941
Test schedule Mon, Wed, Fri eves
Turnaround time 1-3 days
Method ICMA
Test includes
Gastrin, pg/mL.
Reference ranges
  
Gastrin         13-115       pg/mL
Notes
This order code is to be used when a single gastrin test is ordered.

[827]


GASTRIN, SAMPLE 1
Order Code GAS.S1 Test Code GAST1
Use this workpar to order the first gastrin when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Patient Prep Patient should fast at least 12 hours to determine an accurate basal level.
Specimen processing Separate serum from cells within 1 hour of collection, preferably in a refrigerated centrifuge, place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 1 hour from time of collection   Refrigerated 4 hours from time of collection   Frozen (-20°C) 30 days from time of collection   Frozen (-70°C)
Unacceptable conditions EDTA plasma, lipemic, icteric or grossly hemolyzed specimens.
Department Immunology
CPT codes 82941
Test schedule Mon, Wed, Fri eves
Turnaround time 1-3 days
Method ICMA
Test includes
Gastrin, #1, pg/mL; Gastrin, Time 1.
Reference ranges
  
Gastrin, #1     pg/mL
Gastrin, Time 1

[828]


GASTRIN, SAMPLE 2
Order Code GAS.S2 Test Code GAST2
Use this workpar to order the second gastrin when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Patient Prep Patient should fast at least 12 hours to determine an accurate basal level.
Specimen processing Separate serum from cells within 1 hour of collection, preferably in a refrigerated centrifuge. place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 1 hour from time of collection   Refrigerated 4 hours from time of collection   Frozen (-20°C) 30 days from time of collection   Frozen (-70°C)
Unacceptable conditions EDTA plasma, lipemic, icteric or grossly hemolyzed specimens.
Department Immunology
CPT codes 82941
Test schedule Mon, Wed, Fri eves
Turnaround time 1-3 days
Method ICMA
Test includes
Gastrin, #2, pg/mL; Gastrin, Time 2.
Reference ranges
  
Gastrin, #2       pg/mL
Gastrin, Time 2
Notes
This order code is to be used when 2 gastrin tests are ordered.

[829]


GASTRIN, SAMPLE 3
Order Code GAS.S3 Test Code GAST3
Use this workpar to order the third gastrin when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Patient Prep Patient should fast at least 12 hours to determine an accurate basal level.
Specimen processing Separate serum from cells within 1 hour of collection, preferably in a refrigerated centrifuge, place in a plastice tube and freeze. Store and transport frozen.
Stability-   Room temp 1 hour from time of collection   Refrigerated 4 hours from time of collection   Frozen (-20°C) 30 days from time of collection   Frozen (-70°C)
Unacceptable conditions EDTA plasma, lipemic, icteric or grossly hemolyzed specimens.
Department Immunology
CPT codes 82941
Test schedule Mon, Wed, Fri eves
Turnaround time 1-3 days
Method ICMA
Test includes
Gastrin, #3, pg/mL; Gastrin, Time 3.
Reference ranges
  
Gastrin, #3     pg/mL
Gastrin, Time 3
Notes
This order code is to be used when 3 gastrin tests are ordered.

[830]


GASTRIN, SAMPLE 4
Order Code GAS.S4 Test Code GAST4
Use this workpar to order the fourth gastrin when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Patient Prep Patient should fast at least 12 hours to determine an accurate basal level.
Specimen processing Separate serum from cells within 1 hour of collection, preferably in a refrigerated centrifuge, place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 1 hour from time of collection   Refrigerated 4 hours from time of collection   Frozen (-20°C) 30 days from time of collection   Frozen (-70°C)
Unacceptable conditions EDTA plasma, lipemic, icteric or grossly hemolyzed specimens.
Department Immunology
CPT codes 82941
Test schedule Mon, Wed, Fri eves
Turnaround time 1-3 days
Method ICMA
Test includes
Gastrin, #4, pg/mL; Gastrin, Time 4.
Reference ranges
  
Gastrin, #4     pg/mL
Gastrin, Time 4
Notes
This order code is to be used when 4 gastrin tests are ordered.

[831]


GASTRIN, SAMPLE 5
Order Code GAS.S5 Test Code GAST5
Use this workpar to order the fifth gastrin when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Patient Prep Patient should fast at least 12 hours to determine an accurate basal level.
Specimen processing Separate serum from cells within 1 hour of collection, preferably in a refrigerated centrifuge, place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 1 hour from time of collection   Refrigerated 4 hours from time of collection   Frozen (-20°C) 30 days from time of collection   Frozen (-70°C)
Unacceptable conditions EDTA plasma, lipemic, icteric or grossly hemolyzed specimens.
Department Immunology
CPT codes 82941
Test schedule Mon, Wed, Fri eves
Turnaround time 1-3 days
Method ICMA
Test includes
Gastrin, #5, pg/mL; Gastrin, Time 5.
Reference ranges
  
Gastrin, #5     pg/mL
Gastrin, Time 5
Notes
This order code is to be used when 5 gastrin tests are ordered.

[832]


GASTRIN, SAMPLE 6
Order Code GAS.S6 Test Code GAST6
Use this workpar to order the sixth gastrin when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Patient Prep Patient should fast at least 12 hours to determine an accurate basal level.
Specimen processing Separate serum from cells within 1 hour of collection, preferably in a refrigerated centrifuge, place in separtate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 1 hour from time of collection   Refrigerated 4 hours from time of collection   Frozen (-20°C) 30 days from time of collection   Frozen (-70°C)
Unacceptable conditions EDTA plasma, lipemic, icteric or grossly hemolyzed specimens.
Department Immunology
CPT codes 82941
Test schedule Mon, Wed, Fri eves
Turnaround time 1-3 days
Method ICMA
Test includes
Gastrin, #6, pg/mL; Gastrin, Time 6.
Reference ranges
  
Gastrin, #6      pg/mL
Gastrin, Time 6
Notes
This order code is to be used when 6 gastrin tests are ordered.

[833]


GASTRIN, SAMPLE 7
Order Code GAS.S7 Test Code GAST7
Use this workpar to order the seventh gastrin when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Patient Prep Patient should fast at least 12 hours to determine an accurate basal level.
Specimen processing Separate serum from cells within 1 hour of collection, preferably in a refrigerated centrifuge, place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 1 hour from time of collection   Refrigerated 4 hours from time of collection   Frozen (-20°C) 30 days from time of collection   Frozen (-70°C)
Unacceptable conditions EDTA plasna, lipemic, icteric or grossly hemolyzed specimens.
Department Immunology
CPT codes 82941
Test schedule Mon, Wed, Fri eves
Turnaround time 1-3 days
Method ICMA
Test includes
Gastrin, #7, pg/mL; Gastrin, Time 7.
Reference ranges
  
Gastrin, #7      pg/mL
Gastrin, Time 7
Notes
This order code is to be used when 7 gastrin tests are ordered.

[834]


GASTRIN, SAMPLE 8
Order Code GAS.S8 Test Code GAST8
Use this workpar to order the eighth gastrin when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Patient Prep Patient should fast at least 12 hours to determine an accurate basal level.
Specimen processing Separate serum from cells within 1 hour of collection, preferably in a refrigerated centrifuge, place in a separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 1 hour from time of collection   Refrigerated 4 hours from time of collection   Frozen (-20°C) 30 days from time of collection   Frozen (-70°C)
Unacceptable conditions EDTA plasma, lipemic, icteric or grossly hemolyzed specimens.
Department Immunology
CPT codes 82941
Test schedule Mon, Wed, Fri eves
Turnaround time 1-3 days
Method ICMA
Test includes
Gastrin, #8, pg/mL; Gastrin, Time 8.
Reference ranges
  
Gastrin, #8     pg/mL
Gastrin, Time 8
Notes
This order code is to be used when 8 gastrin tests are ordered.

[835]


GENERAL HEALTH
Order Code GHPNA Test Code GHPNA
Specimen Required
       Container type SST tube or Red top tube (plain), Lavender top tube (EDTA) and Blood smears.  Specimen type Serum, whole blood and peripheral blood smears  Preferred volume 3 mL serum, 5 mL EDTA whole blood and 2 smears  Minimum volume 1mL serum, 0.3 mL whole blood and 2 blood smears.
Specimen processing Centrifuge ASAP, keep upright keep capped and transport refrigerated. If red top tube collected, separate serum from cells ASAP and handle anaerobically at all times. Place in separate plastic tube and cap immediately. Store and transport refrigerated. Store and transport whole blood refrigerated . Prefer to receive lavender top tube within 12 hours of collection.
Stability-   Room temp   Refrigerated 1 day   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry, Hematology
CPT codes 80050
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Test includes
Comprehensive Metabolic Panel; CBC; TSH, uIU/mL.
Reference ranges
  
Comprehensive Metabolic Panel
CBC
TSH
Notes
If delay in test performance is anticipated, slides are required. Appropriate comments are generated with report if sample integrity is compromised.`Hemolysis will cause elevated potassium values, minimal volumes will concentrate, and previously frozen serum may show a marked decrease in ALP values immediately upon thawing but will return to initial values.

[836]


GENERAL HEALTH PANEL (REFLEXIVE)
Order Code GHPNAR Test Code GHPNAR
This test adds a Free T4 if the TSH is abnormal.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type SST tube or Red top tube (plain) and Lavender top tube (EDTA).  Specimen type Serum, whole blood and peripheral blood smears  Preferred volume 3 mL serum, 5 mL EDTA whole blood and 2 smears  Minimum volume 1 mL serum 0.3 mL EDTA whole blood and 2 blood smears.
Specimen processing Centrifuge SST tube, keep upright, keep capped and transport refrigerated. If red top tube is collected, separate serum from cells ASAP and handle anaerobically at all times. Place in separate plastic tube, cap immediately and refrigerate. Store and transport whole blood refrigerated. Prefer to receive lavender top tube within 12 hours of collection.
Stability-   Room temp   Refrigerated Serum-1 day   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Plasma specimens.
Department Chemistry and Hematology
CPT codes 80050
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Test includes
Comprehensive Metabolic Panel; CBC; TSH (Reflex), uIU/mL.
Reference ranges
  
Comprehensive Metabolic Panel
CBC
TSH (Reflex)
Notes
If delay in test performance is anticipated, slides are required. Appropriate comments are generated with report if sample integrity compromised.`Hemolysis will cause elevated potassium values, minimal volumes will concentrate and previously frozen serum may show a marked decrease in ALP values immediately upon thawing but will return to initial values.

[837]


GENOMIC DNA ISOLATION & STORAGE
Order Code DNAISO Test Code DNAISO
This in not a test, it is a service only.
Specimen Required
       Container type EDTA whole blood (lavender top tube)  Specimen type EDTA whole blood  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Store and transport at room temperature.
Stability-   Room temp 72 hours   Refrigerated 5 days   Frozen (-20°C) unstable   Frozen (-70°C)
Unacceptable conditions Heparin, serum/plasma, grossly hemolyzed specimens, shared or aliquoted specimens, frozen specimens, leaky containers, specimen more than 5 days old and improperly labeled specimen.
Alternate specimens Sodium citrate or ACD whole blood (blue or yellow top tube).
Limitations Must be in original collection tube.
Department Molecular Diagnostics
CPT codes 83891, 84311
Test schedule Tue, Wed, Fri
Test includes
Genomic DNA Concentration, ng/uL; Date Completed; Comment.
Reference ranges
  
Genomic DNA Concentration      ng/uL
Date Completed
Comment

[838]


GENTAMICIN (PAIRED)
Order Code GENT2 Test Code GENTIN
Synonyms Garamycin, Paired
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Collection procedure Draw trough sample within 1 hr of next dose and draw peak sample 1 hr after the IM dose or 1/2 hr after the IV infusion is complete. Note time of dose and times of drawing. Clearly label specimens.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Samples containing carbenicillin or piperacillin should be stored frozen if a delay in analysis of more than 8 hours is anticipated. Failure to freeze samples containing these antibiotics may result in falsely low gentamicin levels due to in vitro inactivation.
Required patient info Peak time, trough time.
Alternate specimens Lithium heparin plasma (green top tube), SST, and other gel-type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated.
Department Chemistry
CPT codes 80170 x 2
Test schedule Sun-Sat & STAT
Turnaround time 24-48 hours
Method Immunoturbidimetric, Colorimetric
Test includes
Gentamicin, Trough, ug/mL; Gentamicin Time, Trough, h; Gentamicin, Peak, ug/mL; Gentamicin Time, Peak, h.
Reference ranges
  
Gentamicin, Trough        ug/mL
 1.0-2.0   
 Toxic  GT 2.0  
Gentamicin Time, Trough   h
Gentamicin, Peak          ug/mL
 5.0-10.0 
 Toxic  GT 12.0 
Gentamicin Time, Peak     h

[839]


GENTAMICIN (SINGLE)
Order Code GENT Test Code GENR
Synonyms Garamycin, Single
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Collection procedure Draw trough sample within 1 hr of next dose or draw peak sample 1 hr after IM dose or 1/2 hr after the IV infusion is complete. Note times of dose and drawing. Clearly label specimens.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Samples containing carbenicillin or piperacillin should be stored frozen if a delay in analysis of more than 8 hours is anticipated. Failure to freeze samples containing these antibiotics may result in falsely low gentamicin levels due to in vitro inactivation.
Required patient info Time of dose and drawing.
Alternate specimens Lithium heparin plasma (green top tube, SST and other gel-type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated.
Department Chemistry
CPT codes 80170
Test schedule Sun-Sat & STAT
Turnaround time 24-48 hours
Method Immunoturbidimetric, Colorimetric
Test includes
Gentamicin, ug/mL.
Reference ranges
  
Gentamicin          ug/mL
 Trough 1.0-2.0
        Toxic  GT 2.0   
 Peak   5.0-10.0  
        Toxic GT 12.0  

[840]


GENTAMICIN, PEAK
Order Code GENT.PK Test Code GENPK
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Collection procedure Draw peak specimen 1 hour after IM dose or 1/2 hour after IV infusion completed. Note time of dose and drawing.
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimen. Store and transport refrigerated. Samples containing carbenicillin or piperacillin should be stored frozen if a delay in analysis of more than 8 hours is anticipated. Failure to freeze samples containing these antibiotics may result in falsely low gentamicin levels due to in vitro inactivation.
Required patient info Time of dose and drawing.
Alternate specimens Lithium heparin plasma (green top tube) and SST and other gel-type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated.
Department Chemistry
CPT codes 80170
Test schedule Sun-Sat & STAT
Turnaround time 24-48 hours
Method Immunoturbidimetric, Colorimetric
Test includes
Gentamicin, Peak, ug/mL.
Reference ranges
  
Gentamicin, Time of last dose
Gentamicin, Peak     5.0-10.0    ug/mL
            Toxic    GT 12.0

[841]


GENTAMICIN, TROUGH
Order Code GENT.TR Test Code GENTR
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Collection procedure Draw trough specimen within 1 hour prior to next dose. Note time of dose and drawing.
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimen. Store and transport refrigerated. Samples containing carbenicillin or piperacillin should be stored frozen if a delay in analysis of more than 8 hours is anticipated. Failure to freeze samples containing these antibiotics may result in falsely low gentamicin levels due to in vitro inactivation.
Required patient info Time of dose and drawing.
Alternate specimens Lithium heparin plasma (green top tube), SST and other gel-type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated.
Department Chemistry
CPT codes 80170
Test schedule Sun-Sat & STAT
Turnaround time 24-48 hours
Method Immunoturbidimetric, Colorimetric
Test includes
Gentamicin, Trough, ug/mL.
Reference ranges
  
Gentamicin, Trough  1.0-2.0    ug/mL
            Toxic   GT 2.0

[842]


GIARDIA ANTIBODY, IGG, IGA & IGM
Order Code GIAAGM Test Code GIAAGM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separte serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 3 days   Refrigerated 2 months   Frozen (-20°C) Indefinitely   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed specimens.
CPT codes 86674 x 3
Test schedule Tue, Wed, Fri
Turnaround time 3-6 days
Method IFA
Test includes
Giardia lamblia Antibody, IgG; Giardia lamblia Antibody, IgA; Giardia lamblia Antibody, IgM; Interpretation.
Reference ranges
  
Giardia lamblia Ab, IgG  LT 1:16
Giardia lamblia Ab, IgA  LT 1:16
Giardia lamblia Ab, IgM  LT 1:20
Interpretation
 Recent or current infection by Giardia
 lamblia is suggested by either 
 detection of IgM Ab or a four-fold 
 increase in IgG and/or IgA Ab titers
 between acute & convalescent sera. 
 Positive IgG and/or IgA titers without
 detectable IgM suggest past infection.

[843]


GIARDIA LAMBLIA ANTIGEN
Order Code GIARDIA.AG Test Code GIAAG
Specimen Required
       Container type 10% formalin, SAF, or Cary-Blair.  Specimen type Fresh, frozen or preserved stool  Preferred volume 1 mL  Minimum volume 100 uL
Collection procedure Stool should be fresh, frozen, or preserved in 10% formalin, SAF or in Cary-Blair transport media.
Specimen processing Store and transport as appropriate for particular specimen.
Required patient info Specimen source.
Stability-   Room temp Formalin-2 months; CB-1 week   Refrigerated Fresh-3 days   Frozen (-20°C) Indefinitely   Frozen (-70°C)
Unacceptable conditions PVA fixed specimens or specimens in Unifix transport/fixative.
Alternate specimens Rectal swabs are acceptable.
Department Virology
CPT codes 87329
Test schedule Mon-Fri eve
Turnaround time 1-3 days
Method ELISA
Test includes
Source; Giardia Lamblia Antigen; Giardia Lamblia Antigen, Status.
Reference ranges
  
Source
Giardia Lamblia Ag          Negative
Giardia Lamblia Ag, Status

[845]


GLIPIZIDE
Order Code GLIPI Test Code GLIPI
Synonyms Glucotrol
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.2 mL
Specimen processing Separate serum from cells promptly and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 week   Frozen (-20°C) 4 months   Frozen (-70°C)
Unacceptable conditions SST or PST (gel separator tubes).
Alternate specimens Plasma
CPT codes 82491
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method HPLC
Test includes
Glipizide, ng/mL
Reference ranges
  
Glipizide                                    ng/mL
 Peak serum level following a single oral 5 mg
 dose: 0.1-.05 at 1.6 hours post dose. Plasma
 insulin concentrations were shown to increase
 only when the plasma Glipizide concentrations
 exceeded 0.2 ng/mL

[3581]


GLOMERULAR BASEMENT MEMBRANE ANTIBODY
Order Code GLBMAB Test Code GLBMAB
Synonyms Anti-Glomerular Basement Membrane Ab
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Heat inactivated or samples other than serum.
Limitations Avoid repeated freeze/thaw cycles.
Department Virology
CPT codes 83516
Test schedule Mon, Wed, Fri
Turnaround time 2-4days
Method ELISA
Test includes
Glomerular Basement Membrane Antibody, U/mL.
Reference ranges
  
Glomerular Basement Membrane Ab     Units
 0-20   Negative
 21-30  Weak Positive
 GT 30  Moderate-Strong Positive
 This test is designed for the in-vitro
 measurement of specific IgG auto-
 antibodies against the glomerular 
 basement membrane (GBM). It is intended
 as an aid in the diagnosis of Good-
 pasture's syndrome. Some patients with
 other renal diseases may exhibit
 positive results. Glomerular Basement
 Membrane antibodies are not found in
 normal healthy individuals.
 Results were obtained with the QUANTA
 Lite GBM ELISA assay.
 Values obtained from different 
 manufacturers' assays cannot be used
 interchangeably. The magnitude of the
 reported IgG levels cannot be correlated
 to an endpoint titer.

[846]


GLOMERULAR FILTRATION PROFILE
Order Code GFP24 Test Code GFP
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type SST tube and 24-hour dark plastic urine container.  Specimen type Serum and 24-hour urine collection  Preferred volume 2 mL serum and 100 mL urine  Minimum volume 0.2 mL serum and 1 mL urine
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Separate serum from cells and place in separate plastic tube. Aliquot 100 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport both specimens refrigerated.
Required patient info Height, weight, collection period and total volume.
Alternate specimens Lithium heparin plasma (green top tube) and 1 mL urine.
Limitations Serum should be collected within 24 hours of urine collection start or finish. Serum specimen will be accepted within 7 days of urine collection. Serum specimen should be free of hemolysis. Optimal urine sample should be free of contaminants including red blood cell contamination.
Department Chemistry
CPT codes 82575, 84155
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Enzymatic (IDMS Traceable), Colorimetric, Calculation
Test includes
Collection Period, h; Volume, mL; Creatinine, mg/dL; Creatinine, Urine, g/24h; Protein, Urine, mg/24h; Protein/Creatinine Ratio, Ratio; Creatinine Clearance mL/min.
Reference ranges
  
Height                              in
Weight                              lbs
Collection Period                   h
Volume                              mL
Creatinine                          mg/dL
 M    0.50-1.30        
 F    0.40-1.00        
Creatinine, Urine                   g/24h
 M    0.8-2.0 
 F    0.6-1.8 
Protein, Urine                      mg/24h
 50-80 at rest
 LT 250 following intense exercise
Protein/Creatinine Ratio            Ratio
 LT 0.2    
Creatinine Clearance                mL/min
 0-39   yrs  M  97-137  F  88-128 
 40-49  yrs  M  91-131  F  82-122 
 50-59  yrs  M  85-125  F  76-116 
 60-69  yrs  M  79-119  F  70-110 
 70-79  yrs  M  73-113  F  64-104 
 80+    yrs  M  67-107  F  58-98
Notes
MUST HAVE PATIENT'S HEIGHT, WEIGHT, COLLECTION PERIOD AND THE TOTAL VOLUME TO CALCULATE THE RESULTS.

[847]


GLOMERULAR FILTRATION PROFILE (12HR)
Order Code GFP.12 Test Code GFP12
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report collection time & total volume. There is no charge for this test.
Specimen Required
       Container type SST tube and 24-hour dark plastic urine container.  Specimen type Serum and 12-hour urine collection  Preferred volume 2 mL serum and 100 mL urine  Minimum volume 0.2 mL serum and 1 mL urine
Collection procedure Collect a 12-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Separate serum from cells and place in separate plastic tube. Aliquot 100 mL of a well-mixed 12-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport both specimens refrigerated.
Required patient info Height, weight, collection period and total volume.
Alternate specimens Lithium heparin plasma (green top tube) and urine.
Limitations Serum should be collected within 24 hours of urine collection start or finish. Serum specimen will be accepted within 7 days of urine collection. Serum specimen should be free of hemolysis. Optimal urine sample should be free of contaminants including red blood cell contamination.
Department Chemistry
CPT codes 82575, 84155
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Enzymatic (IDMS Traceable), Colorimetric, Calculation
Test includes
Collection Period, h; Volume, mL; Creatinine, mg/dL; Creatinine, Urine, g/12h; Protein, Urine, mg/12h; Protein/Creatinine Ratio, Ratio; Creatinine Clearance, mL/min.
Reference ranges
  
Height                               in
Weight                               lbs
Collection Period                    h
Volume                               mL
Creatinine                           mg/dL
 M    0.50-1.30         
 F    0.40-1.00        
Creatinine, Urine                    g/12h
 No normals established for 12 h      
Protein, Urine                       mg/12h
 No normals established for 12 h      
Protein/Creatinine Ratio             Ratio
 LT 0.2
Creatinine Clearance
 0-39   yrs  M  97-137  F  88-128    mL/min
 40-49  yrs  M  91-131  F  82-122 
 50-59  yrs  M  85-125  F  76-116
 60-69  yrs  M  79-119  F  70-110 
 70-79  yrs  M  73-113  F  64-104 
 80+     yrs M  67-107  F  58-98
Notes
MUST HAVE PATIENT'S HEIGHT, WEIGHT, COLLECTION PERIOD AND THE TOTAL VOLUME TO CALCULATE THE RESULTS.

[848]


GLOMERULAR FILTRATION RATE, ESTIMATED
Order Code GFR Test Code GFR
This test will automatically be added to any serum creatinine order or with any panel that includes serum creatinine. Age and gender must be included in the test request for the calculation to be performed. There is no charge for the calculation. The calculation is valid only for individuals age 20 years or older.
Synonyms Creatinine Calculation; Estimated Glomerular Filtration Rate; EGFR
Specimen Required
       
Required patient info Age and gender
Department Chemistry
Method Calculation
Test includes
Glomerular Filtration Rate, Estimated, mL/min/1.73m2.
Reference ranges
  
Glomerular Filtration Rate     mL/min/1.73m2
 Estimated
 LT 60      Chronic kidney disease, if
            found over a 3-month period.
 LT 15      Kidney failure
 For African Americans, multiply the
 calculated  GFR by 1.21.

[849]


GLUCAGON
Order Code GLUC Test Code GLUG
This is not a Glucagon Stimulation Test.
Specimen Required
       Container type EDTA-aprotinin added tube  Specimen type Frozen EDTA-aprotinin added plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Draw specimen into a pre-chilled EDTA tube. Immediately add 0.2 mL aprotinin (0.04 mL aprotinin per mL of whole blood) to 5 mL of blood and mix.
Specimen processing Separate plasma from the cells immediately in a refrigerated centrifuge and place in separate plastic tube and freeze. To prevent analyte degradation, aprotinin inhibitor is the required specimen preservative for this assay.Store and transport frozen.Separate samples must be submitted when multiple tests are ordered.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Unfrozen specimens or specimens in glass tubes.
CPT codes 82943
Test schedule Tue
Turnaround time 3-12 days
Method RIA
Test includes
Glucagon, ng/L.
Reference ranges
  
Glucagon  40-130   ng/L
Notes
Special collection procedure and Aprotinin are available from PAML Supply Department.

[850]


GLUCOSE CHALLENGE, PREGNANT (1HR)
Order Code GCT.PG Test Code GCTPG
This workpar is to be used as a screening test for gestational diabetes in pregnant patients only.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.3 mL
Patient Prep Diet requirements are not necessary.
Collection procedure Collect specimen 1 hour after 50 gram glucose load.
Specimen processing Separate serum from cells within 30 minutes and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks if separated from the cells within 30 minutes of collection.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender, or gray top tube). Plasma from sodium fluoride tube (gray top tube) is stable 5 days on the cells, or 2 weeks if separated from the cells.
Department Chemistry
CPT codes 82950
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Hexokinase
Test includes
Glucose-1 hr (PREG), mg/dL.
Reference ranges
  
Glucose, 1 hr (Pregnant) 50-129 mg/dL

Presumptive Gestational Diabetes Mellitus:
 130 mg/dL or greater (identifies 90%
 of patients with GDM)
 140 mg/dL or greater (identifies 80%
 of patients with GDM)
 These threshold values apply to a blood
 glucose drawn 1 hour after a 50 gram
 oral glucose load. An abnormal result
 must be verified by either a 3-hour
 (100 gram) or a 2-hour (75 gram) glucose
 tolerance test for gestational diabetes.

[851]


GLUCOSE TOLERANCE, 2 HR
Order Code GTOL2 Test Code GTOL2
This workpar is not to be used for pregnant patients. Use the workpar GTT3.PG for gestational diabetes study.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL each specimen  Minimum volume 0.3 mL each specimen
Patient Prep This test should be done in the morning after an overnight fast of between 8 and 14 hours, and after at least 3 days of unrestricted diet (150 or more grams carbohydrate per day) and unlimited physical activity. The patient should remain seated and should not smoke throughout the test. Patient can have nothing by mouth except water during test period. GLUCOSE DOSE: Non-pregnant adults-75 grams, children-1.75 gm/kg of ideal body weight up to a maximum of 75 grams.
Collection procedure Draw fasting specimen just prior to 75 gram glucose load. Draw other specimen in 2 hours. Clearly label each specimen.
Specimen processing Separate serum from cells within 30 minutes and place in separate plastic tube. Clearly label each specimen. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks if separated from the cells within 30 minutes of collection.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender, or gray top tube). Plasma from sodium fluoride tube (gray top tube) is stable 5 days on the cells, or 2 weeks if separated from the cells.
CPT codes 82950, 82947
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Hexokinase
Test includes
Glucose, fasting, mg/dL; Glucose, 120 minutes, mg/dL.
Reference ranges
  
Glucose, Fasting                             mg/dL
 0-2 days premature 30-80
 0-2 days fullterm  40-90
 2 days-1 month     60-105
 Adult              65-99
Glucose, 2 hr  
 LT 140  mg/dL           Normoglycemia                  
 140-199 mg/dL           Impaired glucose tolerance        
 200 mg/dL or more       Indicates diabetes
                         if confirmed on a subsequent
                         day.
 These criteria apply to the 2 hour 
 (75 gram) ADA glucose tolerance 
 testing protocol for non-pregnant
 adults.
Notes
According to the ADA, a prolonged GTT is usually unnecessary for the diagnosis of diabetes. Call PAML for printed diet requirements.

[852]


GLUCOSE TOLERANCE, 2 HR (3 SPECIMENS)
Order Code G2TOL Test Code G2TOL
This is not a standard glucose study recommended by ADA. This workpar is not to be used for pregnant patients.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL each specimen  Minimum volume 0.3 mL each specimen
Patient Prep This test should be done in the morning after an overnight fast of between 8 and 14 hours, and after at least 3 days of unrestricted diet (150 or more grams carbohydrate per day) and unlimited physical activity. The patient should remain seated and should not smoke throughout the test. Patient can have nothing by mouth except water during test period. GLUCOSE DOSE: Non-pregnant adults-75 grams, children-1.75 gm/kg of ideal body weight up to a maximum of 75 grams.
Collection procedure Draw fasting specimen just prior to 75 gram glucose load. Draw one hour sample 1 hour post dose and the third sample 2 hours after the dose.
Specimen processing Separate serum from cells within 30 minutes and place in separate plastic tube. Clearly label each specimen. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks if separated from the cells within 30 minutes of collection.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender, or gray top tube). Plasma from sodium fluoride tube (gray top tube) is stable 5 days on the cells, or 2 weeks if separated from the cells.
CPT codes 82951
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Hexokinase
Test includes
Glucose, fasting, mg/dL; Glucose, 1 hr, mg/dL; Glucose, 120 minutes, mg/dL.
Notes
According to the ADA, a prolonged GTT is usually unnecessary for the diagnosis of diabetes. Call PAML for printed diet requirements.

[853]


GLUCOSE TOLERANCE, 3 HR (4 SPECIMENS)
Order Code G3TOL Test Code G3TOL
This is not a standard glucose study recommended by ADA. This workpar is not to be used for pregnant patients.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL each specimen  Minimum volume 0.3 mL each specimen
Patient Prep This test should be done in the morning after an overnight fast of between 8 and 14 hours, and after at least 3 days of unrestricted diet (150 or more grams carbohydrate per day) and unlimited physical activity. The patient should remain seated and should not smoke throughout the test. Patient can have nothing by mouth except water during test period. GLUCOSE DOSE: Non-pregnant adults-75 grams, children-1.75 gm/kg of ideal body weight up to a maximum of 75 grams.
Collection procedure Draw fasting specimen just prior to 75 gram glucose load. Draw one hour sample 1 hour post dose, the third sample 2 hours after the dose and the fourth sample 3 hours after the dose.
Specimen processing Separate serum from cells within 30 minutes and place in separate plastic tube. Clearly label each specimen. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks if separated from the cells within 30 minutes of collection.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender, or gray top tube). Plasma from sodium fluoride tube (gray top tube) is stable 5 days on the cells, or 2 weeks if separated from the cells.
Department Chemistry
CPT codes 82951, 82952
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Hexokinase
Test includes
Glucose, fasting, mg/dL; Glucose, 1 hr, mg/dL; Glucose, 120 minutes, mg/dL; Glucose, 3 hr, mg/dL.
Notes
According to the ADA, a prolonged GTT is usually unnecessary for the diagnosis of diabetes. Call PAML for printed diet requirements.

[854]


GLUCOSE TOLERANCE, 4 HR (5 SPECIMENS)
Order Code G4TOL Test Code G4TOL
This is not a standard glucose study recommended by ADA. This workpar is not to be used for pregnant patients.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL each specimen  Minimum volume 0.3 mL each specimen
Patient Prep This test should be done in the morning after an overnight fast of between 8 and 14 hours, and after at least 3 days of unrestricted diet (150 or more grams carbohydrate per day) and unlimited physical activity. The patient should remain seated and should not smoke throughout the test. Patient can have nothing by mouth except water during test period. GLUCOSE DOSE: Non-pregnant adults-75 grams, children-1.75 gm/kg of ideal body weight up to a maximum of 75 grams.
Collection procedure Draw fasting specimen just prior to 75 gram glucose load. Draw one hour sample 1 hour post dose, the third sample 2 hours after the dose, the fourth sample 3 hours after the dose, and the fifth sample 4 hrs after the last dose.
Specimen processing Separate serum from cells within 30 minutes and place in separate plastic tube. Clearly label each specimen. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks if separated from the cells within 30 minutes of collection.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender, or gray top tube). Plasma from sodium fluoride tube (gray top tube) is stable 5 days on the cells, or 2 weeks if separated from the cells.
Department Chemistry
CPT codes 82951, 82952 x 2
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Hexokinase
Test includes
Glucose, fasting, mg/dL; Glucose, 1 hr, mg/dL; Glucose, 2 hrs, mg/dL; Glucose, 3 hrs, mg/dL; Glucose, 4 hrs, mg/dL.
Notes
According to the ADA, a prolonged GTT is usually unnecessary for the diagnosis of diabetes. Call PAML for printed diet requirements.

[855]


GLUCOSE TOLERANCE, 5 HR (6 SPECIMENS)
Order Code G5TOL Test Code G5TOL
This is not a standard glucose study recommended by ADA. This workpar is not to be used for pregnant patients.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL each specimen  Minimum volume 0.3 mL each specimen
Patient Prep This test should be done in the morning after an overnight fast of between 8 and 14 hours, and after at least 3 days of unrestricted diet (150 or more grams carbohydrate per day) and unlimited physical activity. The patient should remain seated and should not smoke throughout the test. Patient can have nothing by mouth except water during test period. GLUCOSE DOSE: Non-pregnant adults-75 grams, children-1.75 gm/kg of ideal body weight up to a maximum of 75 grams.
Collection procedure Draw fasting specimen just prior to 75 gram glucose load. Draw one hour sample 1 hour post dose, the third sample 2 hours after the dose, the fourth sample 3 hours after the dose, the fifth sample 4 hrs after the last dose and the sixth sample 5 hrs after the last dose.
Specimen processing Separate serum from cells within 30 minutes and place in separate plastic tube. Clearly label each specimen. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks if separated from the cells within 30 minutes of collection.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender, or gray top tube). Plasma from sodium fluoride tube (gray top tube) is stable 5 days on the cells, or 2 weeks if separated from the cells.
Department Chemistry
CPT codes 82951, 82952 x 3
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Hexokinase
Test includes
Glucose, fasting, mg/dL; Glucose, 1 hr, mg/dL; Glucose, 2 hrs, mg/dL; Glucose, 3 hrs, mg/dL; Glucose, 4 hrs, mg/dL Glucose, 5 hrs, mg/dL.
Notes
According to the ADA, a prolonged GTT is usually unnecessary for the diagnosis of diabetes. Call PAML for printed diet requirements.

[856]


GLUCOSE TOLERANCE, PREGNANT (2HR)
Order Code GTT2PG Test Code GTT2PG
This is one of the ADA options for the diagnosis of gestational diabetes in pregnant patients. However, it is not as well validated as the 3-hour GTT. It should not be confused with the 2-hour GTT used for nonpregnant adults in the diagnosis Type 2 diabetes.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL each specimen  Minimum volume 0.3 mL each specimen
Patient Prep This test should be done in the morning after an overnight fast of between 8 and 14 hours, and after at least 3 days of unrestricted diet (150 or more grams carbohydrate per day) and unlimited physical activity. The patient should remain seated and should not smoke throughout the test. Patient can have nothing by mouth except water during test period. GLUCOSE DOSE: 75 grams.
Collection procedure Draw fasting specimen just prior to the 75 gram glucose load. Draw 1 hour and 2 hour post-dose specimens. Clearly label specimens.
Specimen processing Separate serum or plasma from cells within 30 minutes of collection and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated   Frozen (-20°C) 2 weeks if separated from the cells within 30 minutes of collection.   Frozen (-70°C)
Alternate specimens Lithium heparin, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender, or gray top tube). Plasma from sodium fluoride tube (gray top tube) is stable 5 days on the cells, or 2 weeks if separated from the cells.
CPT codes 82951
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Hexokinase
Test includes
Glucose, Fasting, mg/dL; Glucose, 1 hr, mg/dL; Glucose, 2 hr, mg/dL.
Reference ranges
  
Two or more or the following threshold
values must be met or exceeded to 
confirm gestational diabetes:
 Glucose, Fasting   95   mg/dL
 Glucose, 1 hr      180  mg/dL
 Glucose, 2 hr      155  mg/dL
 These criteria apply to the 2-hour
 (75 gram) ADA glucose tolerance
 testing protocol for gestational
 diabetes.
Notes
Call PAML for printed diet instructions.

[857]


GLUCOSE TOLERANCE, PREGNANT (3HR)
Order Code GTT3.PG Test Code GTPG
This is the recommended study for diagnosis of gestational diabetes in pregnant patients.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL each specimen  Minimum volume 0.3 mL each specimen
Patient Prep This test should be done in the morning after an overnight fast of between 8 and 14 hours, and after at least 3 days of unrestricted diet (150 or more grams carbohydrate per day) and unlimited physical activity. The patient should remain seated and should not smoke throughout the test. Patient can have nothing by mouth except water during test period. GLUCOSE DOSE: 100 grams.
Collection procedure Draw fasting specimen just prior to 100 gram glucose load. Draw 1 hour, 2 hour and 3 hour post-dose specimens. Clearly label specimens.
Specimen processing Separate serum from cells within 30 minutes of collection and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks if separated from the cells within 30 minutes of collection.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender, or gray top tube). Plasma from sodium fluoride tube (gray top tube) is stable 5 days on the cells, or 2 weeks if separated from the cells.
Department Chemistry
CPT codes 82951, 82952
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Hexokinase
Test includes
Glucose-Preg, fasting, mg/dL; Glucose-Preg, 1 hour, mg/dL; Glucose-Preg, 2 hour, mg/dL; Glucose-Preg, 3 hour, mg/dL.
Reference ranges
  
Glucose, Pregnant
 Two or more of the following threshold
 values must be met or exceeded to
 confirm gestational diabetes:
  Fasting     95    mg/dL
  1 hour      180    mg/dL
  2 hour      155    mg/dL
  3 hour      140    mg/dL
 These criteria apply to the 3-hour
 (100 gram) ADA glucose tolerance testing 
 protocol for gestational diabetes.
Notes
Call PAML for printed diet instructions.

[858]


GLUCOSE, CSF
Order Code GLU-C Test Code GLUSF
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 2 hours   Refrigerated 72 hours   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Limitations Process immediately to avoid falsely low results.
Department Chemistry
CPT codes 82945
Test schedule Daily & STAT
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Glucose, CSF, mg/dL.
Reference ranges
  
Glucose, CSF        mg/dL
 0-10  yrs  60-80     
 GT 10 yrs  40-70

[859]


GLUCOSE, FASTING OR RANDOM
Order Code GLU Test Code GLU
A fasting glucose is the ADA's preferred screening test for diabetes in non-pregnant adults.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells within 30 minutes of collection and put in separate plastic tube and refrigerate. Store and transport refrigerated.
Required patient info Fasting status of patient.
Stability-   Room temp   Refrigerated 2 weeks if separated within 30 minutes of collection.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens EDTA, lithium, or sodium fluoride/potassium oxalate plasma (lavender, green or gray top tube). Plasma from sodium fluoride tube (gray top tube) is stable 5 days on the cells, or 2 weeks if separated from the cells.
CPT codes 82947
Test schedule Sun-Fri and STAT
Turnaround time 24-48 hours
Method Hexokinase
Test includes
Glucose, Fasting or Random, mg/dL.
Reference ranges
  
Glucose           0-2 d premature 30-80                                 mg/dL
                  0-2 d fullterm  40-90
                  2 days-1 mo     60-105
                  Adult           65-99
                  Pregnant Female 65-94
                                  ADA Diagnostic Categories for non-
                                  pregnant adults:
                                  Impaired fasting glucose: 100-125
                                  mg/dL.
                                  A fasting glucose result of 126
                                  mg/dL or greater indicates diabetes
                                  if the abnormality is confirmed on
                                  a subsequent day.
                                  A random glucose result of GT 200
                                  mg/dL indicates diabetes if the
                                  abnormality is confirmed on a subsequent day.

[1863]


GLUCOSE, FLUID
Order Code GLU-FLD Test Code GLUFL
Specimen Required
       Container type Sodium heparin (green top tube)  Specimen type Body fluid  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Promptly separate fluid from cells and place in separate plastic tube. Refrigerate promptly. Note type of fluid. Store and transport refrigerated.
Required patient info Type of body fluid.
Stability-   Room temp 8 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Alternate specimens Fluid in a sterile container.
Department Chemistry
CPT codes 82945
Test schedule Daily
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Glucose, Fluid, mg/dL.
Reference ranges
  
Glucose, Fluid                                                                               mg/dL
                       Serous Fluid            equal to the serum glucose value.
                       Synovial Fluid          LT 10 mg/dL when compared to the serum
                                               glucose value.
                                               Method not validated for body fluid.
                                               Clinical correlation necessary.

[860]


GLUCOSE, RANDOM
Order Code GLURAN Test Code GLURAN
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells within 30 minutes. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks if separated from the cells within 30 minutes of collection.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender, or gray top tube). Plasma from sodium fluoride tube (gray top tube) is stable 5 days on the cells, or 2 weeks if separated from the cells.
Department Chemistry
CPT codes 82947
Test schedule Sun-Fri nights and STAT
Turnaround time 24-48 hours
Method Hexokinase
Test includes
Glucose, Random, mg/dL.
Reference ranges
  
Ranges as they appear on report:
Glucose, Random                mg/dL
 0-2 days premature   30-80
 0-2 days full term   40-90
 2 days to 1 month    60-105
 Adults               65-99
 A random glucose result of GT 200 mg/dL
 indicates diabetes if the abnormality
 is confirmed on a subsequent day.

ADA diagnostic comments:
Glucose                     mg/dL
 0-2 days premature  30-80
 0-2 days fullterm   40-90
 2 days-1 month      60-105
 Adult               65-99
 Pregnant            65-94

ADA Diagnostic Categories for nonpregnant
adults:
 Impaired fasting glucose  100-125 mg/dL
 A fasting glucose result of 126 mg/dL or
 greater indicates diabetes if the
 abnormality is confirmed on a subsequent
 day.
 A random glucose of 200 mg/dL or greater 
 in a symptomatic patient indicates diabetes
 if the abnormality is confirmed on a 
 subsequent day. Confirmation by a fasting
 glucose is preferred.

[861]


GLUCOSE, SPECIFIC
Order Code GLU.SPECIFIC Test Code GLUSP
To be used only for an additional glucose specimen. Please be specific when recording the nature of the specimen.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells within 30 minutes of collection and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks if separated from the cells within 30 minutes.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender, or gray top tube).
Department Chemistry
CPT codes 82947
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Hexokinase
Test includes
Glucose, Specific, mg/dL.
Reference ranges
  
Ranges as they appear on report:
Glucose                    mg/dL
 0-2 days premature   30-80
 0-2 days full term   40-90
 2 days to 1 month    60-105
 Adults               65-99

ADA diagnostic comments:
Glucose                        mg/dL
 0-2 days premature  30-80
 0-2 days fullterm   40-90
 2 days-1 month      60-105
 Adult               65-99
 Pregnant            65-94

ADA Diagnostic Categories for nonpregnant
adults:
 Impaired fasting glucose  100-125 mg/dL
 A fasting glucose result of 126 mg/dL or
 greater indicates diabetes if the
 abnormality is confirmed on a subsequent
 day.
 A random glucose result of GT 200 mg/dL
 indicates diabetes if the abnormality
 is confirmed on a subsequent day.

[862]


GLUCOSE, URINE (QUALITATIVE)
Order Code GLC Test Code GLUD
If patient is less than 3 years of age, order the workpar URED for urine reducing substances.
Synonyms Reducing Substances, Urine
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 1 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 5 days   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Frozen specimens.
Department Hematology
CPT codes 81005
Test schedule Mon-Sat days, Mon-Fri nights & STAT
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Glucose, Urine, mg/dL.
Reference ranges
  
Glucose, Urine     Negative      mg/dL

[863]


GLUCOSE, URINE (QUANTITATIVE)
Order Code GLU-U Test Code GLUUQ
Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this this test.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 40 mL  Minimum volume 1 mL
Patient Prep Deliver to lab ASAP-results will be lowered as sample ages.
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp   Refrigerated 5 days   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Frozen specimens.
Department Chemistry
CPT codes 82945
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Collection Period, h; Volume, mL; Glucose, Urine, mg/24h.
Reference ranges
  
Collection Period             h
Volume                        mL
Glucose, Urine       0-500    mg/24h

[864]


GLUCOSE, URINE (RANDOM)
Order Code GLU-R Test Code GLUUR
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 1 mL
Collection procedure Collect a random urine in a sterile leakproof plastic container.
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated 5 days   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Frozen specimens.
Department Chemistry
CPT codes 82945
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Hexokinase
Test includes
Glucose, Urine, mg/dL.
Reference ranges
  
Glucose, Urine              mg/dL
 No normal range established.

[865]


GLUCOSE-6-PHOSPHATE DEHYDROGENASE
Order Code G6PD Test Code G6PD
Synonyms G6PDH
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Whole blood and 2 peripheral smears  Preferred volume 5 mL  Minimum volume 0.5 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Heparinized or clotted specimens.
Alternate specimens Lavender top tube (EDTA) and 2 smears.
Limitations Tube must be at least half full.
Department Hematology
CPT codes 82960
Test schedule Wed
Turnaround time 1 week
Method Colorimetric
Test includes
Glucose-6-Phosphate Dehydrogenase.
Reference ranges
  
Glucose-6-Phosphate Dehydrogenase 
 Normal
Notes
This test distinguishes normal from gross deficiency and should not be used to assess the degree of deficiency.

[866]


GLUCOSE-6-PHOSPHATE DEHYDROGENASE [ARUP]
Order Code G6ARUP Test Code G6ARUP
Specimen Required
       Container type EDTA (lavender top tube)  Specimen type whole blood  Preferred volume 5 mL  Minimum volume 1.5 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 1 week   Frozen (-20°C) unacceptable   Frozen (-70°C)
CPT codes 82955
Test schedule Sun-Sat
Turnaround time 2-4 days
Method Enzymatic
Test includes
Glucose-6-Phosphate Dehydrogenase, U/gHgb.
Reference ranges
  
Glucose-6-Phosphate Dehydrogenase   7.0-20.5 U/gHgb

[5572]


GLUTAMIC ACID DECARBOXYLASE ANTIBODY
Order Code GADCAB Test Code GADCAB
Synonyms GAD65
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Plasma and grossly hemolyzed specimens.
CPT codes 83516
Test schedule Sun-Fri
Turnaround time 2-4 days
Method ELISA
Test includes
Glutamic Acid Decarboxylase Antibody, U/mL.
Reference ranges
  
Glutamic Acid Decarboxylase Antibody  U/mL
 0.0-5.0

[5055]


GLUTAMINES, CSF
Order Code GLUTAMINE Test Code GLUTSF
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type Frozen CSF (cell-free)  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing CSF must be cell-free. Freeze immediately. Store and transport frozen.
CPT codes 82131
Test schedule Varies
Turnaround time 4-12 days
Method Anion Exchange Chromatography
Test includes
Glutamine CSF.
Reference ranges
  
Glutamine, CSF  246-958  um/L

[869]


GLYBURIDE
Order Code GLY Test Code GLY
Synonyms Micronase
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.2 mL
Specimen processing Separate serum from cells immediately and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 week   Frozen (-20°C) 4 months   Frozen (-70°C)
Unacceptable conditions SST or PST (gel separator tubes).
Alternate specimens Plasma.
CPT codes 82491
Test schedule Mon, Wed, Fri
Turnaround time 4-7 days
Method HPLC
Test includes
Glyburide, mcg/mL.
Reference ranges
  
Glyburide           mcg/mL
 Peak level following single 5 mg oral dose:
 Approximately 0.4 mcg/mL   

[3562]


GLYCOHEMOGLOBIN
Order Code GLHGB Test Code GLYCO
Represents average glucose concentration over a 6-8 week period.
Synonyms HGBA1C; Hemoglobin A1C
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Minimum volume 1 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Alternate specimens Sodium fluoride/potassium oxalate whole blood (grey top tube).
Department Immunochemistry
CPT codes 83036
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method HPLC
Test includes
Hgb A1c, %; Estimated Average Glucose, mg/dL.
Reference ranges
  
Hgb A1c   4.0-6.0 Non-diabetic   % 
 The American Diabetes Association
 considers a result  of LT 7% to be 
 the goal of diabetic therapy.
 When results are consistently
 GT 8%, the ADA suggests reevaluation
 of the treatment regimen. The 
 testing method used is certified
 traceable to the Diabetes Control
 and Complications Trial reference
 method.                                 
Estimated Average Glucose        mg/dL
 The ADA considers an eAG result of LT 154 mg/dL 
 to be the goal of diabetic therapy. Estimated 
 Average Glucose calculated from hemoglobin A1c
 by use of the ADA recommended formula.

[870]


GM 1 ANTIBODY PANEL
Order Code GM1.AB Test Code GM1AB
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Synonyms Anti-GM1 Antibody Panel; Ganglioside-Monosialic Acid
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Critical frozen.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, icteric, severely lipemic, contaminated or hemolyzed specimens.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 83516 x 4
Test schedule Tue, Fri
Turnaround time 7-9 days
Method ELISA
Test includes
GM1 Antibody, IgG, IV; GM1 Antibody, IgM, IV; Asialo GM1 Antibody, IgG, IV; Asialo GM1 Antibody, IgM, IV.
Reference ranges
  
GM1 Ab IgG                   IV
 29 or less     Negative
 30-50          Weak positive
 51-150         Positive
 151 or more    Strong positive
GM1 Ab IgM                   IV
 29 or less     Negative
 30-50          Weak positive
 51-150         Positive
 151 or more    Strong positive
Asialo GM1 Ab IgG            IV
 29 or less     Negative
 30-50          Weak positive
 51-150         Positive
 151 or more    Strong positive
Asialo GM1 Ab IgM            IV
 29 or less     Negative
 30-50          Weak positive
 51-150         Positive
 151 or more    Strong positive
 Elevated antibody levels to ganglio-
 sidemonosialic acid (GM1), and the
 neutral glycolipid, asialo GM1 are 
 associated with motor or senorimotor
 neuropathies, particularly multifocal
 motro neuropathy. Anti-GM1 may occur
 as IgM (polyclonal or monoclonal) or
 IgG antibodies. There antibodies may
 also be found in patients with diverse
 connective tissue diseases as well as
 normal individuals. These tests by
 themselves are not diagnostic and 
 should be used in conjunction with
 other clinical parameters to confirm
 disease.

[871]


GOLD
Order Code GOLD Test Code GOLDS
Specimen Required
       Container type Royal blue top tube (metal free plain)  Specimen type Serum  Preferred volume 4 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
CPT codes 80172
Test schedule Mon
Turnaround time 2-9 days
Method GFAAS
Test includes
Gold, mcg/mL.
Reference ranges
  
Gold                    mcg/mL
 Normal      LT 2.5       
 Therapeutic 3000-8000

[872]


GRANULOCYTE ANTIBODIES
Order Code GRANAB Test Code GRANAB
Synonyms Anti-neutrophil; Granulocyte Ab; Neutrophil Antibodies; Anti-Lecukocyte Antibody; Antigranulocyte Antibodies; Granulocyte Binding IgG
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Unacceptable conditions Serum from SST or gel-type tubes and post-transfusion specimens.
CPT codes 86021
Test schedule Mon
Turnaround time 2-9 days
Method Indirect Immunofluorescence
Test includes
Granulocyte Antibodies.
Reference ranges
  
Granulocyte Antibodies     Negative

[874]


GROWTH HORMONE ANTIBODIES
Order Code HGHAB Test Code HGHAB
Synonyms Human Growth Hormone Antibodies
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells within one hour and place in separate plastic tube and freeze. Store and transport frozen.
CPT codes 86277
Test schedule Varies
Turnaround time 7-10 days
Method HGH-I125 Binding Capacity
Test includes
Growth Hormone Antibodies.
Reference ranges
  
Growth Hormone Antibodies    Negative

[875]


GTT, 2 HOUR
Order Code GLU2HR Test Code GLU2HR
This testing interval is not recognized as a standard testing interval according to the ADA Guidelines and as such does not have any normal ranges associated with it. Use only when not following the recommended ADA Guidelines criteria established for the diagnosis of diabetes mellitus.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells within 30 minutes. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks if separated from the cells within 30 minutes of collection.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender, or gray top tube).
Department Chemistry
CPT codes 82952
Test schedule Sun-Fri Nights and STAT
Turnaround time 24-48 hours
Method Hexokinase
Test includes
GTT, 2 hours, mg/dL.

[876]


GTT, 3 HOUR
Order Code GLU3 Test Code GLU3
This testing interval is not recognized as a standard testing interval according to the ADA Guidelines and as such does not have any normal ranges associated with it. Use only when not following the recommended ADA Guidelines criteria established for the diagnosis of diabetes mellitus.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells within 30 minutes. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks if separated from the cells within 30 minutes of collection.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender, or gray top tube).
Department Chemistry
CPT codes 82952
Test schedule Sun-Fri Nights and STAT
Turnaround time 24-48 hours
Method Hexokinase
Test includes
GTT, 3 hours, mg/dL.

[877]


GTT, 30 MINUTES
Order Code GLH Test Code GLH
This testing interval is not recognized as a standard testing interval according to the ADA Guidelines and as such does not have any normal ranges associated with it. Use only when not following the recommended ADA Guidelines criteria established for the diagnosis of diabetes mellitus.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells within 30 minutes. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks if separated from the cells within 30 minutes of collection.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender, or gray top tube).
Department Chemistry
CPT codes 82947
Test schedule Sun-Fri Nights and STAT
Turnaround time 24-48 hours
Method Hexokinase
Test includes
GTT, 30 minutes, mg/dL.

[878]


GTT, 4 HOUR
Order Code GLU4 Test Code GLU4
This testing interval is not recognized as a standard testing interval according to the ADA Guidelines and as such does not have any normal ranges associated with it. Use only when not following the recommended ADA Guidelines criteria established for the diagnosis of diabetes mellitus.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells within 30 minutes. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks if separated from the cells within 30 minutes of collection.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender, or gray top tube).
Department Chemistry
CPT codes 82952
Test schedule Sun-Fri Nights and STAT
Turnaround time 24-48 hours
Method Hexokinase
Test includes
GTT, 4 hours, mg/dL.

[879]


GTT, 5 HOUR
Order Code GLU5 Test Code GLU5
This testing interval is not recognized as a standard testing interval according to the ADA Guidelines and as such does not have any normal ranges associated with it. Use only when not following the recommended ADA Guidelines criteria established for the diagnosis of diabetes mellitus.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells within 30 minutes. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks if separated from the cells within 30 minutes of collection.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender, or gray top tube).
Department Chemistry
CPT codes 82952
Test schedule Sun-Fri Nights and STAT
Turnaround time 24-48 hours
Method Hexokinase
Test includes
GTT, 5 hours, mg/dL.

[880]


GTT, 6 HOUR
Order Code GLU6 Test Code GLU6
This testing interval is not recognized as a standard testing interval according to the ADA Guidelines and as such does not have any normal ranges associated with it. Use only when not following the recommended ADA Guidelines criteria established for the diagnosis of diabetes mellitus.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells within 30 minutes. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks if separated from the cells within 30 minutes of collection.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender, or gray top tube).
Department Chemistry
CPT codes 82952
Test schedule Sun-Fri Nights and STAT
Turnaround time 24-48 hours
Method Hexokinase
Test includes
GTT, 6 hours, mg/dL.

[881]


GTT, 90 MINUTES
Order Code GLU1H Test Code GLU1H
This testing interval is not recognized as a standard testing interval according to the ADA Guidelines and as such does not have any normal ranges associated with it. Use only when not following the recommended ADA Guidelines criteria established for the diagnosis of diabetes mellitus.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells within 30 minutes. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks if separated from the cells within 30 minutes of collection.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender, or gray top tube).
Department Chemistry
CPT codes 82952
Test schedule Sun-Fri Nights and STAT
Turnaround time 24-48 hours
Method Hexokinase
Test includes
GTT, 90 minutes, mg/dL.

[882]


GUAIAC TEST FOR OCCULT BLOOD
Order Code OC.BLD Test Code OCBLD
Synonyms Hemoccult; Guaiac
Specimen Required
       Container type Leakproof plastic container or Hemoccult packet.  Specimen type Stool, random
Specimen processing Special Hemoccult packet available from laboratory. If sending stool specimen, prefer that it be stored and transported refrigerated.
Department Microbiology
CPT codes 82270
Test schedule Mon-Sat days, Mon-Fri nights
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Occult Blood.
Reference ranges
  
Occult Blood      Negative

[1270]


GUAIAC TEST FOR OCCULT BLOOD X 2
Order Code OC.BLD2 Test Code OCBLD2
Synonyms Hemoccult x 2; Guaiac x 2
Specimen Required
       Container type Leakproof plastic container or Hemoccult packet.  Specimen type Stool, random
Specimen processing Stool, 2 separate random collections. Special Hemoccult packets available from laboratory. If sending stool specimen, prefer that they be stored and transported refrigerated.
Department Microbiology
CPT codes 82270
Test schedule Mon-Sat days, Mon-Fri nights
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Occult Blood x 2.
Reference ranges
  
Occult Blood
  Spec #1        Negative
  Spec #2        Negative

[1271]


GUAIAC TEST FOR OCCULT BLOOD X 3
Order Code OC.BLD3 Test Code OCBLD3
Synonyms Hemoccult x 3; Guaiac x 3
Specimen Required
       Container type Leakproof plastic container or Hemoccult packet.  Specimen type Stool, random
Specimen processing Stool, 3 separate random collections. Special Hemoccult packets available from laboratory. If sending stool specimens, prefer that they be stored and transported refrigerated.
Department Microbiology
CPT codes 82270
Test schedule Mon-Sat days, Mon-Fri nights
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Occult Blood x 3.
Reference ranges
  
Occult Blood
  Spec #1       Negative
  Spec #2       Negative
  Spec #3       Negative

[1272]


HAEMOPHILUS INFLUENZAE TYPE B ANTIBODY, IGG
Order Code H.INFB.AB Test Code HFLUBG
This test is used to determine vaccine response.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure "Pre" and 30-day "Post" vaccination samples should be submitted together for testing. Post sample should be drawn 30 days after immunization. Clearly label tubes.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, hemolyzed, contaminated specimens or other body fluids.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86317
Test schedule Mon, Wed, Fri
Turnaround time 2-6 days
Method Multi-Analyte Fluorescent Detection
Test includes
Haemophilus influenzae Type B Antibody, ug/mL.
Reference ranges
  
Haemophilus Influenzae Type B Ab      ug/mL
 LT 1.0        Antibody concentration not
               protective.
 1.0 or more   Antibodies to H. influenzae B
               detected suggestive of 
               protection.

[883]


HALOPERIDOL
Order Code HALDOL Test Code HAL
Synonyms Haldol
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2.5 mL  Minimum volume 1.5 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 hours   Refrigerated 7 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens EDTA, sodium heparinized or fluoride/oxalate plasma (lavender, green or grey top tube).
Limitations Avoid the use of serum separator tubes and gels. Avoid repeat freeze/thaw cycles.
CPT codes 80173
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method HPLC
Test includes
Haloperidol, ng/mL.
Reference ranges
  
Haloperidol                       ng/mL
 Adult Therapeutic  2.0-15.0       
 The therapeutic range relates to the
 management of psychoses; lower con-
 centrations may be therapeutic for
 Tourette and mania. The toxic range
 is not well established. Some patients
 experience toxicity within the 
 therapeutic range.

[884]


HANTAVIRUS IGG & IGM ANTIBODIES (REFLEXIVE)
Order Code HANTA Test Code HANTA
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
CPT codes 86790 x 2
Turnaround time 2-4 days
Method ELISA
Test includes
Hantavirus Antibody, IgG; Hantavirus Antibody, IgM.
Reference ranges
  
Hantavirus Antibody, IgG    1.10 or less
Hantavirus Antibody, IgM    1.10 or less
 Interpretive Criteria
 1.10 or less     Antibody not detected
 GT 1.10          Antibody detected
 Two major groups of hantaviruses are
 recognized based on clinical 
 presentation. The first group includes
 Sin Nombre Virus, which causes
 hantavirus pulmonary syndrome, a
 severe and possibly fatal form of acute
 respiratory distress. A second group
 of hantaviruses (including Seoul,
 Hantaan, Dobrava, and Puumala viruses)
 causes hemorrhagic fever with renal
 syndrome, a condition not typically
 seen in the United States. Sera are
 initially screened for IgG and IgM
 antibodies recognizing the nucleo-
 capsid protein common to all hanta-
 viruses. All screen IgM positive
 samples are then tested for SNV-
 specific IgM; any screen IgM positive
 samples that are also screen IgG
 positive are tested for SNV-specific
 IgG, as well as SNV-specific IgM. 
 Samples that are screen IgG positive
 but screen IgM negative are not
 subjected to SNV-specific IgG testing,
 since the lack of IgM rules out acute
 SNV infection. A positive screening
 result but a negative SNV-specific
 antibody result may indicate either 
 reactivity to a hantavirus other than
 SNV or false positive reactivity. A
 small number of SNV IgM positive (but
 screen IgG negative) samples represent
 false positive reactivity associated
 with acute cytomegalovirus or Epstein
 Barr virus infection.

[885]


HAPTOGLOBIN
Order Code HAPTO Test Code HAPT
Synonyms HP; HPT; Hemoglobin-Binding Protein
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Collection procedure Fasting specimen.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Specimen can only be thawed once.
Stability-   Room temp 8 hours   Refrigerated 3 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed, lipemic or plasma specimens.
Department Chemistry
CPT codes 83010
Test schedule Daily
Turnaround time 1-2 days
Method Nephelometry
Test includes
Haptoglobin, mg/dL.
Reference ranges
  
Haptoglobin   37-308     mg/dL

[886]


HAPTOGLOBIN BY PCR
Order Code HAPPCR Test Code
Specimen Required
       Container type EDTA (lavender top tube) or K2EDTA (pink top tube)  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 3 days   Refrigerated 1 week   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Frozen specimens, heparinized specimens.
Alternate specimens ACD-A or B (yellow top tube) or Sodium Citrate (lt. blue top tube)
CPT codes 83891, 83898 x 2, 83896 x 4, 83912
Test schedule Mon, Thu
Turnaround time 3-8 days
Method PCR/ Fluorescent monitoring
Test includes
Haptoglobin by PCR and FRET
Reference ranges
  
HAPTO PCR Specimen
Haptoglobin by PCR and FRET
                                  This test is performed pursuant to an agreement
                                  with Roche Molecular Systems, Inc. This test was
                                  performed pursuant to an agreement with Alteon, Inc.

[6077]


HCG QUANTITATIVE TUMOR MARKER
Order Code HCGTM Test Code HCGTM
Synonyms Beta HCG Quantitative, Tumor Marker
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp unstable   Refrigerated 7 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Room temperature samples.
Alternate specimens EDTA plasma, heparinized plasma or SST (lavender , green, or brick top tube).
Department Immunology
CPT codes 84702
Test schedule Mon-Sat days
Turnaround time 1-4 days
Method Chemiluminescence
Test includes
HCG Quantitative, Tumor Marker, IU/L.
Reference ranges
  
HCG Quantitative Tumor Marker   IU/L
 Male     LT 4
 Female   LT 6
 This result cannot be interpreted as 
 absolute evidence of the presence or
 absence of malignant disease. This
 result is not interpretable as a 
 tumor marker in pregnant females.

[887]


HCG QUANTITATIVE, BETA
Order Code HCG-QUANT Test Code BHCGQ
Synonyms Chorionic Gonadotropin Quant; HCG Beta, Quant; Human Chorionic Gonadotropin Quant; Beta HCG, Quantitative; Intact HCG & Free Beta Subunits by ICMA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 14 days   Frozen (-20°C) 12 months   Frozen (-70°C)
Department Immunochemistry
CPT codes 84702
Test schedule Sun-Fri and STAT
Turnaround time 24-48 hours
Method ICMA
Test includes
HCG-Quant Beta Subunit , mIU/mL.
Reference ranges
  
HCG-Quant Beta Subunit 
 Non-pregnant females LT 5 mIU/mL
 Minimum detectable concentration
 of HCG is 2.0 mIU/mL.
   **Representative Reference Intervals**
   After Fert.  After LMP       mIU/mL
   2 Wks        4 Wks           5-450
   3 Wks        5 Wks           50-7000
   4 Wks        6 Wks           1000-50000
   5-12 Wks     7-14 Wks        5000-290000
   13-24 Wks    15-26 Wks       4000-250000
   25-38 Wks    27-41 Wks       3000-100000
   HCG values in early normal pregnancy double
   every 48 hours.
Notes
Minimum detectable concentration is 2.0 mIU/mL. This method is calibrated according to the WHO 3rd International Reference Preparation for Chorionic Gonadotropin (WHO 3rd IRP 75/537). The degradation half-life for HCG is 1 day following surgical removal of ectopic pregnancy or trophoblastic tissue.

[888]


HCG, BETA
Order Code HCG Test Code PRG
Synonyms HCG Beta, Qual; Pregnancy Test; Beta HCG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or freeze if transport will exceed 2 days.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Limitations Avoid repeat freeze-thaw cycles.
Department Immunochemistry
CPT codes 84703
Test schedule Sun-Fri nights and STAT
Turnaround time 24-48 hours
Method ICMA
Test includes
Pregnancy test (Beta HCG), Serum.
Reference ranges
  
Pregnancy Test (Beta HCG)      mIU/mL  
 Negative   LT 5                                     
 Positive   5 or greater
Notes
This method is calibrated according to the WHO 3rd International Reference Preparation for Chorionic Gonadotropin (WHO 3rd IRP 75/537). Pregnancy is detected 1 week after implantation or 4-5 days before first missed menses. Sensitivity of the ICMA method is 2.0 mIU/mL.

[889]


HCV FIBROSURE
Order Code HCVFS Test Code HCVFS
Synonyms ActiTest, FibroSURE, Fibrotest
Specimen Required
       Container type SST Tube  Specimen type Frozen serum  Preferred volume 3 mL  Minimum volume 3 mL
Patient Prep Patient should be fasting 8 hours prior to the test.
Specimen processing Separate serum from cells within 1 hour of collection and put in separate plastic tube and freeze. Protect from light. Store and transport frozen.
Unacceptable conditions Gross hemolysis/lipemia, specimens not protected from light or older than 72 hours that are not frozen.
CPT codes 82247, 84460, 83010, 82172, 82977, 83883
Turnaround time 6-8 days
Test includes
Fibrosure Score; Fibrosure Stage; Necroinflammat Activity Score; Necroinflammat Activity Grade; Alpha 2-Macroglobulins, QN, mg/dL; Haptoglobin, mg/dL; Apolipoprotein A-1, mg/dL; Bilirubin, Total, mg/dL; GGT, IU/L; ALT (SGPT), IU/L; Interpretation; Limitations; Comment.
Reference ranges
  
Fibrosure Score                               0.00-0.21
Fibrosure Stage
Necroinflammat Activity Score                 0.00-0.17
Necroinflammat Activity Grade
Alpha 2-Macroglobulins, QN                    110-276                mg/dL
Haptoglobin                                   34-200                 mg/dL
Apolipoprotein A-1      M                     110-180
                        F                     110-205
Bilirubin, Total        24 hrs old            0.0-8.0                mg/dL
                        48 hrs old            0.0-13.2
                        72 hrs old            0.0-15.6
                        96 hr to 1 mo         0.0-16.6
                        GT 1 mo old           0.0-1.2   
                        
GGT                     M                     0-65                   IU/L
                        F                     0-60
ALT (SGPT)              M                     0-55                   IU/L
                        F                     0-40

[890]


HDL
Order Code HDL Test Code HDL
Synonyms High Density Lipoprotein
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Collection procedure Patient should be fasting 12 hours prior to collection.
Specimen processing Separate serum from cells within 2 hours of collection and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 83718
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Elimination/Enzymatic
Test includes
HDL, mg/dL; LDL (Calculated), mg/dL.
Reference ranges
  
HDL                         mg/dL
 LT 40       Low
 40-59       Within normal limits
 60 or more  High
 HDL Cholesterol greater than or equal
 to 60 mg/dL is considered to be a
 'negative' risk factor, serving to
 remove one risk factor from the total
 count.
LDL (calculated)            mg/dL
 LT 100      Optimal
 100-129     Near or above normal
 130-159     Borderline high
 160-189     High
 190 or more Very high
 To calculate 10-year cardiac risk for
 the patient, go to http://www.paml.com,
 click on testing, then on ranges/
 algorithms, and then on lipid results.

[891]


HEAT SHOCK PROTEIN 70 BY WB [ARUP]
Order Code HSP70 Test Code HSP70
Synonyms 68KD Heat Shock Protien 70 by WB
Specimen Required
       Container type Red top tubeq  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in sterile transport tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Anticoagulants or preservatives, hemolyzed or lipemic samples. Specimens with large clots or bacterial growth present.
Alternate specimens SST tube
CPT codes 84182
Test schedule Thu
Turnaround time 2-9 days
Method Western Blot
Test includes
Heat Shock Protein 70 by WB
Reference ranges
  
Heat Shock Protein 70 by WB              Negative

[3082]


HEAVY METALS, QUANTITATIVE
Order Code HVY Test Code HVYMTL
Specimen Required
       Container type Royal blue top tube (metal free K2EDTA)  Specimen type Whole blood  Preferred volume 7 mL  Minimum volume 1.5 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp If the sample is drawn and stored in the appropriate container, the trace element values do not change with time.   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Heparin anticoagulant.
Alternate specimens NA2EDTA whole blood (NA2EDTA royal blue top tube).
CPT codes 82175, 83655, 83825
Test schedule Mon-Sat
Turnaround time 2-6 days
Method AA/ICP-MS
Test includes
Arsenic, ug/L; Lead, ug/dL; Mercury, ug/L.
Reference ranges
  
Heavy Metals, Blood 
 Arsenic                  0.0-62.0  ug/L
  Potentially toxic       GT 600
 Lead, Venous, Normal               ug/dL   
  0-14 yrs                0.0-9.9
  15+  yrs                0.0-24.9
 Mercury                  0-10      ug/L

[892]


HEAVY METALS, QUANTITATIVE, URINE
Order Code HVY-U Test Code HMUQ
Order the workpar '1TV' with this test. Enter the collection (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection.  Preferred volume 50 mL  Minimum volume 5 mL
Collection procedure Add 20 mL 6N nitric acid to a 24-hour dark plastic urine container at the start of the collection. Collect a 24-hour urine specimen. Use only SAGE, SSA jug from Fisher, GUARD, P-Splitter or HEDWIN jugs. Pretest other jugs. Do not use VOLLRATH jugs. Refrigerate during collection.
Specimen processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic container. Record collection time and total volume. Adjust pH to 2. Store and transport refrigerated.
Required patient info Collection period, pH and total volume.
Stability-   Room temp 72 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Specimen contaminated with blood or fecal material.
Alternate specimens May add 20 mL 6N HNO3 at end of collection. Adjust pH to 2. This procedure may be done after the specimen has been received at PAML, however, it must be shipped in the original collection container & performed before it is aliquoted. Entire collection should be kept refrigerated and acid added to entire collection within 20 hours.
Limitations See individual metals.
Department Chemistry, Trace Metals
CPT codes 83655, 83018 x 2
Test schedule Tue, Thu, Sat
Turnaround time 2-5 days
Method Electrothermal (Flameless) AAS and Mercury Hydride
Test includes
Collection Period, h; Volume, mL; Lead, Urine, ug/L; Lead, Urine, ug/24h; Mercury, Urine, ug/L; Mercury, Urine, ug/24h; Arsenic, Urine, ug/L; Arsenic, Urine, ug/24h.
Reference ranges
  
Collection Period            h
Volume                       mL
Lead, Urine                  ug/L          
Lead, Urine                  ug/24h
 Normal        LT 80        
 Inconclusive  80-125
 Abnormal      GT 125
 Up to 125 ug/24h is probably
 not associated with lead poisoning.
Mercury, Urine               ug/L
Mercury, Urine               ug/24h 
 Non-exposed         LT 20    
 Potentially toxic   GT 150
Arsenic, Urine               ug/L
Arsenic, Urine       5-50    ug/24h

[893]


HEAVY METALS, URINE (RANDOM)
Order Code HVY.RU Test Code HMUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 50 mL  Minimum volume 5 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 50 mL of a random urine specimen. Adjust pH to 2 with 6N nitric acid. Store and transport refrigerated.
Required patient info pH
Stability-   Room temp 72 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Specimens contaminated with blood or fecal materials.
Limitations See individual metals.
Department Chemistry, Trace Metals
CPT codes 83655, 83018 x 2
Test schedule Tue, Thu, Sat
Turnaround time 2-5 days
Method Electrothermal (Flameless) AAS and Mercury Hydride
Test includes
Lead, Urine, ug/L; Mercury, Urine, ug/L; Arsenic, Urine, ug/L.
Reference ranges
  
Lead, Urine     No normals established  ug/L
Mercury, Urine  No normals established  ug/L
Arsenic, Urine  No normals established  ug/L

[894]


HELICOBACTER PYLORI ANTIBODY IGA
Order Code HPAIGA Test Code HPAIGA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Specimen processing Separate serum or plasma from the cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Severely lipemic, contaminated, heat-inactivated, or hemolyzed samples. Avoid repeated freeze/thaw cycles.
Alternate specimens EDTA, K2EDTA or sodium or lithium heparin plasma (lavender, pink or green top tube).
CPT codes 86677
Test schedule Sun-Sat
Turnaround time 2-3 days
Method EIA
Test includes
Helicobacter pylori Ab, IgA, EV.
Reference ranges
  
Helicobacter pylori Ab, IgA                                 EV
 1.7 or less        Negative: no significant level of IgA            
                    Ab to H. pylori detected.
 1.8-2.2            Equivocal: Repeat testing in 10-14 days
                    may be helpful.
 2.3 or more        Positive_IgA Ab to H. pylori detected,
                    suggestive of acitve infection.
                    Helicobacter pylori IgG and IgA Ab
                    seroconversion occur together after
                    60 days. Samples which have a high
                    titer of both IgG and IgA Abs to H.
                    pylori in symptomatic individuals may
                    be considered to represent an acitve
                    infecction. However, a positive H.pylori
                    IgA result can only infer active infection
                    and should be confirmed by bacterial
                    isolation or other diagnostic testing.

[5594]


HELICOBACTER PYLORI ANTIBODY
Order Code HELICO.AB Test Code HPYG
This test is qualitative and no quantitative interpretations should be made with respect to the index values.
Synonyms H. pylori; h pylori
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Icteric, lipemic, hemolyzed, heat inactivated or plasma specimens.
Department Virology
CPT codes 86677
Test schedule Tue-Sat
Turnaround time 1-3 days
Method EIA
Test includes
Helicobacter pylori Antibody, IgG, ISR.
Reference ranges
  
Helicobacter pylori Ab, IgG  ISR
 LT 0.91   Negative-no significant level
           of IgG antibody to H. pylori
           detected.
 0.91-1.09 Equivocal serological results.
           Suggest follow up H. pylori
           breath test or stool antigen
           testing.
 GT 1.09   Positive-A positive serologic
           result for H. pylori cannot
           distinguish current from 
           previous infection, and cannot
           be used to assess response to
           therapy. Breath testing or 
           stool antigen testing can be 
           used for these purposes.

[896]


HELICOBACTER PYLORI ANTIBODY, IGG & IGA
Order Code HPYGA Test Code HPYGA
Synonyms H. pylori; h pylori
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C) 1 year
Unacceptable conditions Severely lipemic, contaminated, heat-inactivated, or hemolyzed specimens.
Alternate specimens EDTA, K2EDTA, sodium heparin or lithium heparin plasma.
CPT codes 86677 x 2
Test schedule Sun-Sat
Turnaround time 2-4 days
Method EIA
Test includes
Helicobacter pylori Antibody, IgA, EV; Helicobacter pylori Antibody, IgG, EV.
Reference ranges
  
Helicobacter pylori AB, IgA          EV
 Negative      1.7 or less
               No significant level of
               IgA AB to H. pylori detected.
 Equivocal     1.8-2.2
               Repeat testing in 10-14
               days may be helpful.
 Positive      2.3 or greater
               IgA AB to H. pylori detected,
               suggestive of active infection.
               Helicobacter pylori IgG and IgA 
               AB serconversion occur together
               after 60 days. Samples which have
               a high titer of both IgG and IgA Abs
               to H. pylori in symptomatic individuals
               may be considered to represent an 
               active infection and should be 
               confirmed by bacterial isolation or
               other diagnositc testing.
Helicobacter pylori, IgG           EV
 Negative      1.7 or less
               No significant level of IgG AB to 
               H. pylori detected.
 Equivocal     1.8-2.2
               Repeat testing in 10-14 days may be
               helpful.
 Positive      2.3 or greater
               IgG AB to H. pylori detected, 
               suggestive of previous exposure
               or active infection.

[898]


HELICOBACTER PYLORI ANTIBODY, IGM
Order Code HPMAG Test Code HPMAG
Synonyms H. pylori; h pylori
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year (avoid repeated freeze/thaw cycles)   Frozen (-70°C)
Unacceptable conditions Severely lipemic, contaminated, heat-inactivated, or hemolyzed samples.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
CPT codes 86677
Test schedule Tue, Thu, Sun
Turnaround time 3-6 days
Method ELISA
Test includes
Helicobacter pylori Antibody, IgM, EV.
Reference ranges
  
Helicobacter pylori Antibody, IgM    EV
 0.8 or less     Negative-no significant
 level of IgM antibody to H. pylori
 detected.
 0.9-1.1         Equivocal-Repeat testing 
 in 10-14 days may be helpful.
 1.2 or more     Positive-IgM antibody to
 H. pylori detected, suggestive of 
 active infection.
 Gastric colonization by Helicobacter
 pylori has been implicated in the
 development of some cases of gastritis 
 and peptic or duodenal ulcer. The
 critical utility of H. pylori IgM
 antibody measurement has not been
 clearly established.

[899]


HELICOBACTER PYLORI ANTIGEN, STOOL
Order Code HPSA Test Code HPSA
Synonyms H. pylori; Helicobacter; h pylori
Specimen Required
       Container type Leakproof plastic container.  Specimen type Stool  Preferred volume 1 gram or mL  Minimum volume 1 gram or mL.
Collection procedure Collect fresh, unpreserved stool in a clean, leakproof container.
Specimen processing Store and transport refrigerated if time to test is LT 72 hours, freeze if more than 72 hours.
Stability-   Room temp unacceptable   Refrigerated 3 days   Frozen (-20°C) indefinitely   Frozen (-70°C)
Department Virology
CPT codes 87338
Test schedule Mon- Fri
Turnaround time 1-3 days
Method EIA
Test includes
Helicobacter pylori Antigen, Stool; Helicobacter pylori Antigen, Stool Status.
Reference ranges
  
Helicobacter pylori Ag  Stool  Negative
Helicobacter pylori Ag Stool, Status
Notes
Antimicrobials, proton pump inhibitors, and bismuth preparations can supress H. pylori, and ingestion of these prior to testing may give a false-negative result. Treatment with these compounds should be discontinued for 2 weeks prior to testing for H. plyori stool antigen. Determination of eradication of H. pylori bacteria should be done at least 4 weeks after completion of therapy.

[900]


HELICOBACTER PYLORI BREATH TEST
Order Code HPYBT Test Code HPYBT
Performance characteristics of this test have not been established in pediatric populations (LT 18 years).
Synonyms H. pylori; Breath test; Helicobacter; h pylori
Specimen Required
       Container type See below  Specimen type See below  Preferred volume See below
Patient Prep Patient is to be fasting for 1 hour prior to the test, no food, liquids or smoking; abstain from the following medications for 2 weeks prior to the test: all antibiotics, Proton Pump Inhibitors (Prilose, Prilosec OTC, Prevacid, Aciphex, Protonix and Nexium), generic version of PPIs and Bismuth Preparations such as Pepto Bismol. Can use Zantac, Tagamet, Pepsid and Axid.
Collection procedure Breath samples using Breath Tek UBT Kit-one blue bag for the baseline sample and one pink bag for the post dose sample. Follow instruction contained in the collection kit.
Specimen processing Send both pink and blue bags at room temperature clearly marked.
Stability-   Room temp 7 days   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Bags not fully inflated or only one of the bags submitted.
Department Virology
CPT codes 83013
Test schedule Tue-Sat
Turnaround time 1-4 days
Method Infared spectrophotometry
Test includes
Helicobacter pylori Breath Test.
Reference ranges
  
Helicobacter Pylori Breath Test    Negative
Notes
Determination of eradication of H. pylori bacteria should be done at least 4 weeks after completion of therapy.

[902]


HELICOBACTOR PYLORI SCREEN
Order Code HELICO.SCR Test Code HPS
Synonyms H. pylori; h pylori
Specimen Required
        Specimen type Tissue  Preferred volume 2 mm  Minimum volume 1 x 1 mm
Collection procedure This test uses a commercially supplied kit. Submit gastric biopsy from sump of antrum. Insert 2 x 2 mm piece into media on the slide supplied in kit. Store and transport at room temperature as soon as possible.
Department Microbiology
CPT codes 87081
Test schedule Daily
Turnaround time 24-48 hours
Method Culture
Test includes
Helico Pylori Screen; Helico Pylori Screen, Status.
Reference ranges
  
Source
Helico pylori Screen
Helico pylori Screen, Status

[904]


HELPER SUPPRESSORshipping instruction code
Order Code HSSUB Test Code HSSUB
Synonyms T4/T8; CD4/CD8; Helper/Suppressor, Flow Cytometry
Specimen Required
       Container type Yellow top tube (ACD Type A or B) and Lavender top tube (EDTA).  Specimen type Whole blood  Preferred volume 7 mL ACD and 5 mL EDTA  Minimum volume 5 mL ACD and 2.5 mL EDTA
Specimen processing Transport at room temperature.
Required patient info In accordance with the CDC guidelines please provide the following patient information: WBC count and percent lymphocytes on the day of collection if sample will arrive after 24 hours.
Unacceptable conditions EDTA tube is only for WBC and % lymph counts. Cannot be sent by itself for antibody testing.
Limitations Specimens must be processed within 72 hours of collection.
Department Hematology Cellular Immunology
CPT codes 86360
Test schedule Mon-Sat by 11 am
Turnaround time 48 hours
Method Flow Cytometry
Test includes
Source; WBC, K/uL; Lymphocytes, %; Lymph ABS, K/uL; CD4, %; CD4 ABS, /uL; CD8, %; CD8 ABS, /uL; CD4/CD8 Ratio, to 1.0; Note; Note.
Reference ranges
  
Source
WBC                                            K/uL
                  0 days           9.0-30.0
                  1-7 days         5.0-21.0
                  7-30 days        5.0-19.5
                  1-12 mo          6.0-17.5
                  1-2 yrs          5.0-15.5
                  2-4 yrs          6.0-15.5
                  4-6 yrs          5.0-13.5
                  6-10 yrs         4.5-13.5
                  10-14 yrs        5.0-11.0
                  14-18 yrs        4.5-11.0
                  18 yrs+          4.0-11.0
Lymphocytes       Newborn          9.0-46.0    %
                  1-3 days         16.0-46.0
                  4-7 days         26.0-56.0
                  8-14 days        33.0-63.0
                  15-60 days       41.0-71.0
                  2-11 mo          46.0-76.0
                  1-4 yrs          35.0-76.0
                  5-12 yrs         23.0-57.0
                  13-18 yrs        20.0-50.0
                  19+ yrs          15.0-45.0
Lymphs, Abs       Newborn          2.00-11.00     K/uL
                  1-3 days         2.00-11.50
                  4-7 days         2.00-17.00
                  8-14 days        2.00-17.00
                  15-60 days       2.50-16.50
                  2-11 mo          4.00-13.50
                  1-4 yrs          2.00-10.50
                  5-12 yrs         1.50-7.00
                  13-18 yrs        1.20-5.20
                  19+ yrs          1.00-3.40
CD4               0-5 mo           50.0-57.0   %
                  6-11 mo          49.0-55.0
                  12-17 mo         46.0-51.0
                  24-29 mo         38.0-46.0
                  30-35 mo         33.0-44.0
                  3 yrs            27.0-57.0
CD4 Abs           0-5 mo           2800-3900   /uL
                  6-11 mo          2600-3500
                  12-17 mo         2300-2900
                  18-23 mo         1900-2500
                  24-29 mo         1500-2200
                  30-35 mo         1200-2000
                  3 yrs            560-2700
                  4+ yrs           490-1400
CD8                                            %
                  0-3 yrs          8.0-31.0
                  3-4 yrs          14.0-34.0
                  4+ yrs           12.0-38.0
CD8 Abs                                        /uL
                  0-3 yrs          350-2500
                  3-4 yrs          330-1400
                  4+ yrs           225-900
CD4/CD8 Ratio                                  to 1.0
                  0-3 yrs          1.17-6.22
                  3-4 yrs          0.98-3.24
                  4+ yrs           1.00-3.00
Note
Note

[905]


HEMATOCRIT
Order Code HCT Test Code CRIT
Synonyms Hct; PCV
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type EDTA whole blood  Preferred volume 5 mL
Specimen processing Prefer to receive specimens within 12 hours of collection. Store and transport refrigerated.
Department Hematology
CPT codes 85014
Test schedule Daily-24 hours
Turnaround time 24-48 hours
Method Automated
Test includes
Hematocrit, %.
Reference ranges
  
Hematocrit                       %
 0-3 days             45.0-67.0
 3-7 days             42.0-66.0
 7-14 days            39.0-63.0
 14-30 days           31.0-55.0
 30-60 days           28.0-42.0
 2-6 mo               29.0-41.0
 6-24 mo              33.0-39.0
 2-6 yrs              34.0-40.0
 6-12 yrs             35.0-45.0
 12-18 yrs    M       37.0-49.0
 18 yrs+      M       40.0-50.0
 12-18 yrs    F       36.0-46.0
 18 yrs+      F       35.0-46.0
Notes
Microtainers must be filled to second mark.

[906]


HEMOGLOBIN
Order Code HGB Test Code HB
Synonyms Hgb
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type EDTA whole blood  Preferred volume 5 mL
Specimen processing Prefer to receive specimen within 12 hours of collection. Store and transport refrigerated.
Department Hematology
CPT codes 85018
Test schedule Daily-24 hours
Turnaround time 24-48 hours
Method Automated
Test includes
Hemoglobin, g/dL.
Reference ranges
  
Hemoglobin                     g/dL
 0-3 days            14.5-22.5
 3-7 days            13.5-21.5
 7-14 days           12.5-20.5
 14-30 days          10.0-18.0
 30-60 days          9.0-14.0
 2-5 mo              10.5-13.5
 6-24 mo             11.5-13.5
 2-6 yrs             11.5-13.5
 6-12 yrs            11.5-15.5
 12-18 yrs     M     13.0-16.0
 18 yrs+       M     13.7-16.7
 12-18 yrs     F     12.0-16.0
 18 yrs+       F     11.6-15.5
Notes
Microtainers must be filled to second mark.

[907]


HEMOGLOBIN & HEMATOCRIT
Order Code H&H Test Code HH
Synonyms H & H; Hgb & Hct
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Minimum volume 0.15 mL
Specimen processing Prefer to receive specimen within 12 hours of collection. Prefer specimen be stored and transported refrigerated.
Department Hematology
CPT codes 85018, 85014
Test schedule Daily-24 hours
Turnaround time 24-48 hours
Method Automated
Test includes
Hemoglobin, g/dL; Hematocrit, %.
Reference ranges
  
Hemoglobin                     g/dL
 0-3 days            14.5-22.5
 3-7 days            13.5-21.5
 7-14 days           12.5-20.5
 14-30 days          10.0-18.0
 30-60 days          9.0-14.0
 2-5 mo              10.5-13.5
 6-24 mo             11.5-13.5
 2-6 yrs             11.5-13.5
 6-12 yrs            11.5-15.5
 12-18 yrs     M     13.0-16.0
 18 yrs+       M     13.7-16.7
 12-18 yrs     F     12.0-16.0
 18 yrs+       F     11.6-15.5
Hematocrit                      %
 0-3 days            45.0-67.0
 3-7 days            42.0-66.0
 7-14 days           39.0-63.0
 14-30 days          31.0-55.0
 30-60 days          28.0-42.0
 2-6 mo              29.0-41.0
 6-24 mo             33.0-39.0
 2-6 yrs             34.0-40.0
 6-12 yrs            35.0-45.0
 12-18 yrs     M     37.0-49.0
 18 yrs+       M     40.0-50.0
 12-18 yrs     F     36.0-46.0
 18 yrs+       F     35.0-46.0
Notes
Microtainers must be filled to second mark.

[908]


HEMOGLOBIN & HEMATOCRIT, FLUID
Order Code H&H.FLD Test Code HHFL
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Body fluid  Preferred volume 5 mL  Minimum volume 0.25 mL
Specimen processing Store and transport refrigerated immediately.
Required patient info Indicate source.
Unacceptable conditions Samples received without anticoagulant or clotted specimens. Specimens that have been at room temperature for 24 hours or more will be reported with a disclaimer.
Alternate specimens Heparinized fluid (green top tube).
Department Hematology
CPT codes 85014, 85018
Test schedule Sun-Sat
Turnaround time 24-48 hours
Method Automated
Test includes
Hemoglobin, Fluid, g/dL; Hematocrit, Fluid, %.
Reference ranges
  
Hemoglobin, Fluid                 g/dL
 No reference range established   
Hematocrit, Fluid                 %
 No reference range established

[909]


HEMOGLOBIN A2, QUANTITATIVE
Order Code A2 Test Code A2QT
Order this test for the quantitation of Hemoglobin A2.
Synonyms Quantitative A2
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood and 2 fresh blood smears  Preferred volume 5 mL  Minimum volume 2.5 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens.
Department Hematology
CPT codes 83021
Test schedule Wed
Turnaround time 1 week
Method HPLC
Test includes
Hemoglobin A2, %.
Reference ranges
  
Hemoglobin A2      %
 0-3 mo    0.0-3.6
 4+ mo     1.0-3.8

[910]


HEMOGLOBIN F, QUANTITATIVE
Order Code HGBF Test Code FQT
Order this test for the quantitation of hemoglobin F. Do not use for differentiating fetal and maternal blood.
Synonyms Alkaline Denaturation; Fetal Hemoglobin
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood and 2 fresh blood smears  Preferred volume 5 mL  Minimum volume 2.5 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens.
Department Hematology
CPT codes 83021
Test schedule Wed
Turnaround time 1 week
Method HPLC
Test includes
Hemoglobin F, %.
Reference ranges
  
Hemoglobin F              %
 0-30 days     61.0-88.5
 1 mo          45.7-67.3
 2 mo          29.4-60.8
 3 mo          14.8-55.9
 4 mo          9.4-28.5
 5 mo          2.3-22.4
 6-11 mo       2.3-13.0
 1 yr          1.3-5.0
 13 mo+        0.0-2.0

[911]


HEMOGLOBIN S, QUANTITATIVE
Order Code HGBS Test Code SQT
Synonyms Quantitative Hemoglobin S; Quantitative Hgb S; % HB S
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood and 2 fresh blood smears  Preferred volume 5 mL  Minimum volume 2.5 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens.
Department Hematology
CPT codes 83021
Test schedule Wed
Turnaround time 1 week
Method HPLC
Test includes
Hemoglobin S, %.
Reference ranges
  
Hemoglobin S                       %
 No reference range established.

[912]


HEMOGLOBIN, QUANTITATIVE, PLASMA
Order Code HGB.PLASMA Test Code PHGBQT
Synonyms Plasma Hemoglobin
Specimen Required
       Container type Green top tube (lithium or sodium heparin)  Specimen type Frozen heparinized plasma  Preferred volume 3 mL  Minimum volume 1 mL
Collection procedure Careful collection to avoid hemolysis is critical.
Specimen processing Separate plasma from the cells. Spin plasma for an additional 10 minutes at 1600g. Carefully draw off the supernatant plasma with a transfer pipet and transfer it to a plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated   Frozen (-20°C) 3 weeks   Frozen (-70°C)
Unacceptable conditions Specimens drawn in anticoagulant other than heparin or EDTA and microtainers.
Alternate specimens EDTA plasma (lavender top tube).
Department Hematology
CPT codes 83051
Test schedule Mon-Fri & STAT
Turnaround time 24-48 hours
Method Spectrophotometry
Test includes
Plasma Hemoglobin, mg/dL.
Reference ranges
  
Plasma Hgb             mg/dL
(quantitative)   0-10
 90% of population LT 10 mg/dL, 10% of
 population LT 20 mg/dL. Reference values
 are difficult to define, since hemo-
 globin concentration depends heavily 
 on the care by which the sample was 
 obtained and processed.

[913]


HEMOGLOBIN, URINE
Order Code HGBU Test Code HGBU
Specimen Required
       Container type Leakproof plastic container  Specimen type Frozen urine  Preferred volume 4 mL  Minimum volume 1 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 4 mL urine from a well-mixed random urine collection. Centrifuge sample prior to freezing, and send urine free from cells and other sediment. Put in leakproof plastic container and freeze. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated 8 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens Refrigerated samples if received in performing laboratory within 8 hours of collection.
CPT codes 83069
Test schedule Sun-Sat
Turnaround time 2-4 days
Method Spectrophotometry
Test includes
Hemoglobin, Urine.
Reference ranges
  
Hemoglobin, Urine   None detected   mg/dL
 Hemoglobin is normally not detected
 in urine.

[914]


HEMOGLOBINOPATHY/THALASSEMIA PANEL (REFLEXIVE)
Order Code HGB.THAL.PANEL Test Code HGTHAL
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Electrophoresis, Hemoglobin; Hemoglobin Electrophoresis; Hgb Electrophoresis; Thalassemia/Hemoglobinopathy Panel, (Reflexive)
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood and 2 fresh blood smears  Preferred volume 5 mL  Minimum volume 0.5 mL
Specimen processing Store and transport refrigerated.
Required patient info Patient's date of birth.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens.
Department Hematology
CPT codes 83021
Test schedule 3 days a week
Turnaround time 1 week
Method Ion Exchange/HPLC
Test includes
Hgb A2, %; Hgb F, %; Hgb Other; Hgb S (Relative), %; ZPP/Heme Ratio, mol/mol; Kleinhauer Betke Stain; Hemoglobin S Solubility; Monoclonal C; Citrate Gel Electrophoresis; Monoclonal E; Cellulose Electrophoresis; Unstable Hgb; Slide Interpretation; Interpretation; Reviewed By.
Reference ranges
  
Hemoglobin A2               %
 0-3 mo    0.0-3.6
 4+ mo     1.0-3.8             
Hemoglobin F                %
 0-30 days  61.0-88.5
 1 mo       45.7-67.3
 2 mo       29.4-60.8
 3 mo       14.8-55.9
 4 mo       9.4-28.5
 5 mo       2.3-22.4
 6-11 mo    2.3-13.0
 1 yr       1.3-5.0
 13 mo+     0.0-2.0                       
Hgb Other
Hgb S (Relative)             %
Brilliant Cresyl Blue
 No longer performed
ZPP/Heme Ratio               umol/mol
 23-78                       
Kleinhauer Betke Stain
Hemoglobin S Solubility
 Negative
Monoclonal C
Citrate Gel Electro
Monoclonal E
Cellulose Electro
Unstable Hgb
Slide Interpretation
Interpretation
Reviewed By
Notes
This is a consultative evaluation in which the case will be evaluated, the appropriate tests performed and the results interpreted. It will always include the Hgb A2 and the Hgb F slide review or interpretive report. Additional charges will be made for additional testing. It may include cellulose acetate electrophoresis, citrate agar electrophoresis at pH 6.5 and appropriate monoclonal antibody (Hgb S), isoelectric focusing, Zinc Protoporphyrins, a test for hereditary persistance of fetal hemoglobin (Kleihauer-Betke), a test for unstable hemoglobin, and peripheral slide review. Very complicated hemoglobin abnormalities may be referred.

[915]


HEMOGRAM WITH PLATELET, AUTOMATED
Order Code AUT Test Code AHEMP2
Synonyms Hemogram
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 0.3 mL
Specimen processing Prefer to receive specimen within 12 hours of collection. Prefer specimen be stored and transported refrigerated.
Department Hematology
CPT codes 85027
Test schedule Daily-24 hours
Turnaround time 24-48 hours
Method Automated
Test includes
WBC, K/uL; RBC, M/uL; HGB, g/dL; HCT, %; MCV, fL; MCH, pg; MCHC, g/dL; RDW. %; Platelet Count, K/uL.
Reference ranges
  
WBC                           K/uL
 0 days            9.0-30.0
 1-7 days          5.0-21.0
 7-30 days         5.0-19.5
 1-12 mo           6.0-17.5
 1-2 yrs           5.0-15.5
 2-4 yrs           6.0-15.5
 4-6 yrs           5.0-13.5
 6-10 yrs          4.5-13.5
 10-14 yrs         5.0-11.0
 14-18 yrs         4.5-11.0
 18 yrs+           4.0-11.0
RBC                           M/uL
 0-3 days          4.00-6.60
 3-7 days          3.90-6.30
 7-14 days         3.60-6.20
 14-30 days        3.00-5.40
 30-60 days        2.70-4.90
 2-6 mo            3.10-4.50
 6-24 mo           3.70-5.30
 2-6 yrs           3.90-5.30
 6-12 yrs          4.00-5.20
 12-18 yrs    M    4.50-5.30
 18 yrs+      M    4.30-5.70
 12-18 yrs    F    4.10-5.10
 18 yrs+      F    3.80-5.20
Hemoglobin                    g/dL
 0-3 days          14.5-22.5
 3-7 days          13.5-21.5
 7-14 days         12.5-20.5
 14-30 days        10.0-18.0
 30-60 days        9.0-14.0
 2-5 mo            10.5-13.5
 6-24 mo           11.5-13.5
 2-6 yrs           11.5-13.5
 6-12 yrs          11.5-15.5
 12-18 yrs     M   13.0-16.0
 18 yrs+       M   13.7-16.7
 12-18 yrs     F   12.0-16.0
 18 yrs+       F   11.6-15.5
Hematocrit                    %
 0-3 days          45.0-67.0
 3-7 days          42.0-66.0
 7-14 days         39.0-63.0
 14-30 days        31.0-55.0
 30-60 days        28.0-42.0
 2-6 mo            29.0-41.0
 6-24 mo           33.0-39.0
 2-6 yrs           34.0-40.0
 6-12 yrs          35.0-45.0
 12-18 yrs     M   37.0-49.0
 18 yrs+       M   40.0-50.0
 12-18 yrs     F   36.0-46.0
 18 yrs+       F   35.0-46.0
MCV                           fL
 0-3 days          95.0-121.0
 3-7 days          88.0-126.0
 7-14 days         86.0-124.0
 14-30 days        85.0-123.0
 30-60 days        77.0-115.0
 2-6 mo            74.0-108.0
 6-24 mo           70.0-86.0
 2-6 yrs           75.0-87.0
 6-12 yrs          77.0-95.0
 12-18 yrs     M   78.0-98.0
 12-18 yrs     F   78.0-102.0
 18 yrs+           80.0-100.0
MCH                           pg
 0-3 days          31.0-37.0
 3-30 days         28.0-37.0
 30-60 days        26.0-34.0
 2-6 mo            25.0-35.0
 6-24 mo           23.0-31.0
 2-6 yrs           24.0-30.0
 6-12 yrs          25.0-33.0
 12-18 yrs         25.0-35.0
 18 yrs+           27.0-34.0
MCHC                          g/dL
 0-3 days          29.0-37.0
 3-14 days         28.0-37.0
 14-60 days        29.0-37.0
 2-24 mo           30.0-36.0
 2-18 yrs          31.0-37.0
 18 yrs+           32.0-35.5
RDW                            %
 0-7 days          11.0-18.0
 7-60 days         11.0-17.0
 2-6 mo            11.0-16.5
 6-24 mo           11.0-16.0
 2-6 yrs           11.0-15.0
 6-18 yrs          11.0-14.5
 18 yrs+           11.0-15.0
Platelet Count                K/uL
 0-3 days          250-450
 3-9 days          200-400
 9-30 days         250-450
 1-6 mo            300-750
 6 mo-2 yrs        250-600
 2-8 yrs           250-550 
 8-12 yrs          200-450
 12-18 yrs         150-450
 18 yrs+           150-400
Notes
Appropriate comments are generated with reports if sample integrity is compromised. Microtainers must be filled to second mark.

[916]


HEMOSIDERIN, URINE
Order Code HSIDU Test Code HSIDU
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, frozen  Preferred volume 4.5 mL  Minimum volume 1 mL
Collection procedure Collect a random urine specimen. Prefer early morning specimen.
Specimen processing Aliquot 4.5 mL of a random urine specimen. Store and transport frozen.
Stability-   Room temp 1 hour   Refrigerated 24 hours   Frozen (-20°C) 1 week   Frozen (-70°C)
Unacceptable conditions Specimens in preservatives.
CPT codes 83070
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Microscopic stain
Test includes
Hemosiderin, Urine.
Reference ranges
  
Hemosiderin, Urine       Negative

[917]


HEPARIN ASSAY
Order Code HEPARIN Test Code HEPASY
Separate samples must be submitted when multiple tests are ordered.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume Two 1 mL aliquots  Minimum volume Two 0.5 mL aliquots
Collection procedure Liquid blue top tube filled to capacity.
Specimen processing Separate plasma from cells within 2 hours of collection and put in separate plastic tube and cap. Respin plasma for 10 minutes. Separate respun plasma into 2 plastic tubes, cap and freeze at -20C or lower. Store and transport frozen.
Required patient info Indicate type, dose, time of dose, heparin concentration and time specimen drawn.
Stability-   Room temp 2 hours   Refrigerated 2 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Specimens that aren't double spun, clotted or short sample (proper volume is 9 parts blood to 1 part anticoagulant).
Department Coagulation
CPT codes 85520
Test schedule Mon-Fri days
Turnaround time 1-3 days
Method Chromogenic
Test includes
Heparin Level, IU/mL.
Reference ranges
  
Heparin Level                  IU/mL
 Therapeutic Range  0.30-0.70
Notes
Inappropriate sample collection and handling may lead to the release of platelet factor 4 (PF4) which is a potent inhibitor of heparin.

[918]


HEPARIN INDUCED THROMBOCYTOPENIA ANTIBODY
Order Code HITA Test Code HITA
Separate samples must be submitted when multiple tests are ordered.
Synonyms HIT; HAT; Heparin Induced Platelet Antibody
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Spin 10 minutes in refrigerated centrifuge at 3000 rpm. Separate into a plastic tube and respin plasma. Separate into two plastic tubes and freeze at -20C or lower. Store and transport frozen.
Stability-   Room temp 24 hours   Refrigerated 24 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Hemolyzed, clotted and short sample considerably below 9:1 ratio.
Limitations Blood/anticoagulant volume is critical.
Department Coagulation
CPT codes 86022
Test schedule Mon-Sat must be received in performing lab by 11:30 am. STAT testing must be approved by the Medical Director.
Turnaround time 1-2 days
Method EIA
Test includes
Heparin Induced Thrombocytopenia Antibody.
Reference ranges
  
Heparin Induced         Negative
 Thromboctopenia   
 Antibody
 Interpretation 
  Negative-Immunoassays for heparin 
  antibodies are considered sensitive
  (GT 90%); however, false-negatives
  can occur. If clinically indicated,
  repeat testing with a new sample in
  several days is suggested. When
  negative immunoassays occur within a
  strong clinical setting, functional
  testing for HIT may be indicated.

  Positive-Immunoassays for heparin
  antibodies are considered sensitive
  (GT 90%); however, the presence of
  antibody alone does not determine
  clinical heparin-induced thrombo-
  cytopenia. Results of this assay
  should be used in conjunction with
  clinical findings and to assess 
  management.

  Equivocal-If clinically indicated,
  repeat immunoassay testing for heparin
  antibodies with a new sample in 
  several days is suggested.

[919]


HEPARIN INDUCED THROMBOCYTOPENIA FUNCTIONAL
Order Code HITFUN Test Code HITFUN
Separate samples must be submitted when multiple tests are ordered.
Synonyms Heparin Induced Thrombocytopenia; HIT; HAT; Heparin Induced Platelet Antibody
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 4 mL  Minimum volume 1.5 mL
Collection procedure Draw 6 hours post heparin dose. Blood/anticoagulant volume is critical.
Specimen processing Spin 10 minutes in refrigerated centrifuge at 3000 rpm. Separate into a plastic tube and respin plasma. Separate into two plastic tubes and freeze at -20C or lower. Store and transport frozen.
Stability-   Room temp 24 hours   Refrigerated 24 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Hemolyzed, clotted and short specimens.
Department Coagulation
CPT codes 85576 x 5
Test schedule Mon-Fri (Sat and Sun with Medical Director approval)
Turnaround time 24-48 hours
Method Indirect Platelet Aggregation
Test includes
Heparin Induced Thrombocytopenia, Functional.
Reference ranges
  
Heparin Induced Thrombocytopenia,  Negative
 Functional
 The HIT test is specific, but has a
 sensitivity of only about 36%. A positive
 test supports the diagnosis of HIT,
 but a negative results does not
 exclude it.

[920]


HEPATIC FUNCTION PANEL
Order Code HFPA Test Code HFPA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks when protected from light.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 80076
Test schedule Sun-Fri nights and STAT
Turnaround time 24-48 hours
Method Colorimetric, Enzymatic
Test includes
Total Protein, g/dL; Albumin, g/dL; Bilirubin, Total, mg/dL; Bilirubin, Direct, mg/dL; Alkaline Phosphatase, U/L; AST(SGOT), U/L; ALT(SGPT), U/L.
Reference ranges
  
Protein, Total            g/dL
 0-12 mo          4.3-6.9
 1-3 yrs          5.2-7.4
 3-6 yrs          5.6-7.7
 6-10 yrs         6.5-8.3
 10-18 yrs        6.1-8.0
 18-60 yrs        6.3-8.0
 60 yrs+          6.1-7.8
Albumin                    g/dL
 0-4 days         2.9-4.6  
 4 days-14 yrs    3.9-5.6
 14-18 yrs        3.3-4.7
 18-60 yrs        3.5-5.0
 60-90 yrs        3.3-4.8
 90 yrs+          3.0-4.7   
Bilirubin, Total           mg/dL
 0-30 days        LT 11.7
 1 mo-18 yrs      LT 2.0
 18-60 yrs        0.1-1.5
 60-90 yrs        0.2-1.1
 90 yrs+          0.2-0.9
Bilirubin, Direct 0.0-0.4  mg/dL
Alkaline Phosphatase       U/L
 0-6 yrs        72-307  
 6-9 yrs        133-340
 9-15 yrs  M    103-429
 15-18 yrs M    49-210
 9-13 yrs  F    99-453
 13-15 yrs F    53-186
 15-18 yrs F    38-110
 18 yrs+        38-110
AST                         U/L
 0-6 yrs        20-60
 6-10 yrs       20-40
 10-18 yrs      14-40
 18 yrs+        5-40
ALT(SGPT)       5-50        U/L

[921]


HEPATITIS A DIAGNOSTIC PANEL (REFLEXIVE)
Order Code HAVABP Test Code HAVABP
This panel tests for anti-HAV Total and reflexes to anti-HAV IgM if the anti-HAV Total is reactive. The anti-HAV Total tests for IgG and IgM but does not differentiate between them and a reactive indicates either acute or remote past HAV infection. Anti-HAV IgM confirms acute HAV infection, however, if liver enzymes are normal and anti-HAV IgM is persistently positive, long term persistence of anti-HAV IgM is suggested. For suspected acute hepatitis A infection order anti-HAV IgM.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 7 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or grossly lipemic samples.
Alternate specimens EDTA, lithium or sodium heparin plasma.
Limitations Heparinized plasma is acceptable, however it may increase the reactivity of HAVIgM in HAV Total reactive samples.
Department Immunochemistry
CPT codes 86708
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
Hepatitis A Virus Antibody, Total; Interpretation.
Reference ranges
  
Hepatitis A Virus Antibody, Total  Nonreactive
Interpretation

[922]


HEPATITIS A VIRUS ANTIBODY, IGM
Order Code HAVABM Test Code HAVABM
Order this assay when acute hepatitis A infection is suspected.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 7 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or grossly lipemic sampls.
Alternate specimens EDTA, lithium or sodium heparin plasma.
Limitations Heparinized plasma is acceptable, however it may increase the reactivity of some samples.
Department Immunochemistry
CPT codes 86709
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
Hepatitis A Virus Antibody, IgM.
Reference ranges
  
Hepatitis A Virus Antibody, IgM  Nonreactive

[923]


HEPATITIS A VIRUS ANTIBODY, TOTAL
Order Code HAVABT Test Code HAVAB
This assay tests for IgG and IgM antibodies but does not differentiate between them.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 7 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or grossly lipemic samples.
Alternate specimens EDTA plasma, lithium or sodium heparin..
Department Immunochemistry
CPT codes 86708
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
Hepatitis A Virus Antibody, Total.
Reference ranges
  
Hepatitis A Virus Antibody, Total  Nonreactive

[924]


HEPATITIS A, B, C (REFLEXIVE)
Order Code ABCHEP Test Code ABCHEP
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 7 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or grossly lipemic samples.
Alternate specimens EDTA, lithium or sodium heparin plasma.
Limitations Heparinized plasma is acceptable, however in some samples it may decrease the reactivity of HBsAg and/or HBcore Total, while HBcore IgM may show increased reactivity.
Department Immunochemistry
CPT codes 86708, 87340, 86704, 86803
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
Hepatitis A Virus Antibody, Total; Hepatitis A Virus Antibody, IgM; HBs Antigen Screen; HBs Antigen Confirmation; Hepatitis B Core Antibody, Total; Hepatitis B Core Antibody, IgM; Hepatitis C Antibody Screen; Interpretation.
Reference ranges
  
Hepatitis A Virus Ab, Total Nonreactive
Hepatitis A Virus Ab, IgM   Nonreactive
HBs Antigen Screen          Nonreactive
HBs Antigen Confirmation    Nonreactive
Hepatitis B Core Ab, Total  Nonreactive
Hepatitis B Core Ab, IgM    Nonreactive
Hepatitis C Ab Screen       Nonreactive
Interpretation
Notes
If the HAV Total is positive, it will reflex to HAV IgM, and an additional charge will be added. If the HB Core Total is positive, it will reflex to HB Core IgM, and an additional charge will be added. Only the HCV Screen will be done;The HBsAG Confirmation will be done if indicated.

[925]


HEPATITIS B CORE ANTIBODY, IGM
Order Code HBCORE.IGM Test Code HBCABM
Synonyms HB Core Antibody, IgM; Anti-HBC/IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 7 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or grossly lipemic samples.
Alternate specimens EDTA, lithium or sodium heparin plasma.
Limitations Heparinized plasma is acceptable, however it may increase the reactivity of some samples.
Department Immunochemistry
CPT codes 86705
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
Hepatitis B Core Ab, IgM.
Reference ranges
  
Hepatitis B Core Ab, IgM   Nonreactive

[926]


HEPATITIS B CORE ANTIBODY, TOTAL
Order Code HBCORET Test Code HBCAB
This workpar does not reflex to IgM.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 7 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or grossly lipemic samples.
Alternate specimens EDTA, lithium or sodium heparin plasma.
Limitations Heparinized plasma is acceptable, however it may decrease the reactivity of some samples.
Department Immunochemistry
CPT codes 86704
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
Hepatitis B Core Antibody, Total.
Reference ranges
  
Hepatitis B Core Ab, Total  Nonreactive
Notes
PAML intends use of this assay for clinical diagnosis. This assay should not be used for cadaveric samples, blood donor screening, associated re-entry protocols, or for screening human cell, tissues and cellular tissue-based products.

[927]


HEPATITIS B CORE ANTIBODY, TOTAL TO HEPATITIS B CORE IGM (REFLEXIVE)
Order Code HBCABR Test Code HBCABR
If the Hepatitis B Core Ab, Total is reactive, a Hepatitis B Core Ab, IgM will be done
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 7 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or grossly lipemic samples.
Alternate specimens EDTA, lithium or sodium heparin plasma.
Limitations Heparinized plasma is acceptable, however in some samples it may decrease the reactivity of HBcore Total, while HBcore IgM may show increased reactivity.
Department Immunochemistry
CPT codes 86704
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
Hepatitis B Core Antibody, Total, Hepatitis B Core Antibody, IgM.
Reference ranges
  
Hepatitis B Core Ab, Total  Nonreactive
Hepatitis B Core Ab, IgM    Nonreactive

[928]


HEPATITIS B DNA ULTRASENSITIVE QUANTITATIVE BY RT-PCR shipping instruction code
Order Code HEPBDQ Test Code HEPBDQ
This test cannot be ordered as a reflexive test on serum or plasma samples previously tested , with the exception of branch DNA testing. A dedicated sample is required for molecular testing.
Specimen Required
       Container type Lavender top tube (EDTA) or Red top tube (plain)  Specimen type Frozen EDTA plasma or frozen serum.  Preferred volume 3 mL  Minimum volume 2 mL
Specimen processing Separate plasma or serum from cells within 6 hours of collection by centrifugation at 800-1600 x g for 20 minutes at room temperature and put in separate sterile polypropylene tube and freeze immediately. Store and transport frozen. Ship 650 shipping instruction code
Stability-   Room temp 3 days   Refrigerated 1 week   Frozen (-20°C) 6 weeks   Frozen (-70°C) 6 weeks
Unacceptable conditions Cannot be ordered as a reflex or add on test on serum or plasma previously tested, other than branch DNA testing. Whole blood, heparinized or unfrozen specimens are not acceptable. Do not allow sample to thaw.
Alternate specimens PPT tube. Centrifuge and pour plasma sample into sterile polypropylene tube and freeze. Store and transport frozen.
Limitations This test cannot be ordered as a reflexive test on serum or plasma samples previously tested for antibodies. A dedicated sample is required for molecular testing.
Department Molecular Diagnostics
CPT codes 87517
Test schedule Mon, Thu
Turnaround time 3-6 days
Method RT-PCR
Test includes
Hepatitis B Virus DNA Quant Result, IU/mL; Hepatitis B Virus DNA Quant Log 10 value, IU/mL; Hepatitis B Virus DNA Quantitative Methodology; Hepatitis B Virus DNA Quantitative Comment.
Reference ranges
  
HBV DNA Quant Result               IU/mL
 Not detected
 This result does not rule out the presence of HBV DNA 
 below the limit of detection of this assay. Inaccurate
 results can occur due to improper specimen handling or
 the presence of PCR inhibitors in the patient sample.
HBV DNA Quant Log 10 Value         IU/mL
 Not Detected
HBV DNA Quant Methodology
 This assay is performed using real time
 PCR by the COBAS TaqMan HBV IVD test.
HBV DNA Quant Comment
 The reportable range of this test is 
 29-11,000,000,000 IU/mL (Log 10 1.5-10.0).
 The limit of detection is 10 IU/mL. 

[929]


HEPATITIS B E ANTIBODY
Order Code ANTI-HBE Test Code HBEAB
Synonyms HB E Antibody; Anti-HBe; HBeAb
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 14 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Plasma specimens and heparinized patients may produce false reactive results.
Limitations Heparinized patients may produce false reactive results.
Department Immunology
CPT codes 86707
Test schedule Sun-Thu nights
Turnaround time 48 hours
Method EIA
Test includes
Hepatitis Be Antibody.
Reference ranges
  
Hepatitis Be Ab   Nonreactive

[930]


HEPATITIS B E ANTIGEN
Order Code HBEAG Test Code HBEAG
Synonyms HB E Antigen; HBeAg
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 14 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Plasma and heparinized patients may produce false reactive results.
Limitations Heparinized patients may produce false reactive results.
Department Immunology
CPT codes 87350
Test schedule Sun-Thu nights
Turnaround time 48 hours
Method EIA
Test includes
HBeAg.
Reference ranges
  
HBeAg  Nonreactive

[931]


HEPATITIS B SURFACE ANTIBODY
Order Code ANTI-HBS Test Code HBSAB
Recommended test for the evaluation of vaccine induced immunity.
Synonyms HB Surface Ab; Anti-HBS; HBsAb; Anti-HBs; HBsAgAb; Hepatitis Bs Antibody; Hep BsAb Titer
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 7 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or grossly lipemic samples.
Alternate specimens EDTA, lithium or sodium heparin plasma.
Limitations Heparinized plasma is acceptable, however it may lower the Index Value of some samples.
Department Immunology
CPT codes 86706
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
Hepatitis B Surface Ab, IV.
Reference ranges
  
Hepatitis B Surface Ab           IV
 LT 1.00      Non-immune
 1.00 or more Indicates vaccine
              response to HBV
              infection
 An Index Value (IV) of 1.00 is
 equivalent to 10 mIU/mL. Samples
 with an IV or 1.00 or greater are
 considered reactive (protected) in
 accordance with the CDC Guidelines.
Notes
PAML intends use of this assay for clinical diagnosis. This assay should not be used for cadaveric samples, blood donor screening, associated re-entry protocols, or for screening human cell, tissues and cellular tissue-based products.

[932]


HEPATITIS B SURFACE ANTIGEN (REFLEXIVE)
Order Code HBSAG Test Code HBSAG
HBsAg results will be confirmed by ICMA neutralization if indicated.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms HB Surface Antigen; HBsAg; HAA; Hepatitis Associated Antigen
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.75 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 14 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or grossly lipemic samples.
Alternate specimens EDTA, sodium or lithium heparin plasma specimens.
Limitations Heparinized plasma is acceptable, however it may decrease the reactivity of some samples.
Department Immunology
CPT codes 87340
Test schedule Sun-Fri and STAT with Medical Director approval
Turnaround time 24-48 hours
Method ICMA
Test includes
HBsAg Screen; HBsAg Confirmation if screen is reactive.
Reference ranges
  
HBsAg Screen              Nonreactive
HBsAg Confirmation
Notes
PAML intends use of this assay for clinical diagnosis. This assay should not be used for cadaveric samples, blood donor screening, associated re-entry protocols, or for screening human cell, tissues and cellular tissue-based products.

[933]


HEPATITIS B SURFACE ANTIGEN BY NEUTRALIZATION (REFLEXIVE)shipping instruction code
Order Code HBSAG.NEUT Test Code NHBSAG
If detected by EIA, confirmation is by neutralization
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Ship 650.
Stability-   Room temp 5 days   Refrigerated 5 days   Frozen (-20°C)   Frozen (-70°C)
CPT codes 87341
Test schedule Mon-Sat
Turnaround time 5-7 days
Method EIA/Neutralization
Test includes
Hepatitis B Surface Antigen by Neutralization.

[934]


HEPATITIS B SURFACE ANTIGEN CONFIRMATIONshipping instruction code
Order Code HBSAG.CONFIRM Test Code HBSAGC
Synonyms HB Surface Antigen Confirmation; HBsAg Confirmation
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.8 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 14 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or grossly lipemic samples.
Alternate specimens EDTA, lithium or sodium heparin plasma specimens.
Limitations Heparinized plasma is acceptable, however it may decrease the reactivity of some samples.
Department Immunochemistry
CPT codes 87341
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA Neutralization
Test includes
HBsAg Confirmation.
Reference ranges
  
HBsAg Confirmation
Notes
PAML intends use of this assay for clinical diagnosis. This assay should not be used for cadaveric samples, blood donor screening, associated re-entry protocols, or for screening human cell, tissues and cellular tissue-based products.

[935]


HEPATITIS C ANTIBODY
Order Code HEP-C Test Code HCVAB
This test is for the screen only. The confirmation is not done.
Synonyms Anti-Hepatitis C; HCV; Anti-HCV
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 7 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or grossly lipemic samples.
Alternate specimens EDTA, lithium or sodium heparin plasma.
Department Immunology
CPT codes 86803
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
Anti-HCV.
Reference ranges
  
Hepatitis C Ab   Nonreactive
Notes
PAML intends use of this assay for clinical diagnosis. This assay should not be used for cadaveric samples, blood donor screening, associated re-entry protocols, or for screening human cell, tissues and cellular tissue-based products.

[938]


HEPATITIS C ANTIBODY BY RIBA
Order Code HCRIBA Test Code HCRIBA
This assay should not be used for blood donor screening, associated re-entry protocols, or for screening Human Cell, Tissues and Cellular and Tissue-Based Products.
Synonyms HCV Antibody by RIBA; HCV by RIBA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Ship 650.
Stability-   Room temp unacceptable   Refrigerated 1 week   Frozen (-20°C) Indefinitely (avoid repeated freeze/thaw cycles).   Frozen (-70°C)
Unacceptable conditions Specimens containing particulate material. Severely hemolyzed or lipemic samples. Heat-inactivated samples.
Alternate specimens Potassium EDTA plasma, separate plasma from the cells ASAP.
Limitations Avoid repeat freeze/thaw cycles.
CPT codes 86804
Test schedule Tue, Fri
Turnaround time 4-6 days
Method Recombinant Immunoblot (RIBA HCV 3.0)
Test includes
Hepatitis C Ab (RIBA 3.0).
Reference ranges
  
Hepatitis C Ab (RIBA 3.0)    Negative
 Negative for HCV antibodies. No anti- 
 bodies were detected to the HCV proteins.
 hSOD is a control that detects auto-
 antibodies to human superoxide dismutase.
 HCV causes the majority of parentally
 transmitted non-A, non-B hepatitis. 
 Most patients infected with HCV develop
 antibodies within 3 months of infection.
 Recent studies show that nearly 90% of
 HCV infections become chronic. If this
 specimen has a repeatedly reactive EIA
 result, testing for HCV RNA will determine
 if the patient is currently infected.
 An FDA liscensed recombinant immunoblot
 assay was used.

[939]


HEPATITIS C VIRUS GENOTYPING BY PCR & LINE PROBE ASSAY (REFLEXIVE)
Order Code HCVGTY Test Code HCVGTY
This test cannot be ordered as a reflexive test on serum or plasma samples previously tested, with the exception of PAML/PSHMC molecular tests. A dedicated sample is required for molecular testing.
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added.
Synonyms Molecular; HCV Genotype by PCR & Probe; HCV Genotype; Hepatitis C Virus Genotyping
Specimen Required
       Container type Lavender top tube  Specimen type Frozen EDTA plasma  Preferred volume 3 mL  Minimum volume 1.5 mL
Collection procedure A dedicated sample is required for molecular testing. This test cannot be ordered as a reflexive test on serum or plasma samples previously tested for antibodies.
Specimen processing Separate plasma from cells within 6 hours of collection and place in a separate polypropylene tube and freeze. If transport is GT 3 days, freeze at -70C. A dedicated sample is required for molecular testing. shipping instruction code
Stability-   Room temp unstable   Refrigerated 3 days   Frozen (-20°C)   Frozen (-70°C) 6 weeks
Unacceptable conditions Whole blood, heparin, unfrozen or ACD plasma samples. Do not allow samples to thaw.
Alternate specimens Serum (SST tube) handled same as plasma or frozen PPT tube.
Department Virology
CPT codes 87522
Test schedule Mon, Wed, Fri
Turnaround time 3-7 days
Method PCR & Line Probe Genotyping (LIPA).
Test includes
HCV Genotype by PCR & Line Probe Assay.
Reference ranges
  
HCV Genotype by PCR & Line Probe Assay           Specimen HCV RNA level is below the 
                                                 limit of detection of this assay.                
Notes
Specimens sent to PAML for HCV Genotyping will first be tested for presence of HCV RNA by RTPCR. For specimens containing sufficient HCV RNA, the HCV Genotype by LiPA immunoblot will then be performed, and an additional charge will be added.

[5543]


HEPATITIS C VIRUS RNA QUANTITATIVE BY BDNA 3.0shipping instruction code
Order Code HEPCQB Test Code HEPCQB
This test cannot be ordered as a reflexive test on serum or plasma sample previously tested, with the exception of PAML/PSHMC molecular tests. A dedicated sample is required for molecular testing.
Synonyms HCV Viral Load; HCV Quant; HCV Branched Chain; HCV RNA Quantitative Evaluation by bDNA; Molecular
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells aseptically within 4-6 hours by centrifugation at 800-1600 x g for 10-15 minutes. Transfer aseptically to a sterile plastic tube and freeze. Store and transport frozen.
Stability-   Room temp Unstable   Refrigerated 2 days   Frozen (-20°C) 3 days   Frozen (-70°C) Indefinitely
Unacceptable conditions Repeat freeze/thaw cycles and heparinized plasma.
Alternate specimens EDTA or ACD plasma (lavender or yellow top tube) spun within 4 hours @ 1000 x g for 10-15 minutes. Transfer plasma aseptically, immediately to sterile plastic tube and freeze. Store and transport frozen. PPT tube-centrifuge and freeze immediately. Do not refrigerate
Limitations Avoid freeze/thaw cycles.
Department Virology
CPT codes 87522
Test schedule Wed reported Thu
Turnaround time 2-9 days
Method Branched Chain DNA
Test includes
Hepatitis C Virus RNA Quantitative by bDNA
Reference ranges
  
Hepatitis C Virus RNA by bDNA 3.0  
 Not detected                         IU/mL
 Reportable range is 
 615-7,700,000 IU/mL 
Hepatitis C Virus RNA by bDNA 3.0
 Not detected                         Log10
 Reportable range is 2.8-6.9 Log10.
 A patient value of Not detected indicates that the patient
 viral load is below the quantitative limit of the assay.
 This test is useful to establish baseline
 viral load, predict therapeutic response,
 and guide duration of therapy. Quantitative
 HCV RNA tests are recommended only if active
 HCV infection has been confirmed, and
 should not be used to diagnose HCV infection.
 A negative result does not exclude low-level 
 viremia.
Notes
This test is useful to establish baseline viral load, predict therapeutic response, and guide duration of therapy. Quantitative HCV RNA tests are recommended only if active HCV infection has been confirmed, and should not be used to diagnose HCV infection. A negative result does not exclude low-level virema. BDNA collection kits are avaliabe from the PAML Supply Department.

[3062]


HEPATITIS C VIRUS RNA QUANTITATIVE BY BDNA REFLEX TO GENOTYPING
Order Code HCVBGT Test Code HCVBGT
This test cannot be ordered as a reflexive test on serum or plasma samples previously tested, with the exception of PAML/PSHMC molecular tests. A dedicated sample is required for molecular testing.
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added.
Synonyms HCV RNA Quantification by branched chain DNA; HCV Viral Load; Hepatitis C bDNA Viral Load; HCV RNA Quant; Molecular; HCV Genotype by PCR & Probe; HCV Genotype; Hepatitis C Virus Genotyping
Specimen Required
       Container type Lavender top tube  Specimen type Frozen EDTA plasma  Preferred volume 3 mL  Minimum volume 1.5 mL
Collection procedure A dedicated sample is required for molecular testing. This test cannot be ordered as a reflexive test on serum or plasma samples previously tested for antibodies.
Specimen processing Separate plasma from cells within 6 hours of collection and place in a separate polypropylene tube and freeze. If transport is GT 3 days, freeze at -70C. A dedicated sample is required for molecular testing. shipping instruction code
Stability-   Room temp unstable   Refrigerated 3 days   Frozen (-20°C)   Frozen (-70°C) 6 weeks
Unacceptable conditions Whole blood, heparin, unfrozen or ACD plasma samples. Do not allow samples to thaw.
Alternate specimens Serum (SST tube) handled same as plasma or frozen PPT tube.
Department Virology
CPT codes 87522
Test schedule Tue-Sat; Viral load set up Wed morning
Turnaround time 3-7 days
Method Viral load by branched chain DNA and HCV Genotyping by Line Probe Assay.
Test includes
Hepatitis C RNA Quantitative by bDNA 3.0, IU/mL; Hepatitis C RNA Quantitative by bDNA 3.0, Log10; HCV Genotype by PCR & Line Probe Assay.
Reference ranges
  
Hepatitis C RNA Quantitative by bDNA 3.0         Not detected                     IU/mL
                                                 Reportable range for Hepatitis C
                                                 RNA Quantitation by bDNA is
                                                 615-7,700,000 IU/mL
Hepatitis C RNA Quantitative by bDNA 3.0         Not detected                    log10  
                                                 Reportable range for Hepatitic C
                                                 RNA Quantitation by bDNA is
                                                 2.8-6.9 log10
                                                 A patient value for Not detected
                                                 indicates that the patient viral
                                                 load is below the quantitative limit
                                                 of this assay.
                                                 This test is useful to establish
                                                 baseline viral load, predict 
                                                 therapeutic response, and guide
                                                 duration of therapy. Quantitative
                                                 HCV RNA tests are recommended only
                                                 confirmed, and should not be used
                                                 to diagnose HCV infection. A negative
                                                 result does not exclude low-level 
                                                 virema.
HCV Genotype by PCR & Line Probe Assay           Specimen HCV RNA level is below the 
                                                 limit of detection of this assay.                

[5539]


HEPATITIS C VIRUS RNA QUANTITATIVE BY PCR , HIGHLY SENSITIVE, REFLEX TO GENOTYPING
Order Code HCVPGT Test Code HCVPGT
This test cannot be ordered as a reflexive test on serum or plasma samples previously tested, with the exception of PAML/PSHMC molecular tests. A dedicated sample is required for molecular testing.
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added.
Synonyms HCV RNA Quantification by Real-time PCR; HCV Viral Load; Hepatitis C PCR Viral Load; HCV RNA Quant; Molecular; HCV Genotype by PCR & Probe; HCV Genotype; Hepatitis C Virus Genotyping
Specimen Required
       Container type Lavender top tube  Specimen type Frozen EDTA plasma  Preferred volume 3 mL  Minimum volume 1.5 mL
Collection procedure A dedicated sample is required for molecular testing. This test cannot be ordered as a reflexive test on serum or plasma samples previously tested for antibodies.
Specimen processing Separate plasma from cells within 6 hours of collection and place in a separate polypropylene tube and freeze. If transport is GT 3 days, freeze at -70C. A dedicated sample is required for molecular testing. shipping instruction code
Stability-   Room temp unstable   Refrigerated 3 days   Frozen (-20°C)   Frozen (-70°C) 6 weeks
Unacceptable conditions Whole blood, heparin, unfrozen or ACD plasma samples. Do not allow samples to thaw.
Alternate specimens Serum (SST tube) handled same as plasma.
Department Virology
CPT codes 87522
Test schedule Mon-Fri evenings
Turnaround time 3-7 days
Method PCR Ampliprep/TaqMan HCV Test & PCR/LiPA
Test includes
Hepatitis C RNA Viral Load Result, LogIU/mL; Hepatitis C RNA Viral Load Result, IU/mL; HCV Genotype by PCR & Line Probe Assay.
Reference ranges
  
HCV RNA Viral Load Result                        Not detected                             LogIU/mL
HCV RNA Viral Load Result                        Not detected                             IU/mL
                                                 Reportable rande HCV RNA 1.6 to 7.8
                                                 LogIU/mL (43-69,000,000 IU/mL)
                                                 This test is intended for use as an
                                                 aid in management of HCV-infected
                                                 individuals undergoing anti-viral
                                                 therapy. The COBAS Ampliprep/COBAS
                                                 TaqMan HCV test is not intended for use
                                                 as a screening test for the presence of
                                                 HCV in blood or blood products or as a
                                                 diagnostic test to confirm the presence of 
                                                 HCV infection.
HCV Genotype by PCR & Line Probe Assay           Specimen HCV RNA level is below the 
                                                 limit of detection of this assay.                

[5544]


HEPATITIS C VIRUS RNA QUANTITATIVE BY PCR, HIGHLY SENSITIVE shipping instruction code
Order Code HCVRQT Test Code HCVRQT
This test cannot be ordered as a reflexive test on serum or plasma previously tested, with the exception of PAML/PSHMC molecular tests. A dedicated sample is required for molecular testing.
Synonyms HCV RNA Quantification by Real-time PCR; HCV PCR Viral Load; Hepatitis C Virus by PCR Viral Load; Molecular
Specimen Required
       Container type Lavendar Top Tube (EDTA)  Specimen type Plasma  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate plasma from the cells within 6 hours of collection and put in separate polypropylene tube. Store and transport frozen. If transport GT 3 days, freeze at -70C. Ship 650.
Stability-   Room temp unstable   Refrigerated 3 days before freezing   Frozen (-20°C)   Frozen (-70°C) 6 weeks
Unacceptable conditions CAUTION: This test cannot be ordered as a reflexive test on serum or plasma sample previously tested for antibodies (with the exception of branched DNA). A dedicated sample is required for molecular testing. Whole blood specimens, heparinized specimens, unfrozen, and ACD plasma specimens. Do not allow specimens to thaw.
Alternate specimens Serum (SST tube). Separate from cells within 6 hours of collection and place in a separate polypropylene tube and freeze. Store and transport frozen.
Limitations Avoid freeze/thaw cycles.
Department Virology
CPT codes 87522
Test schedule Mon-Fri
Turnaround time 1-3 days
Method PCR: Ampliprep/TaqMan HCV Test
Test includes
Hepatitis C Virus RNA Quantitation Result, Log IU/mL; Hepatitis C Virus RNA Quantitation Result, IU/mL.
Reference ranges
  
Hepatitis C Viral RNA Viral Load Result           Not detected                          Log IU/mL
Hepatitis C Viral RNA Viral Load Result           Not detected                          IU/mL
                                                  Reportable range HCV RNA 1.6 to 7.8
                                                  Log IU/mL (43-69,000,000 IU/mL).
                                                  This test is intended for use as an aid 
                                                  in management of HCV-infected individuals
                                                  undergoing anti-viral therapy. The COBAS
                                                  Ampliprep/COBAS TaqMan test is not 
                                                  intended for use as a screening test for 
                                                  the presence of HCV in blood or blood products
                                                  or as a diagnostic test to confirm the 
                                                  presence of HCV infection. 
     .

[5217]


HEPATITIS D ANTIBODY, TOTAL
Order Code HEPDAB Test Code HEPDAB
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Synonyms Delta Hepatitis Antibody, Total
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 7 days   Refrigerated 14 days   Frozen (-20°C) 30 days   Frozen (-70°C)
CPT codes 86692
Test schedule Mon, Wed, Fri
Turnaround time 3-6 days
Method EIA
Test includes
Hepatitis D Virus Antibody, Total.
Reference ranges
  
Hepatitis D Virus Antibody, Total
 Negative
 Interpretive Criteria
  Negative-Antibody not detected.
  Equivocal-Submission of a second
   specimen (collected 3-4 weeks after
   initial specimen) suggested if
   clinically warranted.
  Positive-Antibody detected.
  Hepatitis D virus (HDV) infection
  occurs in association with HBV
  infection. A positive result for
  HDV total antibody may indicate either
  acute or chronic HDV infection. HDV
  antibodies appear transiently during
  acute infection, and typically
  disappear with resolution of the
  infection. In contrast, HDV antibodies
  usually persist in chronic infection.
  Measurment of HDV IgM may help distinguish
  acute from chronic infection.

[946]


HEPATITIS DELTA ANTIGENshipping instruction code
Order Code HDAG Test Code HDAG
Synonyms Delta Hepatitis Antigen
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 87380
Test schedule Varies
Turnaround time 8-10 days
Method EIA
Test includes
Hepatitis Delta Antigen.
Reference ranges
  
Hepatitis Delta Antigen    Negative
 HDV infection occurs only in 
 association with HBV infection. Acute
 HDV infection reflects either HDV
 acquisition at the same time of acute
 HBV infection (coinfection), or recent
 exposure to HDV in a patient with
 chronic HBV infections (superinfection).
 HDV antigen is deteced transiently
 during the early phase of acute HDV
 infection, but typically disappears as
 HDV-specific antibodies arise.
Notes
All positive EIA results are confirmed with EIA neutralization.

[947]


HEPATITIS E VIRUS, IGM
Order Code HEPEM Test Code HEPEM
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 7 days   Refrigerated 2 weeks   Frozen (-20°C) 30 days   Frozen (-70°C)
CPT codes 86790
Test schedule Varies
Turnaround time 6-9 days
Method ELISA
Test includes
Hepatitis E Virus IgM.
Reference ranges
  
Hepatitis E Virus IgM    Nonreactive
 HEV infection is responsible for some
 cases of non-A, non-B, non-C hepatitis.
 Found primarily in Asia, Africa, Mexico,
 and Central America. HEV is mainly
 transmitted via contaminated water.

[948]


HEPATITIS PANEL, ACUTE (REFLEXIVE)
Order Code HEPACU Test Code HEPACU
Order this panel when the patient has clinical acute hepatitis of less than 6 months duration and the origin is unknown.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 7 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or grossly lipemic samples.
Alternate specimens EDTA, lithium or sodium heparin plasma.
Limitations Heparinized plasma is acceptable, however in some samples it may decrease the reactivity of HBsAg, while HBcore IgM and/or HAV IgM may show increased reactivity.
Department Immunochemistry
CPT codes 80074
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
Hepatitis A Virus Antibody, IgM; Hepatitis B Surface Antigen; Hepatitis B Surface Antigen Confirmation; Hepatitis B Core Antibody, IgM; Hepatitis C Antibody; Interpretation.
Reference ranges
  
Hepatitis A Virus Ab, IgM      Nonreactive
Hepatitis B Surface Antigen    Nonreactive
Hepatitis B Surface Antigen 
 Confirmation               
Hepatitis B Core Antibody, IgM Nonreactive
Hepatitis C Antibody           Nonreactive
Interpretation

[950]


HEPATITIS PANEL, CHRONIC (REFLEXIVE)shipping instruction code
Order Code HEPCHR Test Code HEPCHR
Order this panel when the patient has a past history (greater then 6 months) of hepatitis of unknown origin, or when evaluating a patient for abnormal liver enzymes of unknown etiology.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 7 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or grossly lipemic samples.
Alternate specimens EDTA, lithium or sodium heparin plasma.
Limitations Heparinized plasma is acceptable, however in some samples it may decrease the reactivity of HBsAg, HBcore Total and/or HBsAb.
Department Immunochemistry
CPT codes 86708, 87340, 86704, 86706, 86803
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
Hepatitis A Virus Total; Hepatitis B Surface Antigen; Hepatitis B Surface Antigen Confirmation; Hepatitis B Core Antibody; Hepatitis B Surface Antibody, IV; Hepatitis C Antibody Screen; Interpretation.
Reference ranges
  
Hepatitis A Virus Total      Nonreactive
Hepatitis B Surface Antigen  Nonreactive
Hepatitis B Surface Antigen
 Confirmation 
Hepatitis B Core Antibody    Nonreactive
Hepatitis B Surface Ab                           IV
          LT 1.00            Non-immune
          1.00 or more       Indicated vaccine
                             response or
                             response to HBV
                             infection.
 An Index Value (IV) of 1.00 is equivalent to
 10 mIU/mL. Samples with an IV of 1.00 or
 greater are considered reactive 
 (protected) in accordance with the
 CDC Guidelines.      
Hepatitis C Antibody Screen  Nonreactive
Interpretation

[951]


HEPATITIS PANEL, HBV PROGNOSIS (REFLEXIVE)shipping instruction code
Order Code HBCHR Test Code HBCHR
Order this panel when the patient is known to have chronic hepatitis B infection. This panel determines the degree of infectivity and monitors for the development of immunity.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 7 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Alternate specimens EDTA, lithium or sodium heparin plasma.
Department Immunochemistry
CPT codes 87340, 87350, 86707, 86706
Test schedule Sun-Fri nights
Turnaround time 24-72 hours
Method ICMA
Test includes
Hepatitis B Surface Antigen; Hepatitis B Surface Antigen Confirmation; Hepatitis Be Antigen; Hepatitis Be Antibody; Hepatitis B Surface Antibody, IV; Interpretation.
Reference ranges
  
Hepatitis B Surface Antigen     Nonreactive
Hepatitis B Surface Antigen
 Confirmation
Hepatitis Be Antigen            Nonreactive
Hepatitis Be Antibody           Nonreactive
Hepatitis B Surface Ab                      IV
 LT 1.00        Non-immune
 1.00 or more   Indicates vaccine response
                or response to HBV infection.
 An Index Value (IV) of 1.00 is equivalent
 to 10 mIU/mL. Samples with an IV of 1.00
 or greater are considered reactive 
 (protected) in accordance with the CDC
 Guidelines.
Interpretation

[952]


HEPTIMAX
Order Code HEPTI Test Code HEPTI
Specimen Required
       Container type EDTA (Lavender top tube)  Specimen type EDTA frozen plasma  Preferred volume 5 mL  Minimum volume 3 mL
Specimen processing Separate plasma from cells within 6 hours of collection by centrifugation at 800 to 1600 g for 20 minutes, at room temperature. Separate plasma from cells, put in a separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated 2 days   Frozen (-20°C) 6 weeks   Frozen (-70°C)
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 87522
Test schedule 5 days a week
Method PCR/TMA
Test includes
Heptimax HCV RNA, IU/mL; Heptimax HCV RNA, LogIU/mL.
Reference ranges
  
Heptimax HCV RNA        LT 5  IU/mL
Heptimax HCV RNA        LT 0.7 LogIU/mL
 Reportable range 5 IU/mL to 69,000,000 IU/mL. 
 This test was performed using the COBAS 
 Ampliprep/Cobas TaqMan HCV test kit (Roche
 Molecular Systems, Inc),

[953]


HEREDITARY HEMOCHROMATOSIS
Order Code HHPCR3 Test Code HHCPCR
Due to the sensitivity of this test, submit the entire specimen in an unopened original collection tube.
Synonyms HFE; Molecular Testing; Hemochromatosis
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 1 mL or a full EDTA microtainer
Specimen processing Store and transport at room temperature. If delayed more than 72 hours, store and transport refrigerated.
Stability-   Room temp 72 hours   Refrigerated 5 days   Frozen (-20°C) Unstable   Frozen (-70°C)
Unacceptable conditions Serum, heparinized whole blood, frozen whole blood, severely hemolyzed specimens, specimens in leaky containers or over 5 days old. Also specimens not received in the original collection tubes.
Alternate specimens ACD whole blood or sodium citrated whole blood (yellow or blue top tube).
Limitations Do not freeze.
Department Molecular Diagnostics
CPT codes 83891, 83901, 83912, 83909, 83900
Test schedule Mon, Wed, Fri
Turnaround time 2-9 days
Method PCR
Test includes
Hereditary Hemochromatosis Result; Genotype; Interpretation; Comment.
Reference ranges
  
Hereditary Hemochromatosis Result
Genotype
Interpretation
 Patients receiving genetic testing
 should consider genetic counseling.
 Counseling of potentially affected
 family members may also be warranted.
Comment
 Patient DNA is assayed for the C282Y,
 H63D and S65C point mutations in the
 HFE gene by polymerase chain reaction
 (PCR).
Notes
Test includes detection of C282Y, H63D, and S65C mutations.

[954]


HERPES SIMPLEX VIRUS CULTURE
Order Code HSVELV Test Code HSVELV
Synonyms HSV Culture; Herpes; HSV
Specimen Required
       Container type See below  Specimen type Swab (flocked preferred) from mouth, vesicle or cervical/genital lesion or tissue biopsy in viral transport media (M4 or other).
Specimen processing Store and transport refrigerated.
Required patient info Specimen source.
Stability-   Room temp unacceptable   Refrigerated 72 hours   Frozen (-20°C) unacceptable   Frozen (-70°C) indefinitely
Unacceptable conditions Calcium alginate swabs, wood swabs, dry swabs, or swabs in gel media, CSF, stool, urine and serum or plasma. Also, swabs collected after application of creams, ointments, lotions, ice, alcohol, Betadine solutuion, zinc, or following sitz baths.
Alternate specimens Polyester or cotton swabs in M4 media.
Department Virology
CPT codes 87255
Test schedule Mon-Sat
Turnaround time 24-48 hours
Method ELVIS Culture
Test includes
Source; HSV Culture; HSV Culture, Status.
Reference ranges
  
Source
HSV Culture         No Herpes simplex virus isolate
HSV Culture, Status
Notes
If Herpes simplex virus is isolated, a rquest for typing as HSV1 and HSV2 may be made by contacting PAML Client Services. There will be an additional fee charged for the typing.

[955]


HERPES SIMPLEX VIRUS DETECTION BY RT-PCR shipping instruction code
Order Code HSVRTP Test Code HSVRTP
Dedicated specimen only. Not recommended for testing serum/plasma on patients older than 30 days, unless viremia present. For routine screening of exposure to Herpes simples virus, recommended test is HSVG for HSV antibodies.
Synonyms HSV Detection by Real-time PCR; HSV; Herpes; Molecular, RT-PCR
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.  Minimum volume 0.5 mL
Collection procedure 1 mL frozen CSF, serum, or EDTA plasma (sterile container, red or lavender top tube). Separate serum or plasma from the cells and put in sterile plastic tube. Swabs (flocked preferred)from lesions frozen in viral transport media.
Specimen processing Store and transport all specimens frozen. shipping instruction code
Required patient info Indicate source.
Stability-   Room temp 8 hours   Refrigerated CSF, serum, or plasma 24 hours, or 3 days for swabs in viral transport media   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions CSF, serum or plasma samples older than 24 hours that have not been frozen, unsterile or leaking containers, heparinized or hemolyzed samples. Separate specimens must be submitted when multiple tests are ordered. A dedicated sample is required for molecular testing. This test cannot be ordered as an add-on test on samples previously tested.
Alternate specimens Polyester or cotton swabs in M4 media.
Department Virology
CPT codes 87529
Test schedule Mon, Wed, Fri days
Turnaround time 1-3 days
Method Real-time PCR
Test includes
Source; Herpes Simplex Virus DNA; Comment; Comment.
Reference ranges
  
Source
Herpes Simplex Virus DNA       Not detected
Comment
Comment    Analyte Specific Reagents (ASR) are used in 
           many laboratory tests necessary for standard
           medical care and generally do not require U.S.
           Food & Drug Administration approval. This test
           was developed and its performance characteristics
           determined by PAML Laboratories. It has not
           been approved by the FDA. This test should not
           be regarded as investigational or for research
           use. This test is performed pursuant to an
           agreement with Roche Molecular Systems.

[956]


HERPES SIMPLEX VIRUS 1/2 DETECTION AND DIFFERENTIATION BY RT-PCR shipping instruction code
Order Code HSVRTD Test Code HSVRTD
Dedicated specimen only. Not recommended for testing serum or plasma on patient's older than 30 days unless viremia present. For routine screening of exposure to Herpes Simples virus, recommened test is HSVG for HSV antibodies.
Synonyms HSV Detection and Differentation by Real-time PCR; HSV; Herpes; Molecular
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.  Minimum volume 0.5 mL
Collection procedure 1 mL frozen CSF, serum, or EDTA plasma (sterile container, red or lavender top tube). Separate serum or plasma from the cells and put in sterile plastic tube. Swabs (flocked preferred) from lesions frozen in viral transport media.
Specimen processing Store and transport all specimens frozen. shipping instruction code
Required patient info Indicate source.
Stability-   Room temp 8 hours   Refrigerated CSF, serum or plasma 24 hours, or 3 days for swabs in viral transport media   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions CSF, serum or plasma samples older than 24 hours that have not been frozen, unsterile or leaking containers, heparinized or hemolyzed samples. Separate specimens must be submitted when multiple tests are ordered. A dedicated sample is required for molecular testing. This test cannot be ordered as an add-on test on samples previously tested.
Alternate specimens Polyester or cotton swabs in M4 media.
Department Virology
CPT codes 87801
Test schedule Mon - Fri days
Turnaround time 1-3 days
Method Real-time PCR
Test includes
Source; Herpes Simplex Virus Type 1; Herpes Simplex Virus Type 2; Comment; Comment.
Reference ranges
  
Source
Herpes Simplex Virus DNA Type 1          Not detected 
Herper Simplex Virus DNA Type 2          Not detected
Comment
Comment    Analyte Specific Reagents (ASR) are used in 
           many laboratory tests necessary for standard
           medical care and generally do not require U.S.
           Food & Drug Administration approval. This test
           was developed and its performance characteristics
           determined by PAML Laboratories. It has not
           been approved by the FDA. This test should not
           be regarded as investigational or for research
           use. This test is performed pursuant to an
           agreement with Roche Molecular Systems.
Notes
Not recommended for testing serum/plasma on patients older than 30 days, unless viremia present. For routine screening of exposure to Herpes simples virus, recommended test is HSVG for HSV antibodies.

[957]


HERPES SIMPLEX VIRUS BY WESTERN BLOT
Order Code HSVUWB Test Code HSVUWB
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube and refrigerate. Store and transport refrigerated. Ship 650.
Stability-   Room temp 8 hrs   Refrigerated 2 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens 1 mL CSF. If CSF is sent it must be paired with concurrent serum.
CPT codes 84181
Test schedule Mon, Thu morn
Turnaround time 7-10 days
Method Western Blot
Test includes
Herpes Simplex Virus by Western Blot Source; Herpes Simplex Virus by Western Blot Result; Herpes Simplex Virus by Western Blot, Interpretation.
Reference ranges
  
Herpes Simplex Virus by Western Blot Source
Herpes Simplex Virus by Western Blot Result
Herpes Simplex Virus by Western Blot Interpretation

[958]


HERPES SIMPLEX VIRUS CULTURE & TYPING (REFLEXIVE)
Order Code HSVETP Test Code HSVETP
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms HSV Culture and Typing; Herpes; HSV
Specimen Required
       Container type See below  Specimen type Swab (flocked preferred) from mouth, vesicle or cervical/genital lesion or tissue biopsy in viral transport media (M4 or other).
Specimen processing Store and transport refrigerated.
Required patient info Specimen source.
Stability-   Room temp unacceptable   Refrigerated 72 hours   Frozen (-20°C) unacceptable   Frozen (-70°C) indefinitely
Unacceptable conditions Calcium alginate swabs, wood swabs, dry swabs, or swabs in gel media, and CSF, urine, stool, serum or plasma. Also, swabs collected after application of creams, ointments, lotions, ice, alcohol, Betadine solutuion, zinc, or following sitz baths.
Alternate specimens Polyester or cotton swabs in M4 media.
Department Virology
CPT codes 87255
Test schedule Mon-Sat
Turnaround time 24-48 hours
Method ELVIS Culture
Test includes
Source; HSV Culture; HSV Culture, Status.
Reference ranges
  
Source
HSV Culture         No Herpes simplex virus isolate
HSV Culture, Status
Notes
If Herpes simplex virus is isolated, the isolate will be typed as HSV 1 or 2. There will be an additional fee charged for the typing .

[959]


HERPES SIMPLEX VIRUS I & II TYPE-SPECIFIC ANTIBODY, IGG-HERPESELECT®
Order Code HERP I&II.IGG Test Code HSVG
Synonyms HSV Type-Specific I & II Ab, IgG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) Indefinitely   Frozen (-70°C) Indefinitely
Unacceptable conditions Heat treated, hemolyzed, lipemic, contaminated or plasma specimens.
Limitations If testing is delayed more than 7 days freeze.
Department Virology
CPT codes 86696, 86695
Test schedule Tue-Sat
Turnaround time 1-4 days
Method EIA
Test includes
HSV I IgG Type-Specific Antibody, IV; HSV II IgG Type-Specific Antibody, IV.
Reference ranges
  
HSV I IgG Type-Specific Ab                  IV
 LT 0.90   Negative-No significant 
           level of detectable IgG
           Ab to HSV Type I Glycoprotein
           G.
 0.90-1.10 Indeterminate-Questionable
           presence of Ab to HSV Type I
           Glycoprotein G. Repeat testing
           may be helpful.
 GT 1.10   Positive-IgG Ab to HSV Type I
           Glycoprotein detected. May 
           indicate a current or past
           infection.                      
HSV II IgG Type-Specific Ab                 IV 
 LT 0.90   Negative-No significant 
           level of detectable IgG
           Ab to HSV Type II Glycoprotein
           G.
 0.90-1.10 Indeterminate-Questionable
           presence of Ab to HSV Type II
           Glycoprotein G. Repeat testing
           may be helpful.
 GT 1.10   Positive-IgG Ab to HSV Type II
           Glycoprotein detected. May 
           indicate a current or past
           infection.
Notes
This is the same assay that is performed at Focus.

[960]


HERPES SIMPLEX VIRUS IGG 1 & 2 DIFFERENTIATION BY IMMUNOBLOT-HERPSELECT
Order Code HSVB12 Test Code HSVB12
Synonyms HSV; Herpes Simplex Virus; HerpeSelect, Type-Specific
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Heat-treated, hemolyzed, lipemic, contaminated or plasma specimens.
Department Virology
CPT codes 86695, 86696
Test schedule Mon & Thu
Turnaround time 1-5 days
Method Immunoblot
Test includes
HSV 1&2 IgG.
Reference ranges
  
HSV 1 & 2 IgG      Negative
                   Negative for antibody to HSV 1 and HSV 2 by Immunoblot. No evidence of past infection
                   with HSV 1 or 2. Individuals infected with HSV may not exhibit detectable IgG Ab to
                   glycoprotein G in the early stages of infection and 5-10% of infections may occur 
                   with glycoprotein G-deficient virus.
                   Detection of antibody presence in these cases may only be possible using a nontype-
                   specific screening test. All results from this and other serologies must be 
                   correlated with clinical history, epidemiological data, and other date available to
                   the attending physician in making the differentiation between HSV type 1 and HSV type
                   2 infection.

[2034]


HERPES SIMPLEX VIRUS IGM ANTIBODY
Order Code HSVIGM Test Code HSVIGM
Synonyms HSV, IgM Ab
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 48 hours   Frozen (-20°C) Indefinitely   Frozen (-70°C) Indefinitely
Unacceptable conditions Plasma, lipemic, hemolyzed, heat treated, or contaminated specimens.
Limitations Avoid multiple freeze/thaw cycles.
Department Virology
CPT codes 86694
Test schedule Tue-Sat
Turnaround time 1-3 days
Method EIA
Test includes
Herpes Simplex Virus IgM Antibody, OD.
Reference ranges
  
Herpes Simplex Virus IgM Antibody      OD
 LT 0.91   Negative-No clinically
           significant level of HSV
           IgM Ab detected.
 0.91-1.09 Indeterminate-Unable to
           determine the presence or
           absence of HSV IgM Ab.
           Repeat testing in 10-14 
           days may be helpful.
 GT 1.09   Positive-IgM Ab to HSV 
           detected. May indicate 
           current or recent infection
           or reactivation.

[961]


HERPES SIMPLEX VIRUS TYPE-SPECIFIC 1 IGG-HERPESELECT®
Order Code HSV1G Test Code HSV1G
Synonyms HSV Type-Specific I IgG Ab; HSV Type Specific IgG Herpeselect
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) Indefinitely   Frozen (-70°C) Indefinitely
Unacceptable conditions Plasma, lipemic, contaminated, hemolyzed or heat inactivated specimens.
Limitations If testing is delayed more than 7 days, freeze specimen. Avoid multiple freeze/thaw cycles.
Department Virology
CPT codes 86695
Test schedule Tue-Sat
Turnaround time 1-4 days
Method EIA
Test includes
Herpes Simplex Virus I IgG, IV.
Reference ranges
  
HSV I IgG Type-Specific Ab                   IV
 LT 0.90   Negative-No significant 
           level of detectable IgG
           Ab to HSV Type I Glycoprotein
           G.
 0.90-1.10 Indeterminate-Questionable
           presence of Ab to HSV Type I
           Glycoprotein G. Repeat testing
           may be helpful.
 GT 1.10   Positive-IgG Ab to HSV Type I
           Glycoprotein detected. May 
           indicate a current or past
           infection.

[964]


HERPES SIMPLEX VIRUS TYPE-SPECIFIC 2 IGG-HERPESELECT®
Order Code HSV2G Test Code HSV2G
Synonyms HSV Type-Specific 2 IgG Ab; HSV Type Specific IgG 2 Herpeselect
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) Indefinitely   Frozen (-70°C) Indefinitely
Unacceptable conditions Plasma, lipemic, contaminated, hemolyzed or heat inactivated specimens.
Limitations If testing is delayed more than 7 days, freeze specimen. Avoid multiple freeze/thaw cycles.
Department Virology
CPT codes 86696
Test schedule Tue-Sat
Turnaround time 1-4 days
Method EIA
Test includes
Herpes Simplex Virus 2 IgG, IV.
Reference ranges
  
HSV II IgG Type-Specific Ab                   IV
 LT 0.90   Negative-No significant 
           level of detectable IgG
           Ab to HSV Type 2 Glycoprotein
           G.
 0.90-1.10 Indeterminate-Questionable
           presence of Ab to HSV Type 2
           Glycoprotein G. Repeat testing
           may be helpful.
 GT 1.10   Positive-IgG Ab to HSV Type 2
           Glycoprotein detected. May 
           indicate a current or past
           infection.

[962]


HERPES SIMPLEX VIRUS TYPE-SPECIFIC I & II IGG-HERPESELECT® & HERPES SIMPLEX VIRUS IGM ANTIBODY
Order Code HSGM Test Code HSGM
Synonyms HSV Type-Specific I &II IgG & IgM Ab
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 48 hours   Frozen (-20°C) Indefinitely   Frozen (-70°C) Indefinitely
Unacceptable conditions Plasma, lipemic, contaminated, hemolyzed or heat inactivated specimens.
Limitations If testing is delayed more than 7 days, freeze specimen. Avoid multiple freeze/thaw cycles.
Department Virology
CPT codes 86695, 86696, 86694
Test schedule Tue-Sat
Turnaround time 1-4 days
Method EIA
Test includes
Herpes Simplex Virus I IgG Type-Specific Antibody, IV; Herpes Simplex Virus II IgG Type-Specific Antibody, IV; Herpes Simplex Virus IgM Antibody, OD.
Reference ranges
  
HSV I IgG Type-Specific Ab                   IV
 LT 0.90   Negative-No significant 
           level of detectable IgG
           Ab to HSV Type I Glycoprotein
           G.
 0.90-1.10 Indeterminate-Questionable
           presence of Ab to HSV Type I
           Glycoprotein G. Repeat testing
           may be helpful.
 GT 1.10   Positive-IgG Ab to HSV Type I
           Glycoprotein detected. May 
           indicate a current or past
           infection.                      
HSV II IgG Type-Specific Ab                  IV 
 LT 0.90   Negative-No significant 
           level of detectable IgG
           Ab to HSV Type II Glycoprotein
           G.
 0.90-1.10 Indeterminate-Questionable
           presence of Ab to HSV Type II
           Glycoprotein G. Repeat testing
           may be helpful.
 GT 1.10   Positive-IgG Ab to HSV Type II
           Glycoprotein detected. May 
           indicate a current or past
           infection.
Herpes Simplex Virus IgM Antibody            OD
 LT 0.91   Negative-No clinically
           significant level of HSV
           IgM Ab detected.
 0.91-1.09 Indeterminate-Unable to
           determine the presence or
           absence of HSV IgM Ab.
           Repeat testing in 10-14 
           days may be helpful.
 GT 1.09   Positive-IgM Ab to HSV 
           detected. May indicate 
           current or recent infection
           or reactivation.
Notes
This is the same assay performed at Focus.

[963]


HERPES VIRUS 7, IGG & IGM AB PANEL
Order Code HSV7GM Test Code HSV7GM
Specimen Required
       Container type SST  Specimen type Serum  Preferred volume 1.0 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 5 days   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86790 x 2
Test schedule Thu
Turnaround time 3-12 days
Method IFA
Reference ranges
  
Herpes Simplex Virus 7, IgG                LT 1:160
Herpes Simplex Virus 7, IgM                LT 1:20

[3026]


HERPESVIRUS 6 ANTIBODY, IGG
Order Code HER6AB Test Code HER6AB
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Synonyms HHV6; Roseola
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Paired sera advised. Label acute and convalescent samples accordingly. Convalescent samples must be received within 30 days of acute sample.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Lipemic, hemolyzed, contaminated or heat-inactivated samples.
Alternate specimens Serum (Red top tube).
CPT codes 86790
Test schedule Tue, Thu
Turnaround time 2-7 days
Method ELISA
Test includes
Herpesvirus 6 Antibody, IgG.
Reference ranges
  
Herpesvirus 6 Ab, IgG                 IV
 0.89 or less      Negative-no significant
 level of detectable HHV-6 IgG antibody.
 0.90-1.10         Equivocal-questionable
 presence of HHV-6 IgG antibody. Repeat
 testing in 10-14 days may be helpful.
 1.11 or more      Positive-IgG antibody
 to HHV-6 detected, which may indicate
 current or past infection. 
 The best evidence for current infection
 is a significant change on two appropriately
 timed specimens, where both tests are done in
 the same laboratory at the same time.

[5523]


HERPESVIRUS 6 ANTIBODY, IGG & IGM
Order Code HEV6GM Test Code HEV6GM
Synonyms Roseola
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 7 days   Refrigerated 2 weeks   Frozen (-20°C) 30 days   Frozen (-70°C)
CPT codes 86790 x 2
Test schedule Mon-Fri
Turnaround time 2-6 days
Method IFA
Test includes
Herpesvirus 6 Antibody, IgG; Herpesvirus 6 Antibody, IgM; Interpretation.
Reference ranges
  
Herpesvirus 6 Antibody, IgG
 LT 1:10  Antibody not detected
Herpesvirus 6 Antibody, IgM 
 LT 1:20  Antibody not detected
Interpretation
 Human Herpesvirus 6 (HHV-6) infects
 T-lymphocytes, and has been identified
 as an etiologic agent of exanthema
 subitum. Rises in antibody titers to
 HHV-6 have been detected during
 infection with other viruses. In sero-
 epidemilogy studies of the prevalence
 of exposure usuing serum screening
 dilutions of 1:10, the detection of
 IgG Antibody in a mid-life population
 approches 100%. Due to this high pre-
 valence of HHV-6 Antibody, correlations
 of single IgG titers with specific
 diseases are of little clinical value.
 Evidence of acute infection or re-
 activation of HHV-6 is demonstrated by
 a significant rise or seroconversion
 of IgG and IgM titers.

[966]


HERPESVIRUS 6 DNA, PCR
Order Code HHV6PC Test Code HHV6PC
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Alternate specimens Frozen EDTA or ACD plasma (lavender or yellow top tube). 5 mL EDTA or ACD whole blood sent at room temperature.
CPT codes 87532
Test schedule Daily
Turnaround time 2-7 days
Method PCR
Test includes
Herpesvirus 6 DNA.
Reference ranges
  
Herpesvirus 6 DNA    Not detected
 The detection of human herpesvirus 6
 DNA is based upon the amplification of
 specific HHV-6 genomic DNA sequences
 by PCR from total DNA extracted from
 the specimen. The diagnosis of HHV-6
 infection should not rely solely upon
 the result of a PCR assay. A positive
 PCR result should be considered in
 conjunction with clinical presentation
 and additional established diagonstic
 tests prior to establishing a diagnosis.
 A negative PCR result indicated only 
 the absence of HHV-6 DNA in the sample
 tested and does not exclude the diagnosis
 of disease. This test is performed 
 pursuant to a license agreement with 
 Roche Molecular Systems, Inc.

[967]


HEXOSAMINIDASE A & TOTAL, LEUKOCYTE
Order Code TAYSACHS.PREG Test Code HEXAL
This is the preferred test for pregnant females.
Synonyms Tay Sachs, Leukocyte
Specimen Required
       Container type Yellow top tube (ACD A or B)  Specimen type ACD whole blood  Preferred volume 10 mL
Collection procedure A Tay-Sachs disease prevention questionnaire must accompany request. These forms are available from PAML Client Services.
Specimen processing Specimen must arrive within 48 hours of collection. Store and transport refrigerated.
CPT codes 83080 x 2
Test schedule Wed
Turnaround time 4-10 days
Method Heat Inactivation & Fluorometric
Test includes
Hexosaminidase A & Total, Leukocyte.
Reference ranges
  
Hexosaminidase A & Total, Leukocyte
 Separate Report to Follow

[968]


HIGH MOLECULAR WEIGHT KININOGEN ASSAY (HMW KININOGEN)
Order Code FITGZ Test Code FITGZ
Synonyms HMW Kininogen; Fitzgerald Factor
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2 mL
Specimen processing Separate plasma from cells and place in 2 separate plastic tubes and freeze. Store and transport frozen.
CPT codes 85293
Test schedule Once a week
Turnaround time 2-10 days
Method Clot
Test includes
HMW Kininogen Assay, %.
Reference ranges
  
HMW Kininogen Assay     65-135      %

[970]


HIGH SENSITIVITY CRP
Order Code HCRP Test Code HCRP
Synonyms hsCRP; High Sensitivity, Cardiac CRP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Frozen plasma samples.
Alternate specimens EDTA, lithium heparin or sodium heparin plasma (lavender or green top tubes).
Limitations Very lipemic or turbid samples should be clarified by centrifugation.
Department Immunology
CPT codes 86141
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Nephelometry
Test includes
High Sensitivity CRP, mg/L.
Reference ranges
  
High Sensitivity CRP            mg/L
 Low risk        LT 1.0
 Average risk    1.0-3.0
 High risk       GT 3.0
 Relative risk categories follow the
 recommendations of the American Heart
 Association and the CDC. Measurement
 of hsCRP should be done twice (averaging
 results), optimally two weeks apart,
 in metabolically stable patients. If
 the hsCRP level is GT 10 mg/L, the test
 should be repeated and the patient
 examined for non-cardiovascular sources
 of inflammation, such as infection.

[971]


HIGH SENSITIVITY CRP & CHOLESTEROL PROFILE
Order Code HCRPP Test Code HCRPP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 2 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 5 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (green top tube).
Department Immunology, Chemistry
CPT codes 86141, 82465, 83718
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Enzymatic, Nephelometry
Test includes
High Sensitivity CRP, mg/L; Cholesterol, mg/dL; HDL, mg/dL.
Reference ranges
  
High Sensitivity CRP            mg/L
  Low risk        LT 1.0
 Average risk    1.0-3.0
 High risk       GT 3.0
 Relative risk categories follow the
 recommendations of the American Heart
 Association and the CDC. Measurement
 of hsCRP should be done twice (averaging
 results), optimally two weeks apart,
 in metabolically stable patients. If
 the hsCRP level is GT 10 mg/L, the test
 should be repeated and the patient
 examined for non-cardiovascular sources
 of inflammation, such as infection.

Cholesterol                     mg/dL
 LT 200        Desirable
 200-239       Borderline high
 240 or more   High
HDL                             mg/dL
 LT 40         Low
 40-59         Within normal limits
 60 or more    High
 HDL Cholesterol greater than or equal
 to 60 mg/dL is considered to be a
 "negative" risk factor, serving to
 remove one risk factor from the total
 count.

[972]


HISTAMINE
Order Code HIST Test Code HIST
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Frozen whole blood  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Freeze whole blood in separate plastic tube. Store and transport frozen.
Stability-   Room temp 2 hours   Refrigerated 24 hours   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Non-frozen specimens.
Alternate specimens EDTA frozen whole blood (lavender top tube).
CPT codes 83088
Test schedule Mon, Thu
Turnaround time 2-6 days
Method EIA
Test includes
Histamine, nmol/L.
Reference ranges
  
Histamine (Blood)    140-890   nmol/L

[973]


HISTAMINE, PLASMA
Order Code HISTP Test Code HISTP
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen EDTA plasma  Preferred volume 1 mL  Minimum volume 0.2 mL
Collection procedure Specimens must be collected in a pre-chilled tube. Collect on ice.
Specimen processing Separate plasma from cells in a refirgerated centrifuge within 20 minutes of collection. Separate only the upper two-thirds of the plasma, put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 1 hour   Refrigerated 1 hour   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Nonfrozen or hemolyzed specimens.
CPT codes 83088
Test schedule Mon, Thu
Turnaround time 2-6 days
Method EIA
Test includes
Histamine, Plasma, nmol/L.
Reference ranges
  
Histamine, Plasma    0-6   nmol/L

[974]


HISTAMINE, URINE
Order Code HIST-U Test Code HISTUR
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type Frozen 24-hour or random urine collection.  Preferred volume 4.5 mL  Minimum volume 1 mL
Collection procedure Collect a 24-hour or random urine collection in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 4.5 mL of a well-mixed 24-hour or random urine collection in a leakproof plastic urine container and freeze. Record total volume and collection period. Store and transport frozen.
Required patient info Record total volume and collection interval on transport tube and test request form.
Stability-   Room temp unstable   Refrigerated 24 hours   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Room temperature samples.
Alternate specimens Samples preserved with HCl if frozen immediately.
CPT codes 83088
Test schedule Mon, Thu
Turnaround time 2-6 days
Method EIA
Test includes
Collection Period, h; Volume, mL; Creatinine, Urine, mg/dL; Histamine, Urine, nmol/L; Histamine, Urine, nmol/g.
Reference ranges
  
Collection Period              h
Volume                         mL
Creatinine, Ur                 mg/dL
Histamine, Ur                  nmol/L
Histamine, Ur      0-386       nmol/g

[975]


HISTONE ANTIBODY
Order Code HISTONE Test Code HISTOG
Synonyms Histone Reactive ANA; HRANA; Anti-Histone Reactive ANA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, hemolyzed or bacterially contaminated specimens.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 83516
Test schedule Mon-Fri
Turnaround time 3-5 days
Method ELISA
Test includes
Histone Antibody (Hrana), U.
Reference ranges
  
Histone Antibody (Hrana)     U
 LT 1.0     None detected   
 1.0-1.5    Inconclusive
 1.6-2.5    Positive
 GT 2.5     Strong positive

[976]


HISTOPLASMA ANTIBODY
Order Code HISTO.CF Test Code HISCF
Acute and convalescent samples advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic or contaminated specimens.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86698 x 2
Test schedule Sun-Fri
Turnaround time 3-5 days
Method CF
Test includes
Histoplasma Antibody Mycelial, Titer; Histoplasma Antibody Yeast, Titer.
Reference ranges
  
Histoplasma Ab Mycelial (CF)   Titer
 No antibody detected         
Histoplasma Ab Yeast (CF)      Titer
 No antibody detected

[977]


HISTOPLASMA ANTIBODY PANEL
Order Code HISABP Test Code HISABP
Acute and convalescent specimens advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labeled as such; parallel testing is preferred and and convalescent samples must be labeled as such; parallel testing is preferred and convalescent smples must be recieved within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic or contaminated samples.
CPT codes 86698 x 3
Test schedule Sun-Fri
Turnaround time 3-5 days
Method CF/ID
Test includes
Histoplasma Ab Mycelia, CF; Histoplasma Ab Yeast, CF; Histoplasma Ab, ID.
Reference ranges
  
Histoplasma Ab Mycelia, CF
 LT 1:8  No antibody detected.
Histoplasma Ab Yeast, CF
 Lt 1:8  No antibody detected.
 Greater than or equal to 1:8 with 
 either antigen are generally considered]
 presumptive evidence of histoplasmosis.
 Greater than 1:32 or rising titers
 indicate strong presumptive evidence
 of histoplasmosis.
 Titer of greater than or equal to 1:8
 with one or both antigens may occur; 
 yeast phase regarded as more sensitive.
 Approximately 90-95% of cases have
 positive titers to one or both antigens.
 Titers to mycelial antigen are higher
 in chronic infection. Cross reactions,
 ususally lower titers, may occur with
 fungal disease. Rising titers suggest
 progression of infection. Skin tests in
 individuals previously exposed may
 cause titer elevation in 17-20% of cases.
Histoplasma Ab, ID
 None detected.
 In general immunodiffusion measures IgG
 and a postive result may suggest active
 or recent infection.

[978]


HISTOPLASMA ANTIGEN
Order Code HISAG Test Code HISAG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Identify source if other than serum. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 month   Frozen (-20°C) Indefinitely   Frozen (-70°C)
Alternate specimens Urine, plamsa, CSF or BAL fluid or other sterile body fluid.
CPT codes 87385
Test schedule Mon-Fri
Turnaround time 2-5 days
Method EIA
Test includes
Histoplasma Antigen, ng/mL
Reference ranges
  
Histoplasma Antigen            ng/mL
 Negative              None detected
 Positive, Low         LT 0.6-3.9
 Positive, Mod         4.0-19.9
 Positive, High        20.0-39.0 or more

[979]


HISTOPLASMA PRECIPITIN ANTIBODY
Order Code HISTO.AB Test Code HISID
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma specimens.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86698
Test schedule Sun-Fri
Turnaround time 3-5 days
Method Immunodiffusion
Test includes
Histoplasma Precipitin Antibody.
Reference ranges
  
Histoplasma Precipitin Ab by ID
 None detected
 The immunodiffusion test can detect
 precipitins to specific Histoplasma 
 protein antigens (M and H). The M
 band often appears first and may
 occur without the H band. M
 precipitin is found in about 70%
 of both acute and chronic histo-
 plasmosis cases. Both M and H occur
 together in only about 10% of
 patients.

[980]


HIV-1 DNA, QUALITATIVE BY PCR
shipping instruction code
Order Code HIV.DNA.PCR Test Code HIVDPC
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Synonyms HIV DNA PCR
Specimen Required
       Container type Yellow top tube (ACD Type A or B)  Specimen type Whole blood  Preferred volume 1 mL  Minimum volume 1 mL
Specimen processing Store and transport ambient temperature.
Stability-   Room temp 6 days   Refrigerated 6 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen specimens.
Alternate specimens EDTA whole blood (lavender top tube).
Limitations A dedicated sample is required for this test.
CPT codes 87535
Test schedule Tue, Thu, Sat
Turnaround time 3-6 days
Method PCR
Test includes
HIV DNA PCR.
Reference ranges
  
HIV 1 PCR       Not detected
 The detection of human immunodeficiency
 virus type 1 (HIV-1) proviral DNA is
 based on the amplification of specific
 HIV-1 proviral genomic DNA sequences by
 PCR from total DNA extracted from the
 specimen. The diagnosis of HIV-1 infection
 should not rely solely upon the result
 of a PCR assay. A positive PCR result
 should be considered in conjunction with
 clinical presentation and additional
 established diagnostic tests prior to
 establishing a diagnosis. A negative
 PCR result indicates only the absence
 of HIV-1 proviral DNA in the sample
 tested and does not exclude the
 diagnosis of disease.
 This test was performed using a kit that
 has not been cleared or approved by the FDA.
 The analytical performance characteristics of
 this test have been determined by Focus
 Diagnostics. This test should not be used
 for diagnosis without confirmation by
 other medically established means.
 










.

[1000]


HLA B27 (REFLEXIVE)
Order Code HLA B27 Test Code HLAB27
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Yellow top tube (ACD Type A )  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 2 mL
Specimen processing Store and transport at room temperature.
Stability-   Room temp 72 hours   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions EDTA whole blood (lavender top tube), serum, heparin gel tubes. REFRIGERATED OR FROZEN SPECIMENS (even for short periods of time) ARE UNACCEPTABLE.
Alternate specimens Sodium or lithium heparin whole blood (green top tube).
Limitations On Saturday specimens must arrive by 11 AM.
Department Hematology Cellular Immunology
CPT codes 86812
Test schedule Mon-Sat by 11AM
Turnaround time 2-4 days
Method Flow cytometry
Test includes
HLA-B27.
Reference ranges
  
HLA-B27   Negative
Notes
If result is 'indeterminate,' specimen will be sent to a reference laboratory for confirmation by Molecular-SSP. A fee will be added. Refrigeration or freezing (even for short periods) renders the sample unacceptable.

[981]


HLA-B*5701 GENOTYPING
Order Code HLA57 Test Code HLA57
Counseling and informed consent forms are recommended for genetic testing. consent forms are available online at www.aruplab.com. Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.
Specimen Required
       Container type EDTA or K2EDTA Lavender or pink top tube  Specimen type EDTA or K2EDTA whole blood  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 3 days   Refrigerated 1 week   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Frozen specimens.
Alternate specimens ACD A or B (yellow top tube).
CPT codes 83891, 83898 x 2, 83912
Test schedule Tue, Fri
Turnaround time 5-11 days
Method PCR and Fluorescence Monitoring
Test includes
HLA-B*5701 Specimen; HLA-B*5701 Genotyping.
Reference ranges
  
HLA-B*5701 Specimen
HLA-B*5701 Genotyping      Negative

[6689]


HLA-DQB GENOTYPING
Order Code HLADQB Test Code HLADQB
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Additional CPT modifiers may be required for procedures performed to test for oncologic or inherited disorders.
Specimen Required
       Container type EDTA (lavender top tube) or K2EDTA (pink top tube)  Specimen type Whole blood  Preferred volume 5 mL
Specimen processing Store and transport at room temperature.
Required patient info HLA test request form and Consent Form are recommended.
Stability-   Room temp 3 days   Refrigerated 1 week   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Sodium or Lithium heparin whole blood (green top tube).
Alternate specimens 10 mL ACD A or B whole blood (yellow top tube).
CPT codes 83891, 83900, 83896 x 10, 88384, 83912
Test schedule Mon-Fri
Turnaround time 5-8 days
Method PCR/Sequence specific Oligo probe.
Test includes
Class II locus DQB, Allele 1, Class II locus DQB, Allele 2, HLA-DQ Oligotyping Interp.
Reference ranges
  
Class II locus DQB, Allele 1
Class II locus DQB, Allele 2
HLA-DQ Oligotyping Inter
			The presence of a disease	
			associated HLA combination does
			not establish a diagnosis. If less
			than 2 alleles are reported for a	
			locus, the patient is likely	
			homozygous. Rare diagnostic errors	
			can occur due to primer or probe	
			site mutations. This test is not	
			sufficient for comprehensive HLA	
			evaluation for clinical	
			hematopoietic stem cell	
			transplantation. Counseling and	
			informed consent are recommended	
			for genetic testing. Consent forms	
			are available online at	
			www.aruplab.com.	

[6373]


HLAB*1502 TYPING
Order Code HB1502 Test Code HB1502
Specimen Required
       Container type Yellow top tube A or B  Specimen type Whole blood  Preferred volume 10 mL  Minimum volume 5 mL
Specimen processing Do not spin. Store and transport at room temperature.
Stability-   Room temp 1 week   Refrigerated 1 week   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Heparinized plasma or frozen samples.
Alternate specimens EDTA whole blood (lavender top tube).
CPT codes 83891, 83896 x 30, 83900, 83912
Test schedule Mon-Fri
Turnaround time 9-10 days
Method PCR/Sequence Specific Probes
Test includes
HLA B* 1502 Typing.
Reference ranges
  
HLA B* 1502 Typing       Negative

[3110]


HOMOCYSTEINE, CARDIAC RISK
Order Code HOMCY Test Code HOMCY
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Place tube on ice immediately after drawing.
Specimen processing Specimens may be kept on ice for up to 6 hours before separation. Separate plasma from cells and put in separate plastic tube . Store and transport refrigerated after separation.
Stability-   Room temp 2 hours (plasma)   Refrigerated 2 weeks (plasma)   Frozen (-20°C) 8 months (plasma)   Frozen (-70°C)
Alternate specimens Serum or lithium heparin plasma (red, SST, or green top tube). Specimen must be placed on ice immediately after drawing regardless of specimen type.
Department Chemistry
CPT codes 83090
Test schedule Mon-Sun
Turnaround time 1-2 days
Method FPIA
Test includes
Homocysteine, umol/L.
Reference ranges
  
Homocysteine     4.0-12.0   umol/L
Notes
Specimens not placed on ice immediately may exhibit a 10-20% increase in concentration.

[984]


HOMOCYSTINE, URINE
Order Code HOMO-U Test Code HOMOUQ
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type Frozen 24-hour urine collection  Preferred volume 10 mL  Minimum volume 5 mL
Patient Prep Patients should abstain from Vitamin C ingestion 48 hours prior to specimen collection.
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record total volume. Store and transport frozen.
Required patient info Record total volume and collection time interval on transport tube and request form.
Stability-   Room temp unacceptable   Refrigerated 24 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Samples with acid or other preservatives or pH LT 5 or GT 8 are unacceptable.
Limitations Large amounts of hemoglobin or blood can interfere with quantitation.
CPT codes 83090
Test schedule Tue
Turnaround time 3-11 days
Method Spectrophotometric
Test includes
Collection Period, hr; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Homocystine, Urine, mg/L; Homocystine, Urine, mg/g Cr; Homocystine, Urine, mg/d.
Reference ranges
  
Collection Period                hr
Volume                           mL
Creatinine, Ur                   mg/dL
Creatinine, Ur                   mg/d
 M 0-2 yrs       Not established
   3-8 yrs       140-700
   9-12 yrs      300-1300
   13-17 yrs     500-2300
   18-50 yrs     1000-2500     
   51-80 yrs     800-2100
   81+ yrs       600-2000
 F 0-2 yrs       Not established
   3-8 yrs       140-700
   9-12 yrs      300-1300
   13-17 yrs     400-1600
   18-50 yrs     700-1600
   51-80 yrs     500-1400
   81+ yrs       400-1300      
Homocystine, Ur                   mg/L
Homocystine, Ur  0-53             mg/gCr
Homocystine, Ur  0-32             mg/d
Notes
Ascorbic acid interferes with this assay. Random samples are reported as HOMO/CREA Ratios. For timed specimens other than 24 hours, the result will be extrapolated to represent a 24 hour time period. Reference range may not apply.

[985]


HUMAN GROWTH HORMONE
Order Code HGH Test Code HGH
Use this workpar when A SINGLE HGH TEST is ordered.
Synonyms HGH; Growth Hormone, Somatotropin
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 250 uL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed or lipemic specimens.
Alternate specimens EDTA and heparin plasma (lavender or green top tube).
Department Immunology
CPT codes 83003
Test schedule Mon-Fri days
Turnaround time 2-5 days
Method ICMA
Test includes
HGH, ng/mL.
Reference ranges
  
HGH            0-10            ng/mL

[989]


HUMAN GROWTH HORMONE, SAMPLE 1
Order Code HGH.S1 Test Code GH1
Use this workpar to order the first HGH when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 250 uL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed or lipemic specimens.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunology
CPT codes 83003
Test schedule Mon-Fri days
Turnaround time 2-5 days
Method ICMA
Test includes
HGH, #1, ng/mL; HGH, Time 1.
Reference ranges
  
HGH, #1      0-10      ng/mL
HGH, Time 1

[990]


HUMAN GROWTH HORMONE, SAMPLE 2
Order Code HGH.S2 Test Code GH2
Use this workpar to order the second HGH when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 250 uL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Note medication. Store and transport frozen.
Required patient info Medication.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed or lipemic specimens.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunology
CPT codes 83003
Test schedule Mon-Fri days
Turnaround time 2-5 days
Method ICMA
Test includes
HGH, #2, ng/mL; HGH, Time 2.
Reference ranges
  
HGH, #2           ng/mL
HGH, Time 2

[991]


HUMAN GROWTH HORMONE, SAMPLE 3
Order Code HGH.S3 Test Code GH3
Use this workpar for ordering the third HGH when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 250 uL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Note medication. Store and transport frozen.
Required patient info Medication.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed or lipemic specimens.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunology
CPT codes 83003
Test schedule Mon-Fri days
Turnaround time 2-5 days
Method ICMA
Test includes
HGH, #3, ng/mL; HGH, Time 3.
Reference ranges
  
HGH, #3          ng/mL
HGH, Time 3

[992]


HUMAN GROWTH HORMONE, SAMPLE 4
Order Code HGH.S4 Test Code HGH4
Use this workpar for ordering the fourth HGH when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 250 uL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Note medication. Store and transport frozen.
Required patient info Medication.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed or lipemic specimens.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunology
CPT codes 83003
Test schedule Mon-Fri days
Turnaround time 2-5 days
Method ICMA
Test includes
HGH, #4, ng/mL; HGH, Time 4.
Reference ranges
  
HGH, #4            ng/mL
HGH, Time 4

[993]


HUMAN GROWTH HORMONE, SAMPLE 5
Order Code HGH.S5 Test Code HGH5
Use this workpar for ordering the fifth HGH when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 250 uL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Note medication. Store and transport frozen.
Required patient info Medication.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions hemolyzed or lipemic specimens.
Alternate specimens EDTA or heparin plasma (lavender or grren top tube).
Department Immunology
CPT codes 83003
Test schedule Mon-Fri days
Turnaround time 2-5 days
Method ICMA
Test includes
HGH, #5, ng/mL; HGH, Time 5.
Reference ranges
  
HGH, #5            ng/mL
HGH, Time 5

[994]


HUMAN GROWTH HORMONE, SAMPLE 6
Order Code HGH.S6 Test Code HGH6
Use this workpar for ordering the sixth HGH when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 250 uL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Note medication. Store and transport frozen.
Required patient info Medication.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed or lipemic specimens.
Alternate specimens EDTA or heparin plasma.
Department Immunology
CPT codes 83003
Test schedule Mon-Fri days
Turnaround time 2-5 days
Method ICMA
Test includes
HGH, #6, ng/mL; HGH, Time 6.
Reference ranges
  
HGH, #6            ng/mL
HGH, Time 6

[995]


HUMAN GROWTH HORMONE, SAMPLE 7
Order Code HGH.S7 Test Code HGH7
Use this workpar for ordering the seventh HGH when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 250 uL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Required patient info Medication.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed or lipemic specimens.
Alternate specimens EDTA or heparin (lavender or green top tube).
Department Immunology
CPT codes 83003
Test schedule Mon-Fri days
Turnaround time 2-5 days
Method ICMA
Test includes
HGH, #7, ng/mL; HGH, Time 7.
Reference ranges
  
HGH, #7        ng/mL
HGH, Time 7

[996]


HUMAN GROWTH HORMONE, SAMPLE 8
Order Code HGH.S8 Test Code HGHP8
Use this workpar for ordering the eighth HGH when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 250 uL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Note medication. Store and transport frozen.
Required patient info Medication.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed or lipemic specimens.
Alternate specimens EDTA or heparin (lavender or green top tube).
Department Immunology
CPT codes 83003
Test schedule Mon-Fri days
Turnaround time 2-5 days
Method ICMA
Test includes
HGH, #8, ng/mL; HGH, Time 8.
Reference ranges
  
HGH, #8           ng/mL
HGH, Time 8

[997]


HUMAN IMMUNODEFICIENCY VIRUS 1 ULTRA SENSITIVE VIRAL LOAD BY PCR shipping instruction code
Order Code HIVUS Test Code HIVUS
This test cannot be ordered as a reflexive test on plasma samples previously tested, with the exception of PAML/PSHMC molecular tests. A dedicated sample is required for molecular testing.
Synonyms HIV1 Viral Load; Molecular
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 1.5 mL
Collection procedure All plasma specimens must be spun and aliquoted into separate sterile polypropylene tubes and frozen.
Specimen processing Separate plasma from cells within 6 hours of collection and place in separate polypropylene tube and freeze. Store and transport frozen.
Stability-   Room temp 24 hours   Refrigerated 5 days   Frozen (-20°C) 1 month   Frozen (-70°C) indefinitely
Unacceptable conditions Nonfrozen samples or samples exposed to repeated freeze/thaw cycles, serum, heparinized samples and samples transported in a PPT tube (aliquot plasma prior to submission).
Alternate specimens Frozen plasma from K2EDTA or PPT tube (pink top tube or PPT tube).
Department Virology
CPT codes 87536
Test schedule Tue, Thu mornings
Turnaround time 3-4 days
Method RT-PCR: Ampliprep/TaqMan HIV-1 Test
Test includes
HIV-1 Viral Load Result, log copies/mL; HIV-1 Viral Load Result, copies/mL; HIV-1 Viral Load Comment.
Reference ranges
  
HIV-1 Viral Load Result   log copies/mL
 Not detected
HIV-1 Viral Load Result   copies/mL
 Not detected
HIV-1 Viral Load Comment
 Reportable range HIV-1 RNA 1.7 to 7.0
 log copies/mL (48 to 10,000,000 copies/mL).
 This assay was performed using the FDA approved
 Roche COBAS AmpliPrep/COBAS TaqMan HIV-1
 Test.
 This test is intended for use in con-
 junction with other laboratory markers 
 as a prognostic indicator for patients
 with HIV-1 infection. It may also be
 used to aid in the assessment of viral
 response to an antiretrovial treatment
 as measured by changes in plasma HIV-1
 RNA levles. A three fold (0.5 log) change
 in copies/mLs is usually considered to 
 be clinically significant. This test
 is performed pursuant to an agreement
 with Roche Molecular Systems, Inc.

[999]


HUMAN IMMUNODEFICIENCY VIRUS 1 ULTRASENSITIVE VIRAL LOAD BY BDNA shipping instruction code
Order Code HIVQBD Test Code HIVQBD
This test cannot be ordered as a reflexive test on serum or plasma sample previously tested, with the exception of PAML/PSHMC molecular tests. A dedicated sample is required for molecular testing.
Synonyms HIV Ultrasensitive RNA Quant; HIV Ultrasensitive by Signal Amplification; HIV Ultrasensitive Viral Load; HIV-1Ultrasensitive RNA Quantitative Evaluation by bDNA; HIV Viral Load; Molecular
Specimen Required
       Container type PPT tube  Specimen type Frozen plasma  Preferred volume 5 mL  Minimum volume 2.5 mL
Specimen processing Centrifuge PPT tube at 800-1600 X g for 10-15 minutes and freeze immediately. Store and transport frozen. Ship 650.
Stability-   Room temp Unstable   Refrigerated EDTA or ACD plasma 2 days   Frozen (-20°C) PPT, EDTA or ACD plasma-3 days   Frozen (-70°C) All specimens- Indefinitely
Unacceptable conditions Serum, non-separated samples more than 4 hours old, heparinized plasma and repeated freeze/thaw cycles.
Alternate specimens EDTA or ACD plasma (lavender or yellow top tube). Do not refrigerate whole blood. Separate plasma from cells within 4 hours by centrifugation at 1,000 x g for 10-15 minutes. Transfer plasma immediately to sterile plastic tube and freeze. Store and transport frozen.
Limitations Avoid freeze/thaw cycles.
Department Virology
CPT codes 87536
Test schedule Mon, Thu mornings
Turnaround time 2-6 days
Method Branched Chain DNA
Test includes
HIV-1, Ultrasensitive RNA bDNA, Copies/mL; Log10 value.
Reference ranges
  
HIV-1 Ultrasensitive RNA bDNA               copies/mL 
 Not detected
 Reportable Range is 75-500,000 copies/mL
HIV-1 Ultrasensitive RNA bDNA               Log10
 Not detected
 Reportable Range is 1.9-5.7 log10.
 A patient value of Not detected indicates 
 that the patient viral load is below the
 quantitative limit of the assay.
 This test is intended for use in con-
 junction with clinical presentation &
 other laboratory markers as a prog-
 nostic indicator for patients with HIV
 -1 infection. Plasma HIV-1 RNA assays 
 may also be used to monitor patients
 on antiretroviral therapies. Increasing
 viral load levels have been shown to
 correlate with progression of HIV
 disease. A sustained 3-fold or 0.5 Log
 10 increase or decrease in HIV-1 RNA
 levels generally reflects a bio-
 logically relevant change in viral
 replication. This test is not intended
 to be used as a screening test for HIV
 or as a diagnostic test to confirm or
 rule out HIV infection.
Notes
This test should be used only for patients with documented HIV-1 infection. It is not intended for use as a screening test for HIV, or as a diagnostic test to establish the presence or absence of HIV-1 infection. Use ordercodes 12HIVR and 1HIVWB to diagnose HIV 1 infection. BDNA collection kits are available from the PAML Supply Department.

[3063]


HUMAN IMMUNODEFICIENCY VIRUS-1 & 2 ANTIBODY (VIROLOGY SEROLOGY) (REFLEXIVE)
Order Code 12HIVR Test Code 12HIVR
Confirmation by HIV-1 Western Blot. If non-confirmable, sample will be held for 1 month in case the attending clinician wants the patient sample sent out for specific HIV-2 testing. The physician must contact Client Services if HIV-2 testing is required. A fee will be added dependent upon what tests must be done.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms HIV-I/II; HIV-1/HIV-2; HIV1/2; HIV-1/HIV-2 Antibody
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Sodium citrate or CPDA-1 plasma and multiple freeze/thaws or hemolyzed specimens.
Alternate specimens EDTA, sodium or lithium heparin, or ACD plasma.
Department Immunology/Virology
CPT codes 86703
Test schedule Sun-Fri
Turnaround time 1-2 days - Do not quote TAT for HIV. May take up to 6 days if Reactive and WBLOT is performed.
Method ICMA
Test includes
HIV-1/HIV-2. Western Blot; p18 band; p24 band; p31 band; p40 band; gp41 band; p51/55 band; p65 band; gp120/160 band.
Reference ranges
  
HIV-1/HIV-2              Nonreactive
HIV-1 Western Blot
Interpretation
 p18 Band                Absent
 p24 Band                Absent
 p31 Band                Absent
 p40 Band                Absent
 gp41 Band               Absent
 p51/55 Band             Absent
 p65 Band                Absent
 gp 120/160 Band         Absent

[3035]


HUMAN IMMUNODEFICIENCY VIRUS-1 GENOTYPE PLUS [SPECIALTY] shipping instruction code
Order Code HIVGT1 Test Code HIVGT1
Synonyms HIV Genotype
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen plasma  Preferred volume 4 mL  Minimum volume 2 mL
Specimen processing Separate plasma from cells within 4 hours of collection and put in 2 plastic tubes and freeze. Store and transport frozen. Ship within 24 hours of collection. Ship 650. This is a critical frozen specimen. Separate samples must be sent when multiple tests are ordered.
Stability-   Room temp   Refrigerated   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens Frozen ACD plasma (yellow top tube) or PPT tubes.
CPT codes 87901
Test schedule Mon, Wed-Sat
Turnaround time 9-12 days
Method PCR
Test includes
Resistance Associated RT Mutations; Zidovudine (AZT); Didanosine (ddl); Lamivudine ; Stavudine(d4T); Abacavir (ABC); Tenofovir (TDF); Nevirapine (NVP); Efavirenz(EFV); Resistance Associated PR Mutations; Saquinavir + Ritonavir (SQV); Indinavir (IDV); IDV/r; Nelfinavir (NFV); Amprenavir (APV)/Fosamprenavir (FPV); APV/r or FPV/r; Lopinavir + Ritonavir (LPV/r); Atazanavir (ATV); Atazanavir + Ritonavir (ATV/r); Tipranavir + Ritonavir (TPV/r); Darunavir + Ritonavir.
Reference ranges
  
Resistance Associated RT Mutations
Zidovudine (AZT)
Didanosine (ddl)
Lamivudine 
Stavudine(d4T)
Abacavir (ABC)
Tenofovir (TDF)
Nevirapine (NVP)
Efavirenz(EFV)
Resistance Associated PR Mutations
Saquinavir + Ritonavir (SQV)
Indinavir (IDV)
IDV/r
Nelfinavir (NFV)
Amprenavir (APV)/Fosamprenavir (FPV)
APV/r or FPV/r
Lopinavir + Ritonavir (LPV/r)
Atazanavir (ATV)
Atazanavir + Ritonavir (ATV/r)
Tipranavir + Ritonavir (TPV/r)
Darunavir + Ritonavir

[2479]


HUMAN IMMUNODEFICIENCY VIRUS-1, WESTERN BLOT shipping instruction code
Order Code 1HIVWB Test Code 1HIVWB
For confirmation of HIV-1 antibody, positive specimens only.
Synonyms HIV-1 & Western Blot
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Sodium citrate or CPDA-1 plasma.
Alternate specimens EDTA,sodium or lithium heparin, or ACD plasma.
Department Virology
CPT codes 86689
Test schedule Tue, Fri mornings
Turnaround time 2-6 days
Method Western Blot
Test includes
HIV-1 Western Blot; Western Blot Interpretation; p18 Band; p24 Band; p31 Band; p40 Band; gp41 Band; p51/55 Band; p65 Band; gp120/160 Band.
Reference ranges
  
HIV-1 Western Blot 
 Western Blot Interpretation
 p18 Band         Absent
 P24 Band         Absent
 P31 Band         Absent
 P40 Band         Absent
 gp41 Band        Absent
 p51/55 Band      Absent
 p65 Band         Absent
 gp 120/160 Band  Absent

[3036]


HUMAN IMMUNODEFICIENCY VIRUS-2 ANTIBODY, EIA shipping instruction code
Order Code HIV2AB Test Code HIV2AB
Repeatedly reactive specimens are confirmed by HIV-2 Western Blot and an additional charge will be added for this confirmation. The CDC recommends only specimens repeatedly reactive on combination HIV-1/2 EIA assays and negative or indeterminate on HIV-1 Western Blot be tested by HIV-2 EIA. An exception to this is a person with a positive result by HIV-1 blot and risk factors for HIV-2 infection.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms HIV-2 Ab; HIV-2 Antibody
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Ship 650.
Alternate specimens Plasma.
CPT codes 86702
Test schedule Tue & Thu
Turnaround time 2-6 days
Method EIA
Test includes
HIV-2 Antibody, EIA.
Reference ranges
  
HIV-2 Ab, EIA  
 Separate Report to Follow

[1008]


HUMAN IMMUNODEFICIENCY VIRUS-2 ANTIBODY, IMMUNOBLOT shipping instruction code
Order Code HIV2WB Test Code HIV2WB
This workpar is to be used only to order HIV-2 antibody by Immunoblot. There is a strong serologic crossreaction between HIV-1 and HIV-2. The CDC recommends only specimens repeatedly reactive on combination HIV-1/2 EIA assays, negative or indeterminate on HIV-1 Western blot and positive on HIV-2 EIA be tested by HIV-2 Immunoblot.
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Synonyms HIV-2 Antibody, IB; HIV-2 Ab, IB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
CPT codes 86689
Test schedule Once a week
Turnaround time 7-10 days
Method Immunoblot
Test includes
HIV-2 Antibody, Immunoblot.
Reference ranges
  
HIV-2 Ab, Immunoblot 
 Separate Report to Follow
Notes
This test may sometimes be used for a patient with a positive result by HIV-1 Blot and risk factors for HIV-2 infection. In this case the patients HIV-1 Western blot results (including the bands detected) must be sent with the request.

[1009]


HUMAN PAPILLOMAVIRUS DNA PROBE HIGH RISK
Order Code HPVDG Test Code HPVDG
Synonyms HPV DNA Probe, High Risk, Molecular
Specimen Required
       Container type ThinPrep or SurePath pap test solution  Specimen type Cervical or endocervical sample  Preferred volume 6 mL  Minimum volume 4 mL of ThinPrep, or 2 mL of SurePath test solution remaining after the Pap test has been prepared.
Collection procedure Collect 6 mL cervical or endocervical sample using ThinPrep or SurePath Pap Test transport media. Specimens must be transported in the proper transport media.
Specimen processing Store and transport refrigerated.
Required patient info Indicate Source
Stability-   Room temp ThinPrep-18 weeks; Surepath-3 weeks   Refrigerated ThinPrep-18 weeks; Surepath-3 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Samples in EIA transport media, wooden swabs, male samples, cervical biopsies, specimens collected in Digene cervical sampler. Samples collected using ThinPrep cannot be frozen.
Department Molecular Diagnostics
CPT codes 87621
Test schedule 6 days/wk
Turnaround time 2-4 days if HPV only. Additional 5-7 days if HPV ordered with pap or reflex.
Method Invader
Test includes
Source; HPV High Risk Result.
Reference ranges
  
Source
HPV High Risk Result   Negative for High RisK Human Papillomavirus. 
                       A negative test for the HPV high risk probe on
                       a cervical specimen indicates a low probability
                       of infection with HPV types 16,18,31,33,35,39,
                       45,51,52,56,58,59, 66 and 68.
                       A negative result does not exclude infection
                       with a genotype not included in the Hologic HPV test panel, 
                       a level of infection below the limit of detection of this test,
                       or a sampling error.
                       The Hologic Cervista HPV HR assay
                       has not been validated for non-cervical specimens,
                       although positive results may be accurate, false
                       negative test results may occur.

[5212]


HUMAN PAPILLOMAVIRUS GENOTYPE 16/18
Order Code HVPGNT Test Code HPVGNT
Synonyms HPV GENE 16 18
Specimen Required
       Container type ThinPrep or SurePath pap test solution  Specimen type Cervical or endocervical sample  Preferred volume 6 mL  Minimum volume 4 mL of ThinPrep, or 2 mL of SurePath test solution remaining after the Pap test has been prepared.
Collection procedure Collect 6 mL cervical or endocervical sample using ThinPrep or SurePath Pap Test transport media. Specimens must be transported in the proper transport media.
Specimen processing Store and transport refrigerated.
Required patient info Indicate Source.
Stability-   Room temp ThinPrep - 18 weeks, SurePath - 3 weeks   Refrigerated ThinPrep - 18 weeks, SurePath - 3 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Samples in EIA transport media, wooden swabs, male samples, cervical biopsies, and samples in the Digene Cervical Sampler. ThinPrep samples that have been frozen.
Department Molecular Diagnostics
CPT codes 83891, 83896 x 10, 83903, 83892 x 4, 83912
Test schedule Weekly - Thurs
Turnaround time 7-10 days
Method Invader
Test includes
HPV Source, HPV Genotype Result
Reference ranges
  
HPV Source
HPV Genotype Result    Type 16    Not Detected
                       Type 18    Not Detected

[6076]


HUMAN PLACENTAL LACTOGEN
Order Code HPLA Test Code HPLA
Specimen Required
       Container type Red top tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 4 hours   Refrigerated 24 hours   Frozen (-20°C) 2 weeks   Frozen (-70°C)
CPT codes 83632
Test schedule Thu
Turnaround time 4-10 days
Method EIA
Test includes
Human Placental Lactogen, ug/mL.
Reference ranges
  
Human Placental Lactogen         ug/mL
 M                 0.0-0.10
 F Non-pregnant    0.0-0.10
 F 1st trimester   0.20-2.10
   2nd trimester   0.50-6.70
   3rd trimester   4.50-12.80

[1015]


HUMAN T-LYMPHOTROPIC VIRUS TYPES I/II ANTIBODIES (REFLEXIVE) HTLV I/II shipping instruction code
Order Code 12HTLV Test Code 12HTLV
If screen is repeatedly reactive, then HTLV I/II Confirmation by Western Blot will be added.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms HTLV1, HTLV2, HTLVI/II
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Ship 650. shipping instruction code
Stability-   Room temp Afer separation from cells, stable at ambient up to 1 week. (not preferred)   Refrigerated 1 week   Frozen (-20°C) Indefinitely. Avoid repeated freeze thaw cycles.   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens, specimens containing particulate matter.
Alternate specimens EDTA, Heparin, (lavender or green top tube), or citrated plasma. Separate the serum or plasma from the cells ASAP.
CPT codes 86790, if reflexed add 86689
Test schedule Sun-Fri nights
Turnaround time 24-48 hours, if reflexed add 1-8 days. Western Blot confirmation performed on Mondays.
Method EIA/Western Blot
Test includes
HTLV I/II Antibody.
Reference ranges
  
HTLV I/II  Nonreactive
Notes
ARUP intends use of this assay for clinical diagnosis. This assay should not be used for blood donor screening, associated re-entry protocols, or for screening Human Cell, Tissues and Cellular and Tissue-Based Products (HCT/P).

[6074]


HUMORAL IMMUNITY PANEL 1
Order Code HUMIMM Test Code HUMIMM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 4 mL  Minimum volume 2.8 mL (0.7 mL per aliquot)
Specimen processing Separate serum from cells ASAP and put in 1 mL aliquots into 4 plastic tubes. Store and transpsort refrigerated. Pre and Post diphtheria/tetanus & pneumococcal vaccine specimens should be submitted together for testing. Post specimen should be drawn 30 days after immunization & if shipped separately must be received within 60 days or Pre specimen. Please clearly mark specimens 'Pre-vaccine' or 'Post-vacccine' so that specimens can be saved and tested simultaneously.
Stability-   Room temp 2 hours   Refrigerated 8 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma.
CPT codes 86317, 82784 x 3, 86317 x 14, 86317
Test schedule Mon-Sat
Turnaround time 2-4 days
Method Neph, Multi-analyte fluoresence detection
Test includes
Diphtheria Ab, IgG, IU/mL; Tetanus Ab, IgG, IU/mL; Pneumococcal Serotype 1, IgG, ug/mL; Pneumococcal Serotype 3, IgG, ug/mL; Pneumococcal Serotype 4, IgG, ug/mL; Pneumococcal Serotype 5, IgG, ug/mL; Pneumococcal Serotype 6B, IgG, ug/mL; Pneumococcal Serotype 7F, ug/mL; Pneumococcal Serotype 8, IgG, ug/mL; Pneumococcal Serotype 9N, IgG, ug/mL; Pneumococcal Serotype 9V, IgG, ug/mL; Pneumococcal Serotype 12F, IgG, ug/mL; Pneumococcal Serotype 14, IgG, ug/mL; Pneumococcal Serotype 18C, ug/mL; Pneumococcal Serotype 19F, ug/mL; Pneumococcal Serotype 23F, ug/mL; Pneumococcal Serotype Interpretation; IgA, mg/dL; IgG, mg/dL; IgM, mg/dL; IgG Subclass 1, mg/dL; IgG Subclass 2, mg/dL; IgG Subclass 3, mg/dL; IgG Subclass 4, mg/dL.
Reference ranges
  
Diphtheria Ab, IgG                            Antibody concentration of GT 0.1 is usually          IU/mL
                                              considered protective.
Tetanus Ab, IgG                               Antibody concentration of GT 0.1 is usually          IU/mL
                                              considered protective.
Pneumococcal Serotype 1, IgG                                                                       ug/mL
Pneumococcal Serotype 3, IgG                                                                       ug/mL
Pneumococcal Serotype 4, IgG                                                                       ug/mL
Pneumococcal Serotype 5, IgG                                                                       ug/mL
Pneumococcal Serotype 6B, IgG                                                                      ug/mL
Pneumococcal Serotype 7F, IgG                                                                      ug/mL
Pneumococcal Serotype 8, IgG                                                                       ug/mL
Pneumococcal Serotype 9N, IgG                                                                      ug/mL
Pneumococcal Serotype 9V, IgG                                                                      ug/mL
Pneumococcal Serotype 12F, IgG                                                                     ug/mL
Pneumococcal Serotype 14, IgG                                                                      ug/mL
Pneumococcal Serotype 18C, IgG                                                                     ug/mL
Pneumococcal Serotype 19F, IgG                                                                     ug/mL
Pneumococcal Serotype 23F, IgG                                                                     ug/mL
Pneumococcal Serotype Interpretation          All serotypes tested are present in the 23-valent
                                              pure polysaccharide pneumococcal vaccine. Serotypes
                                              4, 6B, 9V, 14, 18C, 19F and 23F are contained in the
                                              conjuated pneumococcal vaccine. Long-term protection
                                              is generally thought to be associated with a 1 month
                                              vaccine response of at least 1 ug/mL in children & adults.
                                              Responder status is determined once reaching the
                                              minumin level of 1 ug/mL according to the ratio
                                              of postvaccianation to prevaccination concentration of
                                              pneumococcal IgG antibody as follows:
                                              A ratio of LT two-fold is considered a non-responder.
                                              A ratio of two-to-four-fold is a weak responder.
                                              A ratio of fourfold is a good responder.
                                              .
IgA            0-30 days                      1-7                                                  mg/dL
               1 mo                           1-53
               2 mo                           3-47
               3 mo                           5-46
               4 mo                           4-72
               5 mo                           8-83
               6 mo                           8-67
               7-8 mo                         11-89
               9-11 mo                        16-83
               1 yr                           14-105
               2 yrs                          14-122
               3 yrs                          22-157
               4 yrs                          25-152
               5-7 yrs                        33-200
               8-9 yrs                        45-234
               10 yrs +                       68-378
IgG            0-30 days                      611-1542                                             mg/dL
               1 mo                           241-870
               2 mo                           198-577
               3 mo                           169-558
               4 mo                           188-536
               5 mo                           165-781
               6 mo                           206-676
               7-8 mo                         208-868
               9-11 mo                        282-1026
               1 yr                           331-1164
               2 yrs                          407-1009
               3 yrs                          423-1090
               4 yrs                          444-1187
               5-7 yrs                        608-1229
               8-9 yrs                        584-1509
               10 yrs +                       68-1632
IgM            0-30 days                      0-24                                                 mg/dL
               1 mo                           19-83
               2 mo                           16-100
               3 mo                           23-85
               4 mo                           26-96
               5 mo                           31-103
               6 mo                           33-97
               7-8 mo                         32-120
               9-11 mo                        39-142
               1 yr                           41-164
               2 yrs                          46-160
               3 yrs                          45-190
               4 yrs                          41-186
               5-7 yrs                        46-197
               8-9 yrs                        49-230
               10 yrs +                       60-263
IgG Subclass 1 Cord blood                     435-1084                                             mg/dL
               0-2 mo                         218-498
               3-5 mo                         143-394
               6-8 mo                         190-388
               9-23 mo                        288-880
               2 yrs                          170-950
               3-4 yrs                        290-1065
               5-6 yrs                        330-1065
               7-8 yrs                        225-1100
               9-10 yrs                       390-1235
               11-12 yrs                      380-1420
               13-14 yrs                      165-1440
IgG Subclass 2 Cord blood                     143-453                                              mg/dL
               0-2 mo                         40-167
               3-5 mo                         23-147
               6-8 mo                         37-60
               9-23 mo                        30-327
               2 yrs                          22-440
               3-4 yrs                        28-315
               5-6 yrs                        57-345
               7-8 yrs                        42-375
               9-10 yrs                       61-430
               11-12 yrs                      73-455
               13-14 yrs                      71-460
               15 yrs +                       124-549
IgG Subclass 3 Cord blood                     27-146                                               mg/dL
               0-2 mo                         4-23
               3-5 mo                         4-70
               6-8 mo                         12-62
               9-23 mo                        13-82
               2 yrs                          4-69
               3-4 yrs                        4-71
               5-6 yrs                        8-126
               7-8 yrs                        9-107
               9-10 yrs                       10-98
               11-12 yrs                      16-194
               13-14 yrs                      12-178
               15 yrs +                       21-134
IgG Subclass 4 Cord blood                     1-47                                                 mg/dL
               0-2 mo                         1-33
               3-5 mo                         1-14
               6-8 mo                         1-16
               9-23 mo                        1-65
               2 yrs                          0-120
               3-4 yrs                        0-90
               5-6 yrs                        2-116
               7-8 yrs                        0-138
               9-10 yrs                       1-95
               11-12 yrs                      1-153
               13-14 yrs                      2-143
               15 yrs +                       7-89

[2035]


HUNTINGTON DISEASE DNA SCREEN
Order Code HUNDUW Test Code HUNDUW
Given the likely impact of presymptomatic testing on life plans and insurability, patients should be adequately informed and counselled before this test is ordered and the results given. The Huntington Disease Society of America at 1-800-345-4372 can provide approved counseling program information or the Inland Northwest Genetics Clinic can provide information at 509-535-2278.
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 2 mL
Specimen processing Store and transport refrigerated. Only draw patient Sun-Thur. UW does not accept samples on Sunday.
Stability-   Room temp   Refrigerated 3 days   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Cultured amniocytes in T25 or T75 flasks at room temperature, Chorionic villi &/or tissue in sterile tube or culture media at room temperature.
CPT codes 83891, 83898 x 2, 83912, 83896 x 2, 83909
Test schedule As received
Turnaround time 3-4 weeks
Method PCR Capillary Electrophoresis
Test includes
HD allele 1;HD allele 2;HD Clinical Information;HD Interprettion
Reference ranges
  
HD allele 1
HD allele 2
HD Clinical Information
HD Interpretation
Notes
For further information on genetics testing call U of Washington at 206-598-6429.

[4752]


HYDROCODONE CONFIRMATION BY LC/MS
Order Code LCOP6 Test Code LCOP6
Synonyms morphine, MS-Contin, apomorphine, morphine sulfate, Paregoric, Apokyn, Avinza, DepoDur
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 150 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Liquid Chromatography Mass Spectrometry (LC/MS)
Test includes
Hydromorphone,Hydrocodone,Codeine,Morphine,Oxycodone,Oxymorphone
Notes
Test is also included in Comprehensive Drug Survey. Replaces TLCOPA.

[7015]


HYDROCODONE, FREE, UNCONJUGATED
Order Code HYDROCODONE Test Code HYDCOD
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Peak draw time is 90 minutes post dose.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Limitations No SST tubes.
CPT codes 83925
Test schedule Mon, Tue, Wed, Thu, Fri
Turnaround time 3-5 days
Method GC/MS
Test includes
Hydrocodone, ng/mL.
Reference ranges
  
Hydrocodone, Free Unconjugated    ng/mL
 Following a single 10 mg oral dose
 Up to 32 ng/mL at 1.5 hours post dose.                             
 This test is for clinical use only.

[1017]


HYDROCORTISONE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCHYD Test Code TLCHYD
Synonyms Solu-Cortef, A-hydroCort, Hydrocortisone Tablets, Hydrocortone,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Hydrocortisone
Notes
Test is also included in Drug-Sur as part of panel.

[6953]


HYDROMORPHONE BY LC/MS
Order Code LCOP6 Test Code LCOP6
Synonyms morphine, MS-Contin, apomorphine, morphine sulfate, Paregoric, Apokyn, Avinza, DepoDur
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 150 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Liquid Chromatography Mass Spectrometry (LC/MS)
Test includes
Hydrocodone,Hydromorphone,Codeine,Morphine,Oxycodone,Oxymorphone
Notes
Test is also included in Comprehensive Drug Survey. Replaces TLCOPA.

[7016]


HYDROMORPHONE, FREE (REFLEXIVE)
Order Code HYDMCO Test Code HYDMCO
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Dilaudid
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 6 mL  Minimum volume 2.1 mL
Specimen processing Separate serum from cells immediately and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 20 days   Refrigerated 20 days   Frozen (-20°C) 8 months   Frozen (-70°C)
Unacceptable conditions SST tubes.
Alternate specimens Plasma.
CPT codes 80100
Test schedule Mon, Wed, Fir
Turnaround time 4-8 days
Method LC/MS/MS, HPLC
Test includes
Hydromorphone, Free, ng/mL; Hydromorphone, Free Confirmation, ng/mL.
Reference ranges
  
Hydromorphone, Free                ng/mL
Hydromorphone, Free Confirmation   ng/mL
 Expected range during treatment of
 severe pain: 1-49 ng/mL

[3563]


HYDROXYCHLOROQUININE
Order Code PLAQ Test Code PLAQ
Synonyms Plaquenil
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Protect from light. Store and transport refrigerated or at room temperature.
Alternate specimens EDTA plasma (lavender top tube).
Limitations No SST tubes and protect from light.
CPT codes 82489
Test schedule Varies
Turnaround time 7-10 days
Method HPTLC
Test includes
Hydroxychloroquinine, mcg/mL.
Reference ranges
  
Hydroxychloroquinine    0.1-1.0  mcg/mL

[1019]


HYDROXYPROLINE, TOTAL, URINE
Order Code HYDROXYPROLINE.T Test Code HPTUQ
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type Frozen 24-hour urine collection  Preferred volume 5 mL  Minimum volume 3 mL
Patient Prep Patient should be on a collagen-free diet for 3 days prior to collection.
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record total volume and collection time. Store and transport frozen.
Required patient info Record total volume and collection interval on transport tube and request form.
Stability-   Room temp unacceptable   Refrigerated 2 days   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Non-frozen specimens.
CPT codes 83505
Test schedule Mon
Turnaround time 3-12 days
Method Ion Exchange Chromatography
Test includes
Collection Period, hr; Volume, mL; Hydroxyproline, Total, umol/d; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d.
Reference ranges
  
Collection Period               hr
Volume                          mL
Hydroxyproline, Total  38-500   umol/d
Creatinine, Ur                  mg/dL
Creatinine, Ur                  mg/d
 M 0-2 yrs     Not established
   3-8 yrs     140-700
   9-12 yrs    300-1300
   13-17 yrs   500-2300            
   18-50 yrs   1000-2500         
   51-80 yrs   800-2100
   81+ yrs     600-2000
 F 0-2 yrs     Not established
   3-8 yrs     140-700
   9-12 yrs    300-1300
   13-17 yrs   400-1600
   18-50 yrs   700-1600
   51-80 yrs   500-1400
   81+ yrs     400-1300

[1020]


HYPERCOAGULATION CONSULT EXTENDED PANEL (REFLEXIVE)
Order Code HYPCEA Test Code HYPCE
Separate samples must be submitted when multiple tests are ordered.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type 2 (5 mL ) Blue top tubes (buffered sodium citrate), 1 Red top tube (plain), 2 Lavender top tubes (EDTA)  Specimen type Frozen serum, frozen citrated plasma, EDTA whole blood and EDTA plasma.  Preferred volume 6-1 mL aliquots of frozen citrated plasma, 2 mL frozen serum, 5 mL EDTA whole blood and 1 mL EDTA plasma  Minimum volume See individual components
Patient Prep Patient should be fasting.
Collection procedure The liquid blue top tubes must be filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Read thoroughly and follow all the following directions carefully: `1.Citrated plasma specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at RT(22-24C). If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 6 clean plastic tubes (6 aliquots), and freeze at -20C or less. `2. 2 mL frozen serum. Separate, store and transport frozen.`3. 5 mL EDTA whole blood submitted untouched in original tube`at room temperature. If delayed more than 72 hours, refrigerate.`4. 1 mL EDTA plasma. Put on ice immediately after drawing and separate within 1 hour of drawing and refrigerate.
Stability-   Room temp See individual components   Refrigerated See individual components   Frozen (-20°C) See individual components   Frozen (-70°C)
Department Coagulation, Chemistry & Molecular Diagnostics Departments at SHMC; Immunology at PAML
CPT codes 83090, 83891, 83903, 83912, 83898, 83896 x 2, 86147 x 2, 85307, 85303, 85306, 85300, 85301, 85610, 85730, 85670, 80500.
Test schedule Varies
Turnaround time Varies
Method See individual components
Test includes
Homocysteine, Cardiac Risk, umol/L; PT 20210, Method; PT 20210, Result; PT 20210, Interpretation; PT 20210 Comment; PT 20210 Comment; Cardiolipin Ab, IgG, GPL; Cardiolipin Ab, IgM, MPL; APC Resistance; Protein C Activity, %; Protein S Activity, %; Anti-Thrombin III Activity, %; Anti-Thrombin III Antigen, mg/dL; PT, Patient, sec; PT, PT/CT Mix, sec; PTT, Patient, sec; PTT, Control, sec; PTT, PT/CT Mix, sec; PNP, sec; dRVVT, sec; dRVVT Mix Ratio; dRVVT Confirm Ratio; dRVVT Confirm Mix Ratio; Hypercoagulation Consult Basic Interpretation; Hypercoagulation Reviewed By.
Reference ranges
  
Homocysteine, Cardiac Risk  4.0-12.0  umol/L
PT 20210, Method 
PT 20210, Result
PT 20210, Interpretation
PT 20210, Comment
PT 20210, Comment
Cardiolipin Ab, IgG         LT 23     GPL
Cardiolipin Ab, IgM         LT 11     MPL
APC Resistance              GT 2.0
Protein C Activity          70-145    %
Protein S Activity          65-140    %
Anti-Thrombin III Activity  85-126    %
Anti-Thrombin III Antigen   22-33     mg/dL
PT, Patient                           sec
 0-1 mo                     13.0-20.0
 2+ mo                      10.9-14.8
PT, PT/CT Mix                         sec
Thrombin Time, Patient      15.6-20.0 sec
TT, PT/PS Mix                         sec
PTT, Patient                          sec
 0-1 mo                     40-50
 2 mo-4 yr                  25-40
 5+ yrs                     26-36
PTT, Control                          sec
PTT, PT/CT Mix                        sec
PNP                         0.0-7.0   sec
dRVVT                       31.8-45.7 sec
dRVVT Mix Ratio             LT 1.2
dRVVT Confirm Ratio         LT 1.2
dRVVT Confirm Mix Ratio     LT 1.2
Hypercoagulation Consult Basic Interpretation
Hypercoagulation Reviewed By

[1021]


HYPERCOAGULATION CONSULTATION, BASIC (REFLEXIVE)
Order Code HYPERC Test Code HYPERC
Separate samples must be submitted when multiple tests are ordered.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 6-1 mL aliquots  Minimum volume 4 1-mL aliquots
Patient Prep Patient should be fasting.
Collection procedure Liquid blue top tubes filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at RT(22-24C). If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 6 clean plastic tubes (6 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85307, 85303, 85306, 85300, 85301, 85610, 85730, 85670, 80500
Test schedule Sat, Wed
Turnaround time 2-4 days
Method Clot-based, Chromogenic, Immuno-turbid
Test includes
APC Resistance; Protein C Activity, %; Protein S Activity, %; Anti-thrombin III Activity, %; Anti-thrombin III Antigen, mg/dL; Protime, sec; Protime, Patient/Control Mix, sec; Thrombin Time, Patient, sec; Thrombin Time, Patient/Ps Mix, sec; PTT, Patient, sec; PTT, Control, sec; PTT/Patient/Control Mix, sec; PNP, sec; dRVVT, sec; dRVVT Mix Ratio; dRVVT Confirm Ratio; dRVVT Confirm Mix Ratio; Hypercoagulation Consult, Basic Interpretation; Review.
Reference ranges
  
APC Resistance              GT 2.0
Protein C Activity          70-145    %
Protein S Activity          65-140    %
Anti-thrombin III Activity  85-126    %
Anti-thrombin III Antigen   21-33     mg/dL
PT, Patient                           sec
 0-1 mo                     13.0-20.0
 2+ mo                      10.9-14.8 
PT, PT/CT Mix                         sec
Thrombin Time, Patient      12.0-17.0 sec
TT, PT/PS Mix                         sec
PTT, Patient                          sec
 0-1 mo                     40-50
 2 mos-4 yrs                25-40
 5+ yrs                     26-36
PTT, Control                          sec
PTT, PT/CT Mix                        sec
PNP                         0.0-7.0   sec
dRVVT                       31.8-45.7 sec
dRVVT Mix Ratio             LT 1.2
dRVVT Confirm Ratio         LT 1.2
dRVVT confirm mix Ratio     LT 1.2
Hypercoagualtion Consult, Basic
 Interpretation
Review

[1022]


HYPERSENSITIVE PNEUMONITIS EXTENDED PANEL (FARMER'S LUNG PANEL)
Order Code HYPEXT Test Code HYPEXT
Synonyms Farmer's Lung Panel
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 5.0 mL-two 2.5 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year (avoid repeated freeze/thaw cycles)   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, contaminated or hemolyzed.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86331 x 12, 86003 x 4
Test schedule Sun-Sat
Turnaround time 4-8 days
Method ID/Immunocap
Test includes
Aspergillus fumigatus # 1; Aspergillus fumigatus # 6; Aureobasidium pullulans; Pigeon Serum; Micropolyspora faeni; Thermoactimomyces vulgaris #1; Aspergillus flavus; Aspergellus fumigatus #2; Aspergillus fumigatus #3; Saccharomonospora viridis; Thermoactinomyces candidus; Thermoactinomyces sacchari; Allergen, Animal Feather Mix, IgE; Allergen Beef, IgE, kU/L; Allergen, Pork, IgE, kU/L; Allergen,Fungi/Mold Phoma betae, IgE, kU/L; Allergen-Interp, Immunocap Score IgE.
Reference ranges
  
Aspergillus fumigatus #1               None detected
Aspergillus fumigatus #6               None detected
Aureobasidium pullulans                None detected
Pigeon Serum                           None detected
Micropolyspora faeni                   None detected
Thermoactinomyces vulgaris #1          None detected
Aspergillus flavus                     None detected
Aspergillus fumigatus #2               None detected
Aspergillus fumigatus #3               None detected
Saccharomonospora viridis              None detected
Thermoactinomyces candidus             None detected
Thermoactinomyces sacchari             None detected
Allergen-Animal Feather Mix, IgE       Negative
Allergen-Beef, IgE                     LT 0.35      kU/L
Allergen-Pork, IgE                     LT 0.35      kU/L
Allergen-Fungi/Mold Phoma betae IgE 
Allergen, Interp Immunocap Score 

[5595]


HYPERSENSITIVE PNEUMONITIS I
Order Code HLDP Test Code HPNEUM
Synonyms Hypersensitive Lung Disease Panel
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma specimens.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86331 x 6
Test schedule Mon-Fri
Turnaround time 4-8 days
Method ID
Test includes
Aspergillus fumigatus #1; Aspergillus fumigatus #6; Aureobasidium pullulans; Pigeon Serum; Micropolyspora faeni; Thermaoactinomyces vulgaris #1.
Reference ranges
  
Aspergillus Fumigatus #1      None detected
Aspergillus Fumigatus #6      None detected
Aurebasidium Pullulans        None detected
Pigeon Serum                  None detected         
Micropolyspora Faeni          None detected
Thermoactinomyces Vulgaris #1 None detected

[1023]


HYPERSENSITIVE PNEUMONITIS II
Order Code HPENII Test Code HPENII
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year (avoid repeated freeze/thaw cycles)   Frozen (-70°C)
Unacceptable conditions Plasma specimens.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86331 x 6
Test schedule Mon-Fri
Turnaround time 4-8 days
Method ID
Test includes
Aspergillus flavus; Aspergillus fumigatus # 2; Aspergillus fumigatus # 3; Saccharomonospora viridis; Thermoactinomyces candidus; Thermoactinomyces sacchari.
Reference ranges
  
Aspergillus flavus            None detected
Aspergillus fumigatus #2      None detected
Aspergillus fumigatus #3      None detected
Saccharomonospora viridis     None detected
Thermoactinomyces candidus    None detected
Thermoactinomyces sacchari    None detected

[1024]


HYPERTHYROID PROFILE
Order Code HYPERA Test Code HYPER
Synonyms Thyroid Profile (Hyper)
Specimen Required
       Container type Red top tube (plain) or SST  Specimen type Serum  Preferred volume 3 mL  Minimum volume 2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed, grossly lipemic or grossly icteric specimens.
Department Immunochemisty
CPT codes 84479, 84436, 84480
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
FTI; T3 Uptake, %; Total T4, ug/dL; T3 by ICMA TBG Corrected, ng/dL.
Reference ranges
  
FTI                        5.0-12.0
T3 Uptake                  22.5-37.0   %
T4                                     ug/dL
 M  0-30 days              3.0-14.3
    1-12 mo                5.2-16.3
    1-5 yrs                5.5-11.4
    5-10 yrs               5.3-10.5
    10-15 yrs              4.5-10.3
    15-18 yrs              4.9-8.8
 F  0-30 days              3.0-13.3
    1-12 mo                4.6-13.3
    1-5 yrs                6.3-12.8
    5-10 yrs               5.3-10.8
    10-15 yrs              4.9-10.0
    15-18 yrs              5.1-10.0
 Adults 18 yrs+            5.0-12.0
T3 By ICMA TBG Corrected   80-200      ng/dL

[1025]


HYPOGLYCEMICS PANEL
Order Code HGLYP Test Code HGLYP
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport room temperature.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Serum separator tubes (SST) or gels.
CPT codes 83788
Test schedule Tue, Thu
Turnaround time 3-6 days
Method LC/MS/MS
Test includes
Acetohexamide, ng/mL; Chlorpropamide, ng/mL; Glimepiride, ng/mL; Glipizide, ng/mL; Glyburide, ng/mL; Nateglinide, ng/mL; Repaglinide, ng/mL; Tolazamide, ng/mL; Tolbutamide, ng/mL.
Reference ranges
  
Acetohexamide               ng/mL
Chlorpropamide              ng/mL
Glimepiride                 ng/mL
Glipizide                   ng/mL
Glyburide                   ng/mL
Nateglinide                 ng/mL
Repaglinide                 ng/mL
Tolazamide                  ng/mL
Tolbutamide                 ng/mL

[1026]


HYPOTHYROID PROFILE
Order Code HYPOA Test Code HYPO
Synonyms Thyroid Profile (Hypo)
Specimen Required
       Container type Red top tube (plain) or SST  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C)   Frozen (-70°C)
Department Immunochemistry
CPT codes 84479, 84436, 84443
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
FTI; T3 Uptake, %; Total T4, ug/dL; TSH, uIU/mL.
Reference ranges
  
FTI                 5.0-12.0
T3 Uptake           22.5-37.0   %
T4                              ug/dL
 M  0-30 days       3.0-14.3
    1-12 mo         5.2-16.3
    1-5 yrs         5.5-11.4
    5-10 yrs        5.3-10.5
    10-15 yrs       4.5-10.3
    15-18 yrs       4.9-8.8
 F  0-30 days       3.0-13.3
    1-12 mo         4.6-13.3
    1-5 yrs         6.3-12.8
    5-10 yrs        5.3-10.8
    10-15 yrs       4.9-10.0
    15-18 yrs       5.1-10.0
 Adults 18 yrs+     5.0-12.0
TSH                              uIU/mL
 M  0-30 days       0.52-16.00
    1 mo-5 yrs      0.55-7.10
    5-18 yrs        0.37-6.00
 F  0-30 days       0.72-13.10
    1 mo-5 yrs      0.46-8.10
    5-18 yrs        0.36-5.80
    18 yrs+         0.40-5.00

[1027]


IA-2 ANTIBODY
Order Code IA2A Test Code IA2A
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Specimen processing Separate serum from the cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 1 week   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Plasma, hemolyzed, or lipemic samples.
Alternate specimens Serum (red top tube).
CPT codes 86341
Test schedule Fri
Turnaround time 3-11 days
Method RIA
Test includes
IA-2 Antibody, Kronus Units/mL.
Reference ranges
  
IA-1 Antibody   Negative      0.8 or less   Kronus Units/mL
                Positive      GT 0.8
                Kronus Units are arbitrary. 
                Kronus Units/mL = U/mL

[5596]


IBUPROFEN
Order Code IBU Test Code IBU
Synonyms Motrin
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.8 mL
Collection procedure Draw one hour after dosing.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 5 days   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Serum separator tubes and gels and hemolyzed samples.
Alternate specimens Heparin, EDTA or sodium fluoride/potassium oxalate plasma.
CPT codes 80299
Test schedule Tue, Fri
Turnaround time 2-6 days
Method HPLC
Test includes
Ibuprofen, ug/mL.
Reference ranges
  
Ibuprofen    Not well established   ug/mL
 No therapeutic or toxic range has been
 established. Peak plasma levels of 10-50 
 ug/mL may be seen with normal dosage.
 Draw between 1 and 1.5 hours post dose.
 Concentrations greater than 200 ug/mL
 may be associated with toxicity.

[1028]


ICA 512 AUTOANTIBODIES
Order Code ICA512 Test Code ICA512
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 50 uL
Specimen processing Separate serum from cells within 1 hour of collection and place in separate plastic tube and freeze. Store and transport frozen.
CPT codes 86341
Test schedule Varies
Turnaround time 10-14 days
Method Immunoprecipitation
Test includes
ICA 512 Autoantibodies, U/mL.
Reference ranges
  
ICA 512 Autoantibodies    LT 1    U/mL

[1029]


ID CULTURE AFB shipping instruction code
Order Code AFB.ID Test Code AFBID
Synonyms AFB Identification; ID for AFB, AFB Culture
Specimen Required
       Container type LJ Slant or Bactec 12 B Vial  Specimen type Isolate on LJ slant or positive Bactec 12 B vial.
Specimen processing Send properly packaged isolate. Ship 602.
Department Microbiology
CPT codes Varies with what tests must be done to identify the organism.
Turnaround time 5-60 days
Test includes
Culture, AFB ID; Culture Status
Reference ranges
  
Source
ID AFB Result
ID AFB Status
Notes
Call Microbiology for more information.

[5366]


ID FUNGUS (MOLD)
Order Code FUNGID Test Code FUNGID
Synonyms Fungus Identification
Specimen Required
       Container type Media slant  Specimen type Isolated mold colony
Collection procedure Select isolated mold colony from primary plate or subculture and inoculate to a slant with a tight fitting, leakproof screw cap lid.
Specimen processing Store and transport at room temperature. shipping instruction code
Required patient info Source
Unacceptable conditions Agar plate or mixed culture/only pure isolates will be tested.
Department Microbiology
CPT codes 87107
Test schedule Daily
Turnaround time 2-26 days
Method Culture
Test includes
Source; ID Fungus (Mold) Result; ID Fungus (Mold) Status.
Reference ranges
  
Source
ID Fungus (Mold) Result
ID Fungus (Mold) Status
Notes
The test previously was used for yeast identification also. Yeast ID is now to be ordered as YID (Yeast ID).

[5558]


ID ORGANISM WITH SUSCEPTIBILITY (REFLEXIVE)shipping instruction code
Order Code CIDS Test Code CIDS
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type See below  Specimen type Freshly isolated colonies on appropriate type of media in a screw cap primary receptacle with a leak proof seal.
Specimen processing Store and transport at room temperature. Ship 650.
Stability-   Room temp 3 days   Refrigerated 3 days   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Mixed organisms.
Department Microbiology
CPT codes 87077
Test schedule Sun-Sat
Turnaround time 3-10 days
Method Culture, Susceptibility
Test includes
Source; ID Organism with Susceptibility Result; ID Organism with Susceptibility Status.
Reference ranges
  
Source
ID Organism with Susceptibility Result
ID Organism with Susceptibility Status

[5215]


ID ORGANISM, BLOOD/BODY FLUID
Order Code CBDFID Test Code CBDFID
Synonyms Cutlure
Specimen Required
       Container type Media slant  Specimen type Bacterial colony on a media slant  Minimum volume Visible growth
Collection procedure Select ISOLATED bacterial colony from a primary plate or subculture and inoculate to a slant with a tight fitting, leakproof screw cap lid. Incubate slant overnight.
Specimen processing Store and transport at room temperature. shipping instruction code
Unacceptable conditions Agar plate or mixed culture/only pure isolates will be tested.
Department Microbiology
CPT codes 87077
Test schedule Daily
Turnaround time 3-10 days
Method Culture
Test includes
ID Organism Blood/Body Fluid Result; ID Organism Blood/Body Fluid Status.
Reference ranges
  
ID Organism Blood/Body Fluid Result
ID Organism Blood/Body Fluid Status
Notes
If susceptibility testing is requested, when appropriate order CBFIDS.

[5555]


ID ORGANISM, BLOOD/FLUID & SUSCEPTIBILITY (REFLEX)
Order Code CBFIDS Test Code CBFIDS
This test may reflex to additional tests depending upon the results of this test. Additional fees will be added.
Synonyms Organism identification; blood; body fluid; fluid with susceptibility if appropriate
Specimen Required
       Container type Media slant  Specimen type Bacterial colony on a media slant  Minimum volume Visible growth
Collection procedure Isolated bacterial colony on a media slant. Select isolated bacterial colony from a primary plate or subculture and inoculate to a slant wih a tight fitting screw cap lid. Incubate slant overnight.
Specimen processing Store and transport at room temperature. shipping instruction code
Unacceptable conditions Agar plate or mixed culture/only pure isolates will be tested.
Department Microbiology
CPT codes 87077
Test schedule Daily
Turnaround time 3-10 days
Method Culture
Test includes
Source; ID Organism Blood/Fluid & Susceptibility Result; Status.
Reference ranges
  
Source
ID Organism Blood/Fluid & Susceptibility Result
ID Organism Blood/Fluid & Susceptibility Status
Notes
Organism identification will reflex to susceptibility testing (CPT code 87186 and/or 87184) if appropriate.

[5540]


ID ORGANISM, RESPIRATORY
Order Code CRID Test Code CRID
Synonyms Organism identification, respiratory
Specimen Required
       Container type Media slant  Specimen type Bacterial colony on a media slant  Minimum volume Visible growth
Collection procedure Isolated bacterial colony on a media slant. Select isolated bacterial colony from a primary plate or subculture and inoculate to a slant wih a tight fitting screw cap lid. Incubate slant overnight.
Specimen processing Store and transport at room temperature. shipping instruction code
Unacceptable conditions Agar plate or mixed culture/only pure isolates will be tested.
Department Microbiology
CPT codes 87077
Test schedule Daily
Turnaround time 3-10 days
Method Culture
Test includes
Source; ID Organism, Respiratory Result; Status.
Reference ranges
  
Source
ID Organism Respiratory Result
ID Organism Respiratory Status
Notes
If susceptibility testing is requested, when appropriate order CRIDS.

[5541]


ID ORGANISM, RESPIRATORY & SUSCEPTIBILITY (REFLEX)
Order Code CRIDS Test Code CRIDS
This test may reflex to additional tests depending upon the results of this test. Additional fees will be added.
Synonyms Organism identification, respiratory, with susceptibility if appropriate
Specimen Required
       Container type Media slant  Specimen type Bacterial colony on a media slant  Minimum volume Visible growth
Collection procedure Isolated bacterial colony on a media slant. Select isolated bacterial colony from a primary plate or subculture and inoculate to a slant wih a tight fitting screw cap lid. Incubate slant overnight.
Specimen processing Store and transport at room temperature. shipping instruction code
Unacceptable conditions Agar plate or mixed culture/only pure isolates will be tested.
Department Microbiology
CPT codes 87077
Test schedule Daily
Turnaround time 3-10 days
Method Culture
Test includes
Source; ID Organism, Respiratory & Susceptibility Result; Status.
Reference ranges
  
Source
ID Organism Respiratory & Susceptibility Result
ID Organism Respiratory & Susceptibility Status
Notes
Organism identification will reflex to susceptibility testing (CPT code 87186 and/or 87184) if appropriate.

[5542]


ID ORGANISM, URINE
Order Code CORGUR Test Code CORGUR
Synonyms Urine Organism ID, Culture; ID Urine Organism, Culture
Specimen Required
       Container type See below  Specimen type See below  Preferred volume See below
Collection procedure Submit freshly isolated colonies on appropriate media slant from urine culture.
Specimen processing Store and transport at room temperature.
Department Microbiology
CPT codes 87088
Test schedule Sun-Sat
Turnaround time 3-10 days
Test includes
Source; Culture, Organism ID, Urine; Culture Status.
Reference ranges
  
Source
ID Organism Urine Result
ID Organism Urine Status

[626]


ID ORGANISM, URINE WITH SUSCEPTIBILITY (REFLEXIVE)shipping instruction code
Order Code CURIDS Test Code CURIDS
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type See below  Specimen type Freshly isolated colonies on appropriate type of media in a screw cap primary receptacle with a leak proof seal.
Specimen processing Store and transport at room temperature. Ship 650.
Stability-   Room temp 3 days   Refrigerated 3 days   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Mixed organisms.
Department Microbiology
CPT codes 87088
Test schedule Sun-Sat
Turnaround time 3-10 days
Method Culture, Susceptibility
Test includes
Source; ID Organism, Urine with Susceptibility Result; ID Organism, Urine with Susceptibility Status.
Reference ranges
  
Source
ID Organism, Urine with Susceptibility Result
ID Organism, Urine with Susceptibility Status

[5214]


ID YEAST (REFLEX)
Order Code YID Test Code YID
This test may reflex to additional tests depending upon the results of this test. Additional fees will be added.
Synonyms Yeast identification
Specimen Required
       Container type Media slant  Specimen type Yeast colony on a media slant  Minimum volume Visible growth
Collection procedure Isolated yeast colony on a media slant. Select isolated yeast colony from a primary plate or subculture and inoculate to a slant wih a tight fitting screw cap lid. Incubate slant overnight.
Specimen processing Store and transport at room temperature. shipping instruction code
Unacceptable conditions Agar plate or mixed culture/only pure isolates will be tested.
Department Microbiology
CPT codes 87106
Test schedule Daily
Turnaround time 2-28 days
Method Culture
Test includes
Source; Yeast ID Result; Yeast ID Status.
Reference ranges
  
Source
Yeast ID Result
Yeast ID Status
Notes
Identification will reflex to susceptibility only if requested.

[5545]


IGF BINDING PROTEIN - 2 IGFBP2
Order Code IGF2Q Test Code IGF2Q
Specimen Required
       Container type Plain red top tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate the serum from cells and put in a separate plastic tube. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 2 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Specimens received at room temperature or refrigerated.
Alternate specimens Specimens collected in SST (plastic or glass)
CPT codes 83519

[6079]


IGF BINDING PROTEIN-1, [ESOTERIX]
Order Code IGFBP1 Test Code IGFBP1
Synonyms IGFBP-1
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL (does not allow for repeat analysis)
Specimen processing Separate serum from cells within 1 hour of collection and place in separate plastic tube and freeze. Store and transport frozen.
CPT codes 83519
Test schedule Mon, Thu
Turnaround time 3-7 days
Method RIA
Test includes
IGF Binding Protein-1, mg/L.
Reference ranges
  
IGF Binding Protein-1           ng/mL
 Prepubertal        Range       
  Fasting           30-1000
  Random            10-500
 Pubertal
  Fasting           20-200
  Random            20-100
 Adults
  Fasting           10-150
  Random            0-40

[3047]


IGF BINDING PROTEIN-3
Order Code IGFB3 Test Code IGFB3
Synonyms IGFBP-3; Somatomedin-C Binding Protein
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells within 1 hour of collection and place in separate plastic tube and freeze. Store and transport frozen.
CPT codes 83519
Test schedule Mon-Sat
Turnaround time 4-6 days
Method RIA in dilute serum
Test includes
IGF Binding Protein-3, mg/L.
Reference ranges
  
IGF Binding Protein-3            mg/L
 Premature          Range       Mean
 0-1 mon            0.3-1.4     0.9
 2-3 mon            0.9-2.3     1.6
 4-5 mon            0.4-2.2     1.5
 6-11 mon           1.0-2.3     1.5
 Fullterm
 0-1 mon            0.4-1.7     0.9
 2-3 mon            0.5-2.1     1.3
 4-5 mon            0.6-2.4     1.4
 6-11 mon           0.5-2.4     1.4
 12 mon-4 years     0.8-3.0     2.1
 5-6 years          1.5-3.4     2.4
 7-8 years          2.1-4.2     3.0
 9-11 years         2.0-4.8     3.3
 12-13 years        2.1-6.2     3.8
 14-15 years        2.2-5.9     4.2
 16-18 years        2.5-4.8     3.8
 19-30 years        2.0-4.2     3.0
 31-70 years        1.9-3.6     2.7

[1030]


IGF BINDING PROTEIN-3
Order Code IGFB3A Test Code IGFB3A
Synonyms IGFBP-3; Somatomedin-C Binding Protein
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 24 hours   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions plasma, grossly hemolyzed or lipemic samples.
CPT codes 82397
Test schedule Mon-Sat
Turnaround time 4-6 days
Method Chemiluminescent Immunoassay
Test includes
IGF Binding Protein-3, mg/L.
Reference ranges
  
IGF Binding Protein-3                            ng/mL
 Age - MALE                       Range
   0-12 mo                       1039-4169
   1-3 yrs                       972-4123
   4-5 yrs                       1706-5082
   6-7 yrs                       1838-4468
   8-9 yrs                       1932-5858
   10-11 yrs                     1828-6592
   12-13 yrs                     2134-6598
   14-15 yrs                     2330-6550
   16-17 yrs                     2380-6400
   18-19 yrs                     2340-6632
   20-24 yrs                     2404-5948
   25-29 yrs                     2614-5792
   30-34 yrs                     2500-5806
   35-39 yrs                     2474-5208
   40-44 yrs                     2360-5560
   45-49 yrs                     2314-5700
   50-54 yrs                     2528-5050
   55-59 yrs                     2482-5460
   60-64 yrs                     2592-4770
   65 yrs+                       2698-5688
   Tanner Stage I                1878-6190
   Tanner Stage II               2112-6208
   Tanner Stage III              2372-6602
   Tanner Stage IV-V             2336-6414
 Age - FEMALE
   0-12 mo                       1039-3169
   1-3 yrs                       1500-4225
   4-5 yrs                       2092-4936
   6-7 yrs                       2188-4996
   8-9 yrs                       2072-55-4
   10-11 yrs                     2456-6992
   12-13 yrs                     2838-6846
   14-15 yrs                     2654-6680
   16-17 yrs                     2756-6908
   18-19 yrs                     2700-6492
   20-24 yrs                     3032-5992
   25-29 yrs                     2926-5858
   30-34 yrs                     2878-6650
   35-39 yrs                     2786-6084
   40-44 yrs                     2514-6014
   45-49 yrs                     2838-4954
   50-54 yrs                     2562-5596
   55-59 yrs                     2574-5914
   60-64 yrs                     2684-5130
   65 yrs +                      2465-5274
   Tanner Stage I                2314-6086
   Tanner Stage II               2732-6738
   Tanner Stage III              2870-7068
   Tanner Stage IV-V             2756-7232
                    

[5218]


IMIPRAMINE & METABOLITE
Order Code IMI Test Code IMDES
Synonyms Tofranil
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 3.5 mL  Minimum volume 2.5 mL
Collection procedure Draw 10-14 hours post dose. If a divided dose is given draw before morning dose.
Specimen processing Separate serum from cells within 4 hours and place in separate 4 or 10 mL polypropylene (not polystyrene) plastic tube with screw on cap. Store and transport refrigerated.
Required patient info Date and time of dose and draw.
Stability-   Room temp 5 days   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Limitations SST and gel-type tubes are not recommended because they may artifactually, randomly lower results.
Department Chemistry
CPT codes 80174, 80160
Test schedule Mon-Fri days
Turnaround time 1-3 days
Method HPLC
Test includes
Imipramine, ng/mL; Desipramine, ng/mL; Total Drug, ng/mL.
Reference ranges
  
Imipramine                       ng/mL
 No reference range established for parent
 drug. See Total for reference range, which
 takes into account all metabolites.    
Desipramine                       ng/mL
 Therapeutic  150-300  
 Toxic        GT 499 
Total Drug                       ng/mL
 Therapeutic  150-250  
 Toxic        GT 499

[1031]


IMIPRAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCIMI Test Code TLCIMI
Synonyms Tofanil, Janimine, SK-Pramine,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Imipramine, clomipramine, desipramine
Notes
Test is also included in Drug-Sur as part of panel.

[6954]


IMMUKNOW CELL FUNCTION ASSAY
Order Code IMMUKN Test Code IMMUKN
Specimen Required
       Container type Sodium Heparin (Green top tube)  Specimen type Heparinized whole blood.  Preferred volume 3 mL  Minimum volume 0.5 mL
Collection procedure Patient must be drawn by noon and the sample received at PAML by 1400 the same day in order for the stability requirements to be met.
Specimen processing Put the sodium heparin whole blood specimen in a plastic sterile container and send it at room temperature.
Stability-   Room temp 30 hours   Refrigerated unacceptable   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Refrigerated or frozen samples or samples in transport longer than 30 hours.
Limitations Live lymphocytes required. This is a critical ambient specimen. Do not refrigerate or freeze. Specimen must be collected within 30 hours of test performance.
CPT codes 86352
Test schedule Mon-Fri
Turnaround time 2-5 days
Method Cell culture/Chemiluminescence
Test includes
ImmuKnow Cell Response, ng/mL
Reference ranges
  
ImmuKnow Cell Response      Low           225 or less ATP Level           ng/mL
                            Moderate      226-524 ATP Level               
                            Strong        525 or more ATP Level

[2481]


IMMUNE COMPLEX PROFILE I
Order Code IM-COM I Test Code IMCOM
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 3 mL  Minimum volume 0.5 mL per aliquot
Specimen processing Allow to clot for 2 hours, centrifuge. Separate serum from cells and place in two separate plastic tubes and freeze within 1 hour of centrifugation. Store and transport frozen.
Unacceptable conditions Non-frozen specimens and specimens subjected to repeated freeze/thaw cycles.
CPT codes 86332 x 2
Test schedule Tue
Turnaround time 3-10 days
Method FC/ELISA
Test includes
RAJI Cell Assay, ugE/mL; C1Q Binding, ugE/mL.
Reference ranges
  
Raji Cell Assay   LT 33      ugE/mL             
C1Q Binding      
 LT 4 ugE/mL is considered negative for
 circulation complement binding immune
 complexes.

[1033]


IMMUNOFIXATION
Order Code IEP Test Code IEP
Synonyms IEP, Serum; Immunofixation, Serum; Immunoelectrophoresis
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Required patient info Patient's age.
Stability-   Room temp   Refrigerated ELP-5 days   Frozen (-20°C) ELP-1 month   Frozen (-70°C)
Unacceptable conditions Plasma specimens.
Department Immunology
CPT codes 84165, 86334
Test schedule Mon-Fri days
Turnaround time 1-4 days
Method Immunofixation ELP/High Resolution
Test includes
See ELP; Immunofixation, Serum, Interpretation.
Reference ranges
  
Protein, Total                      g/dL
            0-12 mo       4.3-6.9
            1-3 yrs       5.2-7.4
            3-6 yrs       5.6-7.7
            6-10 yrs      6.5-8.3
            10-18 yrs     6.1-8.0
            18-60 yrs     6.3-8.0
            60 yrs+       6.1-7.8    
Albumin     0-4  days     2.9-4.6    g/dL
            4 days-14 yrs 3.9-5.6    
            14-18 yrs     3.3-4.7    
            18-60 yrs     3.5-5.0    
            60-90 yrs     3.3-4.8
            90 yrs+       3.0-4.7    
Alpha-1                   0.1-0.4    g/dL
Alpha-2                   0.5-1.1    g/dL
Beta-1                    0.4-0.8    g/dL
Beta-2                    0.2-0.5    g/dL
Gamma                     0.6-1.5    g/dL
Albumin                   45.0-80.0  %
Alpha-1                   1.0-6.0    %
Alpha-2                   6.0-17.0   %
Beta-1                    5.0-13.0   %
Beta-2                    2.0-8.0    %
Gamma                     7.5-24.0   %
Interpretation
Monoclonal Peak
Immunofixation Interpretation
Notes
If ordering both serum and urine IEP, same day collection is recommended (order IEP.SU). Protein electrophoresis is included.

[1034]


IMMUNOFIXATION, URINE
Order Code IEP-U Test Code IEPUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Synonyms IEP, Urine; Immunoelectrophoresis, Urine
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection.  Preferred volume 100 mL  Minimum volume 5 mL
Collection procedure Collect a 24-hour urine collection in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 100 mL of a well-mixed 24-hour urine collection in a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp   Refrigerated 5 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Acidified urine. Optimal samples should be free of contaminants including stool or gross RBCs.
Department Immunology
CPT codes 84166, 86335
Test schedule Mon-Fri days
Turnaround time 1-4 days
Method Immunofixation ELP/High Resolution
Test includes
Collection Period, h; Volume, mL; Protein, Urine, Quantative, mg/24h; ELP Urine, Interpretation; Immunofixation Interpretation, Urine.
Reference ranges
  
Collection Period              h
Volume                         mL
 M 800-1800                    mL/24h
 F 600-1600
Protein, Urine, Quant
 50-80 at rest                 mg/h
 LT 250 after intense exercise
Elp Urine,Interpretation
Immunofixation Interp, Ur
Notes
If ordering both serum and urine IEP, same day collection is recommended (order IEP.SU).

[1035]


IMMUNOFIXATION, URINE (RANDOM)
Order Code IEP-RU Test Code IEPUR
NOTE: If both serum and urine IEP are ordered, same day collection is recommended; order IEP.SU-R.
Synonyms Immunoelectrophoresis, Urine Random, IEP
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 100 mL  Minimum volume 5 mL
Collection procedure Collect a random urine in a leakproof plastic urine container.
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated 5 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Acidified urine. Optimal samples should be free of contaminants including stool or gross RBCs.
Department Immunology
CPT codes 84166, 86335
Test schedule Mon-Fri days
Turnaround time 1-4 days
Method Immunofixation ELP/High Resolution
Test includes
ELP Urine Interpretation; Immunofixation Urine Interpretation.
Reference ranges
  
ELP Urine Interp
Immunofixation Urine Interp

[1036]


IMMUNOFIXATION, URINE/SERUM
Order Code IEP.SU Test Code IEPSUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Synonyms IEP, Serum and Urine; Immunoelectrophoresis, Serum and Urine
Specimen Required
       Container type SST tube and 24-hour dark plastic urine container.  Specimen type Serum and 24-hour urine collection.  Preferred volume 2 mL serum, 100 mL urine  Minimum volume 0.5 mL serum, 5 mL urine
Collection procedure See component tests.
Specimen processing Record collection time and total volume. See component tests.
Required patient info Collection period, total volume and patient's age.
Stability-   Room temp   Refrigerated ELP, serum-5 days, ELP, urine-5 days   Frozen (-20°C) ELP, serum-1 month, ELP, urine-1 month   Frozen (-70°C)
Unacceptable conditions Plasma and acidified urine. Optimal samples should be free of contaminants including stool or gross RBCs.
Department Immunology
CPT codes 84165, 84166, 86334, 86335
Test schedule Mon-Fri days
Turnaround time 1-4 days
Method Immunofixation ELP/High Resolution
Test includes
Collection Period, h; Volume, mL; ELP; Immunofixation, Serum, Interpretation; ELP, Urine; Immunofixation, Urine, Interpretation.
Reference ranges
  
Collection Period                 h
Volume                            mL
ELP
Serum ELP interpretation
Serum IEP interpretation
Urine ELP interpretation
Urine IEP interpretation
Notes
Same day collection for urine & serum is recommended when ordering this test.

[1037]


IMMUNOFIXATION, URINE/SERUM (RANDOM)
Order Code IEP.SU-R Test Code IEPSUR
NOTE: Same-day collection for urine and serum is recommended when ordering this test.
Synonyms Immunoelectrophoresis, Urine/Serum (Random)
Specimen Required
       Container type SST tube and leakproof plastic urine container.  Specimen type Serum and urine.  Preferred volume 2 mL serum and 100 mL urine.  Minimum volume 0.5 mL serum and 5 mL urine
Collection procedure Collect a random urine in a leakproof plastic urine container.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport both specimens refrigerated.
Required patient info Patient's age.
Stability-   Room temp   Refrigerated ELP, serum-5 days, ELP, urine-5 days   Frozen (-20°C) ELP, serum-1 month, ELP, urine-1 month   Frozen (-70°C)
Unacceptable conditions Plasma or hemolyzed specimens. Acidified urine. Optimal samples should be free of contaminants including stool or gross RBCs.
Department Immunology
CPT codes 84165 , 84166, 86334, 86335
Method Immunofixation ELP/High Resolution
Test includes
ELP, Serum; ELP, Serum, Interpretation; Monoclonal Peak; Immunofixation Serum Interpretation; ELP Urine Interpretation; Immunofixation Urine Interpretation.
Reference ranges
  
ELP, Serum
ELP, Serum Interpretation
Monoclonal Peak
Immunofixation Serum Interp
ELP Urine Interp
Immunofixation Urine Interp

[1038]


IMMUNOGLOBULIN A
Order Code IGA Test Code IGA
Synonyms IgA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or frozen.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Limitations Avoid repeat freeze-thaw cycles.
Department Immunology
CPT codes 82784
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Nephelometry
Test includes
IgA, mg/dL.
Reference ranges
  
IgA                              mg/dL
 0-4 mo     No normals established 
 5-9 mo     14-77
 10-11 mo   16-90
 1 yr       21-113
 2 yrs      27-153
 3 yrs      31-176
 4 yrs      34-194    
 5 yrs      40-225
 6 yrs      54-297
 7 yrs      66-374
 8 yrs      68-387
 9 yrs      71-387
 10+ yrs    80-450

[1039]


IMMUNOGLOBULIN D
Order Code IMGD Test Code IMGD
Synonyms IgD
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from the cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely lipemic, contaminated or hemolyzed samples. Plasma samples are not recommended.
CPT codes 82784
Test schedule Mon, Wed, Fri
Turnaround time 5-9 days.
Method Nephelometry
Test includes
Immumoglobulin D, mg/dL.
Reference ranges
  
Immunoglobulin D  15.3 or less   mg/dL
 IgD is one of the five classes of
 immunoglobulins. IgD is mainly found
 on the surface of B-cells and may 
 help regulate B-cell function. IgD
 likely serves as an early B-cell
 antigen receptor; however,
 the function of the circulation IgD
 is largely unknown.

[1040]


IMMUNOGLOBULIN E, TOTAL
Order Code IGEC Test Code IGEC
Synonyms IgE
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 7 days   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Urine or other body fluids.
Limitations Avoid repeat freeze/thaw cycles.
Department Immunohemistry
CPT codes 82785
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
IgE, kU/L.
Reference ranges
  
IgE                        kU/L
 0-11 mo     1.4-52.3
 1-4  yrs    0.4-351.6
 5-10 yrs    0.5-393.0
 11-15 yrs   1.9-170.0
 16+ yrs     0.0-158.0
 Minimum detectable concentration is
 2.0 kU/L.

[1041]


IMMUNOGLOBULIN G
Order Code IGG Test Code IGG
Synonyms IgG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Limitations Avoid repeat freeze-thaw cycles.
Department Immunology
CPT codes 82784
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Nephelometry
Test includes
IgG, mg/dL.
Reference ranges
  
IgG                  mg/dL
 0-4 mo   600-1560             
 5-9 mo   252-655
 10-11 mo 300-780
 1 yr     330-858
 2 yrs    372-967 
 3 yrs    450-1170
 4 yrs    504-1326
 5 yrs    540-1404
 6 yrs    552-1435   
 7+ yrs   600-1560

[1042]


IMMUNOGLOBULIN G, CSF
Order Code IGG-C Test Code IGGSF
Synonyms IgG, CSF
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type Spinal fluid  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Specimen processing Separate from cells or other particulate if present. Refrigerate immediately. Store and transport refrigerated.
Stability-   Room temp Not acceptable if not analyzed immediately.   Refrigerated 3 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Department Chemistry
CPT codes 82784
Test schedule Mon-Fri days
Turnaround time 1-2 days
Method Nephelometry
Test includes
IgG, CSF, mg/dL.
Reference ranges
  
IgG, CSF    0.5-7.7   mg/dL

[1043]


IMMUNOGLOBULIN G, SUBCLASSES
Order Code IGGSB Test Code IGGSB
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells within 2 hours of collection and place in separate plastic tube and freeze. Store and transport frozen. Indicate patient's age.
Required patient info Patient's age
Stability-   Room temp 2 hours   Refrigerated 48 hours   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Plasma, lipemic, hemolyzed or microbially contaminated samples. Only one freeze/thaw cycle. This method is not suitable for samples containing Rheumatoid factor, paraproteins or other circulating complexes.
Department Chemistry
CPT codes 82787 x 4
Test schedule Mon, Wed, Fri
Turnaround time 1-3 days
Method Nephelometry
Test includes
Immunoglobulin G Subclass 1, mg/dL; Immunoglobulin G Subclass 2, mg/dL; Immunoglobulin G Subclass 3, mg/dL; Immunoglobulin G Subclass 4, mg/dL.
Reference ranges
  
IgG Subclass 1           mg/dL
 0-2 mo       218-498
 3-5 mo       143-394
 6-8 mo       190-388
 9-23 mo      288-880
 2 yrs        170-950
 3-4 yrs      290-1065
 5-6 yrs      330-1065
 7-8 yrs      225-1100
 9-10 yrs     390-1235
 11-12 yrs    380-1420
 13-14 yrs    165-1440
 15+ yrs      240-1118
IgG Subclass 2          mg/dL
 0-2 mo       40-167
 3-5 mo       23-147
 6-8 mo       37-60
 9-23 mo      30-327
 2 yrs        22-440
 3-4 yrs      28-315
 5-6 yrs      57-345
 7-8 yrs      42-375
 9-10 yrs     61-430
 11-12 yrs    73-455
 13-14 yrs    71-460
 15+ yrs      124-549
IgG Subclass 3          mg/dL
 0-2 mo       4-23
 3-5 mo       4-70
 6-8 mo       12-62
 9-23 mo      13-82
 2 yrs        13-69
 3-4 yrs      4-71
 5-6 yrs      8-126
 7-8 yrs      9-107
 9-10 yrs     10-98
 11-12 yrs    16-194
 13-14 yrs    12-178
 15+ yrs      21-134
IgG Subclass 4         mg/dL
 0-2 mo       1-33
 3-5 mo       1-14
 6-8 mo       1-16
 9-23 mo      1-65
 2 yrs        0-120
 3-4 yrs      0-90
 5-6 yrs      2-116
 7-8 yrs      0-138
 9-10 yrs     1-95
 11-12 yrs    1-153
 13-14 yrs    2-143
 15+ yrs      7-89
 The total IgG (mg/dL) can be derived
 from the sum of the subclass IgG1,
 IgG2, IgG3, and IgG4 values. However,
 a confirmatory and more precise total
 IgG is available by the nephelometric
 method for quantitative total IgG.

[1044]


IMMUNOGLOBULIN M
Order Code IGM Test Code IGM
Synonyms IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or frozen.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Limitations Avoid repeated freeze-thaw cycles.
Department Immunology
CPT codes 82784
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Nephelometry
Test includes
IgM, mg/dL.
Reference ranges
  
IgM                        mg/dL
 0-4 mo    4-30       
 5-9 mo    12-132
 10-11 mo  20-226
 1+ yrs    25-275

[1046]


IMMUNOGLOBULINS, A, G & M
Order Code AGM Test Code IGGAM
Synonyms Quantitative Immunoglobulins; Immunoglobulin Profile; AGM; Total IgG, IgA, IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or frozen.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Limitations Avoid repeat freeze-thaw cycles.
Department Immunology
CPT codes 82784 x 3
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Nephelometry
Test includes
IgA, mg/dL; IgG, mg/dL; IgM, mg/dL.
Reference ranges
  
IgA                              mg/dL
 0-4 mo     No normals established 
 5-9 mo     14-77
 10-11 mo   16-90
 1 yr       21-113
 2 yrs      27-153
 3 yrs      31-176
 4 yrs      34-194    
 5 yrs      40-225
 6 yrs      54-297
 7 yrs      66-374
 8 yrs      68-387
 9 yrs      71-387
 10+ yrs    80-450
IgG                              mg/dL
 0-4 mo     600-1560             
 5-9 mo     252-655
 10-11 mo   300-780
 1yr        330-858
 2 yrs      372-967 
 3 yrs      450-1170
 4 yrs      504-1326
 5 yrs      540-1404
 6 yrs      552-1435   
 7+ yrs     600-1560
IgM                              mg/dL
 0-4 mo     4-30  
 5-9 mo     12-132
 10-11 mo   20-226
 1+ yr      25-275

[1047]


IMMUNOPHENOTYPING ONE ANTIBODY
Order Code IP1AB Test Code IP1AB
Please indicate specific antibody requested.
Specimen Required
       Container type Yellow top tube (ACD Type A)  Specimen type ACD whole blood  Preferred volume 7 mL  Minimum volume 2 mL
Specimen processing Samples must be processed with 48 hours of collection. Store and transport at room temperature.
Required patient info Source
Alternate specimens Sodium heparin whole blood (green top tube).
Department Hematology Cellular Immunology
CPT codes 88184
Test schedule Mon-Sat by 11 am
Turnaround time 1-3 days
Method Flow Cytometry
Test includes
Source; Result; Note.
Reference ranges
  
Source
Result
Note

[1048]


IMMUNOPHENOTYPING TWO ANTIBODIES
Order Code IP2AB Test Code IP2AB
Please indicate specific antibody requested.
Specimen Required
       Container type Yellow top tube (ACD Type A)  Specimen type ACD whole blood  Preferred volume 7 mL  Minimum volume 2 mL
Specimen processing Samples must be processed with 48 hours of collection. Store and transport at room temperatue.
Required patient info Source
Alternate specimens Sodium heparin whole blood (green top tube).
Department Hematology Cellular Immunology
CPT codes 88184, 88185
Test schedule Mon-Sat by 11 am (Sunday by request)
Turnaround time 1-3 days
Method Flow Cytometry
Test includes
Source; Result; Note.
Reference ranges
  
Source
Result
Note

[1049]


IMMUNOPHENOTYPING, ACUTE LEUKEMIA
Order Code IPHAL Test Code IPHAL
Synonyms Immunophenotyping, Acute Leukemia, Flow Cytometry
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.  Minimum volume 7 mL ACD and 2 mL EDTA
Collection procedure 7 mL ACD type A or B whole blood (yellow top tube), 3 mL EDTA whole blood (lavender top tube) and 2-4 peripheral blood smears. Maintain at room temperature.
Specimen processing Store and transport at room temperature. Transport ASAP. Samples must be processed within 48 hours of collection.
Required patient info Clinical indication and patient's date of birth.
Limitations Specimens must be processed within 48 hours of collection.
Department Hematology Cellular Immunology
CPT codes 88189, 88184, 88185 x 28.
Test schedule Mon-Sat (5 PM) days (Sun by special request)
Turnaround time 3 days
Method Flow Cytometry
Test includes
Immunophenotyping, Acute Leukemia Result.
Reference ranges
  
Immunophenotyping, Acute
 Leukemia Result
Notes
Immunophenotyping also available on tissues, bone marrow, and body fluids.

[5058]


IMMUNOPHENOTYPING, CHRONIC LYMPHOCYTIC LEUKEMIA
Order Code IPHCLL Test Code IPHCLL
Synonyms Immunophenotyping, Chronic Lymphocytic Leukemia, Flow Cytometry, CLL
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.  Minimum volume 7 mL ACD and 2 mL EDTA
Collection procedure 7 mL ACD type A or B whole blood (yellow top tube), 3 mL EDTA whole blood (lavender top tube) and 2-4 peripheral blood smears. Maintain at room temperature.
Specimen processing Store and transport at room temperature. Transport ASAP. Samples must be processed within 48 hours of collection.
Required patient info Clinical indication and patient's date of birth.
Limitations Specimens must be processed within 48 hours of collection.
Department Hematology Cellular Immunology
CPT codes 88189, 88184, 88185 x 21.
Test schedule Mon-Sat (5 PM) days (Sun by special request)
Turnaround time 3 days
Method Flow Cytometry
Test includes
Immunophenotyping, Chronic Lymphocytic Leukemia Result.
Reference ranges
  
Immunophenotyping, Chronic
 Lymphocytic Leukemia Result
Notes
Immunophenotyping also available on tissues, bone marrow, and body fluids.

[5059]


IMMUNOPHENOTYPING, HAIRY CELL LEUKEMIA
Order Code IPHHC Test Code IPHHC
Synonyms Immunophenotyping, Hairy Cell Leukemia, Flow Cytometry
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.  Minimum volume 7 mL ACD and 2 mL EDTA
Collection procedure 7 mL ACD type A or B whole blood (yellow top tube), 3 mL EDTA whole blood (lavender top tube) and 2-4 peripheral blood smears. Maintain at room temperature.
Specimen processing Store and transport at room temperature. Transport ASAP. Samples must be processed within 48 hours of collection.
Required patient info Clinical indication and patient's date of birth.
Limitations Specimens must be processed within 48 hours of collection.
Department Hematology Cellular Immunology
CPT codes 88189, 88184, 88185 x 19.
Test schedule Mon-Sat (5 PM) (Sun by special request)
Turnaround time 3 days
Method Flow Cytometry
Test includes
Immunophenotyping, Hairy Cell Leukemia Result.
Reference ranges
  
Immunophenotyping, Hairy
 Cell Leukemia Result.
Notes
Immunophenotyping also available on tissues, bone marrow, and body fluids.

[5057]


IMMUNOPHENOTYPING, LYMPHOMA
Order Code IPHLY Test Code IPHLY
Synonyms Immunophenotyping, Lymphoma, Flow Cytometry
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.  Minimum volume 7 mL ACD and 2 mL EDTA
Collection procedure 7 mL ACD type A or B whole blood (yellow top tube), 3 mL EDTA whole blood (lavender top tube) and 2-4 peripheral blood smears. Maintain at room temperature.
Specimen processing Store and transport at room temperature. Transport ASAP. Samples must be processed within 48 hours of collection.
Required patient info Clinical indication and patient's date of birth.
Limitations Specimens must be processed within 48 hours of collection.
Department Hematology Cellular Immunology
CPT codes 88189, 88184, 88185 x 21.
Test schedule Mon-Sat (5 PM) days (Sun by special request)
Turnaround time 3 days
Method Flow Cytometry
Test includes
Immunophenotyping, Lymphoma Result.
Reference ranges
  
Immunophenotyping,
 Lymphoma Result
Notes
Immunophenotyping also available on tissues, bone marrow, and body fluids.

[5060]


IMMUNOPHENOTYPING, MISCELLANEOUS
Order Code IPHMI Test Code IPHMI
Synonyms Immunophenotyping, Miscellaneous, Flow Cytometry
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.  Minimum volume 7 mL ACD and 2 mL EDTA
Collection procedure 7 mL ACD type A or B whole blood (yellow top tube), 3 mL EDTA whole blood (lavender top tube) and 2-4 peripheral blood smears. Maintain at room temperature.
Specimen processing Store and transport at room temperature. Transport ASAP. Samples must be processed within 48 hours of collection.
Required patient info Clinical indication and patient's date of birth.
Limitations Specimens must be processed within 48 hours of collection.
Department Hematology Cellular Immunology
CPT codes 88189, 88184, 88185 x 24.
Test schedule Mon-Sat (5 PM) days (Sun by special request)
Turnaround time 3 days
Method Flow Cytometry
Test includes
Immunophenotyping, Misc Result.
Reference ranges
  
Immunophenotyping,
 Misc Result
Notes
Immunophenotyping also available on tissues, bone marrow, and body fluids.

[5061]


IMMUNOPHENOTYPING, MULTIPLE MYELOMA
Order Code IPHMM Test Code IPHMM
Synonyms Immunophenotyping, Multiple Myeloma, Flow Cytometry
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.  Minimum volume 7 mL ACD and 2 mL EDTA
Collection procedure 7 mL ACD type A or B whole blood (yellow top tube), 3 mL EDTA whole blood (lavender top tube) and 2-4 peripheral blood smears. Maintain at room temperature.
Specimen processing Store and transport at room temperature. Transport ASAP. Samples must be processed within 48 hours of collection.
Required patient info Clinical indication and patient's date of birth.
Limitations Specimens must be processed within 48 hours of collection.
Department Hematology Cellular Immunology
CPT codes 88189, 88184, 88185 x 19.
Test schedule Mon-Sat (5 PM) days (Sun by special request)
Turnaround time 3 days
Method Flow Cytometry
Test includes
Immmunophenotyping, Multiple Myeloma Result.
Reference ranges
  
Immunophenotyping,
 Multiple Myeloma
 Result
Notes
Immunophenotyping also available on tissues, bone marrow, and body fluids.

[5062]


IMMUNOPHENOTYPING, NEUROBLASTOMA
Order Code IPHNE Test Code IPHNE
Synonyms Immunophenotyping, Neuroblastoma, Flow Cytometry
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.  Minimum volume 7 mL ACD and 2 mL EDTA
Collection procedure 7 mL ACD type A or B whole blood (yellow top tube), 3 mL EDTA whole blood (lavender top tube) and 2-4 peripheral blood smears. Maintain at room temperature.
Specimen processing Store and transport at room temperature. Transport ASAP. Samples must be processed within 48 hours of collection.
Required patient info Clinical indication and patient's date of birth.
Limitations Specimens must be processed within 48 hours of collection.
Department Hematology Cellular Immunology
CPT codes 88189, 88184, 88185 x 19.
Test schedule Mon-Sat (5 PM) days (Sun by special request)
Turnaround time 3 days
Method Flow Cytometry
Test includes
Immunophenotyping, Neuroblastoma Result
Reference ranges
  
Immunophenotyping, 
 Neuroblastoma Result
Notes
Immunophenotyping also available on tissues, bone marrow, and body fluids.

[5063]


IMMUNOPHENOTYPING, PEDIATRIC LEUKEMIA
Order Code IPHPLK Test Code IPHPLK
Synonyms Immunophenotyping, Pediatric Leukemia, Flow Cytometry
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.  Minimum volume 7 mL ACD and 2 mL EDTA
Collection procedure 7 mL ACD type A or B whole blood (yellow top tube), 3 mL EDTA whole blood (lavender top tube) and 2-4 peripheral blood smears. Maintain at room temperature.
Specimen processing Store and transport at room temperature. Transport ASAP. Samples must be processed within 48 hours of collection.
Required patient info Clinical indication and patient's date of birth.
Limitations Specimens must be processed within 48 hours of collection.
Department Hematology Cellular Immunology
CPT codes 88189, 88184, 88185 x 31.
Test schedule Mon-Sat (5 PM) days (Sun by special request)
Turnaround time 3 days
Method Flow Cytometry
Test includes
Immunophenotyping, Pediatric Leukemia Result.
Reference ranges
  
Immunophenotyping,
 Pediatric Leukemia
 Result
Notes
Immunophenotyping also available on tissues, bone marrow, and body fluids.

[5064]


INDICANS, URINE (QUALITATIVE)
Order Code INDIC Test Code INDIC
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Frozen urine, random  Preferred volume 10 mL  Minimum volume 3 mL
Collection procedure Collect a random urine specimen.
Specimen processing Alliquot two 4.5 mL samples of a random urine specimen into two leakproof plastic urine containers and freeze. Store and transport frozen. Do not add preservatives.
Stability-   Room temp unacceptable   Refrigerated 8 hours   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 81005
Test schedule Sun-Sat
Turnaround time 2-4 days
Method Colorimetric
Test includes
Indicans, Urine Qualitative.
Reference ranges
  
Indicans, Urine Qualitative  Negative

[1058]


INFLAMMATORY BOWEL DISEASE DIFFERENTIATION PANEL
Order Code IBDD Test Code IBDD
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Severely lipemic, contaminated, heat-inactivated, or hemolyzed specimens. Avoid repeat freeze/thaw cycles.
CPT codes 86671 x 2, 86255
Test schedule ANCA, Mon-Sat; S. cervevisiae, Sun, Tue, Thu
Turnaround time 3-6 days
Method ELISA, IFA
Test includes
S. cerevisiae, IgG, Units; S. cerevisiae, IgA, Units; ANCA, Atypical Pattern.
Reference ranges
  
S. cerevisiae, IgG               Units
 20.0 or less  Negative
 20.1-24.9     Equivocal
 25.0 or more  Positive
S. cerevisiae, IgA               Units     
 20.0 or less  Negative
 21.0-24.9     Equivocal
 25.0 or more  Positive
ANCA, Atypical Pattern
 LT 1:20    Not significant

[1059]


INFLUENZA A & B VIRUS ANTIGEN shipping instruction code
Order Code FLABAG Test Code FLABAG
Specimen Required
       Container type See below  Specimen type Throat and nasopharyngeal (NP) swabs, bronchial or nasal wash or BAL in viral transport media (M4 or other).
Collection procedure Throat and nasopharyngeal (NP) swabs (flocked preferred) may be put in same tube.
Specimen processing Store and transport refrigerated. shipping instruction code
Required patient info Specimen source.
Stability-   Room temp Unacceptable   Refrigerated 3 days   Frozen (-20°C) Unacceptable   Frozen (-70°C) Indefinitely
Unacceptable conditions Sputum specimens.
Alternate specimens Polyester or cotton swabs in M4 media.
Department Virology
CPT codes 87400
Test schedule Daily (November-May) no STAT
Turnaround time 1 day
Method EIA
Test includes
Source; Influenza A and B Virus Antigen; Influenza A and B Virus Antigen Status.
Reference ranges
  
Source
Influenza A and B Virus Antigen     Negative
Influenza A and B Virus Antigen Status
Notes
This procedure is done daily during the fall/winter respiratory season (Nov-May). For patients exhibiting flu-like symptoms in Jun-Oct VIRCUL is recommended. This is the rapid EIA method for the detection of Influenza A and B Antigen. If the Flu A and B Antigen test is negative, the ordering physician may order a viral culture to screen for other respiratory viruses on the same specimen.

[1060]


INFLUENZA A & B VIRUS ANTIGEN BY DFA, REFLEX TO VIRAL CULTURE
Order Code FLUDFA Test Code FLUDFA
If the DFA is negative it will reflex to a viral culture. At client request, viral culture may be added regardless of DFA result.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Influenza; Flu A; Flu B
Specimen Required
       Container type See below  Specimen type Nasopharyngeal swab, throat swab, bronchial brush or wash or BAL, submitted in viral transport media (M4 or other). Flocked swab preferred.  Preferred volume See below  Minimum volume See below
Specimen processing Store and transport refrigerated. shipping instruction code
Required patient info Source
Stability-   Room temp Unacceptable   Refrigerated 3 days   Frozen (-20°C) Unacceptable   Frozen (-70°C) Indefinitely
Unacceptable conditions Sputum, calcium alginate swab, dry swab, wooden swab, swab in gel media, samples received frozen at -20C, samples GT 3 days old unless received frozen on dry ice.
Department Virology
CPT codes 87015, 87275, 87276
Test schedule Twice daily
Turnaround time 1-2 days
Method DFA reflex to Culture
Test includes
Source; Viral Culture & DFA Stain; Report Status.
Reference ranges
  
Source
Viral Culture and DFA Stain    Negative for Influenza A & B.
                               No virus isolated
Report Status

[5538]


INFLUENZA A VIRUS, IGG
Order Code FLUAG Test Code FLUAG
Acute and convalescent samples advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.1 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labeled as such; parallel testing is preferred and convalescent samples must be received within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, hemolyzed, icteric, turbid, bacterially contaminated or heat-inactivated samples.
CPT codes 86710
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method ELISA
Test includes
Influenza A Virus Antibody, IV.
Reference ranges
  
Influenza A Virus Antibody, IgG          IV
 0.89 or less      Negative-no significant
 level of influenza A virus IgG 
 antibody detected.
 0.90-1.10         Equivocal-questionable
 presence of influenza A virus IgG  
 antibody  detected. Repeat testing in 1
 0-14 days may be helpful.
 1.11 or more      Positive-IgG antibody
 to influenza A virus detected, which 
 may suggest current or past infection.

[1062]


INFLUENZA ANTIGEN, A/B, RAPID (PSC ONLY)
Order Code RAPFLU Test Code RAPFLU
This procedure is performed ONLY at designated Patient Service Centers and in NOT AVAILABLE AT THE MAIN LABORATORY.
Specimen Required
       Container type See below  Specimen type See below  Preferred volume See below
Patient Prep See below
Collection procedure See below
Specimen processing NP swab in sterile dry tube or transprot device. Use only swabs provided by the manufacturer of the test kit. Store and transport refrigerated. This is the rapid method for the detection of Influenza A & B virus antigen, but it does not differentiate between them. If this test is negative, a VIR-CULT may be ordered on a separate swab in FT media as a confirmatory test.
Stability-   Room temp   Refrigerated 24 hours   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Sputum and specimens collected using cotton swabs, wooden shafts or submitted in any type of transport media.
Department PSC ONLY
CPT codes 87804
Test schedule Mon-Fri
Turnaround time 30 minutes
Method Immunochromatographic Strip
Test includes
Influenza Antigen, A & B, Rapid.

[1063]


INFLUENZA B VIRUS, IGG
Order Code FLUBG Test Code FLUBG
Acute and convalescent samples advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.1 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labeled as such; parallel testing is preferred and convalescent samples must be received within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, hemolyzed, icteric, turbid, bacterially contaminated or heat-inactivated samples.
CPT codes 86710
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method ELISA
Test includes
Influenza B Virus Antibody, IV.
Reference ranges
  
Influenza B Virus Antibody, IgG          IV
 0.89 or less      Negative-no significant
 level of influenza B virus IgG 
 antibody detected.
 0.90-1.10         Equivocal-questionable
 presence of influenza B virus IgG  
 antibody  detected. Repeat testing in 1
 0-14 days may be helpful.
 1.11 or more      Positive-IgG antibody
 to influenza B virus detected, which 
 may suggest current or past infection.

[1065]


INHIBIN A
Order Code INHA Test Code INHA
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma and severely lipemic or hemolyzed samples.
Limitations Avoid repeat freeze/thaw cycles.
CPT codes 86336
Test schedule Sat-Sun
Turnaround time 2-4 days
Method ELISA
Test includes
Inhibin A, pg/mL.
Reference ranges
  
Inhibin A (Dimer)             pg/mL
 Female  Normal Cycling
  Early follicular phase (-14 to -10)     1.8-17.3
  Mid-follicular phase (-9 to -4)         3.5-31.7
  Late follicular phase (-3 to -1)        9.8-90.3.3
  Mid-cycle (day 0)                       16.9-91.8
  Early luteal ( 1 to 3)                  16.1-97.5
  Mid-luteal (4-11)                       3.9-87.7
  Late luteal (12 to 14)                  2.7-47.1
 IVF Peak levels                          354.2-1690.0
 PCOS
  Ovulatory                               5.7-16.0
  Postmenopausal                          LT 7.9
 Male                                     LT 2.1
 This assay is performed using the 
 Beckman Coulter Unicel DxI Assay.
 Values may be elevated during normal
 pregnancy. Preclampsia, Down syndrome,
 and some cancers may increase Inhibin-A
 values.

[1066]


INHIBIN B
Order Code INHB Test Code INHB
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp Unacceptable   Refrigerated 1 day   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Hemolyzed, lipemic or ambient specimens.
CPT codes 83520
Test schedule Wed
Turnaround time 2-9 days
Method ELISA
Test includes
Inhibin B, pg/mL.
Reference ranges
  
Inhibin B                                                 pg/mL
 Male    0-6 yrs           40-630
         7-10 yrs          35-170
         11-18 yrs         50-475
         19-45 yrs         40-450
         46  yrs & more    LT 10-200
Female   0-6 yrs           LT 10-73
         7-10 yrs          LT 10-130
         11-12 yrs         LT 10-186
         13-18 yrs         LT 10-360
         Premenopausal     LT 10-290
         Follicular        LT 10-290
         Postmenopausal    GT or equal to 16
 This assay is performed using the DSL Inhibin B ELISA
 kit. Values obtained with different assay methods or
 kits cannot be used interchangeably.
 

[3112]


INSULIN ANTIBODIES, SERUM
Order Code INSULA Test Code INSULA
Specimen Required
       Container type Plain red top tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 1 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 3 days   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
CPT codes 86337
Test schedule Mon-Thu
Turnaround time 3-5 days
Method RIA
Reference ranges
  
Insulin AB, serum   0.00-0.02 nmol/L

[5569]


INSULIN ASSAY
Order Code INS Test Code INS
Use this workpar to order a single INSULIN test.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 250 uL
Patient Prep Patient should be fasting.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days from time of collection   Frozen (-20°C) 3 months from time of collection   Frozen (-70°C)
Unacceptable conditions EDTA, hemolysis and fluids other than serum.
Alternate specimens Heparin plasma (green top tube).
Department Immunology
CPT codes 83525
Test schedule Mon-Sat days
Turnaround time 1-2 days
Method ICMA
Test includes
Insulin, Fasting, uIU/mL.
Reference ranges
  
Insulin, fasting    6-27    uIU/mL

[1068]


INSULIN LIKE GROWTH FACTOR 1
Order Code ILGF1 Test Code ILGF1
Synonyms Somatomedin-C; Igf1
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 24 hours   Refrigerated 2 days   Frozen (-20°C) 1 month.   Frozen (-70°C)
Unacceptable conditions All anticoagulated specimens.
Department Immunology
CPT codes 84305
Test schedule Mon-Sat days
Turnaround time 4 days
Method Chemiluminesence DPC Immulite
Test includes
Insulin Like Growth Factor, ng/mL.
Reference ranges
  
Insulin Like Growth Factor         ng/mL
 1 yr              55-327
 2 yrs             51-303
 3 yrs             49-289
 4 yrs             49-283
 5 yrs             50-286
 6 yrs             52-297
 7 yrs             57-316
 8 yrs             64-345
 9 yrs             74-388
 10 yrs            88-452
 11 yrs            111-551
 12 yrs            143-693
 13 yrs            183-850
 14 yrs            220-972
 15 yrs            237-996
 16 yrs            226-903
 17 yrs            193-731
 18 yrs            163-584
 19 yrs            141-483
 20 yrs            127-424
 21-25 yrs         116-358
 26-30 yrs         117-329
 31-35 yrs         115-307
 36-40 yrs         109-284
 41-45 yrs         101-267
 46-50 yrs         94-252
 51-55 yrs         87-238
 56-60 yrs         81-225
 61-65 yrs         75-212
 66-70 yrs         69-200
 71-75 yrs         64-188
 76-80 yrs         59-177
 81-85 yrs         55-166
Tanner stages & IGF-1 in Children  ng/mL
 M I               63-279
 F I               49-342
 M II              75-420
 F II              115-428
 M III             94-765
 F III             145-760
 M IV              192-861
 F IV              244-787
 M V               171-814
 F V               143-859

[1069]


INSULIN, FREE & TOTAL
Order Code INS.F&T Test Code INSFT
Synonyms Free & Total Insulin
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1.1 mL
Patient Prep Fasting specimen preferred.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Separate specimens must be submitted when multiple tests are ordered.
Stability-   Room temp 8 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Hemolyzed or heparinized specimens. Sodium or fluoride/potassium oxalate plasma.
Alternate specimens EDTA or K2EDTA or plasma (lavender or pink to tube).
CPT codes 83525, 83527
Test schedule Mon, Thu
Turnaround time 3-7 days
Method ICMA
Test includes
Insulin, Free, uIU/mL; Insulin, Total, uIU/mL.
Reference ranges
  
Insulin Free      3-19      uIU/mL
Insulin Total     3-19      uIU/mL
 This assay reacts on a nearly
 equimolar basis with the analogs
 insulin aspart, insulin glargine,
 and insulin lispro.
 To convert to pmol/L, multiply
 uIU/mL by 6.0.

[1071]


INSULIN, SAMPLE 1
Order Code INS.S1 Test Code INSLN1
Use this workpar to order the first insulin when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 250 uL
Patient Prep Patient should be fasting.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days from time of collection   Frozen (-20°C) 3 months from time of collection   Frozen (-70°C)
Unacceptable conditions EDTA, hemolysis and fluids other than serum.
Alternate specimens Heparin plasma (green top tube).
Department Immunology
CPT codes 83525
Test schedule Mon-Sat days
Turnaround time 1-2 days
Method ICMA
Test includes
Insulin, #1, uIU/mL; Insulin, Time 1.
Reference ranges
  
Insulin, #1     6-27      uIU/mL
Insulin, Time 1

[1072]


INSULIN, SAMPLE 2
Order Code INS.S2 Test Code INSLN2
Use this workpar to order the second insulin when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 250 uL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days from time of collection   Frozen (-20°C) 3 months from time of collection   Frozen (-70°C)
Unacceptable conditions EDTA, hemolysis and fluids other than serum.
Alternate specimens Heparin plasma (green top tube).
Department Immunology
CPT codes 83525
Test schedule Mon-Sat days
Turnaround time 1-2 days
Method ICMA
Test includes
Insulin, #2, uIU/mL; Insulin, Time 2.
Reference ranges
  
Insulin, #2          uIU/mL
Insulin, Time 2

[1073]


INSULIN, SAMPLE 3
Order Code INS.S3 Test Code INSLN3
Use this workpar to order the third insulin when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 250 uL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days from time of collection   Frozen (-20°C) 3 months from time of collection   Frozen (-70°C)
Unacceptable conditions EDTA, hemolysis and fluids other than serum.
Alternate specimens Heparin plasma (green top tube).
Department Immunology
CPT codes 83525
Test schedule Mon-Sat days
Turnaround time 1-2 days
Method ICMA
Test includes
Insulin, #3, uIU/mL; Insulin, Time 3.
Reference ranges
  
Insulin, #3        uIU/mL
Insulin, Time 3

[1074]


INSULIN, SAMPLE 4
Order Code INS.S4 Test Code INSLN4
Use this workpar to order the fourth insulin when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 250 uL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days from time of collection   Frozen (-20°C) 3 months from time of collection   Frozen (-70°C)
Unacceptable conditions EDTA, hemolysis and fluids other than serum.
Alternate specimens Heparin plasma (green top tube).
Department Immunology
CPT codes 83525
Test schedule Mon-Sat days
Turnaround time 1-2 days
Method ICMA
Test includes
Insulin, #4, uIU/mL; Insulin, Time 4.
Reference ranges
  
Insulin, #4         uIU/mL
Time, #4

[1075]


INSULIN, SAMPLE 5
Order Code INS.S5 Test Code INSLN5
Use this workpar to order the fifth insulin when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 250 uL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days from time of collection   Frozen (-20°C) 3 months from time of collection   Frozen (-70°C)
Unacceptable conditions EDTA, hemolysis and fluids other than serum.
Alternate specimens Heparin plasma (green top tube).
Department Immunology
CPT codes 83525
Test schedule Mon-Sat days
Turnaround time 1-2 days
Method ICMA
Test includes
Insulin, #5, uIU/mL; Insulin, Time 5.
Reference ranges
  
Insulin, #5         uIU/mL
Insulin, Time 5

[1076]


INSULIN, SAMPLE 6
Order Code INS.S6 Test Code INSLN6
Use this workpar to order the sixth insulin when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum.  Preferred volume 2 mL  Minimum volume 250 uL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days from time of collection   Frozen (-20°C) 3 months from time of collection   Frozen (-70°C)
Unacceptable conditions EDTA, hemolysis and fluids other than serum.
Alternate specimens Heparin plasma (green top tube).
Department Immunology
CPT codes 83525
Test schedule Mon-Sat days
Turnaround time 1-2 days
Method ICMA
Test includes
Insulin, #6, uIU/mL; Insulin, Time 6.
Reference ranges
  
Insulin, #6        uIU/mL
Insulin, Time 6

[1077]


INSULIN, SAMPLE 7
Order Code INS.S7 Test Code INSLN7
Use this workpar to order the seventh insulin when multiple specimens are collected.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 250 uL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days from time of collection   Frozen (-20°C) 3 months from time of collection   Frozen (-70°C)
Unacceptable conditions EDTA, hemolysis and fluids other than serum.
Alternate specimens Heparin plasma (green top tube).
Department Immunology
CPT codes 83525
Test schedule Mon-Sat days
Turnaround time 1-2 days
Method ICMA
Test includes
Insulin, #7, uIU/mL; Insulin, Time 7.
Reference ranges
  
Insulin, #7        uIU/mL
Insulin, Time 7

[1078]


INTERFERON-BETA, IGG
Order Code INFBEG Test Code INFBEG
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Collect sample at least 8 hours after interferon injection.
Required patient info Interferon drug used for treatment
Stability-   Room temp 2-3 days   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C) 3-4 years
CPT codes 83520
Test schedule Mon
Turnaround time 3-10 days
Method ELISA
Test includes
Interferon-Beta Used for Treatment; Interferon-Beta, IgG, Units.
Reference ranges
  
Interferon-Beta Used for Treatment
Interferon-Beta, IgG     LT 4.0   Units
 Some multiple sclerosis patients
 receiving recombinant interferon-
 beta (IFNb) develop IFNb-specific
 antibodies that may block the
 therapeutic effect of the treatment.
 This assay screens for IgG antibodies
 capable of binding to IFNb; all samples
 with detectable IFNb binding antibodies
 should be tested for IFNb neutralizing
 antibodies.

[1082]


INTERLEUKIN 2 RECEPTOR SOLUBLE BY MAFD
Order Code I2MAFD Test Code I2MAF
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells within ASAP and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 30 minutes after separation   Refrigerated unacceptable   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat-inactivated, refrigerated or contaminated specimens.
Alternate specimens Serum (plain red top tube) or lithium heparin plasma (green top tube).
CPT codes 83520
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method Multi-Analyte Fluorescence Detection
Test includes
Interleukin 2 Receptor by MAFD, pg/mL.
Reference ranges
  
Interleukin 2 Receptor by MAFD
 0-1033             pg/mL
 Results are to be used for research 
 purposes or in attempts to understand
 the pathophysiology of immune infectious
 or inflammatory disorders.

[5550]


INTERLEUKIN 6 RECEPTOR SOLUBLE BY MAFD
Order Code I6MAFD Test Code I6MAF
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells within ASAP and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 30 minutes after separation   Refrigerated unacceptable   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat-inactivated, refrigerated or contaminated specimens.
Alternate specimens Serum (plain red top tube) or lithium heparin plasma (green top tube).
CPT codes 83520
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method Multi-Analyte Fluorescence Detection
Test includes
Interleukin 6 Receptor by MAFD, pg/mL.
Reference ranges
  
Interleukin 6 Receptor by MAFD
 0-5             pg/mL
 Results are to be used for research 
 purposes or in attempts to understand
 the pathophysiology of immune infectious
 or inflammatory disorders.

[5551]


INTRINSIC FACTOR BLOCKING ANTIBODY
Order Code IBF Test Code IFBAB
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Patient Prep For patients undergoing B12 therapy, wait 48 hours to one week prior to collecting specimen.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 2 days   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86340
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method ELISA
Test includes
Intrinsic Factor Blocking Antibody.
Reference ranges
  
Intrinsic Factor Blocking Ab  Negative

[1085]


IODIDE, URINE
Order Code IODUQ Test Code IODUQ
Specimen Required
        Specimen type Urine, random  Preferred volume 10 mL
Collection procedure Collect 10 mL of urine in a clean, leakproof plastic urine container.
Specimen processing Aliquot 10 mL urine in a clean, leakproof plastic urine container. Store and transport at room temperature or refrigerated.
Stability-   Room temp 14 days   Refrigerated 14 days   Frozen (-20°C) 8 months   Frozen (-70°C)
CPT codes 82491
Test schedule Tue
Turnaround time 3-9 days
Method IC
Test includes
Iodide, Urine, mg/L.
Reference ranges
  
Iodide, Urine   Usually 0.01-0.8  mg/L

[1086]


IRON BINDING CAPACITY
Order Code IBC Test Code IBC
Synonyms TIBC; % Transferrin Saturation
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure AM collection recommended.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 days   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (green top tube).
Limitations Avoid hemolysis.
Department Chemistry
CPT codes 83540, 83550
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Iron, ug/dL; Iron Binding Capacity, ug/dL; % Saturation, %.
Reference ranges
  
Total Iron                   ug/dL
 M   35-190
 F   30-150
Iron Binding Capacity        ug/dL
 M   230-430      
 F   250-450
% Saturation
 M   20-55                   %
 F   15-50

[1087]


IRON STAIN
Order Code FESTN Test Code FESTN
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.
Collection procedure 3 blood smears, tissue touch preps, or bone marrow coverslips or slides, and/or 1 clot or biopsy in fixative.
Specimen processing Store and transport at room temperature.
Required patient info Specimen source.
Department Cytochemical Hematology
CPT codes 88313
Test schedule Mon-Sat
Turnaround time 72 hours
Method Cytochemical Stain
Test includes
Source; Bone Marrow, Iron; Red Cell, Iron.
Reference ranges
  
Source
Bone Marrow, Iron
Red Cell, Iron

[1088]


IRON, LIVER TISSUE
Order Code IRN.LVR Test Code IRNLVR
Specimen Required
       Container type See below.  Specimen type Tissue  Preferred volume See below.
Collection procedure A 2 mg piece of liver tissue is required for analysis. This is typically a piece of tissue from a 14-gauge needle biopsy at least 0.5 cm long. Submit specimen in a metal free snap-cap vial available from PAML supply department. If other vial is used it should be plastic, rinsed with redistilled water and dried in clean air.
Specimen processing Store and transport refrigerated.
Required patient info Patient's age.
Alternate specimens Paraffin block specimens if not more than one or two cuts have been made to it for slides.
CPT codes 83540
Test schedule Mon-Sat
Turnaround time 7 days
Method ICP/MS
Test includes
Iron (Liver Tissue), ug/g; Iron Index, umol/g/yr.
Reference ranges
  
Iron (Liver Tissue)             ug/g
 M   200-2400 ug/g dry weight   
 F   400-1600 ug/g dry weight      
Iron Index  LT 1.0              umol/g/yr
 Results of hepatic iron index LT 1.0 are
 normal, indicating no iron accumulation. 
 Results between 1.0 and 1.9 suggest mild,
 nonspecific iron accumulation as may be seen
 in alcoholic liver disease or heterozygous
 hemochromatosis. Results GT 1.9 indicate
 homozygous hemochromatosis or transfusion-
 related iron overload. Chronic blood loss or 
 frequent phlebotomy will decrease the hepatic
 iron index.

[1089]


IRON, TOTAL
Order Code IRN Test Code FE
Synonyms Fe
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.3 mL
Collection procedure Specimens should be collected in the morning from patients in a fasting state. Avoid hemolysis.
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens, EDTA and potassium oxalate plasma (lavender or grey top tube).
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 83540
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Iron, ug/dL.
Reference ranges
  
Iron              ug/dL
 M  35-190
 F  30-150

[1090]


IRON, URINE
Order Code IRN-U Test Code IRONUQ
Synonyms Fe, Urine
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 10 mL  Minimum volume 7 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container with no preservative or metal caps or glued inserts.
Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container with no metal caps or glued inserts. Refrigerate within 4 hours of completion of collection. Record total volume and collection period. Store and transport refrigerated.
Required patient info Collection period and total volume.
CPT codes 83540
Test schedule Mon-Fri
Turnaround time 2-5 days
Method ICPES
Test includes
Collection Period, Hrs; Volume, mLs; Iron, Urine, ug/specimen.
Reference ranges
  
Collection Period       Hrs
Volume                  mLs
Iron, Urine  100-300    ug/specimen

[1091]


ISOAGGLUTININ TITER, ANTI-A
Order Code ISOAT Test Code ISOAT
Only valid for blood types B & O.
Anti-A (IgG) titers will be reported out to GT 2,048.
Synonyms Anti-A
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum and cells  Preferred volume 5 mL serum and 2 mL cells  Minimum volume 5 mL serum and 1 ml cells
Specimen processing Separate serum from cells and put each in separate plastic tube. Store and transport both tubes refrigerated or at room temperature.
Required patient info Patient's blood type, age and diagnosis.
Unacceptable conditions Serum separator tubes and gels.
CPT codes 86886
Test schedule Mon-Sun
Turnaround time 2-4 days
Method Automated hemagglutination
Test includes
Isoagglutinin Titer, Anti-A, Titer.
Reference ranges
  
Isoagglutinin Titer, Anti-A        Titer

[1092]


ISOAGGLUTININ TITER, ANTI-B
Order Code ISOBT Test Code ISOBT
Only valid for blood types A & O.
Anti-B (IgG) titers will be reported out to GT 2,048.
Synonyms Anti-B
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum and cells  Preferred volume 5 mL serum and 2 mL cells  Minimum volume 5 mL serum and 1 ml cells
Specimen processing Separate serum from cells and put each in separate plastic tube. Store and transport both tubes refrigerated or at room temperature.
Required patient info Patient's blood type, age and diagnosis.
Unacceptable conditions Serum separator tubes and gels.
CPT codes 86886
Test schedule Mon-Sun
Turnaround time 2-4 days
Method Automated hemagglutination
Test includes
Isoagglutinin Titer, Anti-B, Titer.
Reference ranges
  
Isoagglutinin Titer, Anti-B        Titer

[1093]


ISONIAZID
Order Code ISON Test Code ISON
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 4 mL  Minimum volume 0.5 mL
Specimen processing Immediately separate serum from cells and place in separate plastic, foil-wrapped tube and freeze. Store and transport frozen.
CPT codes 82491
Test schedule Varies
Turnaround time 7-10 days
Method HPLC
Test includes
Isoniazid, mcg/mL.
Reference ranges
  
Isoniazid                   mcg/mL
 Usual Therapeutic 1.0-7.0  
 Toxic             GT 20

[1094]


ISOPROPYL ALCOHOL
Order Code IALC Test Code IALC
Synonyms Isopropanol
Specimen Required
       Container type 2 mL oxalated whole blood (grey top tube) or 2 mL serum (red top tube).  Specimen type Blood/Serum  Preferred volume 2 mL  Minimum volume 1 mL
Alternate specimens Heparinized whole blood (green top tube), urine or vitreous humor.
Limitations Container must be keep sealed. Limit of Detection 10 mg/dl
Department Toxicology
CPT codes 84600
Test schedule Mon - Fri and STAT
Turnaround time 24 - 48 hours
Method Gas Chromatography (GC)
Notes
Draw blood using non-alcoholic disinfectant. Store and transport at room temperature.

[6930]


ITRACONAZOLE, ANTIFUNGAL LEVEL
Order Code ITRAC Test Code ITRAC
This workpar is for either a peak or trough level only. If both specimens are ordered, this workpar must be ordered twice, once for the peak and once for the trough.
Synonyms Antifungal Level, Itraconazole; Sporanox
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Indicate if peak or trough specimen. If both specimens are ordered and received this workpar must be ordered twice, once for the peak and once for the trough. Store and transport frozen.
Required patient info Indicate if peak or trough specimen.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) indefinitely   Frozen (-70°C)
CPT codes 82492
Test schedule Tue, Thu
Turnaround time 7 days
Method HPLC
Test includes
Itraconazole, ug/mL; Hydroxyitraconazole, ug/mL.
Reference ranges
  
Itraconazole                     ug/mL
Hydroxyitraconazole              ug/mL
 Normal therapeutic levels of 
 Itraconazole:
 Peak           200 mg PO 1x/day    1.0
 Trough         200 mg PO 1x/day    0.4
 Peak           200 mg PO 2x/day    2.9-2.2
 Trough         200 mg PO 2x/day    1.4-1.8
 Itraconazole is an antifungal drug 
 useful for the treatment of blasto-
 mycosis, histoplasmosis, coccidioido-
 mycosis, sporotrichosis, ringworm,
 tinea versicolor, and aspergillosis,
 as well as for therapy for oral and
 esophageal candidiasis (thrush). It
 is available as a 100 mg capsule and
 a 10 mg/mL oral solution. Oral absorp-
 tion of the capsule is significantly
 enhanced by taking it with food. Peak
 plasma concentrations are attained in 
 1.5-4 hours following oral administration.
 Blood levels of itraconazole are 
 reduced in patients taking antacids,
 H2 blockers, or omeprazole, and in
 those patients being treated with
 isoniazid, ripampin, rifabutin, 
 phenytoin, or phenobabrital. Hydroxy-
 itraconazole, a metabolite of 
 itraconazole, appears in blood in 
 amounts approximately twice that of 
 the parent drug, and has antifungal
 activity and pharmacokinetics similar
 to those of the parent compound. Plasma
 concentrations of itraconazole measured
 by HPLC are thus approximately 3.5 times
 lower than those determined by bioassay.
 Levels (measured by HPLC) of both
 itraconazole and hydroxyitraconazole 
 are provided for you to allow full
 understanding of effectiveness of
 itraconazole therapy.

[1095]


JAK2 (V617F)
Order Code JAK2M Test Code JAK2M
Specimen Required
       Container type Lavendar top (EDTA)  Specimen type Whole blood  Preferred volume 5 mL whole blood or 1.0 mL bone marrow  Minimum volume 3 mL whole blood or 0.5 mL bone marrow
Specimen processing Submit original unopened tube only. Store and transport at room temperature or refrigerated if delay of more than 72 hours. Indicate source.
Required patient info Source and clinical indication
Stability-   Room temp 3 days   Refrigerated 5 days   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions whole blood in sodium heparin, serum/plasma, grossly hemolyzed, frozen whole blood or bonoe marrow, specimens in leaky containers or over 5 days old and samples not received in the original unopened collection tubes.
Alternate specimens ACD or sodium citrate whole blood (lavender, yellow or blue top tube)or 1 mL bone marrow.
Department Molecular Diagnostics
CPT codes 83891, 83896 X 2, 83898, 83903, 83912
Test schedule Tue, Thu
Turnaround time 2-5 days
Method PCR
Test includes
Source, JAK2 (V617F) Mutation Result
Reference ranges
  
JAK2 (V617F) Mutation Result         Not detected
 The JAK2 (V617F) point mutation was not
 detected by PCR analysis. A negative result
 does not rule out the presence of the 
 mutation in this patient's sample. This 
 assay is limited to detecting the presence
 of the mutation in samples whereby at 
 least  5% of target sequences isolated 
 contain the JAK2 V617F mutation.

[5219]


JC VIRUS BY PCR
Order Code JCVPCR Test Code JCVPCR
Specimen Required
        Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Separate serum or plasma from cells and put in a separate plastic tube and freeze. Store and transport frozen.
Required patient info Specimen source.
Stability-   Room temp 8 hours   Refrigerated 3 days   Frozen (-20°C) 30 days   Frozen (-70°C)
Unacceptable conditions Heparinized specimens.
Alternate specimens CSF or urine in a leakproof plastic tube, SST tubes, or EDTA plasma.
CPT codes 87798
Test schedule Mon, Wed, Fri
Turnaround time 5-7 days
Method PCR
Test includes
JC Virus by PCR.
Reference ranges
  
JC Virus By PCR     Not detected              

[6712]


JO-1 AUTOANTIBODY
Order Code JO1MP Test Code JO1MP
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three).
Alternate specimens EDTA or heparinized plasma (lavender or green top tube).
Department Chemistry
CPT codes 86235
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex
Test includes
JO-1 Autoantibody, AI.
Reference ranges
  
JO-1 Autoantibody     Negative       LT 1.0       AI
                      Positive       1.0 or more

[1098]


KAPPA/LAMBDA FREE LIGHT CHAINS WITH RATIO
Order Code FLCR Test Code FLCR
Synonyms Kappa/Lambda Free Light Chains, Quantitative, Serum; FREELITE
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Plasma; repeated freeze/thaw cycles should be avoided. Contaminated samples, samples containing particulate matter and lipemic or hemolyzed serum samples.
Department Immunology
CPT codes 83883 x 2
Test schedule Tue, Fri
Turnaround time 2-6 days
Method Nephelometry
Test includes
Kappa FLC, mg/dL; Lambda FLC, mg/dL; Kappa/Lambda FLC Ratio.
Reference ranges
  
Kappa FLC       0.33-1.94           mg/dL
Lambda FLC      0.57-2.63
Kappa/Lambda    0.26-1.65
 FLC Ratio      Results obtained by using The
                Binding Site reagents on a Beckman
                Coulter Immage 800 analyzer.

[3559]


KAPPA/LAMBDA LIGHT CHAIN RATIO
Order Code KAPPA.LAMBDA Test Code KLR
Synonyms K/LRatio
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells within 2 hours of collection and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 72 hours   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Plasma or lipemic specimens.
Department Immunology
CPT codes 83883 x 2
Test schedule Mon-Fri
Turnaround time 1-3 days
Method Nephelometry
Test includes
Kappa Light Chain, mg/dL; Lambda Light Chain, mg/dL; Kappa/Lambda Ratio, Ratio.
Reference ranges
  
Kappa Light Chain     574-1276   mg/dL
Lambda Light Chain    269-638    mg/dL
Kappa/Lambda Ratio    1.47-2.95  Ratio

[1100]


KELL ANTIGEN
Order Code KELL.AG Test Code KELLAG
Specimen Required
       Container type Red top tube (plain) AND Lavender top tube (EDTA).  Specimen type Whole blood Red top tube AND Whole blood EDTA lavender top tube.  Preferred volume 5 mL of each
Specimen processing Store and transport refrigerated or at room temperature.
Unacceptable conditions SST and other gel-type tubes.
CPT codes 86905
Test schedule Varies
Turnaround time 2-3 days
Method Tube Agglutination
Test includes
Kell Antigen.
Reference ranges
  
Kell Antigen
 Separate Report to Follow

[1101]


KEPPRA
Order Code KEP Test Code KEP
Synonyms Levetiracetam
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.8 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 6 weeks   Refrigerated 6 weeks   Frozen (-20°C) 6 weeks   Frozen (-70°C)
Alternate specimens EDTA, K2EDTA, or sodium heparin plasma (lavender, pink or green top tube).
Department Toxicology
CPT codes 80299
Test schedule Mon, Wed, Fri
Turnaround time 1-2 days
Method GC/NPD
Test includes
Keppra, ug/mL.
Reference ranges
  
Keppra        5-30             ug/mL
 The proposed therapeutic range for
 seizure control is 5-30 ug/mL. 
 Pharmacokinetics of levetiracetam
 are affected by renal function. The
 relationship between serum concen-
 trations and toxicity is not known.

[2041]


KETAMINE & METABOLITE, SERUM (REFLEXIVE)
Order Code KETACO Test Code KETACO
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Ketalar
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 7 mL  Minimum volume 3.6 mL
Specimen processing Separate serum from cells immediately and place in separate plastic tube. Store and transport at room temperature.
Stability-   Room temp 1 week   Refrigerated 2 days   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions SST or gel-type tubes.
CPT codes 80100
Test schedule Tue, Thu, Fri
Turnaround time 9-13 days
Method GC/MS
Test includes
Ketamine, ng/mL; Norketamine, ng/mL; Ketamine, Confirmation, ng/mL; Norketamine, Confirmation, ng/mL.
Reference ranges
  
Ketamine                         ng/mL
Norketamine                      ng/mL
Ketamine, Confirmation           ng/mL
 500-6500 ng/mL reported level during
 anesthesia.
Norketamine, Confirmation        ng/mL
 The intravenous administration of 2
 ng/kg of ketamine followed by 
 continuous infusion of 41 mcg/kg/min
 produced an average steady-state 
 plasma concentration of 2200 ng
 ketamine/mL and a average peak nor-
 ketamine level of 1050 ng/mL which
 occurred near the end of the 3-hour
 infusion.

[3571]


KETAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCKET Test Code TLCKET
Synonyms Ketalar, Ketaject, cat killer, cat valium, honey oil, jet, ket, kit kat, purple, special K, special la coke, vitimin K, super C,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Ketamine
Notes
Test is also included in Drug-Sur as part of panel.

[6955]


KETAMINE CONFIRMATION BY GC/MS
Order Code KETAMS Test Code KETAMS
Synonyms Ketalar, Ketaject, Cat killer, cat valium, honey oil, jet, ket, kit kat, purple, special “K”, special la coke, vitamin K, super C
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 25 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Gas Chromatography/ Mass Spectrometry
Test includes
Ketamine
Notes
Test is also included in Drug Facilitated Sexual Assault panel, DFSA1

[6935]


KETONES, URINE
Order Code KTN Test Code KETUD
Synonyms Acetone, Urine
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated.
Alternate specimens Frozen specimens.
Department Hematology
CPT codes 81005
Test schedule Mon-Sat days, Mon-Fri nights and STAT
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Ketones, Urine, mg/dL.
Reference ranges
  
Ketones, Urine      Negative  mg/dL

[1104]


KIDNEY STONE RISK PANEL II, URINE [ARUP]
Order Code KSRPU2 Test Code KSRPU2
Specimen Required
       Container type Clean leakproof plastic urine container  Specimen type Frozen urine  Preferred volume 16 mL (4 - 4 mL aliquots)
Collection procedure Collect a 24 hour urine. Refrigerate during collection.
Specimen processing Requires 4 aliquots of 4 mL each. Freeze immediatley after aliquoting as below. Store and transport frozen. Use Kidney Stoen/Supersaturation Urine Collection Kits (ARUP# 46007) available from Supply Department. 1) 4 mL in sulfamic acid tube mix and freeze. 2) 4 mL in sodium carbonate tube, mix and freeze. 3rd and 4th aliquots-4 mL in plain plastic tubes and freeze.
Stability-   Room temp Unacceptable   Refrigerated 12 hours (after collection is complete)   Frozen (-20°C) 3 weeks   Frozen (-70°C)
Unacceptable conditions Room temperature samples.
CPT codes 82340, 82436, 82507, 82131, 83735, 83945, 84105, 84133, 84300, 84560
Test schedule Mon-Fri
Turnaround time 2-5 days
Method Spectrophotometry, Enzymatic, ISE/Titration, Ion Exchange
Test includes
Collection time, hrs; Total Volume, mLs; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Citric Acid, Urine, mg/L; Citric Acid, Urine, mg/d; Calcium, Urine, mg/dL; Calcium, Urine, mg/d; Oxalate, Urine, mg/L; Oxalate, Urine, mg/d; Uric Acid, Urine, mg/dL; Uric Acid, Urine, mg/d; Cystine, Urine, uM/gCR; Magnesium, Urine, mg/dL; Magnesium, Urine, mg/d; Phosphorus, Urine, mg/dL; Phosphorus, Urine, mg/d; Potassium, Urine, mmol/L; Potassium, Urine, mmol/d; Chloride, Urine, mmol/L; Chloride, Urine, mmol/d; Sodium, Urine, mmol/L; Sodium, Urine, mmol/d.
Reference ranges
  
Collection time                                         hr
Total Volume                                            mL
Creatinine, urine mg/dL                                 mg/dL
Creatinine,  urine mg/d     M    3-8 yrs     140-700    mg/d
                                 9-12 yrs    300-1300
                                 13-17 yrs   500-2300
                                 18-50 yrs   1000-2500
                                 51-80 yrs   800-2100
                                 81+ yrs     600-2000
                             F   3-8 yrs     140-700
                                 9-12 yrs    300-1300
                                 13-17 yrs   400-1600
                                 18-50 yrs   700-1600
                                 51-80 yrs   500-1400
                                 81+ yrs     400-1300   
Citric Acid, urine mg/L                                   mg/L
Citric Acid, urine mg/d          18+ yrs     320-1240     mg/d
Calcium, urine mg/dL                                      mg/dL
Calcium, urine mg/d              Calcium free diet:                      5-40     mg/d
                                 Low calcium diet (800 mg/d or less)     50-150   
                                 Average calcium diet (about 800 mg/d    100-250  
                                 High calcium diet (800 mg/d or greater) GT 250   
Oxalate, urine mg/L                                   mg/L
Oxalate, urine mg/d              0-12 yrs    13-38    mg/d
                              M  13+ yrs     7-44
                              F  13+ yrs     4-31
Uric Acid, urine mg/dL                                mg/dL
Uric Acid, urine mg/d                        250-750  mg/d
Cystine, urine uM/gCr            0-5 mon     62-345   uM/gCr
                                 6-11 mon    53-133
                                 1-3 yrs     53-186
                                 4-12 yrs    35-106
                                 13+ yrs     27-151
Magnesium, urine  mg/dL                               mg/dL
Magnesium, urine mg/d                        12-199   mg/d
Phosphorus, urine mg/dL                               mg/dL
Phosphorus, urine mg/d                       400-1300 mg/d
Potassium, urine mmol/L                               mmol/L
Potassium, urine mmol/d                      25-125   mmol/d
Chloride, urine mmol/L                                mmol/L
Chloride, urine mmol/d                       140-250  mmol/d
Sodium, urine mmol/L                                  mmol/L
Sodium, urine mmol/d                         51-286   mmol/d

[3084]


KIDNEY STONE RISK PANEL, URINE [ARUP]
Order Code KSRPU Test Code KSRPU
Specimen Required
       Container type Clean leakproof plastic urine container  Specimen type Frozen urine  Preferred volume 16 mL (4-4 mL aliquots)
Collection procedure Collect a 24 hour urine specimen, refrigerate during collection.
Specimen processing Requires 4 aliquots of 4 mL each. Freeze immediatley after aliquoting as below. Store and transport frozen. Use Kidney Stoen/Supersaturation Urine Collection Kits (ARUP# 46007) available from Supply Department. 1) 4 mL in sulfamic acid tube mix and freeze. 2) 4 mL in sodium carbonate tube, mix and freeze. 3rd and 4th aliquots-4 mL in plain plastic tubes and freeze.
Stability-   Room temp Unacceptable   Refrigerated 12 hours(after collection is complete)   Frozen (-20°C) 3 weeks   Frozen (-70°C)
Unacceptable conditions Room temperature samples.
CPT codes 82507, 83945, 84560, 82340
Test schedule Mon-Fri
Turnaround time 2-5 days
Method Spectrophotometry, Enzymatic
Test includes
Collection time; Total Volume; Creatinine, urine mg/dL; Creatinine, urine mg/d; Citric Acid, urine mg/L; Citric Acid, urine mg/d; Calcium, urine mg/dL; Calcium, urine mg/d; Oxalate, urine mg/L; Oxalate, urine mg/d; Uric Acid, urine mg/dL; Uric Acid, urine mg/d
Reference ranges
  
Collection time                                         hr
Total Volume                                            mL
Creatinine, urine mg/dL                
Creatinine,  urine mg/d     M    3-8 yrs     140-700      mg/d
                                 9-12 yrs    300-1300
                                 13-17 yrs   500-2300
                                 18-50 yrs   1000-2500
                                 51-80 yrs   800-2100
                                 81+ yrs     600-2000
                             F   3-8 yrs     140-700
                                 9-12 yrs    300-1300
                                 13-17 yrs   400-1600
                                 18-50 yrs   700-1600
                                 51-80 yrs   500-1400
                                 81+ yrs     400-1300   
Citric Acid, urine mg/L
Citric Acid, urine mg/d          18+ yrs     320-1240
Calcium, urine mg/dL
Calcium, urine mg/d              Calcium free diet:                      5-40     mg/d
                                 Low calcium diet (800 mg/d or less)     50-150   mg/d
                                 Average calcium diet (about 800 mg/d    100-250  mg/d
                                 High calcium diet (800 mg/d or greater) GT 250   mg/d
Oxalate, urine mg/L
Oxalate, urine mg/d              0-12 yrs    13-38    mg/d
                              M  13+ yrs     7-44
                              F  13+ yrs     4-31
Uric Acid, urine mg/dL
Uric Acid, urine mg/d                        250-750  mg/d

[3083]


KLEIHAUER BETKE (STAT ONLY)
Order Code KB Test Code KBS
This test can only be used to order a stat Kleihauer Betke. The correct workpar for all others is FETALF which is done by flow cytometry.
Synonyms Fetal Hemoglobin; K-B
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood and blood smears.  Preferred volume 5 mL  Minimum volume 1.5 mL
Collection procedure Maternal samples should be collected as soon after delivery as possible.
Specimen processing Store and transport refrigerated.
Required patient info Specimen source.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen specimens.
Department Hematology
CPT codes 85460
Test schedule Daily & STAT
Turnaround time 24 hours
Method Acid Elution
Test includes
Source; Fetal Cells, %.
Reference ranges
  
Source
Fetal Cells               %                              
 Newborn    61.00-88.50
 1 mo       45.70-67.30
 2 mo       29.40-60.80
 3 mo       14.80-55.90
 4 mo       9.40-28.50
 5 mo       2.30-22.40
 6-11 mo    2.30-13.00
 12 mo      1.30-5.00
 13+ mo     0.00-0.90
Notes
Useful in determining the presence of fetal red blood cells in the maternal circulation.

[1105]


KOH WET MOUNT
Order Code KOH Test Code KOHPRP
If testing is performed at PSC use the workpar KOH or Flexi ordercode KOHPRP. If testing is done at SHMC use the workpar MISCDE.
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.
Collection procedure Specify source of specimen and include any pertinent clinical information. Nail and Skin: Nail and skin scrapings should be from subsurface portion of the infected nail. Skin should be taken from active border of the lesion. Hair for dermatophytes: Place hair, including base of shaft, in sterile plastic container. Other specimens: submit in screw-capped leakproof plastic container or swab in culturette.
Specimen processing Store and transport at room temperature.
Department Microbiology
CPT codes 87220
Test schedule Sun-Sat
Turnaround time 24-48 hours
Method Microscopic
Test includes
Source; KOH Preparation.
Reference ranges
  
Source
KOH Preparation

[1106]


KRAS MUTATION DETECTION BY SEQUENCE ANALYSIS, CODONS
Order Code KRASSQ Test Code KRASSQ
Specimen Required
        Preferred volume Formalin fixed paraffin embedded tissue block OR 4 unstained 7-micron slides with 1 H&E stained slide containing at least 20% tumor cells.
Specimen processing Transport paraffin-embedded, formalin fixed tissue block or slides at room temperature. Protect paraffin block from excessive heat. Ship in a cooled container during summer months.
Required patient info Include surgical pathology report with samples.
Stability-   Room temp Indefinitely   Refrigerated Indefinitely   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions No tumor in tissues, specimens fixed/processed with alternative fixatives (alcohol, Prefer(R) ).
Department Molecular Diagnostics
CPT codes 83898, 83904 x 2, 83907, 83909 x 2, 83912.
Test schedule Wed.
Turnaround time 4-11 days
Method PCR and sequence analysis
Test includes
KRAS Result
Reference ranges
  
KRAS Result            A KRAS mutation was not detected.

[5775]


LACOSAMIDE, SERUM/PLASMA
Order Code LACOS Test Code LACOS
Synonyms Vimpat
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 15 days   Refrigerated 15 days   Frozen (-20°C) 15 days   Frozen (-70°C)
Unacceptable conditions Polymer gel separation tubes (PST or SST).
Alternate specimens Plasma.
CPT codes 83789
Test schedule Mon
Turnaround time 4-10 days
Method HPLC/LC-MS/MS
Test includes
Lacosamide, mcg/mL.
Reference ranges
  
Lacosamide       mcg/mL
 Following a sing 200 mg dose administered as a 30-minute
 infusion, a 60-minute infusion, or orally as a tablet to 24
 make subjectsm mean maximum plasma lacosamide oncentrations  
 were 5.95+/- 1.49, 5.38 +/- 1.10 and 12.46 +/- t.60 mcg.mL, 
 respectively. Mean plasma concentrations follwoing maintenance doses: 
 200 mg/day   4.99+/-2.51
 400 mg/day   9.35+/-4.22
 600 mg/day   12.46+/-5.60

[6713]


LACTIC ACID, ARTERIAL
Order Code LACT.A Test Code LAART
Use this order code for arterial specimens only.
Synonyms L-Lactate, Arterial; Lactate, Arterial
Specimen Required
       Container type Grey top tube (fluoride/oxalate)  Specimen type Plasma  Preferred volume 2 mL  Minimum volume 0.1 mL
Patient Prep Patient should be at complete rest.
Collection procedure Draw arterial specimen. If blood is drawn on chilled tubes and left on ice, specimen is good for up to 2 hours before centrifugation.
Specimen processing Separate plasma from cells within 15 minutes and place in separate plastic tube. If blood is drawn on chilled tubes and left on ice, specimen is good for up to 2 hours before centrifugation. Store and transport on ice or refrigerated.
Stability-   Room temp   Refrigerated 14 days after separation   Frozen (-20°C) 4 weeks after separation   Frozen (-70°C)
Unacceptable conditions Hemolyzed or serum specimen or specimen not separated from cells within 30 minutes
Limitations Values may elevate 20-50% after meals.
Department Chemistry
CPT codes 83605
Test schedule Daily & STAT
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Lactic Acid, Arterial, mmol/L.
Reference ranges
  
Lactic Acid, Arterial  0.5-1.6  mmol/L

[1107]


LACTIC ACID, CSF
Order Code LACT.CSF Test Code LASF
Synonyms L-Lactate, CSF; Lactate, CSF
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type CSF  Preferred volume 0.2 mL  Minimum volume 0.1 mL
Specimen processing Store and transport on ice or refrigerated.
Department Chemistry
CPT codes 83605
Test schedule Daily & STAT
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Lactic Acid, CSF, mmol/L.
Reference ranges
  
Lactic Acid, CSF   0.6-2.2    mmol/L

[1108]


LACTIC ACID, VENOUS
Order Code LACT Test Code LA
Use this order code for venous samples only.
Synonyms L-Lactate, Venous; Lactate, Venous
Specimen Required
       Container type Grey top tube (fluoride/oxalate)  Specimen type Plasma  Preferred volume 2 mL  Minimum volume 0.1 mL
Patient Prep Patient should be at complete rest .
Collection procedure Do not use stasis (tourniquet) or have patient pump their fist while drawing blood specimen. If blood is drawn on chilled tubes and left on ice, specimen is good for up to 2 hours before centrifugation.
Specimen processing Separate plasma from cells within 15 minutes and place in separate plastic tube. If blood is drawn on chilled tubes and left on ice, specimen is good for up to 2 hours before centrifugation. Store and transport on ice or refrigerated.
Stability-   Room temp   Refrigerated 14 days after separation   Frozen (-20°C) 4 weeks after separation   Frozen (-70°C)
Unacceptable conditions Hemolyzed or serum specimen or specimen not separated from cells within 30 minutes.
Limitations Values may elevate 20-50% after meals.
Department Chemistry
CPT codes 83605
Test schedule Daily & STAT
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Lactic Acid, Venous, mmol/L.
Reference ranges
  
Lactic Acid, Venous  0.5-2.2   mmol/L

[1109]


LACTOFERRIN, FECAL BY ELISA
Order Code LACSTL Test Code LACSTL
Specimen Required
        Specimen type Feces  Preferred volume 5 grams or 5 mL  Minimum volume 1 gram
Collection procedure Collect random stool specimen in a clean leakproof plastic container or in enteric (Cary-Blair) transport media.
Specimen processing Store and transport refrigerated.
Stability-   Room temp 1 hour   Refrigerated 2 days; preserved 1 week   Frozen (-20°C) 1 week   Frozen (-70°C)
Unacceptable conditions Samples preserved in other than Cary-Blair media.
CPT codes 83630
Test schedule Sun-Sat
Turnaround time 2-3 days
Method ELISA
Test includes
Lactoferrin, Fecal by ELISA.
Reference ranges
  
Lactoferrin, Fecal by ELISA           Negative
 A positive result is indicative of the
 presence of lactoferrin, a marker for
 fecal leukocytes. A negative result
 does not exclude the presence of
 intestional inflammation.

[1110]


LACTOSE TOLERANCE
Order Code LACTOSE Test Code LACTOL
Specimen Required
       Container type Grey top tube (fluoride/oxalate)  Specimen type Plasma  Preferred volume 2 mL for each timed specimen
Patient Prep Mix 50 grams lactose (2- 25 gram packages of LacTest) in 8 oz (250 mL) cool water. For infants and children (under 50 lbs) follow directions on the LacTest package.
Collection procedure Draw fasting, 30, 45, 60 and 90 minute samples for glucose levels. Note times of drawing.
Specimen processing Separate plasma or serum from cells and place in separate plastic tube. If drawn in red top tubes separate within 45 minutes of collection. Clearly label specimens. Store and transport refrigerated.
Alternate specimens Serum (red top tube).
Department Chemistry
CPT codes 82951, 82952 x 2
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Dose, gms; Lactose Tolerance, Fasting, mg/dL; 30 minute, mg/dL; 45 minute, mg/dL; 60 minute, mg/dL; 90 minute, mg/dL.
Reference ranges
  
Fasting                             mg/dL                                                
30 min                              mg/dL 
45 min                              mg/dL
60 min                              mg/dL
90 min                              mg/dL  
Dose                                g
Lactose Tolerance                   mg/dL  
 Peak glucose rise (highest glucose 
 level minus fasting glucose level)
  Normal               GT 30
  Inconclusive         20-30
  Lactose intolerance  LT 20
  (consistent with lactase deficiency
  or idiopathic sprue)
Notes
Lac-Test is available from PAML Supply Department.

[1111]


LAMELLAR BODY COUNTS
Order Code LBC Test Code LBC
Synonyms LBC; RDS; and Fetal Lung Maturity
Specimen Required
       Container type Sterile, leakproof container  Specimen type Amniotic fluid  Preferred volume 5 mL  Minimum volume 1 mL
Collection procedure Collect amniotic fluid and put in a sterile, leakproof container.
Specimen processing Do not centrifuge. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Amniotic fluid from vaginal pools, samples containing meconium or grossly bloody samples. Frozen and/or centrifuged samples.
Department Hematology
CPT codes 83664
Test schedule Mon-Fri days & STAT
Turnaround time 1-3 days
Method Automated Cell Count
Test includes
Lamellar Body Counts, Lamellar bodies/uL.
Reference ranges
  
Lamellar Body Counts   Mature       GT 50000    Lamellar bodies/uL
                       Transitional 35000-50000
                       Immature     LT 35000

[5560]


LAMELLAR BODY COUNTS (REFLEXIVE)
Order Code LBCR Test Code LBCR
This test may reflex to additional tests depending upon the results of this test. Additional fees will be added.
Synonyms LBC; RDS; and Fetal Lung Maturity
Specimen Required
       Container type Sterile, leakproof container  Specimen type Amniotic fluid  Preferred volume 5 mL  Minimum volume 1 mL
Collection procedure Collect amniotic fluid and put in a sterile, leakproof container. Protect from light.
Specimen processing Do not centrifuge. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Amniotic fluid from vaginal pools, samples containing meconium or grossly bloody samples. Frozen and/or centrifuged samples.
Department Hematology
CPT codes 83664
Test schedule Mon-Fri days & STAT
Turnaround time 1-3 days
Method Automated Cell Count. TLC, Enzymatic (IDMS Traceable)
Test includes
Lamellar Body Counts, Lamellar bodies/uL; L/S Ratio; Phosphatidylglycerol; Creatinine, AF, mg/dL; Appearance; Color; RBC; Risk Comment.
Reference ranges
  
Lamellar Body Counts   Mature       GT 50000            Lamellar bodies/uL
                       Transitional 35000-50000
                       Immature     LT 35000
L/S Ratio
Phosphatidylglycerol
Creatinine, AF         Creatinine increases with       mg/dL
                       gestational age
Appearance
Color
RBC
Risk Comment            For diabetic patients, risk is minimal
                        when L/S is GT 3.0 and PG is present.
Notes
This test reflexes to an RDS Risk Panel if the result is transitional.

[5561]


LAMOTRIGINE
Order Code LAMI Test Code LAMI
Synonyms Lamictal
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.6 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 week   Frozen (-20°C) 4 weeks   Frozen (-70°C)
Unacceptable conditions Unseparated samples and repeat freeze/thaw cycles.
Alternate specimens EDTA, heparinized, sodium fluoride/potassium oxalate plasma (lavender, green or grey top tube).
Department Toxicology
CPT codes 80299
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method PETIA
Test includes
Lamotrigine, ug/mL.
Reference ranges
  
Lamotrigine  3.0-14.0             ug/mL
 The proposed therapeutic range for
 seizure control is 3.0-14.0 ug/mL. 
 Concentrations that exceed 15.0 ug/mL
 may contribute to adverse effects.
 Pharmacokinetics varies widely,
 particularly with co-medications and/ 
 or compromised renal function.

[1112]


LAXATIVE SCREEN, STOOL
Order Code LAX.STOOL Test Code LAXSTL
Specimen Required
       Container type Leakproof plastic container.  Specimen type Frozen stool  Preferred volume 10 mL  Minimum volume 1 gram
Specimen processing Store and transport frozen.
Alternate specimens 10 grams solid frozen stool specimen
CPT codes 82489, 83735, 84100
Test schedule Varies
Turnaround time 7-10 days
Method TLC, AES, ICP, FAAS
Test includes
Anthraquinones, mcg/g; Bisacodyl, mcg/g; Oxphenisatin, mcg/g; Phenolphthalein, mcg/g; Oils; Magnesium, mg/g; Phosphorus, mg/g stool.
Reference ranges
  
Anthraquinones   None detected   mcg/g
Bisacodyl        None detected   mcg/g
Oxyphenisatin    None detected   mcg/g
Phenolphthalein  None detected   mcg/g
Oils
Magnesium        0.5-10          mg/g
Phosphorus       1.4-22          mg/g

[1115]


LC/MS COMPLIANCE CONFIRMATION OF OPIATE 6 DRUGS
Order Code CPOP6 Test Code CPOP6
Synonyms Morphine, Oxymorphone, Hydromorphone, Codeine, Oxycodone, Hydrocodone, Opana, Numorphan, Oxymorphone hydrochloride,Roxanol, Duramorph, MS Contin, Oramorph, MSIR, Kadian, Astramorph, AvinzaTylenol 3, empirin with codeine, Fiorinal with codeine, Robitussin
Specimen Required
       Container type Random Urine Plastic Container  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 75 ng/mL.
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 hours
Method Liquid Chromatography/ Mass Spectrometry
Test includes
Morphine, Oxymorphone, Hydromorphone, Codeine, Oxycodone, and Hydrocodone.

[7012]


LC/MS CONFIRMATION OF OPIATE 6 DRUGS
Order Code LCOP6 Test Code LCOP6
Synonyms Oxycontin, Percodan, Oxyir, Roxicodone, Percolone, Roxicet, Percocet, Tylox,oxycodone, codeine, morphine, oxymorphone, hydrocodone, hydromorphone,Opana, Numorphan, Oxymorphone hydrochloride,) Roxanol, Duramorph, MS Contin, Oramorph, MSIR, Kadian, Astramor
Specimen Required
       Container type Random Urine Plastic Container  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 150 ng/mL
Department Toxicology
CPT codes 80102
Test schedule Monday thru Friday
Turnaround time 24 hours
Method Liquid Chromatography/ Mass Spectrometry
Test includes
Morphine, Oxymorphone, Hydromorphone, Codeine, Oxycodone, and Hydrocodone.

[7011]


LD
Order Code LDH Test Code LD
Synonyms Lactate Dehydrogenase; LDH
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Collection procedure Avoid hemolysis.
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Stability-   Room temp 3 days   Refrigerated 3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Sodium fluoride-potassium oxalate plasma (grey top tube), EDTA (Lavender top tube), or hemolyzed specimens.
Alternate specimens lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 83615
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Enzymatic
Test includes
LD, U/L.
Reference ranges
  
LD                        U/L
 0-4 days      290-816
 4-10 days     545-2105
 10 days-24 mo 180-453
 24 mo-12 yrs  110-311
 12-60 yrs     100-200
 60-90 yrs     110-221
 90 yrs+       99-299
Notes
Frozen samples show decreased activity of isoenzymes LD4 and LD5 and thus a total LD activity that is decreased.

[1117]


LD ISOENZYMES BY ELECTROPHORESIS
Order Code LDISO Test Code LDISO
Synonyms LDH Isoenzymes By Electrophoresis
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.6 mL
Specimen processing Allow serum to clot completely at room temperature. Separate serum from cells ASAP and place in separate plastic tube. Store and transport at room temperature. This is a CRITICAL AMBIENT SPECIMEN.
Stability-   Room temp 1 week   Refrigerated unacceptable   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Frozen, refrigerated or hemolyzed samples or those using EDTA, potassium oxalate or sodium fluoride anticoagulants.
CPT codes 83615, 83625
Test schedule Sun-Sat
Turnaround time 1-3 days
Method Enzymatic/ELP
Test includes
LD, Total, U/L; LD1, %; LD2, %; LD3, %; LD4, %; LD5, %.
Reference ranges
  
LDH, Total                U/L
 0-30 days      200-465
 1-17 mo        200-450
 18 mo-10 yrs   165-430
 11-16 yrs      127-287
 17 yrs & older 105-230
LD1             14-27     %
LD2             29-42     %
LD3             16-22     %
LD4             8-15      %
LD5             6-23      %

[1118]


LD, CSF
Order Code LDSF Test Code LDSF
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type CSF  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Store and transport immediately at room temperature.
Department Chemistry
CPT codes 83615
Test schedule Daily
Turnaround time 24-48 hours
Method Enzymatic
Test includes
LD, CSF, U/L.
Reference ranges
  
LD, CSF       LT 20    U/L

[1119]


LD, FLUID
Order Code LDH.FLD Test Code LDFL
Synonyms LDH, Body Fluid
Specimen Required
       Container type Sodium heparin (green top tube)  Specimen type Body fluid  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Promptly separate fluid from cells and place in separate plastic tube. Note type of fluid. Store and transport at room temperature.
Required patient info Type of fluid.
Stability-   Room temp 1 week   Refrigerated 4 days   Frozen (-20°C) 6 weeks   Frozen (-70°C)
Unacceptable conditions Any hemolysis. Sputum.
Alternate specimens Specimens collected in plain red top tube or sterile container.
Department Chemistry
CPT codes 83615
Test schedule Daily
Turnaround time 24-48 hours
Method Enzymatic
Test includes
LD, Fluid, U/L.
Reference ranges
  
LD, Fluid           U/L
 Exudate      200 or greater
 Transudate   LT 200
 Method not validated for body fluid.
 Clinical correlation necessary.

[1120]


LDL CHOLESTEROL, DIRECT
Order Code DLDL Test Code DLDL
Synonyms Direct LDL Cholesterol
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Collection procedure Patient should be fasting 12 hours prior to collection.
Specimen processing Separate serum from cells within 2 hours and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 14 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed, icteric or frozen specimen, EDTA Plasma.
Alternate specimens lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 83721
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method Elimination/Enzymatic
Test includes
LDL Cholesterol, Direct, mg/dL.
Reference ranges
  
LDL Cholesterol, Direct          mg/dL
 LT 100         Optimal 
 100-129        Near or above optimal
 130-159        Borderline high
 160-189        High
 190 or more    Very high

[1121]


LDL PARTICLE SIZE
Order Code LDLPS Test Code LDLPS
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen plasma  Preferred volume 2 mL
Patient Prep Patient must be fasting 12-14 hours. Nothing by mouth except water.
Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen.
CPT codes 83704, 82465, 83883
Test schedule Varies
Turnaround time 2-3 weeks
Test includes
LDL Particle Size.
Reference ranges
  
LDL Particle Size 
 Separate Report to Follow

[1122]


LEAD AND ZPP OSHA PROFILE
Order Code OSHAPR Test Code OSHAPR
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 1 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, hemolyzed or clotted samples and samples collected in citrate.
Alternate specimens Heparin whole blood (royal blue or green top tube).
Department Chemistry/Hematology
CPT codes 83655, 84203
Test schedule Twice a week
Turnaround time 2-7 days
Method AAS/Hematofluorometric
Test includes
Lead, Blood, Industrial, ug/dL; Zinc Protoporphyrin, umol/mol; ZPP-OSHA Calculation, ug/dL; Note.
Reference ranges
  
Lead, Blood, Industrial     ug/dL
 0-16 yrs     LT 10
 17+ yrs      LT 40
Zinc Protoporphyrin         umol/mol
 23-78
ZPP-OSHA Calculation        ug/dL
 13-46
Note
No of Tests  ug/dL Lead  Action Required
1            40.0 or     Notification of
             greater     workers in writing;
                         medical examination
                         of workers and 
                         consultation.
3 (average)  50.0 or     Removal of worker
             greater     job with potential
                         lead exposure.
1            60.0 or     Removal of worker
             greater     from job with potential
                         lead exposure.
2            40.0 or     Reinstatement of worker
             less        in job with potential
                         lead exposure is based
                         on symptoms and medical
                         evaluation.
Federal lead construction standards require workers
to be notified and removed from job at lead levels
of 50 ug/dL and higher until a physician authorizes
return. OSHA requirements in effect since 1978 call 
for the measurement of whole blood lead and zinc
protoporphyrin (ZPP NCCLS document C42-A, Nov. 1996)
to evaluate the occupational exposure to lead. OSHA
requires ZPP whole blood testing in units of ug/dL.
For adults, conversion of ZPP units to ug/dL whole
blood assumes a hematocrit of 45%.
Conversion factor: mol/mol heme x 0.584 = ug/dL.

[1124]


LEAD, SERUM
Order Code LEAD.S Test Code PBSNMS
Specimen Required
       Container type Royal blue top tube (metal free plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
CPT codes 83655
Test schedule Tue, Fri
Turnaround time 3-4 days
Method GFAAS
Test includes
Lead, Serum, mcg/dL.
Reference ranges
  
Lead, Serum                   mcg/dL
 Normal    Up to 2         
 Whole blood or urine are the OSHA &
 ACGIH/BEI recommended standard
 Specimens for monitoring uptake of
 inorganic lead and not serum lead.
Notes
Whole blood is the preferred specimen for monitoring the uptake of inorganic lead.

[1125]


LEAD, URINE (QUANTITATIVE)
Order Code LEAD-U Test Code PBUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Synonyms Pb, Urine
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection.  Preferred volume 50 mL  Minimum volume 5 mL
Collection procedure Add 20 mL 6N nitric acid to a 24-hour dark plastic urine container at the start of collection. Collect a 24-hour urine specimen. Use only SAGE, GUARD, P-Splitter or HEDWIN jugs. Pretest other jugs. Do not use VOLLRATH jugs. Refrigerate during collection.
Specimen processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Adjust pH to 2. Store and transport refrigerated.
Required patient info pH, collection period and total volume.
Stability-   Room temp 72 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Specimens contaminated with blood or fecal materials.
Alternate specimens May add 20mL 6N HNO3 at end of collection. Shake well and let stand for 2 hours shaking every 15 minutes. Adjust pH to 2.
Department Chemistry, Trace Metals
CPT codes 83655
Test schedule Tue, Thu,Sat
Turnaround time 2-4 days
Method Electrothermal (Flameless) AAS
Test includes
Collection Period, h; Volume, mL; Lead, Urine, ug/L; Lead, Urine, ug/24h.
Reference ranges
  
Collection Period                 h
Volume                            mL
Lead, Urine                       ug/L
Lead, Urine                       ug/24h
 Normal        LT 80
 Inconclusive  80-125
 Toxic         GT 125
 Urine lead up to 125 is probably not
 associated with lead poisoning.

[1126]


LEAD, URINE (RANDOM)
Order Code LEAD-RU Test Code PBUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 50 mL  Minimum volume 5 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 50 mL of a random urine specimen. Adjust pH to 2 with 6N nitric acid. Store and transport refrigerated.
Stability-   Room temp 72 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Specimen contaminated with blood or fecal material.
Department Chemistry, Trace Metals
CPT codes 83655
Test schedule Tue, Thu, Sat
Turnaround time 2-4 days
Method Electrothermal (Flameless) AAS
Test includes
Lead, Urine, ug/L.
Reference ranges
  
Lead, Random Urine                      ug/L
 No normals established

[1127]


LEAD, WHOLE BLOOD
Order Code LEAD Test Code PB
This test cannot be done if royal blue top tubes with no additive are submitted.
Synonyms Pb, Whole Blood
Specimen Required
       Container type Royal blue top tube (K2 EDTA metal free) or tan top tube (Lead free)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 0.5 mL
Specimen processing Store and transport refrigerated.
Required patient info Birthdate
Stability-   Room temp 48 hours   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen or clotted specimen, specimen collected in oxalate anticoagulant, specimen separated from cells. Samples collected in royal blue top tubes with no additive.
Alternate specimens EDTA whole blood (lavender top tube), heparin whole blood (green top tubes) or 2 EDTA microtainers (well-mixed).
Limitations For specimens collected in microtainers contamination is possible. If value is elevated result will be reported with comment suggesting redraw in 5 mL EDTA vacutainer.
Department Chemistry, Trace Metals
CPT codes 83655
Test schedule Mon-Sat
Turnaround time 1-3 days
Method Electrothermal (Flameless) AAS
Test includes
Lead, Blood, ug/dL.
Reference ranges
  
Lead, Blood                      ug/dL
  17+ yrs   LT 25
            GT 70    Critical High
  0-16 yrs  LT 10    (CDC Guidelines)

[1128]


LEFLUNOMIDE AS METABOLITE
Order Code LEF Test Code LEF
Synonyms Arava; Teriflunomide; Leflunomide Metabolite
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells immediately and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 17 days   Frozen (-20°C) 17 days   Frozen (-70°C)
Unacceptable conditions SST or PST (gel separator tubes).
Alternate specimens Plasma.
CPT codes 83789
Test schedule Mon-Sun
Turnaround time 8-10 days
Method HPLC/LC/MS
Test includes
Teriflunomide, ng/mL.
Reference ranges
  
Teriflunomide                            ng/mL
 Women who are being treated with Leflunomide
 and desire to become pregnant it is recommended
 that the plasma Teriflunomide levels be LT 20
 mg/mL by two separate tests taken at least 14
 days apart.
 Mean steady state trough plasma concentrations
 of Teriflunomide from patients on daily regimens
 of 5, 10, or 25 mg of Leflunomide were 8,800,
 18,000 and 63,000 ng/mL, respectively. The
 minimum effective concentration is reported to
 be 13,000 ng/mL.

[3573]


LEGIONELLA ANTIBODY, IGG/IGM/IGA
Order Code LEG Test Code LEGAB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Draw acute sample within 1 week of onset and convalescent sample 4-6 weeks after onset.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and trasport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 48 hours   Frozen (-20°C) GT 48 hours   Frozen (-70°C)
Unacceptable conditions Plasma, lipemic icteric, hemolyzed, heat inactivated sera or repeat freeze/thaw cycles.
Department Virology
CPT codes 86713
Test schedule Tue, Fri
Turnaround time 2-6 days
Method ELISA
Test includes
Legionella Antibody, IgG/IgM/IgA, ODR.
Reference ranges
  
Legionella Ab, IgG/IgM/IgA    ODR
 LT 0.91   Negative   Antibodies to 
           Legionella pneumophila
           serogroups 1-6 not detected.
 0.91-1.09 Equivocal  Testing of a 
           second specimen in 3 to 9
           weeks suggested.
 GT 1.09   Positive   Suggestive of
           Legionella pneumophila
           infection.
Notes
Serological detection of IgG/IgM/IgA antibodies to Legionella pneumophilia serogroups 1-6.

[1129]


LEGIONELLA FA STAIN
Order Code LEGION.FA Test Code LEGSM
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Tracheal, bronchial washings, sputum or other respiratory specimens  Preferred volume 5-10 mL  Minimum volume 2 mL
Specimen processing Store and transport refrigerated.
Required patient info Specimen source.
Alternate specimens Two smears made from the specimen as you would prepare a gram stain, air dried and transported in a slide transport pack.
Department Microbiology
CPT codes 87278
Test schedule Mon, Wed, Fri
Turnaround time 24-48 hours
Method IFA/Stain
Test includes
Source; Legionella FA Stain; Legionella FA Stain, Status.
Reference ranges
  
Source
Legionella FA Stain           Negative
Legionella FA Stain, Status

[1130]


LEGIONELLA PNEUMOPHILA ANTIGEN, URINE
Order Code LEGAGU Test Code LEGAGU
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 5 mL  Minimum volume 1 mL
Collection procedure Collect a random urine in a leakproof plastic urine container.
Specimen processing Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 14 days   Frozen (-20°C) 2 weeks   Frozen (-70°C)
CPT codes 87449
Test schedule Sun-Sat
Turnaround time 2-3 days
Method ELISA
Test includes
Legionella Antigen, Urine.
Reference ranges
  
Legionella Antigen, Urine     Negative
 This assay detectd Legionella pneumo-
 phila serogroup one (1) antigen. A
 negative test result does not rule out 
 the possibility of Legionella infection
 due to other subgroups or species of
 Legionella. A positive result may
 indicate a recent or remote infection
 with serogroup 1.

[1131]


LEGIONELLA PNEUMOPHILA ANTIBODY 1-6, IGM
Order Code LEGABM Test Code LEGABM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from the cells ASAP and put in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labeled as such; parallel testing is preferred and convalescent samples must be received within 30 days from receipt of acute samples. Mark sample plainly as acute or convalescent.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year (avoid repeated freeze/thaw cycles).   Frozen (-70°C)
Unacceptable conditions Severely lipemic, contaminated, hemolyzed, heat-inactivated sera.
CPT codes 86713
Test schedule Mon-Fri
Turnaround time 2-5 days
Method IFA
Test includes
Legionella pneumophila Antibody1-6, IgM.
Reference ranges
  
Legionella pneumophila Antibody 1-6, IgM
 LT 1:16
 IgM antibody to Legionella pneumo-
 phila serotypes 1-6 is measured 
 using an IgM-specific conjugate.
 It is recommended that the IgM test
 always be performed in conjunction
 with IgG antibody test. The IgM
 response to Legionella tends to
 develop concurrently with the IgG
 response and may remain elevated as
 long as the IgG response remains
 elevated. Cross-reactions have
 been described with several species
 of bacteria and mycoplasma.

[1132]


LEGIONELLA SPECIES BY PCR
Order Code LEGPCR Test Code LEGPCA
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.  Minimum volume 1 mL
Collection procedure 2 mL frozen respiratory specimen: sputum, lung washes, tracheal aspirates, nasopharyneal swab, bronchoalveloar lavage (BAL), pleural fluid, or bronchial brushings in a sterile leakproof container or in viral transport media (M4) or Univeral Transport Media (UTM). Store and transport frozen.
Specimen processing Store and transport all specimens frozen.
Required patient info Specimen source.
Stability-   Room temp 4 hours   Refrigerated 12 hours   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Unsterile or leaking containers and dry swabs.
CPT codes 87541
Test schedule Sun-Sat
Turnaround time 2-3 days
Method PCR
Test includes
Source; Legionella Species by PCR.
Reference ranges
  
Source
Legionella by PCR
 Negative  Legionella sp DNA not detected by PCR.
 Positive  Legionella sp DNA detected by PCR.
 This test is performed pursuant to an agree-
 ment with Roche Molecular Systems, Inc.

[1134]


LEISHMANIA PANEL
Order Code LEISIB Test Code LEISIB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 5 days   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86717 x 8
Test schedule Mon-Fri
Turnaround time 2-6 days
Method IFA
Test includes
Leishmania donovani Antibody, IgG; Leishmania donovani Antibody, IgM; Interpretation; Leishmania braziliensis Antibody, IgG; Leishmania braziliensis Antibody, IgM; Interpretation; Leishmania mexicana Antibody, IgG; Leishmania mexicana Antibody, IgM; Interpretation; Leishmania tropicalis Antibody, IgG; Leishmania tropicalis Antibody, IgM; Interpretation.
Reference ranges
  
L. donovani, IgG      LT 1:16
L. donovani, IgM      LT 1:20
Interpretation
L. braziliensis, IgG  LT 1:16
L. braziliensis, IgM  LT 1:20
Interpretation
L. mexicana, IgG      LT 1:16
L. mexicana, IgM      LT 1:20
Interpretation
L. tropicalis, IgG    LT 1:16
L. tropicalis, IgM    LT 1:20
Interpretation

[2482]


LEPTIN
Order Code LEPTNA Test Code LEPTNA
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type SST tube  Specimen type Frozen serum.  Preferred volume 1 mL  Minimum volume 0.5 mL
Patient Prep Patient must be fasting.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 1 day   Refrigerated 2 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Icteric or nonfasting specimens.
CPT codes 83520
Test schedule Mon
Turnaround time 2-9 days
Method ELISA
Test includes
Leptin, ng/mL.
Reference ranges
  
Leptin             ng/mL
 M      0.5-12.7
 F      3.9-30.0

[3113]


LEPTOSPIROSIS ANTIBODY
Order Code LEPTOSPIROSIS Test Code LEPT
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86720
Test schedule Mon-Fri
Turnaround time 2-5 days
Method IHA
Test includes
Leptospira Antibody, Titer.
Reference ranges
  
Leptospira Ab                                  Titer
 LT 1:50            No antibody detected                
 1:50               Borderline positve-patients
                    should be evaluated for
                    clinical correlation with
                    active of recent leptospirosis.
                    Suggest repeat testing in 2-3 weeks.
 1:100 or greater   Positive-suggestive of current or
                    recent leptospirosis.

[1137]


LEUCINE AMINOPEPTIDASE
Order Code LEUCINE Test Code LEUCIN
Synonyms LAP
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.6 mL
Specimen processing Allow to clot completely at room temperate. Separate serum from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 4 days   Refrigerated 1 week   Frozen (-20°C) 3 weeks   Frozen (-70°C)
Alternate specimens Frozen sodium heparinized, fluoride/oxalate, citrate or EDTA plasma (green, grey, blue or lavender top tube).
CPT codes 83670
Test schedule Fri
Turnaround time 2-9 days
Method Spectrophotometric
Test includes
Leucine Aminopeptidase, U/mL.
Reference ranges
  
Leucine Aminopeptidase      U/mL
 M  1.1-3.4    
 F  1.2-3.0

[1138]


LEUKOCYTE ALKALINE PHOSPHATASE STAIN
Order Code SS.LAP Test Code LAP
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Cytochem Stain, Leukocyte Alkaline Phosphatase; Cytochem Stain, LAP
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.
Collection procedure 3 mL EDTA whole blood (lavender top tube) and 3 well-made blood smears, tissue touch preps, or bone marrow coverslips from non-anticoagulated blood OR one sodium heparin tube (green top tube). If EDTA tube is not available please include CBC results from the day of collection.
Specimen processing Protect slides from light, store and transport at room temperature.
Required patient info Source
Unacceptable conditions Specimens not received within 12 hours of collection or EDTA smear.
Department Cytochemical Hematology
CPT codes 85540
Test schedule Mon-Sat days
Turnaround time 72 hours
Method Cytochemical Stain
Test includes
Source; Leukocyte Alkaline Phosphatase Stain; Interpretation; Reviewed by.
Reference ranges
  
Source
Leukocycte Alkaline Phosphatase Stain  13-70
LAP Interpretation
Reviewed by
Notes
Slides processed within 8 hours of collection are optimal. If transportation is a problem, a sodium heparin tube can be sent with slides.

[1139]


LH/FSH
Order Code LH/FSH Test Code LHFSH
Synonyms Lutropin and Follitropin, Serum; LH and FSH
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Plasma, grossly hemolyzed or grossly lipemic samples.
Department Immunochemistry
CPT codes 83002, 83001
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
LH, mIU/mL; FSH, mIU/mL.
Reference ranges
  
LH                             mIU/mL
 M 7-9 yrs           0.0-0.7
   10-12 yrs         0.0-3.4
   13-15 yrs         0.3-5.6
   16-17 yrs         1.1-9.0
   18 yrs+           1.7-8.6
   Tanner Stage I    0.0-1.0
   Tanner Stage II   0.0-3.6
   Tanner Stage III  0.2-6.4
   Tanner Stage IV-V 0.9-8.3
 F 7-9 yrs           0.0-0.7
   10-12 yrs         0.0-6.8
   13-15 yrs         0.3-23.0
   16-17 yrs         0.0-26.4
   18 yrs+
  Follicular         2.4-12.6
  Mid-cycle          14.00-95.6
  Luteal phase       1.0-11.4  
  Post menopausal    7.7-58.5
  Tanner Stage I     0.0-9.3
  Tanner Stage II    0.0-16.0
  Tanner Stage III   0.0-23.0
  Tanner Stage IV-V  0.0-19.1
FSH                            mIU/mL
 M  7-9 yrs          0.3-2.3
    10-12 yrs        0.5-4.4
    13-15 yrs        1.0-6.7
    16-17 yrs        0.8-7.0
    18 yrs +         1.4-11.2
   Tanner Stage I    0.3-2.6
   Tanner Stage II   0.5-4.3
   Tanner Stage III  0.9-5.8
   Tanner Stage IV-V 0.9-7.3    
 F  7-9 yrs          0.4-4.0
    10-12 yrs        0.6-7.5
    13-15 yrs        0.9-8.2
    16-17 yrs        0.4-8.9
    18 yrs+           
   Follicular        3.2-11.3
   Midcycle peak     4.2-19.4       
   Luteal phase      1.5-6.9                   
   Postmenopausal    23.2-121.3
   Tanner Stage I    0.5-7.6
   Tanner Stage II   0.5-8.0
   Tanner Stage III  0.5-8.0
   Tanner Stage IV-V 0.6-8.4

[1140]


LIBRIUM
Order Code LIB Test Code LIB
Synonyms Chlordiazepoxide
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze within 2-4 hours of collection. Store and transport frozen.
Stability-   Room temp 4 hours   Refrigerated 1 day   Frozen (-20°C) 5 days   Frozen (-70°C)
Alternate specimens Frozen sodium heparinized, fluoride/oxalate or EDTA plasma (green, grey or lavender top tube).
Limitations Protect from light. Avoid the use of serum separator tubes and gels.
CPT codes 80154 x 2
Test schedule Mon, Thu
Turnaround time 2-5 days
Method HPLC
Test includes
Librium, ug/mL; Nordiazepam, ug/mL.
Reference ranges
  
Librium                 ug/mL
 Therapeutic  0.5-3.0
 Based on dosages up to 100 mg    
 Toxic        GT 5.0
Nordiazepam             ug/mL 
 Therapeutic  0.06-1.80
 Based on normal dosages 
 Toxic        GT 2.50

[1141]


LIDOCAINE
Order Code LIDOCN Test Code LIDOCN
Synonyms Xylocaine
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Collection procedure Draw 12 hours after initial dose and just prior to subsequent doses.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 7 days   Refrigerated 7 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma specimens.
Alternate specimens SST tubes.
Department Chemistry
CPT codes 80176
Test schedule Sun-Sat
Turnaround time 1-2 days
Method EIA
Test includes
Lidocaine, ug/mL.
Reference ranges
  
Lidocaine              ug/mL
 Therapeutic  1.5-5.0  
 Toxic        GT 6.0

[1142]


LIDOCAINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCLID Test Code TLCLID
Synonyms Xylocaine, blow up,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Lidocaine
Notes
Test is also included in Drug-Sur as part of panel.

[6956]


LIPASE
Order Code LIPASE Test Code LIPA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 14 days   Frozen (-20°C) 21 days   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 83690
Test schedule Sun-Fri nights and STAT
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Lipase, U/L.
Reference ranges
  
Lipase   7-60  @ 37C  U/L

[1143]


LIPASE, FLUID
Order Code LIPAFL Test Code LIPAFL
Specimen Required
       Container type Sodium heparin (green top tube)  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate fluid from the cells and put in a separate plastic tube. Note type of fluid. Store and transport refrigerated.
Required patient info Note type of fluid.
Stability-   Room temp 1 week   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Clotted or viscous fluids.
Alternate specimens Specimens collected in plain red top tubes or sterile container.
Department Chemistry
CPT codes 83690
Test schedule Daily
Turnaround time 2-3 days
Method Enzymatic
Test includes
Lipase, fluid
Reference ranges
  
Lipase, fluid          No reference range established     U/L
 Method not validated for this fluid. Clinical correlation necessary.

[5767]


LIPASE, URINE
Order Code LIPAU Test Code LIPAU
Specimen Required
       Container type Leakproof sterile plastic urine container.  Specimen type Urine, random  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 2 mL of a random urine specimen. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C) 4 days   Frozen (-70°C)
Unacceptable conditions Urines containing preservatives.
CPT codes 83690
Test schedule Tue, Thu
Turnaround time 3-5 days
Method Enzymatic/Colorimetric
Test includes
Lipase, Urine, U/L.
Reference ranges
  
Lipase, Random Urine  4 or less    U/L

[1144]


LIPID ASSOCIATED SIALIC ACID
Order Code LASA Test Code LASA
Synonyms LASA
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Allow serum to clot completely at room temperature before centrifuging. Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp unstable   Refrigerated unstable   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Non-frozen samples.
Limitations Samples lose up to 25% LASA in 24 hours if left at room temperature.
CPT codes 84275
Test schedule Wed
Turnaround time 3-7 days
Method Spectrophotometric
Test includes
LASA, mg/dL.
Reference ranges
  
LASA    0-20     mg/dL

[1145]


LIPID PROFILE
Order Code LIPID Test Code LIPID
Synonyms Coronary Risk Profile; Lipid Screen; LDL (Calculated); HDL/Lipid Profile
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Patient Prep Patient should be fasting 12-14 hours prior to collection.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 14 days   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 80061
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Cholesterol, mg/dL; Triglyceride, mg/dL; HDL, mg/dL; LDL (Calculated), mg/dL.
Reference ranges
  
Cholesterol                     mg/dL
 LT 200        Desirable
 200-239       Borderline high
 240 or more   High
Triglycerides                   mg/dL
 LT 150        Normal
 150-199       Borderline high
 200-499       High
 500 or more   Very high
HDL                             mg/dL
 LT 40         Low
 40-59         Within normal limits
 60 or more    High
 HDL Cholesterol greater than or equal
 to 60 mg/dL is considered to be a
 'negative' risk factor, serving to
 remove one risk factor from the total
 count.
LDL (calculated)                mg/dL
 LT 100        Optimal
 100-129       Near or above normal
 130-159       Borderline high
 160-189       High
 190 or more   Very high
 To calculate 10-year cardiac risk for
 the patient, go to http://www.paml.com,
 click on testing, then on ranges/
 algorithms, and then on lipid results

[1146]


LIPID PROFILE & LP-PLA2 (PLAC)
Order Code LIPID2 Test Code LIPID2
Specimen Required
       Container type Gold top tube (SST or Corvac) or PST tubes.  Specimen type Refrigerated serum  Preferred volume 3 mL  Minimum volume 1.5 mL.
Patient Prep Patient should be fasting for 12-14 hours prior to collection.
Specimen processing Separate serum or plasma from cells within 4 hours of collection and put in two separate tubes. Store and transport refrigerated.
Stability-   Room temp 4 hours   Refrigerated 7 days   Frozen (-20°C) 1 day   Frozen (-70°C) 3 months
Unacceptable conditions Ambient or unprocessed blood samples.
Alternate specimens Lithium heparin plasma (green top tube).
Department Immunology, Chemistry
CPT codes 80061, 83698
Test schedule Lipid-Sun-Fri; LP-PLA2 (PLAC)-Mon & Thu
Turnaround time 3-6 days
Method Enzymatic, ELISA
Test includes
Cholesterol, mg/dL; Triglycerides, mg/dL; HDL, mg/dL; LDL (Calculated), mg/dL; LP-PLA2 (PLAC), ng/mL.
Reference ranges
  
Cholesterol                     mg/dL
 LT 200        Desirable
 200-239       Borderline high
 240 or more   High
Triglycerides                   mg/dL
 LT 150        Normal
 150-199       Borderline high
 200-499       High
 500 or more   Very high
HDL                             mg/dL
 LT 40         Low
 40-59         Within normal limits
 60 or more    High
 HDL Cholesterol greater than or equal
 to 60 mg/dL is considered to be a
 'negative' risk factor, serving to
 remove one risk factor from the total
 count.
LDL (calculated)                mg/dL
 LT 100        Optimal
 100-129       Near or above normal
 130-159       Borderline high
 160-189       High
 190 or more   Very high
 To calculate 10-year cardiac risk for
 the patient, go to http://www.paml.com,
 click on testing, then on ranges/
 algorithms, and then on lipid results.
LP-PLA2 (PLAC) 0-200            ng/mL
A new consensus panel recommends a cutoff
value of 200 ng/mL for Lp-PLA2 (PLAC). 
Patients at moderate or high risk for CVD 
based on ATPIII criteria who also have an 
Lp-PLA2 value GT 200 ng/mL should be shifted
from high to very high risk. This will lower
the LDL goal for these patients.

[1147]


LIPOPROTEIN (A)
Order Code LPA Test Code LPA
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Collection procedure Patient should be fasting.
Specimen processing Separate serum from cells within 2 hours of collection and place in separate plastic tube and freeze. Store and transport frozen. Frozen samples should be thawed only once.
Stability-   Room temp 8 hours   Refrigerated 2 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Alternate specimens EDTA, sodium or lithium heparin plasma (lavender or green top tube).
Department Immunology
CPT codes 83695
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Rate Nephelometry
Test includes
Lipoprotein (a), mg/dL.
Reference ranges
  
Lipoprotein (a)  LT 30                  mg/dL
                 22-74  African-American

[1148]


LIPOPROTEIN ELECTROPHORESIS
Order Code LIPELP Test Code LIPELP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen specimens.
CPT codes 83700, 82465, 84478
Test schedule Sun & Thu
Turnaround time 3-8 days
Method Electrophoresis, Spectrometry
Test includes
Cholesterol, mg/dL; Triglyceride, mg/dL; Chylomicrons; Beta Lipoproteins, %; Pre Beta Lipoproteins, %; Alpha Lipoproteins, %; Appearance; Intrepretation.
Reference ranges
  
Cholesterol                     mg/dL
 2-18 years   LT 170    
 GT 18 years  LT 200    
Triglycerides                   mg/dL
 5-19 years   LT 130
 GT 19 years  LT 150   Normal
              150-199  Borderline high
              200-499  High
              GT 499   Very high
Chylomicrons  Normal
Beta Lipoproteins               %
              42.3-69.5
Pre Beta Lipoprotiens           %
              2.0-31.2
Alpha Lipoproteins              %
              15.1-39.9
Appearance    Clear
Interpretation

[1151]


LISTERIA ANTIBODY
Order Code LISAB Test Code LISAB
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 5 days   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86609
Test schedule Mon-Fri
Turnaround time 3-6 days
Method CF
Test includes
Listeria Antibody.
Reference ranges
  
Listeria Antibody   LT 1:8      No antibody detected.
                    1:8 or more Antibody detected.
                    Single titers of 1:8 or greater are
                    suggestive of listeria infection.
                    A four-fold or greater increase
                    in titer between acute and convalescent
                    specimens confirms the diagnosis.
          
           

[5213]


LITHIUM
Order Code LI Test Code LI
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Collection procedure Specimen should be drawn 12 hours post dose, normally just prior to next dose.
Specimen processing Separate serum from cells within 4 hours and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Lithium heparin plasma. Do not ship on Suresep.
Alternate specimens Prefer plain red top tube but SST serum, sodium heparin.
Department Chemistry
CPT codes 80178
Test schedule Sun-Fri & STAT
Turnaround time 24-48 hours
Method Spectrophotometric
Test includes
Lithium, mmol/L.
Reference ranges
  
Lithium  Therapeutic  0.5-1.5   mmol/L
         Toxic        GT 2.0

[1153]


LIVER CYTOSOL AUTOANTIBODIES (LC-1)
Order Code LIVCYT Test Code LIVCYT
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 48 hours   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens EDTA, heparin, or ACD plasma (lavender, green or yellow top tube).
CPT codes 86376
Test schedule Fri
Turnaround time 3-10 days
Method EIA
Test includes
Liver Cytosol Autoantibodies (LC-1), U/mL.
Reference ranges
  
Liver Cytosol Autoantibodies      U/mL
 LT 15

[1154]


LORAZEPAM
Order Code LOR Test Code LOR
Synonyms Ativan
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated .
Stability-   Room temp 12 hours   Refrigerated 5 days   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Alternate specimens Sodium heparinized, fluoride/oxalate or EDTA plasma (green, grey or lavender top tube).
Limitations Avoid the use of serum separator tubes and gels.
CPT codes 80154
Test schedule Mon, Thu
Turnaround time 3-5 days
Method HPLC
Test includes
Lorazepam, ng/mL.
Reference ranges
  
Lorazepam              ng/mL
 Therapeutic  50-240

[1155]


LOW MOLECULAR WEIGHT HEPARIN
Order Code LMW.HEPARIN Test Code HEPLMW
This is not the same test as Chromogenic Factor X. Separate samples must be submitted when multiple tests are ordered.
Synonyms Anti-Xa; LMWH Assay; Anti-Factor XA Assay; Anti Xa; Lovenox; Enoxaparin; Fragmin; Dalteparin
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume Two 1 mL aliquots  Minimum volume Two 0.5 mL aliquots
Collection procedure Draw specimen 3-4 hours post LMWH dose. Blood/anticoagulant volume is critical.
Specimen processing Separate plasma from cells within 2 hour of collection and put in separate plastic tube and cap. Respin plasma for 10 minutes. Separate respun plasma into 2 plastic tubes, cap and freeze at -20C or lower. Store and transport frozen.
Stability-   Room temp 2 hours   Refrigerated 2 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Specimens that are not double-spun, clotted or short sample (proper volume is 9 parts blood to 1 part anticoagulant).
Department Coagulation
CPT codes 85520
Test schedule Mon-Fri days
Turnaround time 1-3 days
Method Chromogenic
Test includes
Anti Xa, IU/mL.
Reference ranges
  
Anti Xa                        IU/mL
Enoxaparin
 Target peak concentration for
 prophylaxis                   0.2-0.4
 Target peak concentration for
 treatment, 2 doses daily      0.6-1.0
 Target peak concentration for
 treatment, 1 dose daily       1.3-2.0
Dalteparin                     IU/mL                             
 Target peak concentration for 
 prophylaxis                   0.2-0.4
 Target peak concentration for 
 treatment, 2 doses daily      0.6-1.0
 Target peak concentration for
 treatment, 1 dose daily       0.85-1.25
Notes
Inappropriate sample collection or handling may lead to the release of platelet factor 4 (PF4), which is a potent inhibitor of heparin.

[1156]


LOXAPINE
Order Code LOXA Test Code LOXA
Synonyms Loxitane; Daxoline
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 3 mL
Collection procedure Draw peak levels 1-2 hrs post dose.
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Protect from light. Store and transport refrigerated or at room temperature.
Required patient info Note times of dose and drawing.
Alternate specimens EDTA plasma (lavender top tube).
Limitations No SST tubes and protect from light.
CPT codes 82492
Test schedule Tue, Thu
Turnaround time 7-10 days
Method HPLC
Test includes
Loxapine, ng/mL.
Reference ranges
  
Loxapine            ng/mL
 Peak concentration following a single
 oral 25 mg dose    6-13 at 1-2 h post dose.
 Peak plasma concentrations following
 an equivalent IM dose are similar.

[1157]


LP-PLA2 (PLAC)
Order Code PLACA2 Test Code PLACA2
Synonyms LP-PLA2; PLAC; Lipoprotein-Associated Phospholipase A2; Stroke Marker
Specimen Required
       Container type SST or PST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum or plasma from the cells within 4 hours of collection and put in separate plastic tube and refrigerate immediately. Store and transport refrigerated.
Stability-   Room temp 4 hours   Refrigerated 1 week   Frozen (-20°C) 1 day   Frozen (-70°C) 3 months
Unacceptable conditions Ambient or unprocessed blood samples.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department Immunology
CPT codes 83698
Test schedule Mon & Thu
Turnaround time 3-6 days
Method ELISA
Test includes
LP-PLA2 (PLAC), ng/mL.
Reference ranges
  
LP-PLA2 (PLAC) 0-200            ng/mL
A new consensus panel recommends a cutoff
value of 200 ng/mL for Lp-PLA2 (PLAC). 
Patients at moderate or high risk for CVD 
based on ATPIII criteria who also have an 
Lp-PLA2 value GT 200 ng/mL should be shifted
from high to very high risk. This will lower
the LDL goal for these patients.

[1158]


LSD, (REFLEXIVE)
Order Code LSDSCO Test Code LSDSCO
This test may reflex to additional tests depending upon the result of this test. An additional fee will be added.
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 4 mL  Minimum volume 3.6 mL
Specimen processing Separate serum from cells immediately and place in separate plastic tube. Store and transport frozen. Protect from light.
Stability-   Room temp 3 days   Refrigerated 3 days   Frozen (-20°C) 7 months   Frozen (-70°C)
Unacceptable conditions SST tubes, not protected from light or in PST or glass tubes, received at room temperature or refrigerated.
Alternate specimens Plasma.
CPT codes 80101
Test schedule Mon,Wed, Fri Screen; Mon, Thu Confirmation
Turnaround time 2-5 days
Method IA, LC-MS/MS
Test includes
LSD, ng/mL; LSD Confirmation, ng/mL.
Reference ranges
  
LSD, Serum                 ng/mL
LSD, Serum Confirmation    ng/mL
 No normals established

[3574]


LSD, URINE (REFLEXIVE)
Order Code LSDUCO Test Code LSDUCO
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added.
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Frozen Urine, random  Preferred volume 3 mL  Minimum volume 2.7 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 3 mL of a random urine specimen in a leakproof plastic urine container and freeze. Store and transport frozen. Protect from light.
Stability-   Room temp 1 week   Refrigerated 1 week   Frozen (-20°C) 7 months   Frozen (-70°C)
Unacceptable conditions Samples not protected from light or in glass containers.
CPT codes 80101
Test schedule Mon, Wed, Fri-Screen; Mon, Thu-Confirmation
Turnaround time 3-6 days
Method IA, LC-MS/MS
Test includes
LSD, Urine, ng/mL; LSD, Urine, Confirmation, ng/mL.
Reference ranges
  
LSD, Urine                ng/mL
LSD, Urine Confirmation   ng/mL 
 No normals established

[3575]


LUPUS ANTICOAGULANT (REFLEXIVE)
Order Code LUPUS Test Code ACTLUP
Separate samples must be submitted when multiple tests are ordered. Lupus Anticoagulant testing is used to help determine the cause of abnormal thrombosis, recurrent fetal loss or abnormal PTT. DO NOT order this test for determineation of an autoimmune disease.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Lupus Inhibitor; Lupus-like Inhibitor
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 4 mL  Minimum volume 2 mL
Collection procedure Liquid blue top tubes filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Limitations May not be able to interpret testing in the presence of heparin, LMWH, direct thrombin inhibitors or oral anticoagulants.
Department Coagulation
CPT codes 85610, 85730, 85670, 85613
Test schedule Daily
Turnaround time 1-3 days
Method Electromechanical
Test includes
Protime, Patient; PT, PT/Control Mix, sec; Thrombin Time, PT, sec; Thrombin Time, PT/PS Mix, sec; aPTT, Patient, sec; aPTT, Control Plasma, sec; aPTT, PT/Control Mix, sec; PNP, sec; dRVTT, sec; dRVTT Mix Ratio; dRVTT Confirm Ratio; dRVTT Confirm Mix Ratio.
Reference ranges
  
PT, Patient
 0-1 mo                13.0-20.0   sec
 2+mo                  10.9-14.8
Pt, PT/NL Mix                      sec
Thrombin T, Pt         15.6-20.0   sec
TT, Pt/Ps Mix                      sec
PTT, Patient  
 0-1 mo                 40-50      sec
 2 mo-4 yrs             25-40
 5+ yrs                 26-36
aPTT, Control                      sec
aPTT, PT Ct Mix                    sec
PNP                      0.0-7.0   sec
dRVVT                    31.8-45.7 sec
dRVVT mix ratio          0.0-1.2
dRVVT confirm ratio      LT 1.2
dRVVT confirm mix ratio  LT 1.2

[1161]


LUTEINIZING HORMONE
Order Code LH Test Code LH
Synonyms Lutropin; LH
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Plasma, grossly hemolyzed or grossly lipemic samples.
Department Immunochemistry
CPT codes 83002
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method ICMA
Test includes
LH, mIU/mL.
Reference ranges
  
LH                             mIU/mL
 M 7-9 yrs           0.0-0.7
   10-12 yrs         0.0-3.4
   13-15 yrs         0.3-5.6
   16-17 yrs         1.1-9.0
   18 yrs+           1.7-8.6
   Tanner Stage I    0.0-1.0
   Tanner Stage II   0.0-3.6
   Tanner Stage III  0.2-6.4
   Tanner Stage IV-V 0.9-8.3
 F 7-9 yrs           0.0-0.7
   10-12 yrs         0.0-6.8
   13-15 yrs         0.3-23.0
   16-17 yrs         0.0-26.4
   18 yrs+
  Follicular         2.4-12.6
  Mid-cycle          14.00-95.6
  Luteal phase       1.0-11.4  
  Post menopausal    7.7-58.5
  Tanner Stage I     0.0-9.3
  Tanner Stage II    0.0-16.0
  Tanner Stage III   0.0-23.0
  Tanner Stage IV-V  0.0-19.1

[1162]


LYME (B. BURGDORFERI ) ANTIBODY, IGG/IGM REFLEX
Order Code LYMER Test Code LYMER
This is a screening test for Lyme Antibody by EIA that will reflex to confirmatory Western Blot testing if positive. An additional fee may be added for confirmatory testing.
Specimen Required
       Container type SST  Specimen type Serum  Preferred volume 2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hrs   Refrigerated 2 days   Frozen (-20°C) GT 2 days   Frozen (-70°C)
Department Virology
CPT codes 86618
Test schedule EIA: Sun, Wed; Western Blot: Sun
Turnaround time 3-7 days
Method EIA/WB
Test includes
Lyme (B. burgdorferi) Antibody, IgG/IgM
Reference ranges
  
Lyme (B. burgdorferi) Antibody, IgG/IgM       
LT 0.91      Negative
 No antibodies to B.burgdorferi detected. Per CDC 
 guidelines, if EIA test is negative, Western Blot
 should not be performed.
0.91-1.09    Equivocal
GT 1.09      Positive
 Antibodies to B.burgdorferi detected. 

B. burgdorferi AB by WB, IgG
 Negative
B. burgdorferi AB by WB, IgM
 Negative
 Interp for Lyme IgG by WB  Positive-Presence of
 any of 5 bands of 18, 23, 28, 30, 39,
 41, 45, 58, 66 or 93 kDa.  Negative-Any pattern
 that fails to meet the positive criteria.

 Interp for Lyme IgM by WB  Positive-Presence of
 any 2 bands of 23, 39 or 41 kDa.  If
 antibodies to the 37 kDa antigen are present
 it is considered to be an additional criteria
 band.  Negative-Any pattern which fails to meet
 the positive criteria.

[3085]


LYME (B. BURGDORFERI) ANTIBODY, CSF
Order Code LYMECF Test Code LYMECF
Synonyms B. burgdorferi Antibody, CSF
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type CSF  Preferred volume 3 mL  Minimum volume 0.5 mL
Specimen processing Store and transport refrigerated. Positive or equivocal samples will be held for 30 days. Western blot testing will be done on the original sample only if a request is recieved.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Contaminated or heat-inactivated samples.
Limitations Avoid repeat freeze/thaw cycles.
CPT codes 86618
Test schedule Sun, Tue, Thu, Fri
Turnaround time 2-4 days
Method ELISA
Test includes
Lyme (B. burgdorferi) Anitbody, CSF, LIV.
Reference ranges
  
Lyme (B.burgdorferi) Ab, CSF     LIV
 0.99 or less  Negative-Antibody to Borrelia
 burgdorferi not detected.
 1.00-120      Equivocal-Repeat testing in 
 10-14 days may be helpful.
 1.21 or more  Positive-Probable presence of
 antibody to Borrelia burgdorferi 
 detected.

[1164]


LYME (B. BURGDORFERI) ANTIBODY, IGG/IGM BY WESTERN BLOT
Order Code LYMCON Test Code LYMEWB
Includes IgG and IgM. This is a confirmation test for patient samples previously positive for Lyme Antibody by EIA.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 1 week   Frozen (-20°C) 6 months   Frozen (-70°C)
Department Virology
CPT codes 86617 x 2
Test schedule ELISA-Mon, Wed evenings; Western Blot-Sun
Turnaround time 7 days
Method Western Blot
Test includes
B.Burgdorferi Antibody by WB, IgG, B.burgdorferi Antibody by WB, IgM; Interpretation for Lyme IgG by WB; Interpretation for Lyme IgM by WB.
Reference ranges
  
B. burgdorferi AB by WB, IgG
 Negative
B. burgdorferi AB by WB, IgM
 Negative
 Interp for Lyme IgG by WB  Positive-Presence of
 any of 5 bands of 18, 23, 28, 30, 39,
 41, 45, 58, 66 or 93 kDa.  Negative-Any pattern
 that fails to meet the positive criteria.

 Interp for Lyme IgM by WB  Positive-Presence of
 any 2 bands of 23, 39 or 41 kDa.  If
 antibodies to the 37 kDa antigen are present
 it is considered to be an additional criteria
 band.  Negative-Any pattern which fails to meet
 the positive criteria.

[1166]


LYME CSF & SERUM [STONY BROOK]
Order Code LYME.CSF&SER.SB Test Code IDXSB
Specimen Required
       Container type Red top tube and sterile CSF tube  Specimen type Serum and CSF.  Preferred volume 1 mL serum and 1 mL CSF  Minimum volume 0.5 mL serum and 0.8 mL CSF
Specimen processing Store and transport refrigerated or ambient temperature.
Limitations THIS WORKPAR IS FOR THE ELISA METHOD ONLY. Confirmation by Western blot is available.
CPT codes 86618 x 2, 82784 x 2
Test schedule Variable
Turnaround time 4-8 days
Method ELISA
Test includes
Lyme Serum and CSF
Reference ranges
  
Lyme Serum and CSF
Notes
Confirmation by Western blot requires additional 0.5 mL serum and 2 mL CSF.

[3070]


LYSOZYME
Order Code MUR Test Code LYSOZ
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Synonyms Muramidase
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 7 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Alternate specimens CSF, tears, and other body fluids with the exception of urine. Refrigerated specimens are acceptable.
CPT codes 85549
Test schedule Mon-Fri
Turnaround time 2-6 days
Method RID
Test includes
Lysozyme, ug/mL.
Reference ranges
  
Lysozyme      9-17     ug/mL

[1167]


MAG ANTIBODY, IGM
Order Code MAGMAB Test Code MAGMAB
Synonyms Myelin-Associated Glycoprotein Anitbody, IgM; Sulfated Gluconic Acid Paragloboside (SGPG)
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Unacceptable conditions CSF and other body fluids.
CPT codes 83520 x 2
Test schedule Mon, Thu
Turnaround time 3-6 days
Method Dual ELISA
Test includes
Sulfated Gluconic Acid Paragloboside (SGPG) Antibody, IgM, Index; Myelin-Associated Glycoprotein (MAG) Antibody, IgM, Index.
Reference ranges
  
SGPG Ab, IgM                     Index
 LT 1.00       Antibody not detected
 1.00 or more  Antibody detected
MAG Ab, IgM                      Index
 LT 1.00       Antibody not detected
 1.00 or more  Antibody detected
 This assay was developed and its
 performance characteristics determined
 by Focus Technologies. It has not been
 cleared or approved by the FDA. The 
 FDA has determined that such clearance
 or approval is not necessary.

[1168]


MAGNESIUM
Order Code MAG Test Code MG
Synonyms Mg
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 14 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions EDTA or sodium fluoride-potassium oxlate plasma (lavender or grey top tube) and hemolyzed, icteric or lipemic samples.
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 83735
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Magnesium, mg/dL.
Reference ranges
  
Magnesium  1.5-2.4  mg/dL

[1170]


MAGNESIUM, FECAL
Order Code MGFEC Test Code MGFEC
Synonyms Mg, Stool
Specimen Required
       Container type Clean, leakproof plastic container  Specimen type 24-hour stool collection  Preferred volume 5 grams  Minimum volume 1 gram
Collection procedure Collect a 24-hour stool.
Specimen processing Aliquot 5 grams of a well-mixed 24-hour stool in a clean, leakproof plastic container. Store and transport refrigerated. Stool must be liquid. Do not add saline or water to liquefy specimen.
Required patient info Fecal Weight, Collection time
Stability-   Room temp 1 hour   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Nonliquid stools.
Alternate specimens Random stool collection
Limitations Stool must be liquid. Do not add saline or water to liquefy specimen.
CPT codes 83735
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Spectrophotometry
Test includes
Fecal Weight, g; Collection Time-Fecal Specimen, hr; Fecal Magnesium, mg/dL; Fecal Magnesium, mg/d; Fecal Total Weight, g; Collection Time-Fecal Specimen, hr.
Reference ranges
  
Fecal Weight                           g
Collection Time-Fecal Specimen         hr
Fecal Magnesium                 0-110  mg/dL
Fecal Magnesium                 0-355  mg/d
Fecal Total Weight                     g
Collection Time-Fecal Specimen         hr

[5599]


MAGNESIUM, FLUID
Order Code MAG.FLD Test Code MGFL
Synonyms Mg, Fld
Specimen Required
       Container type Sodium heparin (green top tube)  Specimen type Body Fluid  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate fluid from cells and place in separate plastic tube. Note type of fluid. Store and transport refrigerated.
Required patient info Type of fluid
Stability-   Room temp Unacceptable   Refrigerated 2 weeks   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Clotted or viscous samples. Any more than slight hemolysis.
Alternate specimens Specimens collected in plain red top tube.
Department Chemistry
CPT codes 83735
Test schedule Daily
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Magnesium, Fluid, mg/dL.
Reference ranges
  
Magnesium, Fluid            mg/dL
 No reference ranges established.
 Method not validated for body fluid.
 Clinical Correlation necessary.

[1171]


MAGNESIUM, QUANTITATIVE, URINE
Order Code MAG-U Test Code MGUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Synonyms Mg, Urine
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 25 mL  Minimum volume 1 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 25 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 1 with 6N HCl. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Frozen specimens.
Department Chemistry
CPT codes 83735
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Collection Period, h; Volume, mL; Magnesium, Urine, mg/24h.
Reference ranges
  
Collection Period          h
Volume                     mL
Magnesium, Urine   72-120  mg/24h

[1173]


MAGNESIUM, RBC
Order Code MGRBC Test Code MGRBC
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Red Blood Cells ONLY  Preferred volume 4 mL
Specimen processing Centrifuge and separate red blood cells into a separate plastic tube within 2 hours of collection. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Samples drawn in any EDTA tubes, frozen samples, or samples drawn in sodium fluoride/potassium oxalate, sodium citrate or ACD A citrate dextrose tubes.
Alternate specimens Heparin trace metal free tube (Royal blue top tube).
CPT codes 83735
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method FAAS
Test includes
Magnesium, RBC, mg/dL.
Reference ranges
  
Magnesium, RBC         3.0-6.1 mg/dL

[1172]


MAGNESIUM, URINE (RANDOM)
Order Code MAG-R Test Code MGUR
Synonyms Mg, Urine, Random
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 25 mL  Minimum volume 1 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 25 mL of a random urine collection. Adjust pH to 1 with 6 N HCL. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Frozen specimens.
Department Chemistry
CPT codes 83735
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Magnesium, Urine, mg/dL.
Reference ranges
  
Magnesium, Urine, Random   mg/dL
 No normals established

[1174]


MALARIA ANTIBODY IGG
Order Code MALIGG Test Code MALIGG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.1 mL
Specimen processing Separate serum from the cells and place in a separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat-inactivated, lipemic, contaminated, hemolyzed, icteric, or turbid samples.
CPT codes 86750
Test schedule Tue
Turnaround time 2-9 days
Method ELISA
Test includes
Malaria Antibody, Total, IV.
Reference ranges
  
Malaria Antibody, Total     0.00-1.00 IV

[5598]


MANGANESE
Order Code MAN.S Test Code MANG
Synonyms Mn
Specimen Required
       Container type Royal blue top tube (metal free plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.7 mL
Specimen processing Separate serum from cells and place in separate trace element-free transport tube within 6 hours. Store and transport at room temperature.
Unacceptable conditions Serum separator tubes or gels. Specimens in which the serum was not separated from cells or clot within 6 hours.
Limitations Avoid the use of glass.
CPT codes 83785
Test schedule Tue, Fri
Turnaround time 3-7 days
Method ICP/MS
Test includes
Manganese, ug/L.
Reference ranges
  
Manganese   0.0-2.0   ug/L
 Less than 5% of manganese present
 in circulation resides in the serum.

[1175]


MANGANESE, BLOOD
Order Code MAN.BLD Test Code MANBLD
Synonyms Mn, Blood
Specimen Required
       Container type Royal blue top tube (metal free NA2EDTA)  Specimen type Whole blood  Preferred volume 7 mL  Minimum volume 0.5 mL
Specimen processing Store and transport refrigerated or at room temperature.
Unacceptable conditions Heparin anticoagulant.
Alternate specimens K2EDTA whole blood (K2EDTA royal blue top tube).
CPT codes 83785
Test schedule Mon, Thu
Turnaround time 2-6 days
Method ICP/MS
Test includes
Manganese, Blood, ug/L.
Reference ranges
  
Manganese, Blood     4.2-16.5    ug/L
Notes
If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time.

[1176]


MANGANESE, QUANTITATIVE, URINE
Order Code MAN-U Test Code MANUQ
Synonyms Mn, Urine
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection or random urine collection.  Preferred volume 10 mL  Minimum volume 5 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container or random urine collection. Refrigerate during collection.
Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection or random urine collection into a leakproof plastic urine container. Store and transport refrigerated. ARUP studies indicate that refrigeration of urine alone, during and after collection preserves specimens adequately if tested within 14 days of collection. Record total volume and collection time. Submit specimen in two ARUP Trace Element-Free Transport Tubes (43116).
Required patient info Record total volume and collection period interval on transport tube and request form.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Urine collected within 48 hours after administration of gadalinium (Gd) containing contrast media (may occur with MRI studies) or acid preserved urine specimens.
CPT codes 83785
Test schedule Wed, Sat
Turnaround time 3-7 days
Method ICP/MS
Test includes
Collection Period, hr; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Manganese, Urine, ug/L; Manganese, Urine, ug/d; Manganese, Urine, ug/gCr.
Reference ranges
  
Collection Period            hr
Volume                       mL
Creatinine, Ur               mg/dL
Creatinine, Ur               mg/d
 M 0-2 yrs         Not established
   3-8 yrs         140-700
   9-12 yrs        300-1300
   13-17 yrs       500-2300
   18-50 yrs       1000-2500
   51-80 yrs       800-2100
   81+ yrs         600-2000
 F 0-2 yrs         Not established
   3-8 yrs         140-700
   9-12 yrs        300-1300
   13-17 yrs       400-1600
   18-50 yrs       700-1600
   51-80 yrs       500-1400
   81+ yrs         400-1300
Manganese, Ur     0.0-2.0    ug/L
Manganese, Ur     0.0-2.0    ug/d
Manganese, Ur                ug/gCr
 No reference range established
 Urine manganese values do not
 correlate well with exposure or
 adverse effects.

[1177]


MAPROTILINE
Order Code LUD Test Code LUD
Synonyms Ludiomil
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Limitations No SST tubes.
CPT codes 82491
Test schedule Mon-Fri
Turnaround time 3-7 days
Method GC/NPD
Test includes
Maprotiline, ng/mL.
Reference ranges
  
Maprotiline                ng/mL
 Following daily oral doses of 50,     
 100 & 150 mg in the steady state mean
 blood concentrations were 70, 140 &
 220 ng/mL respectively.

[1178]


MATERNAL CELL CONTAMINATION, MOLECULAR ANALYSIS
Order Code MCCMA Test Code MCCMA
Synonyms MCC, Amniocyte Chorionic Villi Contamination
Specimen Required
       Container type See Below  Preferred volume See Below  Minimum volume Blood: 3 mL, DNA: 10 uL, Amniotic Fluid: 10 mL, CVS: 5 mg, or 1 T-25 flask
Collection procedure Blood: 5 mL EDTA (lavender top tube). Do not split or aliquot sample. Fetal Cells: 2 T-25 or 1 T-75 flask(s). Amniotic Fluid: 20 mL vacutainer or centrifuge tube. Unspun, discard the first 3 mL. CVS: 10 mg in tissue transport media or PBS. DNA: 20 uL. If prenatal DNA is performed by a reference lab that does not offer MCC testing, sample requirement: at least 10 uL of DNA purified from fetal cells - same sample used for testing. Maternal blood in EDTA must accompany Fetal DNA, Fetal cells, Amniotic Fluid, CVS, or cord blood.
Specimen processing Store and transport all but CVS at RT. CVS transport refrigerated. Samples from mother and fetus may arrive at different times and from different sources.
Stability-   Room temp Blood-3 days, Fetal Cells-2 days, Amniotic Fluid-2 days, DNA-3 days,   Refrigerated Blood-5 days, Fetal Cells-1 week, Amniotic Fluid-5 days, CVS-5days, DNA-3 weeks   Frozen (-20°C) DNA-6 mos   Frozen (-70°C)
Unacceptable conditions Hemolysis, Lipemia, Frozen or split sample.
Limitations This assay does not rule out the presence of maternal cell contamin. below 5%.
Department Molecular Diagnostics
CPT codes 83891, 83900, 83901 x 26, 83909 x 2, 83912
Test schedule Wed
Turnaround time 8-12 days
Method Microsatellite PCR and Fragment Analysis
Test includes
Maternal Cell Contamination Result/Interpretation
Reference ranges
  
Maternal Cell Contamination
 Result/Interpretation

[6083]


MATERNAL SCREEN, FIRST TRIMESTER [ARUP]
Order Code MSSFT Test Code MSSFT
Specimen Required
       Container type SST  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Required patient info Include Crown Rump Length, Ultrasonographer name and certification number, date of ultrasound, patient date of birth, weight, due date, number of fetuses, race, previous pregnancies, chromosome abnormalities, Dr name and phone number; for in vitro fertilization need age of egg donor. THIS IS REQUIRED INFORMATION, SEND WITH REQUISITION. Required Patient History Form
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Repeat freeze thaw/cycles, hemolyzed specimens, heparin, EDTA or citrated plasma, and crown rump length GT 7.9 cm.
Limitations Must be drawn in first trimester between 11 weeks, 0 days and 13 weeks and 6 days. Crown rump length must be between 4.2-7.9 cm.
CPT codes 84702, 84163
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method ICMA/ELISA
Test includes
see below
Reference ranges
  
Patient hCG                             IU/L
MoM for hCG
Patient PAPP-A                          mIU/L
MoM for PAPP-A
Nuchal translucency                     mm
MoM for Nuchal Translucency
Interp
Previous downs
Maternal age at delivery                yrs
Estimated due date
Gestational age (exact)                 wks
Maternal weight                         lb
Maternal race
Number of fetuses
Crown rump length                       cm
Sonographer certification number
Sonographer name
Ultrasound date

Notes
This test does not screen for ONTD. This test is used to screen for fetal risk of Down syndrome and Trisomy 18.

[3086]


MATERNAL SCREEN, INTEGRATED, SPECIMEN # 2
Order Code MSSIS2 Test Code MSSIS2
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type SST  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store & transport refrigerated.
Required patient info Include crown rump length, ultrasonographer name & certification number, date of ultrasound, DOB, weight, due date, number of fetuses, race, does patient need insulin, family history of neural tube defect, is patient taking Valproic Acid or Carbamazepine, any previous pregnancy chromosome abnormality, Dr name & phone number; & for in vitro fertilization age of egg donor. THIS IS REQUIRED INFORMATION, SUBMIT WITH REQUISITION. Required Patient History Form
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Repeat freeze/thaw cycles, hemolyzed specimens, heparin, EDTA or citrated plasma & no crown rump length.
Limitations Must be drawn between 15 weeks, 0 days and 22 weeks, 6 days.
CPT codes 82105, 84702, 82677, 86336
Test schedule Mon, Wed, Fri
Turnaround time 5-8 days
Method ICMA/ELISA
Test includes
Maternal age at Delivery, yrs; Estimated Due Date; Gestational Age (Exact), wks; Insulin Required Maternal Diabetes; Family Hx Neural Tube Defect; Maternal Race; Number of Fetuses; Crown Rump Length, cm; Sonographer Certification Number; Sonographer Name; Ultrasound Date; Maternal Weight, lb; Patient AFP, ng/ml; MoM for AFP; Patient hCG, IU/L; MoM for hCG; Patient uE3, ng; MoM for uE3; Dimeric Inhibin A, pg/mL; MoM for DIA; Patient PAPPA-A, mIU/L; MoM for PAPP-A; Nuchal Translucency, mm; MoM for Nuchal Translucency; Interp
Reference ranges
  
Maternal age at Delivery                      yrs
Estimated Due Date
Gestational Age (Exact)                       wks
Insulin Req
Maternal Diabetes
Family Hx Neural Tube Defect
Maternal Race
Number of Fetuses
Crown Rump Length                             cm
Sonographer Cert No
Sonographer Name
Ultrasound Date
Maternal Weight                               lb
Patient AFP                                   ng/ml
MoM for AFP
Patient hCG                                   IU/L
MoM for hCG
Patient uE3                                   ng
MoM for uE3
Dimeric Inhibin A                             pg/mL
MoM for DIA
Patient PAPP-A                                mIU/L
MoM for PAPP-A
Nuchal Translucency                           mm 
MoM for Nuchal Translucency 
Interp

[3088]


MATERNAL SCREEN, INTEGRATED, SPECIMEN #1
Order Code MSINT1 Test Code MSINT1
Specimen Required
       Container type SST  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Required patient info Include crown rump length, ultrasonographer name and certification number, date of ultrasound, patient date of birth, weight, due date, number of fetuses, race, does patient need insulin, family history of Neural Tube Defect, is patient taking Valproic acid or Carbamazepine, previous pregnancy chromosome abnormalities, Dr name and phone number; for in vitro fertilization need age of egg donor. THIS IS REQUIRED INFORMATION, SUBMIT WITH REQUISITION. Required Patient History Form
Stability-   Room temp 8 hrs   Refrigerated 2 weeks   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Repeat freeze/thaw cycles, heparin, EDTA or citrated plasma, hemolyzed specimens, or crown rump length GT 7.9 cm.
Limitations Must be drawn between 10 weeks, 3 days and 13 weeks, 6 days. Crown rump length must be between 3.6-7.9 cm.
CPT codes 84163
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method Chemiluminescent Immunoassay
Test includes
see below
Reference ranges
  
Patient's		            mIU/L
 PAPP-A				
MoM for PAPP-A			
Nuchal			  mm
 Translucency				
MoM for NT			
Maternal				
 Screen Interp			
Previous Downs				
Maternal Age		  yrs
 at delivery				
Estimated Due				
 Date				
Gestational		  weeks
 Age (exact)				
Maternal			  lbs
 Weight			
Maternal Race				
Number of				
 Fetuses				
Crown Rump			  cm
 Length				
Sonographer				
 Certification				
 Number				
Sonographer				
 Name 				
Ultrasound				
 Date				
Best date to				
 draw sample				
 #2 by				
External Desc.				
 Except Test				

[6375]


MATERNAL SCREEN, SEQUENTIAL, SPECIMEN # 1 [ARUP]
Order Code MSSEQ1 Test Code MSSEQ1
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type Plain red top tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Required patient info Include crown rump length, ultrasonographer name & certification number, date of ultrasound, DOB, weight, due date, number of fetuses, race, does patient need insulin, family history of neural tube defect, is patient taking Valproic Acid or Carbamazepine, previous pregnancy with chromosome abnormality, Dr name & phone number; & for in vitro fertilization age of egg donor. THIS IS REQUIRED INFORMATION, SUBMIT WITH REQUISITION. Required Patient History Form
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Repeat freeze/thaw cycles, hemolyzed specimens, heparin, EDTA or citrated plasma & crown rump length GT 7.9 cm.
Limitations Must be drawn in first trimester between 10 weeks, 3 days and 13 weeks and 6 days. Crown rump length must be between 4.2-7.9 cm.
CPT codes 84702, 84163
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method Chemiluminescent Immunoassay
Test includes
see below
Reference ranges
  
Patient''s HCG				IU/L
MoM for HCG				
Patient''s				mIU/L
 PAPP-A				
MoM for PAPP-A				
Nuchal				mm
 Translucency				
MoM for NT				
Maternal				
 Screen Interp				
Previous Downs				
Maternal Age				year
 at Delivery				
Estimated Due				
 Date				
Gestational				weeks
 Age (exact)				
Maternal				
 Weight				lbs
Maternal Race				
Number of				
 Fetuses				
Crown Rump				cm
 Length				
Sonographer				
 Certification				
 Number				
Sonographer				
 Name				
Ultrasound				
 Date				
Best Date to				
 Draw Sample				
 #2 by				
EER Maternal				
 Screening,				
 Sequential,				
 Specimen 1				

[6379]


MATERNAL SCREEN, SEQUENTIAL, SPECIMEN # 2 [ARUP]
Order Code MSSS2 Test Code MSSS2
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type SST  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Required patient info Include crown rump length, ultrasonographers name & certification number, date of ultrasound, date of birth, weight, due date, number of fetuses, race, does patient need insulin, family history of neural tube defect, is patient taking Valproic Acid or Carbamazepine, previous pregnancy with chromosome abnormality, Dr name & phone number; for in vitro fertilization need age of egg donor. THIS IS REQUIRED INFORMATION, SUBMIT WITH REQUISITION. Required Patient History Form
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Repeat freeze/thaw cycles, hemolyzed specimens, heparin, EDTA or citrated plasma.
Limitations Must be drawn between 15 weeks, 0 days and 22 weeks, 6 days.
CPT codes 82105, 84702, 82677, 86336
Test schedule Mon-Sat
Turnaround time 5-8 days
Method ICMA/ELISA
Test includes
Maternal age at Delivery, yrs; Estimated Due Date; Gestational Age (Exact), wks; Insulin Required Maternal Diabetes; Family Hx Neural Tube Defect; Maternal Race; Number of Fetuses; Crown Rump Length, cm; Sonographer Certification Number; Sonographer Name; Ultrasound Date; Maternal Weight, lb; Patient AFP, ng/ml; MoM for AFP; Patient hCG, IU/L; MoM for hCG; Patient uE3, ng; MoM for uE3; Dimeric Inhibin A, pg/mL; MoM for DIA; Patient PAPPA-A, mIU/L; MoM for PAPP-A; Nuchal Translucency, mm; MoM for Nuchal Translucency; Interp
Reference ranges
  
Maternal age at Delivery                      yrs
Estimated Due Date
Gestational Age (Exact)                       wks
Insulin Req Maternal Diabetes
Family Hx Neural Tube Defect
Maternal Race
Number of Fetuses
Crown Rump Length                             cm
Sonographer Cert No
Sonographer Name
Ultrasound Date
Maternal Weight                               lb
Patient AFP                                   ng/ml
MoM for AFP
Patient hCG                                   IU/L
MoM for hCG
Patient uE3                                   ng
MoM for uE3
Dimeric Inhibin A                             pg/mL
MoM for DIA
Patient PAPP-A                                mIU/L
MoM for PAPP-A
Nuchal Translucency                           mm 
MoM for Nuchal Translucency 
Interp

[3090]


MDA (METHYLENEDIOXYAMPHETAMINE) (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCMDA Test Code TLCMDA
Synonyms Love pill, love drug, Mellow drug of america,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Methylenedioxyamphetamine (MDA)
Notes
Test is also included in Drug-Sur as part of panel.

[6957]


MECONIUM 12 DRUG SCREEN PLUS ALCOHOL
Order Code MEC12A Test Code MEC12A
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Frozen meconium  Preferred volume 3 grams  Minimum volume 2 grams
Collection procedure Collect all meconium passages until milk stool appears. Put in sterile plastic container and freeze. Complete United States Drug Testing Laboratories, Inc/MecStat Laboratories requisition form including Chain of Custody Information per instructions on the form. Proper test forms are available from PAML.
Specimen processing Store and transport frozen on dry ice. Protect from light.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Limitations Protect from light.
CPT codes 80101 x 12, 80100 x 7, 80103
Method EMIT/Confirm with GC/MS
Test includes
Amphetamines, ng/g; Amphetamine, GC/MS, ng/g; Methamphetamine, GC/MS, ng/g; MDA, GC/MS, ng/g; MDMA, GC/MS, ng/g; Cocaines, ng/g: Cocaine, GC/MS, ng/g; Cocaethylene, GC/MS, ng/g; Benzoylecgonine, GC/MS, ng/g; Metahydrozy-bze, GC/MS, ng/g; Opiates, ng/g; Codeine, GC/MS, ng/g; Morphine, GC/MS, ng/g; Hydrocodone, GC/MS, ng/g; Hydromorphone, GC/MS, ng/g; Phencyclidine, ng/g; PCP, GC/MS, ng/g; Cannabinoids, ng/g; Carboxy-THC, GC/MS, ng/g; Barbiturates, ng/g; Butalbital, GC/MS, ng/g; Amobarb, ng/g; Pentobarb, GC/MS, ng/g; Secobarb, GC/MS, ng/g; Phenobarb, GC/MS, ng/g; Metadones, ng/g; EDDP, GC/MS, ng/g; Methadone, GC/MS, ng/g; Benzodiazepines, ng/g; Oxamzepam, BC/MS, ng/g; Propoxyhphene, ng/g; Nor-PPX, GC/MS, ng/g; Meperidine, ng/g; Normeperidine, GC/MS, ng/g; Oxycodone, ng/g; Oxycodone, GC/MS, ng/g; Tramadol, ng/g; Tramadol, GC/MS, ng/g; Fatty Acid Ethyl Ester, ng/g; Fatty Acid ETH Esters, GC/MS, ng/g.
Reference ranges
  
Amphetamines                     ng/g
Amphetamine, GC/MS               ng/g
Methamphetamine, GC/MS           ng/g
MDA, GC/MS                       ng/g
MDMA, GC/MS                      ng/g
Cocaines                         ng/g
Cocaine, GC/MS                   ng/g
Cocaethylene, GC/MS              ng/g
Benzoylecgonine, GC/MS           ng/g
Metahydrozy-bze, GC/MS           ng/g
Opiates                          ng/g
Codeine, GC/MS                   ng/g
Morphine, GC/MS                  ng/g
Hydrocodone, GC/MS               ng/g
Hydromorphone, GC/MS             ng/g
Phencyclidine                    ng/g
PCP, GC/MS                       ng/g
Cannabinoids                     ng/g
Carboxy-THC, GC/MS               ng/g
Barbiturates                     ng/g
Butalbital, GC/MS                ng/g
Amobarb, GC/MS                   ng/g
Pentobarb, GC/MS                 ng/g
Secobarb, GC/MS                  ng/g
Phenobarb, GC/MS                 ng/g
Methadones                       ng/g
EDDP, GC/MS                      ng/g
Methadone, GC/MS                 ng/g
Benzodiazepines                  ng/g
Oxamzepam, GC/MS                 ng/g
Propoxyphene                     ng/g
Nor-PPX, GC/MS                   ng/g
Meperidine                       ng/g
Normeperidine, GC/MS             ng/g
Oxycodone                        ng/g
Oxycodone, GC/MS                 ng/g
Tramadol                         ng/g
Tramadol, GC/MS                  ng/g
Fatty Acid Ethyl Esters          ng/g
Fatty Acid ETH Esters, GC/MS     ng/g

[2484]


MECONIUM 5 DRUG + ALCOHOL SCREEN (REFLEXIVE)
Order Code MEC5A Test Code MEC5A
This test may reflex to additional tests if the screening tests are positive.
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Meconium  Preferred volume 3 grams  Minimum volume 3 grams
Collection procedure Collect all meconium passages until milk stool appears. Put in sterile plastic container and freeze. Complete United States Drug Testing Laboratories, Inc/MecStat Laboratories requisition form including Chain of Custody Information per instructions on the form. Proper test forms are available from PAML.
Specimen processing Store and transport frozen. Protect from light.
Stability-   Room temp 7 days   Refrigerated 30 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Limitations Protect from light.
CPT codes 80100 x 7, 80101 x 5, 80103
Method EMIT/Confirm with GC/MS
Test includes
Amphetamines, ng/g; Amphetamine, GC/MS, ng/g; Methamphetamine, GC/MS, ng/g; MDA, GC/MS, ng/g; MDMA, GC/MS, ng/g; Cocaines, ng/g: Cocaine, GC/MS, ng/g; Cocaethylene, GC/MS, ng/g; Benzoylecgonine, GC/MS, ng/g; Metahydrozy-bze, GC/MS, ng/g; Opiates, ng/g; Codeine, GC/MS, ng/g; Morphine, GC/MS, ng/g; Hydrocodone, GC/MS, ng/g; Hydromorphone, GC/MS, ng/g; Phencyclidine, ng/g; PCP, GC/MS, ng/g; Cannabinoids, ng/g; Carboxy-THC, GC/MS, ng/g;`Fatty Acid ETH Esters, GC/MS, ng/g.
Reference ranges
  
Amphetamines                     ng/g
Amphetamine, GC/MS               ng/g
Methamphetamine, GC/MS           ng/g
MDA, GC/MS                       ng/g
MDMA, GC/MS                      ng/g
Cocaines                         ng/g
Cocaine, GC/MS                   ng/g
Cocaethylene, GC/MS              ng/g
Benzoylecgonine, GC/MS           ng/g
Metahydrozy-bze, GC/MS           ng/g
Opiates                          ng/g
Codeine, GC/MS                   ng/g
Morphine, GC/MS                  ng/g
Hydrocodone, GC/MS               ng/g
Hydromorphone, GC/MS             ng/g
Phencyclidine                    ng/g
PCP, GC/MS                       ng/g
Cannabinoids                     ng/g
Carboxy-THC, GC/MS               ng/g
Fatty Acid ETH Esters, GC/MS     ng/g

[1179]


MECONIUM 5 DRUG SCREEN (REFLEXIVE)
Order Code MEC5 Test Code MEC5
This test may reflex to additional tests if the screening tests are positive.
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Meconium  Preferred volume 2 grams  Minimum volume 2 grams
Collection procedure Collect all meconium passages until milk stool appears. Put in sterile plastic container and freeze. Complete United States Drug Testing Laboratories, Inc/MecStat Laboratories requisition form including Chain of Custody Information per instructions on the form. Proper test forms are available from PAML.
Specimen processing Store and transport frozen. Protect from light.
Stability-   Room temp 7 days   Refrigerated 30 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Limitations Protect from light.
CPT codes 80101 x 5, 80103
Turnaround time 4-6 days
Method EMIT/Confirm with GC/MS
Test includes
Amphetamines, ng/g; Amphetamine, GC/MS, ng/g; Methamphetamine, GC/MS, ng/g; MDA, GC/MS, ng/g; MDMA, GC/MS, ng/g; Cocaines, ng/g: Cocaine, GC/MS, ng/g; Cocaethylene, GC/MS, ng/g; Benzoylecgonine, GC/MS, ng/g; Metahydrozy-bze, GC/MS, ng/g; Opiates, ng/g; Codeine, GC/MS, ng/g; Morphine, GC/MS, ng/g; Hydrocodone, GC/MS, ng/g; Hydromorphone, GC/MS, ng/g; Phencyclidine, ng/g; PCP, GC/MS, ng/g; Cannabinoids, ng/g; Carboxy-THC, GC/MS, ng/g.
Reference ranges
  
Amphetamines                     ng/g
Amphetamine, GC/MS               ng/g
Methamphetamine, GC/MS           ng/g
MDA, GC/MS                       ng/g
MDMA, GC/MS                      ng/g
Cocaines                         ng/g
Cocaine, GC/MS                   ng/g
Cocaethylene, GC/MS              ng/g
Benzoylecgonine, GC/MS           ng/g
Metahydrozy-bze, GC/MS           ng/g
Opiates                          ng/g
Codeine, GC/MS                   ng/g
Morphine, GC/MS                  ng/g
Hydrocodone, GC/MS               ng/g
Hydromorphone, GC/MS             ng/g
Phencyclidine                    ng/g
PCP, GC/MS                       ng/g
Cannabinoids                     ng/g
Carboxy-THC, GC/MS               ng/g

[1180]


MECONIUM 9 DRUG SCREEN (REFLEXIVE)
Order Code MEC9SC Test Code MEC9SC
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Meconium  Preferred volume 2 grams  Minimum volume 2 grams
Collection procedure Collect all meconium passages until milk stool appears. Put in sterile plastic container and freeze. Complete United States Drug Testing Laboratories, Inc/MecStat Laboratories requisition form including Chain of Custody Information per instructions on the form. Proper test forms are available from PAML.
Specimen processing Store and transport frozen. Protect from light.
Stability-   Room temp 7 days   Refrigerated 30 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Limitations Protect from light.
CPT codes 80101 x 9, 80103
Method EMIT/Confirm with GC/MS
Test includes
Amphetamines, ng/g; Amphetamine, GC/MS, ng/g; Methamphetamine, GC/MS, ng/g; MDA, GC/MS, ng/g; MDMA, GC/MS, ng/g; Cocaines, ng/g: Cocaine, GC/MS, ng/g; Cocaethylene, GC/MS, ng/g; Benzoylecgonine, GC/MS, ng/g; Metahydrozy-bze, GC/MS, ng/g; Opiates, ng/g; Codeine, GC/MS, ng/g; Morphine, GC/MS, ng/g; Hydrocodone, GC/MS, ng/g; Hydromorphone, GC/MS, ng/g; Phencyclidine, ng/g; PCP, GC/MS, ng/g; Cannabinoids, ng/g; Carboxy-THC, GC/MS, ng/g;`Barbiturates, ng/g; Amobarb, ng/g; Pentobarb, GC/MS, ng/g; Secobarb, GC/MS, ng/g; Phenobarb, GC/MS, ng/g; Metadones, ng/g; EDDP, GC/MS, ng/g; Methadone, GC/MS, ng/g; Benzodiazepines, ng/g; Oxamzepam, BC/MS, ng/g; Propoxyhphene, ng/g; Nor-PPX, GC/MS, ng/g.
Reference ranges
  
Amphetamines                     ng/g
Amphetamine, GC/MS               ng/g
Methamphetamine, GC/MS           ng/g
MDA, GC/MS                       ng/g
MDMA, GC/MS                      ng/g
Cocaines                         ng/g
Cocaine, GC/MS                   ng/g
Cocaethylene, GC/MS              ng/g
Benzoylecgonine, GC/MS           ng/g
Metahydrozy-bze, GC/MS           ng/g
Opiates                          ng/g
Codeine, GC/MS                   ng/g
Morphine, GC/MS                  ng/g
Hydrocodone, GC/MS               ng/g
Hydromorphone, GC/MS             ng/g
Phencyclidine                    ng/g
PCP, GC/MS                       ng/g
Cannabinoids                     ng/g
Carboxy-THC, GC/MS               ng/g
Barbiturates                     ng/g
Amobarb, GC/MS                   ng/g
Pentobarb, GC/MS                 ng/g
Secobarb, GC/MS                  ng/g
Phenobarb, GC/MS                 ng/g
Methadones                       ng/g
EDDP, GC/MS                      ng/g
Methadone, GC/MS                 ng/g
Benzodiazepines                  ng/g
Oxamzepam, GC/MS                 ng/g
Propoxyphene                     ng/g
Nor-PPX, GC/MS                   ng/g

[1181]


MELANIN, URINE
Order Code MELURS Test Code MELURS
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Frozen urine, random or 24-hour urine collection  Preferred volume 4.5 mL  Minimum volume 2 mL
Collection procedure Collect a random or 24-hour urine specimen. Refrigerate during collection. Protect from light.
Specimen processing 4.5 mL aliquot of a random or 24-hour urine specimen. Protect from light. Store and transport frozen.
Unacceptable conditions Refrigerated or ambient samples and samples exposed to light.
Limitations Protect from light.
CPT codes 81005
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Colorimetric
Test includes
Melanin, Urine.
Reference ranges
  
Melanin, Urine     Negative

[1182]


MELANOCYTE STIMULATION HORMONE, ALPHA
Order Code AMSH Test Code AMSH
Synonyms a-Melanocyte Stimulation Hormone
Specimen Required
       Container type Red top tube  Specimen type Frozen serum  Preferred volume 3 mL  Minimum volume 1 mL
Patient Prep Patient should not be on any steroid, ACTH or hypertension medication, if possible, for at least 18 hours prior to specimen collection.
Specimen processing Separate serum from cells ASAP and put in separate plastic tube and freeze. Store and transport frozen. This is a critical frozen specimen. Separate samples must be submitted when multiple tests are ordered.
Stability-   Room temp unstable   Refrigerated unstable   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Specimens not received frozen.
Alternate specimens Frozen EDTA plasma (lavender top tube).
CPT codes 83519
Test schedule Varies
Turnaround time 2-7 days
Method RIA
Test includes
Melanocyte Stimulation Hormone, Alpha, pg/mL.
Reference ranges
  
Melanocyte Stimulation Hormone, Alpha 
 0.0-5.0 pg/mL

[1183]


MENINGOENCEPHALITIS COMPREHENSIVE PANEL
Order Code MENPAN Test Code MENPAN
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 5 mL  Minimum volume 4 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport room temperature.
Stability-   Room temp 7 days   Refrigerated 14 days   Frozen (-20°C) 30 days   Frozen (-70°C)
CPT codes 86727 x 2, 86765 x 2, 86735 x 2, 86644, 86645, 86652 x 2, 86651 x 2, 86653 x 2, 86654 x 2, 86603, 86171 x 2, 86658 x 17, 86171, 86696, 86694, 86695.
Test schedule Tue, Thu, Sat
Turnaround time 3-5 days
Method IFA, CF, ELISA, MAID
Test includes
Adenovirus Antibody; California Encephalitis (La Crosse Virus) Antibody; Coxsackie Type A Antibody Panel; Coxsackie Type B Antibody Panel; Cytomegalovirus (CMV) IgG and IgM; Eastern Equine Encephalitis Antibody Panel; Echovirus Antibody Panel; Herpes SimplexVirus (HSV) 1/2, IgG and IgM Antibody Panel; Influenza Types A and B Antibody; Lymphocytic Choriomeningitis (LCM) Antibody; Measles (Rubeola) IgG and IgM Antibody Panel; Mumps Antibody Panel; St. Louis Encephalitis Virus Antibody; Varicella-Zoster Virus Antibody; Western Equine Encephalitis Antibody Panel.
Reference ranges
  
Meningoencephalitis Comprehensive Panel
 Separate Report to Follow

[1185]


MENORRHAGIA EVALUATION (REFLEXIVE)
Order Code MENEVL Test Code MENEVL
Separate samples must be submitted when multiple tests are ordered.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 4 mL  Minimum volume 2-1 mL aliquots
Collection procedure Liquid blue top tubes filled to capacity.
Specimen processing Centrifuge specimens, separate plasma into four 1 mL aliquots, put in plastic tubes and freeze. Store and transport frozen.
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 24 hours old that have not been separated and frozen. Avoid repeat freeze/thaw cycles.
Department Coagulation
CPT codes 85610, 85730, 85240, 85245, 85246, 85270
Test schedule Mon-Fri
Turnaround time 72 hours
Method Electromechanical, LIA, Platelet Agg
Test includes
Protime, sec; Population Mean, sec; INR; PTT patient, sec; PTT, pop mean, sec; Pt 1/1 Mix, sec; Pt Control Plasma, sec; PTT1/1 Control Plasma, sec; PTT Control Plasma, sec; Von Willebrand Factor, % Activity; Von Willebrand Factor Antigen, %; Factor VIII Coagulant Activity, % Activity; Factor XI, %.
Reference ranges
  
Protime                          sec
 0-1 mon         13.0-20.0
 2+ mon          10.9-14.8
Pop Mean         13.4            sec
INR              0.9-1.2 
                 2.0-3.0   Usual oral
                 anticoagulation range.
                 2.5-3.5   High level 
                 oral anticoagulation
                 range.
PTT, Patient                     sec
 0-1 mo           40-50 
 2 mos-4 yrs      25-40
 5+ yrs           26-36
PTT, Pop.mean     31             sec
  Deep venous thrombosis or pulmonary
  embolism therapeutic heparin levels
  of 0.3 to 0.7 Units/mL anti-factor
  Xa levels usually correspond to an
  aPTT of 60-85 seconds. Acute cardiac
  syndrome therapeutic range based on
  heparin levels of 0.2 to 0.5 
  usually correspond to an aPTT of
  55 to 75 seconds.
PT 1/1 Mix                       sec
PT Control Plasma                sec
PTT 1/1 Mix                      sec
PTT Control Plasma               sec
von Willebrand Factor            %
 GT 40 % Activity  
von Willebrand Factor Antigen    %
 50-165                          
Factor VIII Coagulant Activity   %          
 55-150 % Activity
Factor XI      65-135            %

[1187]


MEPERIDINE
Order Code MER Test Code MEP
Synonyms Demerol
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Alternate specimens EDTA plasma (lavender top tube).
Limitations No SST tubes.
CPT codes 83925
Test schedule Mon-Fri
Turnaround time 5-7 days
Method GC
Test includes
Meperidine, mcg/mL; Normeperidine, mcg/mL.
Reference ranges
  
Meperidine                    mcg/mL
 Expected analgesic range  0.1-0.6    
Normeperidine                 mcg/mL
 Up to 0.5  
 This test is for clinical use only.

[1188]


MEPERIDINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCMPD Test Code TLCMPD
Synonyms Demerol, Mepergan, demies, painkiller, pain reliever,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Meperidine
Notes
Test is also included in Drug-Sur as part of panel.

[6959]


MEPERIDINE BY GC/MS
Order Code MSMEP Test Code MSMEP
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 30 mL  Minimum volume 20 mL
Collection procedure Collect a random urine specimen in a leakproof plastic urine container.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 10 days   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Blood, serum or plasma samples.
Department Toxicology
CPT codes 80102
Test schedule Mon-Fri
Turnaround time 1-2 days
Method GC/MS
Test includes
Meperidine, ng/mL; Normeperidine, ng/mL.
Reference ranges
  
Meperidine      positive cutoff 100   ng/mL
Normeperidine   positive cutoff 100   ng/mL

[5531]


MEPERIDINE SCREEN ( REFLEX)
Order Code MEPU Test Code MEPU
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Leakproof plastic urine container  Specimen type Urine, Random  Preferred volume 30 mL  Minimum volume 20 mL
Collection procedure Collect a random urine specimen in a leakproof plastic urine container.
Specimen processing Store and at room temperature.
Stability-   Room temp 10 days   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Blood, serum or plasma samples.
Department Toxicology
CPT codes 80101
Test schedule Mon-Fri
Turnaround time 1-2 days
Method EIA/Confirmation by GC/MS
Test includes
Meperidine, ng/mL.
Reference ranges
  
Meperidine  positive cutoff 200  ng/mL

[5530]


MEPHENYTOIN & METABOLITE
Order Code MEPHE Test Code MEPHE
Synonyms Mesantoin
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Unacceptable conditions Specimens drawn using serum separator tubes or gels.
CPT codes 82492
Test schedule Mon-Fri
Turnaround time 3-5 days
Method HPLC
Test includes
Mephenytoin, mcg/mL; Normephenytoin, mcg/mL.
Reference ranges
  
Mephenytoin                  mcg/mL
 No reference range established         
Normephenytoin               mcg/mL 
 No reference range established

[1189]


MEPHOBARBITAL
Order Code MEBARAL Test Code MEPHOB
Synonyms Mebaral
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Stability-   Room temp 1 day   Refrigerated 10 days   Frozen (-20°C) 10 days   Frozen (-70°C)
Alternate specimens Heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube).
CPT codes 82205
Test schedule Mon-Fri
Turnaround time 3-5 days
Method GC
Test includes
Mephobarbital, ug/mL.
Reference ranges
  
Mephobarbital  0-3  ug/mL
 Concentrations are seen with normal
 metabolism.

[1190]


MEPROBAMATE & CARISOPRODOL
Order Code MEPROBAMATE Test Code CARMEP
Synonyms Equanil
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 3 mL  Minimum volume 0.8 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Stability-   Room temp 7 days   Refrigerated 1 month   Frozen (-20°C) 3 months   Frozen (-70°C)
Alternate specimens Heparinized, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube).
Limitations Avoid the use of serum separator tubes and gels.
CPT codes 83805, 80299
Test schedule Mon, Fri
Turnaround time 3-5 days
Method GC/MS
Test includes
Meprobamate, ug/mL; Carisoprodol, ug/mL.
Reference ranges
  
Meprobamate  Therapeutic  5-20    ug/mL
             Toxic        GT 40
Carisoprodol Therapeutic  LT 8    ug/mL
             Toxic        8 or more

[1191]


MEPROBAMATE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCMPB Test Code TLCMPB
Synonyms Equanil, Miltown, SK-bamate, Equagesic, Micrainin,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 3000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon-Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Meprobamate
Notes
Test is also included in Drug-Sur as part of panel.

[6960]


MEPROBAMATE, URINE
Order Code MEPROB Test Code MEPROB
Specimen Required
       Container type Sterile urine cup  Specimen type Urine  Preferred volume 30 mL  Minimum volume 5 mL
Specimen processing Collect specimen in a leakproof plastic urine container. Store and transport at room temperature.
Stability-   Room temp 10 days   Refrigerated 30 days   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Blood, serum or plasma.
CPT codes 83805
Test schedule Mon-Fri
Turnaround time 2-3 days
Method GC/MS
Reference ranges
  
Meprobamate, Urine                  1-5                  ug/mL

[3028]


MERCAPTOPURINE, SERUM
Order Code MERCAP Test Code MERCAP
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 0.7 mL
Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp unstable   Refrigerated unstable   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions SST or gel-type tubes.
CPT codes 82491
Test schedule Tue, Thu
Turnaround time 3-5 days
Method HPLC
Test includes
Mercaptopurine, ng/mL.
Reference ranges
  
Mercaptopurine                   ng/mL
 Following a single 75 mg/sq meter 
 mercaptopurine dose: 40-280 ng/mL at
 0.5-4 hours post-dose (peak).
 Following oral regimen of 50-100 mg/
 day: 50-80 ng/mL at 1 hour post-dose
 (peak).
 Mercaptopurine can be administered
 as a drug (antineplastic) and it is
 also a metabolite of azathioprine
 (immunosuppressive).

[1192]


MERCURY, SERUM/PLASMA
Order Code HGQT Test Code HGQT
Specimen Required
       Container type Royal blue top tube (metal free EDTA)  Specimen type Plasma  Preferred volume 1 mL  Minimum volume 0.4 mL
Collection procedure Collect specimens at end of shift at end of work week.
Specimen processing Separate plasma or serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 weeks   Refrigerated 2 weeks   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions SST or PST Tubes
Alternate specimens Serum (Plain Metal Free Blue top tube - No additive)
CPT codes 83825
Test schedule Tue
Turnaround time 3-5 days
Method ICP/MS
Test includes
Mercury, Serum/ Plasma, Quantitative, mcg/mL.
Reference ranges
  
Mercury, Serum, Quantitative      mcg/mL
 Normal up to 6

[1193]


MERCURY, URINE
Order Code HGUQT Test Code HGUQT
Synonyms HG
Specimen Required
       Container type 24 hour trace-metal free, dark plastic urine container.  Specimen type 24 hour urine collection  Preferred volume 10 mL  Minimum volume 5.0 mL
Collection procedure Collect a 24 hour urine in a trace-metal free, dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 10 mLs well mixed, 24 hour urine into trace-metal free, leakproof, plastic urine container. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Urine collected within 48 hours after administration of gadolinium (Gd) containing contrast media (may occur with MRI studies), acid preserved urine.
Alternate specimens random urine
CPT codes 83825
Test schedule Mon-Sat
Turnaround time 2-5 days
Method ICP/MS
Test includes
Time, hr; Volume, mL; Creatinine, mg/dL; Creatinine, mg/d; Mercury, Urine ug/L; Mercury, Urine ug/day; Mercury, Urine ug/gCR.
Reference ranges
  
Collect Time,                               hr
Total Volume,                               mL
Creatinine,                                 mg/dL
Creatinine,Urine                            mg/d
3-8 yrs         M   140-700       F  140-700
9-12 yrs        M   300-1300      F  300-1300
13-17 yrs       M   500-2300      F  400-1600
18-50 yrs       M   1000-2500     F  700-1600
51-80 yrs       M   800-2100      F  500-1400
81 yrs +        M   600-2000      F  400-1300
Mercury, Urine                              ug/L
Mercury, Urine                              ug/day
Mercury, Urine per gm creatinine   LT 35.0  ug/gCR
Notes
ARUP studies indicate refrigeration, during and after collection, preserves specimens as well as preservatives, if tested within 14 days of collection.

[3055]


MERCURY, URINE (QUANTITATIVE)
Order Code MERC-U Test Code HGUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Synonyms Hg, Urine
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection.  Preferred volume 50 mL  Minimum volume 5 mL
Collection procedure Add 20 mL 6N nitric acid to a 24-hour dark plastic urine container at the start of collection. Collect a 24-hour urine specimen. Use only SAGE, GUARD, P-Splitter or HEDWIN jugs. Pretest other jugs. Do not use VOLLRATH jugs. Refrigerate during collection.
Specimen processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Adjust pH to 2. Store and transport refrigerated.
Required patient info pH, collection period and total volume.
Stability-   Room temp 72 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Specimens contaminated with blood or fecal materials.
Alternate specimens May add 20 mL 6N HNO3 at end of collection. Adjust pH to 2. This procedure may be done after the specimen has been received at PAML, however, it must be shipped in the original collection container & performed before it is aliquoted. Entire collection should be kept refrigerated and acid added to entire collection within 20 hours.
Limitations Urine volume increases with Dimercaprol and penicilliame when used to treat poisoning.
Department Chemistry
CPT codes 83825
Test schedule Tue, Thu, Sat
Turnaround time 2-5 days
Method Mercury Hydride AAS
Test includes
Collection Period, h; Volume, mL; Mercury, Urine, ug/L; Mercury, Urine, ug/24h.
Reference ranges
  
Collection Period             h      
Volume                        mL
Mercury, Urine                ug/L                              
Mercury, Urine                ug/24h
 Non Exposure       LT 20
 Inconclusive       20-150
 Potentially Toxic  GT 150
 The concentration of mercury at which
 toxicity is expressed is widely 
 variable among patients. 50 ug/24h is 
 the lowest concentration at which
 toxicity may be apparent.

[1194]


MERCURY, URINE (RANDOM)
Order Code MERC-RU Test Code HGUR
Synonyms Hg, Urine (Random)
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 50 mL  Minimum volume 5 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 50 mL of a random urine specimen. Adjust pH to 2 with 6N nitric acid. Store and transport refrigerated.
Required patient info pH
Stability-   Room temp 72 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Specimens contaminated with blood or fecal material.
Department Chemistry, Trace Metals
CPT codes 83825
Test schedule Tue, Thu, Sat
Turnaround time 2-4 days
Method Mercury Hydride AAS
Test includes
Mercury, Urine, ug/L.
Reference ranges
  
Mercury, Urine, Random       ug/L
 No normals established

[1195]


MERCURY, WHOLE BLOOD
Order Code MERC Test Code MERC
Specimen Required
       Container type Royal blue top tube (metal free K2EDTA)  Specimen type Whole blood  Preferred volume 7 mL  Minimum volume 0.5 mL
Specimen processing Store and transport at room temperature.
Unacceptable conditions Heparin anticoagulant.
Alternate specimens NA2EDTA whole blood (NA2EDTA royal blue top tube).
CPT codes 83825
Test schedule Mon-Sat
Turnaround time 2-5 days
Method AA/ICP-MS
Test includes
Mercury, ug/L.
Reference ranges
  
Mercury, Blood    0-10    ug/L
 This test measures total mercury,
 whereas the reference interval
 relates to inorganic mercury
 concentrations. Dietary and non-
 occupational exposure to organic
 mercury species may contribute to
 an elevated total mercury result.
Notes
Mercury is volatile; concentration may reduce after 7 days or more storage.

[1196]


METABOLIC SCREEN, URINE
Order Code METABOLIC.SCR Test Code METSUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Frozen urine, random  Preferred volume 10 mL  Minimum volume 10 mL
Patient Prep Patient should collect the urine specimen after a meal.
Specimen processing 10 mL aliquot of a random urine specimen. Store and transport frozen.
Required patient info Patient's age, presence of infection, diet and drugs.
CPT codes 82009, 82128, 83864, 81020
Test schedule Tue, Fri
Turnaround time 5-10 days
Method HPLC
Test includes
Metabolic Screen.
Reference ranges
  
Metabolic Screen 
 Separate Report to Follow

[1197]


METALS/METALLOIDS PANEL, BLOOD
Order Code METALS Test Code METALS
Use of this trace metal free tube is important to avoid specimen contamination.
Specimen Required
       Container type Royal blue top tube (metal free EDTA)  Specimen type Whole blood  Preferred volume 7 mL  Minimum volume 4 mL
Collection procedure Recommend specimen be drawn at end of shift at end of patient's work week.
CPT codes 82300, 83825, 83018
Test schedule Varies
Turnaround time 5-10 days
Method GFAAS/AAS
Test includes
Cadmium, ug/L; Mercury, ug/L; Tellurium, ug/dL.
Reference ranges
  
Cadmium                           ug/L
 Minimum (OSHA) action level for     
 enhanced medical surevillance:
 GT 5 ug/L.
Mercury                           ug/L
 Recommended biological exposure
 index (ACGIH): 15 ug/L in blood
 collected at end of shift at end 
 of work week.
Tellurium                         ug/dL
 3.3  (Usual average blood)

[1198]


METANEPHRINES, PLASMA FREE
Order Code METPL Test Code METPL
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen EDTA plasma  Preferred volume 4 mL  Minimum volume 1.5 mL
Patient Prep Discontinue epinephrine and epinephrine-like drugs at least 1 week before testing. Patient must refrain from using acetaminophen for 48 hours before the specimen in drawn. Also refrain from using caffeine, medications, tobacco and from drinking coffee, tea or alcoholic beverages for at least 4 hours before specimen collection.
Collection procedure Prefer patient to be overnight fasting. Put tube in an ice bath immediately after collection. Collect the sample after the patient has had 15 minutes rest in a supine position.
Specimen processing Specimen tube should be put in an ice bath when collected. Within 1 hour, centrifuge at 4C, and put plasma in separate plastic tube. Freeze immediately. Store and transport frozen. CRITICAL FROZEN.
Stability-   Room temp Unacceptable   Refrigerated Unacceptable   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed, ambient, refrigerated, and sodium citrate-preserved plasma samples.
Alternate specimens K2EDTA plasma (pink top tube)
CPT codes 83835
Test schedule Sun-Sat
Turnaround time 3-7 days
Method HPLC
Test includes
Normetanephrine, nmol/L; Metanephrine, nmol/L; Interpretation.
Reference ranges
  
Normetanephrine   0.0-0.89   nmol/L
Metanephrine      0.0-0.49   nmol/L
Interpretation
 Patients with essential hypertension
 and plasma concentrations of 
 normetanephrine & metanephrine below
 0.9 nmol/L and 0.5 nmol/L, respectively
 can be reliably excluded from further
 testing for the detection of a pheno-
 chromocytoma. The majority of patients
 with a phenochromocytoma have a plasma
 normetanephrine concentration in excess
 of 1.1 nmol/L. The presence of
 increased concentrations of the
 analytes serves as confirmation for 
 the diagnosis of the tumor.

[1200]


METANEPHRINES, TOTAL, URINE
Order Code MET Test Code METTUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type Frozen 24-hour urine collection  Preferred volume 30 mL  Minimum volume 5 mL
Collection procedure Add 25 mL 6N HCl to 24-hour dark plastic urine container. Collect a 24-hour urine specimen. Refrigerate during collection.
Specimen processing Aliquot 30 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 1-3 with 6N HCl and freeze. Record collection time and total volume. Store and transport frozen.
Required patient info Collection period and total volume.
Stability-   Room temp   Refrigerated Acidified: 1 week.   Frozen (-20°C) Acidified: 1 month.   Frozen (-70°C)
Alternate specimens 24-hour urine collected with 10 grams of boric acid, or 25 mL of 50% acetic acid and then pH to 1-3 with 6N HCl. Specimens may also be refrigerated during collection without a preservative and then pH adjusted to 1-3 with 6N HCl upon receipt.
Limitations A pH less than 1 can cause assay interference. False positives can be seen with stress.
Department Special Chemistry
CPT codes 83835
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method HPLC/Electrochemical Detection
Test includes
Collection Period, h; Volume, mL; Metanephrines, Total Urine, mg/24h.
Reference ranges
  
Collection Period              h
Volume                         mL
Metanephrines, Total Urine     mg/24h
 0.140-0.785

[1201]


METANEPHRINES, URINE (FRACTIONATED)
Order Code MET.FRAC Test Code METUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type Frozen 24-hour urine collection  Preferred volume 30 mL  Minimum volume 5 mL
Collection procedure Add 25 mL 6N HCl to a 24-hour dark plastic urine container at the start of the collection. Refrigerate during collection.
Specimen processing Aliquot 30 mL of a well-mixed preserved 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 1-3 and freeze. Record collection time and total volume. Store and transport frozen.
Required patient info Collection period and total volume.
Stability-   Room temp   Refrigerated Acidified: 1 week.   Frozen (-20°C) Acidified: 1 month.   Frozen (-70°C)
Alternate specimens 24-hour urine collected with 10 grams of boric acid, or 25 mL of 50% acetic acid and then pH to 1-3 with 6N HCl. Specimens may also be refrigerated during collection without a preservative and then pH adjusted to 1-3 with 6N HCl upon receipt.
Limitations A pH less than 1 can cause assay interference.
Department Special Chemistry
CPT codes 83835
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method HPLC/Electrochemical Detection
Test includes
Collection Period, h; Volume, mL; Metanephrines, mg/24h; Normetanephrine, mg/24h; Metanephrines, Total, mg/24h.
Reference ranges
  
Collection Period                      h
Volume                                 mL
Metanephrines        0.052-0.341       mg/24h
Normetanephrine      0.088-0.444       mg/24h
Metanephrines, Total 0.140-0.785       mg/24h
 Patients on Buspirone therapy will show falsely elevated metanephrine levels.

[1199]


METANEPHRINES, URINE (RANDOM)
Order Code METAUR Test Code METAUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Frozen urine, random  Preferred volume 30 mL  Minimum volume 10 mL
Collection procedure Collect a random urine specimen in a leakproof plastic urine container.
Specimen processing Aliquot 30 mL of a random urine specimen and adjust pH to 1-3 with 6N HCl and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated Acidified: 1 week.   Frozen (-20°C) Acidified: 1 month.   Frozen (-70°C)
Limitations False positives can be seen with stress.
Department Special Chemistry
CPT codes 83835, 82570
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method HPLC/Electro Det/Enzymatic (IDMS traceable)
Test includes
Creatinine, Urine Random, mg/dL; Metanephrine, Urine, Random, mg/L; Metanephrine (Calculation), Normetanephrine, mg/L; Normetanephrine (Calculation),ug/gCr, Total Metanephrines, mg/L.
Reference ranges
  
Creatinine, Urine Random         No reference range established   mg/dL
Metanephrine, Urine Random       No reference range established   mg/L
Metanephrine, Urine Random                                        ug/gCr
 3-8 years      47-240
 9-12 years     40-220
 13-17 years    33-145
 Adults         31-140
Normetanephrine                  No reference range established   mg/dL
Normetanephrine                                                    ug/gCr
 3-8 years      62-705
 9-12 years     81-583
 13-17 years    95-375
 Adults         47-310
Total Metanephrines              No reference range established   mg/dL

                            Patients on Buspirone
                            therapy will show falsely elevated
                            metanephrine levels.
                            Please note: A 24-hr urine collection is the 
                            preferred specimen. These reference ranges
                            for random urine collections are based on
                            literature review.

[5562]


METHADONE & METABOLITE, SERUM
Order Code METMB Test Code METMB
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport at room temperature.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 3 years   Frozen (-70°C)
Unacceptable conditions Serum separator tubes and gels.
Alternate specimens Potassium oxalate/sodium fluoride (grey top tube).
CPT codes 83840
Test schedule Mon-Fri
Turnaround time 2-5 days
Method LC/TMS
Test includes
Methadone & Metabolite.
Reference ranges
  
Methadone & Metabolite
 Drugs covered: methadone & EDDP
 (methadone metabolite)
 Positive cutoff: 10 ng/mL
 Usual stabilization range of methadone
 in narcotic withdrawal patients:
 50-1000 ng/mL (trough level).
 Methadone EDDP has no
 apparent pharmacological activity.

[1203]


METHADONE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- SUR.
Order Code TLCMET Test Code TLCMET
Synonyms Dolophine, dollies, meth, fizzies, amidone,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Methadone and Methadone Metabolite
Notes
Test is also included in Comprehensive Drug Survey.

[6994]


METHADONE CONFIRMATION BY GC/MS
Order Code MSMET Test Code MSMET
Synonyms dolophine, dollies, meth, fizzies, amidone
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 300 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Gas Chromatography Mass Spectrometry

[6904]


METHADONE CONFIRMATION BY TLC. TEST IS ALSO INCLUDED IN DRUG-SUR.
Order Code TLCMET Test Code TLCMET
Synonyms dolophine, dollies, meth, fizzies, amidone,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff at 500 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Modified Thin Layer Chromatography
Test includes
Methadone and metabolite
Notes
Test is also included in Comprehensive Drug Survey.

[6901]


METHADONE SCREEN
Order Code METH Test Code METD
Synonyms Dolophine, dollies, meth, fizzies, amidone
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 300 ng/ml
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Test includes
Methadone and Methadone metabolite
Notes
Positive results will automatically be confirmed by TLC

[6896]


METHAMPHETAMINE (URINE ONLY) TEST ASLO INCLUDED IN DRUG-SUR.
Order Code TLCAMP Test Code TLCAMP
Synonyms Desoxyn, speed, crystal, uppers, whites, cartwheels, white crosses, bennies, black beauties, blackbeauties, black cadillacs, chalk, crank, fire, glass, go, fast, ice, meth, speed,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 -48 hours
Method Thin Layer Chromatography
Test includes
Amphetamine and Methamphetamine
Notes
Test is also included in Comprehensive Drug Survey.

[6995]


METHAMPHETAMINE D & L ISOMERS
Order Code METDL Test Code METD+L
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Department Toxicology
CPT codes 80299
Test schedule M - F
Turnaround time 24 - 48 hours
Method Gas Chromatography Mass Spectrometry
Test includes
D-Methamphetamine,L-Methamphetamine

[6932]


METHAQUALONE
Order Code METHA Test Code METHA
Synonyms Quaalude
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.7 mL
Specimen processing Separate serum from cells immediately and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions SST or PST (gel separators tubes).
Alternate specimens Plasma.
CPT codes 82542
Test schedule Tue, Fri
Turnaround time 4-7 days
Method GC/MS
Test includes
Methaqualone, mcg/mL.
Reference ranges
  
Methaqualone                                       mcg/mL
 Reported blood levels associated with:
 Erratic driving      2-12
 Mild Toxicity        2-16
 Unconsciousness      GT 8

[3577]


METHAQUALONE CONFIRMATION BY GC/MS
Order Code MSQUA Test Code MSQUA
Synonyms Quaaludes, Ludes, qualude, sopor, parest, ludes, mandrex, quad, quay, 714s, karachi, sporos,qualudes,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff at 300 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time Sendout 48-96
Method Gas Chromatography Mass Spectrometry

[6905]


METHAQUALONE CONFIRMATION BY TLC
Order Code TLCQUA Test Code TLCQUA
Synonyms Quaaludes, Ludes, Sopor, Parest, mandrex, quad, quay, 714s, karachi, sporos,qualudes,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff at 1000 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Modified Thin Layer Chromatography

[6902]


METHAQUALONE SCREEN
Order Code QUAL Test Code MEQ
Synonyms Quaaludes, Ludes, Sopor, Parest, mandrex, quad, quay, 714s, Karachi, sporos, qualudes,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff at 300 ng/ml
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Notes
Positive Results will automatically be confirmed by TLC

[6903]


METHEMOGLOBIN (QUANTITATIVE)
Order Code METHGB QUAN Test Code CMHGB
Synonyms MetHb
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 0.5 mL
Collection procedure Fill EDTA lavender top tube completely.
Specimen processing Do not remove stopper. Put tube on wet ice immediatley and transport without delay.
Stability-   Room temp 30 minutes; Wet ice-4 hours.   Refrigerated 7 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Tube that has been opened or tube left at room temperature longer than 30 minutes or longer than 4 hours on ice.
Alternate specimens Sodium heparinized whole blood (green top tube).
Department Respiratory Therapy
CPT codes 83050
Test schedule Sun-Sat
Turnaround time 24-48 hours
Method Colorimetric/Co-oximeter
Test includes
Hemoglobin, g/dL; CO, %; Methemoglobin, %.
Reference ranges
  
Hemoglobin                     g/dL
 0-3 days            14.5-22.5
 3-7 days            13.5-21.5
 7-14 days           12.5-20.5
 14-30 days          10.0-18.0
 30-60 days          9.0-14.0
 2-6 mo              10.5-13.5
 6-24 mo             11.5-13.5
 2-6 yrs             11.5-13.5
 6-12 yrs            11.5-15.5
 12-18 yrs     M     13.0-16.0
 18 yrs+       M     13.7-16.7
 12-18 yrs     F     12.0-16.0
 18 yrs+       F     11.6-15.5 
COHgb 1-3  Values may be        %
 slightly higher in smokers                
Methemoglobin   0.4-1.5           %

[1204]


METHOCARBAMOL (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCMCB Test Code TLCMCB
Synonyms Robaxin, Robaxisal,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 3000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Methocarbamol
Notes
Test is also included in Drug-Sur as part of panel.

[6961]


METHOTREXATE
Order Code MTX Test Code MTX
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Protect from light. Store and transport frozen. Specimens from patients who have received preparations of mouse monoclonal antibodies or carboxypeptidase G2 as a high dose methotrexate rescue therapy should not be tested by this method.
Stability-   Room temp 4 hours   Refrigerated 2 days   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Specimens collected in serum separator or other gel type tubes.
Alternate specimens Heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube)
Limitations Protect from light.
Department Chemistry
CPT codes 80299
Test schedule Sun-Sat & STAT on days and evenings
Turnaround time 1-2 days
Method FPIA
Test includes
Methotrexate, umol/L.
Reference ranges
  
Methotrexate                   umol/L
 Interpretation depends on dosing 
 and draw times as well as target
 level for the disease being treated.

[1205]


METHSUXIMIDE
Order Code CELONTIN Test Code MSUX
Synonyms Celontin
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.8 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Stability-   Room temp 5 days   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens Heparinized, EDTA, or sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube).
Limitations Avoid the use of serum separator tubes and gels.
CPT codes 83858, 80299
Test schedule Mon, Thu
Turnaround time 2-5 days
Method GC
Test includes
Methsuximide, ug/mL; Normethsuximide, ug/mL; Total, ug/mL.
Reference ranges
  
Methsuximide             ug/mL
 Therapeutic    LT 1     
Normethsuximide          ug/mL
 Therapeutic    10-40   
Total                    ug/mL
 Therapeutic    10-40   
 Toxic          GT 60

[1206]


METHYL ALCOHOL
Order Code MALC Test Code MALC
Synonyms Methanol,
Specimen Required
       Container type Oxalated whole blood (grey top tube) or serum (red top tube)  Specimen type Blood/Serum  Preferred volume 2 mls  Minimum volume 1 ml
Alternate specimens Heparinized whole blood(green top tube), urine or vitreous humor.
Limitations 10 mg/dl
Department Toxicology
CPT codes 84600
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Gas Chromatography (GC)
Notes
Draw blood using non-alcoholic disinfectant. Store and transport at room temperature.

[6931]


METHYLENEDIOXYMETHAMPHETAMINE (MDMA) (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCMDM Test Code TLCMDM
Synonyms Ecstasy, XTC, Adam, clarity, Eve, lovers speed, peace, STP, X,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Methylenedioxymethamphetamine(MDM).
Notes
Test is also included in Drug-Sur as part of panel.

[6958]


METHYLMALONIC ACID, QUANTITATIVE, SERUM
Order Code MMAMS Test Code MMAMS
Synonyms MMA
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated 4 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or lipemic specimens.
Alternate specimens Frozen EDTA or K2EDTA plasma (lavender or pink top tube), or SST tube.
Department Toxicology
CPT codes 83921
Test schedule Mon-Fri
Turnaround time 2-3 days
Method LC/MS/MS
Test includes
Methylmalonic Acid, umol/L.
Reference ranges
  
Methylmalonic Acid  0.00 0.40  umol/L

[1208]


METHYLMALONIC ACID, URINE
Order Code MAUQ Test Code MAUQ
Synonyms MMA, Urine
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour or random urine collection.  Preferred volume 2 mL  Minimum volume 0.5 mL
Collection procedure Collect a 24-hour or random urine in a 24-hour dark plastic urine container. Refrigerated during collection.
Specimen processing Aliquot 2 mL of a well-mixed 24-hour or random urine collection into a leakproof plastic urine container. Record total volume and collection period. Store and transport frozen.
Required patient info Record total volume and collection time interval on transport tube and request form.
Stability-   Room temp unacceptable   Refrigerated 4 days   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 83921
Test schedule Sun-Sat
Turnaround time 2-5 days
Method GC/MS
Test includes
Collection Period, hr; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Methylmalonic Acid, Urine, umol/L; Methylmalonic Acid, mmol/moLCr.
Reference ranges
  
Collection Period                     hr
Volume                                mL
Creatinine, Urine                     mg/dL
Creatinine, Urine                     mg/d
 M 0-2 yrs    not established
   3-8 yrs    140-700
   9-12 yrs   300-1300
   13-17 yrs  500-2300
   18-50 yrs  1000-2500
   51-80 yrs  800-2100
   GT 80 yrs  600-2000
 F 0-2 yrs    not established
   3-8 yrs    140-700
   9-12 yrs   300-1300
   13-17 yrs  400-1600
   18-50 yrs  700-1600
   51-80 yrs  500-1400
   GT 80 yrs  400-1300
Methylmalonic Acid, Urine             umol/L
Methylmalonic Acid, Urine  0.0-3.6    mmol/moLCr

[1209]


METHYLPHENIDATE
Order Code RIT Test Code RITA
Synonyms Ritalin
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Collect 1-6 hours post dose.
Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen.
Alternate specimens EDTA plasma (lavender top tube).
Limitations No SST tubes.
CPT codes 83789
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method LC/MS/MS
Test includes
Methylphenidate, ng/mL; Methylphenidate Metabolite, ng/mL.
Reference ranges
  
Methylphenidate                ng/mL
 8-22 ng/mL (1-2 h Post 10-20 mg 
  oral dose).
Methylphenidate Metabolite     ng/mL
 80-250 ng/mL (In children given
 10-15 mg oral dose).
Notes
Critical specimen must be frozen.

[1211]


METHYLPHENIDATE, URINE
Order Code RIT-U Test Code RITAUR
Synonyms Ritalin, Urine
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Frozen urine, timed  Preferred volume 10 mL
Collection procedure Collect a urine specimen 1-6 hours post dose
Specimen processing Aliquot 10 mL of the urine specimen and freeze. Store and transport frozen.
CPT codes 83789
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method LC/MS
Test includes
Methylphenidate, Urine, ng/mL; Methylphenidate Metabolite, Urine, ng/mL.
Reference ranges
  
Methylphenidate, Urine                ng/mL
 Adult  100-900 ng/mL in the 8 hours 
 following a 25 mg oral dose to adults.
 Concentration as high as 3300 ng/mL
 have been reported in the 6 hour
 urine of children following a 10 mg
 dose.
Methylphenidate Metabolite, Urine     ng/mL
 Concentrations as high as 64000 ng/mL
 have been reported in the 6 hour
 urine in children following a 10 mg
 dose.

[1212]


METOPROLOL (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCMPL Test Code TLCMPL
Synonyms Lopressor, Betaloc, Toprol-XL,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Metoprolol
Notes
Test is also included in Drug-Sur as part of panel.

[6962]


MEXILETINE
Order Code MEXI Test Code MEXI
Synonyms Mexitil
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 0.8 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Stability-   Room temp 2 days   Refrigerated 5 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens Heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube).
Limitations Avoid the use of serum separator tubes and gels.
CPT codes 80299
Test schedule Mon, Wed, Fri
Turnaround time 2-3 days
Method GC
Test includes
Mexiletine, ug/mL.
Reference ranges
  
Mexiletine                   ug/mL
 Therapeutic        1.0-2.0    
 Potentially Toxic  1.5-3.0

[1213]


MICROALBUMIN, URINE (24-HOUR)
Order Code M.ALB Test Code MALBUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 10 mL  Minimum volume 5 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container with no preservative. Refrigerate during collection.
Specimen processing Aliquot 10 mL of a well-mixed 24-hours urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Blood or other body fluids.
Alternate specimens Urines preserved in the boric acid tubes (BD C&S tubes).
Department Immunology
CPT codes 82043
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Immunoturbidimetric
Test includes
Collection Period, h; Volume, mL; Microalbumin, Urine, mg/L; Microalbumin, Excretion Rate, ug/min; Microalbumin, 24 h Excretion, mg/24h.
Reference ranges
  
Collection Period               h
Volume                          mL
Microalbumin, Urine             mg/L
 LT 18
Microalbumin, Excretion Rate    ug/min
 0-20
Microalbumin, 24h Excretion     mg/24h
 0-30

[1214]


MICROALBUMIN-CREATININE RATIO
Order Code MALBCR Test Code MCUC
Synonyms Microalbumin/Creatinine Ratio, Urine
Specimen Required
       Container type Leakproof plastic urine container or 24-hour dark plastic urine container.  Specimen type Random, first morning or 24-hour urine collection  Preferred volume 40 mL  Minimum volume 3 mL
Collection procedure 40 mL aliqout of random, first morning or 24-hour urine collection in a leakproof plastic urine container for random specimens or a 24-hour dark plastic urine container for 24-hour collections. Refrigerate during collection.
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Urines preserved in the boric acid tubes (BD C&S tubes).
Limitations Optimal urine sample should be free of contaminants including red blood cell contamination.
Department Immunology, Chemistry
CPT codes 82043, 82570
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method Immunoturbidimetric, Enzymatic (IDMS Traceable), Calculation
Test includes
Microalbumin, Random Urine, mg/L; Creatinine, Random Urine, mg/dL; Microalbumin/Creatinine Ratio, mg/g.
Reference ranges
  
Microalbumin, Random Urine        mg/L
 LT 18
Creatinine, Random Urine          mg/dL
 No normals established
Microalbumin/Creatinine Ratio     mg/g
 LT 30    Normal-Repeat yearly.      
 30-300   Increased risk for
          diabetic nephropathy. Two of three 
          A/C ratios in this range indicate
          microalbuminuria and
 GT 300   Two of three A/C ratios
          in this range confirms
          overt clinical nephropathy.

[1215]


MICROSOMAL ANTIBODY LIVER/KIDNEY
Order Code MICROLK Test Code LKM
Synonyms Anti-Microsomal; LKMA; Liver/Kidney Microsomal Ab; Kidney Microsomal Ab; Anti-Liver/Kidney Microsomal
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.4 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 2 months   Frozen (-70°C)
Department Chemistry
CPT codes 86376
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method IFA
Test includes
Microsomal Antibody Liver/Kidney.
Reference ranges
  
Microsomal Ab Liver/Kidney   Titer
 Negative LT 1:20

[1216]


MICROSPORIDIA STAIN BY MODIFIED TRICHROME
Order Code MICROSPORIDIA Test Code MCSPR
Specimen Required
       Container type Leakproof container containing 10% formalin.  Specimen type Stool  Preferred volume 5 grams or 5 mLs  Minimum volume 1 gram
Specimen processing Preserve stool in 10% formalin. Send promptly at room temperature.shipping instruction code
Required patient info Pertinent patient history, specimen source.
Stability-   Room temp 9 months preserved   Refrigerated 9 months preserved   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Unpreserved specimens or samples submitted in preservative other than 10% formalin.
CPT codes 87015, 87207
Test schedule Sun-Sat
Turnaround time 2-4 days
Method Microsporidia Stain by Modified Trichrome
Test includes
Microsporidia Source; Microsporidia Stain.
Reference ranges
  
Microsporidia Source
Microsporidia Stain          Negative

[1217]


MIRTAZAPINE (QUANTITATIVE)
Order Code MIRTQ Test Code MIRTQ
Synonyms Remeron
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL
Specimen processing Separate serum from cells and place in a separate plastic tube. Store and transport at room temperature.
Stability-   Room temp 7 days   Refrigerated 14 days   Frozen (-20°C) 14 days   Frozen (-70°C)
Limitations Do not use SST or gel-type tubes.
CPT codes 82491
Test schedule Mon-Thu
Turnaround time 4-7 days
Method GC
Test includes
Mirtazapine, ng/mL.
Reference ranges
  
Mirtazapine                   ng/mL
 Steady-state levels following a daily
 regimen:
 Dose       Peak Range      Trough Range
 (mg)       (0.7-4.8 hr)   
  15           27-51          4.3-12
  30           56-104         11-25
  45           84-142         17-39
  60           117-199        24-52
  75           137-225        28-64
 Elimination half-life: 20-40 hours.

[1218]


MIRTAZEPINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCMIR Test Code TLCMIR
Synonyms Remeron,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Mirtazepine
Notes
Test is also included in Drug-Sur as part of panel.

[6963]


MITOCHONDRIAL ANTIBODIES
Order Code MA Test Code MA
Synonyms Anti-Mitochondrial Antibody; AMA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 5 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Limitations Interfering substances include turbidity, hemolysis, visible bacterial growth and fluorescing drugs.
Department Chemistry
CPT codes 86255
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method IFA
Test includes
Mitochondrial Antibodies.
Reference ranges
  
Mitochondrial Ab
 Negative  LT 1:20

[1219]


MITOCHONDRIAL M2 ANTIBODY, IGG
Order Code MM2AB Test Code MM2AB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year (avoid repeated freeze/thaw cycles)   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, contaminated, or hemolyzed samples.
CPT codes 83516
Test schedule Sun-Sat
Turnaround time 2-4 days
Method ELISA
Test includes
Mitochondrial M2 Antibody, IgG, Units.
Reference ranges
  
Mitochondrial M2 Antibody, IgG    Units
 20.0 or less      Negative
 20.1-24.0         Equivocal
 25.0 or more      Positive

[1220]


MOBAN
Order Code MOB Test Code MOB
Synonyms Molindone
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Limitations No SST tubes.
CPT codes 82542
Test schedule Varies
Turnaround time 10-15 days
Method LC/MS/MS
Test includes
Moban, ng/mL.
Reference ranges
  
Moban (Molindone)                ng/mL
 Steady state plasma levels from patient doses
 of 100 to 400 mg/day:  39-874 ng/mL with 
 high interpatient variability.

[1221]


MOLYBDENUM
Order Code MOBD Test Code MOBD
Specimen Required
       Container type Royal blue top tube (metal free plain)  Specimen type Serum  Preferred volume 4 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Stability-   Room temp 7 days   Refrigerated 14 days   Frozen (-20°C) 14 days   Frozen (-70°C)
CPT codes 83018
Test schedule Tue
Turnaround time 2-9 days
Method GFAAS
Test includes
Molybdenum, mcg/mL.
Reference ranges
  
Molybdenum        LT 3            mcg/mL

[1222]


MONOCLONAL PROTEIN STUDY, SERUM
Order Code MPSMAY Test Code MPSMAY
Specimen Required
       Container type SST  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 3 days   Refrigerated 1 week   Frozen (-20°C) 1 week   Frozen (-70°C)
Unacceptable conditions Plasma, hemolysis and lipemia.
CPT codes 84155, 84165, 86334
Test schedule Mon-Sat
Turnaround time 3-5 days
Method BIURET/ELP/IMMUNOFIXATION
Test includes
Total Protein; Albumin; Alpha-1 globulin; Alpha-2 globulin; Beta-globulin; Gamma-globulin; A/G Ratio; M Spike; Impression; Immunofixation;
Reference ranges
  
Total Protein        6.3-7.9       g/dL
Albumin              3.4-4.7       g/dL
Alpha-1 globulin     0.1-0.3       g/dL
Alpha-2 globulin     0.6-1.0       g/dL
Beta-globulin        0.7-1.2       g/dL
Gamma-globulin       0.6-1.6       g/dL
A/G Ratio
M Spike
M Spike
 Impression
Immunofixation       No monoclonal protein detected

[3066]


MONONUCLEOSIS TEST
Order Code MON Test Code MONO
Synonyms Mono Test; Heterophile Antibodies
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 3 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Plasma collected with any other anticoagulant.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Limitations Avoid repeat ( more than 5 times) freeze-thaw cycles.
Department Immunology
CPT codes 86308
Test schedule Sun-Fri nights and STAT
Turnaround time 24-48 hours
Method HA
Test includes
Mononucleosis Test.
Reference ranges
  
Mono Test      Negative

[1223]


MORICIZINE
Order Code MOR Test Code MOR
Synonyms Ethmozine
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1.2 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated.
Alternate specimens EDTA plasma (lavender top tube).
Limitations No SST tubes.
CPT codes 82491
Test schedule Tue, Thu
Turnaround time 3-7 days
Method HPLC
Test includes
Moricizine, ug/mL.
Reference ranges
  
Moricizine                        ug/mL
 Steady state trough  0.02-0.18       
 (with 200 mg dose 3 times/dose)
 Peak:  0.48-1.54 (1-3 hrs following
 single 500 mg oral dose)

[1224]


MORPHINE CONFIRMATION BY LC/MS
Order Code LCOP6 Test Code LCOP6
Synonyms morphine, MS-Contin, apomorphine, morphine sulfate, Paregoric, Apokyn, Avinza, DepoDur
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 150 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Liquid Chromatography Mass Spectrometry (LC/MS)
Test includes
Morphine
Notes
Test is also included in Comprehensive Drug Survey. Replaces TLCOPA

[6997]


MOTOR & SENSORY NEUROPATHY EVALUATION
Order Code MOTSEN Test Code MOTSEN
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 7 mL  Minimum volume 4 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
CPT codes 83520 x 11, 86255, 86334
Test schedule Varies
Turnaround time Varies
Method ELISA, DUAL ELISA, IFA/WB, IFE
Test includes
Anti-Neuronal Nuclear Antibody (ANNA); AsialoGM1 Antibody; GD1a Antibody; GD1b Antibody; GQ1b IgG Antibody; GM1 Antibody; Immunofixation Electrophoresis (IFE); MAG Antibody.
Reference ranges
  
Motor & Sensory Neuropathy Evaluation
 Separate Report to Follow

[1225]


MRSA NASAL SCREEN BY PCR (REFLEXIVE)
Order Code MRSPCA Test Code MRSPCR
This test may reflex to additional tests depending upon the results of this test. Additional fees will be added. If the MRSA by PCR is uninterpretable it will reflex to a culture.
Synonyms MRSA
Specimen Required
       Container type See below  Specimen type Nasal swab on BD Culturette Plus swab
Collection procedure Obtain nasal swab using BD Culturette Plus swab. Insert swab into the nares. Rotate swab in each nares two to five times clockwise and counter clockwise, about three-fourths of an inch into the nasal passage (adult) so that squamous epithelial cells from the inside of the nose are obtained. Place swab into culturette.
Specimen processing Store and transport refrigerated.
Required patient info Source
Stability-   Room temp 36 hours   Refrigerated 5 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Samples that have been frozen or exposed to excessive heat. Only nares specimens are acceptable for the PCR assay.
Limitations Protect from freezing or exposure to excessive heat.
Department Microbiology
CPT codes 87641
Test schedule Sun-Sat
Turnaround time 1-2 days
Method PCR with reflex to culture
Test includes
MRSA PCR Result; MRSA PCR Status.
Reference ranges
  
MRSA PCR Result
MRSA PCR Status

[1227]


MTHFR C677T AND A1298C, INVADER
Order Code MTINV Test Code MTINV
Synonyms Methylenetetrahydrofolate Reductase Mutation Detection (Thermolabile Form) (C677T and A1298C); MTHFR; Molecular tests
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Due to the sensitivity of this test, submit the entire specimen in the original collection tube. Store and transport at room temperature. Do not freeze.
Stability-   Room temp 72 hours   Refrigerated 5 days   Frozen (-20°C) unstable   Frozen (-70°C)
Unacceptable conditions Heparinized whole blood, serum, grossly hemolyzed or frozen samples, samples not in original collection tubes, over 5 days old, or in leaking containers.
Alternate specimens ACD or sodium citrate whole blood (yellow or light blue top tube).
Department Molecular Diagnostics Department
CPT codes 83891, 83896 x 11, 83903 x 2, 83892 x 4, 83912
Test schedule Weekly
Turnaround time 3-6 days
Method Invader
Test includes
MTHFR Result; MTHFR Comment; MTHFR Interpretation.
Reference ranges
  
MTHFR Result      
 Negative for C677T and A1298C mutations.
 A negative result does not rule out other
 causes for hyperhomocysteinemia, coronary
 artery disease or venous thrombosis.
MTHFR Comment
 Genomic DNA from patient samples is tested
 for the C677T and A1298C mutations by the
 Invader assay from Third Wave Techologies.
 This assay uses Cleavase enzyme to recognize
 and cleave specific structures formed by the
 interaction of two oligonucleotides with a
 nucleic acid target.
MTHFR Comment
 This test was developed and its performance
 characteristics determined by SHMC. It has
 not been cleared or approved by the U.S.
 Food and Drug Administration. The FDA has
 not determined that such clearance or approval
 is necessary. This test is used for clinical
 purposes. It should not be regarded as investi-
 gational or for research. This laboratory is
 certified under CLIA '88 as qualified to perform
 high-complexity clinical testing.

[1228]


MULTIPLE SCLEROSIS COMPREHENSIVE PANEL
Order Code MS.COMP Test Code MSPAN
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Synonyms MS Comprehensive Panel
Specimen Required
       Container type SST tube and CSF sterile plastic tube  Specimen type Frozen serum and Frozen CSF  Preferred volume 1 mL serum, 2 mL CSF  Minimum volume 0.5 mL serum and 1.5 mL CSF
Collection procedure Serum should be drawn within 48 hours of CSF collection.
Specimen processing Allow serum to clot completely at room temperature.Separate serum from cells ASAP and place in separate plastic tube and freeze. Place CSF in separate plastic tube and freeze. CSF should be free from contamination with blood. If CSF is bloody, centrifuge and separate supernatant from cells prior to freezing. Store and transport both specimens frozen. Specimens need to be assayed together for interpretation.
Limitations Avoid hemolysis. Hemolysis is associated with falsely elevated levels of MBP in CSF.
CPT codes 83873, 83916, 82040, 82784 x 2, 82042
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method ELISA/Isoelectric Focusing
Test includes
IgG, Serum, mg/dL; IgG, CSF, mg/dL; Albumin, Serum, mg/dL; Albumin, CSF, mg/dL; Albumin, Index, Ratio; CSF, IgG Synthesis, mg/d; IgG Index, Ratio; CSF, IgG/Albumin, Ratio; CSF Oligoclonal Bands; Myelin Basic Protein, ng/mL; MS Panel Interpretation.
Reference ranges
  
Multiple Sclerosis Panel
 IgG, serum                     mg/dL
  0-30 days       611-1542
  1 mo            241-870
  2 mo            198-577
  3 mo            169-558
  4 mo            188-536
  5 mo            165-781
  6 mo            206-676
  7-8 mo          208-868
  9-11 mo         282-1026
  1 yr            331-1164
  2 yrs           407-1009
  3 yrs           423-1090
  4 yrs           444-1187
  5-7 yrs         608-1229
  8-9 yrs         584-1509
  10+ yrs         768-1632
 IgG, CSF         0.0-6.0        mg/dL
 Albumin, Serum   3500-5200      mg/dL
 Albumin, CSF     0-35           mg/dL
 Albumin Index    0.0-9.0        ratio
 CSF IgG
  Synthesis Rate  0.0-8.0        mg/d
 IgG Index        0.28-0.66      ratio
 CSF IgG/Albumin  0.09-0.25      ratio
 CSF Oligoclonal
  Bands           Negative
 Myelin Basic 
  Protein         0.07-4.10      ng/mL                  
 Interpretation

[1229]


MUMPS VIRUS ANTIBODY, IGG
Order Code MUMPSG Test Code MUMPSG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions No anticoagulant or preservatives, hemolyzed, lipemic, or bacterially contaminated serum.
Department Virology
CPT codes 86735
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ELISA
Test includes
Mumps Virus Antibody, IgG, OD.
Reference ranges
  
Mumps Virus Antibody, IgG              OD           
 0.90 or less Negative-No significant level of
 detectable mumps virus Ab.
 0.91-1.09    Equivocal-Repeat testing in 10-
 14 days may be helpful.
 1.10 or more Positive-IgG Ab to mumps virus 
 detected, which may indicate a current or 
 previous exposure/immunization to mumps
 virus. Positive IgG Ab levels in the absence
 of current clinical symptoms may indicate
 immunity.

[1230]


MUMPS VIRUS ANTIBODY, IGM
Order Code MUMPSM Test Code MUMPSM
Acute and convalescent specimens advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Severely lipemic, hemolyzed, heat-inactivated, or contaminated samples.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86735
Test schedule Mon, Wed, Fri
Turnaround time 3-6 days
Method EIA
Test includes
Mumps Virus Antibody, IgM, IV.
Reference ranges
  
Mumps Virus Antibody, IgM     IV
 0.79 or less    Negative-No significant
 level of detectable IgM Ab to Mumps 
 Virus.
 0.80-1.20       Equivocal-Borderline
 levels of IgM Ab to Mumps virus.
 Repeat testing in 10-14 days may be
 helpful.
 1.21 or greater Positive-Presence of
 IgM Ab to Mumps virus detected.
 However, low levels of IgM antibodies
 may occasionally persist for more than
 12 months post-infection or immuni-
 zation.

[1231]


MYCOBACTERIUM TUBERCULOSIS SUSCEPTIBILITY
shipping instruction code
Order Code TBSUSC Test Code TBSUSC
Synonyms AFB Susceptibility; TB Susceptibility
Specimen Required
        Specimen type Isolate of Mycobacterium Tuberculosis in a biohazard container meeting CDC requirements.
Specimen processing Submit isolate of Mycobacterium tuberculosis packaged in a biohazard container meeting CDC requirements.
Department Microbiology
Test schedule Daily
Turnaround time 1-3 weeks
Method Bactec 460 direct susceptibility
Test includes
Mycobacterium tuberculosis Susceptibility; Mycobacterium tuberculosis Susceptibility Status.
Reference ranges
  
Mycobacterium tuberculosis Susceptibility
 Result
Myocobacterium tuberculosis Susceptibility
 Status

[1234]


MYCOPHENOLIC ACID
Order Code MCPA Test Code MCPA
Synonyms MPA
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Plasma  Preferred volume 2 mL  Minimum volume 0.5 mL
Collection procedure For peak concentration, draw specimen within 1 hour after the administration of the last dose; for trough levels, draw specimen just before the administration of the next dose.
Specimen processing Separate plasma from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 6 weeks   Refrigerated 6 weeks   Frozen (-20°C) 11 months   Frozen (-70°C)
Unacceptable conditions Samples in gel, SST tubes or whole blood specimens.
Alternate specimens Serum (red top tube) or K2EDTA plasma (pink top tube).
Department Toxicology
CPT codes 80299
Test schedule Tue, Thu, Fri
Turnaround time 1-4 days
Method HPLC
Test includes
Mycophenolic Acid, ug/mL.
Reference ranges
  
Mycophenolic Acid 1.0-5.0               ug/mL
 MPA does not have well established
 or therapeutic ranges. Dosing of 2 g/day gives
 trough values of 1.0-3.5 ug/mL while
 3 g/day gives values up to 5.0 ug/mL.
 Trough levels between 2.0-4.0 ug/mL
 have been suggested to maximize
 efficacy and minimize adverse effects.

[3114]


MYCOPLASMA ANTIBODY IGG, PAIRED
Order Code MPNG2 Test Code MPNG2
Acute and convalescent specimens recommended.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL each
Collection procedure Acute and convalescent specimens should be drawn 2-4 weeks apart.
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 48 hours   Frozen (-20°C) GT 48 hours   Frozen (-70°C)
Unacceptable conditions Samples other than serum.
Department Virology
CPT codes 86738 x 2
Test schedule Tue, Fri
Turnaround time 3-5 days
Method IFA
Test includes
M. pneumoniae IgG Acute Antibody, Titer; Date Drawn; M. pneumoniae IgG Convalescent Antibody,Titer; Date Drawn; Interpretation.
Reference ranges
  
M. pneumoniae IgG, Acute Ab      Titer
Date Drawn
M. pneumoniae IgG, Conv Ab       Titer
Date Drawn
Interpretation

[1236]


MYCOPLASMA PNEUMONIAE ANTIBODY, IGG
Order Code MYCO Test Code MPNG
Acute and convalescent samples drawn 4-6 weeks apart advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 48 hours   Frozen (-20°C) GT 48 hours   Frozen (-70°C)
Unacceptable conditions Samples other than serum.
Department Virology
CPT codes 86738
Test schedule Tue, Fri
Turnaround time 3-5 days
Method IFA
Test includes
Mycoplasma pneumoniae Antibody, IgG, Titer; Interpretation.
Reference ranges
  
Mycoplasma pneumoniae Ab, IgG  LT 1:32 Titer
Interpretation

[1237]


MYCOPLASMA PNEUMONIAE ANTIBODY, IGG & IGM
Order Code MYCO.IGG.IGM Test Code MPNGM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 48 hours   Frozen (-20°C) GT 48 hours   Frozen (-70°C)
Unacceptable conditions Samples other than serum.
Department Virology
CPT codes 86738 x 2
Test schedule Tue, Fri
Turnaround time 3-5 days
Method IFA
Test includes
Mycoplasma pneumoniae Antibody, IgG, Titer; Mycoplasma pneumoniae Antibody, IgM, Titer; Interpretation.
Reference ranges
  
Mycoplasma pneumoniae Ab, IgG  LT 1:32     Titer
Mycoplasma pneumoniae Ab, IgM  LT 1:16     Titer
Interpretation

[1238]


MYCOPLASMA PNEUMONIAE ANTIBODY, IGM
Order Code MYCO.IGM Test Code MPNM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 48 hours   Frozen (-20°C) GT 48 hours   Frozen (-70°C)
Unacceptable conditions Samples other than serum.
Department Virology
CPT codes 86738
Test schedule Tue, Fri
Turnaround time 3-5 days
Method IFA
Test includes
Mycoplasma pneumoniae Antibody, IgM, Titer.
Reference ranges
  
Mycoplasma pneumoniae Ab, IgM   LT 1:16      Titer

[1239]


MYCOPLASMA PNEUMONIAE BY PCR shipping instruction code
Order Code MYCPCR Test Code MYCPCR
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.  Minimum volume 1 mL
Collection procedure 2 mL frozen respiratory specimen: sputum, lung washes, tracheal aspirates, nasopharyneal swab, pleural fluid, bronchoalveloar lavage (BAL), or bronchial brushings in a sterile leakproof container or in viral transport media (M4). Store and transport frozen.
Specimen processing Store and transport all specimens frozen.
Required patient info Specimen source.
Stability-   Room temp 8 hours   Refrigerated 3 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Unsterile or leaking containers or respiratory aspirates in collection containers with tubing. Avoid freeze/thaw cycles
Alternate specimens 1 mL CSF frozen in sterile container.
CPT codes 87581
Test schedule Varies
Turnaround time 2-6 days
Method PCR
Test includes
Source; Mycoplasma pneumoniae by PCR.
Reference ranges
  
Source
Mycoplasma pneumoniae by PCR   Negative
 Interpretation
 Negative  Mycoplasma pneumoniae
           DNA not detected by PCR.
 Positive  Mycoplasma pneumoniae
           DNA detected by PCR.
 This test is performed pursuant to an agree-
 ment with Roche Molecular Systems, Inc.

[1240]


MYELIN BASIC PROTEIN
Order Code MBP Test Code MBPROT
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type Frozen CSF  Preferred volume 1 mL  Minimum volume 0.4 mL
Specimen processing If CSF is bloody, centrifuge sample and separate supernatant from cells prior to freezing. Freeze in separate plastic tube. Store and transport frozen.
Stability-   Room temp 48 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Limitations Avoid hemolysis.
CPT codes 83873
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method ELISA
Test includes
Myelin Basic Protein, ng/mL.
Reference ranges
  
Myelin Basic Protein    0.00-1.10  ng/mL
Notes
Hemolysis is associated with falsely elevated levels of MBP in the CSF. CSF should be free from contamination with blood.

[1242]


MYELOPEROXIDASE ANTIBODY
Order Code MPO Test Code MPO
Synonyms MPO Antibody; MPO; PR3; ANCA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Hemolyzed, lipemic, contaminated samples, other body fluids or repeat freeze/thaw cycles.
Department Virology
CPT codes 83516
Test schedule Sun, Tue & Thu
Turnaround time 2-4 days
Method EIA
Test includes
Myeloperoxidase Antibody, U/mL.
Reference ranges
  
Myeloperoxidase Antibody   LT 9.0  U/mL

[1243]


MYOGLOBIN
Order Code MYOGLOBIN Test Code MYO
Synonyms Mb
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells within 8 hours and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 3 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Marked hemolysis. Urine or fluid samples and any freeze/thaw cycles.
Alternate specimens Heparin plasma-same sample type should be used for serial samples.
Department Chemistry
CPT codes 83874
Test schedule Daily & STAT
Turnaround time 1-3 days
Method Chemiluminescence Assay
Test includes
Myoglobin, ng/mL.
Reference ranges
  
Myoglobin    0-116   ng/mL

[1244]


MYOGLOBIN, QUANTITATIVE, URINE
Order Code MYOGLOBIN-U Test Code MGNPUR
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type Urine, random or 24-hour collection  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Collect a 24-hour or random urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 1 mL of a well-mixed 24-hour or random urine collection into a leakproof plastic urine container. Adjust pH to 8.0-9.0 immediately after collection by adding 10% Na2CO3. Store and transport refrigerated.
Required patient info Record total volume and collection time interval on transport tube and request form.
Stability-   Room temp 1 hour   Refrigerated 3 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Urine samples without time or volume submitted.
CPT codes 83874
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Electrochemiluminescent Immunoassay
Test includes
Myoglobin, Urine, mg/L.
Reference ranges
  
Myoglobin, Urine         mg/L 
 Negative   0-1   
 1-15 mg/L Associated with vigorous
 exercise, myocardial infarction,
 mild muscle injury, and other
 conditions. GT 15 mg/L at risk of
 acute renal failure. Usual results
 less than 1 mg/L.

[1246]


MYOSITIS ASSESSOR, JO-1 AUTOANTIBODIES
Order Code MYAJO1 Test Code MYAJO1
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 6 mL  Minimum volume 2 mL
Specimen processing Separate serum from cells within 4 hours of collection and place in two separate plastic tubes. Store and transport refrigerated.
Stability-   Room temp 7 days   Refrigerated 14 days   Frozen (-20°C) 2 months   Frozen (-70°C)
CPT codes 83516 x 5, 86235 x 3
Test schedule Tue
Turnaround time 10-17 days
Method RIPA, EIA
Test includes
PL-7 Autoantibodies; PL-12 Autoantibodies; Mi-2 Autoantibodies; Ku Autoantibodies; EJ Autoantibodies; OJ Autoantibodies; SRP Autoantibodies; Jo-1 Autoantibodies, Index.
Reference ranges
  
PL-7 Autoantibodies    Not detected
PL-12 Autoantibodies   Not detected
Mi-2 Autoantibodies    Not detected
Ku Autoantibodies      Not detected
EJ Autoantibodies      Not detected
OJ Autoantibodies      Not detected
SRP Autoantibodies     Not detected
Jo-1 Autoantibodies    LT 1.0        Index

[1247]


N-TELOPEPTIDES, CROSS-LINKED, SERUM
Order Code NTXSER Test Code NTXSER
Synonyms NTX, Serum
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 5 hours   Refrigerated 24 hours   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed samples.
CPT codes 82523
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method ELISA
Test includes
N-Telopeptide, Cross-Linked, Serum, nM BCE.
Reference ranges
  
N-Telopeptide, Cross-Linked, Serum  nM BCE
 F   Premenopausal adult  6.2-19.0
 M   25+ years            5.4-24.2
 The target value for treated post-
 menopausal adult females is the
 same as the premenopausal reference
 interval.
 BCE=Bone Collagen Equivalent

[1248]


N-TELOPEPTIDES, CROSS-LINKED, URINE
Order Code NTX Test Code NTX
Synonyms NTX; Collagen Cross-Linked N-Telopeptides Type 1; N-Telopeptides of Type 1 Collagen
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 2 mL
Patient Prep Prefer second morning void specimen.
Collection procedure Collect a random or spot urine specimen. Prefer second morning void.
Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 72 hours   Frozen (-20°C) Indefinitely   Frozen (-70°C)
Unacceptable conditions Blood specimens.
Alternate specimens 24 hour urine collection.
Limitations Optimal urine sample should be free of contaminants including red blood cell contamination.
Department Immunology
CPT codes 82523, 82570
Test schedule Wed & Fri
Turnaround time 3-6 days
Method EIA
Test includes
NTX, nmoL BCE/mmoL Creatinine.
Reference ranges
  
NTX          nmol BCE/mmolCr
 M 3-63     
 F 5-65
 This range represents normal bone
 metabolism in a population of
 healthy pre-menopausal women. 
 For postmenopausal women, the 
 following risk factors apply for a
 decrease in bone mineral density if
 not treated with hormone replacement
 therapy
  NTX Value       Relative Risk
  18-38             1.4
  39-51             2.5
  52-67             3.8
  68-188           17.3
 Post-menopausal women with baseline
 NTx values greater than 38 have been
 shown to experience the greatest
 improvement in spinal bone mass 
 after one year on hormone replace-
 ment therapy.

[1249]


NAPROXEN
Order Code NAP Test Code NAP
Synonyms Naprosyn
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or room temperature.
Stability-   Room temp 7 days   Refrigerated 14 days   Frozen (-20°C)   Frozen (-70°C)
Limitations No SST tubes.
CPT codes 82491
Test schedule Mon, Wed, Fri
Turnaround time 4-6 days
Method HPLC
Test includes
Naproxen, ug/mL.
Reference ranges
  
Naproxen                     ug/mL
 30-90  Anti-inflammatory or analesgic
 range.

[1250]


NARCOLEPSY PANEL
Order Code NARC Test Code NARC
If patient is 0-4 years of age call before drawing the specimen.
Synonyms HLA- DR2; HLA DNA Panel
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 5 mL
Collection procedure Draw patient for this study Mon-Thu only so that the stability limits are not exceeded by the time it reaches the reference laboratory.
Specimen processing Store and transport at room temperature or refrigerated.
Stability-   Room temp 72 hours   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Heparinized whole blood (green top tube).
Limitations Heparin inhibits PCR
CPT codes 83891, 83894 x 2, 83900 x 2, 83912
Test schedule Mon-Fri
Turnaround time 3-7 days
Method PCR
Test includes
Narcolepsy Panel.
Reference ranges
  
Narcolepsy HLA DNA Panel
 Separate Report to Follow

[1251]


NARDIL
Order Code NAR Test Code NARDIL
Synonyms Phenelyzine
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 5 mL  Minimum volume 2 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen. Protect from light.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 1 week   Frozen (-70°C)
Unacceptable conditions Specimens not received light protected, at room temperature or refrigerated.
Alternate specimens Frozen plasma.
Limitations No SST tubes.
CPT codes 82491
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method GC
Test includes
Nardil, ng/mL.
Reference ranges
  
Nardil (Phenelyzine)      ng/mL
 Reported serum levels from patients
 on therapeutic doses are normally in
 the range of 1-100 ng/mL.

[1252]


NATURAL KILLER CELL PANEL
Order Code IPHNK Test Code IPHNK
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume See below.  Minimum volume 7 mL ACD and 2 mL EDTA
Collection procedure 7 mL ACD type A or B whole blood (yellow top tube), 3 mL EDTA whole blood (lavender top tube) and 2-4 peripheral blood smears. Maintain at room temperature.
Specimen processing Store and transport at room temperature.
Limitations Specimens must be processed within 48 hours of collection.
Department Hematology Cellular Immunology
CPT codes 86357
Test schedule Mon-Sat by 11 am
Turnaround time 3 days
Method Flow Cytometry
Test includes
Natural Killer Cell Panel Result.
Reference ranges
  
Natural Killer Cell
 Panel Result

[5065]


NEFAZODONE, QUANTITATIVE
Order Code NEFAZQ Test Code NEFAZQ
Synonyms Serzone
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL
Specimen processing Separate serum from cells and place in a separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 14 days   Refrigerated 14 days   Frozen (-20°C) 13 months   Frozen (-70°C)
Limitations Do not use SST or gel-type tubes.
CPT codes 82491
Test schedule Mon-Thu
Turnaround time 3-5 days
Method HPLC
Test includes
Nefazodone, mcg/mL.
Reference ranges
  
Nefazodone                    mcg/mL
 Steady-state peak levels (at approxi-
 mately 1.2 hours post-dose) following
 a daily regimen:
 50 mg bid            0.08-0.39
 100 mg bid           0.46-1.2
 200 mg bid           1.6-3.9

[1254]


NEISSERIA GONORRHOEAE ANTIBODY
Order Code GON-AB Test Code GONAB
Synonyms Gonococcal Antibody
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube . Store and transport refrigerated.
Stability-   Room temp 3 days   Refrigerated 2 weeks   Frozen (-20°C) 4 years   Frozen (-70°C)
CPT codes 86609
Test schedule Mon, Tue, Wed, Thu
Method CF
Test includes
Neisseria gonorrhoeae Antibody, CF, Titer.
Reference ranges
  
Neisseria Gonorrhoeae Ab, CF      Titer
 LT 1:8   
Interpretive Criteria
 LT 1:8          Antibody not detected.
 1:8 or greater  Antibody detected.
 Titers GT or equal to 1:8 suggest either gonococcal
 infection or asymptomatic colonization.  Antibodies
 recognizing Neisseria gonorrhoeae are apparently
 unprotective, since reinfection frequently occurs.

[1255]


NEISSERIA GONORRHOEAE BY AMPLIFIED DETECTION (APTIMA)
Order Code APTNG Test Code APTNG
This test is not recommended for use in prepubescent children or medicolegal cases. Aptima collection kits required.
Synonyms Molecular; GC by Amplified Detection (APTIMA)
Specimen Required
       Container type APTIMA Unisex Swab Specimen Collection Kit or APTIMA Urine Specimen Collection Kit  Specimen type See below.  Preferred volume See below.  Minimum volume 2 mL for urine, not to exceed 30 mL
Collection procedure Female endocervical or male urethral swab collected with the APTIMA Swab Specimen Transport Tube or urine, first void, not clean catch collected in the APTIMA Urine Specimen Transport Tube.
Specimen processing Transport all samples collected in the kits at room temperature, refrigerated or frozen. Urine samples not collected in these kits must be refrigerated and received within 24 hours of collection.
Required patient info Source
Stability-   Room temp Swabs-2 months, Urine in media-1 month, Urine not in media-not stable.   Refrigerated Swabs-2 months, Urine in media-1 month, Urine not in media-24 hours.   Frozen (-20°C) Swabs-3 months, Urine in media-3 months.   Frozen (-70°C)
Unacceptable conditions Eye, respiratory, or rectal swabs; endocervical and urethral swabs not collected with the Aptima Swab and specimens collected and submitted with the white cleaning swab, which is for preparatory cleaning. GENPROBE PACE 2 tubes are not acceptable.
Alternate specimens ThinPrep liquid pap also acceptable ONLY if special Aptima aliquot made prior to other testing. Vaginal swabs collected with designated Aptima vaginal swab collection kit.
Department Virology
CPT codes 87591
Test schedule Mon-Sat
Turnaround time 1-3 days Turnaround time will be extended if a single Thin-Prep specimen is submitted for CT/GC and PAP testing.
Method TMA
Test includes
Source; Neisseria gonorrhoeae by APTIMA.
Reference ranges
  
Source
Neisseria gonorrhoeae by APTIMA
 Not detected

[1256]


NEUROMYELITIS OPTICA (NMO) AUTOANTIBODIES, IGG
Order Code NMOIG Test Code NMOIG
Synonyms AQP; AQP4; Devic's Antibody; Neuromyelitis Optica (NMO); NMO; Optic Neuritix Antibody; Aptic-Spinal MS Antibody; Soft-NMOS; Transverse Myelitis Ab; Vision Loss Ab
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from the cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 3 days   Refrigerated 2 weeks   Frozen (-20°C) acceptable   Frozen (-70°C)
Alternate specimens SST tubes.
CPT codes 86255
Test schedule Mon-Fri
Turnaround time 6-8 days
Method Indirect Immunofluorescence Assay (IFA)
Test includes
NMO-IgG, Serum.
Reference ranges
  
NMO-IgG, Serum       Negative

[6714]


NEURON SPECIFIC ENOLASE
Order Code NSEN Test Code NSEN
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Allow sample to clot completely at room temperature. Separate serum from cells immediately and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated 24 hours   Frozen (-20°C) indefinitely   Frozen (-70°C)
Unacceptable conditions Plasma or hemolyzed specimens. Avoid repeat freeze/thaw cycles.
CPT codes 86316
Test schedule Mon, Wed, Fri
Turnaround time 2-6days
Method ELISA
Test includes
Neuron Specific Enolase, ug/L.
Reference ranges
  
Neuron Specific Enolase   3.7-8.9  ug/L
 This assay is performed using the 
 CanAG Neuron Specific Enolase
 Enzyme Immunoassay.
 Results obtained with different
 assay methods or kits cannot be
 used interchangeably.
Notes
Serum should be separated from cells immediately to avoid the release of NSE from blood cells.

[1258]


NEUTROPHIL ASSOCIATED ANTIBODY
Order Code ANETAB Test Code ANETAB
Specimen Required
       Container type SST tube  Specimen type 3 mL  Preferred volume Frozen serum  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86021
Test schedule Mon, Wed, Fri
Turnaround time 3-6 days
Method Flow Cytometry
Test includes
Neutrophil Associated Antibody.
Reference ranges
  
Neutrophil Associated Ab     Negative                             
 Neutrophil associated antibody 
 may cause neutropenia in various autoimmune
 disorders including Felty's
 Syndrome, SLE and drug-induced
 neutropenia. Febrile transfusion
 reactions and isoimmune neonatal
 neutropenia may also be caused by
 antibodies to neutrophil-specific
 antigens or HLA antigens. Circulating 
 antibodies in patient's
 serum are measured by flow
 cytometry after incubation with normal
 neutrophils. Values greater
 than 2 standard deviations of the
 control population are interpreted
 as 'weakly positive' and greater
 than 3 standard deviations,
 'positive'.

[313]


NEUTROPHIL OXIDATIVE BURST ASSAY
Order Code NEUOXB Test Code NEUOXB
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Whole blood  Preferred volume 3 mL
Collection procedure A control tube, drawn at the same time from a normal individual unrelated to the patient, must be submitted with the patient's sample to control for collection, processing, and transportation effects on the neutrophils.
Specimen processing Store and transport at room temperature. Samples must be collected within 48 hours of test performance at ARUP and all samples must be submitted in the original collection tubes. Critical ambient. Do not refrigerate or freeze.
Stability-   Room temp 48 hours   Refrigerated unacceptable   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Clotted, contaminated, refrigerated, or frozen samples.
CPT codes 86352
Test schedule Sun-Sat
Turnaround time 2-4 days
Method Flow Cytometry
Test includes
Neutrophil Oxidative Burst Assay.
Reference ranges
  
Neutrophil Oxidative Burst Assay
 See separate report
Notes
If patient is neutropenic, send 10 mL whole blood.

[1259]


NEWBORN SCREENING (WASHINGTON)
Order Code PKUNSR Test Code PKUNSR
Recommend collection 7-10 days after leaving hospital. FOR WASHINGTON STATE RESIDENTS ONLY.
Synonyms PKU
Specimen Required
       Container type See below  Specimen type See below
Collection procedure Contact Supply Department for special filter paper collection kit. Follow collection instructions carefully. Do not package in airtight, leakproof plastic bags because the lack of air exchange in the inner environment of a sealed plastic bag causes heat buildup and moisture accumulation that can damage the dried blood spot test substances. Ship in a high quality bond envelope.
CPT codes 99001
Turnaround time 13-20 days
Method MS/MS, Fluoroimmunoassay, Colorimetric, IEF, Fluorametric Assay
Test includes
CAH, ng/mL; Hemoglobinopathy; Biotinidase; Galactosemia; Homocystinuria; MCAD Deficiency; Maple Syrup Urine Disease; PKU; CH(TSH); Cystic Fibrosis.
Reference ranges
  
CAH                  LT 60.0      ng/mL
Hemoglobinopathy     FA or AF Phenotype
Biotinidase          Full Enzyme Activity
Galactosemia         Full Enzyme Activity
Homocystinuria       LT 80 umol/L blood
MCAD Deficiency      LT 0.5 umol/L blood
Maple Syrup Urine    LT 350 umol/L blood
 Disease
PKU                  LT 180 umol/L blood
CH (TSH)             LT 20.0 uIU/mL
Cystic Fibrosis      LT 70 ng/mL blood
                     All findings based on
                     child's age, birthweight,
                     or transfusion status.

[1260]


NIACIN (VITAMIN B3)
Order Code NIACI Test Code NIACI
Synonyms Niacin; Nicotinic Acid; Vit B3; B3
Specimen Required
       Container type Lavender top tube  Specimen type Frozen EDTA plasma  Preferred volume 4 mL  Minimum volume 2 mL
Specimen processing Separate plasma from the cells within 15 minutes of collection and put in separate plastic tube and freeze. Protect from light. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Room temperature or refrigerated samples. Grossly hemolyzed, lipemic or samples not protected from light.
CPT codes 84591
Test schedule Varies
Turnaround time Varies
Method HPLC/Solid Phase Extraction
Test includes
Niacin, ug/mL.
Reference ranges
  
Niacin                      ug/mL
 10 yrs and more       Normal    0.50-8.45
                       Low       LT 0.50
                       High      GT 8.45
 LT 10 yrs             Normal    0.50-8.91
                       Low       LT 0.50
                       High      GT 8.91

[5576]


NICKEL
Order Code NISER Test Code NISER
Specimen Required
       Container type Royal blue top tube (metal free plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate seurm from cells ASAP and put in separate trace element-free transport tube. Store and transport refrigerated.
Stability-   Room temp If the sample is drawn and stored in the appropriate container, the trace element values do not change with time.   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Serum separator tubes and gels. Specimens that are not separated from cells or clot within 6 hours.
CPT codes 83885
Test schedule Sun
Turnaround time 3-10 days
Method ICP-MS
Test includes
Nickel, ug/L.
Reference ranges
  
Nickel          10.0 or less        ug/L
 Serum nickel testing is intended
 to detect potentially toxic
 exposure.

[1262]


NICKEL, QUANTITATIVE, URINE
Order Code NICUQ Test Code NICUQ
Specimen Required
       Container type 24-hour plastic urine container.  Specimen type Urine, random or 24-hour collection  Preferred volume 10 mL  Minimum volume 5 mL
Collection procedure Collect a 24-hour or random urine in a 24-hour plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 10 mL of a well-mixed 24-hour or random urine collection into a leakproof plastic urine container. Store and transport refrigerated. ARUP studies indicate that refrigeration ofurine alone, during and after collection preserves specimens adequately if tested within 14 days of collection.Submit specimen in two ARUP Trace Element-Free Transport Tubes (43116).
Required patient info Record total volume and collection time interval on transport tube and request form.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Urine collected within 48 hours after administation of gadolinium (Gd) containing contrast media (may occur with MRI studies) or acid preserved urine specimens.
CPT codes 83885
Test schedule Sun
Turnaround time 3-10 days
Method ICP/MS
Test includes
Collection period, hrs; Total Volume, mLs; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Nickel, Urine, ug/L; Nickel, Urine, ug/d; Nickel, Urine, ug/gCR.
Reference ranges
  
Collection Period                hr
Total Volume                     mls
Creatinine, Urine                mg/dL
Creatinine, Urine                mg/d
 M  3-8 yrs      140-700
    9-12 yrs     300-1300
    13-17 yrs    500-2300
    18-50 yrs    1000-2500
    51-80 yrs    800-2100
    81 yrs +     600-2000
 F  3-8 yrs      140-700
    9-12 yrs     300-1300
    13-17 yrs    400-1600
    18-50 yrs    700-1600
    51-80 yrs    500-1400
    81 yrs+      400-1300
Nickel, Urine    0.0-5.2         ug/L
Nickel, Urine    0.0-6.4         ug/d
Nickel, Urine    No reference    ug/gCR
                 interval

[1263]


NICOTINE & METABOLITE, SERUM/PLASMA
Order Code NICMSP Test Code NICMSP
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 4 mL  Minimum volume 2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and tranpsort refrigerated.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 3 years   Frozen (-70°C)
Unacceptable conditions SST tubes, plasma/whole blood from light blue top tubes (sodium citrate), specimens exposed to repeated freeze/thaw cycles.
Alternate specimens EDTA, K2EDTA or sodium heparin plasma (lavender, pink or green top tubes).
CPT codes 83887
Test schedule Sun-Sat
Turnaround time 2-5 days
Method LC-Tandem Mass Spectrometry
Test includes
Nicotine, ng/mL; Cotinine, ng/mL; 3-OH-Cotinine, ng/mL.
Reference ranges
  
Nicotine       Unexposed    LT 2    ng/mL
               Passive      LT 2
               Abstinent    LT 2
               Acitve       30-50
Cotinine       Unexposed    LT 2    ng/mL
               Passive      LT 8
               Abstinent    LT 2
               Active       200-800
3-OH-Cotinine  Unexposed    LT 2    ng/mL
                Passive     LT 2
                Abstinent   LT 2
                Active      100-500
                Unexposed = Non tabacco user
                Passive = Passive Exposure
                Abstinent = Abstinent user for more
                            than 2 weeks.
                Active = Active tabacco use.
 The absence of expectd drug(s) and or drug metabolite
 (s) may indicate non-compliance, inappropriate timing
 of specimen collection relative to drug administration,
 poor drug absorption, or limitations of testing. The
 concentration value must be GT or equal to the cutoff
 to be reported as positive. Interpretive questions
 should be directed to the lab.

[5601]


NICOTINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCNIC Test Code TLCNIC
Synonyms Nicorette, Nicotrol, cigarettes, cigars, smokeless tobacco, bidis, snuff, chew,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Collection procedure Transport at room temperature
Stability-   Room temp 2 days   Refrigerated 10 days   Frozen (-20°C) 8 months   Frozen (-70°C)
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Nicotine
Notes
Test is also included in Drug-Sur as part of panel.

[6964]


NMP 22
Order Code NMP22 Test Code NMP22
Supplies available from PAML Supply Department.
Specimen Required
        Specimen type Frozen urine  Preferred volume 5 mL
Collection procedure Collect a single void of urine between midnight and noon. Immediately following collection, add urine to NMP22 urine stabilizer vial and freeze.
Specimen processing Stabilized urine should be blue-green. Store and transport frozen.
Stability-   Room temp 48 hours   Refrigerated 72 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Nonstabilized urine.
CPT codes 86316
Test schedule Mon, Thu
Turnaround time 2-8 days
Method EIA
Test includes
NMP22, U/mL.
Reference ranges
  
NMP22     0.0-10.0 U/mL
 The NMP22 assay is intended as an aid
 in the management of patients with
 transitional cell carcinoma of the 
 urinary tract (TCC/UT). It is used
 after surgical treatment to identify
 patients with residuual or rapidly
 recurring TCC/UT.
Notes
Values obtained with different assay methods should not be used interchangeably. ARUP uses the Matritech NMP22 Test Kit, which is an EIA method. Urine stabilization kit is available from the PAML Supply Department.

[1266]


NMR LIPOPROFILE
Order Code NMRLP Test Code NMRLP
Specimen Required
       Container type Plain red top tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1.1 mL - ABSOLUTE MINIMUM. Any specimens received with less than 1 mL volume will be rejected as QNS.
Specimen processing Separate serum from cells within 6 hours of collection and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp unacceptable   Refrigerated 10 days   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Frozen samples or SST or PST tubes. Samples with less than 1 mL volume.
Alternate specimens NMR Lipotube( Black/Yellow NMR LipoProfile tube). Invert tube to mix contents and allow to clot at RT for 30 minutes. Centrifuge for 15 minutes at 3,000 rpm within 4 hours of collection.
CPT codes 80061, 83704
Method Spectrophotometric
Test includes
LDL-P, nmol/L; LCL-C, mg/dL; HDL-C, mg/dL; Triglycerides, mg/dL; Total Cholesterol, mg/dL; HDL-P (Total), umol/L; Small LDL-P, nmol/L; LDL Size, nm; Large VLDL-P, nmol/L; Small LDL-P, nmol/L; Large HDL-P, umol/L; VLVL Size, nm; LDL Size, nm; HDL Size, nm; LP-IR Score.
Reference ranges
  
LDL-P              Low                 LT 1000      nmol/L
                   Moderate            1000-2199
                   Borderline high     1300-1599
                   High                1600-2000
                   Very high           GT 2000
LDL-C              Optimal             LT 100       mg/dL
                   Near or above       100-129
                    Optimal
                  Borderline high      130-159
                  High                 160-190
                  Very high            GT 190
HDL-C             Desirable            40 or more   mg/dL
Triglycerides     Desirable            LT 150       mg/dL
Total Cholesterol Desirable            LT 200       mg/dL
HDL-P (Total)                                       umol/L
Small LDL-P                                         nmol/L
LDL Size                                            nm
Large VLDL-P                                        nmol/L
Small VLDL-P                                        nmol/L
Large HDL-P                                         umol/L
VLDL Size                                           nm
LDL Size                                            nm
HDL Size                                            nm
LP-IR Score        0-100         
Notes
Collect and send to PAML Monday through Friday due to stability.

[5548]


NOROVIRUS GROUP 1 & 2 RT-PCR
Order Code NOROPC Test Code NOROPC
Synonyms Norwalk virus, Norwalk agent
Specimen Required
       Container type See below.  Specimen type Frozen random stool  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing 1 mL frozen random stool in a clean, leakproof container. Store and transport frozen
Stability-   Room temp 8 hours   Refrigerated 3 days   Frozen (-20°C) 1 month   Frozen (-70°C) indefinitely
Unacceptable conditions Swab specimens or samples received in fixative.
Department Virology
CPT codes 87798 x 2
Test schedule Tue, Fri
Turnaround time 1-4 days
Method RT-PCR
Test includes
Norovirus 1 by RT-PCR; Norovirus 2 by RT-PCR.
Reference ranges
  
Norovirus 1 by RT-PCR             Not detected
Norovirus 2 by RT-PCR             Not detected
                                  A result of not detected does not rule out the presence 
                                  of PCR inhibitors in the patient specimen or norovirus nucleic 
                                  acid in concentrations below the level of detection of the 
                                  assay. This test is performed pursuant to an agreement with 
                                  Roche Molecular Systems, Inc.

[5772]


NORTH DAKOTA FOOD PANEL [IBT]
Order Code NDIGGI Test Code NDIGGI
Specimen Required
       Container type SST  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport at room temperature or refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86001
Test schedule Mon-Fri
Turnaround time 4-7 days
Method ImmunoCap FEIA-IGG
Test includes
Casein IgG; Casein IgG Class; Corn IgG; Corn IgG Class; Egg White IgG; Egg White IgG Class; Orange IgG; Orange IgG Class; Soybean IgG; Soybean IgG Class; Wheat IgG; Wheat IgG Class; Yeast(Saccharomyces cerevisiae)IgG; Yeast(Saccharomyces cerevisiae)IgG Class
Reference ranges
  
Casein IgG                                   LT 2                   mcg/mL
 Casein IgG Class
Corn IgG                                     LT 2
 Corn IgG Class 
Egg White IgG                                LT 2
 Egg White IgG Class
Orange IgG                                   LT 2
 Orange IgG Class
Soybean IgG                                  LT 2
 Soybean IgG Class
Wheat IgG                                    LT 2
 Wheat IgG Class
Yeast(Saccharomyces cerevisiae) IgG          LT 2
 Yeast (Saccharomyces cerevisiae) IgG Class

[3091]


NORTRIPTYLINE
Order Code NOR Test Code NORT
Synonyms Aventyl; Pamelor
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 3.5 mL  Minimum volume 2.5 mL
Collection procedure Draw 10-14 hours post dose. If a divided dose is given draw before morning dose.
Specimen processing Separate serum from cells within 4 hours and place in separate 4 or 10 mL polypropylene (not polystyrene) plastic tube with screw on cap. Store and transport refrigerated.
Required patient info Date and time of dose and draw.
Stability-   Room temp 5 days   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Limitations SST and gel-type tubes are not recommended because they may artifactually, randomly lower results. Disopyramide (Norpace) interferes with nortriptyline..
Department Chemistry
CPT codes 80182
Test schedule Mon-Fri days
Turnaround time 1-3 days
Method HPLC
Test includes
Nortriptyline, ng/mL.
Reference ranges
  
Nortriptyline              ng/mL
 Therapeutic  50-150 
 Toxic        GT 499

[1268]


NORTRIPTYLINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCNOR Test Code TLCNOR
Synonyms Aventyl, Pamelor,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Nortriptyline
Notes
Test is also included in Drug-Sur as part of panel.

[6965]


OBSTETRIC PANEL
Order Code OB.PANEL Test Code OBPANL
Specimen Required
       Container type Lavender top tube (EDTA) and SST tube  Specimen type Serum, EDTA whole blood and peripheral blood smears.  Preferred volume 6 mL serum, 7 mL EDTA whole blood (2 lavender top tubes) and slides.
Specimen processing Store and transport all specimens except smears refrigerated. Prefer to receive specimen for CBC (lavender top tube) within 12 hours of collection.
Alternate specimens None.
Department Hematology, Immunohematology, Immunochemistry
CPT codes 80055
Test schedule Sun-Fri nights (CBC Sat-Sun)
Turnaround time 24-48 hours
Method Hemagglutination, ICMA, Automated, FLOC
Test includes
CBC, ABO, RH, Antibody Screen, Hepatitis B Surface Antigen, RPR, Rubella, IgG.
Reference ranges
  
CBC
ABO                         
RH                      
Antibody Screen                Negative
RPR                            Nonreactive
Hepatitis B Surface Antigen    Nonreactive
Rubella, IgG
 LT 5          Presumed non-immune          IU/mL
 5-9           Equivocal
 10 or greater Presumed immune

[1269]


OCCULT BLOOD, URINE
Order Code BLD Test Code BLDUD
Synonyms Hgb, Urine
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated.
Department Hematology-Urinalysis
CPT codes 81003
Test schedule Mon-Sat days, Mon-Fri evenings and STAT
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Hgb, Urine.
Reference ranges
  
Hemoglobin, Urine    Negative

[1273]


OLANZAPINE
Order Code OLANZ Test Code OLANZ
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 2 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp Unacceptable   Refrigerated Unacceptable   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Alternate specimens EDTA, K2EDTA, sodium or lithium heparin plasma (lavender, pink, or green top tube).
CPT codes 80299
Test schedule Mon, Thu
Turnaround time 2-6 days
Method HPLC
Test includes
Olanzapine, ng/mL.
Reference ranges
  
Olanzapine       5-75         ng/mL

[1274]


OLANZAPINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCOLA Test Code TLCOLA
Synonyms Zyprexa,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Olanzapine
Notes
Test is also included in Drug-Sur as part of panel.

[6966]


OLIGOCLONAL BAND PROFILE
Order Code OLIBND Test Code OLIBND
Specimen Required
       Container type SST tube and CSF sterile plastic tube  Specimen type Serum and CSF  Preferred volume 1 mL serum and 1.5 mL CSF  Minimum volume 0.5 mL serum and 0.7 mL CSF
Collection procedure Serum should be drawn within 48 hours of CSF collection.
Specimen processing Allow serum to clot completely at room temperature. Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Specimens to be assayed together for interpretation.
Stability-   Room temp 8 hours   Refrigerated 7 days   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 83916, 82040, 82784 x 2, 82042
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method Isoelectric Focusing/ Nephelometry/IF
Test includes
IgG, Serum, mg/dL; IgG, CSF, mg/dL; Albumin, CSF, mg/dL; Albumin Index, Ratio; IgG Index; CSF IgG/Albumin Ratio, Ratio; CSF Oligoclonal Bands, Interpretation; CSF IgG Synthesis Rate, mg/d; Albumin, Serum, mg/dL.
Reference ranges
  
IgG, Serum                      mg/dL
 0-30 days            611-1542
 1 mo                 241-870
 2 mo                 198-577
 3 mo                 169-558
 4 mo                 188-536
 5 mo                 165-781
 6 mo                 206-676
 7-8 mo               208-868
 9-11 mo              282-1026
 1 yr                 331-1164
 2 yrs                407-1009
 3 yrs                423-1090
 4 yrs                444-1187
 5-7 yrs              608-1229
 8-9 yrs              584-1509
 10+ yrs              768-1632
IgG, CSF              0.0-6.0   mg/dL
Albumin, CSF          0-35      mg/dL
Albumin, Index        0.0-9.0   ratio
IgG Index             0.28-0.66 ratio
CSF IgG/Albumin Ratio 0.09-0.25 ratio
CSF Oligoclonal Bands Negative
Interpretation
CSF IgG Synthesis     8.0 or    mg/d
 Rate                 less
Albumin, Serum        3500-5200 mg/dL

[1275]


OLIGOCLONAL BANDS, CSF/SERUM
Order Code OLIGB Test Code OLIGB
Specimen Required
       Container type Clean leakproof plastic tube and SST tube  Specimen type CSF and Serum  Preferred volume 1.5 mL CSF & 1 mL serum  Minimum volume 0.7 mL CSF & 0.5 mL serum
Collection procedure Serum should be drawn within 48 hours of the CSF collection.
Specimen processing Allow serum to clot completely, then separate serum from the cells and put in separate plastic tube. Store and transport both specimens refrigerated.
Stability-   Room temp 8 hours   Refrigerated 8 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Limitations Specimens must be assayed together for interpretation.
CPT codes 83916
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method Isoelectric Focusing/Immunofixation
Test includes
CSF Band Oligob; Interpretation.
Reference ranges
  
CSF Band Oligob     Negative
Interpretation

[5602]


OPIATE (ALTERNATE) CONFIRMATION BY GC/MS. INCLUDES OXYCODONE, HYDROCODONE, HYDROMORPHONE
Order Code MSALOP Test Code MSALOP
Synonyms Oxycontin, percodan, oxyir, roxicodone, percolone, roxicet, percocet, tylox, anexsia, lorcet, lortab, norco, panacet, zydone, citraforte, vicodin, codimal, dicodid, hycodan, norcet, rondec, tussionex, dilaudid, palla
Specimen Required
       Container type Leakproof plastic urine container  Specimen type Urine  Preferred volume 30 mL  Minimum volume 5 mL
Collection procedure Collect a random urine specimen.
Stability-   Room temp 48 hours   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Limitations Cutoff 300 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Gas Chromatography Mass Spectrometry
Test includes
Hydrocodone, Hydromorphone, Oxycodone

[6909]


OPIATE COMPLIANCE PANEL 7
Order Code CPOP7 Test Code CPOP7
Specimen Required
       Container type Clean leakproof plastic urine container.  Specimen type Random urine  Preferred volume 30 mL  Minimum volume 20 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot specimen in a clean leakproof plastic urine container. Store and transport at room temperature.
Required patient info Indicate date and time of last dose.
Stability-   Room temp 10 days   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Blood, serum or plasma.
Department Toxicology
CPT codes 83925 x 7
Test schedule Mon-Fri
Turnaround time 1-2 days
Method Tandem Mass Spectrometry
Test includes
Codeine, ng/mL; Morphine, ng/mL; Hydrocodone, ng/mL; Hydromorphone, ng/mL; Oxycodone, ng/mL; Oxymorphone, ng/mL; 6 MAM (Heroin metabolite), ng/mL.
Reference ranges
  
Codeine             positive cutoff 20           ng/mL
Morphine            positive cutoff 20           ng/mL
Hydrocodone         positive cutoff 20           ng/mL
Hydromorphone       positive cutoff 20           ng/mL
Oxycodone           positive cutoff 20           ng/mL
Oxymorphone         positive cutoff 20           ng/mL
6 MAM (Heroin       positive cutoff 10           ng/mL
 Metabolite)

[5586]


OPIATE CONFIRMATION BY GC/MS
Order Code MSOPI Test Code MSOPI
Synonyms codeine, morphine, Roxanol, Duramorph, MS Contin, Oramorph, MSIR, Kadian, Astramor,Tylenol 3, Avinza, Robitussin A-CSyrup, rabo, schoolboy, captain cody, cody, doors & fours, loads, pancakes and syrup, M, Miss Emma, monkey, white stuff,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff at 1000 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Gas Chromatography Mass Spectrometry
Test includes
Codeine, Morphine

[6906]


OPIATE CONFIRMATION BY LC/MS
Order Code LCOP Test Code LCOP6
Synonyms morphine, codeine, oxycodone, hydrocodone, hydromorphone, roxanol, duramorph, MS contin, oramorph, MSIR, kadian, astramorph, avinza, tylenol 3, robitussin A-C, oxycontin, percodan, oxyir, roxicodone, percolone, roxicet, percocet, tylox, anexsia, lorcet,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 150 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Liquid Chromatography Mass Spectrometry (LC/MS)
Test includes
Hydrocodone,Hydromorphone,Morphine,Codeine,Oxycodone,and Oxymorphone
Notes
Test is also included in Comprehensive Drug Survey. Replaces TLCOPA

[7014]


OPIATE SCREEN
Order Code OPIATE Test Code OPI
Synonyms codeine, morphine, oxycodone, hydrocodone, hydromorphone,narcotic analgesic, roxanol, duramorph, MS contin, oramorph, MSIR, Kadian, Astramorph, Avinza, Tylenol 3, Robitussin A-C,Oxycontin, Dilaudid, Percodan, Oxyir, Roxicodone,Lorcet, Lortab, anexsia, nor
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 ml  Minimum volume 20 ml
Limitations General Cutoff 300 ng/ml
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Test includes
Codeine, Morphine, Hydrocodone, Hydromorphone, Oxycodone

[6898]


OPIATES, (REFLEXIVE)
Order Code OPISCO Test Code OPISCO
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 7 mL  Minimum volume 2.8 mL
Specimen processing Separate serum from cells immediately and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 1 week   Refrigerated 10 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions SST or gel-type tubes.
Alternate specimens Plasma.
CPT codes 80101
Test schedule Mon-Sat
Turnaround time 2-5 days
Method ELISA, GC/MS
Test includes
Opiates, ng/mL; 6-Monacetylorphine, Free, ng/mL; Codeine, Free, ng/mL; Dihydrocodeine/Hydrocodone, Free, ng/mL; Hydrocodone,Free, ng/mL; Hydromorphone, Free, ng/mL; Morphine, Free, ng/mL; Oxycodone, Free, ng/mL, Oxymorphone, Free, ng/mL.
Reference ranges
  
Opiates                                 ng/mL
6-Monoacetylmorphine, Free              ng/mL
Coedine, Free                           ng/mL
 Therapeutic range 30-120
Dihydrocodeine/Hydrocodol, Free         ng/mL
 Usual therapeutic range 50-100
Hydrocodone, Free                       ng/mL
 Following a single 10 mg dose 
 Up to 39 ng/mL
Hydromorphone, Free                     ng/mL
 Peak plasma concentrations ranged
 from 18-27 ng/mL (mean 22 ng/mL)
 one hour after a 4 mg oral dose.
Morphine, Free                          ng/mL
 Usual range following therapeutic
 doses: 10-70 ng/mL
Oxycodone, Free                         ng/mL
 Peak plasma concentrations 1 hr 
 after a single immediate-release
 tablet preparation containing 5 mg
 Oxycodone: 9-38 ng/mL.
 Peak plasma concentrations within
 2.5 hours after 10 mg of a immediate
 release preparation of Oxycodone: 13-46
 ng/mL. 
 Mean peak plasma concentrations
 following a single dose of a 40 to
 80 mg controlled release Oxycodone
 preparation: 39-100 ng/mL.
 Toxicity may be significant at
 greater than 200 ng/mL. However,
 concentrations associated with
 toxicity are variable and depend
 on an individual's tolerance to
 the drug.
Oxymorphone, Free                        ng/mL                    

[3578]


OPIATES, FREE & TOTAL
Order Code OPIFRT Test Code OPIFRT
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 4 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Unacceptable conditions SST or gel-type tubes.
CPT codes 83925 x 2
Test schedule varies
Turnaround time varies
Method GC/MS
Test includes
6-Monoacetylmorphine, Free, ng/mL; Codeine, Free, ng/mL; Dihydrocodeine/Hydrocodol, Free, ng/mL; Hydrocodone, Free, ng/mL; Hydromorphone, Free, ng/mL; Morphine, Free, ng/mL; Oxycodone, Free, ng/mL; Oxymorphone, Free, ng/mL; Dihydro-codeine/Hydrocodol, Total, ng/mL; Oxycodone, Free, ng/mL; Codeine, Total, ng/mL; Hydrocodone, Total, ng/mL; Hydromorphone, Total, ng/mL; Morphine, Total, ng/mL.
Reference ranges
  
6-Monoacetylmorphine, Free       ng/mL
Codeine, Free                    ng/mL
 Therapeutic     3-120
Dihydrocodeine/Hydrocodol, Free  ng/mL
 Usual therapeutic range  50-100
Hydrocodone, Free                ng/mL
 Following a single 10-mg oral 
 dose up to 39
Hydromorphone, Free              ng/mL
 Peak plasma concentrations ranged
 from 18-27 (mean 22) one hour after
 a 4-mg oral dose
Morphine, Free                   ng/mL
 Usual range following therapeutic
 10-70
Oxycodone, Free                  ng/mL
 Peak plasma levels following a 
 single oral 4.5 mg dose  17-36
Oxymorphone, Free                ng/mL
Dihydrocodeine/Hydrocodol, Total ng/mL
Oxycodone, Total                 ng/mL
Codeine, Total                   ng/mL
Hydrocodone, Total               ng/mL
Hydromorphone, Total             ng/mL
Morphine, Total                  ng/mL
 Total morphine concentrations 
 include unconjugated morphine 
 plus conjugated metabolites,
 primarily the inactive morphine-3-
 glucuronide and the active morphine-
 6-glucuronide. Typically the con-
 centrations of the conjugated
 metabolites in the blood exceed 
 that of the parent drug.

[1276]


ORAL FLUID 5 (REFLEXIVE)
Order Code ORAL5 Test Code ORAL5
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type See below  Specimen type Oral fluid  Preferred volume 3 mL oral fluid  Minimum volume 2 mL oral fluid
Patient Prep See below
Collection procedure Ensure that donor has had nothing in their mouth for at least ten (10) minutes before sample collection. Have donor drink 3 ounces of pure water at least five (5) minutes before sample collection. Directly observe the donor during sample collection. Use oral sample collection kit. Encourage donor to pucker their mouth to accumulate oral fluid prior to expressing oral fluid into collection vial. Repeat 3-5 times until at least 2 mL are collected. Complete chain or custody forms and label vials. Follow collection and submission directions in kit. Store and transport at room temperature.
Specimen processing Store and transport at room temperature.
Unacceptable conditions Frozen samples.
Limitations Send specimens using 1-2 day delivery.
CPT codes 80101 x 5, 80102
Test schedule Mon-Fri
Turnaround time 1-2 days
Method Tandem Mass Spectrometry/GC
Test includes
Amphetamine, ng/mL; Amphetamine, ng/mL; Methamphetamine, ng/mL; MDA, ng/mL; MDMA, ng/mL; Cocaine, ng/mL; Benzoylecgonine, ng/mL; Cocaine, ng/mL; Opiates, ng/mL; Codeine, ng/mL; Morphine, ng/mL; Hydrocodone, ng/mL; Hydromorphone, ng/mL; 6-MAM, ng/mL; Oxycondone, ng/mL; PCP, ng/mL; Phencyclidine, ng/mL; Cannabinoids, ng/mL; Native THC, ng/mL; Certification.
Reference ranges
  
Amphetamine Screen                Cutoff 50    ng/mL
Amphetamine                       Cutoff 10.0  ng/mL
Methamphetamine                   Cutoff 10.0  ng/mL
MDA                               Cutoff 10.0  ng/mL
MDMA                              Cutoff 10.0  ng/mL
Cocaine Screen                    Cutoff 20    ng/mL
Benzoylecgonine                   Cutoff 3.0   ng/mL
Cocaine                           Cutoff 2.0   ng/mL
Opiates Screen                    Cutoff 40    ng/mL
Codeine                           Cutoff 2.0   ng/mL
Morphine                          Cutoff 2.0   ng/mL
Hydrocodone                       Cutoff 2.0   ng/mL
Hydromorphone                     Cutoff 3.0   ng/mL
6-MAM                             Cutoff 2.0   ng/mL
Oxycodone                         Cutoff 2.0   ng/mL
PCP Screen                        Cutoff 10    ng/mL
Phencyclidine                     Cutoff 10.0  ng/mL
Cannabinoids Screen               Cutoff 4     ng/mL
Native THC                        Cutoff 2.0   ng/mL
Certification
Notes
Collection kits available from PAML Supply Department.

[5547]


ORAL FLUID 9 (REFLEXIVE)
Order Code ORAL9 Test Code ORAL9
Send specimens using 1-2 day delivery.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type See below  Specimen type Oral fluid  Preferred volume 3 mL oral fluid  Minimum volume 2 mL oral fluid
Patient Prep See below
Collection procedure Ensure that donor has had nothing in their mouth for at least ten (10) minutes before sample collection. Have donor drink 3 ounces of pure water at least five (5) minutes before sample collection. Directly observe the donor during sample collection. Use oral sample collection kit. Encourage donor to pucker their mouth to accumulate oral fluid prior to expressing oral fluid into collection vial. Repeat 3-5 times until at least 2 mL are collected. Complete chain or custody forms and label vials. Follow collection and submission directions in kit. Store and transport at room temperature. Send specimens using 1-2 day delivery.
Specimen processing Store and transport at room temperature.
Unacceptable conditions Frozen samples.
CPT codes 80101 x 9, 80102, 83925
Test schedule Mon-Fri
Turnaround time 2-3 days
Method Tandem Mass Spectrometry/GC
Test includes
Amphetamine Screen, ng/mL; Amphetamine, ng/mL; Methamphetamine, ng/mL; MDA, ng/mL; MDMA, ng/mL; Barbiturates Screen, ng/mL, Butalbital, ng/mL, Amobarbital, ng/mL, Pentobarbital, ng/mL, Secobarbital, ng/mL, Phenobarbital, ng/mL, Benzodiazepines Screen, ng/mL, Oxazepam, ng/mL, Alprazolam, ng/mL, Temazepam, ng/mL, Nordiazepam, ng/mL, Diazepam, ng/mL, Cocaine Screen, ng/mL; Benzoylecgonine, ng/mL; Cocaine, ng/mL; Methadone Screen, ng/mL, EDDP, ng/mL, Methadone, ng/mL, Opiates Screen, ng/mL; Codeine, ng/mL; Morphine, ng/mL; Hydrocodone, ng/mL; Hydromorphone, ng/mL; 6-MAM, ng/mL; Oxycodone, ng/mL; PCP Screen, ng/mL; Phencyclidine, ng/mL; Propoxyphene Screen, ng/mL, Propoxyphene, ng/mL, Norpropoxyphene, ng/mL, Cannabinoids Screen, ng/mL; Native THC, ng/mL; Certification.
Reference ranges
  
Amphetamine Screen                Cutoff 50              ng/mL
Amphetamine                       Cutoff 10.0
Methamphetamine                   Cutoff 10.0
MDA                               Cutoff 10.0
MDMA                              Cutoff 10.0
Barbiturates Screen               Cutoff 100              ng/mL
Butalbital                        Cutoff 50.0
Amobarbital                       Cutoff 50.0
Pentobarbital                     Cutoff 50.0
Secobarbital                      Cutoff 50.0
Phenobarbital                     Cutoff 50.0
Benzodiazepines Screen            Cutoff 10               ng/mL
Oxazepam                          Cutoff 5.0
Alprazolam                        Cutoff 5.0
Temazepam                         Cutoff 5.0
Nordiazepam                       Cutoff 5.0
Diazepam                          Cutoff 5.0
Cocaine Screen                    Cutoff 20               ng/mL
Benzoylecgonine                   Cutoff 3.0
Cocaine                           Cutoff 2.0
Methadone Screen                  Cutoff 50               ng/mL
EDDP                              Cutoff 25.0
Methadone                         Cutoff 25.0
Opiates Screen                    Cutoff 40               ng/mL
Codeine                           Cutoff 2.0
Morphine                          Cutoff 2.0
Hydrocodone                       Cutoff 2.0
Hydromorphone                     Cutoff 3.0
6-MAM                             Cutoff 2.0
Oxycodone                         Cutoff 2.0
PCP Screen                        Cutoff 10               ng/mL
Phencyclidine                     Cutoff 10.0
Propoxyphene Screen               Cutoff 50               ng/mL
Propoxyphene                      Cutoff 10.0
Norpropoxyphene                   Cutoff 10.0
Cannabinoids Screen               Cutoff 4                ng/mL
Native THC                        Cutoff 2.0
Certification
Notes
Collection kits available from PAML Supply Department.

[6081]


ORGANIC ACIDS, URINE
Order Code ORAU Test Code ORAU
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type Frozen aliquot of a 24-hour or random urine collection.  Preferred volume 10 mL aliquot
Collection procedure Collect a 24-hour or random urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 10 mL of a well-mixed 24-hour or random urine collection into a leakproof plastic urine container. Record total volume. Store and transport frozen.
Required patient info Collection period and total volume.
CPT codes 83918
Test schedule Mon, Thu
Turnaround time 5-10 days
Method GC/MS
Test includes
Lactic, mg/gC; Pyruvic, mg/gC; 3-OH-Butyric, mg/gC; Acetoacetic, mg/gC; Ethylmalonic, mg/gC; Fumaric, mg/gC; Glutaric, mg/gC; 3-Methylglutaric, mg/gC; 3-Methylglutaconic, mg/gC; Adipic, mg/gC; 2-Ketoglutaric, mg/gC; Suberic, mg/gC; Sebacic, mg/gC; Interpretation
Reference ranges
  
Lactic                     LT 1 mo     LT 121    mg/gC
                           1 mo-1 yr   LT 95
                           GT 1 yr     LT 80
*Pyruvic                   LT 1 mo     LT 60     mg/gC
                           1 mo-1 yr   LT 60
                           GT 1 yr     LT 51
3-OH-Butyric               LT 1 mo     LT 150    mg/gC
                           1 mo-1 yr   LT 150
                           GT 1 yr     LT 150
Acetoacetic                LT 1 mo     LT 59     mg/gC
                           1 mo-1 yr   LT 59
                           GT 1 yr     LT 59
Ethylmalonic               LT 1 mo     LT 32     mg/gC
                           1 mo-1 yr   LT 26
                           GT 1 yr     LT 19
Fumaric                    LT 1 mo     LT 39     mg/gC
                           1 mo-1 yr   LT 40
                           GT 1 yr     LT 40
Glutaric                   LT 1 mo     LT 20     mg/gC
                           1 mo-1 yr   LT 28
                           GT 1 yr     LT 29
3-Methylglutaric           LT 1 mo     LT 10     mg/gC
                           1 mo-1 yr   LT 10 
                           GT 1 yr     LT 10
3-Methylglutaconic         LT 1 mo     LT 35     mg/gC
                           1 mo-1 yr   LT 45
                           GT 1 yr     LT 45
Adipic                     LT 1 mo     LT 24     mg/gC
                           1 mo-1 yr   LT 64
                           GT 1 yr     LT 25
2-Ketoglutaric             LT 1 mo     LT 448    mg/gC
                           1 mo-1 yr   LT 544
                           GT 1 yr     LT 153
Suberic                    LT 1 mo     LT 42     mg/gC
                           1 mo-1 yr   LT 46
                           GT 1 yr     LT 32
Sebacic                    LT 1 mo     LT 38     mg/gC
                           1 mo-1 yr   LT 25
                           GT 1 yr     LT 14
Interpretation

[5761]


ORGANISM IDENTIFICATION shipping instruction code
Order Code ORG.ID Test Code CORG
Specimen Required
       
Collection procedure Freshly ISOLATED colonies on appropriate type of media slant . Indicate source of isolate. Please send pure culture. Mixed cultures containing more than one microbial species will incur additional charges.
Specimen processing Store and transport at room temperature. Ship 602.
Required patient info Indicate source.
Department Microbiology
CPT codes 87077
Test schedule Daily
Turnaround time 3-10 days
Test includes
Source; Organism, ID; Organism, Status.
Reference ranges
  
Source
Organism ID
Organism, Status

[1280]


ORGANISM SENSITIVITY, EACH ORGANISM
Order Code SUSC Test Code SUSC
The actual type of susceptibility done will vary . The fee will be dependent upon which particular susceptibility was performed.
Synonyms Organism Susceptibility Test
Specimen Required
        Specimen type Significant culture isolate
Required patient info Specimen source.
Limitations Performed on significant culture isolates only.
Department Microbiology
CPT codes This workpar uses billing only codes. Charges and coding will be dependent upon the specific type of susceptibility test done.
Test schedule Sun-Sat
Turnaround time 2-3 days
Test includes
Source; Organism Sensitivity; Organism Sensitivity, Status.
Reference ranges
  
Source
Organism Sens          Negative
Organism Sens, Status
Notes
Reported as sensitive, intermediate or resistant to antibiotic.

[1281]


OSMOLALITY
Order Code OSMOLAL Test Code OSM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.6 mL
Specimen processing Separate serum from cells and put in separate plastic tube. If drawn in a red top must spin and separate and then spin and separate again before submission. Store and transport refrigerated or frozen.
Stability-   Room temp 3 hours   Refrigerated 3 days   Frozen (-20°C) 1 week   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (lithium heparin green top tube).
Department Chemistry
CPT codes 83930
Test schedule Daily and STAT
Turnaround time 1-2 days
Method Freezing Point Depression
Test includes
Osmolality, mOsm/kg.
Reference ranges
  
Osmolality   275-295    mOsm/kg

[1282]


OSMOLALITY, FECAL
Order Code FECOSM Test Code FECOSM
Specimen Required
       Container type Leakproof plastic container.  Specimen type Frozen liquid stool  Preferred volume 20 mL  Minimum volume 20 mL
Specimen processing Put in separate plastic tube and freeze. Store and transport frozen.
Unacceptable conditions Non-liquid stools.
Alternate specimens Timed collections (24 hours).
CPT codes 84999
Test schedule Mon-Sat
Turnaround time 1-3 days
Method Freezing Point
Test includes
Osmolality, Fecal, mosmol/kg.
Reference ranges
  
Osmolality, Fecal  220-280  mosmol/kg

[1283]


OSMOLALITY, QUANTITATIVE, URINE
Order Code OSMOLAL-U Test Code OSMUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 1 mL  Minimum volume 0.6 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Do not allow to sit at room temperature. Refrigerate during collection.
Specimen processing Aliquot 1 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport frozen.
Required patient info Collection period and total volume.
Stability-   Room temp unacceptable   Refrigerated 1 day   Frozen (-20°C) 1 week   Frozen (-70°C)
Department Chemistry
CPT codes 83935
Test schedule Daily & STAT
Turnaround time 1-2 days
Method Freezing Point Depression
Test includes
Collection Period, h; Volume, mL; Osmolality, Urine, mOsm/kg.
Reference ranges
  
Collection Period              h
Volume                         mL
Osmolality, Urine   300-900    mOsm/kg

[1284]


OSMOLALITY, URINE (RANDOM)
Order Code OSMOLAL-R Test Code OSMUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 1 mL  Minimum volume 0.6 mL
Collection procedure Collect a random urine specimen.
Specimen processing 40 mL aliquot of a random urine specimen. Store and transport frozen. Do not allow to sit at room temperature.
Stability-   Room temp unacceptable   Refrigerated 1 day   Frozen (-20°C) 1 week   Frozen (-70°C)
Unacceptable conditions Room temperature.
Department Chemistry
CPT codes 83935
Test schedule Daily & STAT
Turnaround time 1-2 days
Method Freezing Point Depression
Test includes
Osmolality, Urine, mOsm/kg.
Reference ranges
  
Osmolality, Urine, Random     mOsm/kg
 50-1200

[1285]


OSTEOCALCIN
Order Code OSTEOCALCIN Test Code OSTEO
Synonyms Bone GLA Protein
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 3 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens.
Alternate specimens EDTA or K2EDTA plasma (lavender or pink top tubes) or sodium or lithium heparin plasma (green top tube).
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 83937
Test schedule Tues-Sat
Turnaround time 2-4 days
Method Electrochemiluminescent Immunoassay
Test includes
Osteocalcin, ng/mL.
Reference ranges
  
Osteocalcin                       ng/mL
 M 7-9 yrs           66-182
   10-12 yrs         85-232
   13-15 yrs         70-336
   16-17 yrs         43-237
   18 yrs & older    11-50
 F 7-9 yrs           73-206
   10-12 yrs         77-262
   13-15 yrs         33-222
   16-17 yrs         24-99
   18 yrs & older    11-50

[1286]


OVA AND PARASITES
Order Code O/P Test Code OP
Synonyms O&P
Specimen Required
       Container type Clean leakproof sterile container or preserved in Unifix transport/fixative vial.  Specimen type Fresh stool  Preferred volume Walnut-sized portion
Collection procedure Multiple specimens for ova and parasites must be collected at least 24 hours apart and each must be submitted immediately. If a delay of more than 2 hours is expected between collection and receipt in lab, the specimen must be put into a Unifix transport/fixative vial. Date each container.
Specimen processing Store and transport at room temperature.
Required patient info Specimen source.
Unacceptable conditions Specimens containing barium.
Department Microbiology
CPT codes 87177, 87209
Test schedule Sun-Sat
Turnaround time 1-3 days
Method Microscopic
Test includes
Source; Ova & Parasites; Ova & Parasites, Status.
Reference ranges
  
Source
Ova & Parasites          Negative
Ova & Parasites, Status
Notes
If amoebic dysentery is suspected, transport immediately at room temperature. Recommended procedure is 3 separate specimens collected 24-48 hours apart. Supplies are available from the PAML supply department.

[1287]


OVARY ANTIBODY, (REFLEXIVE)
Order Code OVAB Test Code OVAB
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Anti-ovarian Ab
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
CPT codes 86255
Test schedule Thu
Turnaround time 2-8 days
Method IFA
Test includes
Anti-Ovary Antibody; Anti-Ovary Antibody Titer, Titer.
Reference ranges
  
Anti-Ovary Antibody       Negative
Anti-Ovary Antibody Titer          Titer

[1288]


OXALATE, QUANTITATIVE, URINE
Order Code OXALATE-UR Test Code OXUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 25 mL  Minimum volume 5 mL
Patient Prep Patient should refrain from excessive Vitamin C intake at least 48 hours prior to the start of collection.
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 25 ml of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 1-2 with 6N HCL within 24 hours of the end of the collection period. Note date and time pH is adjusted. Record total volume and collection period. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp   Refrigerated Acidified: 1 week.   Frozen (-20°C) Acidified: 1 week.   Frozen (-70°C)
Unacceptable conditions Specimens received not pH adjusted within 24 hours of end of collection.
Limitations A pH less than 1 can cause assay interference.
Department Special Chemistry
CPT codes 83945
Test schedule Mon-Fri
Turnaround time 1-3 days
Method Enzymatic
Test includes
Collection Period, h; Volume, mL; Oxalate, Urine, mg/24h.
Reference ranges
  
Collection Period               h
Volume                          mL
Oxalate, Urine                  mg/24h 
 0-14 yrs             13-38       
 Male 15+ yrs         7-44        
 Female 15+ yrs       4-31

[1290]


OXALATE, SERUM
Order Code OXASER Test Code OXASER
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 2 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 5 days   Refrigerated 7 days   Frozen (-20°C) 7 days   Frozen (-70°C)
Unacceptable conditions Fluoride oxalate (grey top tube) or SST tubes.
CPT codes 83945
Test schedule Tue, Thu
Turnaround time 2-6 days
Method Enzymatic
Test includes
Oxalate, Serum, mol/L.
Reference ranges
  
Oxalate, Serum      mol/L
 Normally up to 27

[1289]


OXALATE, URINE (RANDOM)
Order Code OXALATE.R Test Code OXUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 25 mL  Minimum volume 5 mL
Patient Prep Patient should refrain from excessive Vitamin C intake at least 48 hours prior to collection.
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 25 mL of a random urine specimen. Within 24 hours of collection, adjust pH to 1-2 with 6N HCl. Preferable, do not pH less than 1. Note time and date pH is adjusted. Store and transport refrigerated or frozen.
Stability-   Room temp 1 week, Acidified   Refrigerated 1 week, Acidified   Frozen (-20°C)   Frozen (-70°C)
Department Special Chemistry
CPT codes 83945
Test schedule Mon-Fri
Turnaround time 1-3 days
Method Enzymatic
Test includes
Oxalate, Urine, mg/L.
Reference ranges
  
Oxalate, Urine, Random      mg/L
 No reference range established

[1291]


OXCARBAZEPINE METABOLITE
Order Code OXCAR Test Code OXCAR
Synonyms TRILEPTAL
Specimen Required
       Container type ONE 5 mL PLAIN RED. ALSO ACCEPTABLE: LAVENDER(EDTA), PINK(K2EDTA), GREEN(SODIUM HEPARIN), GRAY(SODIUM FLUORIDE/POTASSIUM OXALATE).  Specimen type SERUM OR PLASMA  Preferred volume 1 mL  Minimum volume 0.5 mL
Stability-   Room temp   Refrigerated 2-8 C   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions AVOID USE OF SEPARATOR TUBES AND GELS AND REPEATED FREEZE/THAW CYCLES.
Alternate specimens NONE
Department TOXICOLOGY
CPT codes 80299
Test schedule MON-WED-FRI
Turnaround time 24-72 HOURS
Method HPLC/DAD
Test includes
OXCARBAZEPINE METABOLITE
Reference ranges
  
15-35 micrograms per milliter (ug/ml)
Notes
Therapeutic range is 15-35 ug/mL. Assayed as the monohydroxy metabolite(MHD). NO critical range has been established.

[7020]


OXYCODONE BY LC/MS
Order Code LCOP6 Test Code LCOP6
Synonyms morphine, MS-Contin, apomorphine, morphine sulfate, Paregoric, Apokyn, Avinza, DepoDur
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 150 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Liquid Chromatography Mass Spectrometry (LC/MS)
Test includes
Hydrocodone,Hydromorphone,Codeine,Morphine,Oxycodone,Oxymorphone
Notes
Test is also included in Comprehensive Drug Survey. Replaces TLCOPA.

[7017]


OXYCODONE SCREEN
Order Code OXYS Test Code OXYS
Synonyms oxycontin, percodan, oxyir, roxicodone, percolone, roxicet, percocet, tylox, perkies, 40, 40-bar, 80, kicker, OCs, Os, Ox, Oxy, oxycotton, pills
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Department Toxicology
CPT codes 80101
Test schedule Mon-Fri
Turnaround time 24-48 hours
Method EMIT
Test includes
Oxycodone
Notes
Positive results will automatically be confirmed by GC/MS.

[6936]


OXYMORPHONE BY LC/MS
Order Code LCOP6 Test Code LCOP6
Synonyms morphine, MS-Contin, apomorphine, morphine sulfate, Paregoric, Apokyn, Avinza, DepoDur
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 150 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Liquid Chromatography Mass Spectrometry (LC/MS)
Test includes
Hydrocodone,Hydromorphone,Codeine,Morphine,Oxycodone,Oxymorphone
Notes
Test is also included in Comprehensive Drug Survey. Replaces TLCOPA.

[7018]


PAIN MANAGEMENT 10 PANEL (REFLEXIVE)
Order Code PMP2 Test Code PMP2
This test may reflex to additional tests depending upon the results of these tests. Positive result will automatically reflex to confirmation testing without additional charges. Confirmation by GC/MS, LC-MS/MS, TLC or GC/FID.
Specimen Required
       Container type Leakproof plastic urine container  Specimen type Urine, random  Preferred volume 30 mL  Minimum volume 20 mL
Collection procedure Collect a random urine specimen in a leakproof plastic urine container.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 10 days   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Blood, serum or plasma samples.
Department Toxicology
CPT codes 80101 x 9, 83925
Test schedule Mon-Fri
Turnaround time 1-2 days
Method EMIT, LC-MS/MS
Test includes
Alcohol Screen, mg/dL; Alcohol, mg/dL; Ampthetamines Screen, ng/mL; Amphetamine, ng/mL; Methamphetamine, ng/mL; Cannabinoids Screen, ng/mL; Cannabinoids, ng/mL; Cocaine Screen, ng/mL; Benzoylecgonine, ng/mL; Codeine, ng/mL; Morphine, ng/mL; Hydrocodone, ng/mL; Hydromorphone, ng/mL; Oxycodone, ng/mL; Oxymorphone, ng/mL; Heroin, ng/mL; PCP Screen, ng/mL; Phenyclidine, ng/mL; Propoxyphene Screen, ng/mL; Norpropoxyphene, ng/mL; Barbiturates Screen, ng/mL; Amobarbital, ng/mL; Butalbital, ng/mL; Pentobarbital, ng/mL; Phenobarbital, ng/mL; Secobarbital, ng/mL; Benzodiazepines Screen, ng/mL; Oxazepam, ng/mL; Temazepam, ng/mL; Lorazepam, ng/mL; Alpha-hydroxy Alprazolam, ng/mL; Methadone Screen, ng/mL; Methadone Metab (EDDP), ng/mL; Oxidants, ug/mL; pH; Creatinine, mg/dL; Specific Gravity.
Reference ranges
  
Alcohol Screen       positive cutoff 20    mg/dL
Alcohol              positive cutoff 20    mg/dL
Amphetamines Screen  positive cutoff 500   ng/mL
Amphetamine          positive cutoff 250   ng/mL
Methamphetamine      positive cutoff 250   ng/mL
Cannabinoids Screen  positive cutoff 20    ng/mL
Cannabinoids         positive cutoff 15    ng/mL
Cocaine Screen       positive cutoff 150   ng/mL
Benzoylecgonine      positive cutoff 100   ng/mL
Codeine              positive cutoff 20    ng/mL
Morphine             positive cutoff 20    ng/mL
Hydrocodone          positive cutoff 20    ng/mL
Hydromorphone        positive cutoff 20    ng/mL
Oxycodone            positive cutoff 20    ng/mL
Oxymorphone          positive cutoff 20    ng/mL
Heroin               positive cutoff 10    ng/mL
PCP Screen           positive cutoff 25    ng/mL
Phencyclidine        positive cutoff 25    ng/mL
Propoxyphene Screen  positive cutoff 300   ng/mL
Norpropoxyphene      positive cutoff 300   ng/mL
Barbiturates Screen  positive cutoff 200   ng/mL
Amobarbital          positive cutoff 200   ng/mL
Butalbital           positive cutoff 200   ng/mL
Pentobarbital        positive cutoff 200   ng/mL
Phenobarbital        positive cutoff 200   ng/mL
Secobarbital         positive cutoff 200   ng/mL
Benzodiazepines Scr  positive cutoff 200   ng/mL
Oxazepam             positive cutoff 200   ng/mL
Temazepam            positive cutoff 200   ng/mL
Lorazepam            positive cutoff 200   ng/mL
Alpha-hydroxy        positive cutoff 50    ng/mL
 Alprazolam
Methadone Screen     positive cutoff 300   ng/mL
Methadone            positive cutoff 300   ng/mL
 Metabolite (EDDP)
Oxidants             positive cutoff 200   ug/mL
pH
Creatinine                                 mg/dL
Specific Gravity   




[5536]


PAIN MANAGEMENT 13 PANEL (REFLEXIVE)
Order Code PMP3 Test Code PMP3
This test may reflex to additional tests depending upon the results of these tests. Positive result will automatically reflex to confirmation testing without additional charges. Confirmation by GC/MS, LC-MS/MS, TLC or GC/FID.
Specimen Required
       Container type Leakproof plastic urine container  Specimen type Urine, random  Preferred volume 30 mL  Minimum volume 20 mL
Collection procedure Collect a random urine specimen in a leakproof plastic urine container.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 10 days   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Blood, serum or plasma samples.
Department Toxicology
CPT codes 80101 x 11, 83925 x 2, 82003
Test schedule Mon-Fri
Turnaround time 1-2 days
Method EMIT, LC-MS/MS
Test includes
Alcohol Screen, mg/dL; Alcohol, mg/dL; Ampthetamines Screen, ng/mL; Amphetamine, ng/mL; Methamphetamine, ng/mL; Cannabinoids Screen, ng/mL; Cannabinoids, ng/mL; Cocaine Screen, ng/mL; Benzoylecgonine, ng/mL; Codeine, ng/mL; Morphine, ng/mL; Hydrocodone, ng/mL; Hydromorphone, ng/mL; Oxycodone, ng/mL; Oxymorphone, ng/mL; Heroin, ng/mL; PCP Screen, ng/mL; Phenyclidine, ng/mL; Propoxyphene Screen, ng/mL; Norpropoxyphene, ng/mL; Barbiturates Screen, ng/mL; Amobarbital, ng/mL; Butalbital, ng/mL; Pentobarbital, ng/mL; Phenobarbital, ng/mL; Secobarbital, ng/mL; Benzodiazepines Screen, ng/mL; Oxazepam, ng/mL; Temazepam, ng/mL; Lorazepam, ng/mL; Alpha-hydroxy Alprazolam, ng/mL; Methadone Screen, ng/mL; Methadone Metab (EDDP), ng/mL; Meperidine Screen, ng/mL; Meperidine, ng/mL; Normeperidine, ng/mL; Tramadol Screen, ng/mL; Tramadol, ng/mL; Acetaminophen, ug/mL; Oxidants, ug/mL; pH; Creatinine, mg/dL; Specific Gravity.
Reference ranges
  
Alcohol Screen       positive cutoff 20    mg/dL
Alcohol              positive cutoff 20    mg/dL
Amphetamines Screen  positive cutoff 500   ng/mL
Amphetamine          positive cutoff 250   ng/mL
Methamphetamine      positive cutoff 250   ng/mL
Cannabinoids Screen  positive cutoff 20    ng/mL
Cannabinoids         positive cutoff 15    ng/mL
Cocaine Screen       positive cutoff 150   ng/mL
Benzoylecgonine      positive cutoff 100   ng/mL
Codeine              positive cutoff 20    ng/mL
Morphine             positive cutoff 20    ng/mL
Hydrocodone          positive cutoff 20    ng/mL
Hydromorphone        positive cutoff 20    ng/mL
Oxycodone            positive cutoff 20    ng/mL
Oxymorphone          positive cutoff 20    ng/mL
Heroin               positive cutoff 10    ng/mL
PCP Screen           positive cutoff 25    ng/mL
Phencyclidine        positive cutoff 25    ng/mL
Propoxyphene Screen  positive cutoff 300   ng/mL
Norpropoxyphene      positive cutoff 300   ng/mL
Barbiturates Screen  positive cutoff 200   ng/mL
Amobarbital          positive cutoff 200   ng/mL
Butalbital           positive cutoff 200   ng/mL
Pentobarbital        positive cutoff 200   ng/mL
Phenobarbital        positive cutoff 200   ng/mL
Secobarbital         positive cutoff 200   ng/mL
Benzodiazepines Scr  positive cutoff 200   ng/mL
Oxazepam             positive cutoff 200   ng/mL
Temazepam            positive cutoff 200   ng/mL
Lorazepam            positive cutoff 200   ng/mL
Alpha-hydroxy        positive cutoff 50    ng/mL
 Alprazolam
Methadone Screen     positive cutoff 300   ng/mL
Methadone            positive cutoff 300   ng/mL
 Metabolite (EDDP)
Meperidine Screen    positive cutoff 200   ng/mL
Meperidine           positive cutoff 100   ng/mL
Normeperidine        positive cutoff 100   ng/mL
Tramadol Screen      positive cutoff 200   ng/mL
Tramadol             positive cutoff 100   ng/mL
Acetaminophen        positive cutoff 2.5   ug/mL
Oxidants             positive cutoff 200   ug/mL
pH
Creatinine                                 mg/dL
Specific Gravity   




[5535]


PAIN MANAGEMENT 17 PANEL (REFLEXIVE)
Order Code PMP4 Test Code PMP4
This test may reflex to additional tests depending upon the results of these tests. Positive result will automatically reflex to confirmation testing without additional charges. Confirmation by GC/MS, LC-MS/MS, TLC or GC/FID.
Specimen Required
       Container type Leakproof plastic urine container  Specimen type Urine, random  Preferred volume 30 mL  Minimum volume 20 mL
Collection procedure Collect a random urine specimen in a leakproof plastic urine container.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 10 days   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Blood, serum or plasma samples.
Department Toxicology
CPT codes 80101 x 12, 83925 x 2, 83805, 82003, 83789
Test schedule Mon-Fri
Turnaround time 1-2 days
Method EMIT, LC-MS/MS
Test includes
Alcohol Screen, mg/dL; Alcohol, mg/dL; Ampthetamines Screen, ng/mL; Amphetamine, ng/mL; Methamphetamine, ng/mL; Cannabinoids Screen, ng/mL; Cannabinoids, ng/mL; Cocaine Screen, ng/mL; Benzoylecgonine, ng/mL; Codeine, ng/mL; Morphine, ng/mL; Hydrocodone, ng/mL; Hydromorphone, ng/mL; Oxycodone, ng/mL; Oxymorphone, ng/mL; Heroin, ng/mL; PCP Screen, ng/mL; Phenyclidine, ng/mL; Propoxyphene Screen, ng/mL; Norpropoxyphene, ng/mL; Barbiturates Screen, ng/mL; Amobarbital, ng/mL; Butalbital, ng/mL; Pentobarbital, ng/mL; Phenobarbital, ng/mL; Secobarbital, ng/mL; Benzodiazepines Screen, ng/mL; Oxazepam, ng/mL; Temazepam, ng/mL; Lorazepam, ng/mL; Alpha-hydroxy Alprazolam, ng/mL; Methadone Screen, ng/mL; Methadone Metab (EDDP), ng/mL; Meperidine Screen, ng/mL; Meperidine, ng/mL; Normeperidine, ng/mL; Tramadol Screen, ng/mL; Tramadol, ng/mL; Acetaminophen, ug/mL; Fentanyl, ng/mL; Norfentanyl, ng/mL; Carisoprodol, ug/mL; Meprobamate,ug/mL; Buprenorphine, ng/mL; Norbuprenorphine, ng/mL; ETG/ETS Screen, ng/mL; ETG, ng/mL; ETS, ng/mL; Oxidants, ug/mL; pH; Creatinine, mg/dL; Specific Gravity.
Reference ranges
  
Alcohol Screen       positive cutoff 20    mg/dL
Alcohol              positive cutoff 20    mg/dL
Amphetamines Screen  positive cutoff 500   ng/mL
Amphetamine          positive cutoff 250   ng/mL
Methamphetamine      positive cutoff 250   ng/mL
Cannabinoids Screen  positive cutoff 20    ng/mL
Cannabinoids         positive cutoff 15    ng/mL
Cocaine Screen       positive cutoff 150   ng/mL
Benzoylecgonine      positive cutoff 100   ng/mL
Codeine              positive cutoff 20    ng/mL
Morphine             positive cutoff 20    ng/mL
Hydrocodone          positive cutoff 20    ng/mL
Hydromorphone        positive cutoff 20    ng/mL
Oxycodone            positive cutoff 20    ng/mL
Oxymorphone          positive cutoff 20    ng/mL
Heroin               positive cutoff 10    ng/mL
PCP Screen           positive cutoff 25    ng/mL
Phencyclidine        positive cutoff 25    ng/mL
Propoxyphene Screen  positive cutoff 300   ng/mL
Norpropoxyphene      positive cutoff 300   ng/mL
Barbiturates Screen  positive cutoff 200   ng/mL
Amobarbital          positive cutoff 200   ng/mL
Butalbital           positive cutoff 200   ng/mL
Pentobarbital        positive cutoff 200   ng/mL
Phenobarbital        positive cutoff 200   ng/mL
Secobarbital         positive cutoff 200   ng/mL
Benzodiazepines Scr  positive cutoff 200   ng/mL
Oxazepam             positive cutoff 200   ng/mL
Temazepam            positive cutoff 200   ng/mL
Lorazepam            positive cutoff 200   ng/mL
Alpha-hydroxy        positive cutoff 50    ng/mL
 Alprazolam
Methadone Screen     positive cutoff 300   ng/mL
Methadone            positive cutoff 300   ng/mL
 Metabolite (EDDP)
Meperidine Screen    positive cutoff 200   ng/mL
Meperidine           positive cutoff 100   ng/mL
Normeperidine        positive cutoff 100   ng/mL
Tramadol Screen      positive cutoff 200   ng/mL
Tramadol             positive cutoff 100   ng/mL
Acetaminophen        positive cutoff 2.5   ug/mL
Fentanyl             positive cutoff 2     ng/mL
Norfentanyl          positive cutoff 2     ng/mL
Carisoprodol         positive cutoff 2.5   ug/mL
Meprobamate          positive cutoff 2.5   ug/mL
Bupreneorphine       positive cutoff 25    ng/mL
Norbuprenorphine     positive cutoff 25    ng/mL
ETS/ETG Screen       positive cutoff 250   ng/mL
ETG                  positive cutoff 250   ng/mL
ETS                  positive cutoff 150   ng/mL
Oxidants             positive cutoff 200   ug/mL
pH
Creatinine                                 mg/dL
Specific Gravity   




[5534]


PAIN MANAGEMENT 7 PANEL (REFLEXIVE)
Order Code PMP1 Test Code PMP1
This test may reflex to additional tests depending upon the results of these tests. Positive result will automatically reflex to confirmation testing without additional charges. Confirmation by GC/MS, LC-MS/MS, TLC or GC/FID.
Specimen Required
       Container type Leakproof plastic urine container  Specimen type Urine, random  Preferred volume 30 mL  Minimum volume 20 mL
Collection procedure Collect a random urine specimen in a leakproof plastic urine container.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 10 days   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Blood, serum or plasma samples.
Department Toxicology
CPT codes 80101 x 6, 83925
Test schedule Mon-Fri
Turnaround time 1-2 days
Method EMIT, LC-MS/MS
Test includes
Alcohol Screen, mg/dL; Alcohol, mg/dL; Ampthetamines Screen, ng/mL; Amphetamine, ng/mL; Methamphetamine, ng/mL; Cannabinoids Screen, ng/mL; Cannabinoids, ng/mL; Cocaine Screen, ng/mL; Benzoylecgonine, ng/mL; Codeine, ng/mL; Morphine, ng/mL; Hydrocodone, ng/mL; Hydromorphone, ng/mL; Oxycodone, ng/mL; Oxymorphone, ng/mL; Heroin, ng/mL; PCP Screen, ng/mL; Phenyclidine, ng/mL; Propoxyphene Screen, ng/mL; Norpropoxyphene, ng/mL; Oxidants, ug/mL; pH; Creatinine, mg/dL; Specific Gravity.
Reference ranges
  
Alcohol Screen       positive cutoff 20    mg/dL
Alcohol              positive cutoff 20    mg/dL
Amphetamines Screen  positive cutoff 500   ng/mL
Amphetamine          positive cutoff 250   ng/mL
Methamphetamine      positive cutoff 250   ng/mL
Cannabinoids Screen  positive cutoff 20    ng/mL
Cannabinoids         positive cutoff 15    ng/mL
Cocaine Screen       positive cutoff 150   ng/mL
Benzoylecgonine      positive cutoff 100   ng/mL
Codeine              positive cutoff 20    ng/mL
Morphine             positive cutoff 20    ng/mL
Hydrocodone          positive cutoff 20    ng/mL
Hydromorphone        positive cutoff 20    ng/mL
Oxycodone            positive cutoff 20    ng/mL
Oxymorphone          positive cutoff 20    ng/mL
Heroin               positive cutoff 10    ng/mL
PCP Screen           positive cutoff 25    ng/mL
Phencyclidine        positive cutoff 25    ng/mL
Propoxyphene Screen  positive cutoff 300   ng/mL
Norpropoxyphene      positive cutoff 300   ng/mL
Oxidants             positive cutoff 200   ug/mL
pH
Creatinine                                 mg/dL
Specific Gravity   




[5537]


PANCREATIC ELASTASE, FECAL
Order Code PANEF Test Code PANEF
Specimen Required
       Container type Leakproof plastic container  Specimen type Frozen stool  Preferred volume 1 gram
Collection procedure Collect a random stool specimen .
Specimen processing Put stool in a leakproof plastic container and freeze. Store and transport frozen.
Stability-   Room temp 4 hours   Refrigerated 3 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Samples at ambient temperature longer than 4 hours.
CPT codes 83520
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method ELISA
Test includes
Pancreatic Elastase, Fecal, ug/g.
Reference ranges
  
Pancreatic Elastase, Fecal     ug/g
 201-500     Normal
 100-200     Moderate to mild
             pancreatic insufficiency
 99 or less  Severe exocrine pancreatic
             insufficiency

[1294]


PANCREATIC POLYPEPTIDE
Order Code PAN POLY Test Code PANPEP
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Plasma  Preferred volume 2 mL  Minimum volume 0.6 mL
Patient Prep Prefer patient fast overnight.
Specimen processing Separate plasma from cells and place in separate plastic tube . Store and transport refrigerated.
Stability-   Room temp unacceptable   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 83519
Test schedule Tue
Turnaround time 5-10 days
Method RIA/Extraction
Test includes
Pancreatic Polypeptide, pg/mL.
Reference ranges
  
Pancreatic Polypeptide        pg/mL
 LT 3 yrs             not established
 3-9 yrs              519 or less
 10-13 yrs            361 or less
 14-17 yrs            297 or less
 18-29 yrs            480 or less  
 30-39 yrs            70-400  
 40-49 yrs            70-430  
 50-62 yrs            100-780
 GT 62 yrs            not established

[1295]


PARAINFLUENZA ANTIBODY 1, 2, 3, IGG & IGM
Order Code PAR123 Test Code PAR123
Acute and convalescent samples advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labeled as such; parallel testing is preferred and convalescent samples must be received within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, hemolyzed, icteric, turbid, bacterially contaminated or heat-inactivated samples.
Alternate specimens Ambient temperature and frozen samples.
CPT codes 86790 x 6
Test schedule Tue
Turnaround time 2-9 days
Method ELISA
Test includes
Parainfluenza Virus 1 Antibody, IgG, IV; Parainfluenza Virus 1 Antibody, IgM, IV; Parinfluenza Virus 2 Antibody, IgG, IV; Parainfluenza Virus 2 Antibody, IgM, IV; Parainfluenza Virus 3 Antibody, IgG, IV; Parainfluenza Virus 3 Antibody, IgM, IV.
Reference ranges
  
Parainfluenza Virus 1 Ab,IgG                IV
 0.89 or less      Negative-no significant
 level of parainfluenza virus 1 IgG Ab
 detected.
 0.90-1.10         Equivocal-questionable
 presence of parainfluenza virus 1 IgG Ab
 detected. Repeat testing in 10-14 
 days may be helpful.
 1.11 of more      Positive-IgG antibody
 to parainfluenza virus 1 detected, 
 which may suggest current or past 
 infection.
Parainfluenza Virus 1 Ab,IgM                IV
 0.89 or less      Negative-no significant
 level of parainfluenza virus 1 IgM Ab
 detected.
 0.90-1.10         Equivocal-questionable
 presence of parainfluenza virus 1 IgM Ab
 detected. Repeat testing in 10-14 
 days may be helpful.
 1.11 or more      Positive-IgM antibody
 to parainfluenza virus 1 detected, 
 which may suggest current or past 
 infection.
Parainfluenza Virus 2 Ab,IgG                IV
 0.89 or less      Negative-no significant
 level of parainfluenza virus 2 IgG Ab
 detected.
 0.90-1.10         Equivocal-questionable
 presence of parainfluenza virus 2 IgG Ab
 detected. Repeat testing in 10-14 
 days may be helpful.
 1.11 or more      Positive-IgG antibody
 to parainfluenza virus 2 detected, 
 which may suggest current or past 
 infection.
Parainfluenza Virus 2 Ab,IgM                IV
 0.89 or less      Negative-no significant
 level of parainfluenza virus 2 IgM Ab
 detected.
 0.90-1.10         Equivocal-questionable
 presence of parainfluenza virus 2 IgM Ab
 detected. Repeat testing in 10-14 
 days may be helpful.
 1.11 or more      Positive-IgM antibody
 to parainfluenza virus 2 detected, 
 which may suggest current or past 
 infection.
Parainfluenza Virus 3 Ab,IgG                IV
 0.89 or less      Negative-no significant
 level of parainfluenza virus 3 IgG Ab
 detected.
 0.90-1.10         Equivocal-questionable
 presence of parainfluenza virus 3 IgG Ab
 detected. Repeat testing in 10-14 
 days may be helpful.
 1.11 or more      Positive-IgG antibody
 to parainfluenza virus 3 detected, 
 which may suggest current or past 
 infection.
Parainfluenza Virus 3 Ab,IgM                IV
 0.89 or less      Negative-no significant
 level of parainfluenza virus 3 IgM Ab
 detected.
 0.90-1.10         Equivocal-questionable
 presence of parainfluenza virus 3 IgM Ab
 detected. Repeat testing in 10-14 
 days may be helpful.
 1.11 or more      Positive-IgM antibody
 to parainfluenza virus 3 detected, 
 which may suggest current or past 
 infection.

[1296]


PARASITE IDENTIFICATION, MACROSCOPIC
Order Code PARID Test Code PARID
Synonyms Scabies
Specimen Required
       Container type See below.  Specimen type See below.
Collection procedure Submit specimen in sterile capped container or if for scabies, please see note below.
Specimen processing Store and transport at room temperature.
Department Microbiology
CPT codes 87169
Test schedule Sun-Sat
Turnaround time 1-3 days
Method Macroscopic Inspection
Test includes
Source; Parasite ID; Parasite ID, Status.
Reference ranges
  
Source
Parasite ID
Parasite ID Status
Notes
If testing for scabies, call Microbiology for collection procedure.

[1297]


PARATHYROID HORMONE-RELATED PEPTIDE
Order Code PTHP Test Code PTHP
Synonyms PTH-RP; Humoral Hypercalcemia of Malignancy Factor; Parathyroid Hormone Related Peptid; Parathyroid Related Polypeptide; Parathyroid Related Protein; PRP; PTH Related Peptide; PTHRP, Plasma
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen EDTA plasma  Preferred volume 5 mL  Minimum volume 0.25 mL
Collection procedure Draw in an ice-cooled, lavender top EDTA tube from a fasting patient.
Specimen processing Separate plasma from cells in a refrigerated centrifuge and put plasma in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Nonfrozen samples.
CPT codes 82397
Test schedule Mon, Wed, Fri
Turnaround time 4-6 days
Method ICMA
Test includes
PTH Related Peptide, pmol/L.
Reference ranges
  
PTH Related Peptide   LT 2.0      pmol/L

[1298]


PAROXETINE
Order Code PAROXETINE Test Code PAROX
Synonyms Paxil
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Limitations No SST tubes.
CPT codes 82491
Test schedule Mon-Fri
Turnaround time 3-6 days
Method GC
Test includes
Paroxetine, ng/mL.
Reference ranges
  
Paroxetine (Paxil)               ng/mL
 Trough steady-state plasma levels in
 adult patients have great interindiv-
 idual variability. The following
 steady-state data is from patients on
 a daily single dose regimen
  Daily Dose (mg)   Trough Mean +/-SD
      20               49 +/- 26
      30               86 +/- 61
      40               129 +/- 86
      50               117 +/- 90
 Elderly patients typically achieve
 higher trough steady-state concen-
 trations versus adult patients.

[1301]


PAROXETINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCPAR Test Code TLCPAR
Synonyms Paxil, Asimia,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Paroxetine
Notes
Test is also included in Drug-Sur as part of panel.

[6967]


PAROXYSMAL NOCTURNAL HEMOGLOBINURIA PANEL (PNH PANEL)
Order Code PNHPAN Test Code PNHPAN
Synonyms FLAER; CD59; GPI-linked Protein Deficiency; PNH
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 2 mL
Collection procedure Draw 5 mL EDTA whole blood (lavender top tube).
Specimen processing Store and transport at room temperature.
Unacceptable conditions Hemolyzed or clotted samples.
Department Hematology Cellular Immunology
CPT codes 88184, 88185 x 5
Test schedule Mon-Sat days
Turnaround time 3 days
Method Flow Cytometry
Test includes
PNH Panel Result.
Reference ranges
  
PNH Panel Result
Notes
RBC's tested with CD59 and WBC's tested with FLAER, CD14, CD24, CD33, CD45.

[5372]


PARVOVIRUS B19 ANTIBODY PANEL, ELISA/PCR
Order Code B19ABP Test Code B19ABP
Synonyms Fifth disease
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 3 mL  Minimum volume 2 mL
Specimen processing Separate serum from cells and place 2 mLs in one plastic tube and 1 mL in another plastic tube and freeze. Store and transport frozen.
CPT codes 86747 x 2, 87798
Test schedule Mon, Thu ELISA, Mon-Sun PCR
Turnaround time 3-8 days
Method ELISA & RT-PCR
Test includes
Parvovirus B19 Antibody, IgG; Parvovirus B19 Antibody,IgM; Interpretation; Parvovirus B19 DNA Qualitative PCR.
Reference ranges
  
Parvovirus, IgG   LT 0.90 Antibody not detected
Parvovirus, IgM   LT 0.90 Antibody not detected
Interpretation
Parvovirus B19 DNA, Qualitative PCR
 Not detected

[3058]


PARVOVIRUS B19 ANTIBODY, IGG
Order Code PARVOG Test Code PARVOG
Synonyms Fifth's Disease
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport frozen or refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Heat inactivated, hyperlipemic or contaminated serum samples, CSF or plasma.
Department Virology
CPT codes 86747
Test schedule Tue, Thu, Sat
Turnaround time 2-4 days
Method EIA
Test includes
Parvovirus B19 Antibody, IgG, IV.
Reference ranges
  
Parvovirus B19 Ab, IgG         IV
 GT 1.09          Positive   
 0.91-1.09        Equivocal
 LT 0.91          Negative

[1305]


PARVOVIRUS B19 ANTIBODY, IGG & IGM
Order Code PRVOGM Test Code PRVOGM
Synonyms Fifth's Disease
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.5mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport frozen or refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Heat-inactivated, hyperlipemic or contaminated samples, CSF or plasma.
Department Virology
CPT codes 86747 x 2
Test schedule Tue, Thu, Sat
Turnaround time 2-4 days
Method EIA
Test includes
Parvovirus B19 Antibody, IgG, IV; Parvovirus B19 Antibody, IgM IV.
Reference ranges
  
Parvovirus B19 Ab, IgG      IV
 GT 1.09     Positive
 0.91-1.09   Equivocal
 LT 0.91     Negative
Parvovirus B19 Ab, IgM      IV
 GT 1.09     Positive
 0.91-1.09   Equivocal
 LT 0.91     Negative

[1306]


PARVOVIRUS B19 ANTIBODY, IGM
Order Code PARVOM Test Code PARVOM
Synonyms Fifth's Disease
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport frozen or refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Heat inactivated, hyperlipemic or contaminated samples, CSF or plasma.
Department Virology
CPT codes 86747
Test schedule Tue, Thu, Sat
Turnaround time 2-4 days
Method EIA
Test includes
Parvovirus B19 Antibody, IgM, IV.
Reference ranges
  
Parvovirus B19 Ab, IgM     IV
 GT 1.09        Positive
 0.91-1.09      Equivocal
 LT 0.91        Negative

[1310]


PARVOVIRUS B19 BY PCR
shipping instruction code
Order Code HPVPCR Test Code HPVPCR
Specimen Required
       Container type SST tube  Specimen type Frozen serum or plasma  Preferred volume 1 mL  Minimum volume 0.25 mL serum, plasma, synovial fluid or bone marrow
Specimen processing Separate serum, plasma, synovial or amniotic fluid from cells and place in separate plastic tube and freeze. Store and transport frozen.
Required patient info Source
Stability-   Room temp 8 hours (not tissue)   Refrigerated 3 days (not tissue)   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Nonsterile or leaking containers if tissue specimen. Heparinized, hemolyzed, frozen or clotted whole blood or bone marrow. Tissues only in formalin or other preservatives.
Alternate specimens Tissue biopsy-fresh tissue, snap frozen on dry ice. Formalin fixed and/or paraffin embedded tissue at ambient temperature. Sterile technique is required for handling samples. Whole blood or bone marrow (lavender top tubes) sent refrigerated not frozen.
CPT codes 87798
Test schedule Varies
Turnaround time 2-5 days
Method PCR
Test includes
Parvovirus, B19 by PCR.
Reference ranges
  
Parvovirus, B19 by PCR
 Negative-Parvovirus DNA not detected by PCR.
 Positive-Parvovirus DNA detected by PCR.
 This test is performed pursuant to an
 agreement with Roche Molecular Systems,
 Inc.

[1313]


PATHOLOGIST DIFFERENTIAL INTERPRETATION-REQUEST ONLY
Order Code PATHDI Test Code PATHDI
Use only to order Pathologist Differential Interpretation when requested by physician.
Specimen Required
       Container type See below  Specimen type See below  Preferred volume See below
Collection procedure See below
Specimen processing Two peripheral blood smears; prefer one stained and one unstained. If CBC results are not available, include EDTA whole blood (lavender top tube). Lavender top tube must be received within 12 hours of collection.
Required patient info CBC results
Department Hematology
CPT codes 85060
Test schedule Mon-Fri days only
Turnaround time 3 days
Method Microscopic
Test includes
Pathologist Differential Interpretation.

[1314]


PCCA TITER & WB CONFIRMATION
Order Code PCCON Test Code PCCON
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 7 days   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86256, 84181
Test schedule Mon-Fri
Turnaround time 2-5 days
Method IFA & Western blot
Test includes
PCCA Titer; PCCA Western Blot.
Reference ranges
  
PCCA Titer         LT 1:40
PCCA Western Blot  Negative
Notes
This test is used to confirm a positive PCCA screen.

[1867]


PCCA TITER & WB CONFIRMATION, SF
Order Code PSFCON Test Code PSFCON
Specimen Required
       Container type Sterile plastic tube  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp Unacceptable   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86256, 84181
Test schedule Mon-Fri
Turnaround time 2-5 days
Method IFA & Western blot
Test includes
PCCA Titer, SF; PCCA Western Blot.
Reference ranges
  
PCCA Titer, SF        LT 1:1
PCCA Western Blot     Negative
Notes
This test is used to confirm a positive PCCA on CSF.

[1868]


PENTAZOCINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCPTZ Test Code TLCPTZ
Synonyms Talwin, Talwin Compound, Ts,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Pentazocine
Notes
Test is also included in Drug-Sur as part of panel.

[6968]


PENTOBARBITAL
Order Code PENTO Test Code PENTO
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 3 months   Refrigerated 3 months   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Avoid the use of separator tubes and gels.
Alternate specimens EDTA plasma, K2EDTA plasma, sodium heparin plasma or sodium fluoride/potassium oxalate plasma (lavender, pink, green or grey top tube).
CPT codes 82205
Test schedule Sun-Sat
Turnaround time 3-5 days
Method GC
Test includes
Pentobarbital, ug/mL.
Reference ranges
  
Pentobarbital                     ug/mL
 Therapeutic Range Sedation 1-5
 Toxic                      GT 7
 Intracranial Pressure (ICP) Therapy
                            25-35

[1315]


PEROXIDASE STAIN
Order Code SS.PER Test Code CSMPO
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Cytochem Stain, Peroxidase
Specimen Required
       Container type See below.  Specimen type See below.
Collection procedure 3 blood smears, tissue touch preps, or bone marrow coverslips or slides and 3 mL EDTA (lavender top tube) . The slides should be air-dried, unstained and unfixed. EDTA and heparin slides are acceptable. Protect from light and maintain at room temperature.
Specimen processing Store and transport at room temperature.
Required patient info Source
Limitations Protect from light.
Department Cytochemical Hematology
CPT codes 88319
Test schedule Mon-Sat days
Turnaround time 72 hours
Method Cytochemical Stain
Test includes
Myeloperoxidase Source; Myeloperoxidase Stain; Myeloperoxidase Interpretation;, Myeloperoxidase Reviewed By.
Reference ranges
  
Myeloperoxidase Source
Myeloperoxidase Stain       Negative
Myeloperoxidase Interp    
Myeloperoxidase Reviewed By

[1317]


PERPHENAZINE
Order Code PER Test Code PERPH
Synonyms Tinlafar; Trilaxon
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 4 mL  Minimum volume 2 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Protect from light. Store and transport refrigerated or at room temperature.
Stability-   Room temp 2 days   Refrigerated 7 days   Frozen (-20°C) 1 month (avoid repeat freeze/thaw cycles)   Frozen (-70°C)
Alternate specimens EDTA, sodium heparinized or fluoride/potassium oxalated plasma (lavender, green or grey top tube).
Limitations Avoid the use of serum separator tubes or gels. Protect from light.
CPT codes 84022
Test schedule Tue, Fri
Turnaround time 2-6 days
Method HPLC
Test includes
Perphenazine, ng/mL.
Reference ranges
  
Perphenazine (Tinlafar) 0.8-2.4  ng/mL

[1318]


PH, FLUID
Order Code PHFLD Test Code PHFL
Specimen Required
       Container type Red top tube (plain) or leakproof plastic container.  Specimen type Body fluid  Preferred volume 5 mL  Minimum volume 1 mL
Specimen processing Specimen container should be tightly capped with minimal free air space. Avoid cell contamination if possible. Store and transport refrigerated or on ice.
Limitations Ideally specimen should be analyzed without delay.
Department Chemistry
CPT codes 83986
Test schedule Daily
Turnaround time 24-48 hours
Method pH meter or dipstick
Test includes
pH, Fluid.
Reference ranges
  
pH, Fluid                  
 Serous fluid    6.8-7.6   
 Synovial fluid  Parallels serum

[1320]


PH, STOOL
Order Code STL.PH Test Code STPH
Specimen Required
       Container type Sterile leakproof plastic container  Specimen type Stool, random
Collection procedure Collect random stool in sterile leakproof plastic container.
Specimen processing Store and transport refrigerated.
Department Microbiology
CPT codes 83986
Test schedule Mon-Sun
Turnaround time 24-48 hours
Test includes
Source; pH, Stool; pH, Stool, Status.
Reference ranges
  
Source
pH, Stool
pH, Stool, Status

[1321]


PH, URINE
Order Code UPH Test Code PHUD
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated.
Department Hematology
CPT codes 81003
Test schedule Mon-Sat days, Mon-Fri nights and STAT
Turnaround time 24-48 hours
Method Colormetric
Test includes
pH, Urine.
Reference ranges
  
PH, Urine      5.0-7.5

[1322]


PHENCYCLIDINE CONFIRMATION BY GC/MS
Order Code MSPCP Test Code MSPCP
Synonyms PCP, Angel Dust, Hog, love boat, boat hog, peace pill, angel hair, angel mist, angel poke, amoeba, Ad, black dust, black whack, blue madman
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 25 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Gas Chromatography Mass Spectrometry

[6911]


PHENCYCLIDINE CONFIRMATION BY TLC. TEST IS ALSO INCLUDED IN DRUG-SUR.
Order Code TLCPCP Test Code TLCPCP
Synonyms PCP, Angel Dust, Hog, boat, peace pill, angel hair, angel mist, angel poke, amoeba, Ad, black dust, black whack, blue madman,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 500 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Modified Thin Layer Chromatography
Notes
Test is also included in Comprehensive Drug Survey.

[6910]


PHENCYCLIDINE SCREEN
Order Code PCP Test Code PCP
Synonyms PCP, Angel Dust, Hog, boat, love boat, peace pill, angel hair, angel mist, angel poke, amoeba, Ad, black dust, black whack, blue madman,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff at 25ng/ml
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Notes
Positive results will automatically be confirmed by TLC.

[6899]


PHENCYLIDINE (PCP) (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCPCP Test Code TLCPCP
Synonyms Angel dust, PCP, crystal log, peace pill, sherms, boat hog, love boat, anget hair, angel mist, angel poke, amoeba, Ad, black dust, black whack, blue madman,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Phencyclidine
Notes
Test is also included in Comprehensive Drug Survey.

[6998]


PHENOBARBITAL
Order Code PHB Test Code PHB
Synonyms Luminal
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Collection procedure Draw just prior to next dose. Note times of dose and drawing.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Required patient info Note times of dose and drawing.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma samples other than lithium heparin plasma and grossly hemolyzed specimens.
Alternate specimens SST and other gel-type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated and lithium heparin plasma (green top tubes).
Department Chemistry
CPT codes 80184
Test schedule Sun-Fri nights and STAT
Turnaround time 24-48 hours
Method LA
Test includes
Phenobarbital, ug/mL.
Reference ranges
  
Phenobarbital            ug/mL
 Therapeutic 15.0-40.0
 Toxic       GT 50.0

[1323]


PHENOBARBITAL (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCBAR Test Code TLCBAR
Synonyms Luminol, barbs, downers, goofballs, phennies, phenos, sleepers, stumblers,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations Phenobarbital equals 1000 ng/mL. Barbiturates other than Phenobarbital equal 500-1500 ng/mL.
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Phenobarbital and barbiturates other than phenobarbital as a group.
Notes
Test is also included in Comprehensive Drug Survey.

[6999]


PHENOL EXPOSURE, (QUANTITATIVE)
Order Code PHEXPU Test Code PHEXPU
Synonyms Carbolic Acid
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, end of shift  Preferred volume 4 mL
Collection procedure Collect a urine specimen at the end of shift in a leakproof plastic urine container containing no preservative.
Specimen processing Store and transport at refrigerated.
Stability-   Room temp 4 days   Refrigerated 1 week   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Urine samples preserved with benzoic acid or room temperature.
CPT codes 82570, 84600
Test schedule Mon-Fri
Turnaround time 7-14 days
Method GC, Colorimetry
Test includes
Creatinine, Urine, mg/L; Phenol, Urine, mg/L; Phenol, Urine, mg/gCr.
Reference ranges
  
Creatinine, Urine                 mg/L
 A.C.G.I.H. normal range in adults:
  300-3400 mg/L    (mean 1000)
  0.3-3.4 g/L      (mean )
  1000-1600 mg/day (1.0-1.6 g/day)
Phenol, Urine                     mg/L
 LT 10 mg/L in unexposed individuals
 LT 30 mg/L when chronically exposed
            to 0.5-4.0 ppm Benzene in air.
 Average 200 mg/L during chronic 
 exposure to 25 ppm Benzene in air.
                 
Phenol, Urine                     mcg/gCR
 Biological exposure index for monitoring
 exposure to phenol: 250 mg total 
 phenol/g creatinine measured in an
 end of shift specimen.

[1324]


PHENOLPHTHALEIN (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCPLT Test Code TLCPLT
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Phenolphthalein
Notes
Test is also included in Drug-Sur as part of panel.

[6969]


PHENOLPHTHALEIN, FECAL
Order Code PHENST Test Code PHENST
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Frozen stool  Preferred volume 5 grams  Minimum volume 1 gram
Collection procedure Collect random stool.
Specimen processing Aliquot 5 grams of a random fecal collection into a clean, unpreserved leakproof plastic container and freeze. Store and transport frozen. Transport frozen ASAP.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 2 days   Frozen (-70°C)
Unacceptable conditions Ambient, refrigerated and specimens in preservative.
Limitations This is a critical frozen sample. Separate samples must be submitted when multiple tests are ordered. Nonfrozen samples may produce false-negative results.
CPT codes 84311
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Colorimetric
Test includes
Phenolphthalein, Feces.
Reference ranges
  
Phenolphthlein, Feces    Negative

[1325]


PHENOTHIAZINES (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCPHT Test Code TLCPHT
Synonyms Chlorpromazine, (Thorazine), Triflupromazine, (Vesprin), Trimeprazine, (Temaril), Trifluoperazine, (Stelazine), Promethazine, (Phenergan), Prochlorperazine, (Compazine),
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 20 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Phenothiazine metabolites
Notes
Test is also included in Drug-Sur as part of panel.

[6970]


PHENTERMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCPTM Test Code TLCPTM
Synonyms Ionamin, Fastin, Teramine, Adipex-P,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Phentermine
Notes
Test is also included in Drug-Sur as part of panel.

[6971]


PHENYLALANINE (QUANTITATIVE)
Order Code PHEN-Q Test Code PHEN
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Frozen plasma  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated 24 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Hemolyzed samples.
CPT codes 82131
Test schedule Mon-Fri
Turnaround time 3-6 days
Method Ion Exchange Chromatography
Test includes
Phenylalanine, umol/L.
Reference ranges
  
Phenylalanine          umol/L
 0-1 yr      30-100
 GT 1 yr     30-80

[1326]


PHENYLPROPANOLAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCPPA Test Code TLCPPA
Synonyms diet pills, PPA,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 3000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Phenylpropanolamine
Notes
Test is also included in Drug-Sur as part of panel.

[6972]


PHENYTOIN
Order Code DIL Test Code DIL
Synonyms Dilantin
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Collection procedure Draw just prior to next oral dose or 2-4 hours after IV loading dose. Note times of dose and drawing.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Required patient info Note times of dose and drawing.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Plasma samples other than lithium heparin plasma and grossly hemolyzed specimens.
Alternate specimens Lithium heparin plasma (green top tubes). SST and other gel-type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated.
Department Chemistry
CPT codes 80185
Test schedule Sun-Fri nights and STAT
Turnaround time 24-48 hours
Method LA
Test includes
Phenytoin, ug/mL.
Reference ranges
  
Phenytoin                ug/mL
 Therapeutic  10.0-20.0
 Toxic        GT 25.0

[1327]


PHENYTOIN (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCPHY Test Code TLCPHY
Synonyms Dilantin, epilepsy medicine,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Phenytoin
Notes
Test is also included in Drug-Sur as part of panel.

[6973]


PHENYTOIN, FREE & TOTAL
Order Code DIL.FREE Test Code DILFR
Synonyms Dilantin, Free & Total
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Draw prior to next dose. Note times of dose and drawing.
Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen.
Required patient info Note times of dose and drawing.
Stability-   Room temp   Refrigerated 1 day   Frozen (-20°C) longer   Frozen (-70°C)
Unacceptable conditions Serum from SST tubes, or any gel barrier tubes, urine or other body fluids.
Alternate specimens Sodium or lithium heparinized, or citrated plasma (green or blue top tube).
Department Chemistry
CPT codes 80186, 80185
Test schedule Mon, Wed, Fri
Turnaround time 1-3 days
Method FPIA
Test includes
Phenytoin, Free, ug/mL; Phenytoin, Total, ug/mL; % Free, %.
Reference ranges
  
Phenytoin, Free       ug/mL
 1.0-2.0               
 Toxic  3.0 or more
Phenytoin, Total      ug/mL
 10.0-20.0            
 Toxic  GT 25.0 
% Free  1.0-13.0      %
 International reference calibrators
 implemented on March 01, 2010.
 Expect results to be 10-15% 
 higher than with previous 
 calibrators. No change in
 therapeutic range.

[1328]


PHOSPHATIDYLSERINE, ANTIBODIES, IGA, IGG, IGM
Order Code APSAGM Test Code APSAGM
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples may give false positie result; avoid repeated freeze/thaw cycles.
CPT codes 86148 x 3
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method ELISA
Test includes
Antiphosphatidylserine, IgA, APS U/mL; Antiphosphatidylserine, IgG, GPS U/mL; Antiphosphatidylserine, IgM, MPS U/mL.
Reference ranges
  
Antiphosphatidylserine, IgA       Negative       LT 20         APS U/mL
                                  Positive       20 or more   
Antiphosphatidylserine, IgG       Negative       LT 11              GPS U/mL
                                  Positive       11 or more
Antiphosphatidylserine IgM        Negative       LT 25              MPS U/mL
                                  Positive       25 or more
                                  The presence of phosphatidylserine
                                  antibodies may be associated with 
                                  antiphospholipid syndrome characterized
                                  by recurrent fetal loss, thrombosis and
                                  thrombocytopenia.

[1874]


PHOSPHOLIPIDS, SERUM/PLASMA
Order Code PHOSPHO Test Code PHOSPH
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Allow to clot completely at room temperature before centrifuging. Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 1 month   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens EDTA, K2EDTA, sodium or lithium plasma (lavender, pink or green top tubes).
CPT codes 84311
Test schedule Mon, Wed, Fri
Turnaround time 2-6 days
Method Spectrophotometric
Test includes
Phospholipids, mg/dL.
Reference ranges
  
Phospholipids   160-300    mg/dL

[1330]


PHOSPHORUS
Order Code PHO Test Code PHOS
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 3 days on clot tube, 2 weeks separated.   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions EDTA, sodium fluoride-potassium oxlate or citrate plasma.
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 84100
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Phosphorus, mg/dL.
Reference ranges
  
Phosphorus               mg/dL
 0-10 days      4.2-9.6
 10 days-24 mo  4.2-7.2
 24 mo-12 yrs   4.2-5.9
 12-60 yrs      2.5-4.8
 60 yrs+  M     2.1-3.9
 60 yrs+  F     2.6-4.4
Notes
Prolonged contact with the cell clot may results in elevated values.

[1331]


PHOSPHORUS, QUANTITATIVE, URINE
Order Code PHO-U Test Code PHOSUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 40 mL  Minimum volume 1 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine collection. Adjust pH to less than 3 with 6N HCl. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Frozen specimens.
Department Chemistry
CPT codes 84105
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Collection Period, h; Volume, mL; Phosphorus, Urine, mg/24h.
Reference ranges
  
Collection Period               h
Volume                          mL
Phosphorus, Urine  400-1300     mg/24h

[1332]


PHOSPHORUS, URINE (RANDOM)
Order Code PHO-R Test Code PHOSUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 40 mL  Minimum volume 1 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 40 mL of a random urine collection. Adjust pH to less than 3 with 6 N HCl. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Frozen specimens.
Department Chemistry
CPT codes 84105
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Phosphorus, Urine, mg/dL.
Reference ranges
  
Phosphorus, Urine, Random       mg/dL
 No normals established

[1333]


PINWORM PREPARATION
Order Code PINW Test Code PIN
Specimen Required
       Container type See below.  Specimen type See below.
Collection procedure Pat the perianal area with the sticky side of clear scotch tape (non-frosted). Place the tape onto glass slide. The best specimen is obtained early in the morning.
Specimen processing Store and transport at room temperature.
Required patient info Specimen source.
Department Microbiology
CPT codes 87172
Test schedule Sun-Sat days
Turnaround time 24-48 hours
Method Microscopic
Test includes
Source; Pinworm Prep; Pinworm Prep, Status.
Reference ranges
  
Source
Pinworm Prep           Negative
Pinworm Prep, Status
Notes
Special kits are available from the PAML supply department for use at patient's homes.

[1334]


PLASMINOGEN
Order Code PLASMINOGEN Test Code PLASM
Separate samples must be submitted when multiple tests are ordered.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 0.8 mL
Collection procedure Obtain venous blood by clean venipuncture. Draw a pilot (red top tube) first. Draw blue top tube (sodium citrate) filled to capacity. Collect on ice. Mix by gentle inversion.
Specimen processing Immediately centrifuge the specimen at 1700xg for 15 minutes. Remove 2 mL platelet-poor plasma and put in plastic tubes. Do not use glass. Freeze at -20 C. Store and transport frozen. Follow specimen instructions exactly.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 week   Frozen (-70°C)
Unacceptable conditions Plasma from sodium fluoride, EDTA, or heparin tubes, serum, non-frozen or hemolyzed specimens.
CPT codes 85420
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Chromogenic
Test includes
Plasminogen, %.
Reference ranges
  
Plasminogen     71-144     %

[1335]


PLASMINOGEN ACIVATOR INHIBITOR-1, 4G/5G GENOTYPING
Order Code PAI1G Test Code PAI1G
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type Yellow top tube (ACD)  Specimen type ACD Whole blood  Minimum volume 1 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 7 days   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Alternate specimens EDTA whole bood (lavender top tube).
CPT codes 83912, 83891, 83892, 83894, 83898
Test schedule 1 day/week
Turnaround time 3-10 days
Method PCR-RFLP
Test includes
PAI-1 Result; PAI-1 Interpretation; PAI-1 Comments.
Reference ranges
  
PAI-1 Results
PAI-1 Interpretation
PAI-1 Comments

[1336]


PLASMINOGEN ACTIVATOR INHIBITOR 1
Order Code PAI1 Test Code PAI1
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 1.5 mL  Minimum volume 1 mL
Collection procedure Collect sample between 8 am and 12 pm.
Specimen processing Separate plasma from the cells within 1 hour of collection and place in separate plastic tube and freeze. Store and transport frozen. This is a critical frozen specimen.
Stability-   Room temp 1 hour   Refrigerated unacceptable   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed samples, serum, and samples that have been thawed and refrozen.
CPT codes 85415
Test schedule Tue, Thu
Turnaround time 2-9 days
Method Bioimmunoassay
Test includes
Plasminogen Activator Inhibitor 1, IU/mL.
Reference ranges
  
Plasminogen Activator Inhibitor 1
 22.0 or less     IU/mL
 The reference interval was
 established based on fasting 
 samples drawn between 8 am
 and 12 pm.Plasminogen 
 Activator Inhibitor 1 has
 a diurnal variation, with
 higher values in the
 morning and decreased values 
 in the afternoon.
 PAI-1 is alsoan acute phase
 reactant.

[1337]


PLATELET AGGREGATION, WHOLE BLOOD (REFLEXIVE)
Order Code WBPAGG Test Code WBPAGG
Testing must be scheduled with SHMC Coagulation Department, and the samples must be received within 1 hour of drawing.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Lavender top tube (EDTA), Blue top tubes (buffered sodium citrate), and 2 smears.  Specimen type EDTA whole blood, buffered sodium citrate whole blood and blood smears.  Preferred volume 5 mL EDTA whole, blood, 10 mL buffered sodium citrate whole blood and 2 blood smears.  Minimum volume 1 EDTA mircotainer, 5 mL citrated whole blood and 2 smears.
Patient Prep Patient should be aspirin-free for 8-10 days prior to drawing.
Collection procedure With a plastic 30-mL syringe and a 19-20 gauge needle, make a clean venipuncture. During blood withdrawal, release the tourniquet and draw back on the plunger slowly. Remove needle and fill tubes after removing stoppers. (DO NOT USE VACUUM) and mix gently.
Specimen processing Store and transport at room temperature. Specimen must be received at SHMC Coagulation Department within 1 hour of drawing.
Unacceptable conditions Grossly hemolyzed, short samples less than 90% proper fill, centrifuged or refrigerated specimens, or specimens not received within 1 hour of draw.
Department Coagulation
CPT codes 85576 x 7, 85049
Test schedule Mon-Fri (must be scheduled)
Turnaround time 3-4 days
Method Lumi-aggregation, Whole Blood
Test includes
ADP Aggregation, Patient, Ohms; ADP Aggregation, Control, Ohms; ADP Secretion, Patient, nM; ADP Secretion, Control, nM; Collagen Low Aggregation, Patient, Ohms; Collagen Low Aggregation, Control, Ohms; Collagen Low Secretion, Patient, nM; Collagen Low Secretion, Control, nM; Thrombin Secretion, Patient, nM; Thrombin Secretion, Control, nM; Ristocetin High Aggregation, Patient, Ohms; Ristocetin High Aggregation, Control, Ohms; Ristocetin Low Aggregation, Patient, Ohms; Ristocetin Low Aggregation, Control, Ohms; Type 1 VWD Mixing Study, Ristocentin High, Ohms; Type 2 VWD Mixing Study, Ristocentin Low, Ohms; Collagen High Aggregation, Patient, Ohms; Collagen High Aggregation, Control, Ohms; Collagen High Secretion, Patient, nM; Collagen High Secretion, Control, nM; Arachidonic Acid Aggregation, Patient, Ohms; Arachidonic Acid Aggregation, Control, Ohms; Arachidonic Acid Secretion, Patient, nM; Arachidonic Acid Secretion, Control, nM; Platelet Count, Patient, k/uL; Reviewed by; Intrepretation; Note.
Reference ranges
  
ADP Aggregation, Patient         5.1-27.3  Ohms
ADP Aggregation, Control         5.1-27.3  Ohms
ADP Secretion, Patient           0.2-1.9   nM
ADP Secretion, Control           0.2-1.9   nM
Collagen Low Aggregation, Pat    14.6-39.8 Ohms
Collagen Low Aggregation, Cont   14.6-39.8 Ohms
Collagen Low Secretion, Patient  0.5-2.2   nM
Collagen Low Secretion, Control  0.5-2.2   nM
Thrombin Secretion, Patient      0.8-2.5   nM
Thrombin Secretion, Control      0.8-2.5   nM
Ristocetin High Aggregation, Pat 5.1-14.9  Ohms
Ristocetin High Aggregation, Con 5.1-14.9  Ohms
Ristocetin Low Aggregation, Pat  0         Ohms
Ristocetin Low Aggregation, Cont 0         Ohms
Type 1 VWD Mixing Study, Risto Hi          Ohms
Type 2 VWD Mixing Study, Risto Lo          Ohms
Collagen High Aggregation, Pat   18.5-41.0 Ohms
Collagen High Aggregation, Cont  18.5-41.0 Ohms
Collagen High Secretion, Patient 0.7-2.4   nM
Collagen High Secretion, Control 0.7-2.4   nM
Arachidonic Acid Aggregation,Pat 7.0-25.8  Ohms
Arachidonic Acid Aggregation,Con 7.0-25.8  Ohms
Arachidonic Acid Secretion, Pat  0.4-1.9   nM
Arachidonic Acid Secretion, Con  0.4-1.9   nM
Platelet Count, Patient                    k/uL
 0-3 days                        250-450
 3-9 days                        200-400
 9-30 days                       250-450
 1-6 months                      300-750
 6 mon-2 years                   250-600
 2-8 years                       250-550
 8-12 years                      200-450
 12-18 years                     150-250
 18+ years                       150-400
Reviewed by
Interpretation
Note

[1338]


PLATELET ANTIBODY (INDIRECT)
Order Code PLT.AB Test Code PLTABD
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 1 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated 48 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Microbially contaminated, hemolyzed, lipemic or heat inactivated specimens.
Alternate specimens EDTA or ACD plasma (lavender or yellow top tube).
CPT codes 86022
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ELISA
Test includes
Platelet Antibody Detection Indirect.
Reference ranges
  
Platelet Antibody Detection Indirect        Negative
 Negative for HLA AlloAbs & Plt-specific Abs.
 This is the primary test for detection
 of platelet-specific antibodies.
 It is not recommended for the diagnosis
 of immune thrombocytopenia purpura (ITP).
 This test will detect both allo and auto-
 antibodies, but will not distinguish
 between them.
 Results of this test should be used in
 conjunction with clinical findings and
 other serological tests.
 Antibodies directed to antigens found
 on platelets are associated with many
 different clinical situations. ITP is
 a destructive thrombocytopenia caused
 by autoantibodies. Neonatal alloimmune
 thrombocytopenia (NATP) and post-
 transfusion purpura (PTP) are diseases
 where thromobocytopenia is caused by
 platelet-specific alloantibodies. HLA
 alloantibodies do not cause thrombocyto-
 penia, but are commonly associated with
 refractoriness to platelet transfusions.
 This test is designed to detect anti-
 bodies to platelet glycoproteins
 IIb/IIa (HPA-1 a/1b[P1A1 and P1A2],
 HPA-3a/3b, and HPA-4a), Ia/IIA 
 (HPA-5a/5b), Ib/IX and IV. In addition
 this test will also detect antibodies
 to HLA Class I antigens (HLA-A-B).
 Testing for neonatal alloimmune 
 thrombocytopenia should be performed
 using maternal serum, since platelet
 antibody may not be detected in 
 neonatal serum. False-negative results
 are common in infant samples.
Notes
For newborns less than 30 days old, collect sample from the mother.

[1340]


PLATELET ANTIGEN GENOTYPING (HPA-1)
Order Code PLTAGT Test Code PLTAGT
Synonyms HPA-1
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 10 mL  Minimum volume 5 mL
Specimen processing Store and transport at room temperature.
Stability-   Room temp 7 days   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens ACD whole blood (yellow top tube) or 7-15 mL amniotic fluid or 5 x 106 cultured amniotic cells.
CPT codes 83890, 83896 x 2, 83898 x 2, 83912
Test schedule Mon-Fri
Turnaround time 7-9 days
Method PCR
Test includes
Platelet Antigen Genotyping (HPA-1); Platelet Antigen Genotyping (HPA-1) Interpretation.
Reference ranges
  
Platelet Antigen Genotyping (HPA-1)
Platelet Antigen Genotyping (HPA-1), Interpretation

[1341]


PLATELET COUNT
Order Code PLT Test Code PLTCNT
Specimen Required
       Container type Lavender top tube (EDTA) and Slides.  Specimen type Whole blood and peripheral blood smears  Preferred volume 5 mL
Specimen processing Prefer to receive specimen within 12 hours. Store and transport whole blood specimen refrigerated.
Department Hematology
CPT codes 85049
Test schedule Daily-24 hours
Turnaround time 24-48 hours
Method Automated
Test includes
Platelet Count, K/uL.
Reference ranges
  
Platelet Count                   K/uL
 0-3 days          250-450
 3-9 days          200-400
 9-30 days         250-450
 1-6 mo            300-750
 6 mo-2 yrs        250-600
 2-8 yrs           250-550 
 8-12 yrs          200-450
 12-18 yrs         150-450
 18 yrs+           150-400

[1342]


PLATELET COUNT, PHASE
Order Code PHASE Test Code PHASE
Platelet count is part of a hemogram and is usually a laboratory order when an accurate value cannot be obtained from the automated hemogram.
Specimen Required
       Container type Lavender top tube (EDTA) and Slides.  Specimen type Whole blood and peripheral blood smears  Preferred volume 5 mL
Specimen processing Prefer to receive specimen within 12 hours. Store and transport whole blood specimen refrigerated.
Department Hematology
CPT codes 85032
Test schedule Daily-24 hours
Turnaround time 24-48 hours
Method Microscopic
Test includes
Platelet Count, K/uL.

[1343]


PLATELET FUNCTION SCREEN
Order Code PFSCN Test Code PFSCN
Order only if sample can be received at SHMC Coagulation Department within 3 hours of collection.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Whole blood  Preferred volume 6 mL  Minimum volume Two 3 mL tubes
Collection procedure Collect two 3-mL tubes. Sample must be received at performing laboratory within 3 hours of collection.
Specimen processing Store and transport at room temperature. Do not spin tube.
Stability-   Room temp 3 hours   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Coagulation
CPT codes 85576
Test schedule Daily
Turnaround time 24-48 hours
Method PFA-100
Test includes
Collagen/Epinephrine, sec; Collagen/ADP, sec.
Reference ranges
  
Platelet Function Screen
 Collagen/Epinephrine    82-205   sec
 Collagen/ADP            58-122   sec

[1344]


PLATELET P2Y12 FUNCTION
Order Code P2Y12 Test Code P2Y12
Testing must be scheduled with SHMC Coagulation Department and the sample received within 4 hours of drawing.
Synonyms VerifyNowPlavix; P2Y12; Plavix (clopidogrel) Inhibition; ADP Platelet Inhibition
Specimen Required
       Container type Special collection kit required.  Specimen type Sodium citrate whole blood( Blue top tube). Must use a special collection kit.  Preferred volume 4 mL  Minimum volume 2 mL
Collection procedure Draw using a special collection kit. Draw using a 21 gauge or larger needle. Collect a plain red top tube, discard tube (at least 2 mL) or if drawing from a line-draw 5 mL. Then draw blue top tube with 2 mL to the black line. Do NOT underfill. Gently invert 5 times. Fill the second blue top tube with 2 mL to the black line and gently invert 5 times. If drawing for other tests draw these samples last.
Specimen processing Do not refrigerate or centrifuge. Transport immediately at room temperature.
Stability-   Room temp 4 hours   Refrigerated unacceptable   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Refrigerated, centrifuged, EDTA (lavender top tubes), heparin (green top tubes) & samples GT 4 hours old.
Department Coagulation
CPT codes 85576 x 2
Test schedule Daily
Turnaround time Less than 4 hours
Method VerifyNow Platelet Aggregation for P2Y12 Inhibition
Test includes
Platelet Function P2Y12, PRU; Platelet Funciton Base, PRU; P2Y12 Inhibition, %.
Reference ranges
  
Platelet Function P2Y12                  PRU
Platelet Funciton Base     194-418       PRU
P2Y12 Inhibition  
 Test results are reported in percent
 inhibition. 
 Therapeutic: Higher percen inhibition
 associated with expected antiplatelet
 effect.
 Presurgical: less than 20% inhibition.

[5524]


PML/RARA T (15;17) BY RT-PCR, QUANT
Order Code PMLR Test Code PMLR
Specimen Required
       Container type EDTA (lavender top tube)  Specimen type Whole blood OR bone marrow  Preferred volume 5 mL whole bloor OR 3 mL bone marrow  Minimum volume 1 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 1 hour   Refrigerated 2 days   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Specimens older than 48 hours from collection.
Limitations Samples must be received at ARUP within 48 hours of collection due to lability of RNA.
CPT codes 83891, 83902, 83898 x 3, 83896 x 3, 83912
Test schedule Sun-Sat
Turnaround time 3-8 days
Method RT-PCR
Test includes
PML result, PML quantitative result
Reference ranges
  
PML Result
PML Quantitative result
                  		This assay detects and quantifies
			PML-RARa transcript level resulting
			from a t(15;17) fusion mutation in	
			acute promyelocytic leukemia (APL).
			This assay detects all three gene	
			fusion patterns: type A (short, S-
			form, bcr-3), Type B (long, L-form,	
			bcr-1), and Type B variant	
			(variable, V-form, bcr-2).	
			Limit of detection: 1 in 10,000 cells.
			Results of this test must always be
			interpreted in the context of	
			morphologic and other relevant	
			data, and should not be used alone
			for a diagnosis of malignancy.                

[6374]


PNEUMOCOCCAL ANTIBODY, IGG
Order Code PNEUAB Test Code PNEUAB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 0.7 mL
Collection procedure If pre and post-vaccine samples are collected, draw the post-vaccine sample 30 days post-vaccination. Store the pre-vaccine samples frozen and submit both samples together.
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store & transport refrigerated.`Pre and post samples can be submitted together or separately for testing.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, contaminated or hemolyzed specimens and other body fluids.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86317 x 14
Test schedule Mon-Thu
Turnaround time 3-5 days
Method Multi analyte fluorescent detection
Test includes
Pneumococcal Serotype 1, IgG, ug/mL; Pneumococcal Serotype 3, IgG, ug/mL; Pneumococcal Serotype 4, IgG, ug/mL; Pneumococcal Serotype 5, IgG, ug/mL; Pneumococcal Serotype 6B, IgG, ug/mL; Pneumoncoccal Serotype 7F, IgG, ug/mL; Pneumococcal Serotype 8, IgG, ug/mL; Pneumococcal Serotype 9N, IgG, ug/mL; Pneumococcal Serotype, 9V, IgG, ug/mL; Pneumococcal Serotype 12F, IgG, ug/mL; Pneumococcal Serotype 14, IgG, ug/mL; Pneumococcal Serotype 18C, IgG, ug/mL; Pneumococcal Serotype 19F, IgG, ug/mL; Pneumococcal Serotype 23F, IgG,u g/mL; Pneumococcal Serotype Interpretation.
Reference ranges
  
Pneumococcal Ab                      ug/mL
Pneumococcal Serotype 1, IgG
Pneumococcal Serotype 3, IgG
Pneumococcal Serotype 4, IgG
Pneumococcal Serotype 5, IgG
Pneumococcal Serotype 6B, IgG
Pneumococcal Serotype 7F, IgG
Pneumococcal Serotype 8, IgG
Pneumococcal Serotype 9N, IgG
Pneumococcal Serotype 9V, IgG
Pneumococcal Serotype 12F, IgG
Pneumococcal Serotype 14, IgG
Pneumococcal Serotype 18C, IgG
Pneumococcal Serotype 19F, IgG
Pneumococcal Serotype 23F, IgG
Pneumococcal Serotype Interpretation
 All serotypes tested are present in
 the 23-valent pure polysaccharide
 pneumococcal vaccine. Serotypes 4,
 6B, 9V, 14, 18C, 19F, and 23F are
 contained in the heptavalent con-
 jugated pneumococcal vaccine.
 Long-term protection is generally
 thought to be associated
 with a post-booster response of
 1 ug/mL in children and adults.
 Responder status is determined 
 according to the ratio of post-
 vaccination to pre-vaccination 
 concentration of Pneumococcal IgG
 antibody as follows:
  A ratio of LT two-fold is considered a
  non-responder.
  A ratio of two-to fourfold is a weak 
  responder.
  A ratio of GT or equal to fourfold is a 
  good responder.
 A response to GT 50% of the antigens
 contained in the vaccination is
 indicative of a normal response.

[1346]


PNEUMOCYSTIS FA STAIN
Order Code PNEUMO.FA Test Code PNESM
Synonyms Pneumocystis jirovecii; (Pneumocystis carinii)
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Sputum  Minimum volume 5 mL fluid or slides
Specimen processing Store and transport at room temperature.
Required patient info Specimen source.
Department Microbiology
CPT codes 87281
Test schedule Sun-Sat
Turnaround time 24-48 hours
Method Direct FA Stain
Test includes
Source; Pneumocystis FA Stain; Pneumocystis FA, Status.
Reference ranges
  
Source
Pneumocystis FA Stain        Negative
Pneumocystis FA Stain, Status

[1347]


POLIOVIRUS ANTIBODIES
Order Code POLIOA Test Code POLIOA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma samples.
Alternate specimens Serum (plain red top tube) or CSF.
CPT codes 86658 x 3
Test schedule Mon-Sat
Turnaround time 7-10 days
Method Serum Neutralization Assay
Test includes
Poliovirus Antibody, Type 1, Titer; Poliovirus Antibody, Type 2, Titer; Poliovirus Antibody, Type 3, Titer.
Reference ranges
  
Poliovirus Ab Type 1  
Poliovirus Ab Type 2  
Poliovirus Ab Type 3  
                                  LT 1:10 - No significant level of detectable poliovirus antibodies.
                                  1:10 or greater - Antibody to poliovirus detected, which may represent 
                                              prior immunization or current or past infection.
                                  The clinical significance of and the criteria for
                                  interpretation of results may require
                                  consultation with an Infectious Disease Specialist.
                                  In immunized individuals, the significance 
                                  of a low antibody titer to
                                  poliovirus 3 (the least immunogenic
                                  vaccine serotype) is unclear.

[5553]


POLYCHLORINATED BIPHENYLS
Order Code PCBS Test Code PCBS
Synonyms PCB
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 4 mL  Minimum volume 1.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 weeks   Refrigerated 4 months   Frozen (-20°C) 4 months   Frozen (-70°C)
Unacceptable conditions SST or gel-type tubes.
Alternate specimens EDTA plasma (lavender top tube) (Not preferred).
CPT codes 82441
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method GC
Test includes
PCB, ppb.
Reference ranges
  
Polychlorinated Biphenyls           ppb
 Based on Aroclor 1260.
 General population   Up to 30
 Average              6

[1349]


POLYMYOSITIS (PM-SCL) ANTIBODY
Order Code POLYMY Test Code POLYMY
Synonyms PM-Scl Antibody; Anti-PM; Anti-SCL-PM; PM1 Antibody
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
CPT codes 86235
Test schedule 3 times a week
Turnaround time 5-12 days
Method ID
Test includes
Polymyositis (PM-SCL) Antibody.
Reference ranges
  
Polymyositis (PM-SCL) Antibody
 Negative
Interpretive Criteria
 Negative   Antibody not detected
 Positive   Antibody detected

[1350]


PORPHOBILINOGEN DEAMINASE, RBC
Order Code URO-1-SYN Test Code PBGD
Synonyms Uroporphyrinogen-1-Synthetase
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen whole blood  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Store and transport frozen.
Stability-   Room temp 4 hours   Refrigerated 7 days   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 82657
Test schedule Tue, Fri
Turnaround time 2-6 days
Method Fluorometric/Enzymatic
Test includes
Porphobilinogen Deaminase, RBC, mU/g Hgb.
Reference ranges
  
Porphobilinogen Deaminase, RBC mU/g hgb
 Adults  2.10-4.30

[1352]


PORPHOBILINOGEN, URINE (QUANTITATIVE)
Order Code PBG Test Code PBGUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection.  Preferred volume 100 mL  Minimum volume 10 mL
Patient Prep 24-hour urine should be collected during a symptomatic episode of abdominal pain.
Collection procedure Collect 24-hour urine in a dark plastic urine container. Protect from light. Refrigerate during collection.
Specimen processing Aliquot 100 mL of a well-mixed 24 hour urine collection in a leakproof dark plastic urine container. Upon receipt adjust pH to 8-9 with 5% NaOH. Protect from light. Record collection time and total volume. Store and transport refrigerated or frozen.
Required patient info Collection period and total volume.
Stability-   Room temp unacceptable   Refrigerated 4 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Specimen not protected from light.
Alternate specimens 24 hour urine preserved with 7.5 grams sodium carbonate at the start of the collection. Adjust pH to 8-9. If pH less than 8, use 5% NaOH.
Limitations Protect from light.
Department Special Chemistry
CPT codes 84110
Test schedule Mon, Thu or Fri sample must be received by 0900 AM
Turnaround time 2-6 days
Method Column Chromatography/Spectrophotometry
Test includes
Collection Period, h; Volume, mL; Porphobilinogen, mg/24h.
Reference ranges
  
Collection Period          h
Volume                     mL
Porphobilinogen  0.0-2.0   mg/24h

[1353]


PORPHOBILINOGEN, URINE (RANDOM)
Order Code PBG.R Test Code PBGUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 100 mL  Minimum volume 10 mL
Patient Prep Random urine should be collected during or immediately after an episode of abdominal pain.
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 100 mL of a random refrigerated urine specimen into a leakproof plastic urine container. Upon receipt, adjust pH to 8-9 with 6N HCl or 5% NaOH. Protect from light. Store and transport refrigerated or frozen.
Required patient info Protect from light.
Stability-   Room temp unacceptable   Refrigerated 4 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Specimen not protected from light.
Alternate specimens Random urine preserved with sodium carbonate (0.5 g per 100 mL urine) and then pH to 8-9. If pH greater than 9 use 6N NCl, if pH less than 8, use 5% NaOH.
Limitations Protect from light.
Department Special Chemistry
CPT codes 84110
Test schedule Mon, Thu, or Fri sample must be received by 0900 AM.
Turnaround time 2-6 days
Method Column Chromatography/Spectrophotometry
Test includes
Porphobilinogen, Urine, mg/L.
Reference ranges
  
Porphobilinogen, Urine, Random    mg/L
 No reference range established

[1354]


PORPHYRINS PROFILE, PLASMA (REFLEXIVE)
Order Code PORPHM Test Code PORPHM
This test may reflex to additional tests depending upon the results of this test. Additional fees may be added.
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Frozen heparin plasma  Preferred volume 3 mL
Patient Prep Patient should be fasting 12-14 hours and off medication for at least 1 week prior to collection. Water may be taken as needed. No other liquids are allowed and patient should abstain from alcohol for 24 hours.
Specimen processing Separate plasma from cells and place in separate amber plastic tube and freeze. Store and transport frozen. Protect from light.
Required patient info Please forward a list of medications patient is currently taking with the specimen.
Stability-   Room temp   Refrigerated   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions PST tubes and specimens not protected from light.
CPT codes 84311
Test schedule Mon-Fri
Turnaround time 4-6 days
Method Extraction, Scanning Fluorometry & HPLC
Test includes
Porphyrins, Total Plasma, mcg/dL; Uroporphyrin, Plasma, mcg/dL; Heptacarboxylporphyrin, Plasma, mcg/dL; Hexacarboxylporphyrin, Plasma, mcg/dL; Pentacarboxylporphyrin, Plasma, mcg/dL; Coproporphyrin, Plasma, mcg/dL; Protoporphyrin, Plasma, mcg/dL; Interpretation.
Reference ranges
  
Porphyrins, Total Plasma   1.0 or less  mcg/dL
Uroporphyrin, Plasma       1.0 or less  mcg/dL
Heptacarboxylporphyrin,    1.0 or less  mcg/dL
 Plasma
Hexacarboxylporphyrin,     1.0 or less  mcg/dL
Pentacarboxylporphyrin,    1.0 or less  mcg/dL
 Plasma
Corproporphyrin, Plasma    1.0 or less  mcg/dL
Protoporphyrin, Plasma     1.0 or less  mcg/dL
Interpretation

[3067]


PORPHYRINS, FECAL
Order Code PORPST Test Code PORPST
Specimen Required
       Container type Leakproof plastic container  Specimen type Stool, random  Preferred volume 5 grams  Minimum volume 1 gram
Collection procedure Collect a random stool specimen. Critical protect from light.
Specimen processing Aliquot 5 grams of the well-mixed specimen into a leakproof plastic container and freeze immediately. Wrap in foil ASAP to protect from light. Critical protect from light. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 3 weeks   Frozen (-70°C)
Unacceptable conditions Specimens not protected from light, complete timed collections (24-72 hours) and liquid specimens.
CPT codes 84126
Test schedule Tue, Sat
Turnaround time 3-8 days
Method HPLC
Test includes
Coproporphyrin, Feces, nmol/g; Protoporphyrins, Feces, nmol/g, Interpretation.
Reference ranges
  
Coproporphyrin, Feces   0-45   nmol/g
Protoporphyrins, Feces  0-100  nmol/g
Interpretation
Notes
Bacterial modification of fecal porphyrins is extensive. The recommended specimen for uroporphyrin and coproporphyrin is urine (random or 24-hour). The recommended specimen for protoporphyrin is serum.

[1356]


PORPHYRINS, FRACTIONATION (RBC)
Order Code POR.RBC Test Code PORRBC
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type See below.  Preferred volume 5 mL
Patient Prep Patient must be fasting 12-14 hours. The patient should be off medications for at least a week if possible otherwise forward a list of medications with the specimen. Patient should abstain from alcohol for 24 hours.
Collection procedure Draw 5 mL blood into heparin tube. Place on wet ice immediately. Transfer to 12 mL graduated centrifuge tube. Centrifuge 10 min. at 2000 rpm. Record packed cell volume and the total volume of the specimen. Discard supernatant plasma. Wash RBCs 2 times by resuspension in 5 mL cold 0.9% saline discarding supernatant after each washing. Resuspend RBCs to the original volume with 0.9% saline and invert gently to mix.
Specimen processing Transport washed RBC suspension frozen in plastic tube on dry ice.
Required patient info Volume of packed cells and volume of RBC suspension (RBC's + saline) on request form.
Stability-   Room temp   Refrigerated 24 hours before washing cells.   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions No deviation from protocol is acceptable.
CPT codes 82492
Test schedule Mon-Fri
Method HPLC
Test includes
Protoporphyrin, ug/dL; Coproporphyrin, ug/dL; Uroporphyrins, ug/dL; Heptacarboxylporphyrins, ug/dL; Hexacarboxylporphyrins, ug/dL; Pentacarboxylporphyrins, ug/dL.
Reference ranges
  
Protoporphyrin           16-60       ug/dL
Coproporphyrin           2 or less   ug/dL
Uroporphyrins            2 or less   ug/dL
Heptacarboxylporphyrins  1 or less   ug/dL
Hexacarboxylporphyrins   1 or less   ug/dL
Pentacarboxylporphyrins  1 or less   ug/dL

[1357]


PORPHYRINS, SERUM TOTAL
Order Code PORS Test Code PORS
Specimen Required
       Container type Plain red top tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Critical-protect from light during collection, storage and transport.
Specimen processing Separate serum from cells and place in separate amber plastic tube. CRITICAL - protect from light during collection, storage and shipment. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated 4 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Hemolyzed and frozen whole blood samples.
CPT codes 84311
Test schedule Tue, Thu
Turnaround time 2-6 days
Method Scanning Fluorometry
Test includes
Porphyrins, Serum Total, nmol/L; Interpretation.
Reference ranges
  
Porphyrins, Total Serum  0-15   nmol/L
Interpretation

[1358]


PORPHYRINS, URINE (QUANTITATIVE)
Order Code POR Test Code PORUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection.  Preferred volume 100 mL  Minimum volume 10 mL
Collection procedure Collect a 24-hour urine specimen in a brown bottle (specimen must be protected from light). Refrigerate during collection.
Specimen processing Aliquot 100 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container, upon receipt adjust pH to 8-9 with 5% NaOH. Protect from light. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp unacceptable   Refrigerated 4 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Specimens not protected from light.
Alternate specimens 24 hour urine preserved with 7.5 grams sodium carbonate at the start of the collection and then adjusted to pH 8-9. If pH is greater than 9, then use 6N HCl. If pH is less than 8, use 5% NaOH.
Limitations Drugs like dipyridamole can interfere with the porphyrin assay. Protect from light.
Department Special Chemistry
CPT codes 84120
Test schedule Tue, Thu or Fri sample must be received by 0900 AM.
Turnaround time 2-6 days
Method Column chromatography/Spectrophotography
Test includes
Collection Period, h; Volume, mL; Uroporphyrin, ug/24h; Coproporphyrin, ug/24h.
Reference ranges
  
Collection Period       h
Volume                  mL
Uroporphyrin            ug/24h
 M  LT 50        
 F  LT 25 
Coproporphyrin          ug/24h
 M  LT 110         
 F  LT 78

[1359]


PORPHYRINS, URINE (QUANTITATIVE) + PBG
Order Code POR.PBG Test Code PPBGUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection.  Preferred volume 100 mL  Minimum volume 10 mL
Collection procedure Collect a 24-hour urine specimen. Collect in brown urine bottle. Protect from light. Refrigerate during collection.
Specimen processing Aliquot 100 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Upon receipt adjust pH to 8-9 with 5% NaOH. Record collection time and total volume. Protect from light. Store and transport refrigerated or frozen.
Required patient info Collection period and total volume.
Stability-   Room temp unacceptable   Refrigerated 4 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Specimens not protected from light.
Alternate specimens 24 hour urine preserved with 7.5 grams sodium carbonate at the start of the collection and then adjusted to pH 8-9. If pH is greater than 9 use 6N HCl. If pH is less than 8 use 5% NaOH.
Limitations Drugs like dipyridamole can interfere with the porphyrin assay. Protect from light.
Department Special Chemistry
CPT codes 84120, 84110
Test schedule Tue, Thu or Fri, sample must be received by 0900 am
Turnaround time 2-6 days
Method HPLC/Column Chromatography/Spectrophotography
Test includes
Time, h; Volume, mL; Uroporphyrin, ug/24h; Coproporphyrin, ug/24h; Porphobilinogen, mg/24h.
Reference ranges
  
Collection Period              h
Volume                         mL
Uroporphyrin                   ug/24h
 M  LT 50    
 F  LT 25
Coproporphyrin                 ug/24h                 
 M  LT 110 
 F  LT 78 
Porphobilinogen                mg/24h
 0.0-2.0

[1360]


PORPHYRINS, URINE (RANDOM)
Order Code POR.R Test Code PORUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 50 mL  Minimum volume 10 mL
Collection procedure Collect a random urine specimen in a brown bottle (specimen must be protected from light).
Specimen processing Aliquot 50 mL of a random refrigerated urine specimen into a leakproof plastic urine container. Upon receipt adjust pH to 8-9 with 5% NaOH. Protect from light. Record pH. Store and transport refrigerated or frozen.
Stability-   Room temp unacceptable   Refrigerated 4 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Specimens not protected from light.
Alternate specimens Random urine preserved with sodium carbonate (0.5 grams per 100 mL urine) and then pH to 8-9. If pH is greater than 9, then use 6N HCl. If pH is less than 8, use 5% NaOH. Record pH.
Limitations Drugs like dipyridamole can interfere with this assay. Protect from light.
Department Special Chemistry
CPT codes 84120
Test schedule Tue, Thu or Fri sample must be received by 0900 AM.
Turnaround time 2-6 days
Method HPLC
Test includes
Uroporphyrin, ug/dL; Coproporphyrin, ug/dL.
Reference ranges
  
Uroporphyrin      ug/dL
 No reference range established      
Coproporphyrin    ug/dL
 No reference range established

[1361]


PORPHYRINS, URINE (RANDOM) +PBG
Order Code POR.PBG.R Test Code PPBGUR
Specimen Required
       Container type Leakproof plastic urine container  Specimen type Urine, random  Preferred volume 50 mL  Minimum volume 10 mL
Collection procedure Collect a random urine specimen in a brown bottle (specimen must be protected from light).
Specimen processing Aliquot 50 mL of random refrigerated urine in a leakproof plastic urine container. Upon reciept adjust pH to 8-9 with 5% NaOH. Protect from light. Store and transport refrigerated or frozen.
Stability-   Room temp unacceptable   Refrigerated 4 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Specimens not protected from light.
Alternate specimens Random urine collection preserved with sodium carbonate (0.5 grams per 100 mL urine) at the start of collection, then pH to 8-9. If pH is greater than 9, then use 6N HCl. If pH is less than 8, use 5% NaOH.
Limitations Drugs like depyridamole can interfere with the porphyrin. Protect from light.
Department Special Chemistry
CPT codes 84120, 84110
Test schedule Mon, Thu, Fri sample must be received by 0900 am
Turnaround time 3-5 days
Method HPLC/Column Chromatography/Spectrophotography
Test includes
Porphobilinogen, mg/L; Uroporphyrin, ug/dL; Coproporphyrin, ug/dL.
Reference ranges
  
Uroporphyrin                     ug/dL
 No reference range established        
Coproporphyrin                   ug/dL
 No reference range established
Porphobilinogen                  mg/L
 No reference range established

[1362]


POTASSIUM
Order Code POT Test Code K
Hemolysis falsely elevates potassium values.
Synonyms K
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Collection procedure Avoid hemolysis.
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed samples.
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 84132
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method ISE
Test includes
Potassium, mmol/L.
Reference ranges
  
Potassium             mmol/L
 0-30 days        3.9-6.9
 1-12 mo          3.6-6.8
 1-5 yrs          3.2-5.7
 5-10 yrs         3.4-5.4
 10 yrs+          3.5-5.3

[1363]


POTASSIUM, FLUID
Order Code POTFLD Test Code KFL
Specimen Required
       Container type Sodium heparin (green top tube)  Specimen type Body fluid  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate fluid from cells and place in separate plastic tube. Note type of fluid. Store and transport refrigerated.
Required patient info Type of fluid
Stability-   Room temp 2 weeks   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Clotted or viscous specimens. Avoid hemolysis.
Alternate specimens Plain red top tube or leakproof plastic container
Limitations Extremely high levels of protein may interfere with testing.
Department Chemistry
CPT codes 84132
Test schedule Daily
Turnaround time 24-48 hours
Method ISE
Test includes
Potassium, Fluid, mmol/L.
Reference ranges
  
Potassium, Fluid            mmol/L
 CSF            70% of plasma level
 Gastric        About 10  
 Other fluid    No reference range established.
 Method not validated for body fluid. 
 Clinical correlation necessary.

[1364]


POTASSIUM, QUANTITATIVE, URINE
Order Code POT-U Test Code KUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Synonyms K, Urine
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 40 mL  Minimum volume 1 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Frozen specimens.
Department Chemistry
CPT codes 84133
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ISE
Test includes
Collection Period, h; Volume, mL; Potassium, Urine, mmol/24h.
Reference ranges
  
Collection Period             h
Volume                        mL
Potassium, Urine  25-125      mmol/24h

[1367]


POTASSIUM, STOOL
Order Code STLK Test Code STLK
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Stool, liquid  Preferred volume 5 grams  Minimum volume 1 gram
Collection procedure Collect random or 24 hour LIQUID stool in clean, unpreserved leakproof plastic container at 2-8 C. If timed indicate hours of collection.
Specimen processing Do not add saline or water to liquify sample. Store and transport refrigerated.
Stability-   Room temp 1 hour   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Any specimen that is not liquid.
CPT codes 84999
Test schedule Sun-Sat
Turnaround time 2-3 days
Method ISE
Test includes
Potassium, Stool, mmol/L.
Reference ranges
  
Potassium, Stool         mmol/L
 Not established

[1366]


POTASSIUM, URINE (RANDOM)
Order Code POT-R Test Code KUR
Synonyms K, Urine, Random
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 1 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated or frozen.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Department Chemistry
CPT codes 84133
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ISE
Test includes
Potassium, Urine, mmol/L.
Reference ranges
  
Potassium, Urine, Random       mmol/L 
 No normals established

[1368]


PRE-ALBUMIN
Order Code PRE-ALB Test Code PAB
Synonyms Transthyretin
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Patient Prep Fasting sample is preferred to avoid lipemia.
Specimen processing Separate serum from cells within 2 hours and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 3 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Gross lipemia or gross hemolysis and samples that have been ultrafuged. Frozen samples should be thawed only once.
Department Chemistry
CPT codes 84134
Test schedule Daily & STAT day & eves
Turnaround time 1-2 days
Method Nephelometry
Test includes
Pre-Albumin, mg/dL.
Reference ranges
  
Pre-Albumin     18-45         mg/dL

[1369]


PREGABALIN, SERUM/PLASMA
Order Code PREGAS Test Code PREGAS
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.4 mL
Specimen processing Separate the serum from the cells and put in a separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 month   Refrigerated 1 month   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions SST or PST tubes.
Alternate specimens Plasma.
CPT codes 83789
Test schedule Mon, Wed, Fri
Turnaround time 3 days
Method HPLC
Test includes
Pregabalin, mcg/mL.
Reference ranges
  
Pregabalin         Not detected          mcg/mL
 Therapeutic drug concentrations have not been
 established for any indication at this tiem.
 Mean peak plasma concentrations up to 9.5
 mcg/mL have been reported approximately 1 hour
 post administration of up to 300 mg orally.

[5603]


PREGNANCY TEST
Order Code PRG Test Code PRGU
Synonyms Pregnancy, Urine
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Random urine  Preferred volume 1 mL  Minimum volume 0.2 mL
Collection procedure The first morning specimen is preferred.
Specimen processing Aliquot 1 mL of a random urine specimen. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 3 days   Frozen (-20°C)   Frozen (-70°C)
Limitations Sensitive to 25 mIU/mL.
Department Immunology
CPT codes 84703
Test schedule Sun-Fri nights; Branches-STAT
Turnaround time 24-48 hours
Method EIA
Test includes
Pregnancy Test, mIU/mL.
Reference ranges
  
Pregnancy Test           mIU/mL
 Negative   LT 25              
 Positive   25 or greater
The following comment will be appended to all
negative pregnancy results.
Levels of hCG greater than 300,000 mIU/mL (about
4-12 weeks gestation) may cause false-
negative results. Consider quantitative serum hCG 
test to confirm negative screening result if
clinical picture suggests pregnancy.
Notes
This method is calibrated according to the WHO Third International Standard for Chorionic Gonadotropin (WHO 3rd IS 75/537). Pregnancy is detected 1 week after implantation or 4-5 days before first missed menses.

[1370]


PREGNENOLONE
Order Code PRGNEN Test Code PRGNEN
Specimen Required
       Container type Frozen serum  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Non-frozen specimens.
Alternate specimens EDTA, K2EDTA or sodium or lithium heparin plasma (lavender, pink or green top tube).
CPT codes 84140
Test schedule Mon-Fri
Turnaround time 2-5 days
Method LC-MS/MS
Test includes
Pregnenolone, ng/dL.
Reference ranges
  
Pregnenolone                        ng/dL
 F    7-9 yrs             14-150
      10-12 yrs           19-220
      13-15 yrs           22-210
      16-17 yrs           22-229
      18+ yrs             15-132
      Tanner Stage I      15-171
      Tanner Stage II     22-229
      Tanner Stage III    34-215
      Tanner Stage IV-V   26-235
 M    7-9 yrs             13-205
      10-12 yrs           15-151
      13-15 yrs           18-197
      16-17 yrs           17-228
      Tanner Stage I      13-156
      Tanner Stage II     12-143
      Tanner Stage III    16-214
      Tanner Stage IV-V   19-201

[3119]


PREKALLIKREIN (FLETECHER FACTOR)
Order Code PREKAL Test Code PREKAL
Synonyms Fletcher Factor
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2 mL
Specimen processing Separate plasma from cells and place in 2 separate plastic tubes and freeze. Store and transport frozen.
CPT codes 85292
Test schedule Once a week
Turnaround time 2-10 days
Method Clot
Test includes
Prekallikrein (Fletcher Factor), %.
Reference ranges
  
Prekallikrein        65-135     %
 (Fletcher Factor)

[1371]


PRENATAL PROFILE
Order Code PRENAT Test Code PRENAT
Specimen Required
       Container type Lavender top tube (EDTA) and SST tube  Specimen type Serum and EDTA whole blood  Preferred volume 1 mL serum and 3 mL EDTA whole blood  Minimum volume 0.5 mL serum and 2 mL cells
Specimen processing Store and transport both specimens refrigerated.
Stability-   Room temp 1 day   Refrigerated 2 weeks   Frozen (-20°C) 6 months (serum)   Frozen (-70°C)
Unacceptable conditions Frozen cells.
Department Immunology
CPT codes 86900, 86901, 86850, 86592
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Hemagglutination/Floc
Test includes
ABO; RH; Antibody Screen; RPR.
Reference ranges
  
ABO
RH
Antibody Screen  Negative
RPR              Nonreactive

[1372]


PRENATAL RISK ASSESSMENT
Order Code PRASCR Test Code PRASCR
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure The optimum gestational age for prenatal screening is 16 weeks.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Required patient info Gestational Age (wks), Gestational Age (days), Gestational Method, Ultrasound Date, Diabetic (y/n), Maternal Weight (lbs), Race, Date of LMP, Previous Downs (y/n), Previous NTD (y/n), Multiple Gestation (y/n), Initial Screen (y/n).
Stability-   Room temp   Refrigerated 3 days   Frozen (-20°C) 30 days   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or lipemic specimens.
Alternate specimens 2 mL frozen serum drawn at 14 thru 22 weeks gestation.
Department Immunology
CPT codes 82105, 84702, 82677
Test schedule Daily
Turnaround time 2-5 days
Method Immunometric/Elisa
Test includes
Alpha-Feto Protein; Human Chorionic Gonadotropin Beta Subunit; Unconjugated Estriol.
Reference ranges
  
Gestational Age
Maternal Age at Term
Maternal Weight
Race
Diabetic
IVF Donor Birthdate
Gestation
Screening Status
DS Screen Result
DS Risk (at mid-trimester)
DS Risk for Maternal Age
DS Risk as Equivalent Age
DS Risk Interp
OSB Screen Result
OSB Patient Risk
OSB Population Risk
OSB Risk Interp
Trisomy 18 Screen Result
Trisomy 18 Patient Risk
Trisomy 18 Risk Interp
Interpretation Note
AFP MoM
Unconjugated Estriol MoM
HCG MoM
AFP                                      ng/mL
Estriol, Unconjugated                    ng/mL
HCG                                      IU/mL

 

[6540]


PRENATAL RISK QUAD SCREEN
Order Code QDSCR Test Code QDSCR
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure The optimal gestational age for prenatal screening is 16 weeks.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Required patient info Gestational Age (wks), Gestational Age (0-6days), Gestational Method, Ultrasound Date, Diabetic Status, Maternal Weight (lbs), Race, Date of LMP, Previous Downs (y/n), Previous NTD (y/n), Multiple Gestation (y/n), Initial Screen (y/n).
Stability-   Room temp   Refrigerated 3 days   Frozen (-20°C) 30 days   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or lipemic specimens.
Alternate specimens 2 mL frozen serum drawn at 14-22 weeks gestation.
Department Immunology
CPT codes 82105, 84702, 82677, 86336
Test schedule Daily
Turnaround time 2-5 days
Method Immunometric/Elisa
Test includes
Alpha-feto Protein; Human Chorionic Gonadotropin Beta Subunit; Unconjugated Estriol, Dimeric Inhibin-A.
Reference ranges
  
Gestational Age
Maternal Age at Term
Maternal Weight
Race
Diabetic 
IVF Donor Birthdate
Gestation
Screening Status
DS Screen Result
DS Risk (at mid-trimester)
DS Risk for Maternal Age
DS Risk as Equivalent Age
DS Risk Interp
OSB Screen Result
OSB Patient Risk
OBS Population Risk
OSB Risk Interp
Trisomy 18 Screen Result
Trisomy 18 Patient Risk
Trisomy 18 Risk Interp
Interpretation Note
AFP MoM
Unconjagated Estriol MoM
HCG MoM
Inhibin A MoM
AFP                            ng/mL
Unconjugated Estriol           ng/mL
HCG                            IU/mL
Dimeric Inhibin A              pg/mL

[6541]


PRIMIDONE
Order Code PRM Test Code PRPH
Synonyms Mysoline
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Draw just prior to next dose. Notes times of dose and drawing.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Required patient info Note times of dose and drawing.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Plasma samples other than lithium heparin plasma and grossly hemolyzed specimens.
Alternate specimens Lithium heparin plasma (green top tube). SST and other gel type tubes, however, they may artifactually randomly lower results if they are not promptly centrifuged and separated.
Department Chemistry
CPT codes 80184, 80188
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method LA & Enzymatic
Test includes
Phenobarbital, ug/mL; Primidone, ug/mL.
Reference ranges
  
Phenobarbital            ug/mL
 Therapeutic  15.0-40.0  
 Toxic        GT 50.0  
Primidone                ug/mL      
 Therapeutic  5.0-12.0   
 Toxic        GT 15.0

[1375]


PROBRAIN NATRIURETIC PEPTIDE, NT
Order Code PBNPAR Test Code PBNPAR
Specimen Required
       Container type Red top tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 3 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions No repeat freeze/thaw cycles, EDTA plasma or any other containers other than those specified above.
Alternate specimens SST, ammonium or lithium heparin or K2EDTA plasma (green or pink top tube).
CPT codes 83880
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method Electrochemiluminescent Immunoassay
Test includes
NT-ProBNP Natriuretic Peptide, pg/mL
Reference ranges
  
NT-ProBNP Natriuretic Peptide         pg/mL
 0-74 yrs      LT 125
 75 yrs+       LT 450

[3115]


PROCAINAMIDE & NAPA
Order Code PROC Test Code PROC
Synonyms Pronestyl; NAPA and Procainamide
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells immediately and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 day   Frozen (-20°C) 1 week   Frozen (-70°C)
Unacceptable conditions Samples stored on separator gel.
Alternate specimens SST serum aliquoted into separate plastic tube, PST plasma aliquoted into separate plastic tube, plasma collected in sodium heparin, citrate, EDTA or oxalate tubes.
Limitations Interference from hemoglobin, bilirubin, or lipemia are minimal.
CPT codes 80192
Test schedule Daily
Turnaround time 2-4 days
Method FPIA
Test includes
Procainamide, ug/mL; NAPA, ug/mL; Total Drug (Procainamide + NAPA), ug/mL.
Reference ranges
  
Procainamide    4.0-10.0               ug/mL
 Toxic          GT 16.0                ug/mL
NAPA            No range established    ug/mL
Total Drug      10.0-30.0              ug/mL
 Toxic          GT 40.0                ug/mL

[2044]


PROGESTERONE
Order Code PROGES Test Code PROGES
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 48 hours   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions SST/gel tube specimes not handled as outlined. All plasma samples are unacceptable.
Alternate specimens Samples drawn on SST or other gel tubes with serum separated ASAP. Must be separated within 24 hours.
Department Immunochemistry
CPT codes 84144
Test schedule Sun-Fri & STAT
Turnaround time 24-48 hours
Method ICMA
Test includes
Progesterone, ng/mL.
Reference ranges
  
Progesterone                  ng/mL
 M                0.28-1.22 
 F   
  Follicular      0.15-1.40
  Luteal          3.34-25.56
  Mid-luteal      4.44-28.03
  Post-menopausal 0.00-0.73
  Pregnancy 
   1st trimester  11.22-90.00
   2nd trimester  25.55-89.40
   3rd trimester  48.40-422.50
    Women using oral contraceptives
    have suppressed progesterone
    levels. Minimum detectable
    concentration is 0.15 ng/mL.

[1377]


PROINSULIN
Order Code PROINSULIN Test Code PROINS
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen plasma  Preferred volume 1.5 mL  Minimum volume 0.75 mL
Patient Prep Patient should be fasting.
Collection procedure Draw in an ice-cooled EDTA tube.
Specimen processing Separate plasma from cells in a refrigerated centrifuge and place in separate plastic tube and freeze. Store and transport frozen.
Unacceptable conditions Severely hemolyzed, severely lipemic or unfrozen specimens.
CPT codes 84206
Test schedule Tue, Thu
Turnaround time 3-7 days
Method ICMA
Test includes
Proinsulin, pmol/L.
Reference ranges
  
Proinsulin       3-20      pmol/L

[1378]


PROLACTIN
Order Code PROLAC Test Code PRL
Synonyms PRL
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Plasma, grossly hemolyzed or grossly lipemic samples.
Department Immunochemistry
CPT codes 84146
Test schedule Sun-Fri & STAT
Turnaround time 24-48 hours
Method ICMA
Test includes
Prolactin, ng/mL.
Reference ranges
  
Prolactin     ng/mL                           
 M  1.6-18.8
 F  1.4-24.2

[1379]


PROLONGED APTT EVALUATION (REFLEXIVE)
Order Code PROPTT Test Code PROPTT
Separate samples must be submitted when multiple tests are ordered.
This test may reflex to additional tests depending upon the results of this test. Additional charges will be added.
Specimen Required
       Container type Bue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 18 mL ( 6-3 mL aliquots)  Minimum volume 12 mL (4-3 mL aliquots)
Collection procedure Liquid blue top tubes filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transport uncentrifuged or centrigued with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 6 clean plastic tubes (6 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes. samples more than 4 hours old that have not been separated & frozen at -20C or less.
Department Coagulation
CPT codes 85370
Test schedule Mon-Fri days
Turnaround time 2 days
Method Electromechanical Clot Detection
Test includes
aPTT, Patient, sec; Heparinase aPTT, sec; aPTT, Control, sec; aPTT, Pt/Clt Mix, sec; Pt, Patient, sec; PT, Pt/Clt Mix, sec; TT, Patient, sec; TT, Pt/PSO4 Mix, sec; PNP, sec; dRVVT, sec; dRVVT Mix, sec; dRVVT Confirm Ratio, sec; dRVVT Confirm Mix Ratio; Factor VIII, %; Factor VIII Inhibitor Quantitative; von Willebrand Factor Antigen, %; von Willebrand Factor Acitivity, %; Factor IX, %; Factor XI, %; Factor XII, %; Interpretation; Reviewed By.
Reference ranges
  
aPTT, Patient   0-1 mon     40-50    sec
                2 mon-4 yrs 25-40
                5+ yrs      26-36
Heparinase                  26-38    sec
 aPTT
aPTT, Control                        sec
aPTT, Pt/Clt Mix                     sec
PT, Platelet    0-1 mon   13.0-20.0  sec
                2+ mon    10.9-14.8
PT, Pt/Clt Mix                       sec
TT, Patient               15.6-20.0  sec
TT, Pt/PSO4 Mix                      sec
PNP                       0-7        sec
dRVVT                     31.8-45.7  sec
dRVVT Mix                 0.0-1.2    sec
dRVVT Confirm Ratio       LT 1.2
dRVVT Confirm Mix Ratio   LT 1.2
Factor VIII               55-150     %
Factor VIII Inbibitor     Negative
 Quantitative
von Willebrand Factor     50-165     %
 Antigen
von Willebrand Factor     GT 40
 Activity
Factor IX                 60-140      %
Factor XI                 65-135      %
Factor XII                50-150      %
Interpretation
Reviewed By


[5525]


PROPAFENONE
Order Code PROPAFENONE Test Code PROPAF
Synonyms Rhythmol
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 0.8 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 hours   Refrigerated 30 days   Frozen (-20°C) 30 days   Frozen (-70°C)
Alternate specimens EDTA, sodium heparinized or fluoride/potassium oxalated plasma (lavender, green or grey top tube).
Limitations Avoid the use of serum separator tubes and gels.
CPT codes 80299
Test schedule Tue, Fri
Turnaround time 2-6 days
Method HPLC
Test includes
Propafenone, ug/mL.
Reference ranges
  
Propafenone                  ug/mL
 Therapeutic       0.50-2.00  
 Critical value    GT 2.00

[1380]


PROPOXYPHENE & METABOLITE, SERUM (REFLEXIVE)
Order Code PROOXY Test Code PROOXY
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport at room temperature.
Stability-   Room temp 2 weeks   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Serum separator tubes and gels.
Alternate specimens Potassium oxalate/sodium fluoride (grey top tube).
CPT codes 80299
Test schedule Mon-Fri
Turnaround time 2-5 days
Method GC/MS
Test includes
Propoxyphene & Metabolite; Propoxyphene & Metabolite.
Reference ranges
  
Propoxyphene & Metabolite
Propoxyphene & Metabolite
 Drugs covered: propoxyphene and
 norpropoxyphene.
 Positive cutoff: 50 ng/mL.
 Average serum concentrations on daily
 regimen of 65 mg, three times perday,
 drawn 2 hours after last dosage:
 Propoxyphene    420 ng/mL
 Norpropoxyphene (25-50% analgesic
 activity)       1,450 ng/mL

[1381]


PROPOXYPHENE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCPRO Test Code TLCPRO
Synonyms norpropoxyphene, dolene, darvon, darvon-N, darvocet-N, darvocet, darvon compound, wygesic, black beauties,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 500 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 -48 hours
Method Modified Thin Layer Chromatography
Test includes
Propoxyphene and Norpropoxyphene
Notes
Test is also included in Comprehensive Drug Survey.

[6912]


PROPOXYPHENE CONFIRMATION BY GC/MS
Order Code MSPRO Test Code MSPRO
Synonyms norpropoxyphene, dolene, darvon, darvon-N, darvocet, darvocet-N, darvon compound, wygesic,black beauties,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff 500 ng/ml
Department Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Gas Chromatography Mass Spectrometry
Test includes
Norpropoxyphene

[6913]


PROPOXYPHENE SCREEN
Order Code PROPOX Test Code PROP
Synonyms Norpropoxyphene, Dolene, Darvon-N, Darvocet-N, Darvon compound, Wygesic, Black Beauties, Darvon, Darvocet, Propacet
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mls  Minimum volume 5 mls
Limitations Cutoff at 300 ng/ml
Department Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Test includes
Propoxyphene Norpropoxyphene
Notes
Positive results will automatically be confirmed by TLC.

[6900]


PROPRANOLOL (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCPPL Test Code TLCPPL
Synonyms Inderal
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Propranolol
Notes
Test is also included in Drug-Sur as part of panel.

[7010]


PROSTATIC ACID PHOSPHATASE
Order Code PROSPA Test Code PROSPA
Separate samples must be submitted when multiple tests are ordered.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Allow serum to clot completely at room temperature before centrifuging. Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 3 hours   Refrigerated 24 hours   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Samples at room temperature more than 3 hours old or refrigerated at more than 24 hours old.
CPT codes 84066
Test schedule Sun-Sat
Turnaround time 2-4 days
Method ICMA
Test includes
Prostatic Acid Phosphatase, ng/mL.
Reference ranges
  
Prostatic Acid      0.0-3.5      ng/mL
 Phosphatase
 The SiemensImmulite PAP chemiluminescent
 immunoassay is used. Results 
 obtained with different assay methods
 or kits cannot be used interchangeably.
 Measurement of PAP has been shown to
 be clinically relevant with prostatic 
 adenomacarcinoma. Benign prostatic 
 hyperplasia, prostate massage, and
 prostatic infarction may result in
 elevated PAP concentrations.
 The PAP assay value, regardless of 
 level, should not be interpreted as
 evidence of the presence or absence
 of malignant disease.

[1382]


PROSTATIC SPECIFIC ANTIGEN
Order Code PSA Test Code PSA
Synonyms PSA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 14 days   Frozen (-20°C)   Frozen (-70°C)
Limitations Serum is the only acceptable specimen. Minimum detectable concentration is 0.01 ng/mL.
Department Immunochemistry
CPT codes 84153
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
Prostatic Specific Antigen, ng/mL.
Reference ranges
  
Prostatic Specific Antigen     ng/mL
 M    0-54 yrs     0.00-2.50
      55-59 yrs    0.00-3.40
      60-64 yrs    0.00-4.10
      65-69 yrs    0.00-5.10
      70+ yrs      0.00-5.60
Notes
TAT longer if dilutions required.

[1383]


PROSTATIC SPECIFIC ANTIGEN (REFLEXIVE)
Order Code PSAR Test Code PSAR
This test reflexes to a free PSA if the total PSA is between 4.0-10.0 ng/mL.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms PSA with Reflex
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.8 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 5 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples, and samples stabilized with azide.
Alternate specimens Serum (red top tube-plain)
Department Immunochemistry
CPT codes 84153 and 84154 if Free PSA is required.
Test schedule Tue-Sat
Turnaround time 1-3 days
Method ECLIA
Test includes
Total Prostatic Specific Antigen, ng/mL; Free Prostatic Specific Antigen, ng/mL and Free/Total Prostatic Specific Antigen Ratio, % if the PSA is between 4.0-10.0 ng.mL.
Reference ranges
  
Total PSA                     ng/mL
 M 0-54 yrs  0.00-2.50 
  55-59 yrs  0.00-3.40
  60-64 yrs  0.00-4.10
  65-69 yrs  0.00-5.60
  70+ yars   0.00-5.60
Free PSA                      ng/mL
Free/Total PSA Ratio          %
 Ratios GT 20% suggest benign.
 Ratios between 10% and 20% show
 substantial overlap in benign & 
 malignant conditions.
 Ratios LT 10% suggest carcinoma.
The ratio is most clinically useful
in the total PSA range of 4.0-10.0
ng/mL.
Notes
Minimum detectable concentration for Total PSA is 0.03 ng/mL and for Free PSA is 0.02 ng/mL.

[1384]


PROSTATIC SPECIFIC ANTIGEN, FREE & TOTAL
Order Code FPSA Test Code RATPSA
Synonyms Free PSA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.8 mL
Specimen processing Separate serum from cells and put in separate plastic tube . Store and transport refrigerated.
Stability-   Room temp   Refrigerated 5 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples, and samples stabilized with azide.
Alternate specimens Serum (red top tube-plain)
Limitations Minimum detectable concentration is 0.03 ng/mL for PSA and 0.02 ng/mL for the Free PSA.
Department Immunohemistry
CPT codes 84154, 84153
Test schedule Tue-Sat
Turnaround time 1-3 days
Method ECLIA
Test includes
Total PSA, ng/mL; Free PSA, ng/mL; Free/Total PSA Ratio, %.
Reference ranges
  
Total PSA                ng/mL
 M 0-54 yrs    0.00-2.50 
   55-59 yrs   0.00-3.40
   60-64 yrs   0.00-4.10
   65-69 yrs   0.00-5.10
   70+ yrs     0.00-5.60

Free PSA                 ng/mL
Free/Total               %
 PSA Ratio           
 Ratios GT 20% suggest benign. Ratios between
 10% & 20% show substantial overlap in benign &
 malignant conditions. 
 Ratios LT 10% suggest carcinoma.
 The ratio is most clinically useful in the
 total PSA range of 4-10 ng/mL.

[1385]


PROSTATIC SPECIFIC ANTIGEN, POST RADICAL
Order Code PSAPR Test Code PSAPR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 14 days   Frozen (-20°C)   Frozen (-70°C)
Limitations Serum is the only acceptable specimen. Minimum detectable concentration is 0.01 ng/mL.
Department Immunochemistry
CPT codes 84153
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
Prostatic Specific Antigen, Post Radical, ng/mL.
Reference ranges
  
Prostatic Specific Antigen,     
 Post Radical
 LT 0.05     ng/mL
 After radical prostatectomy, a PSA
 value of less than 0.05 ng/mL indicates
 no detectable residual disease.

[1386]


PROTEIN C + S ACTIVITY
Order Code PROT.C+S.FUNC Test Code ACTPCS
Separate samples must be submitted when multiple tests are ordered.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 4 mL  Minimum volume 2 mL
Collection procedure Liquid blue top tubes filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85303, 85306
Test schedule Mon & Thu
Turnaround time 1-4 days
Method Clotting Assay
Test includes
Protein C, Activity, %; Protein S, Activity, %.
Reference ranges
  
Protein C, Activity  70-145      %   
Protein S, Activity  65-140      %

[1387]


PROTEIN C, ACTIVITY
Order Code PROCF Test Code ACTPC
Separate samples must be submitted when multiple tests are ordered.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85303
Test schedule Mon & Thu
Turnaround time 1-4 days
Method Clotting Assay
Test includes
Protein C, Activity, %.
Reference ranges
  
Protein C, Activity   70-145      %

[1388]


PROTEIN C, ANTIGEN
Order Code PROT.C Test Code AGPC
Separate samples must be submitted when multiple tests are ordered.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85302
Test schedule Mon, Thu
Turnaround time 3-5 days
Method ELISA
Test includes
Protein C Antigen, % concentration.
Reference ranges
  
Protein C Antigen     70-140    %

[1389]


PROTEIN S, ACTIVITY
Order Code PROSF Test Code ACTPS
Separate samples must be submitted when multiple tests are ordered.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85306
Test schedule Mon & Thu
Turnaround time 1-4 days
Method Clotting Assay
Test includes
Protein S, Activity, %.
Reference ranges
  
Protein S, Activity     65-140     %

[1390]


PROTEIN S, ANTIGEN
Order Code PRO.S Test Code AGPS
Separate samples must be submitted when multiple tests are ordered.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Limitations Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85305, 85306
Test schedule Mon, Thu
Turnaround time 3-5 days
Method Immuno-turbidometric
Test includes
Protein S Antigen Total, %; Protein S Antigen Free, %.
Reference ranges
  
Protein S Antigen, Total       % 
 70-140        
Protein S Antigen, Free
 Male   67-170 
 Female 52-150

[1391]


PROTEIN S, ANTIGEN FREE
Order Code PSFREE Test Code PSFREE
Separate samples must be submitted when multiple tests are ordered.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85306
Test schedule Mon, Thu
Turnaround time 3-5 days
Method Immuno-turbidometric
Test includes
Protien S Antigen Free, %.
Reference ranges
  
Protein S Antigen Free           %
 Male     67-170
 Female   52-150
 Treatment with Vitamin K antagonists,
 such as coumadin may cause a decrease
 in Protein S values.

[1392]


PROTEIN S, ANTIGEN TOTAL
Order Code PSTOT Test Code PSTOT
Separate samples must be submitted when multiple tests are ordered.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85305
Test schedule Mon, Thu
Turnaround time 3-5 days
Method Immuno-turbidometric
Test includes
Protein S Antigen, Total, %.
Reference ranges
  
Protein S Antigen Total  70-140    %
 Treatment with vitamin K antagonists,
 such as coumadin may cause a decrease 
 in Protein S values.

[1393]


PROTEIN, CSF
Order Code PRO-C Test Code TPSF
Specimen Required
       Container type CSF leakproof sterile tube.  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 2 hours   Refrigerated 72 hours   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Specimen with cells or hemolyzed.
Limitations Results may be falsely elevated if specimen has cells or is hemolyzed.
Department Chemistry
CPT codes 84157
Test schedule Daily & STAT
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Protein, CSF, mg/dL.
Reference ranges
  
Protein, CSF                mg/dL
 LT 1 day         40-120
 1-30 days        20-80
 1 mo-adult       15-45

[1394]


PROTEIN, FLUID
Order Code PRO-FLD Test Code TPFL
Specimen Required
       Container type Sodium heparin (green top tube)  Specimen type Body fluid  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Promptly separate fluid from cells and place in separate plastic tube. Note type of fluid. Store and transport refrigerated.
Required patient info Type of fluid.
Stability-   Room temp 4 hours   Refrigerated 3 days   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Clotted or viscous samples. Samples stored with cells present. Hemolysis at 2.5 g/L or greater.
Alternate specimens Specimens collected in plain red top tubes or sterile container.
Department Chemistry
CPT codes 84157
Test schedule Daily
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Protein, Fluid, g/dL.
Reference ranges
  
Protein, Fluid                g/dL
 Exudate      3.0 or greater   
 Transudate   LT 3.0           
 Synovial     Lt 3.0
 Method not validated for body fluid.
 Clinical correlation necessary.

[1395]


PROTEIN, QUANTITATIVE, URINE
Order Code PRO-U Test Code PROUQP
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume . There is no charge for this test.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 40 mL  Minimum volume 1 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens Specimen can be frozen, however, do not allow to thaw and refreeze.
Limitations Avoid freeze/thaw cycles. Optimal urine sample should be free of contaminants including red blood cell contamination.
Department Chemistry
CPT codes 84156, 82570
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Collection Period, h; Volume, mL; Protein, Urine, mg/24h; Protein/Creatinine Ratio, Ratio.
Reference ranges
  
Collection Period                    h
Volume                               mL
Protein, Urine
 50-80   At Rest                     mg/24h
 LT 250  Following intense exercise  
Protein/Creatinine Ratio     LT 0.2  Ratio

[1398]


PROTEIN, TOTAL
Order Code PRO Test Code TP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Limitations Plasma is not recommended as fibrinogen will add to the protein being measured. If plasma must be used, lithium heparin plasma is the recommendation.
Department Chemistry
CPT codes 84155
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Colorimetric (Biuret)
Test includes
Protein, Total, g/dL.
Reference ranges
  
Protein, Total          g/dL
 0-12 mo         4.3-6.9
 1-3 yrs         5.2-7.4
 3-6 yrs         5.6-7.7
 6-10 yrs        6.5-8.3
 10-18 yrs       6.1-8.0
 18-60 yrs       6.3-8.0
 60 yrs+         6.1-7.8

[1396]


PROTEIN, URINE (12 HR)
Order Code PRO-U.12 Test Code PROUQ1
Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume . There is no charge for this test.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 12-hour urine collection  Preferred volume 40 mL  Minimum volume 1 mL
Collection procedure Collect a 12-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 40 mL of a well-mixed 12-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Limitations Optimal urine sample should be free of contaminants including red blood cell contamination.
Department Chemistry
CPT codes 84156, 82570
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Collection Period, h; Volume, mL; Protein, Urine, mg/12hr; Protein/Creatinine Ratio, Ratio.
Reference ranges
  
Collection Period                   h
Volume                              mL
Protein, Urine
 No normals established for 12 hr   mg/12h
Protein/Creatinine Ratio   LT 0.2   Ratio

[1397]


PROTEIN, URINE (RANDOM)
Order Code PRO-R Test Code PROUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 1 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens Specimen can be frozen, however, do not allow to thaw and refreeze.
Limitations Avoid freeze/thaw cycles.
Department Chemistry
CPT codes 84156
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Protein, Urine, mg/dL.
Reference ranges
  
Protein, Urine            mg/dL
 No normals established

[1399]


PROTEIN/CREATININE, URINE (RANDOM)
Order Code PRO-RU Test Code PRCR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 1 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens Specimen can be frozen, however, do not allow to thaw and refreeze.
Limitations Avoid freeze/thaw cycles. Optimal urine sample should be free of contaminants including red blood cell contamination.
Department Chemistry
CPT codes 84156, 82570
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Colorimetric, Enzymatic (IDMS Traceable),Calculation
Test includes
Creatinine, Urine mg/dL; Protein, Urine, mg/dL; Protein/Creatinine Ratio, Ratio.
Reference ranges
  
Creatinine, Urine                mg/dL
 No normals established
Protein, Urine                   mg/dL
 No normals established
Protein/Creatinine Ratio  LT 0.2 Ratio

[1400]


PROTEINASE 3 ANTIBODY
Order Code PR3AB Test Code PR3AB
Synonyms PR3 Antibody; PR3; MPO; ANCA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Hemolyzed, lipemic, contaminated samples, other body fluids; repeat freeze/thaw cycles.
Department Virology
CPT codes 83516
Test schedule Sun, Tue, Thu
Turnaround time 2-4 days
Method EIA
Test includes
Proteinase 3 Antibody, U/mL.
Reference ranges
  
Proteinase 3 Antibody   LT 3.5   U/mL

[1401]


PROTHROMBIN 20210 MUTATION
Order Code PRMUT Test Code PROMUT
Due to the sensitivity of this test, submit the entire specimen in the original collection tube.
Synonyms Thrombophila; Molecular testing
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood ( must be in original collection tube)  Preferred volume 5 mL  Minimum volume 1 mL or a full EDTA microtainer.
Specimen processing Store and transport at room temperature. If delayed more than 72 hours, store and transport refrigerated.
Stability-   Room temp 72 hours   Refrigerated 5 days   Frozen (-20°C) Unstable   Frozen (-70°C)
Unacceptable conditions Serum, heparinized whole blood, frozen whole blood, severely hemolyzed specimens, specimens in leaky containers or over 5 days old. Also specimens not received in the original collection tubes.
Alternate specimens ACD whole blood or sodium citrated whole blood (yellow or blue top tube).
Limitations Do not freeze.
Department Molecular Diagnostics
CPT codes 83891, 83903, 83912, 83898, 83896 x 2
Test schedule Mon-Sat
Turnaround time 2-5 days
Method PCR
Test includes
Prothrombin 20210, Method; Prothrombin 20210, Result; Prothrombin 20210, Interpretation; Prothrombin 20210, Comment; Prothrombin 20210, Comment.
Reference ranges
  
Prothrombin 20210, Method
Prothrombin 20210, Result
Prothrombin 20210, Interpretation
Prothrombin 20210, Comment
Prothrombin 20210, Comment
 This test is FDA approved and is 
 intended for in vitro diagnostic use.
 This test is performed pursuant to an
 with Roche Molecular Systems,
 This test is performed by real-
 time PCR using the Roche LightCycler
 instrument. The product of PCR is 
 detected by fluorescence produced when
 a specific pair of probes, each labeled
 with a fluorophore, binds to the PCR
 product in close proximity.

[1405]


PROTHROMBIN FRAGMENT 1+2, MONOCLONAL
Order Code PTF12M Test Code PTF12M
Specimen Required
       Container type Blue top tube (liquid buffered sodium citrate)  Specimen type Frozen citrated plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate plasma from cells and put in separate plastic tube and freeze. Store and transport frozen.
CPT codes 83520
Test schedule Mon, Thu
Turnaround time 3-5 days
Method ELISA
Test includes
Prothrombin Frgment 1+2, Monoclonal, pmol/L.
Reference ranges
  
Prothrombin Fragment 1+2,   87-325  pmol/L
 Monoclonal

[1406]


PROTIME
Order Code PT Test Code PT
Synonyms Prothrombin Time; PT
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Whole blood  Preferred volume 3 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 24 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at RT (22-24C). If time interval between drawing and testing exceeds 24 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Store and transport frozen.
Stability-   Room temp 24 hours   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 24 hours old that have not been separated and frozen at -20C or less. Avoid repeat freeze/thaw cycles.
Department Coagulation
CPT codes 85610
Test schedule Daily-all shifts & STAT
Turnaround time 1-2 days
Method Electromechanical
Test includes
PT, patient, sec; PT, pop mean, sec; PT, INR.
Reference ranges
  
PT, Patient                      sec
 0-1 mo 13.0-20.0      
 2+ mo  10.9-14.8     
PT, Pop. Mean       13.4         sec
PT, INR   
  0.9-1.2        
  2.0-3.0  Usual oral anticoagulation range.
  2.5-3.5  High level oral anticoagulation range.
Notes
This test may be used to monitor therapeutic anticoagulation. Recommendations for appropriate use with different agents may be obtained by contacting your pharmacy or the Hematology Technical Director (509-755-8999, Toll free: 800-349-8586).

[1407]


PROTIME MIXING STUDY
Order Code PTMXS Test Code PTMXS
Synonyms Prothrombin Time Mixing Study; PT, 1/1 Mix
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Whole blood  Preferred volume 3 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 24 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept RT(22-24C). If time interval between drawing and testing exceeds 24 hours, centrifuge specimen, separate plasma, recentrifuge, separate into plastic tube and freeze at -20C or less. Avoid repeat freeze/thaw cycles.
Stability-   Room temp 24 hours   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 24 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85610, 85611
Test schedule Daily-all shifts
Turnaround time 1-2 days
Method Optical Densitry Endpoint
Test includes
Protime, Patient, sec; Protime Patient/Control Mix, sec; Protime, Control plasma, sec.
Reference ranges
  
Protime, Patient    0-1 mon   13.0-20.0   sec
                    2+ mon    10.9-14.8
Protime, Patient/Control Mix              sec
 A protime that is not within 3 seconds
 of the control plasma may suggest an 
 inhibitor.
Protime, Control Plamsa                   sec

[1408]


PROTOPORPHYRIN FREE ERYTHROCYTE
Order Code PROTO Test Code PROTOF
Synonyms Free Erythrocyte Protoporphyrin; FEP
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type See below.  Preferred volume 5 mL
Patient Prep Draw specimen after patient has been fasting 12-14 hours. The patient should be off medications for at least a week if possible otherwise forward a list of medications with the specimen. Patient should abstain from alcohol for 24 hours.
Collection procedure Draw 5 mL blood into sodium heparin tube. Place on wet ice immediately. Send entire heparinized whole blood specimen refrigerated. Specimen cannot be frozen, it must arrive at Mayo within 48 hours of collection. Do not separate or wash cells from the sample.
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated It must arrive at Mayo within 48 hours of collection.   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen whole blood samples. No deviation from protocol is acceptable.
CPT codes 84202
Test schedule Mon-Fri
Turnaround time 2-5 days
Method HPLC with Fluorescence Detection
Test includes
Free Protoporphyrin, ug/dL; Zinc-Complexed Protoporphyrin, ug/dL.
Reference ranges
  
Free Protoporphyrin              ug/dL
 LT 20 ug/dL packed cells
Zinc-complexed Protoporphyrin    ug/dL    
 LT 60 ug/dL packed cells

[1409]


PROTRIPTYLINE
Order Code PROT Test Code PROTRI
Synonyms Vivactil
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Stability-   Room temp 5 days   Refrigerated 5 days   Frozen (-20°C) 6 months   Frozen (-70°C)
Alternate specimens EDTA, sodium heparinized or fluoride/potassium oxalated plasma (lavender, green or grey top tube).
Limitations Avoid the use of serum separator tubes and gels. If gel separator is used separate serum/plasma from gel within 2 hours of collection. Do not refrigerate on gel separator.
CPT codes 80299
Test schedule Sun, Tue, Thu
Turnaround time 2-5 days
Method HPLC
Test includes
Protriptyline, ng/mL.
Reference ranges
  
Protriptyline            ng/mL
 Therapeutic   70-240   
 Toxic         GT 400

[1410]


PSEUDOCHOLINESTERASE, DIBUCAINE INHIBITION
Order Code PSEU Test Code PSEU
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL
Collection procedure Specimen must be drawn prior to surgery or two days post.
Specimen processing Allow serum to clot completely at room temperature before centrifuging. Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Required patient info Clinical information.
Stability-   Room temp 4 hours   Refrigerated 7 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Citrated, oxalated or fluoride preserved plasma samples, hemolyzed samples, whole blood samples unseparated and samples drawn during surgery or in the recovery room.
Alternate specimens EDTA or heparinized plasma (lavender or grren top tubes).
CPT codes 82638, 82480
Test schedule Mon-Fri
Turnaround time 2-6 days
Method Enzymatic
Test includes
Pseudocholinesterase, U/L; Dibucaine, %; Phenotype.
Reference ranges
  
Pseudocholinesterase  2900-7100    U/L     
Dibucaine             GT 75        %
Phenotype

[1411]


PSEUDOCHOLINESTERASE, TOTAL
Order Code CHEP Test Code CHEP
Synonyms Cholinesterase, Pseudo, Total
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Patient Prep Sample must be drawn prior to surgery or two days post surgery. Do not draw in recovery room.
Specimen processing Allow serum to clot completely at room temperature. Separate serum from cells within 30 minutes of collection and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 hours   Refrigerated 1 week   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Whole blood unseparated and hemolyzed samples.
Alternate specimens EDTA or heparin plasma (lavender or green top tube). Must be separated within 30 minutes of collection. Plasma values are slightly lower than serum samples.
CPT codes 82480
Test schedule Mon-Fri
Turnaround time 2-5 days
Method Enzymatic
Test includes
Pseudocholinesterase, Total, U/L.
Reference ranges
  
Pseudocholinesterase, Total   2900-7100   U/L

[1412]


PSEUDOEPHEDRINE/EPHEDRINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCPSE Test Code TLCPSE
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 3000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Pseudoephedrine and Ephedrine. (indistinguishable from one another).
Notes
Test is also included in Drug-Sur as part of panel.

[7008]


PSILOCIN (OD ONLY) (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCPSI Test Code TLCPSI
Synonyms Magic mushrooms, shrooms, flower, flipping, hippieflip, sacred mushroom, sherm,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Psilocin
Notes
Test is also included in Drug-Sur as part of panel.

[6974]


PTH, C-TERMINAL WITH CALCIUM
Order Code CPTH Test Code CPTH
Synonyms C-PTH; Parathormone, C-Terminal; Parathyroid Hormone, C-Terminal
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.4 mL
Specimen processing Separate serum from cells and place in two separate plastic tubes and freeze. Store and transport frozen.
Stability-   Room temp 2 hours   Refrigerated 8 hours   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions No freeze/thaw cycles.
CPT codes 83970, 82310
Test schedule Tue, Fri
Turnaround time 3-6 days
Method RIA
Test includes
Parathormone C-Terminal, ng/mL; Calcium, mg/dL.
Reference ranges
  
Parathormone C-Terminal  LT 0.9   ng/mL    
Calcium                           mg/dL
 M   0-1 yrs             7.6-11.0
     2-18 yrs            8.4-10.5
     GT 18 yrs           8.7-10.4
 F   0-1 yrs             7.6-11.0
     2-18 yrs            8.4-10.5
     GT 18 yrs           8.7-10.4

[1413]


PTH, INTACT, WHOLE MOLECULE
Order Code INTACT.PTH Test Code PTHI
Test of choice for evaluation of calcium and parathyroid disorders.
Synonyms Whole Molecule Parathyroid Hormone; Intact, PTH; PTH, Intact; Parathyroid Hormone, Intact (Whole Molecule)
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 2 hours from time of collection   Refrigerated 8 hours from time of collection   Frozen (-20°C) 4 months from of time of collection   Frozen (-70°C)
Department Immunology
CPT codes 83970, 82310
Test schedule Sun-Fri
Turnaround time 1-3 days
Method ICMA
Test includes
PTH, Intact, pg/mL; Calcium, mg/dL.
Reference ranges
  
PTH Intact       10-65       pg/mL
Calcium          8.5-10.5    mg/dL

[1414]


PTH, INTACT, WHOLE MOLECULE, NO CALCIUM
Order Code PTHINT Test Code PTHINT
This assay is for the whole molecule (intact) PTH and no calcium is reported.
Synonyms Whole Molecule Parathyroid Hormone, No Calcium; Intact, PTH, No Calcium; PTH, Intact , No Calcium; Parathyroid Hormone, Intact (Whole Molecule), No Calcium.
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen EDTA plasma  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 2 hours from time of collection.   Refrigerated 8 hours from time of collection.   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Serum
Department Immunology
CPT codes 83970
Test schedule Sun-Fri eve
Turnaround time 1-3 days
Method ICMA
Test includes
PTH, Intact, pg/mL.
Reference ranges
  
PTH, Intact     15-85      pg/mL

[1415]


PTT
Order Code PTT Test Code PTT
Synonyms Partial Thromboplastin Time
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Whole blood  Preferred volume 3 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Assays on nonheparinized patients must be performed within 4 hours of collection. Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. Assays on specimens suspected to contain unfractionated heparin therapy kept at 2-4C or 22-24C should be centrifuged and the plasma removed from the cells within 1 hour of collection and tested within 4 hours of collection. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85730
Test schedule Daily-all shifts & STAT
Turnaround time 24-48 hours
Method Electromechanical
Test includes
PTT patient, sec; PTT, pop mean, sec.
Reference ranges
  
PTT, Patient                     sec
 0-1 mo           40-50 
 2 mos-4 yrs      25-40
 5+ yrs           26-36
PTT, Pop.mean     31             sec
  Deep venous thrombosis or pulmonary
  embolism therapeutic heparin levels
  of 0.3 to 0.7 Units/mL anti-factor
  Xa levels usually correspond to an
  aPTT of 60-85 seconds. Acute cardiac
  syndrome therapeutic range based on
  heparin levels of 0.2 to 0.5 
  usually correspond to an aPTT of
  55 to 75 seconds.

[1416]


PTT (PRESURGICAL)
Order Code PTT Test Code PTT
Synonyms Partial Thromboplastin Time
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Whole blood  Preferred volume 3 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85730
Test schedule Daily-all shifts
Turnaround time 24-48 hours
Method Electromechanical
Test includes
PTT, sec; PTT, pop mean, sec.
Reference ranges
  
PTT, Patient                     sec
 0-1 mo           40-50 
 2 mos-4 yrs      25-40
 5+ yrs           26-36
PTT, Pop.mean     31             sec
  Deep venous thrombosis or pulmonary
  embolism therapeutic heparin levels
  of 0.3 to 0.7 Units/mL anti-factor
  Xa levels usually correspond to an
  aPTT of 60-85 seconds. Acute cardiac
  syndrome therapeutic range based on
  heparin levels of 0.14 to 0.34 
  usually correspond to an aPTT of
  50 to 65 seconds.
Notes
This test may be used to monitor therapeutic anticoagulation. Recommendations for appropriate use with different agents may be obtained by contacting your pharmacy or the Hematology Technical Director (509-755-8999, Toll free: 800-349-8586).

[1417]


PTT MIXING STUDY
Order Code PTTMXS Test Code PTTMXS
Synonyms Partial Thromboplastin Time Mixing Study
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Whole blood  Preferred volume 3 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Assays on nonheparinized patients must be performed within 4 hours of collection. Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of cells in an unopened tube kept at 2-4C or 22-24C. Assays on specimens suspected to contain unfractionated heparin therapy kept at 2-4C or 22-24C should be centrifuged and the plasma removed from the cells within 1 hour of collection and tested within 4 hours of collection. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into plastic tube, and freeze at -20C or less.
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85732 x 2, 85730
Test schedule Daily-all shifts
Turnaround time 24-48 hours
Method Electromechanical
Test includes
PTT Patient, sec; PTT Patient/Control Mix, sec; PTT, Control Plasma, sec; Ptt Patient, Post Incubate, sec.
Reference ranges
  
PTT, Patient    0-1 mon     40-50           sec
                2 mon-4 yrs 25-60
                5+ yrs      26-36
PTT, Patient/   A PTT mix that is not       sec
 Control Mix    within 5 seconds of the 
                control plasma usually 
                suggests an inhibitor.      
PTT, Control Plasma                         sec 
PTT, Patient Post Incubate                  sec
Notes
.

[1718]


PURKINJE CELL CYTOPLASMIC ANTIBODY, (REFLEX)
Order Code PCCA Test Code PCCA
This test may reflex to additional tests depending upon the results of this test. Additional fees may be added.
Synonyms PCCA; Anti-Yo Antibodies; Yo Antibodies
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 7 days   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86255
Test schedule Mon-Fri
Turnaround time 2-5 days
Method IFA
Test includes
Purkinje Cell Cytoplasmic Antibody
Reference ranges
  
Purkinje Cell Cytoplasmic Antibody   Negative
    

[1418]


PURKINJE CELL CYTOPLASMIC ANTIBODY, SF (REFLEXIVE)
Order Code PCCASF Test Code PCCASF
This test may reflex to additional tests depending upon the results of this test. Additional fees may be added.
Synonyms PCCA, CSF
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp unacceptable   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86255
Test schedule Mon-Fri
Turnaround time 2-5 days
Method IFA
Test includes
Purkinje Cell Cytoplasmic Antibody, SF
Reference ranges
  
Purkinje Cell Cytoplasmic Antibody, SF     Negative

[1420]


PYRUVATE KINASE
Order Code PKIN Test Code PKIN
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 1 mL  Minimum volume 1 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp unacceptable   Refrigerated 20 days   Frozen (-20°C) unacceptable   Frozen (-70°C)
Alternate specimens Heparinized or ACD whole blood (green or yellow top tube).
CPT codes 84220
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Enzymatic
Test includes
Pyruvate Kinase, U/gHgb.
Reference ranges
  
Pyruvate Kinase    9.0-22.0  U/gHgb

[1422]


PYRUVIC ACID
Order Code PYRUVIC ACID Test Code PYRACD
Synonyms Pyruvate
Specimen Required
       Container type See below.  Specimen type Frozen supernatant from whole blood  Preferred volume 1 mL  Minimum volume 1 mL
Collection procedure Draw whole blood in green or lavender top tube, immediately add 1 ml of whole blood to a chilled tube containing 2 mL of 8% (w/v) perchloric acid. Mix well for 30 seconds and place in ice bath for 10 minutes. To prepare 8% perchloric acid: dilute 11.4 mL of 70% perchloric acid to 100 mL H2O. Collection tubes are available form PAML Supply Department.
Specimen processing Centrifuge 10 minutes at 1500g. Separate supernatant and freeze in separate plastic tube. Store and transport frozen. This is a critical frozen.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions If LT 1 mL of blood is added to collection tube, pH of the supernatant will be too low for testing to be done.
CPT codes 84210
Test schedule Sun-Sat
Turnaround time 2-4 days
Method Enzymatic
Test includes
Pyruvic Acid, mmol/L.
Reference ranges
  
Pyruvic Acid     0.030-0.107    mmol/L
 (venous blood)
Notes
Collection tubes are available from PAML Supply Department.

[1423]


QUANTIFERON TB GOLD IN-TUBE
Order Code QFTBG Test Code QFTBG
Specimen Required
       Container type QFT-IN Tube kit  Specimen type Blood  Preferred volume 1 mL in each of the 3 QFT-In Tubes  Minimum volume Each tube must have between 0.8 and 1.2 mL whole blood.
Collection procedure Collect 1 mL of blood into each of the 3 QFT-In Tubes (gray, red and purple top tubes). These are special tubes and specimens must be drawn into these tubes. Mix each of the tubes by SHAKING VIGOROUSLY (not simple inversion) at least 10 times. All tubes must be labelled with last name, first name, date and time drawn. Samples must be submitted with a SRHD completed requisition.
Specimen processing If no incubator is available the 3 tubes must reach performing lab within 16 hours of collection, transported at room temperature.
Required patient info A SHRD requisiton must be completed and submitted with specimen
Alternate specimens Other submission options: `a) If a 37C incubator is available, put the 3 tubes in the incubator for 16-24 hours. After incubation, centrifuge tubes for 15 minutes at 2000-3000 g. Plasma may be stored up to 28 days in the tube as long as the gel plug is in place. Store and transport at room temperature.`b) Samples may also be incubated only, and submitted at room temperature but must be within 3 days of incubation.
Limitations You must indicate with submission method you have used.
CPT codes 86480
Test schedule Mon-Thu for nonincubated specimens; Mon-Fri for incubated specimens
Turnaround time 3-5 days
Method ELISA
Test includes
Quantiferon TB Gold In-Tube Results; Quantiferon TB Gold In-Tube Note.
Reference ranges
  
Quantiferon TB GOLD In-Tube Result    Negative
Quantiferon TB GOLD In-Tube Note
Notes
Special collection kit may be requested from PAML Supply Department.

[1424]


QUETIAPINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCQUE Test Code TLCQUE
Synonyms Seroquel,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Quetiapine
Notes
Test is also included in Drug-Sur as part of panel.

[6975]


QUETIAPINE, SERUM
Order Code QUETQT Test Code QUETQT
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Unacceptable conditions SST or gel-type tubes.
CPT codes 82491
Test schedule Mon-Fri
Turnaround time 5-7 days
Method GC
Test includes
Quetiapine, Serum, ng/mL.
Reference ranges
  
Quetiapine, Serum                ng/mL
 Steady-state peak (1.0-1.5) hours
 plasma levels following a tid daily
 regimen.
 Dose (mg/day)    Mean Max Conc (ng/mL)
     225                286
     450                598
     750                828

[1425]


QUINIDINE
Order Code QUINID Test Code QUINID
Synonyms Cardioquin
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum or plasma from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 24 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Hemolyzed samples. Specimens collected in separator tubes, lavender or gray top tubes.
Alternate specimens Frozen sodium heparin plasma (green top tube).
CPT codes 80194
Test schedule Sun-Sat
Turnaround time 2-3 days
Method FPI
Test includes
Quinidine, ug/mL.
Reference ranges
  
Quinidine   1.5-4.5             ug/mL

[1426]


QUININE/QUINIDINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCQUI Test Code TLCQUI
Synonyms (Quinine), Quinamm, (Quinidine), Cardioquin, Quinaglute, Duraquin, Cinquin, Quinidex, Quinora,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 100 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Quinine and/or Quinidine
Notes
Test is also included in Drug-Sur as part of panel.

[6976]


RA, SERUM
Order Code RA Test Code RAQ
Synonyms Rheumatoid Factor; RF
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Plasma.
Department Immunology
CPT codes 86431
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Nephelometry
Test includes
RA, IU/mL.
Reference ranges
  
RA  LT 20    IU/mL

[1427]


RA, SYNOVIAL FLUID
Order Code RA.SYN Test Code RASYN
Synonyms Rheumatoid Factor, Synovial Fluid
Specimen Required
       Container type Leakproof plastic container.  Specimen type Synovial fluid  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Store and transport refrigerated.
Department Immunology
CPT codes 86431
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Latex agglutination
Test includes
RA, Synovial Fluid, Titer.
Reference ranges
  
RA, Synovial Fluid     Negative  Titer

[1428]


RABIES ANTIBODY, IGG (VACCINE RESPONSE)
Order Code RABIGG Test Code RABIGG
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, CSF, hemolyzed, icteric or lipemic specimens.
CPT codes 86790
Test schedule Tue
Turnaround time 2-9 days
Method ELISA
Test includes
Rabies Antibody IgG (Vaccine Response), EU/mL.
Reference ranges
  
Rabies Ab IgG (Vaccine Response)         EU/mL
 0.50 or greater: Represents adequate
 protection against rabies virus 
 following vaccination. This test is
 only intended for vaccine response,
 not for diagnosis of infection.
                                    
Notes
Thsi test is only intended for vaccine response, not for diagnosis of infection.

[6732]


RAJI CELL ASSAY
Order Code RAJI Test Code RAJI
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 3 mL  Minimum volume 0.5 mL
Specimen processing Allow specimen to clot for 2 hours, centrifuge, aliquot serum in 2 separate plastic tubes and freeze immediately. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 30 days   Frozen (-70°C)
Unacceptable conditions Non-frozen specimens and specimens exposed to repeated freeze/thaw cycles.
CPT codes 86332
Test schedule Tue
Turnaround time 3-10 days
Method FC
Test includes
Raji Cell Assay, ugE/mL.
Reference ranges
  
Raji Cell Assay   LT 33    ugE/mL
 

[1430]


RANITIDINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCRAN Test Code TLCRAN
Synonyms Zantac,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 2000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Ranitidine
Notes
Test is also included in Drug-Sur as part of panel.

[6977]


RAPID STREP GROUP A SCREEN
Order Code RSGA Test Code RSGA
This is not a culture.
Synonyms Strep Screen, Rapid
Specimen Required
       Container type Dry sterile test tube.  Specimen type Throat swab collected on a dry sterile polyester/dacron tipped swab.
Specimen processing Transport dry or in a liquid transport system containing modified Stuart's transport media. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 72 hours   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Specimens collected on calcium alginate swabs, cotton tipped swabs, or swabs with wooden shafts. Do not transport swabs in a collection system containing charcoal or semisolid transport media. Our Copan swab system is also not acceptable.
Department Immunology
CPT codes 87430
Test schedule Sun-Fri nights and STAT
Turnaround time 24-48 hours
Method Rapid Immunoassay
Test includes
Group A Strep Antigen.
Reference ranges
  
Group A Strep Antigen 
 Negative  No Group A Strep antigen detected. 
 Confirmation by culture recommended.
 Positive  Presence of Group A Strep 
 antigen detected.
Notes
If the RSGA test is to be followed up by a culture a second swab using the Copan system should be obtained.

[1431]


RBC MORPHOLOGY
Order Code RMORPH Test Code RMORPH
Specimen Required
        Specimen type 2 peripheral blood smears  Minimum volume 2 peripheral blood smears
Specimen processing Transport at room temperature.
Unacceptable conditions Slides made from EDTA blood that is more than 12 hours old.
Alternate specimens EDTA whole blood (lavender top tube) if less than 12 hours old.
Department Hematology
CPT codes 85008
Test schedule Daily
Turnaround time 24-48 hours
Method Microscopy
Test includes
RBC Morphology.
Reference ranges
  
RBC Morphology

[1433]


RDS RISK PANEL
Order Code RDS Test Code RDS
If ordering STAT you must notify Client Services at 509-755-8999. When requesting Cytogenetic studies do not freeze specimen. If Cytogenetics ordered, store and transport specimens refrigerated.
Synonyms Fetal Lung Maturity, L/S Ratio and PG (Phosphatidylglycerol).
Specimen Required
        Specimen type Frozen amniotic fluid  Preferred volume 5 mL  Minimum volume 3 mL
Specimen processing Freeze 5 mL amniotic fluid collected by amniocentesis. Protect from light. Do not centrifuge. Store and transport frozen. When requesting Cytogenetic studies do not freeze specimen. If Cytogenetics is ordered, store and transport entire specimen refrigerated.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Vaginal pool specimen contaminated with blood or mucous.
Alternate specimens Amniotic fluid collected by vaginal pool.
Limitations Protect from light.
Department Chemistry
CPT codes 83661, 84081, 82570
Test schedule Mon-Fri days & STAT
Turnaround time 1-3 days
Method TLC, Enzymatic (IMDS Traceable)
Test includes
L/S Ratio; Phosphatidylglycerol; Creatinine, AF, mg/dL; Appearance; Color; RBC; Risk Comment; Comment.
Reference ranges
  
L/S Ratio
Phosphatidylglycerol
Creatinine, AF                  mg/dL
 Creatinine increases with
 gestational age.   
Appearance
Color
RBC
Risk Comment
 For diabetic patients, risk is minimal
 when L/S is GT 3.0 and PG is present.               
Comment

[1434]


RED BLOOD CELL OSMOTIC FRAGILITY, INCUBATED
Order Code FRAGI Test Code FRAGI
Draw Mon-Thu only. Specimens must reach PAML by 7:00 PM. They must be transported immediately to SHMC upon arrival at PAML. Notify client services when sending specimens. See notes below.
Synonyms Osmotic Fragility; Osmotic Lysis
Specimen Required
       Container type Green top tube (sodium heparin) and Lavender top tube (EDTA).  Specimen type See below.  Preferred volume 5 mL sodium heparin and 5 mL EDTA whole blood  Minimum volume 2 mL fresh heparinized blood and 2 slides.
Collection procedure One 5 mL tube heparinized whole blood (green top tube), one 5 mL EDTA whole blood (lavender top tube) and two slides from the patient plus two 5 mL tubes heparinized whole blood (green top tubes) from a normal control (unrelated person). Label clearly as CONTROL and PATIENT.
Specimen processing Clearly label specimens. Store and transport at room temperature within 3 hours of collection. Processing must transport to SHMC immediately upon arrival at PAML.
Unacceptable conditions Frozen specimens.
Department Hematology
CPT codes 85557
Test schedule Mon-Thu
Turnaround time 3-5 days
Method Spectrophotometric
Test includes
RBC Osmotic Fragility, Incubated; Interp; RBC Osmotic Fragility, Incubated, Reviewed By.
Reference ranges
  
RBC Osmotic Fragility, Incubated, Interp
RBC Osmotic Fragility, Incubated, Reviewed By
Notes
If a specimen will arrive at PAML after 7 PM, special arrangements must be made prior to drawing the sample.

[2033]


RED CELL COUNT
Order Code RBC Test Code RBCCNT
Synonyms RBC
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type EDTA whole blood
Specimen processing Prefer to receive specimen within 12 hours of collection. Store and transport refrigerated.
Department Hematology
CPT codes 85041
Test schedule Mon-Sat days, Mon-Fri evenings
Turnaround time 24-48 hours
Method Automated
Test includes
RBC, M/uL.
Reference ranges
  
RBC                          M/uL
 0-3 days         4.00-6.60
 3-7 days         3.90-6.30
 7-14 days        3.60-6.20
 14-30 days       3.00-5.40
 30-60 days       2.70-4.90
 2-6 mo           3.10-4.50
 6-24 mo          3.70-5.30
 2-6 yrs          3.90-5.30
 6-12 yrs         4.00-5.20
 12-18 yrs  M     4.50-5.30
 18 yrs+    M     4.30-5.70
 12-18 yrs  F     4.10-5.10
 18 yrs+    F     3.80-5.20

[1435]


REDUCING SUBSTANCES, STOOL
Order Code STL.SUGAR Test Code SRS
Synonyms Stool for sugar
Specimen Required
       Container type Leakproof plastic container.  Specimen type Stool, random
Specimen processing Transport in leakproof container. Store and transport refrigerated.
Required patient info Specimen source.
Department Microbiology
CPT codes 84376
Test schedule Mon-Sat days, Mon-Fri nights
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Source; Reducing Substances, Stool; Reducing Substances, Status.
Reference ranges
  
Source
Reducing Substances, Stool    Negative
Reducing Substances, Stool, Status

[1437]


REDUCING SUBSTANCES, URINE
Order Code URED Test Code URED
False positives may result from large quantities of ascorbic acid, certain antibiotics and other drugs.
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Collect a random urine in a leakproof plastic urine container from a patient 3 years old or younger.
Specimen processing Store and transport refrigerated.
CPT codes 81005
Test schedule Daily
Turnaround time 24-48 hours
Method Clinitest tablets
Test includes
Reducing Substances, Urine, mg/dL.
Reference ranges
  
Reducing Substances, Urine      mg/dL
 Negative

[1438]


REFERENCE TEST TO ARUP
Order Code REF.ARUP Test Code RARUP
This workpar is to be used when sending a reference test only.
Specimen Required
       

[1439]


REFERENCE TEST TO CHILDRENS ORTHOPEDIC HOSPITAL
Order Code REF.COH Test Code RCOH
This workpar is to be used when sending a reference test only.
Specimen Required
       

[1440]


REFERENCE TEST TO ESOTERIX
Order Code REF.ES Test Code RESC
This workpar is to be used when sending a reference test only.
Specimen Required
       

[2042]


REFERENCE TEST TO FOCUS
Order Code REF.FOCUS Test Code RFOCUS
This workpar is to be used when sending a reference test only.
Specimen Required
       

[1441]


REFERENCE TEST TO GENZYME
Order Code REF.GENZ Test Code RGENZ
This workpar is to be used when sending a reference test only.
Specimen Required
       

[5784]


REFERENCE TEST TO IBT
Order Code REF.IBT Test Code RIBT
This workpar is to be used when sending a reference test only.
Specimen Required
       

[1442]


REFERENCE TEST TO MAYO
Order Code REF.MAYO Test Code RMAYO
This workpar is to be used when sending a reference test only.
Specimen Required
       

[1443]


REFERENCE TEST TO MISCELLANEOUS
Order Code REF Test Code RMISC
This workpar is to be used when sending a reference test only.
Specimen Required
       

[1444]


REFERENCE TEST TO NMS
Order Code REF.NMS Test Code RNMS
This workpar is to be used when sending a reference test only.
Specimen Required
       

[1445]


REFERENCE TEST TO QUEST DIAGNOSTICS
Order Code REF.QUEST Test Code RQUEST
This workpar is to be used when sending a reference test only.
Specimen Required
       

[1446]


REFERENCE TEST TO RDL
Order Code REF.RDL Test Code RRDL
This workpar is to be used when sending a reference test only.
Specimen Required
       

[1447]


REFERENCE TEST TO SHMC CYTOGENTICS
Order Code REF.CYTOG Test Code CGSPEC
This workpar is to be used when sending a reference test only.
Specimen Required
       

[1448]


REFERENCE TEST TO SHMC FLOW
Order Code REF.FLOW Test Code RFLOW
This workpar is to be used when sending a reference test only.
Specimen Required
       

[1449]


REFERENCE TEST TO SHMC FOR CYTOLOGY
Order Code REF.SHCYO Test Code RSHCYO
This workpar is to be used when sending a reference test only.
Specimen Required
       

[1450]


REFERENCE TEST TO SHMC FOR PAP SMEARS
Order Code REF.PAP Test Code RSHPAP
This workpar is to be used when sending a PAP Smear to PSHMC only.
Synonyms PAP
Specimen Required
       
Turnaround time 5-7 days
Notes
A prompt has been added to this workpar to allow you to indicate if you would also like to add HPV testing to this order. HPV testing requested? (Y/N/IF)

[1451]


REFERENCE TEST TO SPECIALTY
Order Code REF.SPECIALTY Test Code RSPEC
This workpar is to be used when sending a reference test only.
Specimen Required
       

[1452]


REFERENCE TEST TO UNIVERSITY OF WASHINGTON
Order Code REF.UW Test Code RUW
This workpar is to be used when sending a reference test only.
Specimen Required
       

[1453]


REFERENCE TEST TO VIRACOR
Order Code REF.VIRACOR Test Code RVIRA
This workpar is to be used when sending a reference test only.
Specimen Required
       

[4753]


RENAL FUNCTION PANEL
Order Code RENALA Test Code RENALA
Specimen Required
       Container type SST tube or Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Centrifuge the specimen ASAP, keep the tube upright and leave the tube capped. Store and transport refrigerated. Specimen can be collected using the following protocol: 2 mL serum (red top tube). Separate serum from the cells ASAP & handle anaerobically at all time to minimize exposure to air during collection, transfer and storage. Place in separate plastic tube and cap immediately. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 day   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens If plasma must be used, use lithium heparin (green top tube).
Limitations Avoid hemolysis.
Department Chemistry
CPT codes 80069
Test schedule Sun-Fri Nights and STAT
Turnaround time 24-48 hours
Method Colorimetric, Enzymatic, ISE, Enzymatic (IDMS Traceable)
Test includes
Glucose, mg/dL; BUN, mg/dL; Creatinine, mg/dL; Calcium, mg/dL; Phosphorus, mg/dL; Albumin, g/dL; Sodium, mmol/L; Potassium, mmol/L; Chloride, mmol/L; CO2, mmol/L; Anion Gap, mmol/L.
Reference ranges
  
Glucose                                            mg/dL
 0-2 days premature 30-80
 0-2 days fullterm  40-90
 2 days-1 month     60-105
 Adult              65-99
 Pregnant           65-94

ADA Diagnostic Categories for nonpregnant
adults:
 Impaired fasting glucose  100-125 mg/dL
 A fasting glucose result of 126 mg/dL or
 greater indicates diabetes if the
 abnormality is confirmed on a subsequent
 day.
 A random glucose result of GT 200 mg/dL
 indicates diabetes if the abnormality
 is confirmed on a subsequent day. 
BUN                                 7-23           mg/dL                                     
Creatinine           M              0.50-1.30      mg/dL
                     F              0.40-1.00
Calcium                             8.5-10.5       mg/dL
Phosphorus           0-10 days      4.2-9.6        mg/dL                              
                     10 days-24 mo  4.2-7.2
                     24 mo-12 yrs   4.2-5.9
                     12-60 yrs      2.5-4.8
                     60 yrs+  M     2.1-3.9      
                     60 yrs+  F     2.6-4.4        
Albumin              0-4 days       2.9-4.6        g/dL
                     4 days-14 yrs  3.9-5.6
                     14-18 yrs      3.3-4.7
                     18-60 yrs      3.5-5.0
                     60-90 yrs      3.3-4.8
                     90 yrs+        3.0-4.7            
Sodium                              135-145        mmol/L
Potassium            0-30 days      3.9-6.9        mmol/L
                     1-12 mo        3.6-6.8
                     1-5 yrs        3.2-5.7
                     5-10 yrs       3.4-5.4
                     10 yrs+        3.5-5.3
Chloride                            98-109         mmol/L
C02                  0-10 days      13-22          mmol/L
                     11 days-4 yrs  20-28
                     5+ yrs         22-31
Anion Gap                           7-16
Notes
Hemolysis will cause elevated potassium values, prolonged contact with the cell clot may cause elevated phosphorus values and minimal volumes will concentrate.

[1454]


RENIN ACTIVITY [ARUP]
Order Code RENARU Test Code RENARU
Specimen Required
       Container type Lavender or pink top tube  Specimen type Frozen EDTA or K2EDTA plasma  Preferred volume 2 mL  Minimum volume 1.2 mL
Patient Prep If upright sample is collected, patient should be upright (seated or standing) for al least 2 hours. It should be drawn between 7:00 and 10:00 am.
Specimen processing Separate plasma from cells and put in separate plastic tube and freeze Store and transport frozen.shipping instruction code
Stability-   Room temp 6 hours   Refrigerated unstable   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Serum, heparinized, citrated or oxalated plasma or refrigerated or hemolyzed samples.
Limitations This is a critical frozen specimen. Separate samples must be submitted when multiple tests are ordered.
CPT codes 84244
Test schedule Sun-Sat
Turnaround time 2-3 days
Method RIA
Test includes
Renin, Normal Sodium Diet, ng/mL/hr.
Reference ranges
  
Renin, Normal Sodium Diet      ng/mL/hr
 Adult:
  Supine             0.2-1.6 
  Upright            0.5-4.0
 Children Supine:
  1-12 mon           2.4-37.0
  13 mo-3 yrs        1.7-11.2
  4-5 yrs            1.0-6.5
  6-10 yrs           0.5-5.9
  11-15 yrs          0.5-3.3
 Newborn ((1-7 days) 2.0-35.0
 Cord Blood          4.0-32.0 
 Child Upright:
  0-3 yrs            not available
  4-5 yrs            15 or less
  6-10 yrs           17 or less
  11-15 yrs          16 or less   

[5571]


RENIN, PLASMA
Order Code REN Test Code RENPER
Use this workpar when A SINGLE RENIN TEST is ordered.
Synonyms Renin, Activity
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen plasma  Preferred volume 4 mL  Minimum volume 2.5 mL, pediatric 1.0 mL plasma
Specimen processing Sample may be collected and centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hours before centrifugation. Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. If collected during catheterization, indicate the anatomic collection site clearly on the label.
Required patient info Note salt intake.
Stability-   Room temp 6 hours before centrifugation   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, lipemic or icteric specimens.
Department Immunology
CPT codes 84244
Test schedule Mon-Fri days
Turnaround time 1-3 days
Method RIA
Test includes
Renin, ng/mL/h.
Reference ranges
  
Renin with normal sodium intake   ng/mL/h
 Adult
  Random ambulatory      0.8-2.5  
  Random non-ambulatory  1.5-5.2
 Child, supine with normal sodium intake
  1-7 days               15-114
  7 days-12 mo           18-120
  12 mo-3 yrs            13-36
  3-5 yrs                7.5-21.1
  5-10 yrs               3.8-19.2
  10-15 yrs              3.8-10.7

[1455]


RENIN, SAMPLE 1
Order Code REN.S1 Test Code RN1
Use this workpar to order the first renin when multiple specimens are collected.
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen plasma  Preferred volume 4 mL  Minimum volume 2.5 mL, pediatric 1.0 mL plasma
Specimen processing Sample may be collected & centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hrs before centrifugation. Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. If collected during catheterization, indicate the anatomic collection site clearly on the label.
Required patient info Note salt intake.
Stability-   Room temp 6 hours before centrifugation   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, lipemic or icteric specimens.
Department Immunology
CPT codes 84244
Test schedule Mon-Fri days
Turnaround time 1-3 days
Method RIA
Test includes
Renin, #1, ng/mL/h; Renin, Site 1.
Reference ranges
  
Renin, #1
 Renin with normal sodium intake   ng/mL/h
 Adult
  Random ambulatory      0.8-2.5  
  Random non-ambulatory  1.5-5.2
 Child, supine with normal sodium intake
  1-7 days               15-114
  7 days-12 mo           18-120
  12 mo-3 yrs            13-36
  3-5 yrs                7.5-21.1
  5-10 yrs               3.8-19.2
  10-15 yrs              3.8-10.7       
Renin, Site 1

[1456]


RENIN, SAMPLE 2
Order Code REN.S2 Test Code RN2
Use this workpar to order the second renin specimen when multiple specimens are collected.
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen plasma  Preferred volume 4 mL  Minimum volume 2.5 mL, pediatric 1.0 mL plasma
Specimen processing Sample may be collected and centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hours before centrifugation. Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. If collected during catheterization, indicate the anatomic site clearly on the label.
Required patient info Note salt intake.
Stability-   Room temp 6 hours before centrifugation   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, lipemic or icteric specimens.
Department Immunology
CPT codes 84244
Test schedule Mon-Fri days
Turnaround time 1-3 days
Method RIA
Test includes
Renin, #2, ng/mL/h; Renin, Site 2.
Reference ranges
  
Renin, #2       ng/mL/h
Renin, Site 2

[1457]


RENIN, SAMPLE 3
Order Code REN.S3 Test Code RN3
Use this workpar to order the third renin when multiple specimens are collected.
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen plasma  Preferred volume 4 mL  Minimum volume 2.5 mL, pediatric 1.0 mL plasma
Specimen processing Sample may be collected and centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hours before centrifugation.Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. If collected during catheterization, indicate the anatomic site clearly on the label.
Required patient info Note salt intake.
Stability-   Room temp 6 hours before centrifugation   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, lipemic or icteric specimens.
Department Immunology
CPT codes 84244
Test schedule Mon-Fri days
Turnaround time 1-3 days
Method RIA
Test includes
Renin, #3, ng/mL/h; Renin, Site 3.
Reference ranges
  
Renin, #3        ng/mL/h
Renin, Site 3

[1458]


RENIN, SAMPLE 4
Order Code REN.S4 Test Code RN4
Use this workpar to order the fourth renin when multiple specimens are collected.
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen plasma  Preferred volume 4 mL  Minimum volume 2.5 mL, pediatric 1.0 mL plasma
Specimen processing Sample may be collected and centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hours before centrifugation. Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. If collected during catheterization, indicate the anatomic site clearly on the label.
Required patient info Note salt intake.
Stability-   Room temp 6 hours before centrifugation   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, lipemic or icteric specimens.
Department Immunology
CPT codes 84244
Test schedule Mon-Fri days
Turnaround time 1-3 days
Method RIA
Test includes
Renin, #4, ng/mL/h; Renin, Site 4.
Reference ranges
  
Renin, #4      ng/mL/h
Renin, Site 4

[1459]


RENIN, SAMPLE 5
Order Code REN.S5 Test Code RN5
Use this workpar to order the fifth renin when multiple specimens are collected.
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen plasma  Preferred volume 4 mL  Minimum volume 2.5 mL, pediatric 1.0 mL plasma
Specimen processing Sample may be collected and centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hours before centrifugation. Separate plasma from the cells and place in separate plastic tube and freeze. Store and transport frozen. If collected during catheterization, indicate the anatomic site clearly on the label.
Required patient info Note salt intake.
Stability-   Room temp 6 hours before centrifugation   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, lipemic or icteric specimens.
Department Immunology
CPT codes 84244
Test schedule Mon-Fri days
Turnaround time 1-3 days
Method RIA
Test includes
Renin, #5, ng/mL/h; Renin, Site 5.
Reference ranges
  
Renin, #5       ng/mL/h
Renin, Site 5

[1460]


RENIN, SAMPLE 6
Order Code REN.S6 Test Code RN6
Use this workpar to order the sixth renin when multiple specimens are collected.
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen plasma  Preferred volume 4 mL  Minimum volume 2.5 mL, pediatric 1.0 mL plasma
Specimen processing Sample may be collected and centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hours before centrifugation. Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. If collected during catheterization, indicate the anatomic site clearly on the label.
Required patient info Note salt intake.
Stability-   Room temp 6 hours before centrifugation   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, lipemic or icteric specimens.
Department Immunology
CPT codes 84244
Test schedule Mon-Fri days
Turnaround time 1-3 days
Method RIA
Test includes
Renin, #6, ng/mL/h; Renin, Site 6.
Reference ranges
  
Renin, #6        ng/mL/h
Renin, Site 6

[1461]


REPTILASE (REFLEXIVE)
Order Code REPTLS Test Code REPTLS
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate plasma from cells, centrifuge again and place plasma in separate plastic tube and transport on ice within 48 hours or store and transport frozen.
Department Coagulation
CPT codes 85635
Test schedule Daily
Turnaround time 24-48 hours
Method Electromechanical
Test includes
Reptilase, Patient, sec; Reptilase, Control, sec; Reptilase, Patient/Control Mix, sec.
Reference ranges
  
Reptilase, Patient    14.8-21.2    sec
Reptilase, Control    14.8-21.2    sec
Reptilase, Pat/Ctl Mix             sec

[1462]


RESPIRATORY SYNCYTIAL VIRUS ANTIBODY, IGG & IGM
Order Code RSVGM Test Code RSVGM
Acute and convalescent samples advised.
Synonyms RSV, IgG and IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labeled as such; parallel testing is preferred and convalescent samples must be received within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, hemolyzed, icteric, turbid, bacterially contaminated or heat-inactivated samples.
Alternate specimens Ambient temperature and frozen samples.
CPT codes 86756 x 2
Test schedule Thu
Turnaround time 2-9 days
Method ELISA
Test includes
Respiratory Syncytial Virus Antibody, IgG, IV; Respiratory Syncytial Virus Antibody, IgM, IV.
Reference ranges
  
Respiratory Syncytial Virus Ab, IgG          IV
 0.89 or less      Negative-no significant
 level of RSV IgG antibody detected.
 0.90-1.10         Equivocal-questionable
 presence of RSV IgG antibody
 detected. Repeat testing in 10-14 
 days may be helpful.
 1.11 or more      Positive-IgG antibody
 to RSV detected, which may
 suggest current or recent infection.
Respiratory Syncytial Virus Ab, IgM          IV
 0.89 or less      Negative-no significant
 level of RSV IgM antibody detected.
 0.90-1.10         Equivocal-questionable
 presence of RSV IgM antibody
 detected. Repeat testing in 10-14 
 days may be helpful.
 1.11 or more      Positive-IgM antibody
 to RSV detected, which may
 suggest current or recent infection.

[1463]


RESPIRATORY SYNCYTIAL VIRUS SCREEN
Order Code RSVSCR Test Code RSVSCR
Synonyms RSV Screen
Specimen Required
       Container type See below  Specimen type Nasopharyngeal (NP) and/or throat swab (flocked preferred) or nasal washing in viral transport media (M4 or other).
Collection procedure Both swabs may be placed in the same tube.
Specimen processing Store and transport refrigerated.
Stability-   Room temp unacceptable   Refrigerated 72 hours   Frozen (-20°C) unacceptable   Frozen (-70°C) indefinitely
Alternate specimens Polyester or cotton swabs in M4 media.
Department Virology
CPT codes 87280, 87015
Test schedule Twice daily, 0500 and 1300
Turnaround time 24 hours
Method DFA
Test includes
RSV, DFA Screen; RSV, DFA Status.
Reference ranges
  
RSV, DFA Screen           Negative
RSV, DFA Status
Notes
This is the rapid DFA method for the detection of RSV AG. The specimen may be cultured for other respiratory viruses if the RSV DFA is negative, the ordering physician may order a viral culture to screen for other respiratory viruses on the same sample. An additional fee will be added. For rapid TAT weekends and evenings, order STRSV (RSV by EIA).

[1464]


RESPIRATORY SYNCYTIAL VIRUS, STAT ONLY shipping instruction code
Order Code STRSV Test Code STRSV
Synonyms RSV Screen
Specimen Required
       Container type See below.  Specimen type Nasopharyngeal (NO) and/or throat swab (flocked preferred) or nasal washing in viral transport media (M4 or other).
Specimen processing Store and transport refrigerated. shipping instruction code
Required patient info Source
Stability-   Room temp unacceptable   Refrigerated 3 days   Frozen (-20°C) unacceptable   Frozen (-70°C) indefinitely
Alternate specimens Polyester or cotton swabs in M4 media.
Department Virology
CPT codes 87420
Test schedule STAT upon receipt during regularly staffed hours only; November-May
Turnaround time 1 day
Method EIA
Test includes
Source; Respiratory Syncytial Virus EIA Screen; Report Status.
Reference ranges
  
Source
Respiratory Syncytial Virus Screen  Negative
Report Status
Notes
For patients exhibiting symptoms of RSV infection in Jun-Oct VIRDFA is recommended. This is the rapid membrane EIA method for detection of RSV AG. It is approved for use on patients less than 5 years of age. For older patients, order RSVSCR. If the STRSV result is negative, the ordering physician may order a RSVSCR or a viral culture to screen for other respiratory viruses on the same sample.

[1465]


RETICULIN ANTIBODY, TOTAL, IGA, IGG & IGM
Order Code RETICULIN.AB Test Code RETAB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Specimen processing Separate serum from cells, place in separate plastic tube and refrigerate. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 5 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions All samples drawn with anticoagulant.
Department Chemistry
CPT codes 86255
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method IFA
Test includes
Reticulin Antibody, Total A,G,M.
Reference ranges
  
Reticulin Ab, Total A,G,M  
 Negative    LT 1:20

[1467]


RETICULOCYTE COUNT, AUTOMATED
Order Code RETCA Test Code RETCA
Synonyms Retic
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 3 mL  Minimum volume 0.5 mL EDTA whole blood
Specimen processing Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 72 hours   Frozen (-20°C)   Frozen (-70°C)
Department Hematology
CPT codes 85046
Test schedule Daily & STAT
Turnaround time 24-48 hours
Method Automated-New Methylene Blue
Test includes
Reticulocyte Count, %; Reticulocyte, Absolute, K/uL; Immature Reticulocyte Fraction.
Reference ranges
  
Reticulocyte Count            % 
 0-2 days      3.0-7.0
 3-6 days      1.0-3.0
 7 days-1 mo   0.0-1.0 
 2 mo-4 yrs    1.0-2.0
 5+ yrs        0.4-2.7
Reticulocytes,                 K/uL
 Absolute  
 5+ yrs        16-123  
Immature       
 Reticulocyte
 Fraction      
 1+ yrs        0.17-0.43

[1468]


RETICULOCYTE COUNT, AUTOMATED WITHOUT IRF
Order Code RETCAW Test Code RETCAW
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 3 mL  Minimum volume 0.5 mL EDTA whole blood
Specimen processing Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 72 hours   Frozen (-20°C)   Frozen (-70°C)
Department Hematology
CPT codes 85045
Test schedule Daily & STAT
Turnaround time 24-48 hours
Method Automated-New Methylene Blue
Test includes
Reticulocyte Count, %; Reticulocyte, Absolute, K/uL.
Reference ranges
  
Reticulocyte Count            % 
 0-2 days      3.0-7.0
 3-6 days      1.0-3.0
 7 days-1 mo   0.0-1.0 
 2 mo-4 yrs    1.0-2.0
 5+ yrs        0.4-2.7
Reticulocytes,                 K/uL
 Absolute  
 5+ yrs        16-123

[1469]


RETICULOCYTE COUNT, MANUAL
Order Code RETICM Test Code RETICM
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 1 mL whole blood or 1 EDTA microtainer
Specimen processing Store and transport refrigerated.
Stability-   Room temp 6 hours   Refrigerated 72 hours   Frozen (-20°C)   Frozen (-70°C)
Department Hematology
CPT codes 85044
Test schedule Mon-Sat days
Turnaround time 24-48 hours
Method Microscopic
Test includes
Reticulocytes, %; Reticulocytes, Absolute, K/uL; Reticulocytes, Corrected, %.
Reference ranges
  
Reticulocytes               %
 0-2 days         3.0-7.0
 3-6 days         1.0-3.0
 7 days-1 mo      0.0-1.0
 2 mo-4 yrs       1.0-2.0
 5+ yrs           0.9-3.5
Reticulocytes, Absolute     K/uL
 5+ yrs           20-150
Reticulocytes, Corrected   
 no longer reported

[1470]


RETICULOCYTES, CELLULAR HEMOGLOBIN
Order Code RTCHGB Test Code RTCHGB
Synonyms Cellular Hemoglobin, Reticulocytes
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 3 mL  Minimum volume 0.5 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 3 days   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Frozen. clotted or hemolyzed samples.
CPT codes 85046
Test schedule Sun-Sat
Turnaround time 1-3 days
Method Flow Cytometry
Test includes
Cellular Hemoglobin Reticulocytes, pg; Reticulocytes, %.
Reference ranges
  
Cellular Hemoglobin, Reticulocytes   pg
 18 yrs and more   28.5-35.0
Reticulocytes                        %
 F 1-3 days        2.1-3.7
   4-30 days       0.4-2.0
   31-60 days      1.1-2.9
   61-180 days     0.9-2.0
   0.5-2.0 yrs     0.8-2.1
   3-6 yrs         0.8-2.1
   7-12 yrs        0.8-2.8
   13 yrs & older  0.8-2.7
 M 1-3 days        2.2-4.8
   4-30 days       0.4-2.7
   31-60 days      0.9-3.8
   61-180 days     0.8-2.0
   0.5-2 yrs       0.8-2.0
   3-6 yrs         0.8-2.0
   7-12 yrs        0.7-2.2
   13 yrs & older  0.8-2.7

[1471]


RETINOL BINDING PROTEIN
Order Code RETBP Test Code RETBP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 hours   Refrigerated 1 week   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Severely lipemic, contaminated or hemolyzed samples. Plasma samples are not recommended.
CPT codes 83883
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method Nephelometry
Test includes
Retinol Binding Protein, mg/dL.
Reference ranges
  
Retinol Binding Protein    3.0-6.0  mg/dL

[5604]


RETT SYNDROME (MECP2 DNA ANALYSIS)
Order Code REF.RRETT Test Code RRETT
This test must be ordered on a paper requisition that accompanies the specimen. It is an orderable test using PAML computer system if you are interfaced.
Synonyms Molecular testing
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 5 mLs  Minimum volume 3 mL
Specimen processing Submit original and unopened tube only. Do not transfer from original draw tube. Store and transport at room temperature or refrigerated.
Required patient info Patient family history and clinical indication.
Stability-   Room temp 72 hours   Refrigerated 5 days   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Plasma, serum, heparinized whole blood, frozen whole blood, severely hemolyzed specimens, specimens in leaking containers or over 5 days old and specimens not received in the original collection tubes and aliquoted specimens.
Alternate specimens Sodium citrate or ACD whole blood (blue or yellow top tube).
Department Molecular Diagnositcs
CPT codes 83891, 83898 x 4, 83904 x 11, 83912
Test schedule Weekly
Turnaround time 1-3 weeks
Method PCR and Sequencing
Test includes
RETT DNA Analysis.
Reference ranges
  
RETT DNA Analysis

[1472]


RH FACTOR
Order Code RH Test Code M2RH
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 3 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated 10 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed cells and all samples collected in plain red top tubes that are not cord blood samples..
Alternate specimens Cord blood samples collected in plain red top tubes and clearly labeled as cord blood, other specimen types collected in red top tubes will not be accepted.
Department Immunology
CPT codes 86901
Test schedule Mon-Fri nights & STAT
Turnaround time 24-48 hours
Method Hemagglutination
Test includes
RH.
Reference ranges
  
RH

[1473]


RH-COMPLETE CDE
Order Code COMPRH Test Code COMPRH
Specimen Required
       Container type Red top tube (plain) and Lavender top tube (EDTA).  Specimen type Serum and whole blood  Preferred volume 4 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
CPT codes 86906
Turnaround time 3-5 days
Method Slide/Tube Agglutination
Test includes
Complete RH.
Reference ranges
  
Complete RH   Separate Report to Follow

[1474]


RHEUMATOID ARTHRITIS PANEL (REFLEXIVE)
Order Code RAPTVM Test Code RAPTVM
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells ASAP and put in 3 separate plastic tubes. Store and transport both tubes refrigerated.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Sodium fluoride/potassium oxalate plasma specimens (gray top tube) and lipemic specimens. Hemolyzed specimens, avoid repeate freeze/thaw cycles (no more than three).
Department Chemistry
CPT codes 86038, 84550, 86140, 86431
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex, Nephelometry, Enzymatic
Test includes
ANA; (If positive the following tests will be done and reported). DSDNA Autoanitobdy, IU/mL; Smith Autoantibody, AI; Ribosomal P Autoantibody, AI; Chromatin Autoantibodies, AI; RNP Autoantibody, AI; SMRNP Autoantibody, AI; SCL-70 Autoantibody, AI; Centromere B Autoantibody, AI; SSA (RO) Autoantibody, AI; SSB (LA) Autoantibody, AI; JO-1 Autoantibody, AI; RA, IU/mL; CRP, mg/dL; Uric Acid, mg/dL.
Reference ranges
  
ANA                        Negative
 A multiplex screen for 11 autoantibodies
 (dsDNA, Smith, Ribosomal P, Chromatin, RNP, 
 SmRNP, Scl-70, Centromere B, SSA, SSB and
 J0-1) was performed and no autoantibodies
 were detected. A negative multiplex ANA
 does not rule out all possibility of a 
 connective tissue or autoimmune disease,
 and further studies should be considered
 if clinical suspicion is high.
DSDNA Autoantibody    Negative       LT 5         IU/mL
                      Indeterminate  5-9
                      Positive       10 or more
Smith Autoantibody    Negative       LT 1.0       AI
                      Positive       1.0 or more  
Ribosomal P Auto-     Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
Chromatin Auto-       Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
RNP Autoantibody      Negative       LT 1.0       AI
                      Positive       1.0 or more 
SMRNP Auto-           Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
SCL-70 Auto-          Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
Centromere B Auto-    Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
SSA (RO) Auto-        Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
SSB (LA) Auto-        Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
JO-1 Autoantibody     Negative       LT 1.0       AI
 antibody             Positive       1.0 or more
RA                                   LT 20        IU/mL
CRP                                  1.5 or less  mg/dL
Uric Acid            0-16 years      2.0-5.5      mg/dL
                  M  17+ yrs         3.1-8.1
                  F  17+ yrs         2.0-6.7

[1475]


RIBOSOMAL P AUTOANTIBODY
Order Code RIBPMP Test Code RIBPMP
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three).
Alternate specimens EDTA or heparinized plasma (lavender or green top tube).
Department Chemistry
CPT codes 86235
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex
Test includes
Ribosomal P Autoantibody, AI.
Reference ranges
  
Ribosomal P Auto-       Negative       LT 1.0       AI
 antibody               Positive       1.0 or more

[1476]


RICKETTSIA ANTIBODY PANEL
Order Code RICABP Test Code RICABP
Synonyms Typhus Fever Group Antibody Panel (Rickettsia)
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
CPT codes 86757 x 2
Turnaround time 2-6 days
Method IFA
Test includes
Rickettsia Antibody, IgG; Rickettsia Antibody, IgM; Rickettsia Antibody Interpretation.
Reference ranges
  
Rickettsia Antibody, IgG   LT 1:64
Rickettsia Antibody, IgM   LT 1:64
Rickettsia Antibody Interpretation
 Measurement of antigen-specific IgG
 and IgM alows rapid diagnosis of
 infection by rickettsial agents. The
 Typhus Fever Group of rickettsial
 agents includes R. typhi (endemic
 or murine typhus), R. prowazekii
 (epidemic typhus), and Brill-Zensser 
 disease caused by reactivation of
 latent R. prowazekii. 
 IgM reactivity in the absence of IgG
 reactivity may represent a false-
 positive reaction. Recent infection
 should be confirmed by demonstrating
 either IgG seroconversion or a four-
 fold or greater increase in IgG titer
 when acute and convalescent sera are
 tested in parallel.

[1477]


RICKETTSIA RICKETTSII (RMSF), IGG & IGM
Order Code ROCKY MT Test Code RMSFEV
Acute and convalescent samples advised.
Synonyms Rickettsia rickettsii; Rocky Mountain Spotted Fever
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, contaminated or hemolyzed specimens.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86757 x 2
Test schedule Mon-Fri
Turnaround time 3-6 days
Method IFA
Test includes
Rocky Mountain Spotted Fever, IgG, IV; Rocky Mountain Spotted Fever, IgM, IV.
Reference ranges
  
RMSF, IgG                            
                                  LT 1:64     Negative-No significant level of Rickettsia 
                                              rickettsii IgG Ab detected.
                                  1:64-1:128  Low Positive- Presence of Rickettsia rickettsii 
                                              IgG Ab detected, suggestive of current or past
                                              infection.
                                  1:256 or GT Positive-Presence of Rickettsia rickettsii 
                                              IgG Ab, suggestive of recent or current infection.
RMSF, IgM                    
                                  LT 1:64     Negative-No significant level of Rickettsia 
                                              rickettsii IgG Ab detected.
                                  1:64 or GT  Positive-Presence of Rickettsia rickettsii 
                                              IgG Ab detected, which may indicate a recent or 
                                              current infection; However, low levels of IgM 
                                              antibodies may occasionally persist for more than 
                                              12 months post infection.
Notes
The best evidence for current infection is a significant change on two appropriately timed specimens, where both tests are done in the same laboratory at the same time. The CDC does not use IgM results for routine diagnostic testing of Rocky Mt Spotted Fever, as the response may not be specific for the agent (resulting in false positives) and the IgM response may be persistent from past infection.

[1481]


RIFAMPIN
Order Code RIFAMPIN Test Code RIFAMP
Synonyms Rifamycin; Rifampicin
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Draw 2-4 hours post dose.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Alternate specimens Plasma.
Limitations No SST tubes.
CPT codes 82491
Test schedule Fri
Turnaround time 3-10 days
Method HPLC
Test includes
Rifampin, mcg/mL.
Reference ranges
  
Rifampin                     mcg/mL
 Peak concentration after 600 mg dose  
 is approximately 7 mcg/mL.

[1478]


RISPERIDONE
Order Code RIS Test Code RIS
Synonyms Risperdal; Risperidone Metabolite; Total Active Moiety
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.4 mL
Specimen processing Separate serum from cells immediately and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 weeks   Refrigerated 2 weeks   Frozen (-20°C) 7 months   Frozen (-70°C)
Unacceptable conditions SST or PST (gel separator tubes).
Alternate specimens Plasma.
CPT codes 83789
Test schedule Mon, Wed, Fri
Turnaround time 5-8 days
Method HPLC/LC/MS/MS
Test includes
Risperidone, ng/mL; 9-Hydroxyrisperidone ng/mL; Risperidone & 9-Hydroxyrisperidone, ng/mL.
Reference ranges
  
Risperidone                             ng/mL
9-Hydroxyrisperidone                    ng/mL
 Risperidone & 9-Hydroxyrisperidone
 are approximately equieffective, 
 therefore, the sum of their
 concentration is pertinent.
Risperidone & 9-Hydroxyrisperidone      ng/mL
 Mean steady-state plasma levels of
 the total active moiety following
 daily regimens:
 2 mg/day   14 ng/mL
 6 mg/day   45 ng/mL
 10 mg/day  73 ng/mL
 16 mg/day  110 ng/mL

[3579]


RNP AUTOANTIBODY
Order Code RNPMP Test Code RNPMP
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three).
Alternate specimens EDTA or heparinized plasma (lavender or green top tube).
Department Chemistry
CPT codes 86235
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex
Test includes
RNP Autoantibody, AI.
Reference ranges
  
RNP Auto-               Negative       LT 1.0       AI
 antibody               Positive       1.0 or more

[1479]


ROTAVIRUS
Order Code ROTAVIRUS Test Code ROTAAG
Synonyms Rotazyme
Specimen Required
       Container type Clean, leakproof, wax-free container.  Specimen type Stool, fresh  Preferred volume Walnut-sized portion  Minimum volume "Pea-sized" sample
Specimen processing Store and transport refrigerated.
Required patient info Specimen source.
Stability-   Room temp unacceptable   Refrigerated 3 days   Frozen (-20°C) indefinitely   Frozen (-70°C)
Unacceptable conditions Stool swabs and soiled diapers.
Department Virology
CPT codes 87425
Test schedule Sun-Fri eve
Turnaround time 1-3 days
Method EIA
Test includes
Source; Rotavirus; Rotavirus, Status.
Reference ranges
  
Source
Rotavirus           Negative
Rotavirus, Status

[1482]


RPR
Order Code RPR Test Code RPR
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms VDRL; Rapid Plasma Reagin Test
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Department Immunology
CPT codes 86592
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method FLOC
Test includes
RPR.
Reference ranges
  
RPR      Nonreactive
Notes
Positive samples are automatically confirmed by a State Public Health Laboratory.

[1483]


RPR WITH REFLEX TO TITER (REFLEXIVE)
Order Code RPRREF Test Code RPRREF
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year (avoid repeated freeze/thaw cycles)   Frozen (-70°C)
Unacceptable conditions CSF and other body fluids.
Alternate specimens Plasma is acceptable if testing is completed before the sample is 48 hours old.
CPT codes 86592
Test schedule Sun-Sat
Turnaround time 3-6 days
Method Charcoal Agglutination
Test includes
RPR; RPR Titer.
Reference ranges
  
RPR             Nonreactive
RPR Titer       LT 1:2

[1484]


RUBELLA & RPR
Order Code RPR/RUB Test Code RPR, RUBEG
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Department Immunology, Immunochemistry
CPT codes 86762, 86592
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Floc/ICMA
Test includes
Rubella, IgG, IU/mL; RPR.
Reference ranges
  
Rubella Ab, IgG         IU/mL 
 LT 5          Presumed non-immune  
 5-9           Equivocal
 10 or greater Presumed immune                 
RPR            Nonreactive
Notes
Positive RPR samples are automatically confirmed by TPPA at the Washington State Public Health Laboratory.

[1485]


RUBELLA ANTIBODY, IGM [ARUP]
Order Code RUBMAR Test Code RUBMAR
Acute and convalescent samples advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Clearly label specimens as acute or convalescent. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat-inactivated, contaminated, hemolyzed or plasma specimens. Avoid repeat freeze/thaw cycles.
Department Virology
CPT codes 86762
Test schedule Sun-Sat
Turnaround time 2-4 days
Method Chemiluminescent Immunoassay
Test includes
Rubella, IgM, IV.
Reference ranges
  
Rubella Ab, IgM              IV
 0.89 IV or less      Negative
                      No significant level of detectable 
                      Rubella IgM antibody.
 0.90-1.09 IV         Equivocal
                      Repeat testing in 10-14 days may
                      be helpful.
 1.10 IV or more      Positive
                      IgM Ab to Rubella detected which
                      may indicate a current or recent
                      infection or immunization.
                      Testing immediately post-exposure
                      is of no value without a later
                      convalescent specimen. While the
                      presence of IgM Abs suggest current
                      or recent infection, low levels of 
                      IgM antibodies may occasionally
                      persist for more than 12 months
                      post-infection or immunization.





           
Notes
Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute specimens.

[3120]


RUBELLA SCREEN, IGG
Order Code RUBELLA Test Code RUBEG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat-treated, lipemic, or grossly hemolyzed specimens.
Alternate specimens EDTA or heparinized plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 86762
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
Rubella, IgG, IU/mL.
Reference ranges
  
Rubella Ab, IgG                  IU/mL
 10 or greater Presumed immune  
 5-9           Equivocal
 LT 5          Presumed non-immune
 Result flagging will be based on presumed immune status.

[1486]


RUBELLA, IGM (REFLEXIVE)
Order Code RUBEM Test Code RUBEM
Acute and convalescent samples advised.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 48 hours   Frozen (-20°C) GT 48 hours   Frozen (-70°C)
Unacceptable conditions Severely lipemic, icteric, contaminated, hemolyzed or plasma specimens.
Department Virology
CPT codes 86762
Test schedule Tue-Sat days
Turnaround time 3-5 days
Method ELISA
Test includes
Rubella, IgM, Index.
Reference ranges
  
Rubella Ab, IgM              Index
 LT 0.9      Negative-Indicates absence
             of a current or recent (within
             previous 6 to 8 weeks) infection. 
             This does not preclude the
             possibility of infection within
             the previous 7 days.
 0.9-1.1     Indeterminate-The
             presence of IgM Ab is equivocal.
             Testing of a fresh specimen may 
             aid in determining the presence
             or absence of infection.
 GT 1.1      Positive-Indicates Rubella
             infection or vaccination within the
             previous 3 months. (Low levels of
             IgM Ab may occasionally perist for
             more than 12 months post infection).
Notes
Rubella IgG should be used to test for immunity.

[1487]


RUBEOLA, IGG
Order Code RUBEOLA Test Code RUBOG
Recommend acute and convalescent samples drawn 3 to 4 weeks apart if recent measles infection suspected. Recommend single sample to screen for immunity. Recommend single sample for Rubeola IgM if acute measles infection suspected.
Synonyms Measles, IgG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) GT 48 hours   Frozen (-70°C)
Unacceptable conditions Samples other than serum.
Limitations Avoid repeat freeze/thaw cycles.
Department Virology
CPT codes 86765
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ELISA
Test includes
Rubeola IgG, ISR.
Reference ranges
  
Rubeola IgG                    ISR
 LT 0.91    Negative-No significant level of
            IgG Ab to Rubeola virus
            detected. Patient may be
            susceptible to infection.             
 0.91-1.09  Indeterminate: Rubeola virus
            IgG Ab are equivocal. Cannot
            determine the patient's
            immune status by this
            method.
 GT 1.09    Positive-Significant level
            of IgG Ab to Rubeola
            virus detected. Indicates
            current or previous 
            infection or prior 
            immunization.

[1488]


RUBEOLA, IGM
Order Code RUBEOLA.IGM Test Code RUBEOM
Acute and convalescent samples advised.
Synonyms Measles Ab, IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tubes. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 4 hours   Refrigerated 7 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Severely lipemic, icteric, heat-inactivated, contaminated or hemolyzed specimens.
CPT codes 86765
Test schedule Mon, Wed, Fri
Turnaround time 2-7 days
Method ELISA
Test includes
Rubeola, IgM, AU.
Reference ranges
  
Rubeola Ab, IgM                AU
 0.79 or less       Negative-No significant level
                    of Ab to measles(Rubeola) virus
                    detected.
 0.80-1.20          Equivocal-Repeat testing in 10-14 
                    days may be helpful.
 1.21 or more       Positive-IgM Ab to measles 
                    (Rubeola) virus detected.
                    Suggestive of current or recent
                    infection or immunization.
                    However, low levels of IgM Abs
                    may occasionally persist for more
                    than 12 months post-infection or
                    immunization.
Notes
No established reference range for CSF. Rubeola IgG should be used to test for immunity.

[1489]


RUBEOLA, MUMPS, RUBELLA IGG ANTIBODIES
Order Code MMRG Test Code MMRG
Synonyms measles; mumps; rubeola; rubella; MMR titer
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated Rubella-1 week, Rubeola & Mumps-2 weeks   Frozen (-20°C) Rubella-1 year, Rubeola & Mumps-1 month   Frozen (-70°C)
Department Virology & Immunology
CPT codes 86765, 86735,86762
Test schedule Rubella Sun-Fri; Rubeola Mon-Fri; Mumps Mon-Fri
Turnaround time 1-3 days
Method EIA and ICMA
Test includes
Rubeola, IgG, ISR; Mumps Virus Ab, IgG, OD; Rubella IgG Ab, IU/mL.
Reference ranges
  
Rubeola IgG                    ISR
 LT 0.91    Negative-No significant level of
            IgG Ab to Rubeola virus
            detected. Patient may be
            susceptible to infection.             
 0.91-1.09  Indeterminate: Rubeola virus
            IgG Ab are equivocal. Cannot
            determine the patient's
            immune status by this
            method.
 GT 1.09    Positive-Significant level
            of IgG Ab to Rubeola
            virus detected. Indicates
            current or previous 
            infection.
Mumps Virus Antibody, IgG              IV           
 0.90 or less Negative-No significant level of
 detectable mumps virus Ab.
 0.91-1.09    Equivocal-Repeat testing in 10-
 14 days may be helpful.
 1.10 or more Positive-IgG Ab to mumps virus 
 detected, which may indicate a current or 
 previous exposure/immunization to mumps
 virus. Positive IgG Ab levels in the absence
 of current clinical symptoms may indicate
 immunity.
Rubella Ab, IgG                  IU/mL
 LT 5          Presumed non-immune   
 5-9           Equivocal
 10 or greater Presumed immune

[1490]


RUFINAMIDE, SERUM/PLASMA
Order Code RUFIS Test Code RUFIS
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.4 mL
Specimen processing Separate serum or plasma from the cells and put in a separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 weeks   Refrigerated 2 weeks   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Alternate specimens Plasma (PST tube).
CPT codes 82491
Test schedule Wed
Turnaround time 3-5 days
Method HPLC
Test includes
Rufinamide, mcg/mL.
Reference ranges
  
Rufinamide      None detected                       mcg/mL
                Maintenance therapy with 45
                mg/kg/day rufinaminde resulted
                in plasma rufinamide concentrations
                ranging from 4.95 to 48.15 mcg/mL

[5605]


SACCHAROMYCES CEREVISIAE ANTIBODY, IGG & IGA
Order Code SCABP Test Code SCABP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 weeks   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Severely lipemic, contaminated, heat-inactivated, or hemolyzed samples.
CPT codes 86671 x 2
Test schedule Sun, Tue, Thu
Turnaround time 2-5 days
Method ELISA
Test includes
S. cerevisiae Antibody, IgG, Units; S. cerevisiae Antibody, IgA, Units.
Reference ranges
  
S. cerevisiae Ab, IgG       Units
S. cerevisiae Ab, IgA       Units
 Interpretative Criteria-
 S. cerevisiae, IgG/IgA
  20.0 or less       Negative
  21.0-24.9          Equivocal
  25.0 or more       Positive
  Saccharomyces cerevisiae IgG Antibodies
  are found in 80% of Crohn's Disease
  (CD) patients, but only in 20% of
  Ulcerative Colitis (UC) patients.
  Saccharomyces cerevisiae IgA antibodies
  are found in 35% of CD patients but
  less than 1% in UC patient. Detection
  of both Saccharomyces IgG and IgA
  antibodies in the same serum specimen
  is highly specific for CD.

[1491]


SALICYLATES
Order Code SAL Test Code SAL
Synonyms Salicylic Acid; Acetylsalicylic Acid; Aspirin
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 24 hours   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens EDTA, sodium heparinized, sodium citrate or fluoride-oxalate plasma (lavender, green, blue or grey top tube) or 2 microtainers.
Limitations If testing if delayed more than 24 hours freeze specimen.
Department Chemistry
CPT codes 80196
Test schedule Daily & STAT
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Salicylates, ug/mL; Salicylates, mg/dL.
Reference ranges
  
Salicylates                 ug/mL
 Analgesia           20-100  
 Anti-inflammatory   100-300         
 Toxic               GT 300 
Salicylates                 mg/dL          
 Analgesia           2.0-10.0       
 Anti-inflammatory   10.0-30.0        
 Toxic               GT 30.0                                  
Individuals on chronic administration
may be asymptomatic at levels up to
500 ug/mL.

[1492]


SALMONELLA ANTIBODIES, EIA
Order Code SALAB Test Code SALAB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86768 X 5
Test schedule Mon-Fri
Turnaround time 2-5 days
Method DA
Test includes
Salmonella O Paratyphoid A; Salmonella O Paratyphoid B; Salmonella O Group D (Typhoid O); Salmonella H Paratyphoid A; Salmonella H Paratyphoid B; Salmonella H Group D (Typhoid H).
Reference ranges
  
Salmonella H, Type a                            Negative
Salmonella H, Type b                            Negative
Salmonella H, Type d                            Negative
Salmonella O, Type Vi                           Negative
Salmonella O, Type d                            Negative
Antibodies to Salmonella flagellar (H) and somatic (O) antigens 
typically peak 3-5 weeks after infection. A positive result in 
this assay is equivalent to a titer of GT or equal to 1:160 by 
tube agglutination (widal). Results should not be considered as 
diagnostic unless confirmed by culture. 

[3029]


SCHISTOSOMA ANTIBODY, IGG
Order Code SCHAB Test Code SCHAB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.75 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 2 months   Frozen (-20°C) indefinitely   Frozen (-70°C)
CPT codes 86682
Test schedule Wed
Turnaround time 3-7days
Method FMI
Test includes
Schistosoma Antibody, IgG.
Reference ranges
  
Schistosoma Antibody IgG   
 LT 1.00      Antibody not detected
 1.00 or more Antibody detected
 This assay utilizes the microsomal
 fraction of adult S. mansoni worms 
 (MAMA) as antigen, and is thus highly
 specific (99%) and sensitive (96%)
 for detection of infection caused
 by S. mansoni. Although the assay is
 also highly specific for infections 
 caused by other Schistosoma species
 (S.japonicum, S.haematobium, S.mekongi),
 its sensitivity for these infections
 is lower (55%). Antibody levels do
 not correlate with intensity of
 infection.

[1495]


SCL-70 AUTOANTIBODY
Order Code SCLMP Test Code SCLMP
Synonyms Anti-Scleroderma
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three).
Alternate specimens EDTA or heparinized plasma (lavender or green top tube).
Department Chemistry
CPT codes 86235
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex
Test includes
SCL-70 Autoantibody, AI.
Reference ranges
  
SCL-70 Auto-            Negative       LT 1.0       AI
 antibody               Positive       1.0 or more

[1496]


SEDIMENTATION RATE
Order Code SED Test Code SED
Synonyms ESR; Erythrocyte Sedimentation Rate
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 1.5 mL
Specimen processing Test must be performed within 12 hours of collection. Store and transport refrigerated.
Unacceptable conditions Clotted, hemolyzed, microtainers, EDTA tube filled less than half full, anticoagulants other than EDTA or specimens that exceed stability requirements.
Department Hematology
CPT codes 85651
Test schedule Mon-Sat days, Mon-Fri nights and STAT
Turnaround time 24-48 hours
Method Westergren
Test includes
Sed Rate, mm/h.
Reference ranges
  
Sed Rate          mm/h
 M 0-10
 F 0-20

[1497]


SELENIUM, QUANTITATIVE, WHOLE BLOOD
Order Code SEL Test Code SELWB
Do not use this order code for sending serum or plasma specimens.
Specimen Required
       Container type Royal blue top tube (metal free EDTA)  Specimen type Whole blood  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Do not centrifuge. Send whole blood. Store and transport refrigerated.
Unacceptable conditions All heparin based tubes. Green top tube(Sodium or lithium heparin), light green top tube, Royal blue top tube (trace metal-free sodiumm heparin), Tan top tube-glass sodium heparin, and clotted specimens.
CPT codes 84255
Test schedule Sun-Fri
Turnaround time 3-5 days
Method ICP/MS
Test includes
Selenium, Blood, mcg/mL.
Reference ranges
  
Selenium, Blood  20-220   mcg/mL

[1499]


SELENIUM, SERUM
Order Code SEL.S Test Code SELS
Do not use this order code for whole blood specimens.
Specimen Required
       Container type Royal blue top tube (metal free plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells immediately and place in separate trace element-free tube. Store and transport at room temperature.
Unacceptable conditions Serum separator tubes or gels. Specimens not separated from cells or clot within 6 hours.
Alternate specimens EDTA plasma (EDTA royal blue top tube).
CPT codes 84255
Test schedule Tue, Thu, Sat
Turnaround time 3-6 days
Method ICP/MS
Test includes
Selenium, Serum, ug/L.
Reference ranges
  
Selenium, Serum    23-190       ug/L
Notes
Do not use this workpar for whole blood specimens.

[1498]


SEMEN EXAMINATION
Order Code SEMN Test Code SEMN
Specimen Required
       Container type Clean leakproof glass container.  Specimen type Semen, complete collection
Collection procedure Collect complete semen specimen in a clean glass container. Collect following a 3-day period without sexual intercourse or masturbation. Specimen may be collected by masturbation or coitus interruptus, withdrawal before ejaculation and placed into the glass container. A condom may be used if it contains no substance that would be harmful to sperm (check the label or ask the pharmacist). Deliver within 1 hour as close to body temperature as possible by placing it in a shirt pocket under a coat. Tell the lab the exact time of collection. Take specimen to either the Alpha Service Center or Yakima Service Center or schedule a time in advance if taken to any other service center so that arrangements can be made to transport immediately to the testing laboratory. Prinited instructions are available upon request.
Stability-   Room temp 1 hour   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Hematology
CPT codes 89320
Test schedule Daily
Turnaround time 48 hours
Test includes
Appearance; Viscosity; Sperm Concentration, M/mL; Volume, mL; Total Sperm Number, M; Liquefaction; Motility, %; Activity grade; Morphology, % Normal; Leukocytes; Comments; Reviewed By.
Reference ranges
  
Semen Exam
 Appearance             Opalescent
 Viscosity              Normal
 Sperm Concentration    GT 19     M/mL
 Volume                 1.5-5.0   mL
 Total Sperm Number     GT 39     M
 Liquifaction           Liquified
 Motility               GT 39% Normal
 Activity Grade         GT 2+
 Morphology             GT 29% Normal forms
 Leukocytes             Absent
 Comments               Sperm morphology
                        classification based
                        on WHO 4th edition.
 Reviewed by

[1500]


SEMEN MORPHOLOGY
Order Code SEMOPH Test Code SEMOPH
Specimen Required
       Container type Clean leakproof glass container.  Specimen type Semen, complete collection
Collection procedure Collect complete semen specimen in a clean glass container. Collect following a 3-day period without sexual intercourse or masturbation. Specimen may be collected by masturbation or coitus interruptus, withdrawal before ejaculation and placed into the glass container. A condom may be used if it contains no substance that would be harmful to sperm (check the label or ask the pharmacist). Deliver within 1 hour as close to body temperature as possible by placing it in a shirt pocket under a coat. Tell the lab the exact time of collection. Take specimen to either the Alpha Service Center or Yakima Service Center or schedule a time in advance if taken to any other service center so that arrangements can be made to transport immediately to the testing laboratory. Prinited instructions are available upon request.
Alternate specimens Prepare 2 smears on adhesive coated slides and spray immediately with cytology fixative.
Department Hematology
CPT codes 89300
Test schedule Mon-Fri days
Turnaround time 72 hours
Test includes
Morphology; Leukocytes; Comments; Reviewed By.
Reference ranges
  
Morphology             GT 29% Normal forms
Leukocytes             Absent
Comments               Sperm morphology
                       classification based
                       on WHO 4th edition.
Reviewed by

[1501]


SEROTONIN
Order Code SEROT.S Test Code SER
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.6 mL
Specimen processing Separate serum from cells and freeze in separate plastic tube. Store and transport frozen.Critical frozen. Separate samples must be submitted when multiple tests are ordered.
Stability-   Room temp unacceptable   Refrigerated 24 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Non-frozen specimens or specimens frozen in glass tubes.
Limitations Medication which may affect serotonin concentrations include reserpine, methyldopa, MAO inhibitors, lithium and morphine.
CPT codes 84260
Test schedule Sun, Wed, Fri
Turnaround time 2-6 days
Method HPLC
Test includes
Serotonin, ng/ml.
Reference ranges
  
Serotonin     50-220       ng/mL
Notes
In general EDTA whole blood (as compared to serum) transported with ascorbic acid preservative will give values most representative of blood concentrations. Most 95% of blood serotonin is typically found in platelets (refer to Serotonin, Whole Blood).

[1504]


SEROTONIN, BLOOD
Order Code SEROT Test Code SERBLD
Synonyms Hydroxytryplamine
Specimen Required
       Container type Lavender top tube (EDTA) or Pink top tube (K2EDTA)  Specimen type Frozen whole blood  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Mix and transfer to a plastic serotonin tube (contains ascorbic acid). Place on ice. Mix thoroughly and freeze. Store and transport frozen. Specimen must be preserved and frozen within 2 hours of collection.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Non-frozen specimens or specimens frozen in glass tubes.
Alternate specimens 3 mL frozen EDTA/ascorbic whole blood (red/yellow speckled top serotonin tube). Transfer to plastic tube and freeze. Store and transport frozen.
Limitations Medications which may affect serotonin concentration include reserpine, methyldopa, MAO inhibitors, lithium and morphine.
CPT codes 84260
Test schedule Sun, Wed, Fri
Turnaround time 2-6 days
Method HPLC
Test includes
Serotonin, ng/mL.
Reference ranges
  
Serotonin, Blood      50-200    ng/mL
Notes
Plastic ascorbic acid tubes are available from the PAML Supply Department.

[1505]


SERTRALINE
Order Code ZOLOFT Test Code SERT
Synonyms Zoloft
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1.5 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 12 hours   Refrigerated 4 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens EDTA, sodium heparinized or sodium fluoride/potassium oxalate plasma (lavender, green or grey top tube).
Limitations Avoid the use of serum separator tubes and gels.
CPT codes 80299
Test schedule Tue, Fri
Turnaround time 2-6 days
Method LC/MS
Test includes
Sertraline, ng/mL.
Reference ranges
  
Sertraline   Not well established  ng/mL
No therapeutic reference range exists for
sertraline. Dosing should begin at 50 mg/d,
not to exceed 200 mg/d. Dosing above 200 mg/d
is associated with increased adverse effects
and decreased efficacy. Dosing of 50-200 mg/d
gives serum values ranging from 30 to 200
ng/mL.

[1506]


SERTRALINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCSER Test Code TLCSER
Synonyms Zoloft,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Sertraline
Notes
Test is also included in Drug-Sur as part of panel.

[6978]


SEX HORMONE BINDING GLOBULIN
Order Code SHBGL Test Code SHBGL
Synonyms Testosterone Binding Globulin, Estradiol Binding Globulin, SHBG
Specimen Required
       Container type SST Tube (Gold, Brick, SST or Corvac)  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Place the tube stoppered, upright at room temperature to allow serum to adequately clot before centrifugation.
Specimen processing Separate serum from cells ASAP and put in a separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed specimens. Frozen samples thawed more than 3 times.
Alternate specimens Lithium heparin plasma (green top tube)
Department Immunology
CPT codes 84270
Test schedule Mon, Wed, Fri
Turnaround time 1-3 days
Method Enzyme Immunoassay
Reference ranges
  
Sex hormone binding globulin                  nmol/L
 M 1-30 days        13-85     
   31-364 days      70-250
   1-3 years        50-180
   4-6 years        45-175
   7-9 years        28-190
   10-12 years      23-160
   13-15 years      13-140
   16-17 years      10-60
   18 yrs & more    11-80
 F 1-30 days        14-60    
   31-364 days      60-215
   1-3 years        60-190
   4-6 years        55-170
   7-9 years        35-170
   10-12 years      17-155
   13-15 years      11-120
   16-17 years      19-145
   18 yrs & more    30-135
Tanner Stages                   nmol/L
 M I                26-286
   II               22-169
   III              13-104
   IV               11-60
   V                11-71
 F I                30-173
   II               16-127
   III              12-98
   IV               14-151
   V                23-165

[6082]


SICKLE CELL SCREEN (REFLEXIVE)
Order Code SICKLE Test Code SICKLE
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood and 2 peripheral blood smears  Preferred volume 3 mL  Minimum volume 1 whole blood (EDTA microtainer) and 2 peripheral blood slides
Specimen processing Store and transport at room temperature or refrigerated.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C) 30 days   Frozen (-70°C)
Alternate specimens Finger or heel stick specimens.
Limitations Does not provide quantitaion of Hemoglobin S. Not suitable for child less than 6 months of age.
Department Hematology
CPT codes 85660
Test schedule Wed & STAT
Turnaround time 1 week
Method Solubility
Test includes
Sickle Cell.
Reference ranges
  
Sickle Cell Screen     Negative
Notes
All positive results are confirmed by HPLC.

[1510]


SILICON, SERUM/PLASMA
Order Code SILIS Test Code SILIS
Synonyms SI
Specimen Required
       Container type Royal blue top tube trace metal free, no additive  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.7 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube or acid-washed plastic screw capped vial. Store and transport refrigerated.
Stability-   Room temp 2 weeks   Refrigerated 2 weeks   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Glass containers and SST or PST tubes.
Alternate specimens EDTA plasma (Royal blue top tube trace metal free, EDTA).
CPT codes 84285
Test schedule Wed
Turnaround time 3-8 days
Method ICP/MS
Test includes
Silicon, mg/dL.
Reference ranges
  
Silicon      Generally LT 0.05      mg/dL
 Silicon concentrations are influenced
 by diet, especially vegetable intake.

[5606]


SILVER
Order Code SIL Test Code SILVER
Specimen Required
       Container type Royal blue top tube (metal free EDTA)  Specimen type Whole blood  Preferred volume 4 mL  Minimum volume 0.5 mL
Specimen processing Protect from light. Store and transport refrigerated or at room temperature.
Unacceptable conditions Specimens that are not protected from light.
Limitations Protect from light.
CPT codes 83788
Test schedule Tue, Thu
Turnaround time 2-5 days
Method ICP/MS
Test includes
Silver, mcg/mL.
Reference ranges
  
Silver    LT 5     mcg/mL

[1511]


SILVER, URINE
Order Code SILVER.U Test Code SILUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 0.5 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine specimen. Protect from light. Store and transport refrigerated or at room temperature.
Limitations Protect from light.
CPT codes 83788
Test schedule Tue, Thu
Turnaround time 2-5 days
Method ICP/MS
Test includes
Silver, Urine, ug/L.
Reference ranges
  
Silver, Urine   Normal  LT 1     ug/L

[1512]


SIROLIMUS, PARENT DRUG ONLY
Order Code SIR Test Code SIR
Synonyms Rapamune; Rapamycin
Specimen Required
       Container type Lavender top tube  Specimen type EDTA whole blood  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing DO NOT CENTRIFUGE. Store and transport refrigerated in original container.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Serum, plasma or specimens at ambient temperature longer than 24 hours.
Department Bioanalytics
CPT codes 80195
Test schedule Mon-Fri
Turnaround time 1-3 days
Method Tandem Mass Spectrometry
Test includes
Sirolimus, ng/mL.
Reference ranges
  
Sirolimus    4.0-12.0         ng/mL
 A therapeutic range of 4.0-12.0 ng/mL
 is proposed, based on a predose (trough)
 steady-state specimen, concomitant
 cyclosporine, for a kidney transplant
 patient in the maintenance phase of
 therapy. A range of 12.0-20.0 ng/mL
 has been suggested for liver transplant.
 The range may vary with other transplant
 organs, when used in combination with
 drugs other than cyclosporine (or
 sirolimus alone). 

[5528]


SJOGRENS AUTOANTIBODIES
Order Code SJOMP Test Code SJOMP
Synonyms SSA; SSB; RO Antibody; LA Antibody
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three).
Alternate specimens EDTA or heparinized plasma (lavender or green top tube).
Department Chemistry
CPT codes 86235 x 2
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex
Test includes
SSA (RO) Autoantibody, AI; SSB (LA) Autoantibody, AI.
Reference ranges
  
SSA (RO) Autoantibody    Negative   LT 1.0     AI
                         Positive   1.0 or more
SSB (LA) Autoantibody    Negative   LT 1.0     AI
                         Positive   1.0 or more

[1515]


SM AUTOANTIBODY
Order Code SMMP Test Code SMMP
Synonyms Anti-Smith antibody
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three).
Alternate specimens EDTA or heparinized plasma (lavender or green top tube).
Department Chemistry
CPT codes 86235
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex
Test includes
SM Autoantibody, AI; SSB (LA) Autoantibody, AI.
Reference ranges
  
SM Autoantibody    Negative   LT 1.0      AI
                   Positive   1.0 or more

[1516]


SMEAR, AFB
Order Code AFB-SM Test Code AFBSM
Synonyms TB Smear; Mycobacteria Stain
Specimen Required
       Container type Air dried slides.  Specimen type Sputum, broch wash, urine or other specimens.
Specimen processing Store and transport at room temperature.
Required patient info Specimen source.
Alternate specimens 6-10 mL fluid.
Department Microbiology
CPT codes 87206
Test schedule Sun-Sat days
Turnaround time 24-48 hours
Method Truant Fluorochrome Stain
Test includes
Source; Smear, AFB; Smear, AFB, Status.
Reference ranges
  
Source
Smear, AFB            Negative
Smear, AFB, Status
Notes
If specimen is in microbiology by 1200, result available at 1600 same day. AFB smear is included with AFB culture and should not be ordered separately.

[1517]


SMEAR, BLOOD PARASITES
Order Code BLD-PARA Test Code MAL
Synonyms Malaria Smear, Blood Parasites
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type EDTA whole blood and 6 unstained peripheral blood smears  Minimum volume 2 mL EDTA whole blood and 3 unstained smears
Collection procedure The best time to obtain specimen is shortly after paroxysm. Another sample 10 hours later will assist in speciation.
Specimen processing Store and transport at room temperature.
Limitations Ideally specimens should be received within 12 hours.
Department Hematology
CPT codes 87207, 87015
Test schedule Sun-Sat days for parasites and STAT; Mon-Fri days for ID
Turnaround time 24-48 hours
Method Microscopic (thick and thin smears)
Test includes
Malaria; Infected cells, %; Identification; Reviewed by.
Reference ranges
  
Malaria          None seen
Infected Cells   0             %
Identification
Reviewed By
Notes
If symptoms persist or the clinical suspicion of malaria is high, the physician should be encouraged to repeat the test. In cases where fever follows classical paroxysms, another smear about 10 hours later when enough young asexual parasites have matured to the trophozoite stage make it easier to identify the species. The normal clearance time after treatment has begun is 48-72 hours. Positives will be forwarded to the Washington State DOH for confirmation of species identification.

[1518]


SMEAR, STAIN & INTERPRETATION
Order Code SMEAR Test Code GSSM
Synonyms Gram Stain (Smear, Stain & Interpretation)
Specimen Required
       Container type Clean glass slide.
Collection procedure Place material to be stained on a clean glass slide. Air dry, do not fix. Place in slide mailer.
Specimen processing Store and transport at room temperature.
Required patient info Specimen source.
Department Microbiology
CPT codes 87205
Test schedule Sun-Sat
Turnaround time 24-48 hours
Method Microscopic
Test includes
Source; Gram Stain; Gram Stain, Status.
Reference ranges
  
Source
Gram Stain           Negative
Gram Stain, Status
Notes
Gram stain is done on all appropriate specimens as part of routine culture.

[1519]


SMRNP AUTOANTIBODY
Order Code SMRNMP Test Code SMRNMP
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three).
Alternate specimens EDTA or heparinized plasma (lavender or green top tube).
Department Chemistry
CPT codes 86235
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex
Test includes
SMRNP Autoantibody, AI.
Reference ranges
  
SMRNP Autoantibody    Negative   LT 1.0      AI
                      Positive   1.0 or more

[1520]


SODIUM
Order Code SOD Test Code NA
Synonyms Na
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Collection procedure Avoid hemolysis.
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 84295
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method ISE
Test includes
Sodium, mmol/L.
Reference ranges
  
Sodium    135-145   mmol/L

[1521]


SODIUM & POTASSIUM
Order Code NA/K Test Code NAK
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 84295, 84132
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method ISE
Test includes
Sodium, mmol/L; Potassium, mmol/L.
Reference ranges
  
Sodium         135-145         mmol/L
Potassium                      mmol/L
 0-30 days     3.9-6.9
 1-12 mo       3.6-6.8
 1-5 yrs       3.2-5.7
 5-10 yrs      3.4-5.4
 10 yrs+       3.5-5.3
Notes
Hemolysis will elevate potassium values and minimal volume specimens will concentrate upon exposure to air.

[1522]


SODIUM, FLUID
Order Code SODFLD Test Code NAFL
Specimen Required
       Container type Red top tube (plain) or leakproof plastic container  Specimen type Body fluid  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate fluid from cells and place in separate plastic tube. Note the type of fluid. Store and transport refrigerated.
Required patient info Note the type of fluid.
Stability-   Room temp 4 days   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Clotted or viscous samples. Avoid hemolysis.
Limitations Extremely high levels of protein may interfere with testing.
Department Chemistry
CPT codes 84302
Test schedule Daily
Turnaround time 24-48 hours
Method ISE
Test includes
Sodium, Fluid, mmol/L
Reference ranges
  
Sodium, Fluid          mmol/L
 No reference ranges established              
 Method not validated for body fluid. 
 Clinical correlation necessary.

[1523]


SODIUM, STOOL
Order Code STLNA Test Code STLNA
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Stool, liquid  Preferred volume 5 grams
Collection procedure Collect a random LIQUID stool in clean, unpreserved leakproof plastic container.
Specimen processing Do not add saline or water to liquify sample. Store and transport refrigerated.
Stability-   Room temp 1 hour   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Any specimen that is not liquid.
CPT codes 84302
Test schedule Sun-Sat
Turnaround time 2-3 days
Method ISE
Test includes
Sodium, Stool, mmol/L.
Reference ranges
  
Sodium, Stool             mmol/L
 No reference range established

[1524]


SODIUM, URINE (QUANTITATIVE)
Order Code SOD-U Test Code NAUQ
Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Synonyms Na, Urine
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 40 mL  Minimum volume 2 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 40 mL of a well-mixed 24-hour urine collection in leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Frozen specimens.
Department Chemistry
CPT codes 84300
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ISE
Test includes
Collection Period, h; Volume, mL; Sodium, Urine, mmol/24h.
Reference ranges
  
Collection Period            h
Volume                       mL
Sodium, Urine    50-225      mmol/24h

[1525]


SODIUM, URINE (RANDOM)
Order Code SOD-R Test Code NAUR
Synonyms Na, Urine, Random
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 1 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated or frozen.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Department Chemistry
CPT codes 84300
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ISE
Test includes
Sodium, Urine, mmol/L.
Reference ranges
  
Sodium, Urine, Random         mmol/L
 No normals established

[1526]


SOLUBLE LIVER ANTIGEN ANTIBODY, IGG
Order Code SLAIGG Test Code SLAIGG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolyzed, lipemic, contaminated or heat-inactivated samples.
CPT codes 83516
Test schedule Sun, Tue, Thu
Turnaround time 2-5 days
Method ELISA
Test includes
Soluble Liver Antigen Antibody, IgG, U.
Reference ranges
  
Soluble Liver Antigen Antibody, IgG
 0.0-20.0       U  Negative
 20.1-24.9      U  Equivocal
 25.0 or more   U  Positive
 The presence of SLA antibodies has
 almost 100% specificity for auto-
 immune hepatitis, although only
 12-30% have these antibodies. Thus,
 a negative SLA IgG test does not
 rule out autoimmune hepatitis.

[1527]


SOLUBLE TRANSFERRIN RECEPTOR
Order Code STFRC Test Code STFRC
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Keep tubes stoppered and upright at all times.
Specimen processing Allow serum to clot completely at room temperature. Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C) 1 year
Unacceptable conditions Grossly hemolyzed and frozen samples that have been thawed more than 3 times.
Alternate specimens Sodium or lithium heparin plasma.
Department Immunology
CPT codes 84238
Test schedule Mon, Thu
Turnaround time 2-6 days
Method EIA
Test includes
Soluble Transferrin Receptor, mg/L.
Reference ranges
  
Soluble Transferrin Receptor   LT 1.6   mg/L
 Patients with levels equal to or greater than 1.6 may
 have iron deficiency anemia (IDA) and/or anemia of
 chronic disease (ACD); sensitivity 86.4%, specificity
 49.1%.

[5608]


SPECIFIC GRAVITY
Order Code SPG Test Code SPGFL
Specimen Required
       Container type Leakproof plastic container.  Specimen type Body fluid  Preferred volume 1 mL
Specimen processing Prefer specimen be stored and transported refrigerated.
Department Chemistry
CPT codes 84315
Test schedule Mon-Sat days, Mon-Fri nights and STAT
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Specific Gravity.
Reference ranges
  
Specific Gravity      
 Exudate      1.015 or greater
 Transudate   LT 1.015

[1529]


SPECIFIC GRAVITY, URINE
Order Code SPGUD Test Code SPGUD
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 5 mL of a random urine specimen. Store and transport refrigerated.
Department Chemistry
CPT codes 81005
Test schedule Mon-Sun day, Mon-Fri nights
Turnaround time 24-48 hours
Method T/S Meter
Test includes
Specific Gravity, Urine.
Reference ranges
  
Specific Gravity   1.001-1.030

[1530]


SPERM ANTIBODY IGA, IGG
Order Code SPABAG Test Code SPABAG
This test was developed and its performance characteristics determined by Quest Diagnostics Nichols Institute. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test.
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 2 weeks   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Hemolysis, lipemia, samples received at room temperature.
CPT codes 89325 x 2
Test schedule Once a week
Turnaround time 3-10 days
Method Immunobeads
Test includes
Sperm Antibody, IgG Binding Location IgG; Sperm Antibody, IgA Binding Location IgA.
Reference ranges
  
Sperm Antibody IgG       LT 20% binding
 Binding Location IgG
Sperm Antibody IgA       LT 20% binding
 Binding Location IgA
 The incidence of circulating antisperm
 antibody (ASA) in the general male 
 populatio is 10-20%. Vasectomised males
 have an increased incidence of sperm
 antibody up to 60-80%.
 Sperm anti-sperm antibodies are also
 found in 10-15% of infertile women
 without organic disease. The incidence
 of circulating ASA depend on both
 specimen source (serum, seminal fluid,
 cervical mucus) and the fertility status
 of the individual.

[1531]


SPERM COUNT POST VASECTOMY
Order Code SPCTPV Test Code SPCTPV
Specimen Required
       Container type Clean leakproof glass container.  Specimen type Semen, complete collection.
Collection procedure Collect complete semen specimen in a clean glass container. Collect following a 3-day period without sexual intercourse or masturbation. Specimen may be collected by masturbation or coitus interruptus, withdrawal before ejaculation and placed into the glass container. A condom may be used if it contains no substance that would be harmful to sperm (check the label or ask the pharmacist). Deliver within 1 hour as close to body temperature as possible by placing it in a shirt pocket under a coat. Tell the lab the exact time of collection. Take specimen to either the Alpha Service Center or Yakima Service Center or schedule a time in advance if taken to any other service center so that arrangements can be made to transport immediately to the testing laboratory. Prinited instructions are available upon request.
Specimen processing .
Stability-   Room temp 1 hour   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Department Hematology
CPT codes 89310
Test schedule Daily
Turnaround time 48 hours
Method Hemocytometer
Test includes
Sperm Count, M/mL.
Reference ranges
  
Sperm Count    None seen    M/mL

[1532]


SPINAL MUSCULAR ATROPHY CARRIER TESTING SMA
Order Code SMAC Test Code SMAC
For Prenatal Specimens: Call Genzyme genetic coordinator 1-800-848-4436, prior to ordering. Additional specimen may be required if multiple tests are ordered.
Synonyms SMN1, SMA carrier
Specimen Required
       Container type ACD-A (yellow top tube)  Specimen type Whole blood  Preferred volume 10 mL (add 20 mL if ordering multiple tests) See alternate Specimens Section.
Stability-   Room temp 4 days   Refrigerated   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Alternate specimens Whole blood in EDTA. For prenatal testing: Amniotic Fluid: 15 mL (Orange top polypropylene tube), expel the first 2 mL before adding specimen to tube. If additional testing is required, more amniotic fluid will be required (15 to 25 mL additional). Chorionic Villi: 10-15 mg in Genzyme provided screw-top tube with sterile transport medium. If cultured at another facility, send 1 T-25 flask of confluent cells. Please ensure that a back-up culture is maintained. For all Prenatal specimens: Call Genzyme genetic coordinator 1-800-848-4436, prior to ordering. Additional parental specimens will be required: Example-Maternal blood or mouthwash.
CPT codes 83891, 83892 x 4, 83900, 83912, 83901 x 6
Test schedule Mon - Sat
Turnaround time 8-12 days, add 2 weeks if Prenatal
Method Real-Time PCR
Test includes
SMN1 Copy Number, Interpretation
Reference ranges
  
SMN1 copy number       2 (reduced carrier risk)
Interpretation

[5760]


SPINAL MUSCULAR ATROPHY, DIAGNOSTIC STUDY
Order Code REF.SMAPCR Test Code SMAPCR
This test must be ordered on a paper requisition that accompanies the specimen. It is an orderable test using PAML computer system if you are interfaced.
Synonyms SMA; SMN1; Molecular testing
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 1 mL
Specimen processing Submit original and unopened tube only. Do not transfer from original draw tube. Store and transport at room temperature or refigerated if delayed more than 72 hours store and transport refrigerated. Do not freeze specimen.
Required patient info Clinical indication.
Stability-   Room temp 72 hours   Refrigerated 5 days   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Serum, heparinized whole blood, frozen specimens, severely hemolyzed specimens, specimens over 5 days old or in leaking containers and specimens not received in the original collection tubes.
Alternate specimens Sodium citrate or ACD whole blood (blue or yellow top tube).
Department Molecular Diagnostics
CPT codes 83891, 83892 x 2, 83894 x 4, 83912, 83900 x 2
Test schedule Weekly
Turnaround time 2-8 days
Method PCR and RFLP
Test includes
Spinal Muscular Atrophy.
Reference ranges
  
Spinal Muscular Atrophy.

[1533]


SPIRONOLACTONE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCSPI Test Code TLCSPI
Synonyms Aldactone, water pills,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Spironolactone
Notes
Test is also included in Drug-Sur as part of panel.

[6979]


SRP AUTOANTIBODIES
Order Code SRPAUT Test Code SRPAUT
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells within 4 hours and place in separate`plastic tube. Store and transport refrigerated.
Stability-   Room temp 7 days   Refrigerated 14 days   Frozen (-20°C) 2 months   Frozen (-70°C)
CPT codes 86235
Test schedule Mon
Turnaround time 10-17 days
Method RIPA
Test includes
SRP Autoantibodies.
Reference ranges
  
SRP Autoantibodies       Not detected

[1534]


SSA AUTOANTIBODY
Order Code SSAMP Test Code SSAMP
Synonyms RO Autoantibody; Sjogren's Autoantibody
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three).
Alternate specimens EDTA or heparinized plasma (lavender or green top tube).
Department Chemistry
CPT codes 86235
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex
Test includes
SSA (RO) Autoantibody, AI.
Reference ranges
  
SSA (RO) Autoantibody    Negative   LT 1.0      AI
                         Positive   1.0 or more

[1535]


SSB AUTOANTIBODY
Order Code SSBMP Test Code SSBMP
Synonyms LA Autoantibody; Sjogren's Antibody
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three).
Alternate specimens EDTA or heparinized plasma (lavender or green top tube).
Department Chemistry
CPT codes 86235
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex
Test includes
SSB (LA) Autoantibody, AI.
Reference ranges
  
SSB (LA) Autoantibody    Negative   LT 1.0      AI
                         Positive   1.0 or more

[1536]


SSDNA ANTIBODY, IGG
Order Code SSDNA Test Code SSDNA
Synonyms Anti-DNA, Single Strand; Anti-SS DNA Antibody
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, contaminated or hemolyzed samples.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86226
Test schedule Tue, Thu, Sat
Turnaround time 2-5 days
Method EIA
Test includes
ssDNA Antibody, IgG, EU.
Reference ranges
  
ssDNA Antibody, IgG              EU
 LT 20       Negative
 20-25       Borderline Positive
 GT 25       Positive

[1537]


STREPTOCOCCAL ANTIBODY (DNASE B)
Order Code STREPTO Test Code DNASEB
Synonyms Anti-Dnase B Antibody; Anti-Strep Dnase B Antibody; Dnase B Antibody
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 ml  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma or severely hemolyzed specimens.
CPT codes 86215
Test schedule Tue, Thu, Sat
Turnaround time 2-5 days
Method Enzymatic
Test includes
Streptococcal Antibody-Dnase B.
Reference ranges
  
Streptococcal Ab-Dnase B        U/mL                   
 1-6 yrs          0-70       
 7-17 yrs         0-170
 18+ yrs          0-120

[1539]


STREPTOCOCCUS PNEUMONIAE ANTIBODY, IGG 14
Order Code SPAB14 Test Code SPAB14
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens ACD, heparinized, EDTA plasma (yellow, green or purple top tube).
CPT codes 86609 x 14
Test schedule Tue-Sat
Turnaround time 5-7 days
Method IAA
Test includes
Streptococcus Pneumoniae Antibody, IgG 14 types.I

[1540]


STREPTOCOCCUS PNEUMONIAE ANTIBODY, IGG PRE AND POST IMMUNIZATION
Order Code SPABG2 Test Code SPABG2
Paired specimens required.
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 2 mL( each specimen)  Minimum volume 1 mL for each specimen
Collection procedure Draw Pre and Post immunization samples.
Specimen processing Separate serum from cells and put in separate plastic tube and label appropriately. Store and transport refrigerated. Indicate date of each draw.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 2 months   Frozen (-70°C)
Alternate specimens ACD, heparinized, EDTA plasma (yellow, green or purple top tube).
CPT codes 86609 x 28
Test schedule Tue-Fri
Turnaround time 5-7 days
Method IAA
Test includes
Streptococcus Pneumoniae Antibody, IgG 14 types.

[1541]


STREPTOCOCCUS PNEUMONIAE ANTIGEN, URINE
Order Code SPNAGU Test Code SPNAGU
Specimen Required
       Container type Leakproof plastic container  Specimen type Urine, random  Preferred volume 5 mL  Minimum volume 1 mL
Patient Prep Patients who have received the S. pneumo vaccines may test positive in the 48 hours following vaccination. It is recommended to avoid testing within 5 days of receiving vaccination.
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 5 mL of a random urine collection. Put in leakproof plastic container. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Leaking containers.
CPT codes 87899
Test schedule Sun-Sat
Turnaround time 2-4 days
Method ICT Assay
Test includes
Streptococcus pneumonia Antigen, Urine.
Reference ranges
  
Streptococcus pneumoniae Antigen, Urine
 Negative
 False-positives may occur because of
 cross-reactivity with other members 
 of the S. mitis group. Clinical
 correlation is recommended.

[1543]


STREPTOZYME TITER, REFLEX TO ASO
Order Code STREP Test Code STRZ
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 day   Refrigerated 5 days   Frozen (-20°C) 6 months   Frozen (-70°C)
Department Immunology
CPT codes 86063
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Agglutination/Nephelometry
Test includes
Streptozyme Titer, Units; ASO Titer, IU/mL.
Reference ranges
  
Streptozyme titer  LT 100       Streptozyme Units
ASO titer          250 or less  IU/mL

[1544]


STRIATED MUSCLE ANTIBODY, IGG (REFLEXIVE)
Order Code STRAB Test Code STRAB
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Anti-Striated Muscle Antibody; Skeletal Muscle Antibody
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma, severely lipemic, contaminated or hemolyzed samples.
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86255 if negative, 86255 + 86256 if positive
Test schedule Mon-Fri
Turnaround time 2-6 days
Method IFA
Test includes
Striated Muscle Antibody, IgG Screen; Striated Muscle Antibody, IgG Titer.
Reference ranges
  
Striated Muscle Ab, IgG Screen
 LT 1:40  No antibody detected
Striated Muscle Ab, IgG Titer

[1545]


STRONGYLOIDES ANTIBODY, IGG
Order Code STROAG Test Code STROAG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Lipemic, hemolyzed, icteric, bacterially contaminated, or heat-inactivated samples.
CPT codes 86682
Test schedule Wed
Turnaround time 2-9 days
Method ELISA
Test includes
Strongyloides Antibody, IgG, IV.
Reference ranges
  
Strongyloides Antibody,IgG         IV
 1.49 or less     Negative-no significant
  level of Sronglyoides IgG Ab detected.
 1.50-2.10        Equivocal-questionable
  presence of Stronglyoides IgG Ab detected.
  Repeat testing in 10-14 days may be helpful.
 2.11 or more     Positive-IgG Abs to
  Strongyloides IgG detected, which may
  suggest current or past infection.

[1546]


STRYCHNINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCSTY Test Code TLCSTY
Synonyms rat poison, back breakers, homicide, red rock opium, red rum, red stuff, spike,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Strychnine
Notes
Test is also included in Drug-Sur as part of panel.

[6980]


SULFATE, URINE
Order Code URSUL Test Code URSUL
Specimen Required
       Container type Leakproof plastic container  Specimen type Urine, random  Preferred volume 5 mL  Minimum volume 2 mL
Collection procedure Collect a random urine specimen. Refrigerate during collection.
Specimen processing Aliquot 5 mL urine into a leakproof plastic container and freeze. Store and transport frozen.
Required patient info Total volume and collection time.
Stability-   Room temp Unacceptable   Refrigerated Unacceptable   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Room temperature samples.
CPT codes 84392
Test schedule Wed, Sat
Turnaround time 2-9 days
Method Spectrophotometric
Test includes
Collection time, hrs; Total volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/day; Sulfate, Urine, mmol/L; Sulfate, Urine, mmol/d.
Reference ranges
  
Collection time                 hrs
Total volume                    mL
Creatinine, Urine               mg/dL
Creatinine, Urine  500-2300     mg/day
Sulfate, Urine                  mmol/L
Sulfate, Urine     6-30         mmol/d

[5611]


SULFONAMIDES
Order Code SULFA Test Code SULFA
Synonyms Sulfa
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 ml  Minimum volume 0.5 mL
Collection procedure Draw peak specimen 2 hours post dose.
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Required patient info Sulfa medication.
Stability-   Room temp 2 weeks   Refrigerated 2 weeks   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Alternate specimens EDTA, sodium heparinized or fluoride/potassium oxalated plasma (lavender, green or grey top tube).
CPT codes 80299
Test schedule Tue, Fri
Turnaround time 2-6 days
Method Spectrophotometry
Test includes
Sulfonamides, mg/dL.
Reference ranges
  
Sulfonamides              mg/dL
 Therapeutic 5.0-15.0  
 Toxic       GT 20.0
 This test is designed to measure
 sulfamethoxazole and sulfisoxazole.
 Peak sulfonamide (total) blood levels of
 5-15 mg/dL may be considered effective
 for most infections, concentrations of
 12-15 mg/dL being optimal for serious
 infections. Sulfonamide levels should
 not exceed 20 mg/dL.

[1549]


SULINDAC
Order Code CLIND Test Code CLIND
Synonyms Clinoril
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Trough levels are the most reproducible.
Stability-   Room temp 3 days   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Heparin plasma (green top tube).
CPT codes 82491
Test schedule Varies
Turnaround time 7-9 days
Method HPLC/UV
Test includes
Sulindac (Clinoril), ug/mL.
Reference ranges
  
Sulindac (Clinoril)  0.4-1.6     ug/mL

[1550]


SYNOVIAL FLUID PROFILE
Order Code SYNFL Test Code SYNFL
Specimen Required
       Container type Red top tube (plain), Green top tube (sodium heparin) and Lavender top tube (EDTA)  Specimen type Synovial fluid  Preferred volume 6 mL  Minimum volume 1 mL in each tube
Specimen processing Place 3 mL in plain (red top tube), divide remaining fluid in sodium heparin (green top tube) and EDTA (lavender top tube). Transport ASAP. Store & transport refrigerated.
Unacceptable conditions Samples collected in powdered EDTA cannot be used for crystals.
Department Hematology
CPT codes 89051, 89060, 84315
Test schedule Sun-Sat
Turnaround time 24-48 hours
Test includes
Color; Clarity; RBC, M/L; Nucleated Cells, M/L; Number of Cells Seen; Segs, %; Bands, %; Lymphocytes, %; Variant Lymphocytes, %; Mononuclear Phagocytes, %; Eosinophils, %; Basophils, %; Others, %; Non-Heme Cells; Nucleated RBC, /100WBCs; Mesothelial Cells, /100WBCs; Note; Reviewed By; Crystals, Synovial Fluid; Crystals, Identification; Specific Gravity.
Reference ranges
  
Color
Clarity
RBC                       M/L
Nucleated Cells           M/L
Number of Cells Seen
Segs                      %
Bands                     %
Lymphocytes               %
Variant Lymphocyte        %
Mononuclear Phagocytes    %
Eosinophils               %
Basophils                 %
Others                    %
Non-Heme Cells            % 
Nucleated RBC             /100WBCs
Mesothelial Cells         /100WBCs
Note
Reviewed By
Crystals, Synovial Fld    
 None seen                
Crystals, ID
Specific Gravity
 Exudate      1.015 or greater
 Transudate   LT 1.015
Fibrin        No longer reported

[1551]


T & B CELLS WITH SUBSETS
Order Code TBSUB Test Code TBSUB
Synonyms T & B Cells With Subsets, Flow Cytometry
Specimen Required
       Container type Yellow top tube (ACD Type A or B) and Lavender top tube (EDTA).  Specimen type Whole blood  Preferred volume 7 mL ACD and 5 mL EDTA  Minimum volume 5 mL ACD and 2.5 mL EDTA
Specimen processing Store and transport at room temperature.
Required patient info In accordance with CDC guidelines please provide the following patient infromation: WBC count and percent lymphocytes on the day of collection if sample will arrive after 24 hours.
Unacceptable conditions EDTA tube is only for WBC and % lymph counts. Cannot be sent by itself for antibody testing.
Limitations Samples must be processed within 72 hours of collection.
Department Hematology
CPT codes 86360, 86355, 86359
Test schedule Mon-Sat by 11am
Turnaround time 48 hours
Method Flow Cytometry
Test includes
Source; WBC, K/uL; Lymphocytes, %; Lymph Abs, K/uL; CD3, %; CD3 Abs, /uL; CD4, %; CD4 Abs, /uL; CD8, %; CD8 Abs, /uL; CD19, %; CD19 Abs, /uL; CD4/CD8 Ratio; Note; Note.
Reference ranges
  
Source
WBC                                          K/uL
                  0 days       9.0-30.0
                  1-7 days     5.0-21.0
                  7-30 days    5.0-19.5
                  1-12 mo      6.0-17.5
                  1-2 yrs      5.0-15.5
                  2-4 yrs      6.0-15.5
                  4-6 yrs      5.0-13.5
                  6-10 yrs     4.5-13.5
                  10-14 yrs    5.0-11.0
                  14-18 yrs    4.5-11.0
                  18 yrs+      4.0-11.0 
Lymphocytes        Newborn     9.0-46.0      %         
                   1-3 days    16.0-46.0                                      
                   4-7 days    26.0-56.0                                      
                   8-14 days   33.0-63.0                                      
                   15-60 days  41.0-71.0                                      
                   2-11 mo     46.0-76.0                                      
                   1-4 yrs     35.0-76.0                                      
                   5-12 yrs    23.0-57.0                                      
                   13-18 yrs   20.0-50.0                                      
                   19+ yrs     15.0-45.0                                      
Lymphs, Abs       Newborn      2.00-11.00     K/uL
                  1-3 days     2.00-11.50
                  4-7 days     2.00-17.00
                  8-14 days    2.00-17.00
                  15-60 days   2.50-16.50
                  2-11 mo      4.00-13.50
                  1-4 yrs      2.00-10.50
                  5-12 yrs     1.50-7.00
                  13-18 yrs    1.20-5.20
                  19+ yrs      1.00-3.40
CD3                0-3 yrs     55.0-82.0     %         
                   4+ yrs      53.0-91.0                                      
CD3 Absolute       0-5 mo      3500-5000     /uL       
                   6-11 mo     3400-4600                                      
                   12-17 mo    3200-3900                                      
                   18-29 mo    2800-3500                                      
                   30 mo-35 mo 1900-3100                                      
                   3 yrs       1000-3900                                      
                   4+ yrs      560-3000                                       
CD4                0-5 mo      50.0-57.0     %         
                   6-11 mo     49.0-55.0                                      
                   12-17 mo    46.0-51.0                                      
                   18-23 mo    42.0-48.0                                      
                   24-29 mo    38.0-46.0                                      
                   30-35 mo    33.0-44.0                                      
                   3 yrs       27.0-57.0                                      
                   4+ yrs      30.0=65.0                                      
CD4 Absolute       0-5 mo      2800-3900     /uL       
                   6-11 mo     2600-3500                                      
                   12-17 mo    2300-2900                                      
                   18-23 mo    1900-2500                                      
                   24-29 mo    1500-2200                                      
                   30-35 mo    1200-2000                                      
                   3 yrs       560-2700                                       
                   4+ yrs      490-1400                                       
CD8                0-2 yrs     8.0-31.0      %         
                   3 yrs       14.0-34.0                                      
                   4+ yrs      12.0-38.0                                      
CD8 Absolute       0-2 yrs     350-2500                                                                
                   4+ yrs      225-900                                        
CD19               0-2 yrs     11.0-45.0     %         
                   3 yrs       9.0-29.0                                       
                   4+ yrs      3.0-21.0                                       
CD19 Absolute      0-2 yrs     430-3300      /uL       
                   3 yrs       200-1300                                       
                   4+ yrs      80-450                                         
CD4/CD8 Ratio      0-2 yrs     1.17-6.22     to 1.0    
                   3 yrs       0.98-3.24                                      
                   4+ yrs      1.00-3.00                                                                                                   
Note                                                                          
Note

[1552]


T3 (REVERSE)
Order Code T3REV Test Code REVT3
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Synonyms Reverse T3
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 24 hours   Refrigerated 7 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Alternate specimens EDTA plasma (lavender top tube).
CPT codes 84482
Test schedule Tue-Fri
Turnaround time 2-6 days
Method RIA
Test includes
T3 (Reverse), pg/mL.
Reference ranges
  
T3 (Reverse)          pg/mL
 0-7 days  600-2500   
 8+ days   90-350

[1553]


T3 BY ICMA (TBG CORRECTED)
Order Code RT3 Test Code RT3
Synonyms Total T3; T3 Total
Specimen Required
       Container type Red top tube (plain) or SST  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed, grossly lipemic or grossly icteric samples.
Limitations Avoid freeze-thaw cycles.
Department Immunochemistry
CPT codes 84480
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
T3 by ICMA TBG Corrected, ng/dL.
Reference ranges
  
T3 by ICMA TBG Corrected    ng/dL
 80-200

[1554]


T3 UPTAKE
Order Code T3UP Test Code T3U
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 1 week   Frozen (-20°C) Indefinitely   Frozen (-70°C)
Department Immunochemistry
CPT codes 84479
Test schedule Sun-Fri Nights
Turnaround time 24-48 hours
Method ICMA
Test includes
T3 Uptake, %.
Reference ranges
  
T3 Uptake    22.5-37.0 %

[1555]


T3, FREE & TOTAL
Order Code FREE&TOT.T3 Test Code FRTT3
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or frozen if transport will exceed 24 hours.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed, grossly lipemic or grossly icteric specimens.
Alternate specimens SST tube.
Department Immunochemistry
CPT codes 84481, 84480
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
Free T3, pg/mL; T3 by ICMA TBG Corrected, ng/dL.
Reference ranges
  
Free T3                  2.3-4.2  pg/mL
T3 by ICMA TBG Corrected 80-200   ng/dL

[1556]


T4 BY ICMA
Order Code T4 Test Code T4
Synonyms Thyroxine; T4
Specimen Required
       Container type Red top tube (plain) or SST  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 4 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Department Immunochemistry
CPT codes 84436
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
T4, ug/dL.
Reference ranges
  
T4                  ug/dL
 M  0-30 days       3.0-14.3
    1-12 mo         5.2-16.3
    1-5 yrs         5.5-11.4
    5-10 yrs        5.3-10.5
    10-15 yrs       4.5-10.3
    15-18 yrs       4.9-8.8
 F  0-30 days       3.0-13.3
    1-12 mo         4.6-13.3
    1-5 yrs         6.3-12.8
    5-10 yrs        5.3-10.8
    10-15 yrs       4.9-10.0
    15-18 yrs       5.1-10.0
 Adults  18 yrs+    5.0-12.0

[1557]


TACROLIMUS BY LC-MS/MS
Order Code TAC Test Code TAC
Synonyms Tachrolimus; FK506; Prograf
Specimen Required
       Container type Lavender top tube  Specimen type EDTA whole blood  Preferred volume 3 mL  Minimum volume 0.5 mL
Patient Prep Draw 30 minutes before next dose as a trough specimen.
Collection procedure Draw specimen 30 minutes before next dose.
Specimen processing DO NOT CENTRIFUGE. Send whole blood refrigerated in original vacutainer.
Stability-   Room temp 1 day   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Specimens other than whole blood collected in EDTA lavender top tube.
Alternate specimens Specimen can be sent room temperature if less than or equal to 24 hours for transport.
Department Bioanalytics
CPT codes 80197
Test schedule Mon-Fri
Turnaround time 1-3 days
Method Tandem Mass Spectrometry
Test includes
FK506, ng/mL.
Reference ranges
  
FK506     5.0-20.0   ng/mL
 Therapeutic range is based on a whole blood
 specimen drawn 12 hours post dose or prior 
 to the next dose (the trough). Some other
 factors influencing therapeutic range, dose
 administered, and result interpretation 
 include time since transplantation, the
 organ transplanted, co-administration of
 other immunosuppressants, interaction with 
 other drugs which may increase or decrease
 the tacrolimus concentration, and the
 preferences of the transplant centers and
 clinicians.
Notes
The recommended therapeutic range applies to trough specimens drawn just before the next dose. Blood drawn at other times will yeild higher results.

[5563]


TEG MAPPING AND STANDARD TEG
Order Code TEGMAP Test Code TEGMAP
Specimen Required
       Container type Green top tube & Blue top tube  Specimen type Whole blood  Preferred volume 2 mL sodium heparin whole blood and 3 mL citrate whole blood  Minimum volume 2 mL sodium heparin and 3 mL citrate
Specimen processing Deliver immediately to the laboratory at room temperature.
Stability-   Room temp 2 hours   Refrigerated Unacceptable   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Limitations Test must be scheduled in advancd. Call 509-474-4111.
Department Hematology
CPT codes 85576 x 5, 85384, 85347, 85390
Test schedule Sun-Sat
Turnaround time 4-5 hours
Method Clot Detection, TEG Analyzer
Test includes
CK R; CK Angle; CK MA; CK CI; CK EPL; CK LY30; CKH R; CKH Angle; CKH MA; CKH CI; CKH LY30; % Inhibition ADP; ADP MA; ADP G; % Inhibition AA; AA MA; AA G; Interpretation; Note.
Reference ranges
  
CK R          2-8
CK Angle      55-78
CK MA         51-69
CK CI
CK EPL        0-15
CK LY30       0-8
CKH R         2-8
CKH Angle     55-78
CKH MA        51-69
CKH CI
CKH EPL       0-15
CKH LY30      0-9
% Inhibition  0
 ADP
ADP MA
ADP G         GT 10
% Inhibition  0
 AA
AA MA         
AA G          GT 10
Interpretation
Note

[5609]


TEICHOIC ACID ANTIBODY
Order Code TEICHOIC Test Code TEICH
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Plasma samples.
CPT codes 86329
Test schedule Mon, Thu, Sat
Turnaround time 2-6 days
Method ID
Test includes
Teichoic Acid Antibody, Titer.
Reference ranges
  
Teichoic Acid Ab         Titer  
 Normal  None detected          
 1:2 or greater suggestive of infection.
 Titers of 1:2 or greater indicate 
 possible deep-seated S. aureus 
 infection.

[1558]


TEMAZEPAM (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCTEM Test Code TLCTEM
Synonyms Restoril,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Temazepam
Notes
Test is also included in Drug-Sur as part of panel.

[6982]


TESTICULAR FUNCTION PROFILE
Order Code TFP Test Code TFP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 4 mL  Minimum volume 2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Plasma, grossly hemolyzed or grossly lipemic serum.
Department Immunochemistry, SHMC-Immunology
CPT codes 83002, 83001, 84403
Turnaround time 2-4 days
Method ICMA
Test includes
FSH, mIU/mL; LH, mIU/mL; Testosterone, ng/dL.
Reference ranges
  
FSH                            mIU/mL
 M  Prepubertal     0-4.5
    Pubertal        0.3-9.0
    Adult           1.4-11.2    
 F  Prepubertal     0-4.5
    Pubertal        0.3-9.0
    Follicular      3.2-11.3
    Midcycle peak   4.2-19.4       
    Luteal phase    1.5-6.9                   
    Postmenopausal  23.2-121.3
LH                             mIU/mL
 M Prepubertal      0-1.0 
   Pubertal         0.4-7.0
   Adult            1.7-8.6                 
 F
  Prepubertal       0-1.0
  Pubertal          0.4-12.0
  Follicular        2.4-12.6 
  Midcycle peak     14.0-95.6
  Luteal phase      1.0-11.4  
  Post menopausal   7.7-58.5
Total Testosterone              ng/dL 
 M Premature 26-28 wks    49-104
   Premature 31-59 wks    31-164
   Newborn                62-332
   1-7 mo                 Levels
   decrease rapidly the first week
   to 17-50 ng/dL and then increase
   to 50-332 ng/dL between 20-60 days.
   Levels then decline to prepubertal
   range levels of 2-8 ng/dL by seven
   months.
   7-9 yrs                0-7
   10-11 yrs              2-47
   12-13 yrs              6-620
   14-15 yrs              27-486
   16-17 yrs              154-735
   18-39 yrs              332-896
   40-59 yrs              291-739
   60 yrs +               291-598
 Tanner Stage I           0-16
 Tanner Stage II          2-124
 Tanner Stage III         6-632
 Tanner Stage IV          136-709
 Tanner Stage V           161-650
 F Premature 26-28 wks    4-13
   Premature 31-59 wks    4-18
   Newborn                17-53
   1-7 mo                 Levels
   decrease during the first month
   to LT 8 ng/dL and remain at this
   level until puberty.
   7-9 yrs                0-12
   10-11 yrs              2-35
   12-13 yrs              5-53
   14-15 yrs              7-41
   16-17 yrs              7-52
   18-30 yrs              9-49
   31-40 yrs              9-56
   41-51 yrs              7-46
   Postmenopausal         5-21      
 Tanner Stage I           1-13
 Tanner Stage II          3-32
 Tanner Stage III         8-50
 Tanner Stage IV          7-52
 Tanner Stage V           8-50

[1560]


TESTOSTERONE, BIOAVAILABLE & TOTAL + SHBG, BY LC-MS/MS
Order Code TESBFC Test Code TESBFC
This test is suggested when improved sensitivity of testosterone by LC-MS/MS is necessary.
Synonyms TESBIO
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.4 mL
Collection procedure Specimen should be collected between 6-10 a.m.
Specimen processing Separate serum from cells ASAP and put into separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions EDTA plasma.
Alternate specimens Lithium heparin plasma (green top tube), Serum Separator Tubes (SST).
CPT codes 84403, 84270
Test schedule Sun-Sat
Turnaround time 2-5 days
Method HPLC/MS/ICMA
Test includes
Testosterone, LC-MS, Bioavailable, ng/dL; Testosterone, Free, pg/mL; Testosterone, Total, ng/dL; Sex Hormone Binding Globulin, nmol/L.
Reference ranges
  
Testosterone, LC-MS             ng/dL
 Bioavailable
  F 1-6 yrs                LT 1.3             M  1-6 yrs               LT 1.3
    7-9 yrs                0.3-5.0               7-9 yrs               0.3-2.8
    10-11 yrs              0.4-9.6               10-11 yrs             0.1-17.9
    12-13 yrs              1.7-18.8              12-13 yrs             1.4-288.0
    14-15 yrs              3.0-22.6              14-15 yrs             9.5-337.0
    16-17 yrs              3.3-28.6              16-17 yrs             35.0-509.0
    18-30 yrs              2.2-20.6              18 yrs & older        130-680
    31-40 yrs              4.1-25.5              Tanner Stage I        0.3-13.0
    41-51 yrs              2.8-16.5              Tanner Stage II       0.3-59.0
    Postmenopausal         1.5-9.4               Tanner Stage III      1.9-296.0
    Tanner Stage I         0.3-5.5               Tanner Stage IV       40.0-485.0
    Tanner Stage II        1.2-15.0              Tanner Stage V        124.0-596.0
    Tanner Stage III       3.8-28.0
    Tanner Stage IV        2.8-39.0
    Tanner Stage V         2.5-23.0
Testosterone, Free              pg/mL
 F 1-6 yrs                 LT 0.6             M  1-6 yrs               LT 0.6
   7-9 yrs                 0.6-1.8               7-9 yrs               0.1-0.9
   10-11 yrs               0.1-3.5               10-11 yrs             0.1-6.3
   12-13 yrs               0.9-6.8               12-13 yrs             0.5-98.0
   14-15 yrs               1.2-7.5               14-15 yrs             3-138.0
   16-17 yrs               1.2-9.9               16-17 yrs             38.0-173.0
   18-30 yrs               0.8-7.4               18 yrs & older        47-244
   31-40 yrs               1.3-9.2               Tanner Stage I        3.7 or less
   41-51 yrs               1.1-5.8               Tanner Stage II       0.3-21
   Postmenopausal          0.6-3.8               Tanner Stage III      1.0-98.0
   Tanner Stage I          LT 2.2                Tanner Stage IV       35.0-169.0
   Tanner Stage II         0.4-4.5               Tanner Stage V        41.0-239.0
   Tanner Stage III        1.3-7.5
   Tanner Stage IV         1.1-15.5
   Tanner Stage V          0.8-9.2
Testosterone, Total             ng/dL
 F Premature(26-28 wks)    5-16               M  Premature (26-28 wks) 59-125
   Premature(31-35 wks)    5-22                  Premature (31-35 wks) 37-198
   Newborn                 20-64                 Newborn               75-400
   1-7 months: Levels decrease during            1-7 mo: Levels decrease rapidly the first
   the first month to LT 10 ng/dL &              week to 20-50, and then increase to 60-400           
   remain at this level until puberty.           between 20-60 days. Levels then decline to
   7-9 yrs                 LT 15                 prebubertal range levels of 3-10 by 7 months.
   10-11 yrs               2-42                  7-9 yrs               LT 9
   12-13 yrs               6-64                  10-11 yrs             2-57                
   14-15 yrs               9-49                  12-13 yrs             7-747
   16-17 yrs               8-63                  14-15 yrs             33-585
   18-30 yrs               11-59                 16-17 yrs             185-886
   31-40 yrs               11-56                 18-39 yrs             300-1080
   41-51 yrs               9-55                  40-59 yrs             300-890
   Postmenopausal          6-25                  60 yrs & older        300-720
   Tanner Stage I          LT 17                 Tanner Stage I        LT 20
   Tanner Stage II         4-39                  Tanner Stage II       2-149
   Tanner Stage III        10-60                 Tanner Stage III      7-762
   Tanner Stage IV         8-63                  Tanner Stage IV       164-854
   Tanner Stage V          10-60                 Tanner Stage V        194-783
Sex Hormone Binding Globulin   nmol/L
 F 1-30 days               14-60              M  1-30 days             13-85
   31-364 days             60-215                31-364 days           70-250
   1-3 yrs                 60-190                1-3 yrs               50-180
   4-6 yrs                 55-170                4-6 yrs               45-175
   7-9 yrs                 35-170                7-9 yrs               28-190
   10-12 yrs               17-155                10-12 yrs             23-160
   13-15 yrs               11-120                13-15 yrs             13-140
   16-17 yrs               19-145                16-17 yrs             10-60
   18 yrs +                30-135                18 yrs & older        11-80
   Tanner Stage I          30-173                Tanner Stage I        26-286
   Tanner Stage II         16-127                Tanner Stage II       22-169
   Tanner Stage III        12-98                 Tanner Stage III      13-104
   Tanner Stage IV         14-151                Tanner Stage IV       11-60
   Tanner Stage V          23-165                Tanner Stage V        11-71

[1562]


TESTOSTERONE, BIOAVAILABLE FREE & TOTAL + SHBG ( ADULT MALES)
Order Code TEBSHB Test Code TEBSHB
Synonyms TESBIO
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.4 mL
Collection procedure Specimen should be collected between 6-10 a.m.
Specimen processing Separate serum from cells ASAP and put into separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 1 week   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions EDTA plasma.
Alternate specimens Lithium heparin plasma (green top tube).
CPT codes 84403, 84270
Test schedule Sun-Sat
Turnaround time 2-4 days
Method Electrochemiluminescent Immunoassay
Test includes
Testosterone, Bioavailable Adult Male, ng/dL; Testosterone, Free, Adult Male, pg/mL; Testosterone, Percentage Free, %; Testosterone, Total, ng/dL; Sex Hormone Binding Globulin, nmol/L.
Reference ranges
  
Testosterone, Bioavailable      ng/dL
 Adult 
 M 14-15 yrs               10-337
   16-17 yrs               35-509
   18 yrs +                131-682
   Tanner Stage IV         40-485
   Tanner Stage V          124-596
Testosterone, Free              pg/mL
 M 14-15 yrs               3-138
   16-17 yrs               38-173
   18 yrs+                 47-244
   Tanner Stage IV         35-169
   Tanner Stage V          41-239
   To convert to pmol/L, multiply
   pg/mL by 3.47
   The concentration of Free Testosterone
   is derived from a mathmatical
   expression based on the constant for
   the binding of testosterone to sex
   hormone binding globulin.
Testosterone, Percentage Free    %
 M                         1.6-2.9

Testosterone, Total             ng/dL
 M 14-15 yrs               33-585
   16-17 yrs               185-886
   18-39 yrs               300-1080
   40-59 yrs               300-890
   60 yrs +                300-720
   Tanner Stage IV         165-854
   Tanner Stage V          194-783
Sex Hormone Binding Globulin   nmol/L
 M 1-30 days               13-85
   31-364 days             70-250
   1-3 yrs                 50-180
   4-6 yrs                 45-175
   7-9 yrs                 28-190
   10-12 yrs               23-160 
   13-15 yrs               13-140
   16-17 yrs               10-60
   18 yrs+                 11-80
   Tanner Stage I          26-286
   Tanner Stage II         22-169
   Tanner Stage III        13-104
   Tanner Stage IV         11-60
   Tanner Stage V          11-71

[1563]


TESTOSTERONE, FREE
Order Code TES.FR Test Code TESTFR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Required patient info Indicate patient's sex.
Stability-   Room temp   Refrigerated 3 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Gross lipemia. Avoid repeat freeze/thaw cycles.
Alternate specimens Heparinized plasma (green top tube).
Department Immunology
CPT codes 84402
Test schedule Sun-Fri
Turnaround time 1-3 days
Method RIA
Test includes
Testosterone, Free, pg/mL.
Reference ranges
  
Testosterone Free              pg/mL
 20-49 yrs   M   5-40    
 50+ yrs     M   5-25     
 20-39 yrs   F   0.2-2.6 
 40-59 yrs   F   0.2-2.0  
 60-80 yrs   F   0.2-1.6 
 Levels increase during puberty to adult values,
 and are related to pubertal stage rather than
 age.

[1564]


TESTOSTERONE, FREE & TOTAL + SHBG, MALE
Order Code TESBFM Test Code TESBFM
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.4 mL
Collection procedure Specimen should be collected between 6-10 a.m.
Specimen processing Separate serum from cells ASAP and put into separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 1 week   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions EDTA plasma.
Alternate specimens Lithium heparin plasma (green top tube), Serum Separator Tubes (SST).
CPT codes 84403, 84270
Test schedule Sun-Sat
Turnaround time 2-4 days
Method Electrochemiluminescent Immunoassay
Test includes
Testosterone, Free, pg/mL; Testosterone, Percentage Free, %; Testosterone, Total, ng/dL; Sex Hormone Binding Globulin, nmol/L.
Reference ranges
  
Testosterone, Free              pg/mL
 M 14-15 yrs               3-138
   16-17 yrs               38-173
   18 yrs+                 47-244
   Tanner Stage IV         35-169
   Tanner Stage V          41-239
   To convert to pmol/L, multiply
   pg/mL by 3.47.
   The concentration of Free Testosterone
   is derived from a mathmatical
   expression based on the constant for
   the binding of testosterone to sex
   hormone binding globulin.
Testosterone, Percentage Free    %
 M                         1.6-2.9

Testosterone, Total             ng/dL
 M 14-15 yrs               33-585
   16-17 yrs               185-886
   18-39 yrs               300-1080
   40-59 yrs               300-890
   60 yrs +                300-720
   Tanner Stage IV         165-854
   Tanner Stage V          194-783
Sex Hormone Binding Globulin   nmol/L
 M 1-30 days               13-85
   31-364 days             70-250
   1-3 yrs                 50-180
   4-6 yrs                 45-175
   7-9 yrs                 28-190
   10-12 yrs               23-160 
   13-15 yrs               13-140
   16-17 yrs               10-60
   18 yrs+                 11-80
   Tanner Stage I          26-286
   Tanner Stage II         22-169
   Tanner Stage III        13-104
   Tanner Stage IV         11-60
   Tanner Stage V          11-71

[1565]


TESTOSTERONE, TOTAL
Order Code TES Test Code TESTOT
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Required patient info Indicate patient's sex.
Stability-   Room temp 8 hours   Refrigerated 8 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Freeze/thaw no more than 2 times.
Alternate specimens Heparinized plasma (green top tube).
Department Immunology
CPT codes 84403
Test schedule Sun-Fri
Turnaround time 1-3 days
Method ICMA
Test includes
Testosterone, Total, ng/dL.
Reference ranges
  
Total Testosterone              ng/dL 
 M Premature 26-28 wks    49-104
   Premature 31-59 wks    31-164
   Newborn                62-332
   1-7 mo                 Levels
   decrease rapidly the first week
   to 17-50 ng/dL and then increase
   to 50-332 ng/dL between 20-60 days.
   Levels then decline to prepubertal
   range levels of 2-8 ng/dL by seven
   months.
   7-9 yrs                0-7
   10-11 yrs              2-47
   12-13 yrs              6-620
   14-15 yrs              27-486
   16-17 yrs              154-735
   18-39 yrs              332-896
   40-59 yrs              291-739
   60 yrs +               291-598
 Tanner Stage I           0-16
 Tanner Stage II          2-124
 Tanner Stage III         6-632
 Tanner Stage IV          136-709
 Tanner Stage V           161-650
 F Premature 26-28 wks    4-13
   Premature 31-59 wks    4-18
   Newborn                17-53
   1-7 mo                 Levels
   decrease during the first month
   to LT 8 ng/dL and remain at this
   level until puberty.
   7-9 yrs                0-12
   10-11 yrs              2-35
   12-13 yrs              5-53
   14-15 yrs              7-41
   16-17 yrs              7-52
   18-30 yrs              9-49
   31-40 yrs              9-56
   41-51 yrs              7-46
   Postmenopausal         5-21      
 Tanner Stage I           1-13
 Tanner Stage II          3-32
 Tanner Stage III         8-50
 Tanner Stage IV          7-52
 Tanner Stage V           8-50

[1566]


TESTOSTERONE, TOTAL & FREE
Order Code TES.FR&T Test Code TESTF
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Required patient info Indicate patient's sex.
Stability-   Room temp 8 hours   Refrigerated 8 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Gross lipemia. Avoid repeat freeze/thaw cycles.
Alternate specimens Heparinized plasma (green top tube).
Department Immunology
CPT codes 84403, 84402
Test schedule Sun-Fri
Turnaround time 1-3 days
Method ICMA
Test includes
Testosterone, Total, ng/dL; Testosterone, Free, pg/mL.
Reference ranges
  
Total Testosterone              ng/dL 
 M Premature 26-28 wks    49-104
   Premature 31-59 wks    31-164
   Newborn                62-332
   1-7 mo                 Levels
   decrease rapidly the first week
   to 17-50 ng/dL and then increase
   to 50-332 ng/dL between 20-60 days.
   Levels then decline to prepubertal
   range levels of 2-8 ng/dL by seven
   months.
   7-9 yrs                0-7
   10-11 yrs              2-47
   12-13 yrs              6-620
   14-15 yrs              27-486
   16-17 yrs              154-735
   18-39 yrs              332-896
   40-59 yrs              291-739
   60 yrs +               291-598
 Tanner Stage I           0-16
 Tanner Stage II          2-124
 Tanner Stage III         6-632
 Tanner Stage IV          136-709
 Tanner Stage V           161-650
 F Premature 26-28 wks    4-13
   Premature 31-59 wks    4-18
   Newborn                17-53
   1-7 mo                 Levels
   decrease during the first month
   to LT 8 ng/dL and remain at this
   level until puberty.
   7-9 yrs                0-12
   10-11 yrs              2-35
   12-13 yrs              5-53
   14-15 yrs              7-41
   16-17 yrs              7-52
   18-30 yrs              9-49
   31-40 yrs              9-56
   41-51 yrs              7-46
   Postmenopausal         5-21      
 Tanner Stage I           1-13
 Tanner Stage II          3-32
 Tanner Stage III         8-50
 Tanner Stage IV          7-52
 Tanner Stage V           8-50   
Testosterone Free              pg/mL
 20-49 yrs   M   5-40    
 50+ yrs     M   5-25     
 20-39 yrs   F   0.2-2.6 
 40-59 yrs   F   0.2-2.0  
 60-80 yrs   F   0.2-1.6 
 Levels increase during puberty to adult values,
 and are related to pubertal stage rather than
 age.
Notes
Sample stabilities for Total Testosterone are less strict than for Free Testosterone. If retesting only that component, consult that listing.

[1567]


Testosterone, Total & Free, Serum (Mayo)
Order Code TSTFED Test Code TSTFED
Specimen Required
       Container type Plain red top tube  Specimen type Serum  Preferred volume 2.5 mL  Minimum volume 2 mL
Specimen processing Separate serum from cells and put in a separate plastic tube. Store and transport refrigerated.
Required patient info Include age and gender.
Stability-   Room temp Unacceptable   Refrigerated 14 days   Frozen (-20°C) 14 days   Frozen (-70°C)
Unacceptable conditions Hemolysis, Lipemia, Icteric samples. Samples collected in gel separator tubes.
Limitations Serum separator gel tubes are not acceptable.
CPT codes 84402, 84403
Test schedule Mon-Fri, Sun
Turnaround time 5 days
Method Equilibrium Dialysis, LC/MS/MS
Test includes
Testosterone Free, S, ng/dL; Testosterone Total, S, ng/dL

[6395]


TESTOSTERONE, URINE (QUANTITATIVE)
Order Code TES-U Test Code TESUQ
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection.  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Frozen aliquot 2 mL of a well-mixed refrigerated 24 hour urine collection into a leakproof plastic urine container. Record total volume. Store and transport frozen.
Required patient info Record total volume and collection time interval on transport tube and request form.
Stability-   Room temp 2 hours   Refrigerated 7 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens Refrigerated 24 hour urine preseved with boric acid (1 gram per 100 mL urine) and samples previously preserved with HCl if stored and transported refrigerated.
CPT codes 84403
Test schedule Sat
Turnaround time 2-8 days
Method Chemiluminescent Immunoassay
Test includes
Collection Period, hr; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Testosterone, Urine, ug/d.
Reference ranges
  
Collection Period              hr
Volume                         mL
Creatinine, Ur                 mg/dL
Creatinine, Ur                 mg/d
 M 0-2 yrs     Not established
   3-8 yrs     140-700
   9-12 yrs    300-1300
   13-17 yrs   500-2300
   18-50 yrs   1000-2500
   51-80 yrs   800-2100
   81+ yrs     600-2000
 F 0-2 yrs     Not established
   3-8 yrs     140-700
   9-12 yrs    300-1300
   13-17 yrs   400-1600
   18-50 yrs   700-1600
   51-80 yrs   500-1400
   81+ yrs     400-1300                       
Testosterone, Ur               ug/d
 M  20-125
 F  5-34

[1568]


TESTOSTERONE, WEAKLY BINDING
Order Code TESTFW Test Code TESTFW
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 4 mL  Minimum volume 2 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
CPT codes 84403, 84402, 82491
Test schedule Sunday
Turnaround time 3-12 days
Method CL/RIA/ASP
Test includes
Testosterone Free, ng/dL; Testosterone Bioavailable, ng/mL; Testosterone Total, ng/dL.
Reference ranges
  
Testosterone, Free                ng/dL
 M  20-50 yrs       0.95-4.30
    GT 50 yrs       0.80-3.50
 F  Ovulating       Up to 0.38
    Postmenopausal  Up to 0.18
 This test result or one or more of 
 its components was developed and its
 performance characteristics determined
 by Specialty Lab. It has not been 
 cleared or approved by the FDA. The
 FDA has determined that such clearance
 or approval is not necessary.
Testosterone, Bioavailable        ng/dL
 M  1-5 yrs         1-10
    6-9 yrs         1-12
    10-11 yrs       2-20
    12-14 yrs       4-230
    15-17 yrs       88-320
    GT 17 yrs       62-512
 F  1-5 yrs         1-4
    6-9 yrs         1-8
    10-11 yrs       2-10
    12-14 yrs       4-16
    15-17 yrs       2-31
    GT 17 yrs       1-37
Testosterone, Total               ng/dL
 M  Prepubertal     LT 100
    (LT 12 yrs)
    12-14 yrs       10-572
    15-17 yrs       220-800
    GT 17 yrs       241-827
 F  Prepubertal     LT 80
    (LT 12 yrs)
    12-14 yrs       10-40
    15-17 yrs       5-40
    GT 17 yrs       14-76

[1569]


TETANUS ANTIBODY, IGG
Order Code TETABG Test Code TETAB
Pre-and post-vaccination samples recommended.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Pre and Post (1 month) vaccine specimens are recommended and must be clearly labelled. They should be submitted together for testing. Post sample should be drawn 30 days after immunization and, if shipped separately, must be received within 60 days of pre sample. Please clearly mark samples "pre-vaccine" or "post-vaccine" so that samples will be saved and tested simultaneously.
Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year (avoid repeated freeze/thaw cycles)   Frozen (-70°C)
Unacceptable conditions Plasma specimens or other body fluids, severely lipemic, contaminated or hemolyzed samples.
CPT codes 86317
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method Multi-analyte Fluorescent Detection
Test includes
Tetanus Antibody, IgG, IU/mL.
Reference ranges
  
Tetanus Antibody, IgG        IU/mL
 Antibody concentration of 0.10 IU/mL
 is usually considered protective.
 Responder status is determined 
 according to the ratio of a one-month
 post-vaccination sample to pre-
 vaccination concentration of tetanus
 IgG antibodies as follows:
  1. If the one-month post-vaccination
  concentration is LT 1.00 IU/mL, the
  patient is considered a non-responder.
  2. If the post-vaccination concentra-
  tion is GT or equal to 1.00 IU/mL,
  a patient with a ratio of LT 1.5 a
  non-responder; a ratio of 1.5 to LT
  1.3, a weak responder; and a ratio 
  of 3.0 or greater, a good responder.
  3. If the pre-vaccination concentra-
  tion is GT 1.00 IU/mL, it may be
  difficult to assess the response 
  based on a ratio alone. A post-
  vaccination concentration above
  2.50 IU/mL in this case is usually
  adequate.

[1570]


THALLIUM, BLOOD
Order Code THALLIUM Test Code THALL
Specimen Required
       Container type Royal blue top tube (metal free NA2 EDTA)  Specimen type NA2EDTA whole blood  Preferred volume 7 mL  Minimum volume 1 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp If the sample is drawn and stored in the appropriate container, the trace element values do not change with time.   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Heparin anticoagulant.
Alternate specimens K2EDTA whole blood (K2EDTA royal blue top tube).
CPT codes 83018
Test schedule Tue, Fri
Turnaround time 3-7 days
Method ICP/MS
Test includes
Thallium, Blood, ug/L.
Reference ranges
  
Thallium, Blood     0.0-10.0    ug/L

[1571]


THEOPHYLLINE
Order Code THEO Test Code THEO
Synonyms Aminophylline; Elixophyllin
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Collection procedure Draw just prior to next oral dose. Note times of dose and drawing.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Required patient info Note times of dose and drawing.
Stability-   Room temp 2 days   Refrigerated 8 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Alternate specimens Plasma specimens. SST and other gel-type tubes, however, they may artifactually, randomly lower results if not promptly centrifuged and separated.
Department Chemistry
CPT codes 80198
Test schedule Sun-Sat and STAT
Turnaround time 24-48 hours
Method CMIA
Test includes
Theophylline, ug/mL.
Reference ranges
  
Theophylline              ug/mL 
 Therapeutic   10.0-20.0
 Toxic         GT 20.0

[1572]


THEOPHYLLINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCTHE Test Code TLCTHE
Synonyms Asthma medicine,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 20000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Theophylline
Notes
Test is also included in Drug-Sur as part of panel.

[6981]


THIOCYANATE
Order Code THIOCYANATE Test Code THIO
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 6 mL  Minimum volume 3.5 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens EDTA or heparinized plasma ( lavender or green top tube).
Department Chemistry
CPT codes 84430
Test schedule Mon-Fri, days
Turnaround time 1-3 days
Method Colorimetric
Test includes
Thiocyanate, mg/dL.
Reference ranges
  
Thiocyante                   mg/dL
 Therapeutic   1.0-2.5 During prolonged
               therapy (8 days)      
 Toxic         GT 10.0

[1573]


THIOPURINE METHYLTRANSFERASE, RBC
Order Code TMTR Test Code TMTR
Specimen Required
       Container type Lavender top tube  Specimen type EDTA whole blood  Preferred volume 5 mL  Minimum volume 3 mL
Specimen processing Store and transport refrigerated.shipping instruction code
Stability-   Room temp unacceptable   Refrigerated 3 days   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Hemolyzed, room temperature or frozen samples.
Alternate specimens K2EDTA whole blood (pink top tube), Sodium or Lithium heparin (green top tube).
CPT codes 82657
Test schedule Tue, Fri
Turnaround time 5-6 days
Method Enzymatic/HPLC
Test includes
Thiopurine Methyltransferase, RBC.
Reference ranges
  
Thiopurine Methyltransferase, RBC.

[5526]


THIORIDAZINE & METABOLITE QUANTITATIVE
Order Code THIODZ Test Code THIODZ
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.7 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Wrap in foil; this specimen must be protected from light. Store and transport refrigerated or at room temperature.
Stability-   Room temp 8 days   Refrigerated 8 days   Frozen (-20°C) 12 months   Frozen (-70°C)
Unacceptable conditions Do not use serum separator tubes.
CPT codes 84022
Test schedule Mon-Thu
Turnaround time 2-4 days
Method GC
Test includes
Thioridazine, ng/mL; Mesoridazine, ng/mL.
Reference ranges
  
Thioridazine                     ng/mL
 100-2600 ng/mL following chronic
 400 mg daily dose.
Mesoridazine    100-1400         ng/mL

[1574]


THIOTHIXENE
Order Code NAVANE Test Code THIOTH
Synonyms Navane
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1.5 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Do not freeze. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 5 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Frozen specimens.
Alternate specimens EDTA, sodium heparinized or fluoride/potassium oxalated plasma (lavender, green or grey top tube).
Limitations Avoid the use of serum separator tubes and gels. Do not freeze.
CPT codes 80299
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method HPLC
Test includes
Thiothixene, ng/mL.
Reference ranges
  
Thiothixene               ng/mL
 1.0-12.0 The lowest possible plasma
 concentration at which therapeutic 
 effect is exhibited should be sought.

[1575]


THROMBIN TIME & FIBRINOGEN (REFLEXIVE)
Order Code TTFIB Test Code TTFIB
Separate samples must be submitted when multiple tests are ordered.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85384, 85670
Test schedule Daily
Turnaround time 24-48 hours
Method Electromechanical
Test includes
Thrombin Time Patient, sec; Thrombin Time Control, sec; Thrombin Time PT/CT Mix, sec; Thrombin Time PT/PSO4 Mix, sec; Fibrinogen, mg/dL.
Reference ranges
  
Thrombin Time Patient      15.6-20.0 sec
Thrombin Time Control      15.6-20.0 sec
Thrombin Time PT/CT Mix              sec
Thrombin Time PT/PSO4 Mix            sec
Fibrinogen                 211-419   mg/dL
Notes
Both thrombin time and the fibrinogen will be done regardless of the results.

[1576]


THROMBIN TIME (REFLEXIVE)
Order Code XTT Test Code XTT
Thrombin Time is a qualitative test for how well fibrinogen functions. Separate samples must be submitted when multiple tests are ordered.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 0.5 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85670
Test schedule Daily
Turnaround time 24-48 hours
Method Electromechanical
Test includes
Thrombin Time; Patient, sec; Control, sec; PT/CT Mix, sec; PT/PS Mix, sec.
Reference ranges
  
Thrombin Time
 Patient     15.6-20.0  sec
 An abnormal thrombin time may be
 found with low levels of fibrinogen
 as well s with other abnormalities. 
 Evaluation of fibrinogen levels and
 their studies may be necessary to
 interpret abnormal thrombin times.
 Control     15.6-20.0  sec
 PT/CT Mix              sec
 PT/PS Mix              sec

[1577]


THROMBIN TIME TO FIBRINOGEN (REFLEXIVE)
Order Code TTIME Test Code TTIME
Separate samples must be submitted when multiple tests are ordered.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85670
Test schedule Daily & STAT
Turnaround time 24-48 hours
Method Electromechanical
Test includes
Thrombin Time Patient, sec; Thrombin Time Control, sec; Thrombin Time PT/CT Mix, sec; Thrombin Time PT/PSO4 Mix, sec; Fibrinogen, mg/dL.
Reference ranges
  
Thrombin Time Patient      15.6-20.0 sec
Thrombin Time Control      15.6-20.0 sec
Thrombin Time PT/CT Mix              sec
Thrombin Time PT/PSO4 Mix            sec
Fibrinogen                 211-419   mg/dL
Notes
If the thrombin time is abnormal, this test reflexes to a fibrinogen, and an additional charge will be added.

[1578]


THROMBIN-ANTITHROMBIN COMPLEX
Order Code TANTIC Test Code TANTIC
Specimen Required
       Container type Blue top tube (liquid buffered sodium citrate)  Specimen type Frozen citrated plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate plasma from cells and put in separate plastic tube and freeze. Store and transport frozen.
CPT codes 83520
Test schedule Mon, Thu
Turnaround time 3-8 days
Method ELISA
Test includes
Thrombin-Antithrombin Complex, ng/mL.
Reference ranges
  
Thrombin-Antithrombin Complex   LT 5.1   ng/mL

[1579]


THYROGLOBULIN (REFLEXIVE)
Order Code THYRO Test Code THYRO
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Thyroglobulin; Tg; Thryoglobulin Assay for Thyroid Cancer; Tumor Marker
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from the cells and place in separate plastic tube. Store & transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated Thyroglobulin -7 days, Thyroglobulin Autoantibodies-2 weeks.   Frozen (-20°C) both 1 month   Frozen (-70°C)
Unacceptable conditions Repeat freeze/thaw cycles, lipemic, iceric or grossly hemolyzed samples.
Limitations Unable to perform if autoantibodies are present.
Department Immunology
CPT codes 86800
Test schedule Sun-Fri eve
Turnaround time 1-3 days
Method ICMA-Immulite; ICMA-Beckman Coulter
Test includes
Thyroglobulin Autoantibodies, IU/mL; Thyroglobulin , ng/mL.
Reference ranges
  
Thyroglobulin Autoantibodies    0.0-40.0   IU/mL
Thyroglobulin                   1.2-35.0   ng/mL
Notes
If the thyroglobulin autoantibodies are negative, a thyroglobulin will be done. An additional fee will be added.

[1580]


THYROGLOBULIN (TG) + TGAB [USC]
Order Code THRUSC Test Code THRUSC
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL
Specimen processing Allow to clot for 60 minutes and centrifuge for 15 minutes and separate the serum from the cells and put in separate plastic tube. Store and transport refrigerated.
Alternate specimens Serum (Red top tube).
CPT codes 86800, 84432
Test includes
TgAb, U/mL; Thyroglobulin, ng/mL; Comment.
Reference ranges
  
TgAb     LT 0.4          U/mL
Thyroglobulin            ng/mL
Comment

[5521]


THYROGLOBULIN AUTOANTIBODIES
Order Code TG.AB Test Code TG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 days   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed, lipemic and icteric specimens.
Department Immunology
CPT codes 86800
Test schedule Sun-Fri eve
Turnaround time 1-3 days
Method ICMA
Test includes
Thyroglobulin Autoantibodies, IU/mL.
Reference ranges
  
Thyroglobulin Autoantibodies      0.0-40.0     IU/mL

[1581]


THYROID PEROXIDASE ANTIBODY
Order Code TPO.AB Test Code TPO
Synonyms Anti-TPO; TPO AB; Antithyroid Peroxidase Antibody; Microsomal Antibody; Anti-microsomal Antibody; TPO Auto Antibody; TPO Autoantibody
Specimen Required
       Container type SST  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 days   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed, lipemic or icteric specimens.
Department Immunology
CPT codes 86376
Test schedule Sun-Fri eve
Turnaround time 1-3 days
Method ICMA
Test includes
Thyroid Peroxidase Autoantibodies, IU/mL.
Reference ranges
  
Thyroid Peroxidase Autoantibodies        IU/mL
 0.0-35.0

[1582]


THYROID PROFILE
Order Code BTB Test Code BTB
Synonyms Free Thyroxin Index (FTI); BTB; FTI
Specimen Required
       Container type Red top tube (plain) or SST  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 4 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Department Immunochemistry
CPT codes 84479, 84436
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
FTI; T3 Uptake, %; Total T4, ug/dL.
Reference ranges
  
FTI                 5.0-12.0
T3 Uptake           22.5-37.0  %
T4                             ug/dL
 M  0-30 days       3.0-14.3
    1-12 mo         5.2-16.3
    1-5 yrs         5.5-11.4
    5-10 yrs        5.3-10.5
    10-15 yrs       4.5-10.3
    15-18 yrs       4.9-8.8
 F  0-30 days       3.0-13.3
    1-12 mo         4.6-13.3
    1-5 yrs         6.3-12.8
    5-10 yrs        5.3-10.8
    10-15 yrs       4.9-10.0
    15-18 yrs       5.1-10.0
 Adults   18 yrs+   5.0-12.0
Notes
Client may phone in request for TSH or T3 by ICMA if thyroid results indicate additional testing necessary.

[1583]


THYROID STIMULATING HORMONE 3RD GENERATION
Order Code TSH3G Test Code TSH3G
Synonyms TSH 3rd Generation; TSH 3
Specimen Required
       Container type SST Tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Allow serum to clot completely at room temperature. Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed samples.
Alternate specimens Heparinized or EDTA plasma.
Department Immunochemistry
CPT codes 84443
Test schedule Mon, Wed, Fri
Turnaround time 1-3 days
Method Immunochemiluminometric Assay
Test includes
TSH 3rd Generation, uIU/mL.
Reference ranges
  
TSH 3rd Generation            uIU/mL
 M  0-30 days     0.520-16.000
    1 mo-5 yrs    0.550-7.100
    5-18 yrs      0.370-6.000
    18 yrs+       0.400-5.000
 F  0-30 days     0.720-13.100
    1 mo-5 yrs    0.460-8.100
    5-18 yrs      0.360-5.800
    18 yrs+       0.400-5.000

[5546]


THYROID STIMULATING HORMONE RECEPTOR ANTIBODY TRAB
Order Code TSHRAB Test Code TSHRAB
Synonyms TRAb
Specimen Required
       Container type plastic tube  Specimen type Serum, Frozen  Preferred volume 1 mL  Minimum volume 0.3 mL
Collection procedure Collect 4 mL blood in a serum separator tube.
Specimen processing Separate serum from cells and place in a separate plastic tube. Store and transport frozen.
Stability-   Room temp 24 hours   Refrigerated 3 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma. Grossly hemolyzed or lipemic specimens.
CPT codes 83520
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Electrochemiluminescent Immunoassay
Test includes
TSH Receptor, IU/L
Reference ranges
  
TSH Receptor           LT or equal to 1.75    IU/L
 Positive results are consistent with autoimmune thyroid disease.

[5759]


THYROID STIMULATING IMMUNOGLOBULIN
Order Code TSIG Test Code TSIG
Synonyms TSI; LATS; Long Acting Thyroid Stimulator; Thyroid Stimulating Antibodies; Human Thyroid Stimulator; SIG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 3 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Plasma.
Department Virology
CPT codes 84445
Test schedule Wed, Fri
Turnaround time 3-5 days
Method Bioassay/Lumo
Test includes
Thyroid Stimulating Immunoglobulins, % of control.
Reference ranges
  
Thyroid Stimulating Immunoglobulin    % Basal Activity
 0-139 % of control
 Thyroid stimulating immunoglobulin (TSI) 
 are autoantibodies that recognize the 
 thyroid stimulating hormone receptor, leading
 to activation of cell adenylate
 cyclase. TSI activity is measured by 
 the ability of serum immunoglobulins
 to stimulate cyclic adenosine monophosphate
 (cAMP) production by a cell line expressing
 TSH receptors. Results are expressed
 as the % of basal activity, defined as the
 response to immunoglobulins from healthy 
 controls. TSI  are responsible for 
 hyperthyroidism associated with Graves 
 disease.

[1585]


THYROTROPIN BINDING INHIBITORY IMMUNOGLOBULIN
Order Code TBII Test Code TBII
Synonyms TBII
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport refrigerated or frozen.
Stability-   Room temp 2 days   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 84235
Test schedule Tue, Thu, Sat
Turnaround time 5-10 days
Method RRA
Test includes
TBII, %.
Reference ranges
  
TBII   16 % or less inhibition      %

[1586]


THYROXINE BINDING GLOBULIN
Order Code TBG Test Code TBG
Synonyms TBG
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 0.4 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 2 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma or grossly hemolyzed or lipemic specimens.
CPT codes 84442
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method ICMA
Test includes
Thyroxine Binding Globulin, ug/mL.
Reference ranges
  
TBG      13.0-30.0     ug/mL

[1588]


THYROXINE, FREE BY EQUILIBRIUM DIALYSIS/HPLC-TMS
Order Code FT4TMS Test Code FT4TMS
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 days   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 84439
Test schedule Mon-Fri
Turnaround time 3-6 days
Method Equilibrium Dialysis/HPLC-TMS
Test includes
Free T4 by Equilibrium Dialysis-TMS, ng/dL.
Reference ranges
  
Free T4 by Equilibrium Dialysis-TMS     ng/dL
 25-30 weeks           0.5-3.3
 31-36 weeks           1.3-4.7
 birth-1 week          2.2-5.3
 2-3 weeks             0.9-4.0
 1-11 months           1.1-2.2
 12 months-18 yrs      1.0-2.0
 19 yrs and older      1.1-2.4
 Pregnancy:
  1st Trimester        0.7-2.0
  2nd Trimester        0.7-2.1
  3rd Trimester        0.5-1.6

[5591]


TIAGABINE
Order Code TIAGA Test Code TIAGA
Synonyms Gabitril
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 2 mL
Collection procedure Draw just prior to dosing.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Limitations No SST tubes.
CPT codes 83789
Test schedule Mon-Fri
Turnaround time 4-6 days
Method LC/MS
Test includes
Tiagabine, ng/mL.
Reference ranges
  
Tiagabine             ng/mL
 Trough levels of 5-70 have been reported
 as most probable range for seizure control.
 Peak concentrtions and elimination half-life
 are affected by fat content of food, time of
 day and concomitant medications.

[1590]


TISSUE TRANSGLUTAMINASE ANTIBODY, IGA
Order Code TTGIGA Test Code TTGIGA
Specimen Required
       Container type SST Tube  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples. Avoid repeated freeze/thaw cycles.
Department Immunology
CPT codes 83516
Test schedule Tue-Sat
Turnaround time 1-3 days
Method ELISA
Test includes
Tissue Transglutaminase Antibody, IgA, U/mL.
Reference ranges
  
Tissue Transglutaminase Ab, IgA    U/mL
 Negative   LT 4.0
 Equivocal  4.0-10.0
 Positive   GT 10.0
 tTG antibody, especially IgA, is 
 sensitive and specific for untreated
 celiac disease. Levels can decrease
 significantly in response to a gluten-
 free diet. The IgG assay is used 
 mainly to detect celiac patients who
 are IgA-deficient.

[1593]


TISSUE TRANSGLUTAMINASE ANTIBODY, IGG
Order Code TTGIGG Test Code TTGIGG
Specimen Required
       Container type SST Tube  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated 2 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat-inactivated samples. Avoid repeated freeze/thaw cycles.
Department Immunology
CPT codes 83516
Test schedule Tue-Sat
Turnaround time 1-3 days
Method ELISA
Test includes
Tissue Transglutaminase Antibody, IgG, U/mL.
Reference ranges
  
Tissue Transglutaminase Ab, IgG    U/mL
 Negative   LT 6.0
 Equivocal  6.0-9.0
 Positive   GT 9.0
 tTG antibody, especially IgA, is 
 sensitive and specific for untreated
 celiac disease. Levels can decrease
 significantly in response to a gluten-
 free diet. The IgG assay is used 
 mainly to detect celiac patients who
 are IgA-deficient.

[1594]


TOBRAMYCIN (PAIRED)
Order Code TOB2 Test Code TOBIN
Synonyms Nebcin
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Collection procedure For trough specimen, draw 15 minutes prior to next dose (no more that 1 hour prior). For peak dose draw 1 hour after IM dose or 1/2 hour after IV infusion completed. Clearly label specimens.
Specimen processing Separate serum or plasma from cells and place each in separate plastic tube and freeze. Clearly label specimens. Store and transport frozen. If other antibiotics present freeze within 8 hours.
Required patient info Trough and peak specimen, dates and times of dose and draw.
Stability-   Room temp   Refrigerated 1 day   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens Use the same sample type for the trough and the peak. Plain green top or PST (heparin) or SST. However, if gel separator is used, sample must be promptly separated. Also acceptable: Citrate, EDTA or oxalate plasma separated from cells or one mircotainer.
Limitations Patient samples which contain kanamycin or amikacin will yield falsely elevated values for tobramycin. High concentrations of penicillin or cephalosporins have been shown to inactivate aminoglycosides in vitro, lowering tobramycin results. Samples containing additional antibiotics should be promptly frozen to minimize interference.
Department Chemistry
CPT codes 80200 x 2
Test schedule Daily & STAT
Turnaround time 1-2 days
Method FPIA
Test includes
Tobramycin, Trough, ug/mL; Tobramycin, Peak, ug/mL.
Reference ranges
  
Tobramycin Infusion, Start
Tobramycin Infusion, End
Tobramycin, Trough 1.0-2.0      ug/mL
            Toxic  GT 2.0   
Tobramycin, Peak   5.0-10.0     ug/mL
            Toxic  GT 12.0 

[1595]


TOBRAMYCIN (SINGLE)
Order Code TOB Test Code TOBR
Synonyms Nebcin
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Draw trough specimen within 1 hour prior to next dose. Draw peak specimen 1 hour after IM dose or 1/2 hour after IV infusion completed. Clearly label specimen.
Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Clearly label specimen. Store and transport frozen.
Required patient info Trough or peak specimen, date and time of dose and draw.
Stability-   Room temp   Refrigerated 1 day   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens Use the same sample type for the trough and the peak. Plain green top or PST (heparin) or SST. However, if gel separator is used, sample must be promptly separated. Also acceptable: Citrate, EDTA or oxalate plasma separated from cells or one microtainer.
Limitations Patient samples which contain kanamycin or amikacin will yield falsely elevated values for tobramycin. High concentrations of penicillin or cephalosporins have been shown to inactivate aminoglycosides in vitro, lowering tobramycin results. Samples containing additional antibiotics should be promptly frozen to minimize interference.
Department Chemistry
CPT codes 80200
Test schedule Daily & STAT
Turnaround time 24-48 hours
Method FPIA
Test includes
Tobramycin, ug/mL.
Reference ranges
  
Tobramycin, Single Dose
 Trough     1.0-2.0      ug/mL
 Toxic      GT 2.0      
 Peak       5.0-10.0    
 Toxic      GT 12.0      ug/mL

[1596]


TOBRAMYCIN, PEAK
Order Code TOB.PK Test Code TOBRPK
Synonyms Nebcin
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum.  Preferred volume 1 mL  Minimum volume 0.3 mL
Collection procedure Draw peak 1 hour after IM dose or 1/2 hour after IV infusion completed. Note time of dose and drawing.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimen. Freeze within 8 hours if other antibiotics are present. Store and transport frozen.
Required patient info Time of dose and drawing.
Stability-   Room temp   Refrigerated 1 day   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens Use the same sample type for the trough and the peak. Plain green top or PST (heparin) or SST. However, if gel separator is used, sample must be promptly separated. Also acceptable: Citrate, EDTA or oxalate plasma separated from cells or one microtainer.
Limitations Patient samples which contain kanamycin or amikacin will yield falsely elevated values for tobramycin. High concentrations of penicillin or cephalosporins have been shown to inactivate aminoglycosides in vitro, lowering tobramycin results. Samples containing additional antibiotics should be promptly frozen to minimize interference.
Department Chemistry
CPT codes 80200
Test schedule Daily & STAT
Turnaround time 24-48 hours
Method FPIA
Test includes
Tobramycin, Peak, ug/mL.
Reference ranges
  
Tobramycin, Peak      5.0-10.0   ug/mL

[1597]


TOBRAMYCIN, TROUGH
Order Code TOB.TR Test Code TOBRTR
Synonyms Nebcin
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Collection procedure Draw trough 15 minutes prior to next dose (no more than 1 hour prior to next dose). Note time of dose and drawing.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimen. Store and transport frozen. If other antibiotics are present freeze within 8 hours.
Required patient info Time of dose and drawing.
Stability-   Room temp   Refrigerated 1 day   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Use the same sample type for the trough and the peak. Plain green top or PST (heparin) or SST. However, if gel separator is used, sample must be promptly separated. Also acceptable: Citrate, EDTA or oxalate plasma separated from cells or one microtainer.
Limitations Patient samples which contain kanamycin or amikacin will yield falsely elevated values for tobramycin. High concentrations of penicillin or cephalosporins have been shown to inactivate aminoglycosides in vitro, lowering tobramycin results. Samples containing additional antibiotics should be promptly frozen to minimize interference.
Department Chemistry
CPT codes 80200
Test schedule Daily & STAT
Turnaround time 1-2 days
Method FPIA
Test includes
Tobramycin, Trough, ug/mL.
Reference ranges
  
Tobramycin, Trough   1.0-2.0   ug/mL

[1598]


TOCAINIDE
Order Code TOC Test Code TOC
Synonyms Tonocard
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport at room temperature or refrigerated.
Unacceptable conditions Specimens collected in serum separator or gel type tubes.
CPT codes 82491
Test schedule Varies
Turnaround time Varies
Method GC
Test includes
Tocainide, mcg/mL.
Reference ranges
  
Tocainide                mcg/mL
 Therapeutic  4.0-10.0  
 Reported antiarrhythmic concentration.

[1599]


TOPIRAMATE
Order Code TOPARP Test Code TOPARP
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.4 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 6 weeks   Refrigerated 6 weeks   Frozen (-20°C) 6 weeks   Frozen (-70°C)
Unacceptable conditions No SST or gel-type tubes.
Alternate specimens Heparinized plasma (green top tube).
CPT codes 80201
Test schedule Mon-Fri
Turnaround time 2-5 days
Method FPIA
Test includes
Topiramate, ug/mL.
Reference ranges
  
Topiramate  Not well established  ug/mL
 The proposed therapeutic range for
 seizure control is 5-20 ug/mL.
 Pharmacokinetics varies widely
 particularly with c0-medications,
 age and/or compromised renal function.

[1600]


TOPIRAMATE BY GC
Order Code TOPGCN Test Code TOPGCN
Specimen Required
       Container type Plain Red top tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.7 mL
Collection procedure Draw peak level 2 hours post oral dose.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Unacceptable conditions Polymer gel separation tubes, SST or PST.
Alternate specimens Plasma in lavender or pink top tubes.
Limitations No SST tubes.
CPT codes 80201
Test schedule Varies
Turnaround time 5-10 days
Method GC
Test includes
Topiramate, ug/mL.
Reference ranges
  
Topiramate                 ug/mL
 Target anti-epileptic range in
 refractory patients 2.0-25.0 ug/mL.

[1602]


TORCH TEST, IGG
Order Code TORGL Test Code TORGL
Synonyms TORCH, IgG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in two separate plastic tubes of 0.5 mL each. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated. Avoid freeze/thaw cycles.
Department Virology
CPT codes 86696, 86695, 86644, 86777, 86762
Test schedule Tue-Sat
Turnaround time 1-4 days
Method CLIA
Test includes
CMV Ab, IgG, U/mL; Toxoplasma Ab, IgG, IU/mL; Rubella Ab, IU/mL; HSV I Type Specific Ab, IgG, IV; HSV II Type Specific Ab, IV; TORCH IgG Interpretation.
Reference ranges
  
CMV Ab, IgG          Negative   LT 0.60  U/mL
Toxoplama Ab, IgG    Negative   LT 6.0   IU/mL
Rubella Ab, IgG      Negative   LT 9     IU/mL
HSV I Type Specific  Negative   LT 0.90  IV
 Ab, IgG
HSV II Type Specific Negative   LT 0.90  IV
 Ab, IgG
TORCH IgG Interp

[1603]


TORCH TEST, IGG & IGM (REFLEXIVE)
Order Code TORGML Test Code TORGML
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms TORCH, IgG & IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in two separate plastic tubes of 1 mL each. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated. Avoid freeze/thaw cycles.
Department Virology
CPT codes 86694, 86695, 86696, 86762 x 2, 86644, 86645, 86777, 86778
Test schedule Tue-Sat
Turnaround time 1-4 days
Method CLIA, EIA, ELISA, ICMA
Test includes
CMV Ab, IgG, U/mL; Toxoplasma Ab, IgG, IU/mL; Rubella Ab, IU/mL; HSV I Type Specific Ab, IgG, IV; HSV II Type Specific Ab, IVCMV Ab, IgM, AU/mL; Toxoplasma Ab, IgM, AU/mL; Rubella Ab, IgM, Index; HSV Ab, IgM, OD; TORCH IgM Interpretation.
Reference ranges
  
CMV Ab, IgG          Negative   LT 0.60  U/mL
Toxoplama Ab, IgG    Negative   LT 6.0   IU/mL
Rubella Ab, IgG      Negative   LT 9     IU/mL
HSV I Type Specific  Negative   LT 0.90  IV
 Ab, IgG
HSV II Type Specific Negative   LT 0.90  IV
 Ab, IgG
CMV Ab, IgM          Negative   LT 30.0  AU/mL
Toxoplama Ab, IgM    Negative   LT 8.0   AU/mL
Rubella Ab, IgM      Negative   LT 0.9   Index
HSV Ab, IgM          Negative   LT 0.91  OD
TORCH IgG & IgM Interp

[1604]


TORCH TEST, IGM (REFLEXIVE)
Order Code TORML Test Code TORML
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms TORCH, IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated. Avoid freeze/thaw cycles.
Department Virology
CPT codes 86762, 86694, 86645, 86778
Test schedule Tue-Sat
Turnaround time 1-4 days
Method CLIA, EIA, ELISA
Test includes
CMV Ab, IgM, AU/mL; Toxoplasma Ab, IgM, AU/mL; Rubella Ab, IgM, Index; HSV Ab, IgM, OD; TORCH IgM Interpretation.
Reference ranges
  
CMV Ab, IgM          Negative   LT 30.0  AU/mL
Toxoplama Ab, IgM    Negative   LT 8.0   AU/mL
Rubella Ab, IgM      Negative   LT 0.9   Index
HSV Ab, IgM          Negative   LT 0.91  OD
TORCH IgM Interp

[1605]


TOXIC SHOCK SYNDROME ANTIBODY
Order Code TSABP Test Code TSABP
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
CPT codes 86609 x 2
Test schedule Once per week
Turnaround time 3-9 days
Method MAID
Test includes
Toxic-Shock Syndrome 1 Antibody; SEB Antibody.
Reference ranges
  
Toxic-Shock Syndrome Toxin 1 Antibody
 Negative
SEB Antibody
 Negative
 Interpretive Criteria
 Toxic shock syndrome (TSS) is associated
 with strains of Staphylococcus aureus
 that produce TSS toxin-1 (TSST-1) and/or
 staphylococcal enterotoxin B (SEB). TSST-1 
 is associated with approximately 65%
 of TSS cases, whereas SEB is associated
 with 28% of cases. Individuals lacking
 autoantibodies to TSST-1 or to SEB
 (approximately 10% and 20% of adults
 respectively) are presumed to be at
 highest risk of TSS. This test is thus
 designed to identify antibody-negative
 individuals at risk for TSS; it should
 not be used as a tool for diagnosing 
 TSS.

[1606]


TOXIC-SHOCK SYNDROME TOXIN PANEL
Order Code TSSTP Test Code TSSTP
Specimen Required
        Specimen type Pure culture of Staphylococcus aureus
Specimen processing Send a pure culture of Staphylococcus aureus safely contained. Store and transport at room temperature. Ship 602.
CPT codes 87299 x 3
Turnaround time 5-9 days
Method Culture and MAID
Test includes
Toxic-Shock Syndrome Toxin-1; SEB; SEC.
Reference ranges
  
Toxic-Shock Syndrome Toxin-1  Not detected
SEB                           Not detected
SEC                           NOt detected
 Toxic shock syndrome (TSS) is associated
 with Staphylococcus aureus strains
 producing TSST toxin-1 (TSST-1), 
 enterotoxin B (SEB), or enterotoxin C
 (SEC). TSST-1 causes essentially all
 menstrual TSS cases and approximately 
 40% of non-menstrual TSS cases. SEB 
 and SEC account for most other 
 non-menstrual TSS cases.

[1607]


TOXOCARA AB, IGG
Order Code TOXC Test Code TOXC
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Paired sera advised. Acute and convalescent samples must be labeled as such. Convalescent sample must be received within 30 days from receipt of acute sample.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Limitations Avoid repeat freeze/thaw cycles.
CPT codes 86682
Test schedule Tue, Fri
Turnaround time 2-6 days
Method ELSIA
Test includes
Toxocara Ab, IgG, IV.
Reference ranges
  
Toxocara Ab, IgG                                  IV                                                                     
 Negative        0.8 or less-No significant level of        
                 IgG Toxocara IgG Ab detected.
 Equivocal       0.9-1.1-Questionable presence of
                 Toxocara IgG Ab detected. Repeat
                 testing in 10-14 days may be
                 helpful.
 Positive        1.2 or more-Presence of IgG Ab to
                 Toxocara detected, suggestive of
                 current or past infection.

[1608]


TOXOCARA ANTIBODY
Order Code TOXOC Test Code TOXOC
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Unacceptable conditions CSF or other body fluids.
CPT codes 86682
Test schedule Tue, Thu
Turnaround time 5-7 days
Method ELISA
Test includes
Toxocara Antibody.
Reference ranges
  
Toxocara Antibody      LT 1.00 Antibody not detected
 Interpretive Criteria
 LT 1.00      Antibody not detected
 1.00 or more Antibody detected
 Results of this assay must be interpreted
 with caution, as broad variations in 
 antibody response occur, and levels
 may remain elevated for years after
 infection. Further, as with many
 parasitic serology assays, antibodies
 induced by other parasitic infections
 may crossreact in this assay. Although
 a negative result (LT 1.00) usually
 rules out infection with Toxocara spp.,
 parallel testing of serial samples may
 prove useful in following patients with
 suspected Toxocara infection.

[1609]


TOXOPLASMA ANTIBODY, IGG, CSF
Order Code TOXO.CSF Test Code TOXOSF
Synonyms Toxoplasma gondii Antibody, IgG, CSF
Specimen Required
       Container type CSF sterile plastic tube  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.5mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed, contaminated or heat-inactivated samples.
Limitations No established reference ranges for CSF.
CPT codes 86317
Test schedule Mon-Sat
Turnaround time 2-4 days
Method ICMA
Test includes
Toxoplasma Antibody, IgG, IU/mL.
Reference ranges
  
Toxoplasma Ab, IgG              IU/mL
 No established reference range

[1611]


TOXOPLASMA GONDII ANTIBODY, IGG
Order Code TOXOGL Test Code TOXOGL
Synonyms Toxoplasma gondii Antibody, IgG
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C) Indefinitely
Unacceptable conditions Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated. Avoid freeze/thaw cycles.
Department Virology
CPT codes 86777
Test schedule Tue-Sat
Turnaround time 1-4 days
Method CLIA
Test includes
Toxoplasma gondii Antibody, IgG, IU/mL.
Reference ranges
  
Toxoplasma gondii Ab, IgG         IU/mL
 LT 6.0    Negative      No significant level
                         of IgG Ab detected.
 6.0-7.9   Equivocal     Repeat testing of a
                         second sample in 1-014
                         days may be helpful to
                         determine presence or
                         absence of infection.
 8.0 or greater Positive IgG Ab detected. May 
                         indicate a recent or
                         past infection.

[1612]


TOXOPLASMA GONDII ANTIBODY, IGM (REFLEX)
Order Code TOXOML Test Code TOXOML
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Toxoplasma Antibody, IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C) Indefinitely
Unacceptable conditions Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated. Avoid freeze/thaw cycles.
Department Virology
CPT codes 86778
Test schedule Tue-Sat
Turnaround time 1-4 days
Method CLIA
Test includes
Toxoplasma gondii Antibody, IgM, AU/mL.
Reference ranges
  
Toxoplasma gondii Ab, IgM                   AU/mL
 LT 8.0    Negative            No detectable IgM Abs. 
                               A negative result does
                               not always rule out acute
                               toxoplasmosis as the IgM
                               response is not always
                               detectable in very early
                               infection. If exposure to
                               Toxoplasmosis gondii is
                               suspected, a second sample
                               should be collection in 3
                               weeks.                           
 8.0-9.9         Equivocal     Repeat testing in 10-14 days
                               may be helpful to determine
                               presence or absence of 
                               infection.
 10.0 or greater Positive      IgM antibody detected. Possible
                               recent Toxoplasma infection. 
                               Obtain a second sample in 3 
                               weeks for Toxoplasma IgG and IgM
                               testing. if the results of this
                               second specimen remain the same
                               or if the IgG becomes positive,
                               both specimens should be sent to
                               a reference laboratory specializing
                               in the diagnosis of toxoplasmosis
                               for further testing. The sample will
                               be held for 1 month. Please call PAML
                               client services to arrange the testing.
                               (509.755.8999 or 800.349.8586).
Notes
If Toxoplasma IgM Ab is equivocal or positive, result will be held and specimen will be reflexed to TXMCF for confirmation. CPT code 86778 will be added.

[1613]


TOXOPLASMA GONDII ANTIBODY,IGG & IGM (REFLEX)
Order Code TOXGML Test Code TOXGML
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Toxoplasma Antibody, IgG & IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C) Indefinitely
Unacceptable conditions Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated. Avoid freeze/thaw cycles.
Department Virology
CPT codes 86777, 86778
Test schedule Tue-Sat
Turnaround time 1-4 days
Method CLIA
Test includes
Toxoplasma gondii Antibody, IgG, IU/mL; Toxoplasma gondii Antibody, IgM, AU/mL.
Reference ranges
  
Toxoplasma gondii Ab, IgG                    IU/mL
 LT 6.0    Negative            No significant level
                               of IgG Ab detected.
 6.0-7.9   Equivocal           Repeat testing of a
                               second sample in 1-014
                               days may be helpful to
                               determine presence or
                               absence of infection.
 8.0 or greater                Positive IgG Ab detected. May 
                               indicate a recent or
                               past infection.
Toxoplasma gondii Ab, IgM                   AU/mL
 LT 8.0          Negative      No detectable IgM Abs. 
                               A negative result does
                               not always rule out acute
                               toxoplasmosis as the IgM
                               response is not always
                               detectable in very early
                               infection. If exposure to
                               Toxoplasmosis gondii is
                               suspected, a second sample
                               should be collection in 3
                               weeks.                           
 8.0-9.9         Equivocal     Repeat testing in 10-14 days
                               may be helpful to determine
                               presence or absence of 
                               infection.
 10.0 or greater Positive      IgM antibody detected. Possible
                               recent Toxoplasma infection. 
                               Obtain a second sample in 3 
                               weeks for Toxoplasma IgG and IgM
                               testing. if the results of this
                               second specimen remain the same
                               or if the IgG becomes positive,
                               both specimens should be sent to
                               a reference laboratory specializing
                               in the diagnosis of toxoplasmosis
                               for further testing. The sample will
                               be held for 1 month. Please call PAML
                               client services to arrange the testing.
                               (509.755.8999 or 800.349.8586).
Notes
If the Toxoplamsa IgM is equivocal or positive result will be held and the specimen reflexed to TXMCF for confirmation, CPT code 86778.

[1614]


TOXOPLASMA GONDII BY PCR
Order Code TOXPCR Test Code TOXPCR
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from the cells and put in separate plastic tube and freeze. Store and transport frozen. Submit specimen according to Biological Substance, Category B, shipping guidelines.
Required patient info Specimen source
Stability-   Room temp 8 hours (except tissues)   Refrigerated 3 days (except tissues)   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Nonsterile or leaking containers. Heparinized or hemolyzed specimens.
Alternate specimens EDTA or K2EDTA plasma (lavender or pink top tube), amniotic fluid, CSF in a sterile container frozen, or biopsy tissue (frozen immediately) and snap frozen and shipped on dry ice.
CPT codes 87798
Test schedule Tue, Fri
Turnaround time 2-6 days
Method PCR
Test includes
Source; Toxoplasma gondii, PCR Result.
Reference ranges
  
Source
Toxoplasma gondii, PCR Result   Negative-Toxoplsma gondii not detected by PCR.
                                Positive-Toxoplasma gondii detected by PCR.
                                This test is performed pursuant to an
                                agreement with Roche Molecular Systems, Inc.

[4026]


TOXOPLASMA GONDII IGG & IGM, CSF
Order Code TGONCF Test Code TGONCF
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type CSF  Preferred volume 0.5 mL CSF
Specimen processing Store and transport refrigerated.
CPT codes 86777, 86778
Turnaround time 3-6 days
Method ELISA
Test includes
Toxoplasma gondii Antibody, IgG, CSF; Toxoplasma gondii Antibody, IgM, CSF.
Reference ranges
  
Toxoplasma gondii Ab, IgG, CSF   LT 0.90
Toxoplasma gondii Ab, IgM, CSF   LT 0.90
 Interpretive Criteria
 LT 0.90         Antibody not detected
 0.90-1.09       Equivocal
 1.10 or more    Antibody detected
 Diagnosis of central nervous system
 infections can be accomplished by
 demostrating the presence of intrathecally-
 produced specific antibody. Interpreting
 results may be complicated by low
 antibody levels found in CSF, passive
 transfer of antibody from blood, and
 contamination via bloody taps. The
 interpretation of CSF results must
 consider CSF-serum antibody ratios to
 the infectious agent.

[1615]


TP-PA
Order Code TPPA Test Code TPPA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL
Specimen processing Separate serum from the cells and place in separate plastic tube. Store and transport refrigerated or ambient temperature.
CPT codes 99001
Test schedule VDRL- Mon & Thu; TP-PA- Tue & Fri
Turnaround time 10-15 days
Method HA/Gel Particle Agglutination
Test includes
VDRL; TP-PA.
Reference ranges
  
VDRL    Nonreactive
TP-PA   Nonreactive

[1616]


TRAMADOL (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCTDL Test Code TLCTDL
Synonyms Ultram,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Tramadol
Notes
Test is also included in Drug-Sur as part of panel.

[6983]


TRAMADOL BY GC/MS
Order Code MSTRAM Test Code MSTRAM
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 30 mL  Minimum volume 20 mL
Collection procedure Collect a random urine specimen in a leakproof plastic urine container.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 10 days   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Blood, serum or plasma samples.
Department Toxicology
CPT codes 82541
Test schedule Mon-Fri
Turnaround time 1-2 days
Method GC/MS
Test includes
Tramadol, ng/mL.
Reference ranges
  
Tramadol   positive cutoff 100   ng/mL

[5532]


TRAMADOL SCREEN ( REFLEX)
Order Code TRAMU Test Code TRAMU
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Leakproof plastic urine container  Specimen type Urine, Random  Preferred volume 30 mL  Minimum volume 20 mL
Collection procedure Collect a random urine specimen in a leakproof plastic urine container.
Specimen processing Store and at room temperature.
Stability-   Room temp 10 days   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Blood, serum or plasma samples.
Department Toxicology
CPT codes 80101
Test schedule Mon-Fri
Turnaround time 1-2 days
Method EIA/Confirmation by GC/MS
Test includes
Tramadol, ng/mL.
Reference ranges
  
Tramadol  positive cutoff 200  ng/mL

[5533]


TRANSFERRIN
Order Code TRANSFERRIN Test Code TRF
Synonyms Siderophilin
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells within 2 hours and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 3 days   Frozen (-20°C) 3 months.   Frozen (-70°C)
Unacceptable conditions Plasma samples not recommended.
Limitations Specimen not hemolyzed or lipemic are preferred for nephelometry method. Increased values may be seen with estrogens, oral contraceptives. Decreased values may be seen with asparaginase, dextran, corticotropin, corticosteroids, testosterone. Avoid repeat freeze/thaw cycles.
Department Immunology
CPT codes 84466
Test schedule Daily
Turnaround time 24-48 hours
Method Nephelometry
Test includes
Transferrin, mg/dL.
Reference ranges
  
Transferrin    214-365   mg/dL

[1617]


TRANSPLANT IMMUNE CELL FUNCTION ASSAY
Order Code TICFA Test Code TICFA
This is a critical ambient temperature specimen.
Synonyms ImmunKnow
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Whole blood  Preferred volume 3 mL  Minimum volume 0.5 mL
Specimen processing Put the sodium heparin whole blood specimen in a sterile container and send at room temperature. Live Lymphocytes Required. This is a Critical Ambient specimen. Do not refrigerate or freeze. Specimen must be collected within 30 hours of test performance.
Stability-   Room temp 30 hours   Refrigerated unacceptable   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Refrigerated or frozen samples or samples in transport longer than 30 hours.
CPT codes 86352
Test schedule Mon-Sat
Turnaround time 2-4 days
Method Cell Culture/Chemiluminescence
Test includes
Transplantation Immue Cell Assay (ATP Level), ng/mL.
Reference ranges
  
Transplantation                   ng/mL
 Immune Cell Assay                   
 (ATP Level)
  226-524 Result is Moderate.
   The patient's circulating immune 
   cells are shoing moderate response
   to PHA stimulation. 
   Risk of infection: Normal
   Risk of rejection: Decreased
  225 or less Result is Low
   The patient's circulating immune
   cells are showing low response to
   PHA stimulation.
   Risk of infection: Increased
   Risk of rejection: Decreased
  525 or greater Result is Strong
   The patient's circulating immune
   cells are showing strong response
   to PHA stimulation.
   Risk of infection: Normal
   Risk of rejection: Increased

[1619]


TRAZODONE
Order Code TRAZ Test Code TRAZ
Synonyms Desyrel
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 12 hours   Refrigerated 1 week   Frozen (-20°C) 1 week   Frozen (-70°C)
Alternate specimens Heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube).
Limitations Avoid the use of serum separator tubes and gels.
CPT codes 80299
Test schedule Mon, Thu
Turnaround time 2-6 days
Method HPLC
Test includes
Trazodone, ug/mL
Reference ranges
  
Trazodone (Desyrel)        ug/mL
 Therapeutic  0.8-1.6  
 Toxic        GT 3.2

[1620]


TRAZODONE/NEFAZODONE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCTRA Test Code TLCTRA
Synonyms (Trazodone), Desyrel, (Nefazodone), Serzone,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 250 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Trazadone and/or Nefazodone
Notes
Test is also included in Drug-Sur as part of panel.

[6984]


TREPONEMA PALLIDIUM ANTIBODY BY TP-PA
Order Code TPALAB Test Code TPALAB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate the serum from the cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) 1 year (avoid repeated freeze/thaw cycles).   Frozen (-70°C)
Unacceptable conditions CSF or other body fluids.
Alternate specimens Plasma.
CPT codes 86780
Test schedule Mon-Fri
Turnaround time 2-5 days
Method Indirect Hemagglutination
Test includes
Treponema pallidium Antibody by TP-PA.
Reference ranges
  
Treponema pallidium Antibody by TP-PA
 Nonreactive

[1621]


TREPONEMA PALLIDUM ANTIBODY , IGG BY IFA (CSF)
Order Code TPAB Test Code TPAB
Specimen Required
       Container type Leakproof plastic container.  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Send in a leakproof plastic container. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 5 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Serum, heat-inactivated, hemolyzed, or contaminated specimens.
CPT codes 86780
Test schedule Sun-Sat
Turnaround time 2-5 days
Method Indirect Fluorescent Antibody
Test includes
Fluorescent Treponema Antibody CSF.
Reference ranges
  
Fluorescent Treponema Antibody, CSF , 
 Nonreactive

[5610]


TRH STIMULATION, 3 SAMPLES
Order Code TRH3 Test Code 3PTRH
This is a hospital short stay procedure and test duration is approximately 2 hours.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL for each specimen
Patient Prep Patient should be fasting and off any thyroid therapy for 24 hours prior to test.
Collection procedure Take vital signs. Insert heparin lock. Draw baseline TSH. Have patient empty bladder. With patient in supine position inject 500 mcg of TRH(Thypinone) IV as a bolus over a period of 15-30 seconds. Monitor blood pressure frequently over the first 15 minutes or until a clear trend downward is seen. Draw TSH levels at 30 and 60 minutes after injection is complete.
Specimen processing Separate serum from cells and place in separate plastic tubes for each draw. Clearly label all specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 5 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (green top tube).
Department Immunochemistry
CPT codes 84443 x 3
Test schedule Sun-Fri nights
Turnaround time 1-2 days
Method ICMA
Test includes
Baseline TSH, uIU/mL; Post TRH TSH (30 minutes), uIU/mL; Post TRH TSH (60 minutes), uIU/mL.
Reference ranges
  
Baseline TSH                           uIU/mL
 M 0-30 days       0.52-16.00
   1 mo-5 yrs      0.55-7.10
   5-18 yrs        0.37-6.00
 F 0-30 days       0.72-13.10
   1 mo-5 yrs      0.46-8.10
   5-18 yrs        0.36-5.80
 18 yrs+           0.40-5.00
Post TRH TSH       The minimum normal response is an increase
 (30 minute)       of 1-2 uIU/mL above baseline. The typical
                   response is an increase of 5 to 10 fold
                   above baseline.     uIU/mL
Post TRH TSH                           uIU/mL
 (60 minute)
Notes
The typical normal response is an increase of 5 to 10 fold above the baseline at 30 minutes. Hyperthyroidism-less than normal response. Primary hypothyroidism has high baseline and exaggerated response. Hypothalamic hypothyroid may have peak delayed, pituitary insufficiency may have response lower than normal.

[1622]


TRH STIMULATION, 4 SAMPLES
Order Code TRH4 Test Code PTRH
This is a hospital short stay procedure and test duration is approxiamtely 2 hours.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL for each specimen.
Patient Prep Patient should be fasting and off any thyroid therapy for 24 hours prior to the test.
Collection procedure Take vital signs. Insert heparin lock. Draw baseline TSH. Have patient empty bladder. With patient in supine position inject 500 mcg of TRH(Thypinone) IV as a bolus over a period of 15-30 seconds. Monitor blood pressure frequently over the first 15 minutes or until a clear trend downward is seen. Draw TSH levels at 30, 45, and 60 minutes after injection is complete.
Specimen processing Separate serum from cells and place in separate plastic tube for each timed specimen. Clearly label all specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 5 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (green top tube).
Department Immunochemistry
CPT codes 84443 x 4
Test schedule Sun-Fri nights
Turnaround time 1-2 days
Method ICMA
Test includes
Baseline TSH, uIU/mL; Post TRH TSH (30 minutes), uU/mL; Post TSH TRH (45 minutes), uIU/mL; Post TRH TSH (60 minutes), uIU/mL.
Reference ranges
  
Baseline TSH                                 uIU/mL
 M 0-30 days     0.52-16.00
   1 mo-5 yrs    0.55-7.10
   5-18 yrs      0.37-6.00
 F 0-30 days     0.72-13.10
   1 mo-5 yrs    0.46-8.10
   5-18 yrs      0.36-5.80
 18 yrs+         0.40-5.00
Post TRH TSH     The minimum normal response is 
 (30 minutes)    an increase of 1-2 uIU/mL above
                 baseline. The typical normal 
                 response is an increase of 5 
                 to 10 fold above baseline.  uIU/mL
Post TRH TSH                                 uIU/mL
 (45 minutes)
Post TRH TSH                                 uIU/mL
 (60 minutes)
Notes
Patients with 'hypothalamic hypothyroidism' show a rise that is normal in magnitude but with a delayed peak at 45 minutes, or a value at 60 minutes greater than at 30 minutes. Patients who are hyperthyroid due to pituitary insufficiency have a response lower than normal.

[1623]


TRIAMTERINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCTRT Test Code TLCTRT
Synonyms Dyrenium, Dyazide, water pills,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Triamterine
Notes
Test is also included in Drug-Sur as part of panel.

[6985]


TRICHINELLA ANTIBODY
Order Code TRICH Test Code TRICAB
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen..
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Limitations Avoid repeated freeze/thaw cycles.
CPT codes 86784
Test schedule Mon-Fri
Turnaround time 2-6 days
Method ELISA
Test includes
Trichinella Antibody.
Reference ranges
  
Trichinella Ab   None detected

[1624]


TRICHROME STAIN
Order Code TRICHROM Test Code TRISM
Supplies available from PAML Supply Department.
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Stool  Minimum volume Pea-sized stool.
Collection procedure Submit a walnut-sized portion of fresh stool in a sterile leakproof plastic container and refrigerate.
Specimen processing Store and transport refrigerated. If stool if fixed in PVA store and transport at room temperature.
Unacceptable conditions Specimens fixed in formalin.
Department Microbiology
CPT codes 87209
Test schedule Daily
Turnaround time 24-48 hours
Method Microscopic
Test includes
Source; Trichrome Stain; Trichrome Stain, Status.
Reference ranges
  
Source
Trichrome Stain
Trichrome Stain, Status

[1625]


TRICYCLICS, TOTAL
Order Code TRICYCLIC.TOTAL Test Code TCT
Synonyms TCA, Total; Tricyclic Antidepressants, Total
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 3 mL  Minimum volume 0.5 mL
Collection procedure Draw 10-14 hours post-dose. If a divided dose is given draw before morning dose.
Specimen processing Separate serum from cells within 4 hours and place in separate polypropylene (not polystyrene) plastic tube with screw on cap and freeze. Store and transport frozen.
Stability-   Room temp 4 hours   Refrigerated 1 day   Frozen (-20°C) indefinitely   Frozen (-70°C)
Unacceptable conditions Serum separator or gel tubes.
Limitations Separator or gel tubes may artifactually, randomly lower results.
Department Chemistry
CPT codes 80299
Test schedule Daily & STAT
Method FPIA
Test includes
Tricyclics, Total, ng/mL.
Reference ranges
  
Tricyclics, Total           ng/mL
 No reference range established
 For overdose screening only. Marked
 variation in toxic response to TCAs.
 Possible toxic cardiac effects at 50-
 100 ng/mL. High incidence of cardiac
 toxicity at GT 500 ng/mL. Severe,
 sometimes fatal effects at GT 1000 
 ng/mL.

[1626]


TRIFLUOPERAZINE (QUANTITATIVE)
Order Code TRI Test Code TRIFLU
Synonyms Stelazine
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 4 mL  Minimum volume 2 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Protect from light. Store and transport refrigerated or at room temperature.
Limitations No SST tubes.
CPT codes 84022
Test schedule Mon-Fri
Turnaround time 3-7 days
Method GC/NPD
Test includes
Trifluoperazine, ng/mL.
Reference ranges
  
Trifluoperazine                ng/mL
 Therapeutic levels  20 or less

[1627]


TRIGLYCERIDES
Order Code TRIG Test Code TRIG
No normals for non-fasting specimens.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Patient Prep Patient should be fasting 12- 14 hours prior to collection.
Collection procedure Patient should be fasting 12-14 hours prior to collection.
Specimen processing Separate serum from cells within 2 hours of collection and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 14 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Sodium fluoride-potassium oxalate plasma (grey top tube) and icteric samples.
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 84478
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Triglycerides, mg/dL.
Reference ranges
  
Triglycerides              mg/dL
 LT 150       Normal
 150-199      Borderline high
 200-499      High
 500 or more  Very high

[1628]


TRIHEXYPHENIDYL (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCTRH Test Code TLCTRH
Synonyms Artane, Tremin,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Trihexyphenidyl
Notes
Test is also included in Drug-Sur as part of panel.

[6986]


TRIMETHOPRIM
Order Code TRIMETHOPRIM Test Code TRIMET
Synonyms Bactrim; Septra
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1.5 mL  Minimum volume 0.5 mL
Collection procedure Sample for peak level should be drawn 30 minutes after completion of infusion of an intravenous dose or 60 minutes after intramuscular or oral dose.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Required patient info Drug dosage, time of dose and drawing and type of specimen serum or plasma submitted.
Unacceptable conditions SST or other gel type tubes.
Alternate specimens Frozen EDTA plasma (lavender top tube).
CPT codes 82491
Test schedule Mon-Fri
Turnaround time 3-5 days
Method HPLC
Test includes
Trimethoprim, ug/mL.
Reference ranges
  
Trimethoprim             ug/mL
 Therapeutic 10-20 
 Toxic       40 or greater

[1629]


TRIMETHOPRIM (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCTRM Test Code TLCTRM
Synonyms Bactrim, Trimpex, Proloprim, Septra,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Trimethoprim
Notes
Test is also included in Drug-Sur as part of panel.

[6987]


TRIMIPRAMINE & METABOLITE
Order Code TRIMIP Test Code TRIMIP
Synonyms Surmontil
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 3 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Unacceptable conditions Specimens collected using serurm separator or gel type tubes.
Limitations Protect from light.
CPT codes 82492
Test schedule Mon-Fri
Turnaround time 4-6 days
Method GC
Test includes
Trimipramine, ng/mL; Trimipramine Metabolite, ng/mL.
Reference ranges
  
Trimipramine                    ng/mL
 10-240 ng/mL  Observed levels during
 chronic oral antidepressant does of 
 75-150 mg/day.
Trimipramine Metabolite         ng/mL
 3-380 ng/mL   Observed levels during
 chronic oral antidepressant doses of
 75-150 mg/day.

[1630]


TRIMIPRAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCTRP Test Code TLCTRP
Synonyms Surmontil,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 500 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Trimipramine
Notes
Test is also included in Drug-Sur as part of panel.

[6988]


TRIPELENAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCTPL Test Code TLCTPL
Synonyms PBZ, PBZ-SR, Pyribenzamine, allergy pills, Bs, blues,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Tripelenamine
Notes
Test is also included in Drug-Sur as part of panel.

[6989]


TROPONIN I
Order Code TRPI Test Code TRPI
Specimen Required
       Container type Green top tube (lithium heparin)  Specimen type Plasma  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Specimen processing Separate plasma from cells within 8 hours and place in separate plastic container. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 3 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Samples containing fibrin and all other fluid specimens, marked hemolysis or icterus.
Alternate specimens PST tube, serum or SST tube.
Department Chemistry
CPT codes 84484
Test schedule Daily & STAT
Turnaround time 1-3 days
Method CMIA
Test includes
Troponin I, ng/mL.
Reference ranges
  
Troponin I     0.00-0.29                ng/mL
               Critical value  GT 0.29

[1631]


TROPONIN T
Order Code TROPT Test Code TROPT
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 0.5 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from the cells and place in separate plastic tube and freeze. Separate samples must be submitted when multiple tests are ordered. Store and transport frozen.
Stability-   Room temp 4 hours   Refrigerated 24 hours   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Potassium oxalate, sodium fluoride, heparin, and grossly hemolyzed samples and PPT tubes. Heparin samples give false-low results.
Alternate specimens K2EDTA and sodium citrate plasma (pink or light blue top tube).
CPT codes 84484
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method Immunoassay
Test includes
Troponin T, ng/mL.
Reference ranges
  
Troponin T       0.0-0.1        ng/mL

[1632]


TRYPANOSOMA CRUZI ANTIBODY
Order Code CHAGAS Test Code CHAGAS
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.75 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 2 weeks   Frozen (-20°C) indefinitely   Frozen (-70°C)
Alternate specimens CSF (min amount is 0.1 mL).
CPT codes 86753 x 2
Test schedule Varies
Turnaround time 2-6 days
Method IFA
Test includes
Trypanosoma cruzi, IgG; Trypanosoma cruzi, IgM; Interpretation.
Reference ranges
  
Trypanosoma cruzi, IgG     LT 1:16
Trypanosoma cruzi, IgM     LT 1:20
 The serodiagnosis of Chagas' disease or 
 American trypanosomias by IFA is highly
 sensitive and specific, although
 crossreactions may occur with leishmaniasis.
 A T. cruzi IgM (GT or equal to 1:20) 
 response is observed in acute disease
 prior to IgG seroconversion. In chronic
 Chagas' disease, IgG is usually
 detected at levels GT or equal to 1:64.

[1633]


TRYPSIN, FECAL
Order Code TRYPST Test Code TRYPST
Specimen Required
       Container type Leakproof plastic container.  Specimen type Frozen stool  Preferred volume 5 grams  Minimum volume 5 grams
Collection procedure Collect a random stool sample in a clean, leakproof, unpreserved plastic container.
Specimen processing Aliquot 5 grams of a random stool collection into a clean, unpreserved leakproof plastic container and freeze. Store and transport frozen.
Stability-   Room temp Unacceptable   Refrigerated Unacceptable   Frozen (-20°C) 1 week   Frozen (-70°C)
Unacceptable conditions Refrigerated or ambient samples and samples kept in preservatives.
CPT codes 84488
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Film Digestion
Test includes
Trypsin, Fecal.
Reference ranges
  
Trypsin, Fecal       Negative

[1634]


TRYPSIN-LIKE IMMUNOREACTIVITY
Order Code TRYPSN Test Code TRYP
Synonyms Trypsinogen
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 2 hours   Refrigerated 24 hours   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed and lipemic samples.
Alternate specimens Frozen EDTA or heparinized plasma (lavender or green top tube).
CPT codes 83519
Test schedule Tue, Fri
Turnaround time 2-6 days
Method RIA
Test includes
Trypsin-like Immunoreactivity, ng/mL.
Reference ranges
  
Trypsin-like Immunoreactivity   10-57        ng/mL
 Trypsinogen expected values for    
  Chronic pancreatitis LT 47.0
  Acute pancreatitis   92.0-850.0    
  Total Pancreatectomy 1.4 or less   
 .

[1635]


TRYPTASE
Order Code TRYPT Test Code TRYPT
This assay measures total tryptase and does not distinguish between the alpha and beta protein types.
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Samples should preferably be collected between 15 minutes and 3 hours after the event causing mast cell activation.
Specimen processing Allow serum to clot completely at room temperature before centrifuging. Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 48 hours   Refrigerated 72 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 83520
Test schedule Mon, Wed, Fri
Turnaround time 2-5 days
Method FPI
Test includes
Tryptase, ug/mL.
Reference ranges
  
Tryptase   0.4-10.9 ug/mL

[1636]


TSH
Order Code TSH Test Code TSH
Synonyms Thyroid Stimulating Hormone
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 5 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Alternate specimens Lithium heparin plasma (green top tube).
Department Immunochemistry
CPT codes 84443
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
TSH, uIU/mL.
Reference ranges
  
TSH                        uIU/mL
 M 0-30 days     0.52-16.00
   1 mo-5 yrs    0.55-7.10
   5-18 yrs      0.37-6.00
 F 0-30 days     0.72-13.10
   1 mo-5 yrs    0.46-8.10
   5-18 yrs      0.36-5.80
 18 yrs+         0.40-5.00

[1637]


TSH (REFLEXIVE)
Order Code TSH.R Test Code TSHREF
This test reflexes to a Free T4 if TSH is abnormal.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 5 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Department Immunochemistry
CPT codes 84443
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
TSH, uIU/mL; Free T4, ng/dL if TSH is abnormal.
Reference ranges
  
TSH  (Reflex)                        uIU/mL
 M 0-30 days     0.52-16.00
   1 mo-5 yrs    0.55-7.10
   5-18 yrs      0.37-6.00
 F 0-30 days     0.72-13.10
   1 mo-5 yrs    0.46-8.10
   5-18 yrs      0.36-5.80
 18 yrs+         0.40-5.00

[1638]


UNSATURATED IRON BINDING CAPACITY
Order Code UIBCA Test Code UIBCA
Synonyms UIBC
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure AM collection is recommended.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 4 days   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Avoid hemolysis
Alternate specimens Lithium heparin plasma (green top tube).
Department Chemistry
CPT codes 83550, 83540
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method Calculation
Test includes
Unsaturated Iron Binding Capacity, ug/dL.
Reference ranges
  
Unsaturated Iron Binding Capacity  ug/dL
 155-300

[1643]


UNSTABLE HEMOGLOBIN
Order Code UN.HEM Test Code UNSHGB
Synonyms Hemoglobin, Unstable
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood and 2 blood smears  Preferred volume 5 mL  Minimum volume 0.5 mL (microtainer) and 2 blood smears
Specimen processing Store and transport at room temperature or refrigerated.
Stability-   Room temp 48 hours   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Department Hematology
CPT codes 83068
Test schedule Mon-Fri days
Turnaround time 24-48 hours
Method Precipitation
Test includes
Unstable Hemoglobin.
Reference ranges
  
Unstable Hemoglobin
 Negative
Notes
Samples with Hemoglobin F levels above 4% will give false positive results.

[1644]


UREA CLEARANCE
Order Code URCLE Test Code URCLE
Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type SST tube and 24-hour dark plastic urine container.  Specimen type Serum and 24-hour urine collection  Preferred volume 2 mL serum and 40 mL urine  Minimum volume 0.5 mL serum and 1 mL urine
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Collect serum at the same time as urine collection.
Specimen processing Separate serum from cells and place in separate plastic tube. Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport both specimens refrigerated.
Required patient info Height, weight, collection period and total volume.
Stability-   Room temp   Refrigerated Serum-2 weeks   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Plasma with anticoagulants containing ammonium ions.
Alternate specimens Frozen urine specimens, EDTA or sodium heparin plasma (lavender or green top tubes).
Department Chemistry
CPT codes 84545
Test schedule Sun-Fri
Turnaround time 24-48 hours
Method Colorimetric and calculation
Test includes
BUN, mg/dL; Urea, Urine, g/24 hours; Urea Clearance, mL/min/1.73 m2.
Reference ranges
  
BUN                  7-23    mg/dL
Urea, Urine          12-20   g/24h
Urea Clearance               mL/min/1.73m2

[1645]


UREA, URINE (QUANTITATIVE)
Order Code UREA-U Test Code UREAUQ
Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 40 mL  Minimum volume 1 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Frozen specimens.
Department Chemistry
CPT codes 84540
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Collection Period, h; Volume, mL; Urea, Urine, g/24h.
Reference ranges
  
Collection Period           h
Volume                      mL
Urea, Urine       12-20     g/24h

[1646]


UREA, URINE (RANDOM)
Order Code UREA-R Test Code UREAUR
Synonyms Urea Nitrogen, Urine (Random).
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 1 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Frozen specimens.
Department Chemistry
CPT codes 84540
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Urea, Urine, mg/dL.
Reference ranges
  
Urea, Urine             mg/dL
 No normals established

[1647]


URIC ACID
Order Code UCA Test Code URIC
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 14 days   Frozen (-20°C)   Frozen (-70°C) 12 months
Unacceptable conditions Sodium fluoride-potassium oxalate plasma specimens (grey top tube) and lipemic specimens..
Alternate specimens EDTA or lithium heparin plasma (lavender or green top tube). Plasma must be separated from the cells within 2 hours.
Department Chemistry
CPT codes 84550
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Uric Acid, mg/dL.
Reference ranges
  
Uric Acid         mg/dL
 M  0-16 yrs  2.0-5.5
    17+ yrs   3.1-8.1 
 F  0-16 yrs  2.0-5.5
    17+ yrs   2.0-6.7

[1648]


URIC ACID, FLUID
Order Code UCASYN Test Code URICFL
Specimen Required
       Container type Sodium heparin (green top tube)  Specimen type Body fluid  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate fluid from cells and place in separate plastic tube. Note type of fluid. Store and transport refrigerated.
Required patient info Type of fluid.
Stability-   Room temp 24 hours   Refrigerated 5 days   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Any more than slight hemolysis. Clotted or viscous specimens.
Alternate specimens Specimens collected in plain red top tube or sterile container.
Department Chemistry
CPT codes 84560
Test schedule Daily
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Uric Acid, Fluid, mg/dL.
Reference ranges
  
Uric Acid, Fluid         mg/dL
 No reference range established.
 Method not validated for body fluid.
 Clinical correlation necessary.
Notes
This is not the same test as fluid for uric acid crystals CRYFL.

[1649]


URIC ACID, URINE (QUANTITATIVE)
Order Code UCA-U Test Code URICUQ
Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection.  Preferred volume 40 mL aliquot  Minimum volume 1 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container containing 10 mL of 5% NaOH. Maintain specimen at room temperature during collection. At the end of collection adjust pH to greater than 7 with 5% NaOH.
Specimen processing Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport at room temperature.
Required patient info Collection period and total volume.
Stability-   Room temp 4 days   Refrigerated 4 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen or acidified specimens.
Alternate specimens Refrigerated specimens.
Department Chemistry
CPT codes 84560
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Collection Period, h; Volume, mL; Uric Acid, Urine, mg/24h.
Reference ranges
  
Collection Period             h
Volume                        mL
Uric Acid, Urine    250-750   mg/24h

[1650]


URIC ACID, URINE (RANDOM)
Order Code UCA-R Test Code URICUR
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 1 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport at room temperature.
Stability-   Room temp 4 days   Refrigerated 4 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen or acidified specimens.
Alternate specimens Refrigerated specimens.
Department Chemistry
CPT codes 84560
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Enzymatic
Test includes
Uric Acid, Urine, mg/dL.
Reference ranges
  
Uric Acid, Urine, Random      mg/dL
 No normals established

[1651]


URINALYSIS
Order Code UA Test Code UA
This workpar is to be used for tests that are not being performed at SHMC. Microscopic performed only if indicated.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 2 mL
Collection procedure Collect a random urine specimen.
Specimen processing 10 mL aliquot of a random urine specimen. Store and transport refrigerated. Protect from light.
Stability-   Room temp   Refrigerated 24 hours   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Specimens that have been at room temperature longer than 2 hours.
Limitations Microscopic exam performed only if indicated. Protect from light.
Department Chemistry
CPT codes 81003
Test schedule Mon-Sat days, Mon-Fri nights and STAT
Turnaround time 24-48 hours
Method Colorimetric/Microscopic
Test includes
Collection Method; Color; Appearance; Glucose, Urine, mg/dL; Bile, Urine; Ketones, Urine, mg/dL; Specific Gravity; pH, Urine; Protein, Urine, mg/dL; Urobilinogen Screen, Urine, mg/dL; Nitrite, Urine; Blood, Urine; Leukocyte Esterase.
Reference ranges
  
Collection Method
Color
Appearance
Glucose              Negative            mg/dL
Bilirubin            Negative          
Ketones              Negative            mg/dL
Specific Grav        1.001-1.030
pH                   5.0-7.5
Protein                                  mg/dL
Urobilinogen         0.2-1.0             mg/dL
Nitrite              Negative
Blood                Negative
Leukocyte Est        Negative
Microscopic
 WBC                 LT 6          /hpf
 RBC    F            LT 6          /hpf
        M            LT 3
 Epi                 None seen
 Bacteria            None seen
 Casts               1 Hyaline     /lpf
 Crystals                          /hpf
 Crystals, Abnormal                /lpf
 Other

[1652]


URINALYSIS WITH MICROSCOPIC
Order Code UAM Test Code UAM
This workpar is to be used for tests that are not being performed at SHMC. Microscopic exam performed regardless of dip stick results.
Specimen Required
       Container type Sterile leakproof plastic container.  Specimen type Urine  Preferred volume 10 mL  Minimum volume 2 mL
Collection procedure Collect a random urine in a sterile leakproof plastic container.
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated 24 hours   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Specimens that have been at room temperature longer than 2 hours.
Department Chemistry
CPT codes 81001
Test schedule Mon-Sat days/Mon-Fri nights & STAT
Turnaround time 24-48 hours
Method Colorimetric/Microscopic
Test includes
Urinalysis; Urine Microscopic.
Reference ranges
  
Collection Method
Color
Appearance
Glucose              Negative            mg/dL
Bilirubin            Negative          
Ketones              Negative            mg/dL
Specific Grav        1.001-1.030
pH                   5.0-7.5
Protein                                  mg/dL
Urobilinogen         0.2-1.0             mg/dL
Nitrite              Negative
Blood                Negative
Leukocyte Est        Negative
UA Micro
 WBC                  LT 6               /hpf
 RBC     F            LT 6               /hpf
         M            LT 3               /hpf
 Epithelial Cells
 Bacteria             None seen          /hpf
 Casts                                   /lpf
 Crystals                                /hpf
 Crystals, Abnormal                      /lpf
 Other

[1653]


URINALYSIS WITH MICROSCOPIC ANALYSIS
Order Code UAXM Test Code UAXM
To be used only when test will be performed at SHMC. To order 'Culture if indicated,' order CULIF as a separate tests in the same order entry session as you order this test.
Specimen Required
       Container type Leakproof plastic urine container  Specimen type Urine, random  Preferred volume 12 mL  Minimum volume 4 mL; Pediatric only 2 mL.
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 12 mL of a random urine specimen. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 48 hours   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Specimens that have been at room temperature longer than 2 hours and boric acid tubes.
Department Hematology
CPT codes 81001
Test schedule Daily & STAT
Turnaround time 24-48 hours
Method Flow Cell Digital Imaging/Colorimetric
Test includes
Color; Appearance; Glucose, Urine, mg/dL; Bile, Urine; Ketones, Urine, mg/dL; Specific Gravity; pH, Urine; Protein, Urine, mg/dL; Urobilinogen, Urine, mg/dL; Nitrite, Urine; Blood, Urine; Leukocyte Esterase; Reducing Substances, mg/dL; WBC, /hpf; RBC, /hpf; WBC clumps, /hpf; RBC clumps, /hpf; Bacteria, /hpf; Budding yeast, /hpf; Hyphae yeast, /hpf; Squamous epith cells, /lpf; Transitional epith cells, /hpf; Renal epith cells, /hpf; Oval fat bodies, /hpf; Fat, /hpf; Mucus, /lpf; Sperm, /hpf; Trichomonas, /hpf; Hyaline casts, /lpf; Epith cell casts, /lpf; WBC casts, /lpf; RBC casts, /lpf; Granular casts, /lpf; Broad casts, /lpf; Fatty casts, /lpf; Waxy casts, /lpf; Triple phosphate crystals, /hpf; Calcium oxalate crystals, /hpf; Calcium phosphate crystals, /hpf; Calcium carbonate crystals, /hpf; Uric acid crystals, /hpf; Leucine crystals, /lpf; Cystine crystals, /lpf; Tyrosine crystals, /lpf; Amorphous crystals, /hpf; Other.
Reference ranges
  
Color
Appearance
Glucose, Urine      Negative     mg/dL
Bile, Urine         Negative
Ketones, Urine      Negative     mg/dL
Specific Gravity    1.001-1.030
pH, Urine           5.0-7.5
Protein, Urine      Negative     mg/dL
Urobilinogen, Urine LT 2.0       mg/dL
Nitrite, Urine      Negative
Blood, Urine        Negative
Leukocyte Esterase  Negative
Reducing Substances Negative     mg/dL
WBC                     LT 6            /hpf
RBC
 F                      LT 6            /hpf
 M                      LT 3
WBC clumps              None seen       /hpf
RBC clumps              None seen       /hpf
Bacteria                None seen       /hpf
Budding yeast           None seen       /hpf
Hyphae yeast            None seen       /hpf
Squamous epith cells                    /lpf
Transitional epit cells None seen       /hpf
Renal epith cells       None seen       /hpf
Oval fat bodies         None seen       /hpf
Fat                     None seen       /hpf
Mucus                   None seen       /lpf
Sperm                   None seen       /hpf
Trichomonas             None seen       /hpf
Hyaline casts           None seen       /lpf
Epith cell casts        None seen       /lpf
WBC casts               None seen       /lpf
RBC casts               None seen       /lpf
Granular casts          None seen       /lpf
Broad casts             None seen       /lpf
Fatty casts             None seen       /lpf
Waxy casts              None seen       /lpf
Triple phosphaste       None seen       /hpf
 crystals
Calcium oxalate         None seen       /hpf
 crystals
Calcium phosphate       None seen       /hpf
 crystals
Calcium carbonate       None seen       /hpf
 crystals
Uric acid crystals      None seen       /hpf
Leucine crystals        None seen       /lpf
Cystine crystals        None seen       /lpf
Tyrosine crystals       None seen       /lpf
Amorphous crystals      None seen       /hpf
Other
Notes
Microscopic exam is performed regardless of dipstick results.

[1654]


URINALYSIS, DIPSTICK
Order Code DPS Test Code UAD
This workpar is to be used for tests that are not being performed at SHMC.
Synonyms Urine, Dipstick
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 2 mL
Collection procedure Collect a random urine specimen.
Specimen processing 10 mL aliquot of a random urine specimen. Protect from light. Store and transport refrigerated.
Stability-   Room temp 2 hours   Refrigerated 24 hours   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Specimens that have been at room temperature longer than 2 hours.
Limitations Protect from light.
CPT codes 81003
Test schedule Sun-Sat all shifts and STAT
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Collection Method; Color; Appearance; Glucose, Urine, mg/dL; Bile, Urine; Ketones, Urine, mg/dL; Specific Gravity; pH, Urine; Protein, Urine, mg/dL; Urobilinogen Screen, Urine, mg/dL; Nitrite, Urine; Blood, Urine; Leukocyte Esterase.
Reference ranges
  
Collection Method
Color
Appearance
Glucose, Urine      Negative     mg/dL
Bile, Urine         Negative
Ketones, Urine      Negative     mg/dL
Specific Gravity    1.001-1.030
pH, Urine           5.0-7.5
Protein, Urine      Negative     mg/dL
Urobilinogen, Urine 0.2-1.0
Nitrite, Urine      Negative
Blood, Urine        Negative
Leukocyte Esterase  Negative

[1655]


URINALYSIS, DIPSTICK ONLY
Order Code UADIP Test Code UADIP
To be used only when test will be performed at SHMC.
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 4 mL; Pediatric samples only 2 mL.
Collection procedure Collect a random urine specimen.
Specimen processing 10 mL aliquot of a random urine specimen. Protect from light. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 48 hours   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Specimens that have been at room temperature longer than 2 hours and boric acid tubes.
Limitations Protect from light.
Department Hematology
CPT codes 81003
Test schedule Daily and STAT
Turnaround time 24-48 hours
Method Colorimetric
Test includes
Color; Appearance; Glucose, Urine, mg/dL; Bile, Urine; Ketones, Urine, mg/dL; Specific Gravity; pH, Urine; Protein, Urine, mg/dL; Urobilinogen, Urine, mg/dL; Nitrite, Urine; Blood, Urine; Leukocyte Esterase; Reducing Substances, mg/dL.
Reference ranges
  
Color
Appearance
Glucose, Urine      Negative     mg/dL
Bile, Urine         Negative
Ketones, Urine      Negative     mg/dL
Specific Gravity    1.001-1.030
pH, Urine           5.0-7.5
Protein, Urine      Negative     mg/dL
Urobilinogen, Urine LT 2.0       mg/dL
Nitrite, Urine      Negative
Blood, Urine        Negative
Leukocyte Esterase  Negative
Reducing Substances Negative     mg/dL
Notes
This is a dipstick only; no microscopic will be performed. Reducing substances performed and reported if patient is LT 3 years of age. Do not order 'culture if indicated' with this workpar.

[1656]


URINALYSIS, MICROSCOPIC ONLY
Order Code UAMIC Test Code UAMIC
This workpar is to be used for tests that are not being performed at SHMC. Do not add the comment "culture if indicated" on the order for this workpar. If dipstick shows leukocyte esterase positive (1+/small or greater), or nitrite is positive, and physician requests "culture if indicated", send urine for culture. Otherwise order UA or UAM with a comment "culture if idicated".
Specimen Required
       Container type Leakproof plastic urine container  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 2 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 24 hours   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Specimens that have been at room temperature longer than 2 hours.
Department Chemistry
CPT codes 81015
Test schedule Mon-Sun days/Mon-Fri Nights & STAT
Turnaround time 24-48 hours
Method Microscopic
Test includes
WBC, /hpf; RBC, /hpf; Epithelial Cells; Bacteria, /hpf; Casts, /lpf; Crystals, /hpf; Crystals, Abnormal, /lpf; Other.
Reference ranges
  
WBC          LT 6  /hpf
RBC
 F           LT 6  /hpf
 M           LT 3
Epithelial Cells
Bacteria           /hpf
Casts              /lpf
Crystals           /hpf
Crystals, Abnormal /lpf
Other

[1658]


URINALYSIS, MICROSCOPIC ONLY(NEW)
Order Code UAMCR Test Code UAMCR
To be used only when test will be performed at SHMC. Do not use the comment 'Culture if indicated' or CULIF when ordering this workpar.
Specimen Required
       Container type Leakproof plastic urine container  Specimen type Urine, random  Preferred volume 12 mL  Minimum volume 4 mL; Pediatric only 2 mL.
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 12 mL of a random urine specimen. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 48 hours   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Specimens that have been at room temperature longer than 2 hours and boric acid tubes.
Department Hematology
CPT codes 81015
Test schedule Daily & STAT
Turnaround time 24-48 hours
Method Flow Cell Digital Imaging
Test includes
WBC, /hpf; RBC, /hpf; WBC clumps, /hpf; RBC clumps, /hpf; Bacteria, /hpf; Budding yeast, /hpf; Hyphae yeast, /hpf; Squamous epith cells, /lpf; Transitional epith cells, /hpf; Renal epith cells, /hpf; Oval fat bodies, /hpf; Fat, /hpf; Mucus, /lpf; Sperm, /hpf; Trichomonas, /hpf; Hyaline casts, /lpf; Epith cell casts, /lpf; WBC casts, /lpf; RBC casts, /lpf; Granular casts, /lpf; Broad casts, /lpf; Fatty casts, /lpf; Waxy casts, /lpf; Triple phosphate crystals, /hpf; Calcium oxalate crystals, /hpf; Calcium phosphate crystals, /hpf; Calcium carbonate crystals, /hpf; Uric acid crystals, /hpf; Leucine crystals, /lpf; Cystine crystals, /lpf; Tyrosine crystals, /lpf; Amorphous crystals, /hpf; Other.
Reference ranges
  
WBC                     LT 6            /hpf
RBC
 F                      LT 6            /hpf
 M                      LT 3
WBC clumps              None seen       /hpf
RBC clumps              None seen       /hpf
Bacteria                None seen       /hpf
Budding yeast           None seen       /hpf
Hyphae yeast            None seen       /hpf
Squamous epith cells                    /lpf
Transitional epit cells None seen       /hpf
Renal epith cells       None seen       /hpf
Oval fat bodies         None seen       /hpf
Fat                     None seen       /hpf
Mucus                   None seen       /lpf
Sperm                   None seen       /hpf
Trichomonas             None seen       /hpf
Hyaline casts           None seen       /lpf
Epith cell casts        None seen       /lpf
WBC casts               None seen       /lpf
RBC casts               None seen       /lpf
Granular casts          None seen       /lpf
Broad casts             None seen       /lpf
Fatty casts             None seen       /lpf
Waxy casts              None seen       /lpf
Triple phosphaste       None seen       /hpf
 crystals
Calcium oxalate         None seen       /hpf
 crystals
Calcium phosphate       None seen       /hpf
 crystals
Calcium carbonate       None seen       /hpf
 crystals
Uric acid crystals      None seen       /hpf
Leucine crystals        None seen       /lpf
Cystine crystals        None seen       /lpf
Tyrosine crystals       None seen       /lpf
Amorphous crystals      None seen       /hpf
Other

[1659]


URINE TIME & VOLUME
Order Code 1TV Test Code 1TV
This test is to be ordered on all timed urines. Enter the period (collection time) in hours. Enter the volume in mLs. The final report will include both of these tests.
Specimen Required
       
Required patient info Collection period and total volume.
CPT codes 81050
Test schedule S-F nights
Turnaround time 24 hours
Test includes
Collection Period, h; Volume, mL.
Reference ranges
  
Collection Period      h
Volume                 mL
Notes
Do not order this test for random urines. Collection time and urine volume MUST be entered at the time this test is ordered. There is no fee for this test.

[1660]


UROBILINOGEN, URINE (QUALITATIVE)
Order Code UROB Test Code UROUD
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 10 mL  Minimum volume 0.5 mL
Collection procedure Collect a random urine specimen.
Specimen processing Aliquot 10 mL of a random urine specimen. Protect from light. Store and transport refrigerated.
Unacceptable conditions Specimen not protected from light.
Alternate specimens Frozen specimens.
Limitations Protect from light.
Department Chemistry
CPT codes 84578
Test schedule Daily & STAT
Turnaround time 24-48 hours
Method Colorimetric/Dipstick/Modified Ehrlich
Test includes
Urobilinogen, Urine, mg/dL.
Reference ranges
  
Urobilinogen, Urine  0.2-1.0   mg/dL

[1661]


VAGINAL PATHOGENS DNA DIRECT PROBE
Order Code VPDNA Test Code VPDNA
Synonyms Trichomonas by DNA Probe; Candida by DNA Probe; Gardnerella by DNA Probe
Specimen Required
       Container type See below  Specimen type Vaginal fluid
Collection procedure Collect vaginal fluid using a BD Affirm VPIII Ambient Temperature Transport System. Collect vaginal sample from the posterior fornix. BD Affirm VPIII Ambient Temperature System kits available from PAML Supply Department.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 3 days   Refrigerated 3 days   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Swabs submitted in media other than BD Affirm VPIII Ambient Temperature kits. Swabs GT 72 hours from time of collection to time of assay and lubricants should not be used during specimen collection
Department Microbiology
CPT codes 87480, 87510, 87660
Test schedule Sun-Sat
Turnaround time 1-2 days
Method Nucleic Acid Probe
Test includes
Candida Species DNA Probe; Gardenella vaginalis DNA Probe; Trichomonas vaginalis DNA Probe.
Reference ranges
  
Candida species DNA Probe       Negative
Gardenella vaginalis DNA Probe  Negative
Trichomonas vaginalis DNA Probe Negative
 All tests should be correlated with 
 clinical history.

[3068]


VALPROIC ACID
Order Code VALPROIC Test Code VALP
Synonyms Depakene; Depakote; Divalproex
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Collection procedure Draw just prior to next dose. Note times of dose and drawing.
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Required patient info Note times of dose and drawing.
Stability-   Room temp   Refrigerated 48 hours   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Heparin or EDTA plasma (green or lavender top tube).
Department Immunochemistry
CPT codes 80164
Test schedule Sun-Fri nights and STAT
Turnaround time 24-48 hours
Method ICMA
Test includes
Valproic Acid, ug/mL.
Reference ranges
  
Valproic Acid            ug/mL
 (Peak or Trough)
 Therapeutic  50-100  
 Toxic        GT 150

[1664]


VALPROIC ACID, FREE
Order Code VALPROIC.FREE Test Code VALPFR
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature.
Limitations No SST tubes.
CPT codes 80164
Test schedule Mon-Fri
Turnaround time 3-5 days
Method FPIA
Test includes
Valproic Acid, Free, ug/mL.
Reference ranges
  
Valproic Acid, Free                 ug/mL
 Normal anti-epileptic range 5-10.           
 Therapeutic range for the treatment of manic
 episodes associated with bipolar disorders:
 5-12.5. 
 Analysis by fluorescence polarization immuno-
 assay (FPIA).

[1665]


VANCOMYCIN
Order Code VAN Test Code VAN
Synonyms Vancocin
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Collection procedure Draw trough specimen within 15 minutes(no more than 30 minutes) prior to infusion. Draw peak specimen 60 minutes (no more that 90 minutes) after 90 minute IV infusion.Clearly label specimens with times.
Specimen processing Separate serum from cells and place in separate plastic tube and refrigerate. Store and transport refrigerated.
Required patient info Trough or peak specimen, date and time of dose & draw.
Stability-   Room temp 1 week   Refrigerated 1 week   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Severe hemolysis.
Alternate specimens SST, serum & sodium or lithium heparin or EDTA plasma.
Department Chemistry
CPT codes 80202
Test schedule Daily & STAT
Turnaround time 1-2 days
Method Turbidimetric
Test includes
Vancomycin, ug/mL.
Reference ranges
  
Vancomycin         ug/mL
 Trough  5.0-15.0    Toxic  GT 25.0       
 Peak    25.0-40.0   Toxic  GT 50.0

[1666]


VANCOMYCIN, PEAK
Order Code VAN.PK Test Code VANCPK
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Collection procedure Draw peak 60 minutes (no more than 90 minutes) after 90 minute IV infusion is completed. Note time of dose and drawing.
Specimen processing Separate serum from cells and place in separate plastic tube and refrigerated. Clearly label specimen. Store and transport refrigerated.
Required patient info Time of dose and drawing.
Stability-   Room temp 1 week   Refrigerated 1 week   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Severe hemolysis.
Alternate specimens SST serum & sodium or lithium heparin or EDTA plasma.
Department Chemistry
CPT codes 80202
Test schedule Daily & STAT
Turnaround time 1-2 days
Method Turbidimetric
Test includes
Vancomycin, Peak, ug/mL.
Reference ranges
  
Vancomycin, Peak     25.0-40.0   Toxic GT 50.0      ug/mL
                     

[1668]


VANCOMYCIN, PEAK & TROUGH
Order Code VAN2 Test Code VANIN
Synonyms Vancocin
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Collection procedure Draw trough sample within 15 minutes (no more than 30 minutes) prior to infusion. Draw peak sample 60 minutes (no more than 90 minutes) after 90 minute infusion. Clearly label specimens with times.
Specimen processing Separate serum from cells and place each in separate plastic tube and refrigerate. Clearly label specimens. Store and transport refrigerated.
Required patient info Trough and peak specimens, dates and times of dose and draw.
Stability-   Room temp 1 week   Refrigerated 1 week   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Severe hemolysis.
Alternate specimens SST serum, sodium or lithium heparin or EDTA plasma.
Department Chemistry
CPT codes 80202 x 2
Test schedule Daily & STAT
Turnaround time 1-2 days
Method Turbidimetric
Test includes
Vancomycin, Trough, ug/mL; Time, Trough; Vancomycin, Peak, ug/mL; Time, Peak.
Reference ranges
  
Vancomycin,                       ug/mL
 Trough 10.0-20.0  Toxic GT 25.0
Time, Trough    
Vancomycin,
 Peak   25.0-40.0 Toxic GT 50.0   ug/mL
Time, Peak

[1667]


VANCOMYCIN, TROUGH
Order Code VAN.TR Test Code VANCTR
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Collection procedure Draw trough within 15 minutes (no more than 30 minutes) prior to infusion. Note time of dose and drawing.
Specimen processing Separate serum from cells and place in separate plastic tube and refrigerate. Clearly label specimen. Store and transport refrigerated.
Required patient info Time of dose and drawing.
Stability-   Room temp 1 week   Refrigerated 1 week   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Severe hemolysis.
Alternate specimens SST, serum, sodium or lithium heparin or EDTA plasma.
Department Chemistry
CPT codes 80202
Test schedule Daily & STAT
Turnaround time 1-2 days
Method Turbidimetric
Test includes
Vancomycin, Trough, ug/mL.
Reference ranges
  
Vancomycin, Trough  10.0-20.0     Toxic GT 25.0     ug/mL

[1669]


VANILLYLMANDELIC ACID & HOMOVANILLIC ACID URINE (QUANTITATIVE)
Order Code HVVMUQ Test Code HVVMUQ
Synonyms HVA; 3-Methoxy-4-Hydroxy-Phenylacetic Acid
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection  Preferred volume 5 mL  Minimum volume 3 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Must refrigerate during collection.
Specimen processing Aliquot 5 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Store and transport refrigerated.
Required patient info Record total volume and collection time interval of transport tube and request form.
Stability-   Room temp Unacceptable   Refrigerated 1 week   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Alternate specimens Samples that have been adjusted to pH 2-3 with 6M HCl. Also random urine specimens.
CPT codes 83150, 84585
Test schedule Sun, Tue-Sat
Turnaround time 2-4 days
Method HPLC
Test includes
Volume, mL; Collection Period, hr; VMA, mg/d; HVA, mg/d; Creatinine, Urine, mg/d; Creatinine, Urine, mg/dL; Interpretation; VMA, Urine, mg/gCr HVA, Urine, mg/gCr; Interpretation.
Reference ranges
  
Volume                          mL
Collection Period               hr
VMA               0.0-7.0       mg/d
HVA               0.0-15.0      mg/d
Creatinine, Ur                  mg/d
Creatinine, Ur                  mg/dL
 M 0-2 yrs     Not established
   3-8 yrs     140-700
   9-12 yrs    300-1300
   13-17 yrs   500-2300
   18-50 yrs   1000-2500       
   51-80 yrs   800-2100
   81+ yrs     600-2000
 F 0-2 yrs     Not established
   3-8 yrs     140-700
   9-12 yrs    300-1300
   13-17 yrs   400-1600
   18-50 yrs   700-1600
   51-80 yrs   500-1400
   81+ yrs     400-1300
Interpretation   Normal
VMA, Urine                      mg/gCr
   0-2 yrs     0-27
   3-5 yrs     0-13
   6-17 yrs    0-9
   18 yrs +    0-6
HVA, Urine                      mg/gCr
   0-2 yrs     0-42
   3-5 yrs     0-22
   6-17 yrs    0-15
   18 yrs +    0-8
Notes
The VMA/Creatinine ratio and HVA/Creatinine ratio are reported whenever the patient is under 18 years, the collection is random or other than 24 hours, or the urine volume is LT 400 mL/24 hours.

[1]


VANILLYLMANDELIC ACID, URINE (QUANTITATIVE)
Order Code VMA Test Code VMAUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Synonyms 3-methoxy-4-hydroxymendelic acid; VMA
Specimen Required
       Container type 24-hour dark plastic urine container.  Specimen type 24-hour urine collection.  Preferred volume 25 mL  Minimum volume 10 mL
Patient Prep There are no diet restrictions.
Collection procedure Collect a 24-hour urine specimen. Refrigerate during collection.
Specimen processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Upon receipt adjust pH to 2 with 6N HCl. Record collection time and total volume. Store and transport refrigerated.
Required patient info Collection period and total volume.
Stability-   Room temp unacceptable   Refrigerated Acidified: 1 month.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens 24 hour urine collection preserved with 25 mL 6N HCl at start of collection, then adjust to pH to 2 with 6N HCl. 50% acetic acid or 10 grams of boric acid may also be used as preservatives. Toddlers: use 5 mL volume for preservative or 2 grams boric acid. Babies: use 2 mL volume of preservative or 1 gram boric acid.
Limitations A pH less than 1 can cause assay interference.
Department Special Chemistry
CPT codes 84585
Test schedule Tue, Thu
Turnaround time 2-6 days
Method HPLC/Electrochemical Detection
Test includes
Collection Period, h; Volume, mL; VMA, Urine, ug/mg Cr.
Reference ranges
  
Collection Period           h
Volume                      mL
VMA, Urine                  ug/mg Cr
 0-1 yrs     6.0-24.0     
 1-8 yrs     2.6-16.0     
 9-16 yrs    2.0-12.0     
 17-110 yrs  1.5-7.0

[1670]


VANILLYLMANDELIC ACID, URINE (RANDOM)
Order Code VMA-R Test Code VMAUR
Includes creatinine.
Synonyms VMA; 3-methoxy-4-hydroxymendelic acid
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Urine, random  Preferred volume 25 mL  Minimum volume 10 mL
Patient Prep No diet restrictions.
Collection procedure Collect a random urine in a leakproof plastic urine container.
Specimen processing Aliquot 25 mL of a well mixed refrigerated random urine collection into a leakproof plastic bottle. Upon receipt, adjust pH to 2 with 6N HCl. Store and transport refrigerated.
Stability-   Room temp Unacceptable   Refrigerated Acidified: 1 month.   Frozen (-20°C)   Frozen (-70°C)
Limitations A pH less than 1 can cause assay interference.
Department Special Chemistry
CPT codes 84585, 82570
Test schedule Tue, Thu
Turnaround time 2-6 days
Method HPLC/Electro Det/Enzymatic (IDMS traceable)
Test includes
Creatinine, Urine, mg/dL; VMA, Urine, ug/mg Cr.
Reference ranges
  
VMA, Urine                                                                       ug/mgC
                       0-11 mo                6.0-24.0
                       1-8 yrs                2.6-16.0
                       9-16 yrs               2.0-12.0
                       17-110 yrs             1.5-7.0
Creatinine, Urine, Random                     No normals established             mg/dL

[1671]


VAP CHOLESTEROL TEST
Order Code VAPCT Test Code VAPCT
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1.6 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. If transport time will exceed 4 days, freeze sample. Do not freeze SST tubes.
Stability-   Room temp   Refrigerated 3 days   Frozen (-20°C)   Frozen (-70°C) 1 year
Unacceptable conditions Ambient temperature samples.
Limitations Because the VAP test includes a directly measured LDL, and is not calculated, the LDL is unaffected by having a meal. Triglyceride levels will be affected if the patient is not fasting.
CPT codes 83701, 84478
Test schedule Varies
Turnaround time Within 7 days
Method Ultracentrifugation
Test includes
Total LDL Cholesterol, mg/dL; Direct Total HDL Cholesterol, mg/dL; Direct Total VLDL Cholesterol, mg/dL; Sum Total Cholesterol, mg/dL; Triglycerides, Direct, mg/dL; Total Non-HDL Cholesterol (LDL + VLDL), mg/dL; Total apoB100-calc; mg/dL; Direct Lp(a) Cholesterol, mg/dL; Direct IDL Cholesterol, mg/dL; Direct LDL R (Real) Cholesterol, mg/dL; Total LDL Cholesterol, mg/dL; Real LDL Size Pattern; Remnant Lipo (IDL + VLDL), mg/dL; HDL 2 (Large Boyant, Most Protective), mg/dL; HDL 3 (Small Dense, Least Protective), mg/dL; VLDL 1+2, mg/dL, VLDL 3 (Small Remnant), mg/dL; LDL 4, mg/dL; LDL 3, mg/dL; LDL 2, mg/dL; LDL 1, mg/dL, APO A1, mg/dL, APO B100-A1 Ratio.
Reference ranges
  
Total LDL Cholesterol             LT 130      mg/dL
Direct LDL R (Real) Cholesterol   LT 100      mg/dL
Direct Lp(a) Cholesterol          LT 10       mg/dL
Direct IDL Cholesterol            LT 20       mg/dL
Direct Total HDL Cholesterol      GT 39       mg/dL
HDL 2 (Large Bouyant,             GT 10       mg/dL
 Most Protective)
HDL 3 (Small, Dense,              GT 30       mg/dL
 Least Protective)
Direct Total VLDL Cholesterol     LT 30       mg/dL
VLDL 1+2                          LT 20       mg/dL
VLDL 3 (Small Remnant)            LT 10       mg/dL
Sum Total Cholesterol             LT 200      mg/dL
Triglycerides, Direct             LT 150      mg/dL
Total Non-HDL Cholesterol         LT 160      mg/dL
 (LDL + VLDL)
Remnant Lipo (IDL + VLDL3)        LT 30       mg/dL
Real LDL Size Pattern             A
LDL 4                                         mg/dL
LDL 3                                         mg/dL
LDL 2                                         mg/dL
LDL 1                                         mg/dL
Total APO B100 Calc               LT 109      mg/dL
APO A1                            GT 118      mg/dL
APO B100-A1 Ratio                 LT 0.0

[5776]


VARICELLA-ZOSTER ANTIBODY, IGG
Order Code VZA Test Code VZA
Test is intended to assess an individual's immune status to VZV prior to administration of VZA vaccine.
Synonyms Herpes Zoster Antibody, IgG; VZA; Herpes Zoster, IgG; Varicella-Zoster Ab (Chicken Pox); VZV; VZV, IgG; shingles
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Icteric, hemolyzed, heat inactivated, or plasma specimens.
Department Virology
CPT codes 86787
Test schedule Mon-Fri evenings
Turnaround time 1-3 days
Method ELISA
Test includes
Varicella-zoster Antibody, IgG, ISR.
Reference ranges
  
Varicella-Zoster Ab IgG 
 LT 0.91   Negative-No significant level of  ISR
           IgG Ab to Varicella Zoster virus
           detected. Patient may be susceptible
           to primary infection.
 0.91-1.09 Indeterminate-Varicella zoster virus
           IgG antibody status equivocal. Cannot
           determine the patient's immune status.
           Repeat testing in 10-14 days may be
           helpful in determining the presence
           or absence of infection.
 GT 1.09   Positive-Significant level of IgG Ab
           to Varicella Zoster virus detected.
           Indicates current or previous 
           infection or vaccine response.

[1673]


VARICELLA-ZOSTER VIRUS ANTIBODY, IGG & IGM
Order Code VZAGM Test Code VZAGM
Synonyms VZV; VZV, IgG & IgM; Herpes Zoster Virus Antibody IgG & IgM; Varicella Zoster Virus Antibody IgG & IgM; VZA, IgG & IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma, hemolyzed, lipemic, contaminated, heat-inactivated samples.
Department Virology
CPT codes 86787 x 2
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method ELISA
Test includes
Varicella-Zoster Virus Antibody, IgG, ISR; Varicella-Zoster Virus Antibody, IgM, IV.
Reference ranges
  
Varicella-Zoster Ab IgG 
 LT 0.91   Negative-No significant level of  ISR
           IgG Ab to Varicella Zoster virus
           detected. Patient may be susceptible
           to primary infection.
 0.91-1.09 Indeterminate-Varicella zoster virus
           IgG antibody status equivocal. Cannot
           determine the patient's immune status.
           Repeat testing in 10-14 days may be
           helpful in determining the presence
           or absence of infection.
 GT 1.09   Positive-Significant level of IgG Ab
           to Varicella Zoster virus detected.
           Indicates current or previous 
           infection or vaccine response.
Varicella-Zoster Virus Ab, IgM              IV
 LT 0.91    Negative-no clinically 
            significant level of
            VZV IgM Ab detected.
 0.91-1.09  Indeterminate-unable to
            determine the presence or
            absence of VZV IgM Ab.
 GT 1.09    Positive-IgM Ab to VZV
            detected. May indicate
            current or recent 
            infection or reactivation.

[1674]


VARICELLA-ZOSTER VIRUS ANTIBODY, IGM
Order Code VZVM Test Code VZVM
Synonyms VZA, IgM; Herpes Zoster Virus Antibody, IgM; Varicella Zoster Virus Antibody, IgM; VZV; VZV, IgM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma, hemolyzed, lipemic, contaminated or heat-inactivated samples.
Department Virology
CPT codes 86787
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method ELISA
Test includes
Varicella-Zoster Virus Antibody, IgM, IV.
Reference ranges
  
Varicella-Zoster Virus Ab, IgM        IV
 LT 0.91    Negative-no clinically 
            significant level of
            VZV IgM Ab detected.
 0.91-1.09  Indeterminate-unable to
            determine the presence or
            absence of VZV IgM Ab.
 GT 1.09    Positive-IgM Ab to VZV
            detected. May indicate
            current or recent 
            infection or reactivation.

[1677]


VARICELLA-ZOSTER VIRUS BY PCR
Order Code VZVRTP Test Code VZVRTP
A dedicated sample is required for molecular testing. This test cannot be ordered as and add-on test on samples previously tested.
Synonyms Varicella-zoster; chicken pox; varicella, zoster, VZV; Herpes zoster
Specimen Required
       Container type Sterile plastic container  Specimen type Frozen CSF.  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Put CSF in sterile plastic tube and freeze. Store and transport frozen.
Required patient info Source
Stability-   Room temp 8 hours   Refrigerated 1 day   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Non-sterile or leaking containers. Separate specimens must be submitted when multiple tests are ordered. A dedicate sample is requied for molecular testing. This test cannot be ordered as an add-on test on samples previously tested.
Alternate specimens Vesicle fluid or ocular fluid in viral transport media frozen (flocked swab preferred for lesion collection but polyester or cotton also acceptable).
Department Molecular Diagnostics
CPT codes 87798
Test schedule Tue, Thu
Turnaround time 2-6 days
Method Real-Time PCR
Test includes
Varicella-Zoster Virus Source; Varicella-Zoster Virus Result; Varicella-Zoster Virus Comment.
Reference ranges
  
Varicella-Zoster Source
Varicella-Zoster Virus Result
 Negative for VZV DNA.
 A negative result does not rule out
 the presence of PCR inhibitors in the patient
 specimen or VZV concentrations below 
 the level of detection by the assay.
 The limit of detection of this assay is 5
 copies per microliter of patient specimen.

[5613]


VASCULAR ENDOTHELIAL GROWTH FACTOR
Order Code VEGF Test Code VEGF
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate plasma from cells ASAP and put in separate plastic tube and freeze. Store and transport frozen. This is a critical frozen specimen. Additonal specimens must be submitted when multiple tests are ordered.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Ambient, refrigerated and hemolyzed specimens.
Alternate specimens K2EDTA plasma (pink top tube).
CPT codes 83520
Test schedule Tue
Turnaround time 3-10 days
Method Chemiluminescent Immunoassay
Test includes
Vascular Endothelial Growth Factor, pg/mL.
Reference ranges
  
Vascular Endothelial Growth Factor
 9-86   pg/mL
 This assay is performed using the 
 QuantiGlo chemiluminescent EIA kit.
 Values obtained with different assay
 methods or kits cannot be used 
 interchangeably.

[1678]


VASOACTIVE INTESTINAL POLYPEPTIDE
Order Code VIP Test Code VIP
Do not request on a patient who has recently received radioactive material.
Synonyms VIP
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen EDTA plasma  Preferred volume 1 mL  Minimum volume 1 mL
Patient Prep Patient should be fasting for 8 hours.
Specimen processing Immediately separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen.
CPT codes 84586
Test schedule Mon, Wed
Turnaround time 4-10 days
Method RIA
Test includes
VIP, pg/mL.
Reference ranges
  
VIP      LT 75      pg/mL

[1679]


VDRL, CSF
Order Code VDRL.CSF Test Code VDRLSF
Synonyms RPR, CSF
Specimen Required
       Container type CSF sterile plastic tube.  Specimen type CSF  Preferred volume 1 mL
Specimen processing Centrifuge and decant spinal fluid. Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 5 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Spinal fluid visibly contaminated or containing gross blood.
Department Immunology
CPT codes 86592
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method FLOC
Test includes
VDRL, CSF.
Reference ranges
  
VDRL, CSF    Nonreactive

[1680]


VENLAFAXINE & METABOLITE, SERUM/PLASMA
Order Code VENLAM Test Code VENLAM
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 weeks   Refrigerated 2 weeks   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions SST or PST tubes.
Alternate specimens Plasma samples.
CPT codes 83789
Test schedule Tue, Fri
Turnaround time 4-7 days
Method LC-MS/MS
Test includes
Venlafaxine, ng/mL; O-Desmethylvenlafaxine, ng/mL.
Reference ranges
  
Venlafaxine                      ng/mL
 Steady state peak plasma levels
 following a daily regimen occur
 at approximately 2 hours for
 Venlafaxine:
 Dose     Range   
 75       35-79     
 150      93-334    
 225      68- 265  
 450      196-597
 Steady state trough plasma levels
 following a 150 mg per day regimen:
 0-141 ng Venlafaxine/mL.  
O-Desmethylvanlafaxine           ng/mL
 Steady state peak plasma levels
 following a daily regimen of 
 Venlafaxine occur at approximately
 2.5 hours for O-Desmethyl-venlafaxine:
 Dose     Range
 75       94-200    
 150      85-472    
 225      243-515   
 450      390-1096  
 Steady state trough plasma levels 
 following a 150 mg per day regimen:
 5-300 ng O-Desmethylvenlafaxine/mL.

[5766]


VENLAFAXINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCVEN Test Code TLCVEN
Synonyms Effexor,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 1000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Venlafaxine
Notes
Test is also included in Drug-Sur as part of panel.

[6990]


VENOUS ACID BASE PROFILE
Order Code AC/BASE Test Code VBG
Synonyms Venous Blood Gases
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Whole blood  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Immerse tube completely in ice water. Test must be performed within 4 hours of collection. Store and transport on ice water.
Required patient info Patient's temperature.
Unacceptable conditions Specimen exposed to air or not kept on ice.
Department Respiratory Therapy
CPT codes 82803
Test schedule Daily & STAT
Turnaround time 24-48 hours
Method Ion Transfer Electrode/Potentiometry/Co-oximeter
Test includes
pH; pCO2, mmHg; pO2, mmHg; 02 Content, Vol %; O2 Saturation, Venous, %; HCO3, mmol/L; Base Excess, mmol/L; Base Deficit, mmol/L; Hemoglobin, Venous, g/dL; CO Hemoglobin, %; Met Hemoglobin, %; 02, %; Additional Data.
Reference ranges
  
pH                     7.31-7.41
PCo2                   41-51                        mmHg
p02                    37-43                        mmHg
02 Content             4.5-6.0                      Vol %
02 Saturation, Venous  70-76                        %
HC03                   22-26                        mmol/L
Base Excess            -2.0 to +2.0                 mmol/L
Base Deficit           0.0-2.5                      mmol/L
Hemoglobin                                          g/dL
 0-3 days              14.5-22.5
 3-7 days              13.5-21.5
 7-14 days             12.5-20.5
 14-30 days            10.0-18.0
 30-60 days            9.0-14.0
 2-5 mo                10.5-13.5
 6-24 mo               11.5-13.5
 2-6 yrs               11.5-13.5
 6-12 yrs              11.5-15.5
 12-18 yrs       M     13.0-16.0
 18 yrs+         M     13.7-16.7
 12-18 yrs       F     12.0-16.0
 18 yrs+         F     11.6-15.5                    g/dL
C0 Hemoglobin          1-3                          %
Met Hemoglobin         0.4-1.5                      %
02                                                  %
Additional Data

[1682]


VERAPAMIL (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Order Code TLCVER Test Code TLCVER
Synonyms Calan, Isoptin,
Specimen Required
       Container type Random Urine  Specimen type Urine  Preferred volume 30 mL  Minimum volume 10 mL
Limitations 2000 ng/mL
Department Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method Thin Layer Chromatography
Test includes
Verapamil
Notes
Test is also included in Drug-Sur as part of panel.

[6991]


VERAPAMIL, SERUM/PLASMA
Order Code VERAPA Test Code VERAPA
Synonyms Isoptin; Verelin; Calan
Specimen Required
       Container type Red top tube (Plain)  Specimen type Serum  Preferred volume 3 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated or room temperature.
Stability-   Room temp 2 weeks   Refrigerated 1 month   Frozen (-20°C) 1.5 years   Frozen (-70°C)
Unacceptable conditions Samples in SST or gel tubes.
CPT codes 82491
Test schedule Mon-Sun
Turnaround time 3-4 days
Method GC
Test includes
Verapamil, ng/mL
Reference ranges
  
Verapamil                 70-350                                  ng/mL
                         Probable therapeutic range. Two or
                          three fold greater plasma Verapamil 
                          concentrations are required after
                          oral dosing, as compared to I.V.
                          dosing, to elicit the same increase
                          in a-v conduction time.

[1875]


VIRAL CULTURE (REFLEXIVE)
shipping instruction code
Order Code VIRCUL Test Code VIRCUL
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Culture, Viral; Enterovirus, Entero; Echovirus; Poliovirus; Coxsackie Virus; Influenza A; Influenza B; Flu A; Flu b; Parainfluenza Virus 1,2,3; Para; CMV; Cytomegalovirus; HSV; Herpes; Herpes Simplex; VZV; Varicella; Varicella zoster; Zoster; Adenovirus; RSV; Respiratory Syncytial Virus; Chickenpox; Shingles; Measles; Mumps; Virus Culture
Specimen Required
       Container type See below.  Specimen type NP, throat, rectal swabs (flocked preferred), stool, tissue biopsy, BAL, bronchial brush or wash, eye or skin lesion swab in viral transport media (M4 or other). Urine (1.5 mL) or CSF (1 mL)in sterile container.
Specimen processing Store and transport refrigerated. shipping instruction code
Required patient info Specimen source.
Stability-   Room temp unacceptable   Refrigerated 3 days   Frozen (-20°C) unacceptable   Frozen (-70°C) indefinitely
Unacceptable conditions Calcium alginate swabs or swabs in gel media, wooden swabs and dry swabs, samples received frozen @ -20C, samples GT 3 days old unless received frozen on dry ice.
Alternate specimens Polyester or cotton swabs in M4 media.
Department Virology
CPT codes 87252, 87254
Test schedule Daily
Turnaround time Shell vial CMV results at 72 hours, preliminary culture results at 7 days, final culture report at 14 days. CMV shell vial done only on tissue, BAL, bronch brush or wash, or urine unless otherwise requested.
Method Isolation in Tissue Culture
Test includes
Source; Viral Culture; Viral Culture, Status.
Reference ranges
  
Source
Viral Culture               Negative
Viral Culture, Status
Notes
This culture is for the detection of common viruses, including HSV, CMV, VZV, adenovirus, influenza, RSV, parainfluenza, and enterovirus. CMV shell vial done only on tissue, BAL, bronch, or urine unless otherwise requested. Culture for measles or mumps done only by special request.

[1685]


VIRAL DFA STAIN, REFLEXIVE TO VIRAL CULTURE (REFLEXIVE) shipping instruction code
Order Code VRDFAR Test Code VRDFAR
If the DFA is negative it will reflex to a viral culture. At client request, viral culture may be added regardless of DFA result.
This test may reflex to additional tests depending upon the results of this test. An additional fee may be added.
Synonyms Respiratory screen; Influenza; Parainfluenza; RSV; Respiratory Syncytial Virus; Herpes; HSV; Varicella; VZV; Human Metapneumovirus; HMPV; Adenovirus; CMV; Cytomegalovirus
Specimen Required
       Container type See below.  Specimen type Nasopharyngeal swab, throat swab, tissue biopsy, BAL. bronchial brush or wash, skin lesions or eye swab submitted in viral transport media (M4 or other). Flocked swabs preferred.
Specimen processing Store and transport refrigerated. shipping instruction code
Required patient info Specimen source, specify location if biopsy.
Stability-   Room temp unacceptable   Refrigerated 3 days   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Sputum, stool, rectal, urine and CSF specimens refer to VIRCUL. Calcium alginate swab, dry swab, wooden swabs and swabs in gel media.
Department Virology
CPT codes 87015
Test schedule Twice daily
Turnaround time 1 day
Method DFA Stain
Test includes
Viral culture and DFA Stain; Viral Culture and DFA, Status.
Reference ranges
  
Viral Culture & DFA Stain         Negative for DFA screen
                                  No virus isolated
Viral Culture & DFA Stain Status
 
Notes
DFA performed will be based on source specified: respiratory samples will be screened for Influenza A & B, Adenovirus, Respiratory Syncytial Virus, Parainfluenzavirus types 1, 2, 3 and Human Metapneumovirus. Tissue specimens will be screened for CMV. Dermal and eye for HSV & VZV.

[3584]


VISCOSITY
Order Code VISC Test Code VISC
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1.5 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 4 days   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Frozen samples are acceptable.
Limitations The presence of cryoglobulin will enhance the viscosity of serum.
Department Immunochemistry
CPT codes 85810
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Cone and Plate Viscometer
Test includes
Viscosity, cP.
Reference ranges
  
Viscosity  Normal   1.1-1.8       cP
 Symptoms of hyperviscosity
 syndrome may appear with a 
 viscosity of 4cP, while
 a viscosity of between
 6cP and 8cP or more is usually
 accompanied by symptoms.

[1686]


VISCOSITY, FLUID
Order Code VISCFL Test Code VISCFL
Specimen Required
       Container type Green top tube (lithium heparin)  Specimen type Body fluid  Preferred volume 3 mL  Minimum volume 3 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 4 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Clotted specimens.
Department Immunohemistry
CPT codes 85810
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method Cone and Plate Viscometer
Test includes
Viscosity, Fluid, cP.
Reference ranges
  
Viscosity, Fluid               cP
 No normals established

[1687]


VITAMIN A
Order Code VIA Test Code VIA
This test does not measure Vitamin A metaboliltes, retinyl palmitate, retinaldehyde, and retinoic acid.
Synonyms Retinol
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Patient Prep Patient should fast overnight (12 hours) and should not consume alcohol for 1 day prior to blood draw.
Collection procedure Protect from light during collection, storage and transport.
Specimen processing Allow serum to completely clot at room temperature. Separate serum from cells ASAP and place in separate plastic tube. Protect from light. Store and transport refrigerated.
Stability-   Room temp 48 hours   Refrigerated 1 month   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or icteric samples. Lipemic samples.
Alternate specimens Heparinized or EDTA plasma (green, lavender or pink top tube).
Limitations Avoid hemolysis. Protect from light. This test does not measure Vitamin A metaboliltes, retinyl palmitate, retinaldehyde, and retinoic acid.
Department Bioanalytics
CPT codes 84590
Test schedule Mon-Fri
Turnaround time 1-3 days
Method HPLC
Test includes
Vitamin A (retinol) result, mg/L
Reference ranges
  
Vitamin A (Retinol) Result                     mg/L
 0-30 days             0.18-0.50              mg/L
 1 mon-12 yrs          0.20-0.50
 13-17 yrs             0.26-0.70
 18+ yrs               0.30-1.20

[6394]


VITAMIN B 12 ASSAY
Order Code B12 Test Code B12
Synonyms Vitamin B12; B12; Cobalamin; Vitamin B-12
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate 12 x 75 plastic tube and freeze. Protect from light. Store & transport frozen.
Stability-   Room temp 8 hours   Refrigerated 10 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Repeat freeze/thaw cycles.
Alternate specimens SST( brick top tube).
Limitations Protect from light.
Department Immunochemistry
CPT codes 82607
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
B12, pg/mL.
Reference ranges
  
B12 Deficient      LT 212   pg/mL
    Indeterminate  212-246
    Normal         247-911

[359]


VITAMIN B-1 THIAMINE, PLASMA
Order Code VIT B-1 THIAM Test Code VITB1P
The whole blood assay is preferred over plasma for thiamine assessment. Separate specimens must be submitted when multiple tests are ordered.
Synonyms Thiamine
Specimen Required
       Container type Green top tube (sodium heparin)  Specimen type Frozen plasma  Preferred volume 3 mL  Minimum volume 0.5 mL
Collection procedure CRITICAL - Protect from light during collection, storage and transport.
Specimen processing Separate plasma from cells ASAP and place in separate amber plastic tube and freeze. Protect from light. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated 1 week   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Non-frozen specimens, those not protected from light and frozen glass tubes.
Alternate specimens EDTA plasma (lavender top tube).
CPT codes 84425
Test schedule Mon-Sat
Turnaround time 2-5 days
Method HPLC for Thiochrome
Test includes
Vitamin B-1, Plasma, nmol/L.
Reference ranges
  
Vitamin B-1 Thiamine,  8-30   nmol/L
 Plasma
Notes
This assay does not distinguish beteen thiamine and its phosphate esters.

[1689]


VITAMIN B-1, WHOLE BLOOD
Order Code VIT B-1.BLD Test Code VITB1B
Whole blood is the preferred specimen for thiamine assessment.
Synonyms Thiamine
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen whole blood  Preferred volume 3 mL  Minimum volume 1 mL
Collection procedure Protect from light during collection, storage and transport.
Specimen processing Freeze in separate plastic tube. Protect from light. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated 4 hours   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Non-frozen specimens, or specimens received in glass vacutainer tubes.
Alternate specimens Sodium or lithium heparinized whole blood (green top tube).
Limitations Protect from light.
CPT codes 84425
Test schedule Sun-Sat
Turnaround time 3-7 days
Method HPLC
Test includes
Vitamin B-1, Whole Blood, nmol/L.
Reference ranges
  
Vitamin B-1 Thiamine,  70-180      nmol/L
 Whole Blood
 The concentration of thiamine diphosphate
 (TDP), the primary active form of vitamin
 B1, is measured in this assay. Approximately
 90% of vitamin B1 present in the whole blood
 is TDP. Thiamine & thiamine monophosphate,
 which comprise the remaining 10%, are not
 measured.
Notes
Approximately 80% of thiamine present in whole blood in red blood cells.This assay does not distinguish between thiamine and its phosphate esters.

[1690]


VITAMIN B-6
Order Code VIT B-6 Test Code VITB6P
Synonyms Pyridoxal phosphate
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 0.2 mL
Collection procedure Protect from light during collection, storage and transport.
Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Protect from light. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated 4 hours   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Non-frozen specimens and specimens frozen in glass tubes.
Limitations Protect from light.
CPT codes 84207
Test schedule Tue-Fri, Sun
Turnaround time 2-5 days
Method RIA
Test includes
Vitamin B-6, ng/mL.
Reference ranges
  
Vitamin B-6      5.0-30.0       ng/mL
Notes
This assay does not distinguish between pyridoxine, pyridoxamine and pyridoxal forms, and does not detect pyridoxic acid.

[1691]


VITAMIN B12 & FOLATE
Order Code B12/FOL Test Code B12FOL
Synonyms Vitamin B12/Folate; Vitamin B12/Folic Acid; Vitamin B-12/Folate; Vitamin B-12/Folic Acid
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and place in separate 12 x 75 plastic tube and freeze. Protect from light. Store & transport frozen.
Stability-   Room temp 8 hours   Refrigerated B12-10 days; Folate-5 days   Frozen (-20°C) B12-2 months; Folate-2 weeks   Frozen (-70°C)
Unacceptable conditions Repeat freeze/thaw cycles.
Alternate specimens SST(brick top tube).
Limitations Protect from light. Hemolysis significantly increases folate values due to the high folate concentrations in red blood cells.
Department Immunochemistry
CPT codes 82607, 82746
Test schedule Sun-Fri nights
Turnaround time 24-48 hours
Method ICMA
Test includes
B12, pg/mL; Folate, ng/mL.
Reference ranges
  
B12  Deficient      LT 212   pg/mL
     Indeterminate  212-246
     Normal         247-911
Folate                       ng/mL
     Deficient      0.4-3.4  
     Indeterminate  3.5-5.3
     Normal         5.4-24.0

[361]


VITAMIN B12 BINDING CAPACITY (UNSATURATED)
Order Code UBBC Test Code VB12BC
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL
Collection procedure Protect from light during collection, storage and transport.
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Protect from light. Store and transport frozen.
Stability-   Room temp 2 hours   Refrigerated 4 days   Frozen (-20°C) 7 days   Frozen (-70°C)
Alternate specimens Refrigerated specimens are acceptable but not preferred.
Limitations Protect from light.
CPT codes 82608
Test schedule Mon, Thu
Turnaround time 5-10 days
Method RIA
Test includes
Vitamin B12 Binding Capacity, Unsaturated, pg/mL.
Reference ranges
  
Vitamin B12 Binding Capacity,     pg/mL
 Unsaturated (UBBC)     800-2600

[362]


VITAMIN B2, RIBOFLAVIN
Order Code VB2 Test Code VB2
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type EDTA whole blood  Preferred volume 5 mL  Minimum volume 1 mL
Specimen processing Do not spin. Store and transport refrigerated.
Unacceptable conditions Frozen specimens.
CPT codes 84252
Test schedule Tue
Turnaround time 3-9 days
Method Spectrophotometric
Test includes
Vitamin B2, Riboflavin, Activity Coefficient.
Reference ranges
  
Vitamin B2, Riboflavin      Activity Coefficient
 1.00-1.30
 Values above 1.31 are biochemical evidence of
 Riboflavin deficiency.

[1692]


VITAMIN C, PLASMA
Order Code VIT.C Test Code VITCP
Synonyms Ascorbic Acid
Specimen Required
       Container type See below.  Specimen type See below.  Preferred volume 4 mL
Collection procedure Draw 10 mL sodium or lithium heparin plasma (green top tube). Centrifuge immediately, separate plasma from the cells and add two mLs of the plasma to each of two special tubes containing 40 mg oxalic acid; mix and freeze. Special collection tubes are available from PAML Supply Department. Fasting specimen is preferred. Adequate preservation is 20 mg oxalic acid per 1 mL/plasma. The oxalic acid preservative may interfere with other tests.
Specimen processing Store and transport frozen. This is a critical frozen. Separate samples must be submitted when multiple tests are ordered.
Stability-   Room temp unacceptable   Refrigerated unacceptable   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Nonfrozen samples, samples that are not preserved with oxalic acid, serum and hemolyzed plasma.
CPT codes 82180
Test schedule Sun, Tue, Thu
Turnaround time 2-8 days
Method Spectrophotometric (DNPH)
Test includes
Vitamin C, Plasma, mg/dL.
Reference ranges
  
Vitamin C, Plasma     0.4-2.0   mg/dL
Notes
Vitamin C concentrations between 0.2-0.4 mg/dL indicate risk of deficiency. Concentrations LT 0.2 mg/dL consistent with deficiency.

[1693]


VITAMIN D, 1,25-DIHYDROXY
Order Code VIDD Test Code VIDD
Synonyms 1,25-Dihydroxy
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1.5 mL  Minimum volume 0.8 mL
Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 3 days   Refrigerated 3 days   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Four or more freeze/thaw cycles.
Alternate specimens Frozen EDTA plasma or serum (lavender or plain red top tube).
Department Special Chemistry/Immunology
CPT codes 82652
Test schedule Mon-Fri
Turnaround time 1-4 days
Method RIA
Test includes
Vitamin D (1,25-OH), pg/mL.
Reference ranges
  
Vitamin D   15-75             pg/mL
 (1,25-OH)

[1694]


VITAMIN D, 25-HYDROXY
Order Code VDOH Test Code VDOH
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Avoid repeated freeze/thaw cycles.
Stability-   Room temp 3 days   Refrigerated 10 days   Frozen (-20°C) 7 months   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed, grossly lipemic, or jaundiced samples.
Alternate specimens EDTA plasma, lithium heparin plasma (lavender or green top tube).
Department Immunochemistry
CPT codes 82306
Test schedule Sun-Fri days & evenings
Turnaround time 1-3 days
Method Chemiluminescent Immunoassay
Test includes
Vitamin D, 25-Hydroxy, ng/mL.
Reference ranges
  
Vitamin D,      LT 20 Suggests a               ng/mL                                
 25-Hydroxy     deficiency of 25-OH 
                Vitamin D.
                20-29 Suggests a 
                relative insufficiency
                of 25-OH Vitamin D.
                30-150 Suggests a sufficient
                level of 25-OH Vitamin D.
                GT 150 Toxic level of
                25-OH Vitamin D.
 Blood levels of 25-OH Vitamin D vary
 with the extent of sun exposure.
 Values tend to be highest in late
 summer and lowest in spring. Values
 also tend to decrease with age, due 
 to decreased precursor synthesis in
 the skin.

[1695]


VITAMIN D2 D3, 25-HYDROXY BY LC-MS/MS
Order Code VITD23 Test Code VITD23
Synonyms 25-Hydroxy D2, 25-Hydroxy D3, 25-Hydroxy Vitamin D, 25-Hydroxycholecalciferol, 25-hydroxyergocalciferol, 25-OH, calcidiol, D2, D3, Vitamin D assay
Specimen Required
       Container type SST Tube (Gold, Brick, SST or Corvac)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 48 hours   Refrigerated 14 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Room Temperature specimens older than 48 hours from draw.
Department Bioanalytics
CPT codes 82306
Test schedule Mon-Fri
Turnaround time 1-3 days
Method Tandem Mass Spectrometry
Test includes
25-Hydroxyvitamin D2, ng/mL; 25-Hydroxyvitamin D3, ng/mL; 25-Hydroxyvitamin D Total, ng/mL.
Reference ranges
  
25-Hydroxyvitamin D2             ng/mL
25-Hydroxyvitamin D3             ng/mL
25-Hydroxyvitamin D Total        ng/mL
                                 Reference Ranges for Total Vitamin D
                                 Severe Deficiency                               LT 10.0     ng/mL
                                 Mild to Moderate Deficiency                     10.0-23.9
                                 Optimum Levels                                  24.0-80.0
                                 Toxicity Possible, Pediatrics (0-18 yrs)        80.0 or greater
                                 Toxicity Possible, Adults (19+ yrs)             150.0 or greater

[6075]


VITAMIN E
Order Code VIE Test Code VIE
This test does not measure Vitamin E metaboliltes, gamma tocopherol.
Synonyms Alpha-Tocopherol; Tocopherol
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Patient Prep Patient should fast overnight (12 hours) and should not consume alcohol for 1 day prior to blood draw.
Collection procedure Protect from light during collection, storage and transport.
Specimen processing Allow serum to completely clot at room temperature. Separate serum from cells ASAP and place in separate plastic tube. Protect from light. Store and transport refrigerated.
Stability-   Room temp 48 hours   Refrigerated 1 month   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed or icteric samples.
Alternate specimens Heparinized or EDTA plasma (green, lavender or pink top tube).
Limitations Avoid hemolysis. Protect from light. This test does not measure Vitamin E metaboliltes, gamma tocopherol.
Department Bioanalytics
CPT codes 84446
Test schedule Mon-Fri
Turnaround time 1-3 days
Method HPLC
Test includes
Vitamin E (alpha-tocopherol) Result, mg/L
Reference ranges
  
Vitamin E (alpha-tocopherol) Result           mg/L
 0-30 days             1.0-3.5                mg/L
 1-5 mo                2.0-6.0
 6 mo-1 yr             3.5-8.0
 2-12 yrs              5.5-9.0
 13+ yrs               5.5-21.0

[6393]


VITAMIN K1
Order Code VITK1 Test Code VITK1
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 2.5 mL  Minimum volume 1.1 mL
Patient Prep Fasting sample is preferred. The patient should not consume alcohol for 1 day prior to the blood draw.
Collection procedure Protect from light during collection, storage and transport.
Specimen processing Separate serum from cells and place in separate plastic tube, protect from light and freeze. Store and transport frozen.
Stability-   Room temp unacceptable   Refrigerated 1 month   Frozen (-20°C) 6 months   Frozen (-70°C)
Alternate specimens EDTA plasma (lavender top tube).
Limitations Protect from light and avoid hemolysis.
CPT codes 84597
Test schedule Tue-Sun
Turnaround time 3-7 days
Method HPLC
Test includes
Vitamin K1, ng/mL.
Reference ranges
  
Vitamin K1   0.10-2.20 ng/mL

[1697]


VOLATILES
Order Code VOL Test Code VOLAT
Synonyms methanol, (methyl alcohol),isopropanol,(isopropal alcohol), acetone,
Specimen Required
       Container type Serum (red top), Oxalated whole blood (grey top), or heparinized whole blood (green top)  Specimen type Blood/Serum  Preferred volume 2 mls  Minimum volume 1 ml
Alternate specimens Urine or vitreous humor
Limitations Container must be keep sealed, Limit of Detection 10 mg/dl
Department Toxicology
CPT codes 84600
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method FID
Test includes
Acetone,Isopropanol and Methanol

[6923]


VOLTAGE GATED CALCIUM CHANNEL ANTIBODY
Order Code VGCCAB Test Code VGCCAB
This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved.
Specimen Required
       Container type Red top tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells ASAP and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 8 hrs   Refrigerated 2 weeks   Frozen (-20°C) indefinitely   Frozen (-70°C)
Unacceptable conditions Grossly lipemic or hemolyzed specimens and plasma.
CPT codes 83519
Test schedule Tue
Turnaround time 2-9 days
Method Radiobinding Assay
Test includes
Voltage-gated Calcium Channel Antibody, fmol/L.
Reference ranges
  
Voltage-gated Calcium Channel Antibody    23000 or less   fmol/L

[5612]


VON WILLEBRAND FACTOR ACTIVITY
Order Code VON Test Code F08RCO
Separate samples must be submitted when multiple tests are ordered.
Synonyms VW Factor; VW Factor Activity; Ristocetin Cofactor
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 1 mL  Minimum volume 1 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85245
Test schedule Mon-Sat
Turnaround time 48 hours
Method Electromechanical
Test includes
VWF Activity (Ristocetin Cofactor), %.
Reference ranges
  
VWF Activity    GT 40% Activity      %
 (Ristocetin Cofactor)

[1698]


VON WILLEBRAND FACTOR ANTIGEN
Order Code FAC8AG Test Code F08RA
Separate samples must be submitted when multiple tests are ordered.
Synonyms F8-Related Antigen; VW Antigen; FAC8 Antigen; Factor 8 Antigen; Factor VIII-related Antigen
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85246
Test schedule Mon-Fri days
Turnaround time 72 hours
Method Immuno-turbidimetric Assay
Test includes
Von Willebrand Factor Antigen, %
Reference ranges
  
Von Willebrand  50-165% concentration   %
 Factor Antigen
Notes
This is a quantitative test. It detects the amount of VWF antigen immunologically. It is correctly called FVIII-related antigen.

[1699]


VON WILLEBRAND MULTIMERIC ANALYSIS
Order Code VWFMA Test Code VWFMA
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 0.5 mL  Minimum volume 0.5 mL
Specimen processing Separate plasma from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp   Refrigerated   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Thawed, clotted, hemolyzed or specimens that have been filtered.
CPT codes 85247
Test schedule Mon-Fri
Turnaround time 5-12 days
Method Chemiluminensce
Test includes
Von Willebrand Factor Multimeric; Interpretation.
Reference ranges
  
Von Willebrand Factor Multimeric
 Normal
Interpretation

[1701]


VON WILLEBRAND MULTIMERIC PANEL
Order Code VWMUL Test Code VWMUL
Synonyms VFW Multimeric
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Frozen plasma  Preferred volume 4 mL  Minimum volume 2 mL
Specimen processing Separate plasma from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen. Do not allow to thaw. Critical frozen. Separate samples must be submitted when multiple tests are ordered.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Serum, nonfrozen, or hemolyzed samples.
CPT codes 85247, 85240, 85246, 85245
Test schedule Mon-Sat
Turnaround time 3-12 days
Method Electrophoresis, Western Blot, Clotting MPMIA, Platelet Agg
Test includes
Von Willebrand Multimeric; Factor VIII Activity, %; Von Willebrand Factor Antigen, %; Von Willebrand Factor Activity, %..
Reference ranges
  
von Willebrand Multimeric      Normal
 Factor VIII Activity                         %
 0-6 yrs           56-191
 7-9 yrs           76-199
 10-11 yrs         80-209
 12-13 yrs         72-198
 14-15 yrs         69-237
 16-17 yrs         63-221
 18 yrs +          56-191
von Willebrand Factor Antigen                 %
 0-6 yrs           52-214
 7-9 yrs           62-180
 10-11 yrs         63-189
 12-13 yrs         60-189
 14-15 yrs         57-199
 16-17 yrs         50-205
 18 yrs+           52-214
von Willebrand Factor Activity                %
 0-6 yrs           51-215
 7-9 yrs           52-176
 10-11 yrs         60-195
 12-13 yrs         50-184
 14-15 yrs         50-203
 16-17 yrs         49-204
 18 yrs +          51-215

[1702]


VON WILLEBRAND PANEL
Order Code VONP Test Code VONP
Separate samples must be submitted when multiple tests are ordered.
Specimen Required
       Container type Blue top tube (buffered sodium citrate)  Specimen type Whole blood  Preferred volume 5 mL  Minimum volume 3 mL
Collection procedure Liquid blue top tubes filled to capacity. Must be performed within 4 hours from time of specimen collection.
Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.
Stability-   Room temp 4 hours   Refrigerated 4 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less.
Department Coagulation
CPT codes 85240, 85246, 85245
Test schedule Mon-Sat
Turnaround time 72 hours
Method Electromechanical & Immuno-turbidimetric
Test includes
Factor VIII, %; Von Willebrand Factor Antigen, %; Von Willebrand Factor Activity, %.
Reference ranges
  
Factor VIII                     55-150    %
Von Willebrand Factor Antigen   50-165    %
Von Willebrand Factor Activity  GT 40     %

[1703]


WEST NILE VIRUS AB PANEL, IGG & IGM
Order Code WNGM Test Code WNGM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 8 hours   Refrigerated 2 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Samples other than serum.
Department Virology
CPT codes 86788, 86789
Test schedule Mon, Wed
Turnaround time 2-6 days
Method ELISA
Test includes
West Nile Virus, IgG; West Nile Virus, IgM; Interpretation.
Reference ranges
  
West Nile Virus, IgG    LT 1.30
West Nile Virus, IgM    LT 0.90
West Nile Viruse Interpretation
 Interpretative Criteria for IgG:
 LT 1.30        Antibody not detected
 1.30-1.50      Equivocal
 GT 1.50        Antibody detected
 Interpretative Criteria for IgM:
 LT 0.90        Antibody not detected
 0.90-1.10      Equivocal
 GT 1.10        Antibody detected
 West Nile Virus (WNV) IgM is usually
 detectable by the time symptoms 
 appear, but IgG may not be detectable
 until day 4 or day 5 of illness. 
 Although WNV IgM persists for more
 than a year in some patients with WNV
 encephalitis, detection of WNV IgM 
 remains a reliable indicator of recent
 infection for most patients.
 Antibodies induced by WNV infection
 show extensive crossreactivity with
 other flaviviruses (Dengue, St.
 Louis Encephalitis); thus, antibody
 detection using this panel is not
 diagnostically conclusive for
 WNV infection. Final diagnosis should
 be based on confirmatory assays, such
 as the plaque reduction neutralization
 test.

[1705]


WEST NILE VIRUS ANTIBODY, CSF
Order Code WNVCSF Test Code WNVCSF
Specimen Required
       Container type Sterile leakproof plastic tube  Specimen type CSF  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 3 months   Frozen (-20°C) 7 years   Frozen (-70°C)
CPT codes 86788, 86789
Test schedule Mon-Fri
Turnaround time 3-6 days
Method ELISA
Test includes
West Nile Virus, IgG, CSF; West Nile Virus, IgM, CSF; Interpretation.
Reference ranges
  
West Nile Virus, IgG, CSF    LT 1.30
West Nile Virus, IgM, CSF    LT 0.90
Interpretation
 Interpretative Criteria for IgG:
 LT 1.30        Antibody not detected
 1.30-1.50      Equivocal
 GT 1.50        Antibody detected
 Interpretative Criteria for IgM:
 LT 0.90        Antibody not detected
 0.90-1.10      Equivocal
 GT 1.10        Antibody detected
 In the very early stages of acute
 West Nile Virus (WNV) infection,
 IgM may be detectable in CSF before 
 it becomes detectable in serum.
 Antibodies induced by WNV infection
 show extensive crossreactivity with
 other flaviviruses (Dengue, St.
 Louis Encephalitis); thus, antibody
 detection using this panel is not
 diagnostically conclusive for WNV
 infection. Final diagnosis should
 be based on confirmatory assays,
 such as the plaque reduction 
 neutralization test. 
 WNV antibody results for CSF should
 be interpreted with caution.
 Complicating factors include low
 antibody levels found in the CSF, 
 passive transfer of antibody from
 blood, and contamination via bloody
 taps.

[1706]


WEST NILE VIRUS RNA BY RT-PCRshipping instruction code
Order Code WNVPR Test Code WNVPR
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL
Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 1 hour   Refrigerated 24 hours   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Heparinized or hemolyzed samples, nonsterile or leaking containers. Avoid repeat freeze/thaw cycles.
Alternate specimens 1 mL frozen CSF in sterile plastic tube.
CPT codes 87798
Test schedule Mon-Fri
Turnaround time 2-5 days
Method RT-PCR
Test includes
West Nile Virus RNA by RT-PCR.
Reference ranges
  
West Nile Virus RNA by RT-PCR
 Negative      WNV nucleic acid not
  detected by RT-PCR.
 Positive      WNV nucleic acid detected
  by RT-PCR.
 A negative result does not rule out the 
 presence of PCR inhibitors in the 
 patient specimen or WNV nucleic acid
 in concentrations below the level of
 detection of this assay.
 This test is performed pursuant to
 an agreement with Roche Molecular
 Systems, Inc.

[1707]


WET MOUNT
Order Code WET-MNT Test Code WM
A delay of more than one hour from time of specimen collection until performance of a wet mount exam for trichomonas leads to false negative results. Wet mount exams for Trichomonas should be performed locally.If testing is performed at PSC use the workpar WET-MNT or Flexi ordercode WM. If testing done at SHMC use the workpar MISCDE.
Specimen Required
       Container type Culturette.  Specimen type Urogenital discharge or oral thrush
Specimen processing Store and transport at room temperature.
Alternate specimens Specimen can also be submitted in a small amount of sterile saline.
Department Microbiology
CPT codes 87210
Test schedule Sun-Sat days
Method Microscopic
Test includes
Source; WBC, /hpf; Epithelial Cells, /hpf; Bacteria, hpf; Clue Cells, /hpf; Yeast, /hpf; Trichomonas, /hpf.
Reference ranges
  
Source
WBC               /hpf
Epithelial Cells  /hpf
Bacteria          /hpf
Clue Cells        /hpf
Yeast             /hpf
Trichomonas       /hpf

[1708]


WHITE CELL COUNT
Order Code WBC Test Code WBC
Synonyms WBC
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Minimum volume 0.30 mL
Specimen processing Prefer to receive specimen within 12 hours of collection. Store and transport refrigerated.
Department Hematology
CPT codes 85048
Test schedule Daily-24 hours
Turnaround time 24-48 hours
Method Automated
Test includes
WBC, K/uL.
Reference ranges
  
WBC                      K/uL
 0 days        9.0-30.0
 1-7 days      5.0-21.0
 7-30 days     5.0-19.5
 1-12 mo       6.0-17.5
 1-2 yrs       5.0-15.5
 2-4 yrs       6.0-15.5
 4-6 yrs       5.0-13.5
 6-10 yrs      4.5-13.5
 10-14 yrs     5.0-11.0
 14-18 yrs     4.5-11.0
 18 yrs+       4.0-11.0

[1709]


XYLOSE ABSORPTION TEST, ADULT 25 GM
Order Code XYTO25 Test Code XYTO25
Synonyms Xylose (25 gram dose)
Specimen Required
       Container type SST tube and plastic urine container  Specimen type Serum, fasting and 2 hr post dose and timed urine  Preferred volume 1 mL each specimen and 5 mL urine  Minimum volume 0.5 mL each specimen and 3 mL urine
Patient Prep Draw fasting serum (8 hours or minimum of 4 hours). Have patient empty bladder and discard. Dose patient with 25 grams of D-xylose in 250 mL H2O. Encourage patient to drink additional H2O. Patient is to be allowed no food or liquid except H2O, no smoking, and is to be at rest. Draw serum 2 hours post-dose. Collect all urine for 5 hours after dose. Record dose and urine volume.
Collection procedure Draw fasting serum specimen and then 2 hour post-dose serum specimen and collect all urine for 5 hours post dose.
Specimen processing Separate serum specimens from the cells and place each in separate plastic tubes and label accordingly. Aliquot 5 mL urine from 5 hour uirne collection into clean plastic leakproof urine container. Store & transport all specimens refrigerated.
Required patient info Record dose and urine volume.
Stability-   Room temp 4 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed serum and nonfasting samples. Whole blood or unspun clot tubes.
CPT codes 84620
Test schedule Tue, Thu
Turnaround time 2-6 days
Method Spectrophotometry
Test includes
Volume at 5 hours, mL; Xylose Dose, g; Xylose, Serum, 2 hours, mg/dL; Xylose Excretion, g/5 hr; Xylose Excretion, %.
Reference ranges
  
Volume at 5 hours                   mL
Xylose Dose                         g
Xylose, Serum at 2 hours            mg/dL
 17 yrs & older           32-58   
Xylose excretion                    g/5hr
 17-64 yrs                4.0-10.0
 65 yrs & older           3.5-10.0
Xylose excretion                    %
 17-64 yrs                16-40
 65 yrs & older           14-40

[1710]


XYLOSE ABSORPTION TEST, ADULT 5 GM
Order Code XYTO5 Test Code XYTO5
Synonyms Xylose (5 gram dose)
Specimen Required
       Container type SSt tube and plastic urine container  Specimen type Serum, fasting and 2 hr post dose and timed urine  Preferred volume 1 mL each specimen and 5 mL urine  Minimum volume 0.5 mL each specimen and 3 mL urine
Patient Prep Draw fasting serum (8 hours or minimum of 4 hours). Have patient empty bladder and discard. Dose patient with 5 grams of D-xylose in 250 mL H2O. Encourage patient to drink additional H2O. Patient is to be allowed no food or liquid except H2O, no smoking, and is to be at rest. Draw serum 2 hours post-dose. Collect all urine for 5 hours after dose. Record dose and urine volume.
Collection procedure Draw fasting serum specimen and then 2 hour post-dose serum specimen and collect all urine for 5 hours post dose.
Specimen processing Separate serum specimens from the cells and place each in separate plastic tubes and label accordingly. Aliquot 5 mL urine from 5 hour uirne collection into clean plastic leakproof urine container. Store & transport all specimens refrigerated.
Required patient info Record dose and urine volume.
Stability-   Room temp 4 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed serum & nonfasting samples. Whole blood or unspun clot tubes.
CPT codes 84620
Test schedule Tue, Thu
Turnaround time 2-6 days
Method Spectrophotometry
Test includes
Volume at 5 hours, mL; Xylose Dose, g; Xylose, Serum, 2 hours, mg/dL; Xylose Excretion, g/5 hr; Xylose Excretion, %.
Reference ranges
  
Volume at 5 hours                   mL
Xylose Dose                         g
Xylose, Serum at 2 hours            mg/dL
 17 yrs and older           5-17
Xylose excretion                    g/5hr
 17 yrs and older           1.2-2.0
Xylose excretion                    %
 17 yrs and older           20-40

[1711]


XYLOSE ABSORPTION TEST, CHILD
Order Code XYTOC Test Code XYTOC
Specimen Required
       Container type SST tube and plastic urine container  Specimen type Serum, fasting and 1 hr post dose and timed urine  Preferred volume 1 mL each specimen and 5 mL urine  Minimum volume 0.5 mL each specimen and 3 mL urine ( if unable to collect pediatric urine specimens, testing will be completed with a disclaimer).
Patient Prep Draw fasting serum (8 hours or minimum of 4 hours). Have patient empty bladder and discard. Dose patient with 0.5 grams of D-xylose/kg up to 25 g in H2O( 5 mL H2O/0.5 g xylose up to 250 mL). Encourage patient to drink additional H2O. Patient is to be allowed no food or liquid except H2O, no smoking, and is to be at rest. Draw serum 1 hour post-dose. Collect all urine for 5 hours after dose. Record dose and urine volume.
Collection procedure Draw fasting serum specimen and then 1 hour post-dose serum specimen and collect all urine for 5 hours post dose.
Specimen processing Separate serum specimens from the cells and place each in separate plastic tubes and label accordingly. Aliquot 5 mL urine from 5 hour uirne collection into clean plastic leakproof urine container. Store & transport all specimens refrigerated.
Required patient info Record dose and urine volume.
Stability-   Room temp 4 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed serum and nonfasting samples. Whole blood or upspun clot tubes.
CPT codes 84620
Test schedule Tue, Thu
Turnaround time 2-6 days
Method Spectrophotometry
Test includes
Volume at 5 hours, mL; Xylose Dose, g; Xylose, Serum, 1 hour, mg/dL; Xylose Excretion, g/5 hr; Xylose Excretion, %.
Reference ranges
  
Volume at 5 hours                   mL
Xylose Dose                         g
Xylose, Serum at 1 hour             mg/dL
 0-5 months               15-58
 6 mo-16 yrs              20-58   
Xylose excretion                    g/5hr
Xylose excretion                    %
 0-16 yrs                 16-40

[1712]


YERSINIA SPECIES ANTIBODY, IGA & IGG
Order Code YERAB Test Code YERAB
Acute and convalescent samples advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat-inactivated, contaminated, hemolytic, icteric, lipemic or turbid samples.
CPT codes 86793 x2
Test schedule Tue
Turnaround time 2-9 days
Method Western Blot
Test includes
Yersinia Species Antibody, IgA; Yersinia Species Antibody, IgG.
Reference ranges
  
Yersinia Species Antibody, IgA
 Negative       No significant Yersinia
                Antibody detected.
 Positive       IgA Antibody to Yersinia
                detected.
Yersinia Species Antibody, IgG
 Negative       No siginficant Yersinia
                Antibody .
 Equivocal      Questionable presence
                of Yersinia IgG Abs
                detected. May be an
                indication of a recent
                infection.
 Positive       IgA Abs to Yersinia 
                detected.

[1713]


ZINC
Order Code ZINC Test Code ZN
Synonyms Zn
Specimen Required
       Container type Royal blue top tube (metal free plain)  Specimen type Serum  Preferred volume 3 mL  Minimum volume 1 mL
Patient Prep Early morning fasting specimen recommended.
Specimen processing Separate serum from cells within 1 hour and place in separate plastic tube. Store and transport refrigerated.
Required patient info Fasting/non-fasting.
Stability-   Room temp 48 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Serum left in contact with RBC's longer than 1 hour or hemolyzed specimen. Samples from separator gel tubes are not acceptable.
Alternate specimens Serum (plain red top tube) separated within 1 hour.
Limitations There is a circadian variation with peak levels of zinc at approximately 0900 and 1800 hours. Serum zinc levels decrease post-prandially. Avoid hemostasis.
Department Chemistry, Trace Metals
CPT codes 84630
Test schedule Mon, Wed, Fri
Turnaround time 1-3 days
Method AAS
Test includes
Zinc, ug/dL.
Reference ranges
  
Zinc              ug/dL 
 60-130                         
 Fasting specimens below 60 ug/dL may
 represent deficient zinc status.
Notes
Fasting values below 60 g/dL may represent deficient zinc status.

[1714]


ZINC PROTOPORPHYRINS
Order Code EP-SCR Test Code ZPP
Synonyms ZPP; Zinc, RBC
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 1 mL  Minimum volume 0.5 mL (1 microtainer)
Specimen processing Store and transport refrigerated.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed specimens.
Alternate specimens Sodium heparinized or citrated whole blood (green, royal blue metal free heparin or blue top tube).
Department Hematology
CPT codes 84203
Test schedule Wed
Turnaround time 1 week
Method Hematoflourometric
Test includes
Zinc Protoporphyrins, mol/mol.
Reference ranges
  
Zinc Protoporphyrins   23-78 mol/mol

[1715]


ZINC, RBC
Order Code ZNRBC Test Code ZNRBC
Specimen Required
       Container type Royal Blue Top metal free (EDTA)  Specimen type whole blood  Preferred volume 3 mL  Minimum volume 2 mL
Specimen processing Store and transport at refrigerated.
Stability-   Room temp 3 days   Refrigerated 3 days   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions hemolyzed specimens
Alternate specimens sodium heparin whole blood (sodium heparin metal free royal blue top tube).
CPT codes 84630
Test schedule Sun, Wed, Fri
Turnaround time 3-6 days
Method ICP/MS
Test includes
Zinc, RBC, umol/L
Reference ranges
  
Zinc, RBC              9.0-14.7   mg/L

[5220]


ZINC, URINE (QUANTITATIVE)
Order Code ZNCUQ Test Code ZNCUQ
Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test.
Synonyms Zn, Urine
Specimen Required
       Container type 24-hour plastic urine container or leakproof plastic urine container..  Specimen type 24-hour urine or random collection.  Preferred volume 10 mL  Minimum volume 5 mL
Collection procedure Collect a 24-hour urine specimen in a 24-hour plastic urine container or a random urine collection. Refrigerate during collection.
Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection or random urine collection into a leakproof plastic urine container. Store and transport refrigerated. ARUP studies indicate that refrigeration of urine alone, during and afer collection preserves specimens adequately if tested within 14 days of collection. Record total volume and collection time. Submit specimen in two ARUP Trace Element-Free Transport Tubes (43116).
Required patient info Record total volume and collection time interval on transport tube and request form.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Urine collected within 48 hours after administration of gadalinium (Gd) containing contrast media (may occur with MRI studies) or acid preserved urine specimens.
CPT codes 84630
Test schedule Mon-Sat
Turnaround time 2-4 days
Method ICP/MS
Test includes
Collection Period, h; Volume, mL; Zinc, Urine, ug/dL; Zinc, Urine, ug/d; Zinc, Urine, ug/gCr; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d
Reference ranges
  
Collection Period                       h
Volume                                  mL
Zinc, Urine         15-120              ug/dL
Zinc, Urine         150-1200            ug/d
Zinc, Urine         not established     ug/gCr
Creatinine, Ur      not established     mg/dL
Creatinine, Ur                          mg/d
       M 0-2 yrs    not established
         3-8 yrs    140-700
         9-12 yrs   300-1300
         13-17 yrs  500-2300
         18-50 yrs  1000-2500
         51-80 yrs  800-2100
         GT 80 yrs  600-2000
       F 0-2 yrs    not established
         3-8 yrs    140-700
         9-12 yrs   300-1300
         13-17 yrs  400-1600
         18-50 yrs  700-1600
         51-80 yrs  500-1400
         GT 80 yrs  400-1300

[1716]


ZIPRASIDONE, SERUM/PLASMA
Order Code ZIPRA Test Code ZIPRA
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.4 mL
Specimen processing Separate serum or plasma ASAP from the cells and put in a separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 weeks   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Polymer gel separation tubes (SST or PST).
Alternate specimens Specimens in EDTA. Plasma.
CPT codes 82542
Test schedule Mon, Wed, Fri
Turnaround time 4-5 days
Method HPLC/LC-MS/MS
Test includes
Ziprasidone, ng/mL.
Reference ranges
  
Ziprasidone                      ng/mL
 In clinical trials, the following mean 
 plasma concentrtions (+/-1sd) were reported
 in non-fasting subjects at steady-state:
   Dose                Observed Range
    10 mg/day           14.9 +/-6.7
    40 mg/day           44.6 +/-48
    80 mg/day           118 +/-80
    120 mg/day          139 +/-81
 Steady-state concentrations occurred 
 1 to 3 days following initialization
 of dosing.

[5614]


ZONISAMIDE
Order Code ZONI Test Code ZONI
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 1.5 mL  Minimum volume 0.8 mL
Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 week   Frozen (-20°C) 4 weeks   Frozen (-70°C)
Unacceptable conditions Unseparated samples and repeat freeze/thaw cycles.
Alternate specimens EDTA, sodium or lithium heparin plasma (lavender, pink or green top tube).
Department Toxicology
CPT codes 80299
Test schedule Tue & Fri
Turnaround time 2-6 days
Method PETIA
Test includes
Zonisamide, ug/mL.
Reference ranges
  
Zonisamide      10.0-40.0           ug/mL
 The proposed therapeutic range for
 seizure control is 10.0-40.0 ug/mL.
 Concentrations that exceed 80.0 ug/mL,
 may contribute to adverse effects.
 Pharmacokinetics varies widely,
 particularly with co-medications and/
 or compromised renal function.

[1717]