Test Directory
2284 items/records selected.
Billing Code Test Code
Specimen Required
       

[5762]


(1,3)-BETA-D-GLUCAN (FUNGITELL)
Billing Code 13BGA Test Code 13BGA
Synonyms Fungitell; Glucan
Specimen Required
       Container type Plain red top tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells ASAP or within 2 hours of collection and put in separate sterile plastic tube. Store and transport refrigerated.
Stability-   Room temp Unacceptable   Refrigerated 2 weeks   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Hemolyzed, lipemic and icteric samples.
CPT codes 87449
Test schedule Mon-Fri
Turnaround time Within 5 days
Method Colorimetric
Test includes
(1,3-beta-D-glucan, pg/mL; (1,3-beta D-glucan Interpretation.
Reference ranges
  
(1,3)-beta-D-glucan    Negative       LT 31                pg/mL
                       Negative 3     1-59
                       Indeterminate  60-79
                       Positive       80 or greater
(1,3)-beta-D-glucan
 Interpretation

[7102]


1, 5 ANHYDROGLUCITOL (GLYCOMARK)
Billing 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, LC/MS/MS
Billing Code 11DXC Test Code 11DXC
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.25 mL
Patient Prep An early morning specimen is preferred
Specimen processing Separate serum from cells and put in a separate plastic tube.
Stability-   Room temp 4 days   Refrigerated 4 days   Frozen (-20°C) 28 days   Frozen (-70°C)
Unacceptable conditions Sample collected in an SST tube. Do not submit glass tubes.
Alternate specimens Plasma, EDTA (lavender-top), EDTA (royal blue-top), Sodium heparin (green-top), Lithium heparin (green-top)
CPT codes 82634
Test schedule Sat
Turnaround time 4-12 days
Method Liquid Chromatography Tandem Mass Spectrometry
Reference ranges
  
11-Deoxycortisol, LC/MS/MS                         ng/dL
                                    
Adult Reference Ranges       
  Males     18-29 years        LT or = 119  ng/dL
            30-39 years        LT or = 135  ng/dL
            40-49 years        LT or = 76   ng/dL
            50-59 years        LT or = 42   ng/dL
  Females   18-29 years        LT or = 107  ng/dL
            30-39 years        LT or = 51   ng/dL
            40-49 years        LT or = 62   ng/dL
            50-66 years        LT or = 37   ng/dL
       
Pediatric Reference Ranges      
            1-12 months        10-200       ng/dL
            1-4 years          7-210        ng/dL
            5-9 years          LT or = 122  ng/dL
            10-13 years        LT or = 245  ng/dL
            14-17 years        LT or = 302  ng/dL
      
Premature infants 31-35 weeks  LT or = 235  ng/dL
Term infants                   LT or = 170  ng/dL
      
Tanner Stages      
  II-III Males                 11-150       ng/dL
  II-III Females               15-130       ng/dL
  IV-V Males                   14-120       ng/dL
  IV-V Females                 17-120       ng/dL

[2]


14-3-3 PROTEIN, CSF (PRION DISEASE)
Billing 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 frozen.
Required patient info Please complete and send the National Prion Requisition form, available on the PAML website at www.paml.com under the FORMS and BROCHURES link with the sample.
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 HYDROXYCORTICOSTEROIDS, URINE 24HR [ARUP]
Billing 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.
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-HYDROXYPREGNENOLONE, LC/MS/MS
Billing Code 17HPG Test Code 17HPG
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.4 mL
Specimen processing Separate serum from cells and put in separate plastic tube.
Stability-   Room temp 24 hours   Refrigerated 5 days   Frozen (-20°C) 28 days   Frozen (-70°C)
Unacceptable conditions Received room temperature, serum separator tube (SST)
CPT codes 84143
Test schedule Mon, Thu
Turnaround time 6-10 days
Method Liquid Chromatography Tandem Mass Spectrometry
Reference ranges
  
17OH Pregnenolone, LCMSMS                                     ng/dL
       
Adult Preference Ranges       
       
          Males and Premenopausal Females  LT or = 905        ng/dL
          Postmenopausal Females           LT or = 286        ng/dL
      
Pediatric Reference Ranges      
          1-29 days                        LT or = 3013       ng/dL
          1-11 months                      LT or = 624        ng/dL
          1-5 years                        LT or = 152        ng/dL
          6-9 years                        LT or = 72         ng/dL
          10-13 years                      LT or = 153        ng/dL
Females   14-17 years                      LT or = 909        ng/dL
Males     14-17 years                      LT or = 128        ng/dL

[9]


17-HYDROXYPROGESTERONE
Billing 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 PSHMC 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   215-1312
   Premature 29-35 weeks   65-894
   Full term-day 3         36-143
   4 days-1 month          36-187
   1-5 months              45-187
   6-35 months             348 or less 
   3-6 yrs                 450 or less
   7-9 yrs                 134 or less
   10-12 yrs               222 or less
   13-15 yrs               39-343
   16-17 yrs               297 or less
   18 yrs +                342 or less
   Follicular              48-132
   Luteal                  79-469
   Tanner Stage I          138 or less
   Tanner Stage II         276 or less
   Tanner Stage III        45-345
   Tanner Stage IV         36-285
 M Premature 26-28 weeks   215-1312
   Premature 29-35 weeks   65-894
   Full term-day 3         36-143
   4 days-1 month          331 or less
   1-5 months              163 or less
   6-35 months             302 or less
   3-6 yrs                 339 or less
   7-9 yrs                 121 or less
   10-12 yrs               146 or less
   13-15 yrs               39-239
   16-17 yrs               62-319
   18 yrs +                238 or less
   Tanner Stage I          120 or less
   Tanner Stage II         184 or less
   Tanner Stage III        256 or less
   Tanner Stage IV         56-290

[3071]


17-HYDROXYPROGESTERONE, LC/MS/MS
Billing Code 17OHP Test Code 17OHP
Specimen Required
       Container type Red top tube (plain)  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.
Stability-   Room temp 48 hours   Refrigerated 7 days   Frozen (-20°C) 2 years   Frozen (-70°C)
Unacceptable conditions Samples collected in SST tubes. Do not submit glass tubes.
Alternate specimens Plasma collected in an EDTA (lavender-top) , EDTA (royal blue-top), sodium heparin (green-top), or lithium heparin (green-top)
CPT codes 83498
Test schedule Sun-Fri
Turnaround time 5-7 days
Method Liquid Chromatography Tandem Mass Spectrometry
Reference ranges
  
17-OHProgesterone, LC/MS/MS                      ng/dL
      
Adult Reference Ranges      
Males      
  18-30 years                  32-307            ng/dL
  31-40 years                  42-196            ng/dL
  41-50 years                  33-195            ng/dL
  51-60 years                  37-129            ng/dL
      
Females      
  Follicular Phase             LT or = 185       ng/dL
  Luteal Phase                 LT or = 285       ng/dL
  Postmenopausal Phase         LT or = 45        ng/dL
Pregnancy      
  First Trimester              78-457            ng/dL
  Second Trimester             90-357            ng/dL
  Third Trimester              144-578           ng/dL
      
Pediatric Reference Range      
  1-12 months                  11-170            ng/dL
  1-4 years                    4-115             ng/dL
  5-9 years                    90 or less        ng/dL
  10-13 years                  169 or less       ng/dL
  14-17 years                  16-283            ng/dL
Premature Infants 31-35 weeks  LT or = 360       ng/dL
Term Infants 3 days            LT or = 420       ng/dL
      
Tanner Stages      
  II-III Males                 12-130            ng/dL
  II-III Females               18-220            ng/dL
  IV-V Males                   51-190            ng/dL
  IV-V Females                 36-200            ng/dL

[4]


17-KETOSTEROIDS, URINE 24HR [ARUP]
Billing 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.
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
               Reference intervals for
               random urine samples in mg/L
               are not available.

[7]


18-HYDROXYCORTICOSTERONE
Billing 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)
Unacceptable conditions 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
Billing 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
Billing 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
Billing 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-A-DIHYDROTESTOSTERONE BY TMS
Billing Code 5ADHTA Test Code 5ADHTA
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.6 mL
Collection procedure Collect between 6-10 a.m.
Specimen processing Separate serum from cells ASAP or within 2 hours of collection and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp 2 hours   Refrigerated 24 hours   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed or lipemic specimens
CPT codes 82651
Test schedule Mon, Wed, Sat
Turnaround time 2-5 days
Method HPLC-TMS
Test includes
Dihydrotestosterone LC-MS/MS, pg/mL;
Reference ranges
  
Dihydrotestosterone	M	Premature	100.0-530.0	pg/mL
LC-MS/MS			Full Term	50.0-600.0
        			1 week-6 mon	120.0-850.0
				7 mons-9 yrs	0.0-49.9
				10-19 yrs	0.0-533.0
				20 yrs & older	106.0-719.0
			F	Premature	20.0-130.0
				Full Term	20.0-150.0
				1 week-9 yrs	0.0-49.9
				10-19 yrs	50.0-170.0
				20 yrs & older	24.0-208.0

[7541]


5-FLUOROCYTOSINE, ANTIFUNGAL LEVEL
Billing 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 (RANDOM)
Billing 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, including tryptophan supplements, should be withheld 3-4 days before collection.
Department PSHMC 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]


5-HIAA, URINE 24HR
Billing 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, including trytophan supplements, 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.
Required patient info Collection period and total volume.
Stability-   Room temp Unacidified: unacceptable, Acidified: 1 month   Refrigerated Unacidified: 7 days, Acidified: 1 year   Frozen (-20°C) Unacidified: 2 weeks   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 1-4 with 6N HCl.
Limitations A pH less than 1 can cause assay interference.
Department PSHMC 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]


6-MONOACETYLMORPHINE (6MAM) CONFIRMATION BY GC/MS.
Billing 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 PAML Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 48
Method GC/MS
Test includes
6-monoactylmorphine

[7375]


6-MONOACETYLMORPHINE (6MAM) SCREENING BY EMIT
Billing 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 PAML Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Test includes
6-monoacetylmorphine

[7374]


7 AMINO CLONAZEPAM CONFIRMATION BY LC/MS
Billing 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 PAML 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

[7304]


7 AMINO FLUNITRAZEPAM CONFIRMATION BY LC/MS
Billing 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 PAML 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

[7376]


ABO & RH
Billing 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 PAML 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
Billing 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 PAML Immunology
CPT codes 86900
Test schedule Mon-Fri nights & STAT
Turnaround time 24-48 hours
Method Hemagglutination
Test includes
ABO.
Reference ranges
  
ABO

[21]


ABO GROUP & RH TYPE [OBI]
Billing Code ABOOBI Test Code ABOOBI
Specimen Required
       Container type EDTA (lavender top tube)  Specimen type EDTA whole blood  Preferred volume 5 mL  Minimum volume 4 mL
Specimen processing Store and transport refrigerated.
Stability-   Room temp 24 hours   Refrigerated 3 days   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Limitations Sample must be received within 3 days of collection.
CPT codes 84999
Turnaround time 2-4 days
Method Beckman Coulter PK 7200
Test includes
ABO, RH.
Reference ranges
  
ABRH

[7391]


ACETAMINOPHEN
Billing 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 PSHMC 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.
Billing 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 PAML Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 72 hours
Method Thin Layer Chromatography
Test includes
Acetaminophen
Notes
Test is also included in Drug-Sur as part of panel.

[7307]


ACETAMINOPHEN, URINE
Billing 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 PAML 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
Billing 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
Billing 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 PSHMC Chemistry
CPT codes 82009
Test schedule Daily & STAT
Turnaround time 1-2 days
Method Acetest/Nitroprusside
Test includes
Acetone.
Reference ranges
  
Acetone  Negative
Notes
Dilutions will no longer be performed or reported on positive results.

[23]


ACETONE FOR TOXICOLOGY PURPOSES
Billing 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 PAML Toxicology
CPT codes 84600
Test schedule M - F
Turnaround time 24 - 72 hours
Method Gas Chromatography (GC)

[7248]


ACETYLCHOLINE RECEPTOR BINDING ANTIBODY
Billing Code ACRBDA Test Code ACRBDA
Synonyms ACHr
Specimen Required
       Container type Serum seperator tube (gold, brick, SST or corvac)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and put in separate plastic tube.
Stability-   Room temp 14 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Hemolysis, Lipemia, Contaminated specimens, Icteric specimens, Radioactive compounds from in vivo testing, Plasma samples
CPT codes 83519
Test schedule Sun-Thu
Turnaround time 4-7 days
Method Radioimmunoassay
Reference ranges
  
Acetylcholine Receptor Binding Anbitody               

Negative      LT or = 0.30   nmol/L   
Equivocal     0.31-0.49      nmol/L   
Positive      GT or = 0.50   nmol/L   

[24]


ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY
Billing Code ACRBA Test Code ACRBA
Synonyms ACHr
Specimen Required
       Container type Serum separator tube (gold, brick, SST or corvac)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Separate serum from cells and put in separate plastic tube.
Stability-   Room temp 14 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 83519
Test schedule Mon, Thu
Turnaround time 3-7 days
Method Radioimmunoassay
Reference ranges
  
Acetylcholine Receptor Blocking Antibody    LT 15  %

[7558]


ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY
Billing Code ACRMA Test Code ACRMA
Synonyms ACHr
Specimen Required
       Container type Serum separator tube (gold, brick, SST or corvac)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from the cells and put in separate plastic tube.
Stability-   Room temp 14 days   Refrigerated 14 days   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 83519
Test schedule Sun, Wed
Turnaround time 5-9 days
Method Radiobinding Assay
Reference ranges
  
Acetylcholine Receptor Modulating Antibody      LT 32      %   

[27]


ACETYLCHOLINESTERASE, AMNIOTIC FLUID
Billing 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 PACKAGE
Billing 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.
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 MUCOPOLYSACCHARIDES, URINE
Billing 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
Billing Code SS.TRAP Test Code TRAP
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
Required patient info Source
Limitations Specimen must be processed within 12 hours of collection. Protect from light.
Department PSHMC 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
Billing 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 PSHMC Coagulation
CPT codes 85307
Test schedule Mon-Sat
Turnaround time 2-4 days
Method Clot-based Assay
Test includes
APC Resistance, Ratio.
Reference ranges
  
APC Resistance
 Normal  GT 2.0 ratio

[35]


ACYLCARNITINE, QUANTITATIVE PROFILE, PLASMA
Billing Code ACYLQA Test Code ACYLQA
Biochemical Genetics Patient History Form available at www.aruplab.com is needed for appropriate interpretation.
Specimen Required
       Container type Green top tube (sodium or lithium heparin)  Specimen type Frozen plasma  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate plasma from the cells within 2 hours and place in separate plastic tube and freeze immediately. Store and transport frozen.
Required patient info See note
Stability-   Room temp Unacceptable   Refrigerated 12 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Ambient samples and samples refrigerated over 12 hours. Avoid hemolysis, avoid repeated freeze/thaw cycles.
Alternate specimens Frozen serum (plain red top tube).
CPT codes 82017
Test schedule Tue, Thu, Sat
Turnaround time 3-8 days
Method Tandem Mass Spectrometry
Test includes
Acylcarnitine, Plasma Interp; C2, Acetyl, umol/L; C3, Propionyl, umol/L; C4, Isobutytyl, umol/L; C5, Isovaleryl/2 Mebutyryl, umol/L; C5-DC, Glutaryl, umol/L; C5-OH,3-OH-Isovaleryl, umol/L; C6, Hexanoyl, umol/L; C8, Octanoyl, umol/L; C8:1, Octenoyl, umol/L; C10, Decanoyl, umol/L; C10:1, Decenoyl, umol/L; C12, Dodecanoyl, umol/L; C12:1 Dodecenoyl, umol/L; C12-OH, 3-OH-Dodecanoyl, umol/L; C14, Tetradecanoyl, umol/L; C14:1,Tetradecenoyl, umol/L; C14:2, Tetradecandienoyl, umol/L; C14-OH,3-OH Tetradecanoyl, umol/L; C14:1-OH,3-OH-Tetradecenoyl, umol/L; C18:1, Oleyl, umol/L; C18:2, Linoleyl, umol/L; C18-OH,3-OH-Stearoyl, umol/L; C18:1-OH,3-OH-Oleyl, umol/L; C18:2-OH,3-OH Linoleyl, umol/L; C16, Palmitoyl, umol/L; C16:1, Palmitoleyl, umol/L; C16-OH,3-OH-Palmitoyl, umol/L; C16:1-OH,3-OH-Palmitoleyl, umol/L; C18,Stearoyl, umol/L.
Reference ranges
  
Acylcarnitine, Plasma Interp
 LT 1 year   Normal
 1-7 years   Normal
 GT 7 yrs    Normal
C2, Acetyl                        umol/L                        
 LT 1 year   2.98-27.99     
 1-7 years   3.69-24.71           
 GT 7 years  3.74-16.56
C3, Propionyl                     umol/L
 LT 1 year   0.00-1.12
 1-7 years   0.00-0.97
 GT 7 years  0.00-0.83
C4, Isobutytyl                    umol/L
 LT 1 year   0.00-0.62
 1-7 years   0.00-0.50
 GT 7 years  0.00-0.45
C5, Isovaleryl/2 Mebutyryl        umol/L
 LT 1 year   0.00-0.30
 1-7 years   0.00-0.28
 GT 7 years  0.00-0.30
C5-DC, Glutaryl                   umol/L
 LT 1 year   0.00-0.07
 1-7 years   0.00-0.07
 GT 7 years  0.00-0.09
C5-OH,3-OH-Isovaleryl             umol/L
 LT 1 year   0.00-0.14
 1-7 years   0.00-0.07
 GT 7 years  0.00-0.07
C6, Hexanoyl                      umol/L
 LT 1 year   0.00-0.16
 1-7 years   0.00-0.12
 GT 7 years  0.00-0.12
C8, Octanoyl                      umol/L
 LT 1 year   0.00-0.21
 1-7 years   0.00-0.23
 GT 7 years  0.00-0.23
C8:1, Octenoyl                    umol/L
 LT 1 year   0.00-0.61
 1-7 years   0.00-0.63
 GT 7 years  0.00-0.61
C10, Decanoyl                     umol/L
 LT 1 year   0.00-0.26
 1-7 years   0.00-0.35
 GT 7 years  0.00-0.31
C10:1, Decenoyl                   umol/L
 LT 1 year   0.00-0.24
 1-7 years   0.00-0.41
 GT 7 years  0.00-0.31
C12, Dodecanoyl                   umol/L
 LT 1 year   0.00-0.17
 1-7 years   0.00-0.12
 GT 7 years  0.00-0.12
C12:1 Dodecenoyl                  umol/L
 LT 1 year   0.00-0.15
 1-7 years   0.00-0.16
 GT 7 years  0.00-0.17
C12-OH, 3-OH-Dodecanoyl           umol/L
 LT 1 year   0.00-0.03
 1-7 years   0.00-0.02
 GT 7 years  0.00-0.02
C14, Tetradecanoyl                umol/L
 LT 1 year   0.00-0.12
 1-7 years   0.00-0.07
 GT 7 years  0.00-0.05
C14:1,Tetradecenoyl               umol/L
 LT 1 year   0.00-0.20
 1-7 years   0.00-0.23
 GT 7 years  0.00-0.16
C14:2, Tetradecandienoyl          umol/L
 LT 1 year   0.00-0.09
 1-7 years   0.00-0.12
 GT 7 years  0.00-0.12
C14-OH,3-OH Tetradecanoyl         umol/L
 LT 1 year   0.00-0.02
 1-7 years   0.00-0.02
 GT 7 years  0.00-0.02
C14:1-OH,3-OH-Tetradecenoyl       umol/L
 LT 1 year   0.00-0.03
 1-7 years   0.00-0.03
 GT 7 years  0.00-0.02
C18:1, Oleyl                      umol/L
 LT 1 year   0.00-0.18
 1-7 years   0.00-0.16
 GT 7 years  0.00-0.17
C18:2, Linoleyl                   umol/L
 LT 1 year   0.00-0.09
 1-7 years   0.00-0.08
 GT 7 years  0.00-0.10
C18-OH,3-OH-Stearoyl              umol/L
 LT 1 year   0.00-0.01
 1-7 years   0.00-0.01
 GT 7 years  0.00-0.01
C18-OH,3-OH-Oleyl                 umol/L
 LT 1 year   0.00-0.01
 1-7 years   0.00-0.01
 GT 7 years  0.00-0.01
C18:2-OH,3-OH Linoleyl            umol/L
 LT 1 year   0.00-0.01
 1-7 years   0.00-0.01
 GT 7 years  0.00-0.01
C16, Palmitoyl                    umol/L
 LT 1 year   0.00-0.25
 1-7 years   0.00-0.10
 GT 7 years  0.00-0.10
C16:1, Palmitoleyl                umol/L
 LT 1 year   0.00-0.07
 1-7 years   0.00-0.05
 GT 7 years  0.00-0.04
C16-OH,3-OH-Palmitoyl             umol/L
 LT 1 year   0.00-0.02
 1-7 years   0.00-0.01
 GT 7 years  0.00-0.01
C16:1-OH,3-OH-Palmitoleyl         umol/L
 LT 1 year   0.00-0.05
 1-7 years   0.00-0.01
 GT 7 years  0.00-0.01
C18, Stearoyl                     umol/L
 LT 1 year   0.00-0.08
 1-7 years   0.00-0.05
 GT 7 years  0.00-0.04

[7166]


ADAMTS13 EVALUATION (REFLEXIVE)
Billing Code ADAM13 Test Code ADAM13
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Synonyms VWF Cleaving Protease
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.
Stability-   Room temp   Refrigerated   Frozen (-20°C) 14 days   Frozen (-70°C)
Unacceptable conditions Specimens not received frozen or samples collected in EDTA are not acceptable.
Alternate specimens Serum
CPT codes 85397
Test schedule Mon-Fri
Turnaround time 3-5 days
Method FRET-Based Kinetic Assay
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

Notes
ADAMTS13 Activity is always performed.

[6686]


ADENOSINE DEAMINASE, BODY FLUID
Billing 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 Whole blood, BAL samples, and turbid samples that cannot be clarified by centrifugation.
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
Billing 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 or lithium 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
Billing 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]


ADENOVIRUS DNA, QUANTITATIVE, RT-PCR
Billing Code ADQPCR Test Code ADQPCR
Specimen Required
       Container type M4 or V-C medium  Specimen type Respiratory specimen  Preferred volume 1 mL  Minimum volume 0.35 mL.
Specimen processing Store and transport refrigerated.
Required patient info Source
Stability-   Room temp 48 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Frozen whole blood.
Alternate specimens Sputum, bronchial lavage/wash, plasma or whole blood or bone marrow (ACD, EDTA), serum (no additive red top tube or SST), CSF or urine.
CPT codes 87799
Test schedule Daily
Turnaround time 2-4 days
Method RT-PCR
Test includes
Source; Adenovirus DNA Quantitative RT-PCR, copies/mL.
Reference ranges
  
Source
Adenovirus DNA    Not detected LT 500                       copies/mL
 Quant RT-PCR     This test was developed and its
                  performance characteristics have
                  been determined by Focus
                  Diagnostics. Performance
                  characteristics refer to the
                  analytical performance of the
                  test. This test is performed
                  pursuant to a license agreement
                  with Roche Molecular Systems, Inc

[7503]


ADIPONECTIN
Billing Code ADIPA Test Code ADIPA
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 ACRP30; Adipocyte Complement-Related Protein
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.1 mL
Patient Prep Patient must be fasting.
Specimen processing Separate serum from the cells 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)
Unacceptable conditions Samples that are not separated from the red cells, nonfasting and lipemic samples.
CPT codes 83520
Test schedule Wed
Turnaround time 2-9 days
Method ELISA
Test includes
Adiponectin, ug/mL.
Reference ranges
  
Adiponectin                            ug/mL
 M   BMI LT 25 kg/msg   4-26
     BMI 25-30 kg/msq   4-20
     BMI GT 30 kg/meq   2-20
 F   BMI LT 25 kg/meq   5-37
     BMI 25-30 kg/meq   5-28
     BMI GT 30 kg/meq   4-22

[7431]


ADRENAL ANTIBODY, (REFLEXIVE)
Billing Code ADREAB Test Code ADREAB
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
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
Billing 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.
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 PSHMC 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
Billing 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 PAML 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
Billing 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 PSHMC 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
Billing 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 PSHMC 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
Billing 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
Billing 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 PAML Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 72 hours
Method ADH screen, Gas Chromatography (GC) confirmation
Notes
Keep container sealed to prevent evaporation of alcohol

[7249]


ALCOHOL, ETHYL
Billing 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 trasfer 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 PAML Toxicology
CPT codes 82055
Test schedule Mon - Fri
Turnaround time 24 - 72 hours
Method Gas Chromatography (GC)

[7247]


ALDOLASE
Billing 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 PSHMC 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
Billing 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 PSHMC 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 24HR [ARUP]
Billing 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 mL  Minimum volume 0.5 mL
Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Add 1 gram boric acid per 100 mL urine.
Specimen processing Aliquot 4 mL of a well-mixed 24 hour urine collection into a leakproof plastic container and freeze. Record total volume.
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 Preserved urine; adjust the pH of the sample to 2-4 with 6M HCL or 50% acetic acid.
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
Billing 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 PSHMC 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
Billing 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 PAML 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)
Billing 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 PAML 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
Billing 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) 2 months   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 6 months-2 yrs   33.4-145.3
   3-6 yrs          32.9-108.6
   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 6 mo-2 yrs       31.6-122.6
   3-6 yrs          31.3-103.4
   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        10.0-28.8
   25 yrs & older   6.5-20.1

[52]


ALKALINE PHOSPHATASE, ISOENZYMES [ARUP]
Billing Code AKPIAR Test Code AKPIAR
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Patient Prep Overnight fasting sample is recommended.
Specimen processing Separate serum from cells ASAP or within 2 hours of collection and put in separate plastic tube and refrigerate or freeze. Store and transport refrigerated.
Stability-   Room temp 1 hour   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, grossly hemolyzed samples or lipemic samples.
Alternate specimens Sodium or lithium heparin plasma (green top tube).
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, ACACIA TREE, IGE
Billing Code ICTAC Test Code ICTAC
Synonyms Acacia longifolia; Wattle; Port Jackson; White sallow; Sydney golden
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Acacia Tree, IgE, kU/L.
Reference ranges
  
Acacia Tree, IgE     LT 0.35    kU/L

[54]


ALLERGEN, ACREMONIUM KILIENSE, IGE
Billing Code ICMCP Test Code ICMCP
Synonyms Cephalosporium Acremonium
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Acremonium Kiliense, IgE, kU/L.
Reference ranges
  
Acremonium Kiliense, IgE     LT 0.35    kU/L

[53]


ALLERGEN, ALFALFA, IGE [ARUP]
Billing 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
Billing Code ICFAL Test Code ICFAL
Synonyms Amygdalus communis; A. dulcis; Prunus amygdalus; P. dulcis; Sweet Almond; Bitter Almond
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Almond, IgE, kU/L.
Reference ranges
  
Almond, IgE     LT 0.35    kU/L

[55]


ALLERGEN, ALMOND, IGG4 [IBT]
Billing Code ICALI Test Code ICALI
Synonyms Amyqdalus communis, IgG4
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 refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method ImmunoCAP FEIA
Test includes
Almond,IgG4, mcg/mL.
Reference ranges
  
Almond, IgG4    LT 0.15    mcg/mL

 

[7110]


ALLERGEN, ALPHA-LACTALBUMIN, IGE
Billing Code ICFALA Test Code ICFALA
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Alpha-Lactalbumin, IgE, kU/L.
Reference ranges
  
Alpha-Lactalbumin, IgE     LT 0.35    kU/L

[7188]


ALLERGEN, ALTERNARIA TENUIS (ALTERNATA), IGE
Billing Code ICMAL Test Code ICMAL
Synonyms Alternaria alternata
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICTAB Test Code ICTAB
Synonyms Fagus grandifolia; American beech; Carolina beech; Gray beech; Red beech; Ridge beech; White beech
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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]
Billing 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, AMOXICILLOYL, IGE
Billing Code ICDAMO Test Code ICDAMO
Synonyms Amoxcillin
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Amoxicilloyl, IgE, kU/L.
Reference ranges
  
Amoxicilloyl, IgE     LT 0.35    kU/L

[7179]


ALLERGEN, AMPICILLOYL, IGE
Billing Code ICDAMP Test Code ICDAMP
Synonyms Ampicillin
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Ampicilloyl, IgE, kU/L.
Reference ranges
  
Ampicilloyl, IgE     LT 0.35    kU/L

[7180]


ALLERGEN, APPLE, IGE
Billing Code ICFAP Test Code ICFAP
Synonyms Malus domestica; M. communis; M. pumila; M. sylvestris; Cultivated apple; Crabapple
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Apple, IgE, kU/L.
Reference ranges
  
Apple, IgE     LT 0.35    kU/L

[59]


ALLERGEN, APPLE, IGG4 [IBT]
Billing Code ICAPI Test Code ICAPI
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 refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method ImmunoCAP FEIA
Test includes
Apple,IgG4, mcg/mL.
Reference ranges
  
Apple, IgG4    LT 0.15    mcg/mL

 

[7113]


ALLERGEN, APRICOT, IGE
Billing Code ICFAPR Test Code ICFAPR
Synonyms Prunus Armeniaca; Prunus Armeniaca Variety, Vulgaris; Armerniaca Vulgaris; Amygdalus Armeniaca
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Apricot, IgE, kU/L.
Reference ranges
  
Apricot, IgE     LT 0.35    kU/L

[7189]


ALLERGEN, ARTICHOKE, IGE [IBT]
Billing Code ICACEI Test Code ICACEI
Synonyms Cynara scolymus
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 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 RIA
Test includes
Allergen, Artichoke, IgE, kU/L.
Reference ranges
  
Artichoke, IgE               LT 0.35        kU/L

[7441]


ALLERGEN, ASPARAGUS, IGG [IBT]
Billing Code ICASI Test Code ICASI
Synonyms Asparagus officinalis
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 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 3-5 days
Method EIA
Test includes
Asparagus,IgG, mcg/mL.
Reference ranges
  
Asparagus,IgG       LT 2.0     mcg/mL

 

[7114]


ALLERGEN, ASPERGILLUS FLAVUS, IGE [IBT]
Billing Code ICAFEI Test Code ICAFEI
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 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 RIA
Test includes
Allergen, Aspergillus Flavus, IgE, kU/L.
Reference ranges
  
Aspergillus flavus, IgE               LT 0.35        kU/L

[7442]


ALLERGEN, ASPERGILLUS FUMIGATUS, IGE
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Aspergillus Fumigatus, IgE, kU/L.
Reference ranges
  
Aspergillus Fumigatus, IgE     LT 0.35    kU/L

[60]


ALLERGEN, ASPERGILLUS NIGER, IGE
Billing Code ICMAN Test Code ICMAN
Synonyms Black mold
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Aureobasidium Pullaulans (Pullularia), IgE, kU/L.
Reference ranges
  
Aureobasidium Pullulans (Pullularia), IgE     LT 0.35    kU/L

[62]


ALLERGEN, AUSTRALIAN PINE TREE, IGE
Billing Code ICTAP Test Code ICTAP
Synonyms Casuarina equisetifolia; Australian pine; Common ironwood; Beefwood; Bull-oak; Whistling-pine; Horsetail tree
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 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Australian Pine, IgE, kU/L.
Reference ranges
  
Australian Pine Tree, IgE               LT 0.35        kU/L

[7465]


ALLERGEN, AVOCADO, IGE
Billing Code ICFAVO Test Code ICFAVO
Synonyms Persea americana; Alligator pear; Midshipman's butter; Vegetable butter; Butter pear
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Avocado, IgE; kU/L.
Reference ranges
  
Avocado, IgE     LT 0.35          kU/L

[3564]


ALLERGEN, BAHIA GRASS, IGE
Billing Code ICGBA Test Code ICGBA
Synonyms Paspalum notatum
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 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method FEIA
Test includes
Allergen, Bahia Grass, IgE, kU/L.
Reference ranges
  
Bahia Grass, IgE               LT 0.35        kU/L

[7456]


ALLERGEN, BAKERS YEAST, IGG4 [IBT]
Billing Code ICBYG4 Test Code ICBYG4
Synonyms Yeast, IgG4; Bakers Yeast, IgG4; Yeast ( Saccaromyces cerevisiae ), IgG4
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 0.15     mcg/mL

 

[6693]


ALLERGEN, BANANA, IGE
Billing Code ICFBN Test Code ICFBN
Synonyms Musa acuminata; M. sapientum; M. paradisiaca; Plantain
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3days
Method ImmunoCap FEIA
Test includes
Allergen, Banana, IgE, kU/L.
Reference ranges
  
Banana, IgE     LT 0.35    kU/L

[64]


ALLERGEN, BANANA, IGG4 [IBT]
Billing 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 0.15     mcg/mL

 

[6692]


ALLERGEN, BARLEY, IGE
Billing Code ICFBA Test Code ICFBA
Synonyms Hordeum vulgare; Barleycorn
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Barley, IgE, kU/L.
Reference ranges
  
Barley, IgE     LT 0.35    kU/L

[65]


ALLERGEN, BARLEY, IGG4 [IBT]
Billing 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 0.15     mcg/mL

 

[6690]


ALLERGEN, BASIL, IGE [IBT]
Billing 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, BASS BLACK, IGE [IBT]
Billing Code ICBSEI Test Code ICBSEI
Synonyms Centrachidae spp; Sea Bass
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 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 3-5 days
Method RIA
Test includes
Allergen, Bass Black, IgE, kU/L; Class.
Reference ranges
  
Bass Black, IgE               LT 0.35        kU/L
Class

[7445]


ALLERGEN, BEEF, IGE
Billing Code ICFBF Test Code ICFBF
Synonyms Bos spp.; Bovine
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Beef, IgE, kU/L.
Reference ranges
  
Beef, IgE     LT 0.35    kU/L

[66]


ALLERGEN, BEEF, IGG4 [IBT]
Billing Code ICBEBI Test Code ICBEBI
Synonyms Box Species, IgG4
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 refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method ImmunoCAP FEIA
Test includes
Beef,IgG4, mcg/mL.
Reference ranges
  
Beef, IgG4    LT 0.15    mcg/mL

 

[7116]


ALLERGEN, BELL PEPPER/PAPRIKA, IGE
Billing Code ICFBPP Test Code ICFBPP
Synonyms Capsicum annuum; Sweet Pepper; Paprika; Green Pepper; Hungarian Pepper; Red Pepper; Pimento; Pimiento
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICGBG Test Code ICGBG
Synonyms Agrostis stolonifera; Agrostis alba; Redtop; Water Bent grass; Creeping Bent; Creeping Bentgrass; Carpet Bentgrass
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Bentgrass, IgE, kU/L.
Reference ranges
  
Bentgrass, IgE     LT 0.35    kU/L

[67]


ALLERGEN, BERLIN BEETLE, IGE
Billing Code ICIBB Test Code ICIBB
Synonyms Trogoderma Angustum; Khapra Beelte; Solier
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Berlin Bettle, IgE, kU/L.
Reference ranges
  
Berlin Beetle, IgE     LT 0.35    kU/L

[7204]


ALLERGEN, BERMUDA GRASS, IGE
Billing Code ICGBM Test Code ICGBM
Synonyms Cynodon dactylon; Panicum dactylon; Scutch grass; Wire grass; Star grass; Bahama grass; Devil grass
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 PAML 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, BETA-LACTOGLOBULIN, IGE
Billing Code ICFBLA Test Code ICFBLA
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Beta-Lactoglobulin, IgE, kU/L.
Reference ranges
  
Beta-Lactoglobulin, IgE     LT 0.35    kU/L

[7190]


ALLERGEN, BIRD FANCIER'S PRECIPITIN PANEL 1 [IBT]
Billing 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
Billing Code ICFBP Test Code ICFBP
Synonyms Piper Nigrum
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Black Pepper, IgE, kU/L.
Reference ranges
  
Black Pepper, IgE     LT 0.35    kU/L

[7191]


ALLERGEN, BLACKBERRY, IGE [IBT]
Billing Code ICBBEI Test Code ICBBEI
Synonyms Rubus fruiticosus; Blackberry; Common blackberry; Allegheny blackberry; European blackberry; Bramble; Bramble-kite; Brambleberry; Brameberry
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 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 ImmunoCap FEIA
Test includes
Allergen, Blackberry, IgE, kU/L.
Reference ranges
  
Blackberry, IgE               LT 0.35        kU/L

[7443]


ALLERGEN, BLOMIA TROPICALIS MITE, IGE
Billing Code ICDMBT Test Code ICDMBT
Synonyms Storage mite; Flour mite; Grain mite
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 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 3-5 days
Method ImmunoCap FEIA
Test includes
Allergen, Blomia tropicalis Mite, IgE, kU/L.
Reference ranges
  
Blomia tropicalis Mite, IgE               LT 0.35        kU/L

[7448]


ALLERGEN, BLOOD WORM, IGE
Billing Code ICIBW Test Code ICIBW
Synonyms Chironomus Thummi; Chironomus Riparius
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Blood Worm, IgE, kU/L.
Reference ranges
  
Blood Worm, IgE     LT 0.35    kU/L

[7205]


ALLERGEN, BLUE MUSSEL, IGE
Billing Code ICFBM Test Code ICFBM
Synonyms Mytilus edulis
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Blue Mussel, IgE, kU/L.
Reference ranges
  
Blue Mussel, IgE     LT 0.35    kU/L

[4019]


ALLERGEN, BLUEBERRY, IGE [ARUP]
Billing 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, BOTRYTIS CINEREA, IGE
Billing Code ICMBC Test Code ICMBC
Synonyms Grey mold
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Botrytis Cinerea, IgE, kU/L.
Reference ranges
  
Botrytis Cinerea, IgE     LT 0.35    kU/L

[7210]


ALLERGEN, BOTRYTIS CINEREA, IGG[IBT]
Billing Code ICBCGI Test Code ICBCGI
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 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86671
Test schedule Mon-Fri
Turnaround time 3-5 days
Method ImmunoCap FEIA
Test includes
Allergen, Botrytis cinerea, IgG, mcg/mL.
Reference ranges
  
Botrytis cinerea, IgG               LT 86        mcg/mL

[7444]


ALLERGEN, BOX ELDER, IGE
Billing Code ICTBE Test Code ICTBE
Synonyms Acer Negundo; Maple Tree; Maple Ash; Ash Maple; Ashleaf Maple; Manitoba Maple; Box Elder Maple; Western Box Elder; Black Ash; California Boxelder; Cutleaf Maple; Cut-leaved Maple; Negundo Maple; Red River Maple; Stinking Ash; Sugar Ash; Three-leaved Maple
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Box Elder, IgE, kU/L.
Reference ranges
  
Box Elder, IgE     LT 0.35    kU/L

[70]


ALLERGEN, BRAZIL NUT, IGE
Billing Code ICFBZ Test Code ICFBZ
Synonyms Bertholletia excelsa; Para-nut; Cream nut
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 PAML Immunology
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Brazil Nut, IgE, kU/L.
Reference ranges
  
Brazil Nut, IgE     LT 0.35    kU/L

[71]


ALLERGEN, BROCCOLI, IGE
Billing Code ICFBR Test Code ICFBR
Synonyms Brassica oleracea var. italica; Spear Cauliflower; Winter Cauliflower; Purple Cauliflower; Calabrese; Romanesco
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Broccoli, IgE, kU/L.
Reference ranges
  
Broccoli, IgE     LT 0.35    kU/L

[72]


ALLERGEN, BROME GRASS, IGE
Billing Code ICGBR Test Code ICGBR
Synonyms Bromus inermis; Bromegrass; Smooth Brome, Rescue grass
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Brome Grass, IgE, kU/L.
Reference ranges
  
Brome Grass, IgE     LT 0.35    kU/L

[73]


ALLERGEN, BUCKWHEAT, IGE
Billing Code ICFBW Test Code ICFBW
Synonyms Fagopyrum Esulentum; Beechwheat; Fagopyrum; French Wheat; Garden Buckwheat
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Buckwheat, IgE, kU/L.
Reference ranges
  
Buckwheat, IgE     LT 0.35    kU/L

[7192]


ALLERGEN, CABBAGE, IGE
Billing Code ICFCAB Test Code ICFCAB
Synonyms Brassica oleracea var. capitata; Head cabbage; Heading cabbage
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Cabbage, IgE, kU/L.
Reference ranges
  
Cabbage, IgE     LT 0.35    kU/L

[7193]


ALLERGEN, CANDIDA ALBICANS, IGE
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Candida Albicans, IgE, kU/L.
Reference ranges
  
Candida Albicans, IgE     LT 0.35    kU/L

[75]


ALLERGEN, CARMINE/RED DYE-COCHINEAL, IGE [IBT]
Billing Code ICREDI Test Code ICREDI
Synonyms Dactylopius coccus
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 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
Method FEIA
Test includes
Allergen, Carmine Dye/Red Dye-Cochineal, IgE, kU/L.
Reference ranges
  
Carmine Dye/Red Dye-Cochineal, IgE               LT 0.35        kU/L

[7078]


ALLERGEN, CARROT, IGE
Billing Code ICFCA Test Code ICFCA
Synonyms Daucus carota
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Carrot, IgE, kU/L.
Reference ranges
  
Carrot, IgE     LT 0.35    kU/L

[76]


ALLERGEN, CASEIN, IGG [IBT]
Billing Code ICFCSI Test Code ICFCSI
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 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86001
Test schedule Mon-,Fri
Turnaround time 3-4 days
Method EIA
Test includes
Casein,IgG, mcg/mL.
Reference ranges
  
Casein, IgG       LT 2.0    mcg/mL

 

[7056]


ALLERGEN, CASEIN, IGE
Billing Code ICFCS Test Code ICFCS
Synonyms Bos spp.
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Casein, IgE, kU/L.
Reference ranges
  
Casein, IgE     LT 0.35    kU/L

[77]


ALLERGEN, CASHEW NUT, IGE
Billing Code ICFCW Test Code ICFCW
Synonyms Anacardium occidentale
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Cashew Nut, IgE, kU/L.
Reference ranges
  
Cashew Nut, IgE     LT 0.35    kU/L

[80]


ALLERGEN, CAT DANDER, IGE
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Cat Dander, IgE, kU/L.
Reference ranges
  
Cat Dander, IgE     LT 0.35    kU/L

[81]


ALLERGEN, CELERY, IGE
Billing Code ICFCEL Test Code ICFCEL
Synonyms Apium graveolens; Stick celery; Celeriac; Celery root; Root celery; Celery tuber; Knob celery
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Celery, IgE, kU/L.
Reference ranges
  
Celery, IgE     LT 0.35    kU/L

[4020]


ALLERGEN, CHEESE, CHEDDAR TYPE, IGE
Billing Code ICFCC Test Code ICFCC
Synonyms Hard cheese
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICFMC Test Code ICFMC
Synonyms Soft cheese; White cheese; includes Camembert, Brie, Gorgonzola, Roquefort
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICFCHE Test Code ICFCHE
Synonyms Prunus avium; Sweet cherry; Wild cherry
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Cherry, IgE, kU/L.
Reference ranges
  
Cherry, IgE     LT 0.35    kU/L

[4021]


ALLERGEN, CHICKEN FEATHERS, IGE
Billing Code ICECF Test Code ICECF
Synonyms Gallus Domesticus Feathers
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Chicken Feathers, IgE, kU/L.
Reference ranges
  
Chicken Feathers, IgE     LT 0.35    kU/L

[7183]


ALLERGEN, CHICKEN MEAT, IGG [IBT]
Billing Code ICFCKI Test Code ICFCKI
Synonyms Gallus species, IgG
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 refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
CPT codes 86001
Test schedule Mon-,Fri
Turnaround time 3-5 days
Method EIA
Test includes
Chicken Meat, IgG, mcg/mL.
Reference ranges
  
Chicken Meat, IgG       LT 2.0    mcg/mL

 

[7125]


ALLERGEN, CHICKEN MEAT, IGE
Billing Code ICFCK Test Code ICFCK
Synonyms Gallus spp.
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Chicken Meat, IgE, kU/L.
Reference ranges
  
Chicken Meat, IgE     LT 0.35    kU/L

[86]


ALLERGEN, CHICKPEA, IGE [ARUP]
Billing 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]
Billing 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 0.15    mcg/mL

 

[6695]


ALLERGEN, CHOCOLATE/CACAO, IGE
Billing Code ICFCH Test Code ICFCH
Synonyms Theobroma cacao; Cacao; Cacao powder
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Chocolate/Cacao, IgE, kU/L.
Reference ranges
  
Chocolate/Cacao, IgE     LT 0.35    kU/L

[88]


ALLERGEN, CINNAMON, IGE [ARUP]
Billing Code ICCIAR Test Code ICCIAR
Synonyms Cinnamonmum spp; True Cinnamon; Ceylon Cinnamon; Cassia; Chinese Cinnamon; ImmunoCAP F220
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, Cinnamon, IgE, kU/L.
Reference ranges
  
Cinnamon, IgE         LT 0.10       kU/L

[7091]


ALLERGEN, CLADOSPORIUM HERBARUM, IGE
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Cladosporium Herbarum, IgE, kU/L.
Reference ranges
  
Cladosporium Herbarum, IgE     LT 0.35    kU/L

[90]


ALLERGEN, CLADOSPORIUM HERBARUM, IGG[IBT]
Billing Code ICCHGI Test Code ICCHGI
Synonyms Cladosporium herbarum; Hormodendrum
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 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86001
Test schedule Mon-Fri
Turnaround time 3-5 days
Method ImmunoCap FEIA
Test includes
Allergen, Cladosporium herbarum, IgG, mcg/mL.
Reference ranges
  
Cladosporium herbarum, IgG               LT 28       mcg/mL

[7447]


ALLERGEN, CLAM, IGE
Billing Code ICFCL Test Code ICFCL
Synonyms Manilla clam; Littleneck clam; Carpet Shell clam
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Clam, IgE, kU/L.
Reference ranges
  
Clam, IgE     LT 0.35    kU/L

[91]


ALLERGEN, COCKLEBUR, IGE
Billing Code ICWCB Test Code ICWCB
Synonyms Xanthium commune; Rough cocklebur; Common cocklebur
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Cocklebur, IgE, kU/L.
Reference ranges
  
Cocklebur, IgE     LT 0.35    kU/L

[92]


ALLERGEN, COCKROACH, IGE
Billing Code ICICR Test Code ICICR
Synonyms Blatella germanica; Roach; German cockroach
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Cockroach, IgE, kU/L.
Reference ranges
  
Cockroach, IgE     LT 0.35    kU/L

[93]


ALLERGEN, COCONUT, IGE
Billing Code ICFCOC Test Code ICFCOC
Synonyms Cocus nucifera; Common Coconut
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Coconut, IgE; kU/L.
Reference ranges
  
Coconut, IgE     LT 0.35          kU/L

[3565]


ALLERGEN, CODFISH (WHITEFISH), IGE
Billing Code ICFCD Test Code ICFCD
Synonyms Gadus morhua; Atlantic cod
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Codfish (Whitefish), IgE, kU/L.
Reference ranges
  
Codfish (Whitefish), IgE     LT 0.35    kU/L

[95]


ALLERGEN, COFFEE, IGG [IBT]
Billing Code ICCOI Test Code ICCOI
Synonyms Coffea species, IgG
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 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 3-5 days
Method EIA
Test includes
Coffee, IgG, mcg/mL.
Reference ranges
  
Coffee, IgG       LT 2.O    mcg/mL

 

[7121]


ALLERGEN, COFFEE, IGE [IBT]
Billing Code ICCFI Test Code ICCFI
Synonyms Coffea spp; Coffee; C. Arabica-Arabica or Arabian Coffee; C. canephora-Robusta or Congo Coffee; C. liberica-Liberian Coffee
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 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 ImmunoCap FEIA
Test includes
Allergen, Coffee, IgE, kU/L; Class.
Reference ranges
  
Coffee, IgE               LT 0.35        kU/L
Class

[7446]


ALLERGEN, COMMON SILVER BIRCH , IGE
Billing Code ICTBR Test Code ICTBR
Synonyms Betula verrucosa; Betula pendula; Common Birch; Birch; Birch tree
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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]
Billing 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
Billing Code ICFCN Test Code ICFCN
Synonyms Zea mays; Maize; Sweet Corn; Indian Corn; Field Corn
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Corn (Maize), IgE, kU/L.
Reference ranges
  
Corn (Maize), IgE     LT 0.35    kU/L

[98]


ALLERGEN, CORN, IGG4 [IBT]
Billing 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 0.15     mcg/mL

 

[6694]


ALLERGEN, CORN/MAIZE (ZEA MAYS), IGG [IBT]
Billing Code ICFCNI Test Code ICFCNI
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 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86001
Test schedule Mon-,Fri
Turnaround time 3-4 days
Method EIA
Test includes
Corn/Maize(Zea mays)IgG, mcg/mL.
Reference ranges
  
Corn/Maize (Zea mays), IgG       LT 2.0     mcg/mL

 

[7055]


ALLERGEN, COTTONWOOD TREE, IGE
Billing Code ICTCW Test Code ICTCW
Synonyms Populus deltoides; Poplar tree
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Cottonwood Tree, IgE, kU/L.
Reference ranges
  
Cottonwood Tree, IgE     LT 0.35    kU/L

[101]


ALLERGEN, COW DANDER, IGE
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICFCM Test Code ICFCM
Synonyms Bos spp.; Bovine milk
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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]
Billing 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 0.15     mcg/mL

 

[6698]


ALLERGEN, CRAB, IGE
Billing Code ICFCR Test Code ICFCR
Synonyms Cancer pagurus
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Crab, IgE, kU/L.
Reference ranges
  
Crab, IgE     LT 0.35    kU/L

[104]


ALLERGEN, CUCUMBER, IGE
Billing Code ICFCUC Test Code ICFCUC
Synonyms Cucumis Sativus; Cuke; Gherkin; Cowcumber
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Cucumber, IgE, kU/L.
Reference ranges
  
Cucumber, IgE     LT 0.35    kU/L

[7194]


ALLERGEN, CULTIVATED OAT, IGE
Billing Code ICGCO Test Code ICGCO
Synonyms Avena sativa; Common Oat
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Cultivated Oat, IgE, kU/L.
Reference ranges
  
Cultivated Oat, IgE     LT 0.35    kU/L

[105]


ALLERGEN, CUMIN, IGE [IBT]
Billing 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]
Billing 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, CURVULARIA LUNATA, IGE
Billing Code ICMCL Test Code ICMCL
Synonyms Cochilobolus Lunatus; Acrothecium Lunatum
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Curvularia Lunata, IgE, kU/L.
Reference ranges
  
Curvularia Lunata, IgE     LT 0.35    kU/L
Notes
There appears to be extensive cross-reactivity between Curvularia, Stemphylium, and Alternata.

[7211]


ALLERGEN, D. FARINAE (MITE), IGE
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Dog Dander, IgE, kU/L.
Reference ranges
  
Dog Dander, IgE     LT 0.35    kU/L

[108]


ALLERGEN, DUCK FEATHERS, IGE
Billing Code ICEDF Test Code ICEDF
Synonyms Anas Platyrhynca Feathers
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Duck Feathers, IgE, kU/L.
Reference ranges
  
Duck Feathers, IgE     LT 0.35    kU/L

[7224]


ALLERGEN, EGG WHITE, IGG [IBT]
Billing Code ICFEWI Test Code ICFEWI
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 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 3-4 days
Method EIA
Test includes
Egg White, IgG, mcg/mL.
Reference ranges
  
Egg White, IgG      LT 2.0     mcg/mL

 

[7127]


ALLERGEN, EGG WHITE, IGE
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Egg White, IgE, kU/L.
Reference ranges
  
Egg White, IgE     LT 0.35    kU/L

[112]


ALLERGEN, EGG WHOLE, IGG4 [IBT]
Billing 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 0.15     mcg/mL

 

[6709]


ALLERGEN, EGG WHOLE, IGE
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Egg Whole, IgE, kU/L.
Reference ranges
  
Egg Whole, IgE     LT 0.35    kU/L

[113]


ALLERGEN, EGG WHOLE, IGG [IBT]
Billing Code ICEWI Test Code ICEWI
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 a 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 86001
Test schedule Mon-Fri
Turnaround time 3-5 days
Method EIA
Test includes
Egg Whole, IgG, mcg/mL.
Reference ranges
  
Egg Whole, IgG,    LT 2.0     mcg/mL

[7516]


ALLERGEN, EGG YOLK, IGG [IBT]
Billing Code ICEYI Test Code ICEYI
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 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 3-5 days
Method EIA
Test includes
Egg Yolk, IgG, mcg/mL.
Reference ranges
  
Egg Yolk, IgG       LT 2.O     mcg/mL

 

[7123]


ALLERGEN, EGG YOLK, IGE
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Egg Yolk, IgE, kU/L.
Reference ranges
  
Egg Yolk, IgE     LT 0.35    kU/L

[116]


ALLERGEN, ELM TREE, IGE
Billing Code ICTEL Test Code ICTEL
Synonyms Ulmus americana; White elm; American elm
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICWEP Test Code ICWEP
Synonyms Plantago lanceolata; Ribwort Plantain; Ribwort
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, English Plantain (Ribwort), IgE, kU/L.
Reference ranges
  
English Plantain (Ribwort), IgE     LT 0.35    kU/L

[118]


ALLERGEN, EPICOCCUM PURPURASCENS, IGE
Billing Code ICMEP Test Code ICMEP
Synonyms Epicoccum Nigrum
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Epicoccum Purpurascens, IgE, kU/L.
Reference ranges
  
Epicoccum Purpurascens, IgE     LT 0.35    kU/L

[7212]


ALLERGEN, ETHYLENE OXIDE, IGE
Billing Code ICOEO Test Code ICOEO
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Ethylene Oxide, IgE, kU/L.
Reference ranges
  
Ethylene Oxide, IgE     LT 0.35    kU/L

[7220]


ALLERGEN, EUCALYPTUS (GUM) TREE, IGE
Billing Code ICTEU Test Code ICTEU
Synonyms Eucalyptus spp.; Gum tree; Blue gum tree; Fever tree
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Eucalyptus (Gum) Tree, IgE, kU/L.
Reference ranges
  
Eucalyptus (Gum) Tree, IgE     LT 0.35    kU/L

[119]


ALLERGEN, EUROPEAN HORNET, IGE
Billing Code ICIEH Test Code ICIEH
Synonyms Vespa Crabro
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, European Hornet, IgE, kU/L.
Reference ranges
  
European Hornet, IgE     LT 0.35    kU/L

[7206]


ALLERGEN, FALSE RAGWEED, IGE
Billing Code ICWFR Test Code ICWFR
Synonyms Franseria acanthicarpa; Ambrosia acanthicarpa; Bur ragweed; Annual Burweed
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, False Ragweed, IgE, kU/L.
Reference ranges
  
False Ragweed, IgE     LT 0.35    kU/L

[120]


ALLERGEN, FEATHER MIX, IGE [ARUP]
Billing Code ICFEMA Test Code ICFEMA
Synonyms Feather Mixture (Chicken, Duck, Goose, Turkey) Allergens, IgE
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.
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, Feather Mix, IgE; kU/L.
Reference ranges
  
Feather Mix, IgE     LT 0.35          kU/L

[7126]


ALLERGEN, FERRET EPITHELIUM, IGE [IBT]
Billing Code ICFEEI Test Code ICFEEI
Synonyms Mustela putorius; Ferret; Household Ferret; Polecat
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 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 ImmunoCap FEIA
Test includes
Allergen, Ferret Epithelium, IgE, kU/L; Class.
Reference ranges
  
Ferret Epithelium, IgE       LT 0.35   kU/L
Class

[7452]


ALLERGEN, FIRE ANT, IGE
Billing Code ICIFA Test Code ICIFA
Synonyms Solenopsis Invicta
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Fire Ant, IgE, kU/L.
Reference ranges
  
Fire Ant, IgE     LT 0.35    kU/L

[7207]


ALLERGEN, FLOUNDER, IGG4 [IBT]
Billing Code ICFLI Test Code ICFLI
Synonyms Bothidae/Pleuronectidae Family, IgG4
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 refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method ImmunoCAP FEIA
Test includes
Flounder,IgG4, mcg/mL.
Reference ranges
  
Flounder, IgG4    LT 0.15    mcg/mL

 

[7129]


ALLERGEN, FLY HORSE, IGE [IBT]
Billing Code ICFHI Test Code ICFHI
Synonyms Tabanus species, IgE
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL
Specimen processing Separate seurm 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 Immunocap FEIA
Test includes
Allergen, Fly Horse, IgE, kU/L; Class.
Reference ranges
  
Fly Horse, IgE         LT 0.35       kU/L
Class

[7128]


ALLERGEN, FOOD PANEL 1, IGG4 [IBT]
Billing 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.
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 IgG4, mcg/mL; Wheat IgG4, mcg/mL; Bakers Yeast, IgG4, mcg/mL.
Reference ranges
  
Banana, IgG4                   LT 0.15    mcg/mL
Barley, IgG4                   LT 0.15    mcg/mL
Green Bean, IgG4               LT 0.15    mcg/mL
Chocolate, IgG4                LT 0.15    mcg/mL
Corn, IgG4                     LT 0.15    mcg/mL
Egg, Whole, IgG4               LT 0.15    mcg/mL
Milk, Cow, IgG4                LT 0.15    mcg/mL
Oat, IgG4                      LT 0.15    mcg/mL
Orange, IgG4                   LT 0.15    mcg/mL
Pea Green, IgG4                LT 0.15    mcg/mL
Peanut, IgG4                   LT 0.15    mcg/mL
Pork, IgG4                     LT 0.15    mcg/mL
Potato White, IgG4             LT 0.15    mcg/mL
Rice, IgG4                     LT 0.15    mcg/mL
Rye Food, IgG4                 LT 0.15    mcg/mL
Soybean, IgG4                  LT 0.15    mcg/mL
Tomato, IgG4                   LT 0.15    mcg/mL
Strawberry, IgG4               LT 0.15    mcg/mL
Wheat, IgG4                    LT 0.15    mcg/mL
Baker's Yeast, IgG4            LT 0.15    mcg/mL
 

[6688]


ALLERGEN, FOOD, SUNFLOWER SEED (HELIANTHUS ANNUS), IGE [IBT]
Billing Code ICSUSI Test Code ICSUSI
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 3-4 days
Method RIA
Test includes
Sunflower Seed (Helianthus annus), IgE, kU/L.
Reference ranges
  
Sunflower Seed (Helianthus annus), IgE       LT 0.35    kU/L

 

[7060]


ALLERGEN, FORMALDEHYDE/FORMALIN, IGE [IBT]
Billing Code ICFOI Test Code ICFOI
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL
Specimen processing Separate seurm 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 Immunocap FEIA
Test includes
Allergen, Formaldehyde/Formalin, IgE, kU/L; Class.
Reference ranges
  
Formaldehyde/Formalin, IgE         LT 0.35       kU/L
Class

[7132]


ALLERGEN, FUSARIUM OXYSPORUM/VASINFECTUM, IGE [IBT]
Billing Code ICFOEI Test Code ICFOEI
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 4 weeks   Refrigerated 4 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 3-5days
Method RIA
Test includes
Allergen, Fusarium oxysporum/vasinfectum, IgE, kU/L; Class.
Reference ranges
  
Fusarium oxysporum/vasinfectum, IgE               LT 0.35        kU/L
Class

[7398]


ALLERGEN, FUSARIUM PROLIFERATUM, IGE
Billing Code ICMFP Test Code ICMFP
Synonyms Fusarium Moniliforme; Cephalosporium Proliferatum
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Fusarium Proliferatum, IgE, kU/L.
Reference ranges
  
Fusarium Proliferatum, IgE     LT 0.35    kU/L

[7213]


ALLERGEN, FUSARIUM SOLANIE, IGE [IBT]
Billing Code ICFSI Test Code ICFSI
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 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
Method RIA
Test includes
Fusarium solanie, IgE, kU/L; Class.
Reference ranges
  
Fusarium solanie IgE       LT 0.35    kU/L
Class

 

[7108]


ALLERGEN, GARLIC, IGE
Billing Code ICFGA Test Code ICFGA
Synonyms Allium sativum; Cultivated garlic; Poor Man's treacle
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Garlic, IgE, kU/L.
Reference ranges
  
Garlic, IgE     LT 0.35    kU/L

[121]


ALLERGEN, GELATIN BOVINE, IGE
Billing Code ICDBG Test Code ICDBG
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Gelatin Bovine, IgE, kU/L.
Reference ranges
  
Gelatin Bovine, IgE     LT 0.35    kU/L

[7181]


ALLERGEN, GIANT RAGWEED, IGE
Billing Code ICWGR Test Code ICWGR
Synonyms Ambrosia trifida; Great ragweed; Tall ragweed
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Giant Ragweed, IgE, kU/L.
Reference ranges
  
Giant Ragweed, IgE     LT 0.35    kU/L

[122]


ALLERGEN, GINGER , IGE [IBT]
Billing 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, IGG [IBT]
Billing Code ICGGI Test Code ICGGI
Synonyms Gluten; Tri a Gluten; Gliadin; Gamma-Gliadin; Omega-gliadin
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 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86001
Test schedule Mon-Fri
Turnaround time 3-5 days
Method EIA
Test includes
Allergen, Gluten, IgG, mcg/mL.
Reference ranges
  
Gluten, IgG               LT 2.0       mcg/mL

[7457]


ALLERGEN, GLUTEN, IGE
Billing Code ICFGT Test Code ICFGT
Synonyms Tri a Gluten; Gliadin; Gamma-Gliadin; Omega-gliadin
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Gluten, IgE, kU/L.
Reference ranges
  
Gluten, IgE     LT 0.35    kU/L

[124]


ALLERGEN, GOLDENROD, IGE
Billing Code ICWGD Test Code ICWGD
Synonyms Solidago virgaurea; European Goldenrod
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Goldenrod, IgE, kU/L.
Reference ranges
  
Goldenrod, IgE     LT 0.35    kU/L

[128]


ALLERGEN, GOOSE FEATHERS, IGE
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Goose Feathers, IgE, kU/L.
Reference ranges
  
Goose Feathers, IgE     LT 0.35    kU/L

[129]


ALLERGEN, GRAPE (RAISIN), IGE
Billing Code ICFGR Test Code ICFGR
Synonyms Vitis vinifera; Vitis vinifera subsp. Sylvestris; Vitis sylvestris; Vitis vinifera subsp. Vinifera
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Grape (Raisin), IgE, kU/L.
Reference ranges
  
Grape (Raisin), IgE     LT 0.35    kU/L

[130]


ALLERGEN, GRAPEFRUIT, IGE
Billing Code ICFGF Test Code ICFGF
Synonyms Citrus Paradisi; Shaddock
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Grapefruit, IgE, kU/L.
Reference ranges
  
Grapefruit, IgE     LT 0.35    kU/L

[7195]


ALLERGEN, GRAPEFRUIT, IGG [IBT]
Billing Code ICGFGI Test Code ICGFGI
Synonyms Citrus paradisi; Grapefruit; Shaddock
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 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 3-5 days
Method EIA
Test includes
Grapefruit,IgG, mcg/mL.
Reference ranges
  
Grapefruit,IgG       LT 2     mcg/mL

 

[7399]


ALLERGEN, GREEN BEAN, IGE [ARUP]
Billing 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]
Billing 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 0.15     mcg/mL

 

[6696]


ALLERGEN, GREEN NIMITTI, IGE
Billing Code ICIGN Test Code ICIGN
Synonyms Cladotanytarsus Lewisi; Sudan Fly
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Green Nimmitti, IgE, kU/L.
Reference ranges
  
Green Nimitti, IgE     LT 0.35    kU/L

[7208]


ALLERGEN, GREEN PEA, IGG4 [IBT]
Billing 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 0.15    mcg/mL

 

[6697]


ALLERGEN, GREY ALDER TREE, IGE
Billing Code ICTAL Test Code ICTAL
Synonyms Alnus incana; Speckled Alder
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Grey Alder Tree, IgE, kU/L.
Reference ranges
  
Grey Alder Tree, IgE     LT 0.35    kU/L

[132]


ALLERGEN, GUINEA PIG EPITHELIUM, IGE
Billing Code ICEGPE Test Code ICEGPE
Synonyms Cavia porcellus, Cavy
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Guinea Pig Epithelium, IgE, kU/L.
Reference ranges
  
Guinea Pig Epithelium, IgE     LT 0.35    kU/L

[7184]


ALLERGEN, HADDOCK, IGE [ARUP]
Billing 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, IGE [ARUP]
Billing 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, HAMSTER EPITHELIUM, IGE
Billing Code ICEHE Test Code ICEHE
Synonyms Cricetidae; Cricetus cricetus-Common Hamster; Phodopus sungorus-Siberian Hamster or Dwarf Hamster; Mesocricetus auratus-Golden Hamster
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Hamster Epithelium, IgE, kU/L.
Reference ranges
  
Hamster Epithelium, IgE     LT 0.35    kU/L

[7185]


ALLERGEN, HAZEL NUT (FILBERT), IGE
Billing Code ICFHZ Test Code ICFHZ
Synonyms Corylus avellana; Hazel nut; Filbert; Cobnut; Cob
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICTHZ Test Code ICTHZ
Synonyms Corylus avellana; Hazel tree
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICIHB Test Code ICIHB
Synonyms Apis mellifera
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Honeybee Venom, IgE, kU/L.
Reference ranges
  
Honeybee Venom, IgE     LT 0.35    kU/L

[137]


ALLERGEN, HONEYDEW/CANTALOUPE, IGE
Billing Code ICFWM Test Code ICFWM
Synonyms Cucumis melo spp.; Melon; Common melon; Muskmelon; Armenian cucumber; Winter melon
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Honeydew/Cantaloupe, IgE, kU/L.
Reference ranges
  
Honeydew/Cantaloupe, IgE     LT 0.35    kU/L

[158]


ALLERGEN, HORSE DANDER, IGE
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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, INSULIN HUMAN, IGE
Billing Code ICDHI Test Code ICDHI
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Insulin Human, IgE, kU/L.
Reference ranges
  
Insulin Human, IgE     LT 0.35    kU/L

[7182]


ALLERGEN, JAPANESE CEDAR, IGE
Billing Code ICTRW Test Code ICTRW
Synonyms Cupressus japonica; Sugi tree
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Japanese Cedar, IgE, kU/L.
Reference ranges
  
Japanese Cedar, IgE     LT 0.35    kU/L

[142]


ALLERGEN, JOHNSON GRASS, IGE
Billing Code ICGJO Test Code ICGJO
Synonyms Sorghum halepense; S. controversum; S. miliaceaum; Holcus halapensis; Holcus halepensis; Johnsongrass; Sorghum
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Johnson Grass, IgE, kU/L.
Reference ranges
  
Johnson Grass, IgE     LT 0.35    kU/L

[143]


ALLERGEN, JUNIPER WESTERN, IGE [IBT]
Billing Code ICJWEI Test Code ICJWEI
Synonyms Juniperus occidentalis; Sierra juniper
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 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 RIA
Test includes
Allergen, Juniper Western, IgE, kU/L; Class.
Reference ranges
  
Juniper Western, IgE               LT 0.35        kU/L
Class

[7400]


ALLERGEN, KIDNEY BEAN, IGE [ARUP]
Billing 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
Billing Code ICFKIW Test Code ICFKIW
Synonyms Actinidia deliciosa; Actinidia latifolia var. deliciosa; Actinidia chinensis deliciosa; Chinese gooseberry; Kiwifruit; Monkey peach; Sheep peach; Gold kiwi; Green kiwi
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Kiwi, IgE; kU/L.
Reference ranges
  
Kiwi, IgE     LT 0.35          kU/L

[3566]


ALLERGEN, KOCHIA (FIREBUSH), IGE
Billing Code ICWKO Test Code ICWKO
Synonyms Kochia scoparia; Bassia scoparia; Chenopodium scoparia; Firebush; Common Kochia
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Kochia (Firebush), IgE, kU/L.
Reference ranges
  
Kochia (Firebush), IgE     LT 0.35    kU/L

[145]


ALLERGEN, LAMB (MUTTON), IGE
Billing Code ICFLAM Test Code ICFLAM
Synonyms Ovis Spp.
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Lamb (Mutton), IgE, kU/L.
Reference ranges
  
Lamb (Mutton), IgE     LT 0.35    kU/L

[7196]


ALLERGEN, LAMB'S QUARTERS (GOOSEFOOT), IGE
Billing Code ICWLQ Test Code ICWLQ
Synonyms Chenopodium album; Goosefoot; Common Lamb's quarters; Lambsquarter; White goosefoot
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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, IGG [IBT]
Billing Code ICLEGI Test Code ICLEGI
Synonyms Citrus lemon
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 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 3-5 days
Method EIA
Test includes
Lemon, IgG, mcg/mL.
Reference ranges
  
Lemon, IgG       LT 2    mcg/mL

 

[7401]


ALLERGEN, LEMON, IGE
Billing Code ICFLEM Test Code ICFLEM
Synonyms Citrus limon
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Lemon, IgE, kU/L.
Reference ranges
  
Lemon, IgE     LT 0.35    kU/L

[4022]


ALLERGEN, LENTIL, IGE
Billing Code ICFLEN Test Code ICFLEN
Synonyms Lens Esculenta; Lens Culinaris; Cicer Lens; Lentilla Lens
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Lentil, IgE, kU/L.
Reference ranges
  
Lentil, IgE     LT 0.35    kU/L

[7197]


ALLERGEN, LETTUCE, IGE
Billing Code ICFLE Test Code ICFLE
Synonyms Lactuca sativa; Garden lettuce; Prickly lettuce; Head lettuce; Stem lettuce; Leaf lettuce; Romaine
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Lettuce, IgE, kU/L.
Reference ranges
  
Lettuce, IgE     LT 0.35    kU/L

[149]


ALLERGEN, LIMA BEAN/WHITE BEAN, IGE [ARUP]
Billing 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, LIME, IGE [IBT]
Billing Code ICLEI Test Code ICLEI
Synonyms Citrus aurantifolia; Lime, Green lemon; Sour lemon; Citrus acida; Citrus lima; Citrus medica; Limonia aurantifolia
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 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 ImmunoCap FEIA
Test includes
Allergen, Lime, IgE, kU/L; Class.
Reference ranges
  
Lime, IgE               LT 0.35        kU/L
Class

[7402]


ALLERGEN, LIME, IGG [IBT]
Billing Code ICLIGI Test Code ICLIGI
Synonyms Citrus aurantifolia; Lime; Green lemon; Sour lemon; Citrus acida; Citrus lima; Citrus medica; Limonia aurantifolia.
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 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86001
Test schedule Mon-,Fri
Turnaround time 3-5 days
Method EIA
Test includes
Lime IgG, mcg/mL.
Reference ranges
  
Lime, IgG       LT 2    mcg/mL

 

[7403]


ALLERGEN, LINDEN TREE, IGE
Billing Code ICTLIN Test Code ICTLIN
Synonyms Tilia cordata; Basswood; European lime; Small-leaved European linden; Small leaved lime; Small-leaved linden
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 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Linden Tree, IgE, kU/L.
Reference ranges
  
Linden Tree, IgE               LT 0.35        kU/L

[7466]


ALLERGEN, LOBSTER, IGE
Billing Code ICFLB Test Code ICFLB
Synonyms Homarus gammarus; Homarus americanus; European lobster; American lobster
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Lobster, IgE, kU/L.
Reference ranges
  
Lobster, IgE     LT 0.35    kU/L

[151]


ALLERGEN, MACADAMIA NUT (MACADAMIA TERNIFOLIA), IGE [IBT]
Billing Code ICMNI Test Code ICMNI
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 month   Refrigerated 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86003
Test schedule Mon-,Fri
Turnaround time 2-3 days
Method FEIA
Test includes
Macadamia Nut (Macadamia ternifolia), IgE, kU/L.
Reference ranges
  
Macadamia Nut (Macadamia ternifolia), IgE       LT 0.35    kU/L

 

[7059]


ALLERGEN, MALT, IGE
Billing Code ICFML Test Code ICFML
Synonyms Hordeum vulgare; Barley Malt
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Malt, IgE, kU/L.
Reference ranges
  
Malt, IgE     LT 0.35    kU/L

[153]


ALLERGEN, MANGO, IGE
Billing Code ICFMAN Test Code ICFMAN
Synonyms Mangifera indica
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Mango, IgE; kU/L.
Reference ranges
  
Mango, IgE     LT 0.35          kU/L

[3567]


ALLERGEN, MEADOW (KENTUCKY BLUE) GRASS, IGE
Billing Code ICGKB Test Code ICGKB
Synonyms Poa pratensis; Meadow grass; Smooth Meadow-grass; Kentucky Bluegrass
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICGMF Test Code ICGMF
Synonyms Festuca elatior; Festuca pratensis; English Bluegrass; Tall Fescue
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Meadow Fescue, IgE, kU/L.
Reference ranges
  
Meadow Fescue, IgE     LT 0.35    kU/L

[157]


ALLERGEN, MILK GOAT, IGE [IBT]
Billing Code ICMGI Test Code ICMGI
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL
Specimen processing Separate seurm 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 Immunocap FEIA
Test includes
Allergen, Milk Goat, IgE, kU/L; Class.
Reference ranges
  
Milk Goat, IgE         LT 0.35       kU/L
Class

[7137]


ALLERGEN, MILK SHEEP, IGE [IBT]
Billing Code ICMSEI Test Code ICMSEI
Synonyms Ovis spp
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 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 ImmunoCap FEIA
Test includes
Allergen, Milk Sheep, IgE, kU/L; Class.
Reference ranges
  
Coffee, IgE               LT 0.35        kU/L
Class

[7458]


ALLERGEN, MOSQUITO, IGE
Billing Code ICIMO Test Code ICIMO
Synonyms Aedes Communis
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Mosquito, IgE, kU/L.
Reference ranges
  
Mosquito, IgE     LT 0.35    kU/L

[7209]


ALLERGEN, MOUNTAIN CEDAR (JUNIPER) TREE, IGE
Billing Code ICTMC Test Code ICTMC
Synonyms Juniperus sabinoides; Juniperus ashei; Mountain juniper; Ashe juniper
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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, MOUSE EPITHELIUM, SERUM & URINE PROTEINS, IGE
Billing Code ICEMOU Test Code ICEMOU
Synonyms Mus spp; Mouse; House mouse; Common house mouse
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 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 3-5 days
Method ImmunoCap FEIA
Test includes
Allergen, Mouse Epithelium, Serum & Urine Proteins, IgE, kU/L.
Reference ranges
  
Mouse Epithelium Serum & Urine Proteins, IgE               LT 0.35        kU/L
Notes
Includes Mouse Epithelium, Serum and Urine proteins.

[7449]


ALLERGEN, MOZZARELLA CHEESE, IGE [IBT]
Billing 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
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Mucor Racemosus, IgE, kU/L.
Reference ranges
  
Mucor Racemosus, IgE     LT 0.35    kU/L

[161]


ALLERGEN, MUGWORT, IGE
Billing Code ICWMW Test Code ICWMW
Synonyms Artemisia vulgaris; Chrysanthemum weed; Common wormwood; Felon Herb; Wild Wormwood
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Mugwort, IgE, kU/L.
Reference ranges
  
Mugwort, IgE     LT 0.35    kU/L

[162]


ALLERGEN, MULBERRY TREE, IGE
Billing Code ICTML Test Code ICTML
Synonyms Morus alba; White mulberry; Silkworm mulberry
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Mulberry Tree, IgE, kU/L.
Reference ranges
  
Mulberry Tree, IgE     LT 0.35    kU/L

[163]


ALLERGEN, MUSHROOM, IGE [ARUP]
Billing 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
Billing Code ICFMS Test Code ICFMS
Synonyms Brassica/Sinapis spp.; White Mustard; Yellow Mustard; Black Mustard; Brown Mustard; Oriental Mustard; Chinese Mustard; Indian Mustard; Leaf Mustard; Sarepta Mustard; Asiatic Mustard
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Mustard, IgE, kU/L.
Reference ranges
  
Mustard, IgE     LT 0.35    kU/L

[166]


ALLERGEN, NETTLE, IGE
Billing Code ICWNT Test Code ICWNT
Synonyms Urtica dioica; Stinging Nettle; American Stinging Nettle; European Stinging Nettle; Hoary Nettle; Hairy Nettle
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Nettle, IgE, kU/L.
Reference ranges
  
Nettle, IgE     LT 0.35    kU/L

[167]


ALLERGEN, OAK TREE, IGE
Billing Code ICTOK Test Code ICTOK
Synonyms Quercus alba; White oak; Forked-leaf white oak; Fork-leaf oak
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Oak Tree, IgE, kU/L.
Reference ranges
  
Oak Tree, IgE     LT 0.35    kU/L

[169]


ALLERGEN, OAT IGG4 [IBT]
Billing 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 0.15     mcg/mL

 

[6700]


ALLERGEN, OAT, IGE
Billing Code ICFOT Test Code ICFOT
Synonyms Avena sativa; Oats; Oatmeal; Oat groats
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Oat, IgE, kU/L.
Reference ranges
  
Oat, IgE     LT 0.35    kU/L

[170]


ALLERGEN, OCTOPUS, IGE
Billing Code ICFOCT Test Code ICFOCT
Synonyms Octopus Vulgaris
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Octopus, IgE, kU/L.
Reference ranges
  
Octopus, IgE     LT 0.35    kU/L

[7198]


ALLERGEN, OLIVE RUSSIAN, IGE [IBT]
Billing Code ICORI Test Code ICORI
Synonyms Elaeagnus angustifolia; Russian Olive; Russian Silverberry; Oleaster; Silverberry
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 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, Olive Russian, IgE, kU/L.
Reference ranges
  
Olive Russain, IgE               LT 0.35        kU/L

[7092]


ALLERGEN, OLIVE TREE, IGE
Billing Code ICTOL Test Code ICTOL
Synonyms Olea europaea
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Olive Tree, IgE, kU/L.
Reference ranges
  
Olive Tree, IgE     LT 0.35    kU/L

[171]


ALLERGEN, ONION, IGE
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Onion, IgE, kU/L.
Reference ranges
  
Onion, IgE     LT 0.35    kU/L

[172]


ALLERGEN, ORANGE, IGE
Billing Code ICFOG Test Code ICFOG
Synonyms Citrus sinensis; Citrus cinensis; Citrus macracantha; Citrus aurantium; Sweet orange
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Orange, IgE, kU/L.
Reference ranges
  
Orange, IgE     LT 0.35    kU/L

[173]


ALLERGEN, ORANGE, IGG [IBT]
Billing Code ICORGI Test Code ICORGI
Synonyms Citrus sinensis; Citrus aurantium-sour/bitter variety; Citrus cinensis; Citrus macracantha; Orange, Sweet orange
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 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86001
Test schedule Mon-,Fri
Turnaround time 3-5 days
Method EIA
Test includes
Orange IgG, mcg/mL.
Reference ranges
  
Orange, IgG       LT 2    mcg/mL

 

[7404]


ALLERGEN, ORANGE, IGG4 [IBT]
Billing 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 0.15     mcg/mL

 

[6699]


ALLERGEN, ORCHARD GRASS (COCKSFOOT), IGE
Billing Code ICGOG Test Code ICGOG
Synonyms Dactylis glomerata; Cocksfoot grass; Cock's foot grass; Cock's-foot; Orchardgrass
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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]
Billing 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
Billing Code ICFOY Test Code ICFOY
Synonyms Ostrea edulis
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Oyster, IgE, kU/L.
Reference ranges
  
Oyster, IgE     LT 0.35    kU/L

[175]


ALLERGEN, PAPAYA, IGE [ARUP]
Billing 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
Billing Code ICIPW Test Code ICIPW
Synonyms Polistes spp.
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Paper Wasp Venom, IgE, kU/L.
Reference ranges
  
Paper Wasp Venom, IgE     LT 0.35    kU/L

[176]


ALLERGEN, PARSLEY, IGE
Billing Code ICFPAR Test Code ICFPAR
Synonyms Petroselinum Crispum
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Parsley, IgE, kU/L.
Reference ranges
  
Parsley, IgE     LT 0.35    kU/L

[7199]


ALLERGEN, PEA, GREEN, IGE
Billing Code ICFGP Test Code ICFGP
Synonyms Pisum sativum; Pisum humile; Pea; Common pea; Greenpea; Green pea; Dry pea; Snow pea; Sugar snap pea
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Pea, Green, IgE, kU/L.
Reference ranges
  
Pea, Green, IgE     LT 0.35    kU/L

[178]


ALLERGEN, PEACH, IGE
Billing Code ICFPCH Test Code ICFPCH
Synonyms Prunus persica; freestone; clingstone; Nectarine
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Peach, IgE, kU/L.
Reference ranges
  
Peach, IgE     LT 0.35    kU/L

[4023]


ALLERGEN, PEANUT, IGE
Billing Code ICFPN Test Code ICFPN
Synonyms Arachis hypogaea; Groundnut; Monkeynut
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Peanut, IgE, kU/L.
Reference ranges
  
Peanut, IgE     LT 0.35    kU/L

[180]


ALLERGEN, PEANUT, IGG4 [IBT]
Billing 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 0.15    mcg/mL

 

[6702]


ALLERGEN, PEAR, IGE
Billing Code ICFPR Test Code ICFPR
Synonyms Pyrus communis
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Pear, IgE, kU/L.
Reference ranges
  
Pear, IgE     LT 0.35    kU/L

[181]


ALLERGEN, PECAN (HICKORY) TREE, IGE
Billing Code ICTPE Test Code ICTPE
Synonyms Carya pecan; Hickory tree
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Pecan (Hickory) Tree, IgE, kU/L.
Reference ranges
  
Pecan (Hickory) Tree, IgE     LT 0.35    kU/L

[182]


ALLERGEN, PECAN FOOD, IGG4 [IBT]
Billing Code ICPFI Test Code ICPFI
Synonyms Carya illinoensis, IgG4
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 refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method ImmunoCAP FEIA
Test includes
Recan Food,IgG4, mcg/mL.
Reference ranges
  
Pecan Food, IgG4    LT 0.15    mcg/mL

 

[7142]


ALLERGEN, PECAN NUT, IGE
Billing Code ICFPE Test Code ICFPE
Synonyms Carya illinoensis; Carya illinoinensis; Hickory nut
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Pecan Nut, IgE, kU/L.
Reference ranges
  
Pecan Nut, IgE     LT 0.35    kU/L

[183]


ALLERGEN, PENICILLIUM CHRYSOGENUM, IGE
Billing Code ICMPN Test Code ICMPN
Synonyms Penicillium Notatum
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Penicillium Chrysogenum, IgE, kU/L.
Reference ranges
  
Penicillium Chrysogenum, IgE     LT 0.35    kU/L

[184]


ALLERGEN, PENICILLIUM CHRYSOGENUM/NOTATUM, IGG [IBT]
Billing Code ICPCGI Test Code ICPCGI
Synonyms Penicillium Notatum
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 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86671
Test schedule Mon-Fri
Turnaround time 3-5 days
Method ImmunoCAP FEIA
Test includes
Allergen, Penicillium chrysogenum/notatum, IgG, mcg/mL.
Reference ranges
  
Penicillium chrysogenum/notatum, IgG        LT 22       mcg/mL

[7459]


ALLERGEN, PENICILLOYL G, IGE
Billing Code ICDRP Test Code ICDRP
Synonyms Penicillin G (major); Penicillin (injectable); Penicillin (IV)
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Penicilloyl G, IgE, kU/L.
Reference ranges
  
Penicilloyl G, IgE     LT 0.35    kU/L

[185]


ALLERGEN, PENICILLOYL V, IGE
Billing Code ICDRPV Test Code ICDRPV
Synonyms Penicillin V (minor); Penicillin (oral)
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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]
Billing 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, PEPPER JALAPENO/CHIPOLTE, IGE [IBT]
Billing Code ICPJEI Test Code ICPJEI
Synonyms Capsicum frutescens
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 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 RIA
Test includes
Allergen, Pepper Jalapeno/Chipolte, IgE, kU/L; Class.
Reference ranges
  
Pepper, Jalapeno, IgE               LT 0.35        kU/L
Class

[7460]


ALLERGEN, PEPPER WHITE, IGE [IBT]
Billing Code ICPWEI Test Code ICPWEI
Synonyms Piper spp
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 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 RIA
Test includes
Allergen, Pepper White, IgE, kU/L; Class.
Reference ranges
  
Pepper, White, IgE               LT 0.35        kU/L
Class

[7461]


ALLERGEN, PERCH OCEAN IGE (IBT)
Billing Code ICPERI Test Code ICPERI
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 month   Refrigerated 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Lipemic samples may lead to rejection
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 3-5 days
Method RIA
Test includes
Perch, Ocean IgE Class, kU/L;
Reference ranges
  
Perch, Ocean IgE Class		LT 0.35		kU/L
				
				This test was developed and its	
				performance characteristics	
				determined by Viracor-IBT	
				Laboratories. It has not been	
				cleared or approved by the FDA.	

[7546]


ALLERGEN, PERENNIAL RYE GRASS, IGE
Billing Code ICGPR Test Code ICGPR
Synonyms Lolium perenne; Rye grass; Rye-grass; Ray-grass; Annual Ryegrass
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Perennial Rye Grass, IgE, kU/L.
Reference ranges
  
Perennial Rye Grass, IgE     LT 0.35    kU/L

[188]


ALLERGEN, PHOMA BETAE, IGE
Billing Code ICMPB Test Code ICMPB
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Phoma Betae, IgE, kU/L.
Reference ranges
  
Phoma Betae, IgE     LT 0.35    kU/L

[7214]


ALLERGEN, PHOMA HERBARUM GEL DIFFUSION [IBT]
Billing 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
Billing Code ICWPG Test Code ICWPG
Synonyms Amaranthus retroflexus; Common Pigweed; Redroot Pigweed
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Pigweed, IgE, kU/L.
Reference ranges
  
Pigweed, IgE     LT 0.35    kU/L

[189]


ALLERGEN, PINE NUT, IGE [ARUP]
Billing 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
Billing Code ICFPA Test Code ICFPA
Synonyms Ananas comosus; Ananas; Pina
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Pineapple, IgE, kU/L.
Reference ranges
  
Pineapple, IgE     LT 0.35    kU/L

[191]


ALLERGEN, PINTO BEAN, IGE [IBT]
Billing 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
Billing Code ICFPIS Test Code ICFPIS
Synonyms Pistacia vera; Pistachio nut
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Pistachio, IgE; kU/L.
Reference ranges
  
Pistachio, IgE     LT 0.35          kU/L

[3568]


ALLERGEN, PITYROSPORUM ORBICULARE, IGE
Billing Code ICMPOR Test Code ICMPOR
Synonyms Malassezia Furfur; Tinea Versicolor; Cradle Cap
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Pityrosporum Orbiculare, IgE, kU/L.
Reference ranges
  
Pityrosporum Orbiculare, IgE     LT 0.35    kU/L

[7215]


ALLERGEN, PLUM, IGE
Billing Code ICFPLM Test Code ICFPLM
Synonyms Prunus Domestica; Gage; Prune
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Plum, IgE, kU/L.
Reference ranges
  
Plum, IgE     LT 0.35    kU/L

[7200]


ALLERGEN, PORK, IGE
Billing Code ICFPK Test Code ICFPK
Synonyms Sus spp.; Swine
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Pork, IgE, kU/L.
Reference ranges
  
Pork, IgE     LT 0.35    kU/L

[193]


ALLERGEN, PORK, IGG4 [IBT]
Billing 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 0.15    mcg/mL

 

[6701]


ALLERGEN, POTATO (WHITE), IGE
Billing Code ICFPT Test Code ICFPT
Synonyms Solanum tuberosum; Irish Potato; Spud
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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]
Billing 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 0.15     mcg/mL

 

[6703]


ALLERGEN, PUMPKIN, IGE
Billing Code ICFPUM Test Code ICFPUM
Synonyms Cucurbita pepo; C. moschata; C. maxima; C mixta; Cucumis pepo; Pumpkin; Field Pumpkin; Naked-seeded Pumpkin; Cheese Pumpkin; Pimpkin
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 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Pumpkin, IgE, kU/L.
Reference ranges
  
Pumpkin, IgE               LT 0.35        kU/L

[7454]


ALLERGEN, RABBIT EPITHELIUM, IGE
Billing Code ICERE Test Code ICERE
Synonyms Oryctolagus Cuniculus; European Rabbit; Common European Rabbit; Domestic Rabbit
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Rabbit Epithelium, IgE, kU/L.
Reference ranges
  
Rabbit Epithelium, IgE     LT 0.35    kU/L

[7187]


ALLERGEN, RABBIT HAIR, IGE [IBT]
Billing Code ICRHEI Test Code ICRHEI
Synonyms Common European Rabbit; European Rabbit; Oryctolagus cuniculus; Domestic Rabbit
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 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 RIA
Test includes
Allergen, Rabbit Hair, IgE, kU/L; Class.
Reference ranges
  
Rabbit Hair, IgE               LT 0.35        kU/L
Class

[7462]


ALLERGEN, RABBIT MEAT, IGE
Billing Code ICFRAB Test Code ICFRAB
Synonyms Oryctolagus spp
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 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Rabbit Meat, IgE, kU/L.
Reference ranges
  
Rabbit Meat, IgE               LT 0.35        kU/L

[7455]


ALLERGEN, RASPBERRY, IGE [ARUP]
Billing 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, RAT EPITHELIUM, SERUM & URINE PROTEINS, IGE
Billing Code ICERAT Test Code ICERAT
Synonyms Rattus norvegicus; Rat; Brown Rat; House Rat; Norway Rat
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 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 3-5 days
Method ImmunoCap FEIA
Test includes
Allergen, Rat Epithelium, Serum & Urine Proteins, IgE, kU/L.
Reference ranges
  
Rat Serum & Urine Proteins, IgE               LT 0.35        kU/L
Notes
Includes Rat Epithelium, Serum and Urine proteins.

[7450]


ALLERGEN, RHIZOPUS NIGRICANS, IGE
Billing Code ICMRN Test Code ICMRN
Synonyms Bread Mold
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Rhizopus Nigricans, IgE, kU/L.
Reference ranges
  
Rhizopus Nigricans, IgE     LT 0.35    kU/L

[7216]


ALLERGEN, RHIZOPUS NIGRICANS, IGG [IBT]
Billing Code ICRNGI Test Code ICRNGI
Synonyms Bread Mold
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 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86671
Test schedule Mon-Fri
Turnaround time 3-5 days
Method ImmunoCap FEIA
Test includes
Allergen, Rhizopus nigricans, IgG, mcg/mL.
Reference ranges
  
Rhizopus nigricans, IgG               LT 10       mcg/mL

[7463]


ALLERGEN, RICE, IGE
Billing Code ICFRC Test Code ICFRC
Synonyms Oryza sativa; Jasmine rice; Wild rice; Basmati rice; popped rice; Rice semolina
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Rice, IgE, kU/L.
Reference ranges
  
Rice, IgE     LT 0.35    kU/L

[195]


ALLERGEN, RICE, IGG4 [IBT]
Billing 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 0.15     mcg/mL

 

[6704]


ALLERGEN, ROUGH MARSH ELDER, IGE
Billing Code ICWME Test Code ICWME
Synonyms Iva ciliata; Rough marshelder; Annual marshelder; Annual marsh-elder; Sumpweed
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICWRT Test Code ICWRT
Synonyms Salsola kali; Prickly saltwort; Prickly glasswort; Tumbleweed
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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]
Billing 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 0.15     mcg/mL

 

[6705]


ALLERGEN, RYE, IGE
Billing Code ICFRY Test Code ICFRY
Synonyms Secale cereale; Rogge
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Rye, IgE, kU/L.
Reference ranges
  
Rye, IgE     LT 0.35    kU/L

[198]


ALLERGEN, SAGE, IGE [IBT]
Billing Code ICSAEI Test Code ICSAEI
Synonyms Salvia officinalis; Sage; Garden Sage; Salvia
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 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 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 Immunocap FEIA
Test includes
Allergen, Sage, IgE, kU/L; Class.
Reference ranges
  
Sage,IgE         LT 0.35       kU/L
Class

[7405]


ALLERGEN, SALMON, IGE
Billing Code ICFSA Test Code ICFSA
Synonyms Salmo salar; Atlantic Salmon
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Salmon, IgE, kU/L.
Reference ranges
  
Salmon, IgE     LT 0.35    kU/L

[199]


ALLERGEN, SALMON, IGG4 [IBT]
Billing Code ICSAI Test Code ICSAI
Synonyms Salmo salar, IgG4
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 refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method ImmunoCAP FEIA
Test includes
Salmon, IgG4, mcg/mL.
Reference ranges
  
Salmon, IgG4    LT 0.15    mcg/mL

 

[7146]


ALLERGEN, SCALE (LENSCALE), IGE
Billing Code ICWSC Test Code ICWSC
Synonyms Atriplex lentiformis; Lenscale; Salt bush; Saltbrush; Quail-brush; Quailbush
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Scale (Lenscale) IgE, kU/L.
Reference ranges
  
Scale (Lenscale), IgE     LT 0.35    kU/L

[200]


ALLERGEN, SCALLOP, IGE
Billing Code ICFSC Test Code ICFSC
Synonyms Pecten spp.; Fan shells
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Scallop, IgE; kU/L.
Reference ranges
  
Scallop, IgE     LT 0.35          kU/L

[3569]


ALLERGEN, SCOTCH BROOM, IGE [IBT]
Billing 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
Billing Code ICFSS Test Code ICFSS
Synonyms Sesamum indicum; Sesamum radiatum; Sesamum schum; Sesamum thoron; Sesame; Benne seed
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing 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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICWSO Test Code ICWSO
Synonyms Rumex crispus; Yellow dock; Curled dock; Curly dock; Narrowleaf dock, Sour dock
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICWRG Test Code ICWRG
Synonyms Ambrosia elatior; Ambrosia artemisifolia; Annual ragweed, Common Ragweed; Short ragweed; Roman wormwood; American wormwood
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICFSH Test Code ICFSH
Synonyms Pandalus borealis; Penaeus monodon; Metapenaeopsis barbata; Metapenaus joyneri; deep-water shrimp; cold-water shrimp; northern shrimp; Alaskan pink shrimp; pink shrimp; northern red shrimp; giant tiger prawn; black tiger prawn; leader prawn; grass prawn; shiba shrimp; whiskered velvet shrimp; red rice shrimp; fired prawn
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Shrimp, IgE, kU/L.
Reference ranges
  
Shrimp, IgE     LT 0.35    kU/L

[208]


ALLERGEN, SILK, IGE
Billing Code ICOSI Test Code ICOSI
Synonyms Bombyx Mori
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Silk, IgE, kU/L.
Reference ranges
  
Silk, IgE     LT 0.35    kU/L

[7221]


ALLERGEN, SOYBEAN (GLYCINE MAX), IGG [IBT]
Billing Code ICFSBI Test Code ICFSBI
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 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86001
Test schedule Mon-,Fri
Turnaround time 3-4 days
Method EIA
Test includes
Soybean,IgG, mcg/mL.
Reference ranges
  
Soybean, IgG       LT 2.0    mcg/mL

 

[7057]


ALLERGEN, SOYBEAN, IGE
Billing Code ICFSB Test Code ICFSB
Synonyms Glycine max; Soja hispida; Soya Bean; Soy; Soya
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Soybean, IgE, kU/L.
Reference ranges
  
Soybean, IgE     LT 0.35    kU/L

[209]


ALLERGEN, SOYBEAN, IGG4 [IBT]
Billing 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 0.15     mcg/mL

 

[6706]


ALLERGEN, SPINACH, IGE
Billing Code ICFSP Test Code ICFSP
Synonyms Spinachia oleracea; Savoy spinach
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Spinach, IgE, kU/L.
Reference ranges
  
Spinach, IgE     LT 0.35    kU/L

[210]


ALLERGEN, SQUASH SUMMER, IGE [IBT]
Billing Code ICSSI Test Code ICSSI
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), IGE
Billing Code ICFPSQ Test Code ICFPSQ
Synonyms Todarodes Pacificus; Pacific Flying Squid; Calamari; Surume
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Squid (Pacific), IgE, kU/L.
Reference ranges
  
Squid (Pacific), IgE     LT 0.35    kU/L

[7201]


ALLERGEN, STEMPHYLIUM BOTRYOSUM, IGG [IBT]
Billing Code ICSBGI Test Code ICSBGI
Synonyms Pleospora herbarum; Stemphylium botryosum; Stemphylium herbarum
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 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86671
Test schedule Mon-Fri
Turnaround time 3-5 days
Method ImmunoCap FEIA
Test includes
Allergen, Stemphylium botryosum, IgG, mcg/mL.
Reference ranges
  
Stemphylium botryosum, IgG               LT 78       mcg/mL

[7464]


ALLERGEN, STEMPHYLIUM HERBARUM, IGE
Billing Code ICMSH Test Code ICMSH
Synonyms Stemphylium Botryosum; Pleospora Herbarum
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Stemphylium Herbarum, IgE, kU/L.
Reference ranges
  
Stemphylium Herbarum, IgE     LT 0.35    kU/L

[7217]


ALLERGEN, STRAWBERRY, IGG4 [IBT]
Billing 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 0.15     mcg/mL

 

[6707]


ALLERGEN, STRAWBERRY, IGE
Billing Code ICFST Test Code ICFST
Synonyms Fragaria vesca; Fragaria alpina; Fragaria chiloensis; Fragaria virginiana
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Strawberry, IgE, kU/L.
Reference ranges
  
Strawberry, IgE     LT 0.35    kU/L

[214]


ALLERGEN, SUNFLOWER SEED (OCCUPATIONAL), IGE
Billing Code ICOSUN Test Code ICOSUN
Synonyms Helianthus Annuus
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Sunflower Seed (Occupational), IgE, kU/L.
Reference ranges
  
Sunflower Seed (Occupational), IgE     LT 0.35    kU/L

[7222]


ALLERGEN, SWEET POTATO, IGE
Billing Code ICFSWP Test Code ICFSWP
Synonyms Ipomoea Batatas; Yam; Batata
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Sweet Potato, IgE, kU/L.
Reference ranges
  
Sweet Potato, IgE     LT 0.35    kU/L

[7202]


ALLERGEN, SWEET VERNAL GRASS, IGE
Billing Code ICGSV Test Code ICGSV
Synonyms Anthozanthum odoratum; Large Sweet Vernal grass; Sweet grass; Spring grass
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Sweet Vernal Grass, IgE, kU/L.
Reference ranges
  
Sweet Vernal Grass, IgE     LT 0.35    kU/L

[217]


ALLERGEN, SYCAMORE TREE, IGE
Billing Code ICTSY Test Code ICTSY
Synonyms Maple Leaf Sycamore; London Plane Tree; American Sycamore; Plantus Acerifolia; Plantus Hispanica; Plantus Hybrida
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Sycamore Tree, IgE, kU/L.
Reference ranges
  
Sycamore Tree, IgE     LT 0.35    kU/L
Notes
Not to be confused with the Maple tree (Acer spp), i.e. Box Elder (A negundo)

[155]


ALLERGEN, TILAPIA, IGE [IBT]
Billing Code ICTIEI Test Code ICTIEI
Synonyms Oreochromis sp
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 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 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 Immunocap FEIA
Test includes
Allergen, Tilapia, IgE, kU/L; Class.
Reference ranges
  
Tilapia,IgE         LT 0.35       kU/L
Class

[7406]


ALLERGEN, TIMOTHY GRASS, IGE
Billing Code ICGTM Test Code ICGTM
Synonyms Phleum pratense; P. nodosum; P. parnassicum; Timothy, Herd's Grass; Cat's Tail
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Timothy Grass, IgE, kU/L.
Reference ranges
  
Timothy Grass, IgE     LT 0.35    kU/L

[218]


ALLERGEN, TOMATO, IGG4 [IBT]
Billing 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 0.15    mcg/mL

 

[6708]


ALLERGEN, TOMATO, IGE
Billing Code ICFTM Test Code ICFTM
Synonyms Lycopersicon esculatum; Garden Tomato; Love Apple
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Tomato, IgE, kU/L.
Reference ranges
  
Tomato, IgE     LT 0.35    kU/L

[220]


ALLERGEN, TRICHODERMA VIRIDE, IGE
Billing Code ICMTV Test Code ICMTV
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Trichoderma Viride, IgE, kU/L.
Reference ranges
  
Trichoderma Viride, IgE     LT 0.35    kU/L

[7219]


ALLERGEN, TRICHOPHYTON RUBRUM, IGE
Billing Code ICMTR Test Code ICMTR
Synonyms Athlete's Foot; Jock Itch; Ringworm
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Trichophyton Rubrum, IgE, kU/L.
Reference ranges
  
Trichophyton Rubrum, IgE     LT 0.35    kU/L

[7218]


ALLERGEN, TRICHOPHYTON RUBRUM, IGG [IBT]
Billing 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, IGE
Billing Code ICFTF Test Code ICFTF
Synonyms Oncorhynchus Mykiss; Rainbow Trout; Pacific Salmon; King Salmon; Coho Salmon; Pink Salmon; Chub Salmon
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Trout, IgE, kU/L.
Reference ranges
  
Trout, IgE     LT 0.35    kU/L

[7203]


ALLERGEN, TUNA, IGE
Billing Code ICFTU Test Code ICFTU
Synonyms Thunnus albacares; Yellow fin
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Tuna, IgE, kU/L.
Reference ranges
  
Tuna, IgE     LT 0.35    kU/L

[222]


ALLERGEN, TURKEY FEATHERS, IGE
Billing Code ICETF Test Code ICETF
Synonyms Meleagris gallopavo
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 24 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Turkey Feathers, IgE, kU/L.
Reference ranges
  
Turkey Feathers, IgE               LT 0.35        kU/L

[7451]


ALLERGEN, TURKEY MEAT, IGE
Billing Code ICFTR Test Code ICFTR
Synonyms Meleagris gallopavo
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Turkey Meat, IgE, kU/L.
Reference ranges
  
Turkey Meat, IgE     LT 0.35    kU/L

[223]


ALLERGEN, TURKEY, IGG4 [IBT]
Billing Code ICTUI Test Code ICTUI
Synonyms Meleagris gallopavo, IgG4
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 refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method ImmunoCAP FEIA
Test includes
Turkey,IgG4, mcg/mL.
Reference ranges
  
Turkey, IgG4    LT 0.15    mcg/mL

 

[7152]


ALLERGEN, VENOM BUMBLE BEE, IGE [IBT]
Billing Code ICVBBI Test Code ICVBBI
Synonyms Bombus terrestrus, IgE
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL
Specimen processing Separate seurm 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 Immunocap FEIA
Test includes
Allergen, Venom Bumble Bee, IgE, kU/L; Class.
Reference ranges
  
Venom Bumble Bee, IgE         LT 0.35       kU/L
Class

[7148]


ALLERGEN, WALNUT FOOD, IGG4 [IBT]
Billing Code ICWAI Test Code ICWAI
Synonyms Juglans Species, IgG4
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 refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
CPT codes 86001
Test schedule Mon, Wed, Fri
Turnaround time 3-5 days
Method ImmunoCAP FEIA
Test includes
Walnut Food,IgG4, mcg/mL.
Reference ranges
  
Walnut Food, IgG4    LT 0.15    mcg/mL

 

[7150]


ALLERGEN, WALNUT TREE, IGE
Billing Code ICTWL Test Code ICTWL
Synonyms Juglans californica; California Black Walnut; California walnut; Jupiter's Nuts; Carya persica (Greek); Carya basilike (Greek)
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Walnut Tree, IgE, kU/L.
Reference ranges
  
Walnut Tree, IgE     LT 0.35    kU/L

[224]


ALLERGEN, WALNUT, IGE
Billing Code ICFWL Test Code ICFWL
Synonyms Juglans regia; English walnut; Persian walnut; Black walnut; Asian butternut; American butternut
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Walnut, IgE, kU/L.
Reference ranges
  
Walnut, IgE     LT 0.35    kU/L

[225]


ALLERGEN, WATERMELON, IGE [ARUP]
Billing 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
Billing Code ICWWR Test Code ICWWR
Synonyms Ambrosia psilostachya; Perennial ragweed
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Western Ragweed, IgE, kU/L.
Reference ranges
  
Western Ragweed, IgE     LT 0.35    kU/L

[227]


ALLERGEN, WHEAT (TRITICUM AESTIVUM), IGG [IBT]
Billing Code ICFWTI Test Code ICFWTI
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 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86001
Test schedule Mon-,Fri
Turnaround time 3-4 days
Method EIA
Test includes
Wheat (Triticum aestivum), IgG, mcg/mL.
Reference ranges
  
Wheat (Triticum aestivum), IgG       LT 2.0    mcg/mL

 

[7058]


ALLERGEN, WHEAT CULTIVATED (TRITICUM SATIVUM), IGG [IBT]
Billing 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 2.0     mcg/mL

 

[6710]


ALLERGEN, WHEAT, IGG4 [IBT]
Billing 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 0.15     mcg/mL

 

[6711]


ALLERGEN, WHEAT, IGE
Billing Code ICFWT Test Code ICFWT
Synonyms Triticum aestivum; Triticum hybernum L.; Triticum macha Dekap. & Menab.; Triticum sativum Lam.; Triticum sphaerococcum Percival; Triticum vulgare Vill; Common wheat; Bread wheat; Club wheat; Durum wheat; Spelt wheat; Rivet wheat; Emmer wheat; Poulard wheat; Polish wheat; Persian wheat; Oriental wheat; Einkorn wheat; Wild Einkorn wheat
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Wheat, IgE, kU/L.
Reference ranges
  
Wheat, IgE     LT 0.35    kU/L

[228]


ALLERGEN, WHEY, IGE [IBT]
Billing Code ICWHEI Test Code ICWHEI
Synonyms Bos spp; Cow's Whey
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 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 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 Immunocap FEIA
Test includes
Allergen, Whey, IgE, kU/L; Class.
Reference ranges
  
Whey, IgE         LT 0.35       kU/L
Class

[7407]


ALLERGEN, WHEY, IGG [IBT]
Billing Code ICWHGI Test Code ICWHGI
Synonyms Bos spp; Cow's Whey
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 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86001
Test schedule Mon-Fri
Turnaround time 3-5 days
Method EIA
Test includes
Allergen, Whey, IgG, mcg/mL.
Reference ranges
  
Whey, IgG      LT 2.0     mcg/mL

[7468]


ALLERGEN, WHITE ASH TREE, IGE
Billing Code ICTWA Test Code ICTWA
Synonyms Fraxinus americana
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICTWP Test Code ICTWP
Synonyms Pinus strobus; Eastern white pine; Northern white pine; Weymouth pine
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICIWF Test Code ICIWF
Synonyms Dolichovespula maculata
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICFWB Test Code ICFWB
Synonyms Phaseolus vulgaris; Phaseolus vulgaris var. humilis; Cannellini bean; Marrow bean; Great northern bean; White kidney bean; Haricot bean
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, White/Navy Bean, IgE, kU/L.
Reference ranges
  
White/Navy Bean, IgE     LT 0.35    kU/L

[232]


ALLERGEN, WILLOW BLACK, IGE [IBT]
Billing Code ICWBEI Test Code ICWBEI
Synonyms Salix nigra
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 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 RIA
Test includes
Allergen, Willow Black, IgE, kU/L; Class.
Reference ranges
  
Willow Black, IgE       LT 0.35   kU/L
Class

[7467]


ALLERGEN, WINGSCALE, IGE [IBT]
Billing Code ICWISI Test Code ICWISI
Synonyms Atriplex canescens, IgE
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 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
Method RIA
Test includes
Wingscale, IgE, kU/L; Class.
Reference ranges
  
Wingscale IgE       LT 0.35    kU/L
Class

 

[7109]


ALLERGEN, WORM WOOD (SAGEBRUSH), IGE
Billing Code ICWSG Test Code ICWSG
Synonyms Artemisia absinthium; Grande Wormwood; Absinthe Wormwood; Common Wormwood; Absinthe; Sagewort
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICFBY Test Code ICFBY
Synonyms Saccharomyces cerevisiae; Baker's yeast; Brewer's yeast
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICIYJ Test Code ICIYJ
Synonyms Vespula spp.; Common wasp
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing Code ICIYF Test Code ICIYF
Synonyms Dolichovespula arenaria
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 PAML Immunochemistry
CPT codes 86003
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Allergen, Yellow-faced Hornet Venom, IgE, kU/L.
Reference ranges
  
Yellow-faced Hornet Venom, IgE     LT 0.35    kU/L

[236]


ALLERGENS, SHELLFISH PROFILE, IGE
Billing Code SHELL9 Test Code SHELL9
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 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 PAML Immunochemistry
CPT codes 86003 x 9
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Blue Mussel, IgE, kU/L; Clam, IgE, kU/L; Crab, IgE, kU/L; Lobster, IgE, kU/L; Octopus, IgE, kU/L; Oyster, IgE, kU/L; Scallop, IgE, kU/L; Shrimp, IgE, kU/L; Squid (Pacific), IgE, kU/L.
Reference ranges
  
Blue Mussel, 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
Octopus, IgE         LT 0.35    kU/L
Oyster, IgE          LT 0.35    kU/L
Scallop, IgE         LT 0.35    kU/L
Shrimp, IgE          LT 0.35    kU/L
Squid (Pacific), IgE LT 0.35    kU/L

[7223]


ALLERGENS, ADULT FOOD PROFILE 22
Billing 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 PAML Immunochemistry
CPT codes 86003 x 22
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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, BIRD & MOLD PRECIPITIN PANEL II [IBT]
Billing Code ICBFP2 Test Code ICBFP2
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 a separate plastic tube. Store and transport at room temperature.
Stability-   Room temp 1 week   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 86331 x 12
Test schedule Tue & Fri
Turnaround time 4-7 days
Method Gel Diffusion (Ouchterlony)
Test includes
Canary Droppings Gel Diffusion; Chicken Serum Gel Diffusion; Cockatiel Droppings Gel Diffusion; Finch Droppings Gel Diffusion; Parakeet Droppings Gel Difusion; Parakeet Serum Gel Diffusion; Parrot Droppings Gel Diffusion; Parrot Serum Gel Diffusion; Pigeon/Dove Droppings Gel Diffusion; Pigeon/Dove Serum Gel Diffusion; Aspergillus fumigatus Mix Gel Diffusion; Aureobasidium pullulans Gel Diffusion.
Reference ranges
  
Canary Droppings Gel Diffusion          Negative
Chicken Serum Gel Diffusion             Negative
Cockatiel Droppings Gel Diffusion       Negative
Finch Droppings Gel Diffusion           Negative
Parakeet Droppings Gel Diffusion        Negative
Parakeet Serum Gel Diffusion            Negative
Parrot Droppings Gel Diffusion          Negative
Parrot Serum Gel Diffusion              Negative
Pigeon/Dove Droppings Gel Diffusion     Negative
Pigeon/Dove Serum Gel Diffusion         Negative
Aspergillus fumigatus Mix Gel Diffusion Negative
Aureobasidium pullulans Gel Diffusion   Negative

[7053]


ALLERGENS, BIRD FANCIERS PROFILE PANEL III [IBT]
Billing Code ICBFP3 Test Code ICBFP3
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 2.5 mL
Specimen processing Separate serum from cells and put in a separate plastic tube. Store and transport at room temperature.
Stability-   Room temp 4 weeks   Refrigerated 4 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 82785, 86003 x 5, 86331 x 12
Test schedule Varies
Turnaround time 4-8 days
Method Gel Diffusion (Ouchterlony), Immulite 2000, FEIA
Test includes
IgE, IU/mL; Chicken Feathers, IgE, kU/L; Parrot Australian (Budgerigar Droppings, IgE, kU/L; Parrot Australian (Budgerigar) Feathers, IgE, kU/L; Parrot Australian (Budgerigar) Serum Proteins, IgE, kU/L; Pigeon Droppings, IgE, kU/L; Canary Droppings Gel Diffusion; Chicken Serum Gel Diffusion; Cockatiel Droppings Gel Diffusion; Finch Droppings Gel Diffusion; Parakeet Droppings Gel Difusion; Parakeet Serum Gel Diffusion; Parrot Droppings Gel Diffusion; Parrot Serum Gel Diffusion; Pigeon/Dove Droppings Gel Diffusion; Pigeon/Dove Serum Gel Diffusion; Aspergillus fumigatus Mix Gel Diffusion; Aureobasidium pullulans Gel Diffusion.
Reference ranges
  
IgE         1-11 months                 0-12          IU/mL
            1 year                      0-15
            2 years                     1-29
            3 years                     4-35
            4 years                     2-33
            5 years                     8-56
            6 years                     3-95
            7 years                     2-88
            8 years                     5-71
            9 years                     3-88
            10 years                    7-110
            11-14 years                 7-111
            15-19 years                 6-96
            20-30 years                 4-59
            31-51 years                 5-79
            51-80 years                 3-48
Chicken Feathers, IgE                   LT 0.35       kU/L
Parrot Australian (Budgerigar)          LT 0.35       kU/L
 Droppings IgE
Parrot Australian (Budgerigar)          LT 0.35       kU/L
 Feathers, IgE
Parrot Australian (Budgerigar)          LT 0.35       kU/L
 Serum Proteins, IgE
Pigeon Droppings, IgE                   LT 0.35       kU/L
Canary Droppings Gel Diffusion          Negative
Chicken Serum Gel Diffusion             Negative
Cockatiel Droppings Gel Diffusion       Negative
Finch Droppings Gel Diffusion           Negative
Parakeet Droppings Gel Diffusion        Negative
Parakeet Serum Gel Diffusion            Negative
Parrot Droppings Gel Diffusion          Negative
Parrot Serum Gel Diffusion              Negative
Pigeon/Dove Droppings Gel Diffusion     Negative
Pigeon/Dove Serum Gel Diffusion         Negative
Aspergillus fumigatus Mix Gel Diffusion Negative
Aureobasidium pullulans Gel Diffusion   Negative

[7054]


ALLERGENS, CHILDHOOD (FOOD & ENVIRONMENTAL) PROFILE 15
Billing Code CHLD15 Test Code CHLD15
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 1 week   Frozen (-20°C) 1 year   Frozen (-70°C) 1 year
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department PAML Immunochemistry
CPT codes 86003 x 15
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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; Codfish, IgE, kU/L; Egg White, IgE, kU/L; Cows Milk, IgE, kU/L; Peanut, IgE, kU/L; Shrimp, IgE, kU/L; Soybean, IgE, kU/L; Walnut, IgE, kU/L; Wheat, IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Cladosporium herbarum, IgE, kU/L.
Reference ranges
  
D. pteronyssinus (Mite),   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
Codfish, IgE               LT 0.35 kU/L
Egg White, IgE             LT 0.35 kU/L
Cows Milk, IgE             LT 0.35 kU/L
Peanut, IgE                LT 0.35 kU/L
Shrimp, IgE                LT 0.35 kU/L
Soybean, IgE               LT 0.35 kU/L
Walnut, IgE                LT 0.35 kU/L
Wheat, IgE                 LT 0.35 kU/L
Cockroach, IgE             LT 0.35 kU/L
Alternaria tenuis, IgE     LT 0.35 kU/L
Cladosporium herbarum, IgE LT 0.35 kU/L

[7433]


ALLERGENS, DUST/MITE PROFILE 4
Billing Code IDM4 Test Code IDM4
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 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 PAML Immunochemistry
CPT codes 86003 x 4
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
D. pteronyssinus (mite), IgE, kU/L; D. farinae (mite), IgE, kU/L; Cockroach, IgE, kU/L; House dust (Hollister Stier), IgE, kU/L.
Reference ranges
  
D. pteronyssinus (mite), IgE       LT 0.35      kU/L
D. farinae (mite), IgE             LT 0.35      kU/L
Cockroach, IgE                     LT 0.35      kU/L
House dust (Hollister Stier), IgE  LT 0.35      kU/L

[7175]


ALLERGENS, FOOD PANEL II IGG [IBT]
Billing 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 2.0                  mcg/mL
 Barley IgG Class                           
Beef IgG                                     LT 2.0
 Beef IgG Class                         
Casein IgG                                   LT 2.0
Casein IgG Class
Chicken IgG                                  LT 2.0
 Chicken IgG Class
Chocolate/Cacao IgG                          LT 2.0 
 Chocolate/Cacao Class
Codfish/Scrod IgG                            LT 2.0
 Codfish/Scrod IgG Class
Corn IgG                                     LT 2.0 
 Corn IgG Class
Egg White IgG                                LT 2.0
 Egg White IgG Class
Malt IgG                                     LT 2.0
 Malt IgG Class
Oat IgG                                      LT 2.0
 Oat IgG Class
Orange IgG                                   LT 2.0
 Orange IgG Class
Peanut IgG                                   LT 2.0
Peanut IgG Class
Pork IgG                                     LT 2.0
 Pork IgG Class
Potato White IgG                             LT 2.0
 Potato White IgG Class
Rye Food IgG                                 LT 2.0
 Rye Food IgG Class 
Soybean IgG                                  LT 2.0
 Soybean IgG Class
Tomato IgG                                   LT 2.0
 Tomato IgG Class
Wheat IgG                                    LT 2.0
 Wheat IgG Class
Yeast (Saccharomyces cerevisiae) IgG         LT 2.0
 Yeast (Saccharomyces cerevisiae) IgG Class

[3081]


ALLERGENS, FOOD PROFILE 10
Billing 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 PAML Immunochemistry
CPT codes 86003 x 10
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing 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 PAML Immunochemistry
CPT codes 86003 x 9
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing 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 PAML Immunochemistry
CPT codes 86003 x 5
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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 SCREEN 9
Billing Code ISCRN9 Test Code ISCRN9
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) 1 year
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department PAML Immunochemistry
CPT codes 86003 x 9
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, 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 Dander, 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

[7088]


ALLERGENS, INLAND NORTHWEST 17
Billing 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 PAML Immunochemistry
CPT codes 86003 x 17
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing 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 PAML Immunochemistry
CPT codes 86003 x 14
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing 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 PAML Immunochemistry
CPT codes 86003 x 5
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing 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 PAML Immunochemistry
CPT codes 86003 x 6
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing 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 PAML Immunochemistry
CPT codes 86003 x 14
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing 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 PAML Immunochemistry
CPT codes 86003 x 21
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing 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 PAML Immunochemistry
CPT codes 86003 x 11
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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 PANEL, REGION 3, SOUTH ATLANTIC REGION
Billing Code RDPSA Test Code RDPSA
Synonyms Respiratory Disease Profile Region 3, South Atlantic Region
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 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 PAML Immunochemistry
CPT codes 86003 x 22
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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; Bahia 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; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper 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; 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
Bahia 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
Oak Tree, IgE                           LT 0.35      kU/L
Pecan(white hickory), 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

[7473]


ALLERGENS, RESPIRATORY DISEASE PANEL, REGION 4, NEW FLORIDA (SOUTH OF ORLANDO)
Billing Code RDPNFL Test Code RDPNFL
Synonyms Respiratory Disease Profile Region 4, New Florida (South of Orlando)
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 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 PAML Immunochemistry
CPT codes 86003 x 22
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Blomia tropicalis Mite, IgE,kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Bahia 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; Australian Pine Tree, IgE, kU/L; Box Elder, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, Ige, kU/L; Oak 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
Blomia tropicalis 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
Bahia 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
Australian Pine Tree, IgE               LT 0.35      kU/L
Box Elder Tree, 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
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

[7472]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 1, NORTH ATLANTIC STATES (CT,MA,NJ,NY,PA,VT,ME,NH,RI)
Billing 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).
Department PAML Immunochemistry
CPT codes 86003 x 25
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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-Juniper 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)
Billing 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).
Department PAML Immunochemistry
CPT codes 86003 x 25
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
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],MT).
Billing Code RDPRM Test Code RDPRM
Synonyms Respiratory Disease Profile Region 11, Rocky Mountain States (AZ[MTN],ID[MTN],NM,WY,CO,UT[MTN], MT)
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).
Department PAML Immunochemistry
CPT codes 86003 x 24
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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)
Billing 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).
Department PAML Immunochemistry
CPT codes 86003 x 22
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Russian 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)
Billing 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).
Department PAML Immunochemistry
CPT codes 86003 x 24
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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)
Billing 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).
Department PAML Immunochemistry
CPT codes 86003 x 23
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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-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.
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)
Billing 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).
Department PAML Immunochemistry
CPT codes 86003 x 22
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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-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.
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)
Billing 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).
Department PAML Immunochemistry
CPT codes 86003 x 21
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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; Common Silver Birch, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper 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)
Billing 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).
Department PAML Immunochemistry
CPT codes 86003 x 23
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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-Juniper 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
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)
Billing 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).
Department PAML Immunochemistry
CPT codes 86003 x 15
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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)
Billing 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).
Department PAML Immunochemistry
CPT codes 86003 x 23
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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-JuniPer 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)
Billing 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).
Department PAML Immunochemistry
CPT codes 86003 x 26
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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-Juniper 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

[6720]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 6, SOUTH CENTRAL STATES (AL, AR, LA, MS)
Billing 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).
Department PAML Immunochemistry
CPT codes 86003 x 22
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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,WI,MN)
Billing 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).
Department PAML Immunochemistry
CPT codes 86003 x 23
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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)
Billing 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).
Department PAML Immunochemistry
CPT codes 86003 x 25
Test schedule Mon-Fri
Turnaround time 1-3 days
Method Immunocap 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-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; 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
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
Rough Marsh Elder, IgE                  LT 0.35      kU/L

[6718]


ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 9, GREAT PLAINS STATES (KS,NE,ND,SD)
Billing 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).
Department PAML Immunochemistry
CPT codes 86003 x 22
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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-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; 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
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
Billing 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 PAML Immunochemistry
CPT codes 86003 x 15
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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, RODENT PROFILE IGE
Billing Code IROD Test Code IROD
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.
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 plams (lavender or green top tube).
Department PAML Immunochemistry
CPT codes 86003 x 4
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
Guinea Pig Epithelium, IgE, kU/L; Hamster Epithelium, IgE, kU/L; Mouse Epithelium, Serum & Urine Proteins, IgE, kU/L; Rat Epithelium Serum & Urine Proteins, IgE, kU/L.

[7470]


ALLERGENS, SCREEN 31
Billing Code ISCN31 Test Code ISCN31
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) 1 year
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department PAML Immunochemistry
CPT codes 86003 x 31
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
D. farinae (Mite), IgE, kU/L; D. pteronyssinus (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, 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 Dander, IgE            LT 0.35 kU/L
Dog Dander, 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

[7087]


ALLERGENS, SCREEN 36
Billing Code ISCN36 Test Code ISCN36
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) 1 year
Unacceptable conditions Oxalate or citrate plasma.
Alternate specimens EDTA or heparin plasma (lavender or green top tube).
Department PAML Immunochemistry
CPT codes 86003 x 36
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap FEIA
Test includes
D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, 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
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

[7086]


ALLERGENS, SEAFOOD PROFILE 7
Billing 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 PAML Immunochemistry
CPT codes 86003 x7
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing 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 PAML Immunochemistry
CPT codes 86003 x 18
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing 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 PAML Immunochemistry
CPT codes 86003 x 21
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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]
Billing 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, STACHYBOTRYS PANEL II [IBT]
Billing Code STP2I Test Code STP2I
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 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 1 month   Frozen (-20°C) 1 year   Frozen (-70°C)
Alternate specimens Red top tube.
CPT codes 86003, 86671 x 2
Test schedule Varies
Turnaround time 5-7 days
Method FEIA
Test includes
Allergens, Stachybotrys chartarum/atra,IgE, kU/L; Stachybotrys chartarum/atra IgG, mcg/mL; Stachybotrys chartarum/atra, IgA, mg/L.
Reference ranges
  
Stachybotrys chartarum/atra, IgE             LT 0.35        kU/L
Stachybotrys chartarum/atra, IgG             LT 20.4        mcg/mL
Stachybotrys chartarum/atra, IgA             LT 1.0         mg/L

[7083]


ALLERGENS, TREE PROFILE 11
Billing 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 PAML Immunochemistry
CPT codes 86003 x 11
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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
Billing 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 PAML Immunochemistry
CPT codes 86003 x 12
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ImmunoCap 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]


ALLERGIC BRONCHOPULMONARY ASPERGILLOSIS (ABPA) PANEL BY ID & EIA
Billing Code ICBASA Test Code ICBASA
Synonyms Aspergillus Fumigatus Antibody, IgE; Allergen; Mold; Aspergillus Fumigatus, IgE
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 3 mL  Minimum volume 3 mL
Specimen processing Separate serum from cells within 10 minutes of collection and put in separate plastic tube and freeze.
Stability-   Room temp Unacceptable   Refrigerated Unacceptable   Frozen (-20°C) 7 days   Frozen (-70°C)
Alternate specimens Serum (plain red top tube)
CPT codes 82785, 86003, 86606 x 2
Test schedule Varies
Turnaround time Varies
Method Gel Immunodifussion/EIA
Test includes
Allergic Bronchopulmonary Aspergillosis
Reference ranges
  
Allergic Bronchopulmonary Aspergillosis

[7419]


ALPHA ANTIPLASMIN ACTIVITY
Billing 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 8 hours   Refrigerated unacceptable   Frozen (-20°C) 1 month   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)
Billing 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.
Required patient info Race, Gestational Age (wks), Maternal Weight (lbs), Diabetic (y/n), Other Gestational Information.
Stability-   Room temp   Refrigerated 4 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 PSHMC Immunology
CPT codes 82105
Test schedule Mon-Fri days
Turnaround time 2-5 days
Method ICMA
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)
Billing 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  Minimum volume 0.25 mL
Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze.
Stability-   Room temp   Refrigerated 4 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 PSHMC Immunology
CPT codes 82105
Test schedule Mon-Sat days
Turnaround time 1-2 days
Method ICMA
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)
Billing 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 will be added if the reflex test is necessary.
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.
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 PSHMC 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
Billing Code AFPL3 Test Code AFPL3
Specimen Required
       Container type SST Tube  Specimen type Frozen Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from the cells ASAP and put in separate plastic tube and freeze. Store and transport frozen.
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%        0-9.9         %

[5578]


ALPHA SUBUNIT
Billing Code ALPSUB Test Code ALPSUB
Specimen Required
       Container type Serum separator tube (Gold, Brick, SST or Corvac)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.3 mL
Specimen processing Separate serum from cells and put in separate plastic tube.
Stability-   Room temp 7 days   Refrigerated 7 days   Frozen (-20°C) 28 days   Frozen (-70°C)
Unacceptable conditions Gross hemolysis, gross lipemia, plasma
CPT codes 83519
Test schedule Mon, Wed
Turnaround time 4-9 days
Method Radioimmunoassay
Reference ranges
  
Alpha Subunit               ng/mL
      
Males                       0-6 ng/mL or Less   
Premenopausal Females       1.5 ng/mL or Less 
Postmenopausal Females      0.9-3.3 m/mL   
Pregnancy 
(1st and 2nd Trimesters)    1.8-360 ng/mL      
Hypothyroid Subjects        3.7 ng/mL or Less      
      
This test measures the alpha subunit      
that is common to LH, FSH, TSH and hCG.      
These hormones are comprised of identical       
alpha subunits and unique beta subunits      
that confer biological specificity.      

[7559]


ALPHA-1 ANTITRYPSIN, FECES
Billing 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
Billing 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 PSHMC 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
Billing 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
Billing 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
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
Billing Code XANAX Test Code ALPRAZ
Synonyms Xanax
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 within 2 hours of collection and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 7 days   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Alternate specimens Lavender (K2 or K3EDTA) or pink (K2EDTA).
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
Billing 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 PAML 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
Billing 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 PAML Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 72 hours
Method EMIT
Test includes
Methylenedioxyamphetamine(MDA), Methylenedioxymethamphetamine(MDMA)

[7303]


ALTERNATE AMPHETAMINES BY GC/MS
Billing 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 PAML Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 72 hours
Method Gas Chromatography Mass Spectrometry
Test includes
Methylenedioxyamphetamine and Methylenedioxymethamphetamine

[7372]


ALTERNATE OPIATE CONFIRMATION BY GC/MS
Billing 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

[7278]


ALUMINUM, PLASMA
Billing Code ALUMINUM Test Code AL
Synonyms Al; Serum
Specimen Required
       Container type Royal blue top (plain)  Specimen type Serum  Preferred volume 2.5 mL  Minimum volume 0.6 mL
Patient Prep Patients should refrain from drinking fruit juices and tea 24 hrs before testing. Contrast media, gadolinium or iodine, should not be used within 96 hrs of sample collection.
Specimen processing Separate serum or plasma from cells within 6 hours of collection & put in Trace Element Free Transport Tube. Respin and transfer if RBCs are present.
Stability-   Room temp 24 hours   Refrigerated 10 days   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Serum or plasma not separated from cells within 6 hrs. Samples collected in SST/PST tubes. Samples not transported in a Trace Element Free tube.
Alternate specimens Serum (plain red top tube) or plasma (EDTA royal blue top tube)
Department PSHMC Chemistry, PSHMC 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 24HR [ARUP]
Billing 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 8 mL  Minimum volume 1 mL
Patient Prep Diet, medications and supplements may interfere. Patients should be encouraged to discontinue non-essential items prior to collection. High concentrations of iodine may interfere. Discontinue 1 month prior to collection.
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 8 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 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 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
Billing 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 PAML 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)
Billing 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 1M 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 1 week   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Not to be used in patients on both amikacin & kanamycin.
Alternate specimens Lithium or sodium heparin plasma (green top tube).
Department PSHMC Chemistry
CPT codes 80150
Test schedule Daily days and STAT available evening shift
Turnaround time 1-2 days
Method PETINIA
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
Billing 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 1M 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 1 week   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Not to be used in patients on both amikacin and kanamycin.
Alternate specimens Lithium or sodium heparin plasma (green top tube).
Department PSHMC Chemistry
CPT codes 80150
Test schedule Daily days, STAT available evening shift
Turnaround time 1-2 days
Method PETINIA
Test includes
Amikacin, Peak, ug/mL.
Reference ranges
  
Amikacin,         ug/mL
 Peak  10.0-30.0   
 Toxic GT 35.0

[272]


AMIKACIN, TROUGH
Billing Code AMIK.TR Test Code AMIKTR
Synonyms Amikin, Trough 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 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 1 week   Frozen (-20°C) 2 weeks   Frozen (-70°C)
Unacceptable conditions Not be be used in patients on both amikacin & kanamycin.
Alternate specimens Lithium or sodium heparin plasma (green top tube).
Department PSHMC Chemistry
CPT codes 80150
Test schedule Daily days, STAT available evening shift
Turnaround time 1-2 days
Method PETINIA
Test includes
Amikacin, Trough, ug/mL.
Reference ranges
  
Amikacin,                 ug/mL
 Trough   4.0-8.0         
 Toxic    GT 8.0

[273]


AMINO ACIDS QUANTITATIVE, CSF
Billing Code AAQTCA Test Code AAQTCA
Specimen Required
       Container type Leakproof plastic tube.  Specimen type Frozen CSF.  Preferred volume 0.5 mL  Minimum volume 0.3 mL
Collection procedure Collect CSF and put in a leakproof plastic tube.
Specimen processing Centrifuge CSF to separate and remove cellular material. Put CSF in a separate leakproof plastic tube and freeze immedicatley. Store and transport frozen.
Required patient info Complete a patient history for biochemical genetic testing form available at www.aruplab.com for test code 0080137 and include with specimen.
Stability-   Room temp Unacceptable   Refrigerated 24 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 82139
Test schedule Mon-Fri
Turnaround time 4-7 days
Method Ion Exchange Chromatography
Test includes
Amino Acids, CSF, umol/L and Interpretation.
Reference ranges
  
Amino Acids, CSF, Interp    Normal
Alanine, CSF                12.5-47.3     umol/L
Arginine, CSF               5.9-30.6      umol/L
Asparagine, CSF             0.0-23.6      umol/L
Aspartate, CSF              0.0-5.6       umol/L
Citrulline, CSF             0.0-5.6       umol/L
Cystine, CSF                0.0-6.0       umol/L
Glutamine, CSF              230.7-637.4   umol/L
Glutamic Acid, CSF          0.0-15.0      umol/L
Glycine, CSF                3.1-21.0      umol/L
Histidine, CSF              5.0-24.0      umol/L
Homocystine, CSF            0.0           umol/L
Hydroxyproline, CSF         0.0-8.0       umol/L
Isoleucine, CSF             1.0-11.0      umol/L
Leucine, CSF                3.4-25.9      umol/L
Lysine, CSF                 7.8-40.8      umol/L
Methionine, CSF             0.4-9.4       umol/L
Ornithine, CSF              1.6-12.0      umol/L
Phenylalanine, CSF          6.9-25.1      umol/L
Proline, CSF                0.0-8.0       umol/L
Serine, CSF                 18.0-73.0     umol/L
Taurine, CSF                2.7-16.2      umol/L
Threonine, CSF              10.8-74.9     umol/L
Tyrosine, CSF               5.4-23.7      umol/L
Valine, CSF                 7.0-37.1      umol/L
     

[7225]


AMINO ACIDS QUANTITATIVE, URINE
Billing Code AAQTUA Test Code AAQTUA
Synonyms Quantitative Plasma & Urinary Amino Acids
Specimen Required
       Container type Leakproof plastic urine container.  Specimen type Frozen random urine specimen.  Preferred volume 10 mL  Minimum volume 2 mL
Patient Prep First morning urine preferred.
Collection procedure Collect a random urine (first morning urine preferred) specimen. Collect in a leakproof plastic urine container.
Specimen processing ASAP after urine collection, mix the collection, aliquot 10 mL urine and freeze. Store and transport frozen.
Required patient info Complete the patient history for biochemical genetic testing form available at www.aruplab.com for test code 0080044 and submit with specimen.
Stability-   Room temp Unacceptable   Refrigerated 24 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 82139
Test schedule Mon-Fri
Turnaround time 5-9 days
Method Ion Exchange Chromatography
Test includes
Creatinine, Ur, mg/dL; Amino Acids, umol/g; and Interpretation.
Reference ranges
  
Creatinine, Ur                                   mg/dL
Amino Acids, Ur Interp       
Alanine, Ur             0-5 mo       537-2159    umol/g
                        6-11 mo      319-1434
                        1-3 yrs      292-1151
                        4-12 yrs     151-814
                        13 yrs+      142-602
Arginine, Ur            0-5 mo       0-124       umol/g
                        6-11 mo      0-97
                        1-3 yrs      0-80
                        4-12 yrs     0-62
                        13 yrs+      0-44
Asparagine, Ur          0-5 mo       0-743       umol/g
                        6-11 mo      0-319
                        1-3 yrs      0-283
                        4-12 yrs     0-257
                        13 yrs+      0-204
Aspartic Acid, Ur       0-5 mo       18-142      umol/g
                        6-11 mo      27-106
                        1-3 yrs      18-89
                        4-12 yrs     9-89
                        13 yrs+      18-62
Citrulline, Ur          0-5 mo       0-97         umol/g
                        6-11 mo      0-71
                        1-3 yrs      53-186
                        4-12 yrs     0-44
                        13 yrs+      0-35
Cystine, Ur             0-5 mo       0-97         umol/g
                        6-11 mo      53-133
                        1-3 yrs      53-186
                        4-12 yrs     35-106
                        13 yrs+      27-151
Glutamic Acid, Ur       0-5 mo       0-266        umol/g
                        6-11 mo      0-159
                        1-3 yrs      0-97
                        4-12 yrs     0-80
                        13 yrs+      0-106
Glutamine, Ur           0-5 mo       460-2027     umol/g
                        6-11 mo      655-1744
                        1-3 yrs      398-2089
                        4-12 yrs     177-1177
                        13 yrs+      177-673
Glycine, Ur             0-5 mo       1859-9709    umol/g
                        6-11 mo      1009-3938
                        1-3 yrs      974-3151
                        4-12 yrs     566-2177
                        13 yrs+      381-1531
Histidine, Ur           0-5 mo       638-3027     umol/g
                        6-11 mo      814-2460
                        1-3 yrs      602-2540
                        4-12 yrs     381-1912
                        13 yrs+      230-1354
Homocystine, Ur         0 mo-13 yrs+ Not detected umol/g
Hydroxyproline, Ur      0-5 mo       0-2832       umol/g
                        6-11 mo      0-195 
                        1-3 yrs      0-115
                        4-12 yrs     0-115
                        13 yrs+      0-115
Isoleucine, Ur          0-5 mo       0-53         umol/g
                        6-11 mo      0-53
                        1-3 yrs      0-53
                        4-12 yrs     0-53
                        13 yrs+      0-35
Leucine, Ur             0-5 mo       27-221       umol/g
                        6-11 mo      35-142 
                        1-3 yrs      27-159
                        4-12 yrs     27-142
                        13 yrs+      27-97
Lysine, Ur              0-5 mo       133-1761     umol/g
                        6-11 mo      115-699
                        1-3 yrs      89-611
                        4-12 yrs     89-602
                        13 yrs+      62-513
Methionine, Ur          0-5 mo       53-239       umol/g  
                        6-11 mo      71-257
                        1-3 yrs      44-257
                        4-12 yrs     35-177
                        13 yrs+      18-142
Ornithine, Ur           0-5 mo       0-168        umol/g
                        6-11 mo      0-71
                        1-3 yrs      0-71
                        4-12 yrs     0-62
                        13 yrs+      0-44
Phenylalanine, Ur       0-5 mo       35-283       umol/g
                        6-11 mo      97-248
                        1-3 yrs      62-274
                        4-12 yrs     44-230 
                        13 yrs+      27-168
Proline, Ur             0-5 mo       0-1885       umol/g
                        6-11 mo      0-124
                        1-3 yrs      0-80
                        4-12 yrs     0-80
                        13 yrs+      0-80
Serine, Ur              0-5 mo       372-2496     umol/g
                        6-11 mo      443-1213
                        1-3 yrs      283-1097
                        4-12 yrs     204-823
                        13 yrs+      186-443
Taurine, Ur             0-5 mo       53-2000      umol/g
                        6-11 mo      80-1089
                        1-3 yrs      106-1770
                        4-12 yrs     151-2036
                        13 yrs+      142-1593
Threonine, Ur           0-5 mo       151-1221     umol/g
                        6-11 mo      124-496
                        1-3 yrs      89-549
                        4-12 yrs     80-319
                        13 yrs+      62-257
Tyrosine, Ur            0-5 mo       53-487       umol/g
                        6-11 mo      97-478
                        1-3 yrs      89-425
                        4-12 yrs     53-310
                        13 yrs+      27-204
Valine, Ur              0-5 mo       27-230       umol/g
                        6-11 mo      53-168
                        1-3 yrs      0-71
                        4-12 yrs     27-151
                        13 yrs+      27-115     

[7227]


AMINO ACIDS QUANTITATIVE,PLASMA
Billing Code AAQTPA Test Code AAQTPA
Synonyms Allo-Isoleucine; Argininosuccinic acid (ASA); Branched Chain Amino Acids; Cystine (Plasma); Free Homoxystine (Plasma); Glycine; Quantitative Plasma & Urinary Amion Acids
Specimen Required
       Container type Lithium or sodium heparin tube (green top tube)  Specimen type Frozen plasma.  Preferred volume 0.5 mL  Minimum volume 0.25 mL
Patient Prep Fasting draw recommended for adults; for infants and children a pre-feed sample or a sample drawn 2-3 hours after a meal.
Specimen processing Separate plasma from cells ASAP and avoid collecting buffy coat material and put in a separate plastic tube and freeze ASAP. Store and transport frozen.
Required patient info Complete a patient history for biochemical genetic testing form available at www.aruplab.com for test code 0080710 and include with specimen.
Stability-   Room temp Unacceptable   Refrigerated 24 hours   Frozen (-20°C) 1 month   Frozen (-70°C)
CPT codes 82139
Test schedule Mon-Fri
Turnaround time 4-7 days
Method Ion Exchange Chromatography
Test includes
Amino Acids, Plasma, umol/L and Interpretation.
Reference ranges
  
Amino Acids, Plasma, Interp    Normal
Alanine         0-11 mo     200-600      umol/L
                1 yr+       240-600 
Allo-isoleucine 0-11 mo     Not detected umol/L
                1 yr+       Not detected
Arginine        0-11 mo     20-160       umol/L
                1 yr+       40-160
Aspartic Acid   0-11 mo     0-40         umol/L
                1 yr+       0-20
Citrulline      0-11 mo     6-60         umol/L
                1 yr+       10-60
Cystine         0-11 mo     7-70         umol/L
                1 yr+       7-70
Glutamic Acid   0-11 mo     10-190       umol/L
                1 yr+       10-120
Glutamine       0-11 mo     410-960      umol/L
                1 yr+       410-700
Glycine         0-11 mo     220-520      umol/L
                1 yr+       140-490
Histidine       0-11 mo     40-120       umol/L
                1 yr +      50-130
Homocystine     0-11 mo     None detected umol/L
                1 yr +      None detected
Hydroxproline   0-11 mo     6-90         umol/L
                1 yr+       6-50
Isoleucine      0-11 mo     20-130       umol/L
                1 yr +      30-130
Leucine         0-11 mo     40-230       umol/L
                1 yr+       60-230
Lysine          0-11 mo     60-250       umol/L
                1 yr+       80-250
Methionine      0-11 mo     10-60        umol/L
                1 yr+       17-53
Ornithine       0-11 mo     20-135       umol/L
                1 yr+       20-135
Phenylalanine   0-11 mo     30-100       umol/L
                1 yr+       30-80
Proline         0-11 mo     110-500      umol/L
                1 yr+       110-500
Serine          0-11 mo     90-250       umol/L
                1 yr+       60-200
Taurine         0-11 mo     25-160       umol/L
                1 yr+       25-80
Threonine       0-11 mo     50-300       umol/L
                1 yr+       60-220
Tyrosine        0-11 mo     30-140       umol/L
                1 yr+       30-120
Valine          0-11 mo     110-300      umol/L
                1 yr+       140-350

[7226]


AMINO ACIDS, PLASMA (QUANTITATIVE)
Billing 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..
Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen.
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
 LT 1 mo      30-180
 1 mo-6 yrs   30-133
 6+ yrs       30-110
Aspartic Acid             umol/L
 LT 1 mo      0-25
 1 mo-6 yrs   0-20
 6+ yrs       0-20
OH-Proline                umol/L
 LT 1 mo      0-80
 1 mo-6 yrs   0-50
 6+ yrs       0-30
Threonine                 umol/L 
 LT 1 mo      55-320
 1 mo-6 yrs   45-205
 6+ yrs       60-200
Serine                    umol/L
 LT 1 mo      60-240
 1 mo-6 yrs   60-200
 6+ yrs       60-170
Asparagine                umol/L
 LT 1 mo      15-90
 1 mo-6 yrs   25-90
 6+ yrs       20-80
Glutamic Acid             umol/L
 LT 1 mo      20-135
 1 mo-6 yrs   15-100
 6+ yrs       10-80
Glutamine                 umol/L
 LT 1 mo      300-900
 1 mo-6 yrs   325-825
 6+ yrs       375-825
Proline                   umol/L
 LT 1 mo      75-400
 1 mo-6 yrs   60-360
 6+ yrs       80-360
Glycine                   umol/L
 LT 1 mo      150-375
 1 mo-6 yrs   105-385
 6+ yrs       130-400
Alanine                   umol/L
 LT 1 mo      145-480
 1 mo-6 yrs   145-495
 6+ yrs       150-560
Citrulline                umol/L
 LT 1 mo      6-33
 1 mo-6 yrs   6-40
 6+ yrs       10-52
Valine                    umol/L                   
 LT 1 mo      70-300
 1 mo-6 yrs   75-350
 6+ yrs       120-300
Cystine                   umol/L
 LT 1 mo      15-55
 1 mo-6 yrs   15-50
 6+ yrs       15-55
Methionine                umol/L
 LT 1 mo      15-50
 1 mo-6 yrs   10-45
 6+ yrs       10-40
Isoleucine                umol/L
 LT 1 mo      20-90
 1 mo-6 yrs   27-120
 6+ yrs       30-110
Leucine                   umol/L
 LT 1 mo      50-193
 1 mo-6 yrs   45-160
 6+ yrs       60-200
Tyrosine                  umol/L
 LT 1 mo      35-135
 1 mo-6 yrs   30-127
 6+ yrs       15-115
Phenylalanine             umol/L
 LT 1 mo      30-90
 1 mo-6 yrs   30-91
 6+ yrs       36-87
Ornithine                 umol/L
 LT 1 mo      25-185
 1 mo-6 yrs   22-115
 6+ yrs       25-105
Lysine                    umol/L
 LT 1 mo      65-275
 1 mo-6 yrs   60-240
 6+ yrs       108-233
Histidine                 umol/L
 LT 1 mo      45-135
 1 mo-6 yrs   45-118
 6+ yrs       55-110
Arginine                  umol/L              
 LT 1 mo      20-125
 1 mo-8 yrs   30-130
 6+ yrs       30-130
Amino Acids Interpretation

[274]


AMINO ACIDS, URINE (QUANTITATIVE)
Billing 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 Frozen 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 frozen.
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 24HR [ARUP]
Billing 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 4 mL  Minimum volume 1.2 mL
Patient Prep Refrain from alcohol consumption 24 hours prior to collection.
Collection procedure Collect a 24-hour or random 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 urine container. Protect from light during collection, storage and transport.
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)
Unacceptable conditions Body fluids other than urine.
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 & METABOLITE
Billing Code AMIO Test Code AMIO
Synonyms Cordarone
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 within 2 hours of collection and put in separate plastic tube. Protect from light within 8 hours of collection. Store and transport refrigerated.
Stability-   Room temp 1 month   Refrigerated 6 weeks   Frozen (-20°C) 6 weeks   Frozen (-70°C)
Unacceptable conditions Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Alternate specimens K2EDTA, K3EDTA, plasma (lavender or pink top tube).
CPT codes 80299
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Quantitative Liquid Chromatography-TMS
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
Billing 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 PSHMC 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 .
Billing 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 PAML Toxicology
CPT codes 80100
Test schedule Mon - Fri
Turnaround time 24 - 72 hours
Method Thin Layer Chromatography
Test includes
Amitriptyline, Nortriptyline
Notes
Test is also included in Drug-Sur as part of panel.

[7308]


AMMONIA
Billing 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 PSHMC 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
Billing 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 PSHMC 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
Billing 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.
Billing 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.

[7362]


AMPHETAMINES BY GC/MS
Billing 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 PAML Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 - 72 hours
Method Gas Chromatography Mass Spectrometry
Test includes
Confirmation for both Amphetamine and Methamphetamine

[7254]


AMPHETAMINES BY TLC
Billing 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 PAML 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

[7251]


AMPHETAMINES SCREEN
Billing 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 PAML Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 72 hours
Method EMIT
Test includes
Amphetamine and Methamphetamine
Notes
Positive results will automatically be confirmed by TLC

[7250]


AMYLASE
Billing 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 PAML 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
Billing 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 1 week   Refrigerated 1 month   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Hemolyzed or frozen specimens.
Alternate specimens EDTA or sodium or lithium heparin (lavender or green top tube) or 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
Billing 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).
Department PSHMC Chemistry
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)
Billing 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 PAML 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)
Billing 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 PAML 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)
Billing 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 PAML 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)
Billing 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 PAML 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
Billing 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 PAML 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)
Billing 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 PAML 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)
Billing Code ANAMP Test Code ANAMP
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
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 PAML Special Immunology
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
Billing 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 11
          Borderline       11-20
          Positive         GT 20
Sm(Smith) Negative         LT 11    
 IgG      Borderline       11-20        
 AutoAbs  Positive         GT 20
SS-A IgG  Negative         LT 11    
 AutoAbs  Borderline       11-20
          Positive         GT 20
SS-B IgG  Negative         LT 11    
 AutoAbs  Borderline       11-20
          Positive         GT 20
Scl-70    Negative         LT 11    
 IgG      Borderline       11-20
 AutoAbs  Positve          GT 20
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 11    Units
 P        Borderline       11-20
 AutoAbs  Positive         GT 20

[294]


ANCA IFA SCREEN, (REFLEXIVE)
Billing Code ANCASR Test Code ANCASR
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. If ANCA positive, this immunofluorescence test will distinguish P-ANCA from C-ANCA patterns.
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.
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 PAML Special Immunology
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]


ANCA PANEL WITH ANA (REFLEXIVE)
Billing Code ANCAME Test Code ANCAME
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. If ANCA positive, this immunofluorescence test will distinguish P-ANCA from C-ANCA patterns.
Synonyms Anti-Neutrophil Cytoplasmic Antibody; MPO AB; PR3 AB; ANCASR; PR3; MPO
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.
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 PAML Special Immunology; PAML Chemistry
CPT codes 86038, 86255, 83516 x 2
Test schedule Sun, Tue, Thu
Turnaround time 2-4 days
Method Multiplex luminex, IFA, ELISA
Test includes
ANCA Titer, IFA; ANCA Pattern; Proteinase 3 Antibody, Units; Myeloperoxidase Antibody, Units. If ANA 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
ANCA Titer, IFA
ANCA Pattern
Proteinase 3          Negative         LT 20      Units
 Antibody             Weak to Mod Pos  20-30
                      Positive         GT 30
Myeloperoxidase       Negative         LT 20      Units
 Antibody             Weak to Mod Pos  20-30
                      Positive         GT 30

[295]


ANCA PANEL-NO ANA (REFLEXIVE)
Billing Code ANCAPR Test Code ANCAPR
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. If ANCA is positive, this immunofluoresccence test will distinguish P-ANCA from C-ANCA patterns.
Synonyms Anti-Neutrophil Cytoplasmic 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.
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 fluorescencing drugs, other body fluids, repeat freeze/thaw cycles.
Department PAML Special Immunology
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, Units; Proteinase 3 Antibody, Units.
Reference ranges
  
ANCA Titer, IFA          LT 1:20 Negative
ANCA Pattern
Myeloperoxidase Antibody  Negative        LT 20                        Units
                          Weak to Mod Pos 20-30
                          Positive        GT 30
Proteinase 3 Antibody     Negative        LT 20                        Units
                          Weak to Mod Pos 20-30
                          Positive        GT 30

[1873]


ANCA, ATYPICAL (REFLEXIVE)
Billing Code ANCAA Test Code ANCAA
This test may reflex to additional tests depending upon the results of this test.
Synonyms Irritable Bowel Disease; Saccharomyces cerevisiae; ANCA; Crohn Disease; Ulcerative Colitis; ASCA.
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 put in separate plastic tube.
Stability-   Room temp 8 hours   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Severely lipemic, contaminated, heat-inactivated, or hemolyzed specimens. Avoid repeat freeze/thaw cycles.
Department PAML-Special Immunology Department
CPT codes 86255
Test schedule Sun, Tue, Thu
Turnaround time 2-4 days
Method IFA
Test includes
ANCA, Atypical
Reference ranges
  
ANCA, Atypical    ANCA, Atypical Pattern
                  < 1:20 Not significant

[7535]


ANDROSTENEDIONE
Billing 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   0.92-2.82
    Premature 31-35 weeks-day 4   0.80-4.46
    Full-term 1-7 days            0.20-2.90
    8-30 days                     0.18-0.80
    1 mo-5 mo                     0.06-0.68
    6-24 mo                       LT 0.15
    2-3 yrs                       LT 0.16
    4-5 yrs                       0.02-0.21
    6-7 yrs                       0.02-0.28
    8-9 yrs                       0.04-0.42
    10-11 yrs                     0.09-1.23
    12-13 yrs                     0.24-1.73   
    14-15 yrs                     0.39-2.00
    16-17 yrs                     0.35-2.12   
    18-39 yrs                     0.26-2.14
    40 yrs and more               0.13-0.82
    Pre-menopausal                0.26-2.14        
    Post-menopausal               0.13-0.82 
    Tanner Stage I                0.05-0.51
    Tanner Stage II               0.15-1.37
    Tanner Stage III              0.37-2.24   
    Tanner Stage IV-V             0.35-2.05
 M  Premature 26-28 weeks-day 4   0.92-2.82
    Premature 31-35 weeks-day 4   0.80-4.46
    Full-term 1-7 days            0.20-2.90
    8-30 days                     0.18-0.80
    1 mo-5 mo                     0.06-0.68
    6-24 mo                       0.35-2.05
    2-3 yrs                       LT 0.11
    4-5 yrs                       0.02-0.17
    6-7 yrs                       0.01-0.29     
    8-9 yrs                       0.03-0.30
    10-11 yrs                     0.07-0.39   
    12-13 yrs                     0.10-0.64
    14-15 yrs                     0.18-0.94
    16-17 yrs                     0.30-1.13
    18-39 yrs                     0.33-1.34    
    40 yrs & more                 0.23-0.89
    Tanner Stage I                0.04-0.32
    Tanner Stage II               0.08-0.48
    Tanner Stage III              0.14-0.87
    Tanner Stage IV-V             0.27-1.07  

[5052]


ANDROSTERONE, URINE 24HR [MAYO]
Billing 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. 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
Billing 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 PSHMC 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
Billing 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 PSHMC 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 POLYMORPHISM
Billing 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
Angiotensin Converting Enzyme Polymorphism.
Reference ranges
  
Angiotensin Converting Enzyme Polymorphism Result.

[4015]


ANGIOTENSIN CONVERTING ENZYME, CSF
Billing 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)
Unacceptable conditions Hemolyzed or xanthochromic samples.
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]


ANTABUSE
Billing 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
Billing 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 PAML 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)
Billing 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-IGE RECEPTOR ANTIBODY
Billing Code IGERAB Test Code IGERAB
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 1 mL
Specimen processing Separate serum from cells immediately and put in separate plastic tube. Store and transport refrigerated. DO NOT TRANSPORT IN SST TUBES.
Stability-   Room temp 24 hours   Refrigerated 1 week   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Samples transported in SST tubes.
CPT codes 88184, 88185 x 2
Test schedule Mon, Thu
Turnaround time 9-14 days
Method Flow Cytometry
Test includes
IgE Receptor, %; IgE Receptor Antibody Comment.
Reference ranges
  
IgE Receptor Ab             0.0-5.0     %
IgE Receptor Ab Comment     Normal ranges for non-chronic urticaria
                            patients is less than 5% positive CD203c.
                            1 in 17 patients with a positive autologous
                            serum skin test (ASST) showed a resonse of
                            less than 5% CD203+ cells while 16 ir 17 showed
                            a response of greater than 5%.

[7469]


ANTI-ISLET CELL ANTIBODY
Billing 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.
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-MULLERIAN HORMONE
Billing Code AMUHM Test Code AMUHM
Specimen Required
       Container type Serum separator tube (Gold, Brick, SST or Corvac)  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube.
Stability-   Room temp 5 days   Refrigerated 5 days   Frozen (-20°C) 30 days   Frozen (-70°C)
Unacceptable conditions Unspun SST tubes are not acceptable.
CPT codes 83520
Test schedule Tue, Thu, Sat
Turnaround time 3-6 days
Method EIA
Test includes
Anti-Mullerian Hormone, ng/mL.
Reference ranges
  
Anti-Mullerian Hormone AssessR

AMH-MIS
 F    LT 14 yrs         0.30-11.21            ng/mL
      14-19 yrs         Not Established       ng/mL
      20-29 yrs         0.65-16.40            ng/mL
      30-39 yrs         0.16-8.43             ng/mL
      40-49 yrs         LT 5.20               ng/mL
      GT 49             LT 2.05               ng/mL
 M    LT 1 yr           101.90-262.00         ng/mL
      1-6 yrs           87.30-243.80          ng/mL
      7-11 yrs          34.30-230.10          ng/mL
      12-17 yrs         LT 135.45             ng/mL
      GT 17 yrs         1.45-15.27            ng/mL

[7560]


ANTI-MYOCARDIAL ANTIBODY, IGG WITH REFLEX TO TITER
Billing Code ABMYO Test Code ABMYO
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Synonyms Anti-Fibrillar (Myocardial Antibody, IgG with Reflex to Titer); Anti-Interfibrillar (Myocardial Antibody, IgG with Reflex to Titer); Anti-Sarcolemma (Myocardial Antibody, IgG with Reflex to 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 ASAP or within 2 hours of collection and place in separate plastic tube.
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-PARIETAL CELL ANTIBODY, TOTAL, IGA, IGG & IGM
Billing 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 PAML Special Immunology
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
Billing 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 PAML Special Immunology
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
Billing 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 PSHMC 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]


ANTI-THYROID PEROXIDASE ANTIBODY (TPOAB)[USC]
Billing Code TPOABU Test Code TPOABU
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 unacceptable   Refrigerated 2 weeks   Frozen (-20°C) stable   Frozen (-70°C)
Unacceptable conditions Whole blood or plasma specimens. Grossly lipemic, icteric or hemolyzed samples.
Limitations For Denver Clients only.
CPT codes 86376
Test schedule Tue, Fri
Turnaround time 4-7 days
Method RIA
Test includes
TPO-AB, IU/mL
Reference ranges
  
TPO-AB        LT 1.0    IU/mL

[7246]


ANTIBODY IDENTIFICATION
Billing Code AB ID Test Code MABID
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
Stability-   Room temp   Refrigerated 14 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolyzed, grossly icteric or grossly lipemic specimens
Department PAML 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
Billing 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 PAML Special Immunology
CPT codes 86147 x 3
Test schedule Tue-Sat
Turnaround time 2-3 days
Method EIA
Test includes
Cardiolipin Antibody, IgG, GPL; Cardiolipin Antibody, IgM, MPL; Cardiolipin Antibody, IgA, APL.
Reference ranges
  
Cardiolipin Ab, IgG           GPL 
 Negative          0-14
 Indeterminate     15-20
 Positive          GT 20                   
Cardiolipin Ab, IgM           MPL 
 Negative          0-12
 Indeterminate     13-20
 Positive          GT 20
Cardiolipin Ab, IgA           APL 
 Negative          0-11
 Indeterminate     12-20
 Positive          GT 20

[5368]


ANTICARDIOLIPIN ANTIBODY, IGA
Billing 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 PAML Special Immunology
CPT codes 86147
Test schedule Tue-Sat days
Turnaround time 2-3 days
Method ELISA
Test includes
Cardiolipin Antibody , IgA, APL.
Reference ranges
  
Cardiolipin Antibody, IgA     Negative       0-11          APL 
                              Indeterminate  12-20
                              Positive       GT 20

[321]


ANTICARDIOLIPIN ANTIBODY, IGG
Billing 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 PAML Special Immunology
CPT codes 86147
Test schedule Tue-Sat days
Turnaround time 2-3 days
Method ELISA
Test includes
Cardiolipin Antibody , IgG, GPL.
Reference ranges
  
Cardiolipin Antibody, IgG     Negative         0-14          GPL 
                              Indeterminate    15-20                              
                              Positive         GT 20

[322]


ANTICARDIOLIPIN ANTIBODY, IGM
Billing 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 PAML Special Immunology
CPT codes 86147
Test schedule Tue-Sat days
Turnaround time 2-3 days
Method ELISA
Test includes
Cardiolipin Antibody , IgM, MPL.
Reference ranges
  
Cardiolipin Antibody, IgM     Negative         0-12          MPL 
                              Indeterminate    13-20
                              Positive         GT 20

[323]


ANTINEURONAL ANTIBODIES IGG BY IMMUNOBLOT (HU, RI, YO, AMPHIPHYSIN)
Billing 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
Billing 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]


ANTINUCLEAR ANTIBODY TITER BY IFA
Billing 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 PAML Special Immunology
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
Billing Code APSA Test Code APSA
Synonyms Anti-Phospholipid
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 PAML Special 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
Billing Code APSG Test Code APSG
Synonyms Anti-Phospholipid
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 PAML Special 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
Billing Code APSM Test Code APSM
Synonyms Anti-Phospholipid
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 PAML Special 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)
Billing Code APP1 Test Code AP1
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Synonyms Anti-Phospholipid Panel 1; Lupus Anticoagulant; Lupus
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.
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 PAML Special Immunology, PSHMC 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; Cardiolipin Antibody, IgM, MPL; Beta-2 Glycoprotein 1 Antibody, IgG, SGU; Beta-2 Glycoprotein 1 Antibody, IgM, SMU; 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          0-14        GPL 
                      Indeterminate     15-20 
                      Positive          GT 20
Cardiolipin Ab IgM    Negative          0-12        MPL 
                      Indeterminate     13-20
                      Positive          GT 20
Beta-2 Glycoprotein   Negative          0-20        SGU
 1 Ab, IgG            Positive          GT 20
Beta-2 Glycoprotein   Negative          0-20        SMU
 1 Ab, IgM            Positive          GT 20
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)
Billing Code APP2 Test Code APP2
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
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 PAML Special Immunology, PSHMC 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; Cardiolipin Antibody,IgG; GPL; Cardiolipin Antibody,IgM, MPL; 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          0-11        APL 
                      Indeterminate     12-20
                      Positive          GT 20     
Cardiolipin Ab IgG    Negative          0-14        GPL 
                      Indeterminate     15-20 
                      Positive          GT 20
Cardiolipin Ab IgM    Negative          0-12        MPL 
                      Indeterminate     13-20
                      Positive          GT 20
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)
Billing Code APP3 Test Code APP3
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
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 PAML Special Immunology, PSHMC 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; Cardiolipin Antibody, IgG; GPL; Cardiolipin Antibody, IgM, MPL; Beta-2 Glycoprotein 1 Antibody, IgA, SAU; Beta-2 Glycoprotein 1 Antibody, IgG, SGU; Beta-2 Glycoprotein 1 Antibody, IgM, SMU; 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          0-11        APL
                      Indeterminate     12-20
                      Positive          GT 20
Cardiolipin Ab IgG    Negative          0-14        GPL 
                      Indeterminate     15-20 
                      Positive          GT 20
Cardiolipin Ab IgM    Negative          0-12        MPL 
                      Indeterminate     13-20
                      Positive          GT 20
Beta-2 Glycoprotein   Negative          0-20        SAU
                      Positive          GT 20
Beta-2 Glycoprotein   Negative          0-20        SGU
 1 Ab, IgG            Positive          GT 20
Beta-2 Glycoprotein   Negative          0-20        SMU
 1 Ab, IgM            Positive          GT 20
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, EXPANDED (REFLEXIVE)
Billing Code APSEEX Test Code APSEEX
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
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
Billing 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 PSHMC Coagulation
CPT codes 85300
Test schedule Mon-Sat
Turnaround time 3-5 days
Method Chromogenic
Test includes
Antithrombin III Activity, %.
Reference ranges
  
Antithrombin III Activity  85-126  %

[332]


ANTITHROMBIN III ANTIGEN
Billing 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 PSHMC Coagulation
CPT codes 85301
Test schedule Mon-Sat
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]


APOLIPOPROTEIN A-1
Billing 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
Billing 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]


APOLIPOPROTEIN E (APOE) 2 MUTATIONS, CARDIOVASCULAR RISK
Billing Code APOEMT Test Code APOEMT
Synonyms APOE; Dislipidemia; Dysbetalipoproteinemia; Dyslipidemia; Dyslipoproteinemi; Frederickson Type III; Hyperlipidemia Type III; Soft-APOE; Type III Hyperlipoproteinemia
Specimen Required
       Container type Lavender top tube (EDTA)  Specimen type Whole blood  Preferred volume 3 mL  Minimum volume 1 mL
Collection procedure Submit in the original and unopened collection tube.
Specimen processing Do not freeze.
Unacceptable conditions Serum, heparinized whole blood, severely hemolyzed samples, specimens in leaky container or over 5 days old. Also specimens not received in the original collection tube. Do not freeze.
Alternate specimens ACD or sodium citrate whole blood (yellow or blue top tube).
Limitations This test is not to be used for Alzheimer's disease testing or for any dementia related reasons.
Department PSHMC Molecular Diagnostics
CPT codes 83891, 83898, 83896 x 4, 83912
Test schedule Tue, Thu
Turnaround time 2-7 days
Method Real-Time PCR with Melt Curve Analysis
Test includes
APO E.
Reference ranges
  
APO E   No Mutation Detected

[5785]


APT
Billing 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 PSHMC 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]


AQUAPORIN-4 RECEPTOR ANTIBODY
Billing Code AQP4AB Test Code AQP4AB
Synonyms AQP (Aquaporin-4 Receptor Antibody); Devic's Ab (Aquaporin-4 Receptor Antibody); Neuromyelitis Optica (NMO) Antibody (Aquaporin-4 Receptor Antibody); Optic Neuritix Ab (Aquaporin-4 Receptor Antibody); Optic-Spincal MS Ab (Aquaporin-4 Receptor Antibody); Soft-NMOS (Aquaporin-4 Receptor Antibody); Transverse Myelitis Ab (Aquaporin-4 Receptor Antibody); Vision Loss Ab (Aquaporin-4 Receptor Antibody)
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 or within 2 hours of collection & transfer serum to a separate plastic tube. Store & transport refrigerated.
Stability-   Room temp 72 hours   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions CSF, amniotic fluid, ocular fluid, peritoneal fluid, synovial fluid, or plasma. Contaminated, hemolyzed, icteric or lipemic specimens. Avoid repeated freeze/thaw cycles.
CPT codes 83516
Test schedule Tue
Turnaround time 3-10 days
Method Semi-Quantitative ELISA
Test includes
Aquaporin-Receptor Antibody 4, U/mL.
Reference ranges
  
Aquaporin-Receptor Antibody 4       Negative 4 or less        U/mL
                                    Indeterminate 5
                                    Positive 6 or greater

[7504]


ARBOVIRUS ANTIBODY PANEL, IGG & IGM
Billing 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
Billing 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
Billing 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 IGM ANTIBODY PANEL, CSF
Billing 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
Billing 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 2.5 mL
Specimen processing Separate plasma from cells ASAP or within 2 hours of collection and place in separate plastic tube and freeze immediately.
Stability-   Room temp 2 hours   Refrigerated Unstable   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Non-frozen specimens
Alternate specimens K2EDTA plasma(pink top tube)
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
Billing 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
Billing 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
Patient Prep Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, nonessential over-the-counter medications (upon the advice of their physician) and avoid shellfish and seafood for 48-72 hours prior to collection.
Specimen processing Store and transport in original collection tube at room temperature. If the sample is drawn and stored in the appropriate container, the trace element values do not change with time.
Unacceptable conditions Heparin anticoagulant.
Alternate specimens NA2EDTA whole blood (NA2EDTA royal blue top tube), refrigerated specimens are acceptable but not preferred.
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
Billing Code ARCR Test Code ARCR
Synonyms As/Creatinine Ratio, Random Urine
Specimen Required
       Container type Trace Element Free Tubes  Specimen type Random Urine  Preferred volume 5 mL  Minimum volume 2 mL
Collection procedure Collect a random urine in a leakproof plastic urine container.
Specimen processing Aliquot 5 mL of a well-mixed random urine collection, into a leakproof trace element free tube. Refrigerate immediately after collection. Adjust collection to pH 2 with 6N nitric acid within 20 minutes 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 PSHMC Chemistry, PSHMC Trace Metals
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
Billing 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 1.9 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 4 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)
Unacceptable conditions Avoid exposure to gadolinium-based contrast media for 48 hours prior to sample collection.
Alternate specimens Other acceptable specimens: trace metal free Hydrochloric acid or Nitric acid (0.1 mL of 12M acid/10 mL urine) preserved specimens.
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.
Notes
Unpreserved urine refrigerated should be analyzed within 1 week of collection.

[345]


ARSENIC, URINE (RANDOM)
Billing Code ARS-RU Test Code ARSUR
Synonyms As, Urine (Random)
Specimen Required
       Container type Trace Element Free Tubes  Specimen type Urine, random  Preferred volume 5 mL  Minimum volume 5 mL
Collection procedure Collect a random urine collection.
Specimen processing Aliquot 5 mL of a random urine specimen into a leakproof Trace element free tube. 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.
Department PSHMC Chemistry, PSHMC 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 24HR
Billing 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 Trace Element Free Tubes.  Specimen type 24-hour urine collection  Preferred volume 5 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 5 mL of a well-mixed 24-hour urine collection into a leakproof Trace element tube and pH to 2 using 6N nitric acid. Record collection time and total volume.
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 PSHMC Chemistry, PSHMC 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 24HR REFLEX TO FRACTIONATED [ARUP]
Billing Code ARSURF Test Code ARSURF
This test may reflex to additional tests depending on the results of this test. An additional fee will be added if the reflex test is necessary.
Synonyms Arsenic/Creatinine Ratio; Random; Urine (Arsenic, Urine with Reflex to Fractionated); AS (Arsenic, Urine with Reflex to Fractionated); ASU (Arsenic, Urine with Reflex to Fractionated)
Specimen Required
       Container type 24-hour trace-metal free plastic urine container  Specimen type 24-hour urine collection  Preferred volume 8 mL  Minimum volume 1mL
Patient Prep Encourage patient to avoid shellfish & seafood for 48-72 hours and also non-essential drugs, vitamins, minerals, & nutritional supplements.
Collection procedure Collect a 24 hour urine in a trace-metal free urine container and refrigerate during collection.
Specimen processing Aliquot 8 mL of a well-mixed 24-hour urine collection into a leakproof trace-metal free urine container. Record total volume and collection time.
Stability-   Room temp 7 days   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 2-6 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. If reflexed, additional charges apply.

[3037]


ARTERIAL BLOOD GASES BATTERY
Billing 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 PSHMC 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 Excess, 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 Excess   0.0-2.5              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
Billing 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 PAML Chemistry, PAML Immunology, PSHMC 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]


ARYLSULFATASE A, URINE 24HR [ARUP]
Billing 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.
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]


ASHKENAZI JEWISH DISEASES (BLM, ASPA, IKBKAP, FANCC, GBA, MCOLN1, SMPD1, HEXA)
Billing Code AJD Test Code AJD
Synonyms Bloom Syndrome; Canavan; Familial Disautonomia; Gaucher; Mucolipidosis; Neiman Pick; Tay-Sachs
Specimen Required
       Container type Lavender top tube  Specimen type EDTA whole blood  Preferred volume 3 mL  Minimum volume 1 mL
Specimen processing Store and transport refrigerated.
Required patient info Counseling and informed consent forms are recommended for genetic testing and are available online at www.aruplab.com.
Stability-   Room temp 3 days   Refrigerated 1 week   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Frozen specimens.
Alternate specimens K2EDTA or ACD A or B Solution (pink or yellow top tube).
CPT codes 83891, 83892 x 2, 83900, 83901 x 16, 83914 x 31, 83909, 83912 Additional CPT modifiers may be required for procedures perfromed to test for oncologic or inherited disorders.
Test schedule Tue, Thu
Turnaround time 9-12 days
Method PCR/ASPE Bead Array
Test includes
AJD Specimen; AJD Panel.
Reference ranges
  
AJD Specimen
AJD Panel

[7046]


ASO
Billing 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 PAML 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
Billing 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
Billing 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 BRONCHIAL
Billing Code ASAGBA Test Code ASAGBA
Synonyms Platelia Aspergillus
Specimen Required
       Container type Sterile plastic tube.  Specimen type Frozen bronchoscopy specimen.  Preferred volume 2 mL  Minimum volume 0.6 mL
Collection procedure Collect lower respiratory material by bronchoscopy (brushing, VAL secretions and washings).
Specimen processing Store and transport frozen.
Stability-   Room temp Unacceptable   Refrigerated 1 week   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Grossly bloody samples. Any preservative or transport media.
CPT codes 87305
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Semi-quant EIA
Test includes
Aspergillus Galactomannan Antigen, BAL; Aspergillus Galactomannan Index, Index.
Reference ranges
  
Aspergillus Galactomannan Antigen, BAL     Negative
Aspergillus Galactomannan Index            A BAL galactomannan index of GT or equal to 0.5 is 
                                           considered positive. The result should
                                           be interpreted in the context of patient history, 
                                           clinical signs/symptoms, and other routine diagnostic
                                           tests (e.g. culture, histologic examination of biopsy
                                           material, and radiographic imaging).
Notes
For serum specimens, refer to Aspergillus Galactomannan Antigen by EIA, Serum

[7245]


ASPERGILLUS GALACTOMANNAN ANTIGEN BY EIA, SERUM [ARUP]
Billing Code ASGAG Test Code ASGAG
Synonyms Platelia aspergillus
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.6 mL
Specimen processing Separate serum from cells ASAP and put in sterile plastic tube. Store and transport frozen.
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; Index
Reference ranges
  
Aspergillus Galactomannan Antigen        Negative
Index

[3072]


ASPIRIN WORKS
Billing 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 PSHMC Hematology
CPT codes 84431, 82570
Test schedule Mon-Fri
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
Billing 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 PAML 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)
Billing Code AIP Test Code AIP
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
Stability-   Room temp   Refrigerated 3 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Department PAML Special Immunology, PAML Immunology
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
Billing 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-8 hours, unspun-7 hours   Refrigerated Separated-24 hours, unspun-7 hours.   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Hemolyzed samples and specimens collected in non-EDTA tubes or EDTA tubes with a plasma separator gel or suresup or glass tubes. Do not freeze whole blood.
Limitations Thaw only once.
Department PSHMC Chemistry
CPT codes 83880
Test schedule Sun-Sat & Stat
Turnaround time 1-2 days
Method ICMA
Test includes
B-Type Natriuretic Peptide, pg/mL.
Reference ranges
  
B-Type Natriuretic Peptide  LT 100 pg/mL

[360]


BABESIA MICROTI ANTIBODY, IGG & IGM
Billing Code BABMIC Test Code BABMIC
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 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
Billing 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]


BACTERIAL ANTIGEN DETECTION PANEL
Billing Code BAGPF Test Code BAGPF
Specimen Required
       Container type Red top tube  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1 mL
Specimen processing Separate serum from the cells and put in sterile plastic tube and freeze. Store and transport frozen.
Required patient info Source
Stability-   Room temp unacceptable   Refrigerated 2 days   Frozen (-20°C) 1 week   Frozen (-70°C)
Unacceptable conditions Urine or other body fluids and room temperature samples.
Alternate specimens CSF in sterile plastic tube frozen.
CPT codes 86403 x 6
Test schedule Mon-Sun
Turnaround time 3-5 days
Method Latex Agglutination
Test includes
Source; Streptococcus Group B, Ag Detection; H. influenzae, Type B, Ag Detection; S. pneumoniae Ag Detection; N. meningitidis Group C/W135 Ag Detection; N. meningitidis Group A/Y Ag Detection; Group B/E. coli K1 Ag Detection.
Reference ranges
  
Source
Streptococcus, Group B Ag Detection        Not detected
H. influenzae Type B, Ag Detection         Not detected
S. pneumoniae Ag Detection                 Not detected
N. meningitidis Group C/W135 Ag Detection  Not detected
N. meningitidis Group A/Y Ag Detection     Not detected
Group B/E.coli K1 Ag Detection             Not detected
Notes
This test should not be used as a subsitiute for gram stain and bacteriologic cultures in the diagnosis of septicemia and meningitis. Positive or negative test results should be considered presumptive and confirmed by culture.

[7156]


BAL PROFILE (REFLEXIVE)
Billing Code BALPR Test Code BALPR
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Synonyms Bronchoalveolar Lavage Profile
Specimen Required
        Specimen type Bronchoalveolar lavage, no anticoagulant  Preferred volume 25 mL
Limitations Grossly bloody specimens or those more than 3/4 mucous may be uninterpretable.
Department PSHMC 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
Billing 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 PSHMC 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)
Billing Code BALDIF Test Code BALDIF
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Synonyms Bronchoalveolar Cell Count & Differential
Specimen Required
       Container type Leakproof plastic container  Specimen type Bronchoalveolar lavage, no anticoagulant  Preferred volume 25 mL
Unacceptable conditions Grossly bloody specimens or those more than mucous.
Department PSHMC 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
Billing 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 PSHMC 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)
Billing Code BAL.LYMPH Test Code BALSUB
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Synonyms Bronchoalveolar Lavage Lymph Subsets
Specimen Required
       Container type Leakproof plastic container.  Specimen type Bronchoalveolar lavage, no anticoagulant  Preferred volume 25 mL
Department PSHMC 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
Billing 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 PSHMC 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
Billing 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 PAML 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

[7252]


BARBITURATES BY GC/MS
Billing 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 PAML 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

[7255]


BARBITURATES BY TLC
Billing 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

[7253]


BARTONELLA DNA BY PCR
Billing 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
Billing 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 ANTIBODIES (IGG/IGM) WITH REFLEX TO TITER
Billing Code BARGM Test Code BARGM
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
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
Billing 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. Add-ons are acceptable without a CO2 within 14 days of collection, when refrigerated.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens If plasma must be used, use lithium heparin (green top tube).
Limitations Avoid hemolysis.
Department PAML 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]


BASIC METABOLIC PANEL WITH GFR
Billing Code BMPD Test Code BMPD
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. Add-ons are acceptable without a CO2 within 14 days of collection, when refrigerated.   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 (green top tube).
Limitations Avoid hemolysis.
Department PAML Chemistry
CPT codes 80048
Test schedule Mon-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; Estimated Glomerular Filtration Rate, mL/min/1.73m2.
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
Estimated Glomerular                               mL/min/1.73m2
 Filtration Rate     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
Hemolysis will cause elevated potassium and minimal volumes will concentrate.

[7428]


BCR-ABL GENE REARRANGEMENT
Billing 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 PSHMC 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, URINE 24HR [ARUP]
Billing 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 8 mL  Minimum volume 4 mL
Collection procedure Collect a 24-hour urine specimen in a leakproof plastic urine container.
Specimen processing Submit 2-4 mL aliquots from a well-mixed 24-hour collection. Refrigerate during collection. Submit in two leakproof plastic urine containers.
Required patient info Total volume and collection time
Stability-   Room temp 2 hours   Refrigerated 7 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Specimens that are not refrigerated.
Alternate specimens Random or urine supernate.
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
Billing 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 Headspace 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
Billing 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 PAML 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

[7257]


BENZODIAZEPINES BY TLC
Billing 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 PAML 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.

[7258]


BENZODIAZEPINES SCREEN
Billing 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 PAML 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.

[7256]


BENZODIAZEPINES, (QUANTITATIVE)
Billing 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.
Billing 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 PAML 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.

[7309]


BERYLLIUM
Billing 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, mcg/L.
Reference ranges
  
Beryllium  LT 0.5  mcg/L

[381]


BETA 2 TRANSFERRIN
Billing 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 HCG
Billing Code HCG Test Code PRG
Synonyms HCG Beta, Qual; Pregnancy Test; Beta HCG
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. Refrigerate or freeze if transport will exceed 2 days.
Stability-   Room temp   Refrigerated 2 weeks   Frozen (-20°C)   Frozen (-70°C)
Limitations Avoid freeze-thaw cycles.
Department PAML 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		Negative:		LT 5		mIU/mL
					Indeterminate:		5 to 25	
					Positive:		GT 25	
Notes
1) This method is calibrated according to the WHO 3rd International Reference Preparation for Chorionic Gonadotropin (WHO 3rd IRP 75/537). 2) For diagnostic purposes, HCG results should be interpreted in conjunction with clinical findings. 3) Pregnancy is detected 1 week after implantation or 4-5 days before first missed menses. Beta-hCG levels between 5 mIU/mL and 25 mIU/mL may be indicative of early pregnancy; however low levels of hCG can occur in apparently healthy nonpregnant subjects. Because hCG values double approximately every 48 hours in a normal pregnancy, patients with very low levels should be redrawn after 48 hours. 4) Sensitivity of the ICMA method is 2.0 mIU/mL.

[889]


BETA STREP GROUP B PCR
Billing 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 PSHMC 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
Billing 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 PAML Special Immunology
CPT codes 86146
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method ELISA
Test includes
Beta-2 Glycoprotein 1 Antibody, IgA, SAU.
Reference ranges
  
Beta-2 Glycoprotein 1 Ab,   Negative      0-20       SAU
 IgA                        Positive      GT 20

[383]


BETA-2 GLYCOPROTEIN 1, IGG
Billing 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 PAML Special Immunology
CPT codes 86146
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method ELISA
Test includes
Beta-2 Glycoprotein 1 Antibody, IgG, SGU.
Reference ranges
  
Beta-2 Glycoprotein 1 Ab,   Negative      0-20       SGU
 IgG                        Positive      GT 20

[384]


BETA-2 GLYCOPROTEIN 1, IGG & IGM
Billing 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 PAML Special 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, SGU; Beta-2 Glycoprotein 1 Antibody, IgM, SMU.
Reference ranges
  
Beta-2 Glycoprotein 1 Ab,   Negative      0-20       SGU
 IgG                        Positive      GT 20
Beta-2 Glycoprotein 1 Ab,   Negative      0-20       SMU
 IgM                        Positive      GT 20

[385]


BETA-2 GLYCOPROTEIN 1, IGM
Billing 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 PAML Special Immunology
CPT codes 86146
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method ELISA
Test includes
Beta-2 Glycoprotein 1 Antibody, IgM, SMU.
Reference ranges
  
Beta-2 Glycoprotein 1 Ab,   Negative      0-20       SMU
 IgM                        Positive      GT 20

[386]


BETA-2-MICROGLOBULIN, CSF
Billing 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
Billing 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 PSHMC 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
Billing 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 HCL or 5% 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 PSHMC 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
Billing 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
Billing Code BICARU Test Code BICARU
Synonyms HCO3, Urine
Specimen Required
       Container type Leakproof plastic container  Specimen type Frozen urine  Preferred volume 4. mL  Minimum volume 0.3mL
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
Billing 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)
Billing 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
Billing 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 Lithium heparin plasma (green top tube).
Limitations Protect from light.
Department PAML 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
Billing 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 and clotted samples.
Alternate specimens Specimens collected in plain red top tubes.
Limitations Lipemia may interfere with testing. Protect specimens from light.
Department PSHMC 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 this fluid.
 Clinical correlation necessary.

[395]


BILIRUBIN, FRACTIONATED
Billing 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 PAML 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
Billing 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 Lithium heparin plasma (green top tube).
Limitations Protect from light.
Department PAML 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
Billing 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 PSHMC 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]


BILL ONLY FOR KRASRF TO ADD ON BRAF V600E MUTATION DETECTION BY SEQUENCE ANALYSIS (KRAS NEGATIVE REFLEX)
Billing Code BRAFRF Test Code BRAFRF
This ordercode will be used to add on the BRAF TEST when the Kras test (ordercode KRASRF) is negative.
Specimen Required
       
CPT codes 83898, 83904 x 2, 83909 x 2, 83912
Test schedule Weekly
Turnaround time 6-11 days

[7542]


BIOTINIDASE, WITH PARIED NORMAL CONTROL
Billing 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 BY RT-PCR, QUANTITATIVE
Billing Code BKQPCR Test Code BKQPCR
Dedicated Specimen Only. This test cannot be ordered as an add-on test on samples previously tested. Separate specimens must be submitted when multiple tests are ordered. A dedicated sample is required for molecular testing.
Synonyms BK; BKV; BK Virus; Molecular; Quantitative PCR; Real-Time PCR; Polyomavirus
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 and put in separate plastic tube and freeze. Store and transport frozen. Indicate source.
Required patient info Source
Stability-   Room temp   Refrigerated 3 days   Frozen (-20°C) 2 months   Frozen (-70°C) 1 year
Alternate specimens 0.5 mL frozen urine or serum.
Limitations Avoid repeated freeze/thaw cycles.
Department PAML Virology
CPT codes 87799
Test schedule Mon-Sat days
Turnaround time 1-3 days
Method Real -Time PCR
Test includes
Source; BK DNA Quantitiative RT-PCR, copies/mL; BK DNA Quantitative RT-PCR, Log 10.
Reference ranges
  
BKV Source
BK DNA Quantitative     Not Detected   copies/mL
 RT-PCR
BK DNA Quantitative     Not Detected   Log 10
 RT-PCR                 Reportable range 500 to 37,500,000
                        copies/mL (2.7 to 7.6 log10).
                        A negative result does not rule out
                        the presence of PCR reaction 
                        inhibitors in the patients specimen
                        or BK virus DNA in concentrations below
                        the level of detection by this assay.
Notes
This test performed pursuant to an agreement with Roche Molecular Diagnostics.

[7037]


BK VIRUS QUANTITATIVE BY PCR (VIRACOR)
Billing 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]


BKV PCR, URINE (VIRACOR)
Billing 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
Billing 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
Billing 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
Billing 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
Billing 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]


BLASTOMYCES DERMATITIDIS ANTIGEN EIA
Billing Code BLAGD Test Code BLAGD
Specimen Required
       Container type Red top 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.
Required patient info Indicate source.
Stability-   Room temp 2 weeks   Refrigerated 1 month   Frozen (-20°C) Indefinitely   Frozen (-70°C)
Unacceptable conditions Inadequate volume, particulate matter or viscosity that would not allow the specimen to be pipetted, interfering substances (Sputolysin & sodium hydroxide).
Alternate specimens Urine, plasma, CSF, BAL or other sterile body fluid.
CPT codes 87449
Test schedule Mon-Fri
Turnaround time 3-5 days
Method EIA
Test includes
Source; Blastomyces Ag, EIA Units.
Reference ranges
  
Source
Blastomyces Ag   Negative  LT 1 EIA Units

[7048]


BLEEDING DIATHESIS PANEL (REFLEXIVE)
Billing Code BLDPAN Test Code BLDPAN
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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 PSHMC 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
Billing 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 PSHMC 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 ANTIBODIES, IGA, IGG, & IGM BY IMMUNOBLOT
Billing Code BORABB Test Code BORABB
Synonyms Pertussis Antibody (Bordetella pertussis Antibodies, IgA, IgG & IgM by Immunoblot); Whooping Cough (Bordetella pertussis Antibodies, IgA, IgG & IgM by Immunoblot .
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 or within 2 hours of collection and put in a separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 48 hours   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat-inactivated specimens.
CPT codes 86615 x 3
Test schedule Tue
Turnaround time 2-10 days
Method Qualitative Immunblot
Test includes
B. pertussis AB, IgA by IB; B. pertussis AB, IgG by IB; B. pertussis AB, IgM by IB.
Reference ranges
  
B. pertussis AB, IgA by IB           Negative
B. pertussis AB, IgG by IB           Negative
B. pertussis AB, IgM by IB           Negative
Notes
This assay tests for the presence of pertussis toxin (PT), pertussis toxin PT 100 (PT-100), and filamentous hemagglutinin antibody (FHA).

[7505]


BORDETELLA PERTUSSIS ANTIBODY, IGA, BY IMMUNOBLOT
Billing Code BPAAIA Test Code BPAAIA
Synonyms Pertussis Antibody (Bordetella pertussis Antibodies, IgA by Immunoblot); Whooping Cough (Bordetella pertussis Antibodies, IgA) by Immunoblot .
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.15 mL
Specimen processing Separate serum from cells ASAP or within 2 hours of collection and put in a separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 48 hours   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Contaminated or heat-inactivated specimens.
CPT codes 86615
Test schedule Tue
Turnaround time 2-10 days
Method Qualitative Immunblot
Test includes
B. pertussis AB, IgA by IB.
Reference ranges
  
B. pertussis AB, IgA by IB           Negative
Notes
This assay tests for the presence of pertussis toxin (PT), and filamentous hemagglutinin antibody (FHA).

[7506]


BORDETELLA PERTUSSIS ANTIBODY, IGG
Billing Code BPAIGG Test Code BPAIGG
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.
Synonyms Pertussis Antibody; Pertussis Antibody, IgG; Whooping Cough
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.15 mL
Specimen processing Separate serum from cells ASAP or within 2 hours 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 Urine, plasma, CSF, amniotic, ocular, peritoneal or joint fluid. Contaminated, heat-inactivated, hemolyzed, or severely lipemic samples. Avoid repeated freeze/thaw cycles.
CPT codes 86615
Test schedule Tue, Fri
Turnaround time 2-6 days
Method Semi-Quantitative ELISA
Test includes
Bordetella pertussis Antibody IgG, U/mL
Reference ranges
  
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.

[7071]


BORDETELLA PERTUSSIS ANTIBODY, IGG, BY IMMUNOBLOT
Billing Code BPAGIA Test Code BPAGIA
Synonyms Pertussis Antibody (Bordetella pertussis Antibodies, IgG by Immunoblot); Whooping Cough (Bordetella pertussis Antibodies, IgG) by Immunoblot .
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.15 mL
Specimen processing Separate serum from cells ASAP or within 2 hours of collection and put in a separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 48 hours   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat-inactivated specimens.
CPT codes 86615
Test schedule Tue
Turnaround time 2-10 days
Method Qualitative Immunblot
Test includes
B. pertussis AB, IgG by IB.
Reference ranges
  
B. pertussis AB, IgG by IB           Negative
Notes
This assay tests for the presence of pertussis toxin (PT), pertussis toxin PT 100 (PT-100), and filamentous hemagglutinin antibody (FHA).

[7507]


BORDETELLA PERTUSSIS ANTIBODY, IGM, BY IMMUNOBLOT
Billing Code BPAMIA Test Code BPAMIA
Synonyms Pertussis Antibody (Bordetella pertussis Antibodies, IgM by Immunoblot); Whooping Cough (Bordetella pertussis Antibodies, IgM) by Immunoblot .
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.15 mL
Specimen processing Separate serum from cells ASAP or within 2 hours of collection and put in a separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 48 hours   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Heat-inactivated specimens.
CPT codes 86615
Test schedule Tue
Turnaround time 2-10 days
Method Qualitative Immunblot
Test includes
B. pertussis AB, IgM by IB.
Reference ranges
  
B. pertussis AB, IgM by IB           Negative
Notes
This assay tests for the presence of pertussis toxin (PT), and filamentous hemagglutinin antibody (FHA).

[7508]


BORDETELLA PERTUSSIS SCREEN
Billing 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 PSHMC 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
Billing 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 M6 viral transport media. Do not freeze.
Specimen processing Store and transport refrigerated. Store at 4C upon receipt.
Required patient info Specimen type.
Stability-   Room temp VTM-2 days, Dry-1 day   Refrigerated VTM-5 days, Dry-1 day   Frozen (-20°C) VTM-1 week, Dry-1 day   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 or sterile container.
Department PSHMC Molecular Diagnostics
CPT codes 87801
Test schedule Daily
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
Billing Code BORONS Test Code BORONS
Specimen Required
       Container type Royal blue top tube plastic, Trace metal free, no additive  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0,7 mL
Specimen processing Separate serum or plasma from cells promptly and put in a separate acid-washed plastic screw capped vial. 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 CSF BY WESTERN BLOT
Billing 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
Billing 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
Billing 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)
Billing 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 PSHMC 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
Billing 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.
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]


BRAF V600E MUTATION BY SEQUENCE ANALYSIS
Billing Code BRAFSQ Test Code BRAFSQ
Synonyms BRAF; BRAF1; RAFB1; V600E; Colorectal cancer; Malignant Melanoma; Thyroid cancer; Ovarian cancer; Mutation.
Specimen Required
       Container type Paraffin embedded tissue and/or slides.  Specimen type Formalin Fixed Paraffin Embedded Tissue  Preferred volume Paraffin embedded tissue block or 6 unstained 7-micron slides with an additional H&E stained slide containing at least 50% tumor cells.  Minimum volume 1 Paraffin embedded tissue block or 4 unstained 7-micron slides with 1 H&E stained slide containing at least 20% tumor cells.
Collection procedure Collect tumor tissue.
Required patient info Surgical pathology report.
Stability-   Room temp Indefinitely   Refrigerated Indefinitely   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Specimens that contain less than 20% tumor will be tested and reported with a disclaimer. Specimens fixed/processed in alternative fixatives (alcohol, Prefer®).
Department PSHMC Molecular Diagnostics
CPT codes 88363, 88381, 83907, 83892, 83890, 83898, 83904 x 2, 83909 x 2, 83912
Test schedule Weekly
Turnaround time 6-11 days
Method PCR and sequence analysis
Test includes
BRAF result, Interpretation, Comments
Reference ranges
  
BRAF Result		Not detected	
			This test was developed and its	
			performance characteristics	
			determined by PAML/PSHMC Division	
			of Laboratory Medicine. The U.S.	
			Food and Drug Administration (FDA)	
			has not approved or cleared this	
			test. However, FDA approval or	
			clearance is currently not required	
			for clinical use of this test. The	
			results are not intended to be used	
			as the sole means for clinical	
			diagnosis or patient management	
			decisions. PAML/PSHMC is	
			authorized under CLIA to perform	
			high-complexity testing.	

[7543]


BRETYLIUM TOSYLATE
Billing 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
Billing 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 PSHMC Hematology
CPT codes 87207
Test schedule Sun-Fri, as needed
Turnaround time 1 week
Method Visual Microscopic
Test includes
Brilliant Cresyl Blue.
Reference ranges
  
Brilliant Cresyl Blue       Negative

[417]


BROMIDES
Billing Code BROMIDE Test Code BROMID
Synonyms Triple Bromide
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 within 2 hours of collection and put in separate plastic tube. Store & transport refrigerated.
Stability-   Room temp 7 days   Refrigerated 7 days   Frozen (-20°C) Indefinitely   Frozen (-70°C)
Unacceptable conditions Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Alternate specimens Lavender (K2 or K3EDTA) or pink (K2EDTA)
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
Billing 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.
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
Billing 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 PAML 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
Billing 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 PAML 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
Billing 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 PAML 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.

[7383]


BUPROPION
Billing Code BUPROPION Test Code BUPRO
Synonyms Wellbutrin
Specimen Required
       Container type Red top tube (plain)  Specimen type Frozen serum  Preferred volume 2 mL  Minimum volume 1.5 mL
Specimen processing Separate serum or plasma from cells within 2 hours of collection and freeze. Store & transport frozen. 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 Whole blood, gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution), refrigerated or room temperature.
Alternate specimens Frozen sodium or lithium heparin, EDTA, K2EDTA, K3EDTA plasma (lavender, pink 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 Quantitative Liquid Chromatography-Tandem Mass Spectrometry
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
Billing Code BUT Test Code BUTALB
Synonyms Fiorinal
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 within 2 hours of collection and put in a 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 Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Alternate specimens EDTA, K2EDTA, K3EDTA (lavender or pink 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 Quantitative GC-MS
Test includes
Butalbital, ug/mL.
Reference ranges
  
Butalbital            ug/mL
 Therapeutic  1-10      
 Toxic        GT 30

[424]


C-PEPTIDE
Billing 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 PAML 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
Billing 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
Collection procedure In patients receiving therapy with high biotin doses (i.e. Greater than 5 mg/day), no specimen should be taken until at least 8 hours after the last biotin administration.
Specimen processing Allow specimen to sit for 15-20 minutes ar room temperature for proper clot formation. 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 specimens.
Alternate specimens K2EDTA or sodium heparin plasma (pink or green top tube).
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         40-840
      70 yrs +          52-847

[4016]


C1 ESTERASE INHIBITOR (FUNCTIONAL)
Billing 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)
Billing 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
Billing 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
Billing 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 7-12 days
Method RID
Test includes
C2, mg/dL.
Reference ranges
  
Complement, C2    1.0-4.0  mg/dL

[429]


C3 & C4 COMPLEMENT COMPONENTS
Billing 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 PAML 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
Billing 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 PAML 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
Billing 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 PAML 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
Billing 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 PAML 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
Billing 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 PAML 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
Billing 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 PAML 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]


CA19-9
Billing 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 PAML 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)
Billing 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 PSHMC Trace Metals, PSHMC Immunology, PSHMC 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 (RANDOM)
Billing 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 PSHMC Chemistry, PSHMC 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, URINE 24HR
Billing 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.
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 PSHMC Chemistry, PSHMC 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, WHOLE BLOOD
Billing 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 PSHMC 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
Billing 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 PSHMC 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.
Billing 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 PAML 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.

[7310]


CAH PEDIATRIC PROFILE 6
Billing 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
Billing 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
Billing 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 PAML 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
Billing 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, completely filled  Specimen type Centrifuged Serum SST ONLY  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 SST container to clot 0.5-1 hour. Recommend centrifuging unopened SST container at 1000 RCF for 10-15 minutes. Refrigerate and transport. Transport in original capped (unopened) primary collection container with no further manipulation. Centrifuged capped (unopened) samples are stable at RT-2 hours and refrigerated-1 week. Transport refrigerated sample in original centrifuged capped (unoppened) container.
Stability-   Room temp 2 hours   Refrigerated 1 week   Frozen (-20°C) See notes below.   Frozen (-70°C)
Unacceptable conditions Specimens that have been poured off (aliquot) from original sample container. Specimens shipped on dry ice, hemolyzed or setting in ice cubes only without water. Samples frozen on separator gel. Add on's to a sample that has been uncapped (opened). Cord blood is not acceptable.
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 PSHMC 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.

[446]


CALCIUM, URINE (RANDOM)
Billing 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 PSHMC 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, URINE 24HR
Billing 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.
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 PSHMC 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/CREATININE RATIO
Billing 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 PSHMC 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]


CALPROTECTIN, FECAL
Billing Code CALPFC Test Code CALPFC
Synonyms Calprotectin, Feces; Calprotectin, Stool
Specimen Required
       Container type Leakproof plastic container  Specimen type Stool  Preferred volume 5 grams  Minimum volume 1 gram
Specimen processing Store and transport refrigerated.
Stability-   Room temp 5 days   Refrigerated 5 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Stool in media or preservatives.
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
Billing 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 EDTA, heparin and citrated plasma are acceptable. Test will be run with a disclaimer.
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
Billing Code CAAGAB Test Code CAAGAB
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 IGG, IGA & IGM ANTIBODY PANEL
Billing 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
Billing 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
Billing 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 PAML Toxicology
CPT codes 80102
Test schedule Mon - Fri
Turnaround time 24 -48 hours
Method Gas Chromatography Mass Spectrometry

[7262]


CANNABINOID CONFIRMATION BY TLC. TEST IS ALSO INCLUDED IN DRUG-SUR.
Billing 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 PAML 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.

[7261]


CANNABINOID QUANTITATION
Billing 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 PAML Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EIA
Notes
Positive results will automatically be confirmed by TLC

[7292]


CANNABINOID SCREEN AT 20 NG/ML
Billing 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 PAML Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Notes
Positive results will automatically be confirmed by TLC

[7260]


CANNABINOIDS (QUANTITATIVE)
Billing Code CANNQS Test Code CANNQS
Synonyms Marijuana; THC; Sativex
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 ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 weeks   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Alternate specimens EDTA or K2EDTA plasma(lavender or pink top tube).
CPT codes 82542
Test schedule Mon-Fri
Turnaround time 5-8 days
Method GC-GC-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
Billing 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 PAML Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 - 48 hours
Method EMIT
Notes
Positive results will automatically be confirmed by TLC

[7259]


CARBAMAZEPINE
Billing 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 PAML 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.
Billing 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 PAML 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.

[7311]


CARBAMAZEPINE EPOXIDE & TOTAL(new)
Billing Code CAREPO Test Code CAREPO
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Obtain trough specimen after steady-state is achieved (3-5 days). Draw within one hour prior to next dose. The epoxide half-life is 6-10 hours.
Specimen processing Separate serum from cells within 2 hours and put in a 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 Whole blood, Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Alternate specimens Lavender (K2 or K3EDTA) or pink (K2EDTA).
CPT codes 80156, 80299
Test schedule Mon, Thu
Turnaround time 2-6 days
Method Quantitative Liquid Chromatography-Tandem Mass Spectrometry/Quantitative Immunoassay
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.
  
  

[7521]


CARBAMAZEPINE, FREE & TOTAL
Billing 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 within 2 hours of collection and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 5 days   Refrigerated 5 days   Frozen (-20°C) 4 months   Frozen (-70°C)
Unacceptable conditions Citrated plasma. Tubes that contain liquid anticoagulant.
Alternate specimens SST: Serum in a gel separator tube stored at room temperature is acceptable if separated from the gel within 2 hours. Serum in a gel separator tube stored refrigerated is acceptable if separated from the gel within 1 hour.
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
Billing Code CO HGB Test Code CXHGB
Synonyms Carboxyhemoglobin; COHB; CO HGB; Carbon monoxide
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 PSHMC 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
Billing 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 PAML 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
Billing 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
Billing 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
Billing 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 PAML Chemistry, PAML Immunology, PSHMC 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
Billing 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 PAML Special Immunology
CPT codes 86147x 2
Test schedule Mon-Fri nights
Turnaround time 2-3 days
Method ELISA
Test includes
Cardiolipin Antibody, IgG, GPL; Cardiolipin Antibody, IgM, MPL.
Reference ranges
  
Cardiolipin Ab, IgG           GPL 
 Negative          0-14
 Indeterminate     15-20 
 Positive          GT 20
Cardiolipin Ab, IgM           MPL 
 Negative          0-12
 Indeterminate     13-20
 Positive          GT 20

[320]


CARISOPRODOL & MEPROBAMATE
Billing Code MEPROBAMATE Test Code CARMEP
Synonyms Equanil
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 within 2 hours of collection and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 1 week   Refrigerated 1 month   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD.
Alternate specimens Lavender (K2 or K3EDTA) or pink (K2EDTA).
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]


CARNITINE, FREE & TOTAL
Billing Code CARFTR Test Code CARFTR
Specimen Required
       Container type Green top tube (sodium or lithium heparin)  Specimen type Frozen plasma  Preferred volume 0.5 mL  Minimum volume 0.2 mL
Specimen processing Separate plasma from cells within 2 hours 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.
Alternate specimens Frozen serum (plain red top tube).
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
 32 days-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
 32 days-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
 32 days-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
 32 days-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
Billing 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 PSHMC 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 FRACTIONATED, URINE 24HR
Billing 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.
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 PSHMC 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, PLASMA FRACTIONATED
Billing 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. 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 PSHMC Special Chemistry
CPT codes 82384
Test schedule Mon, Wed, Fri
Turnaround time 1-3 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 ranges assume patient is in 
 a supine position.
Notes
'Standing' ranges typically show norepinephrine up to 700 pg/mL, epinephrine up to 900 pg/mL and dopamine essentially unchanged.

[3116]


CATECHOLAMINES, URINE (RANDOM)
Billing 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 PSHMC 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, STOOL
Billing Code CLAXSN Test Code CLAXSN
Synonyms Clysodrast®; Dulcolax®; Phenolax®
Specimen Required
       Container type Plastic container (acid washed or trace metal-free)  Specimen type Feces  Preferred volume 10 g
Stability-   Room temp Undetermined   Refrigerated Undetermined   Frozen (-20°C) Undetermined   Frozen (-70°C)
CPT codes 80103 x 2, 83735, 84100
Test schedule Varies
Turnaround time Varies. Max lab time: 10-12 days
Method Flame Atomic Absorption Spectroscopy (FAAS) Inductively Coupled Plasma Atomic Emission Spectroscopy (ICP/AES)
Test includes
Magnesium, Phosphorus
Reference ranges
  
Magnesium                                         mg/g
    Magnesium concentrations in stool water
    above the normal levels of 0.7-1.2 mg/mL 
    have been indicative of surreptitious abuse 
    of magnesium containing laxatives.

    NMS Labs calculated normal:
    Approximately 0.5-10 mg/g
    (Based on the reported range of magnesium 
    eliminated per day in stool and the range 
    of stool mass per day in adults.)

Phosphorus                                        mg/g
    Phosphorus concentrations in stool water        
    averaged 1.8 +/- 0.3 mg/mL (ranged from 
    0.3-4.2 mg/mL) following administration 
    of 105 mmol of sodium phosphate.

    NMS Labs calculated normal:
    Approximately 1.4-22 mg/g
    (Based on the reported range of phosphorus 
    eliminated per day in stool and the range of 
    stool mass per day in adults.)
Notes
Purpose: Compliance or Abuse Monitoring (Laxative); Not for clinical diagnostic purposes.

[7561]


CBC WITH MANUAL DIFFERENTIAL
Billing 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 1 mL in a vacutainer or 0.5 mL in a microtainer plus 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 PSHMC 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]


CBC WITH AUTO DIFFERENTIAL
Billing 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 1 mL in a vacutainer or 0.5 mL in a microtainer plus 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 PSHMC 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]


CD19
Billing 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 PSHMC 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
Billing 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 PSHMC 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]


CD4
Billing 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 PSHMC 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
Billing 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 PSHMC 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 DISEASE (HLA-DQA1*05, HLA-DQB1*02, AND HLA-DQB1*03:02) GENOTYPING
Billing Code HLACEL Test Code HLACEL
Specimen Required
       Container type Lavender top tube  Specimen type EDTA whole blood  Preferred volume 3 mL  Minimum volume 2 mL
Specimen processing Store and transport at room temperature or refrigerated.
Required patient info HLA TEST REQUEST FORM RECOMMENDED. Counseling & informed consent are recommended for genetic testing. Consent forms are available online at www.aruplab.com
Stability-   Room temp 1 week   Refrigerated 1 week   Frozen (-20°C) unacceptable   Frozen (-70°C)
Alternate specimens K2EDTA or ACD Solution A or B whole blood (pink or yellow top tubes).
CPT codes 83891, 83898, 83900, 83912 Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders
Test schedule Varies
Turnaround time 12 days
Method PCR/FM
Test includes
Celiac (HLA-DQA1*05); Celiac (HLA-DQB1*02); Celiac (HLA-DQB1*03:02); Celiac HLA Interpretation.
Reference ranges
  
Celiac (HLA-DQA1*05)
Celiac (HLA-DQB1*02)
Celiac (HLA-DQB1*03:02)
Celiac HLA Interpretation 

[7512]


CELIAC PANEL, BASIC
Billing 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 PAML Special Immunology
CPT codes 83516 x 2
Test schedule Tue-Sat
Turnaround time 1-3 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
Billing 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 PAML Special Immunology, PAML 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; Gliadin Antibody, IgA, Units; Gliadin Antibody, IgG, Units; 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.
Gliadin Ab, IgA                Units
 Negative        LT 20
 Weak to Mod Pos 20-30
 Positive        GT 30
 This test is performed using a deamidated gliadin peptide (DGP) assay.
Gliadin Ab, IgG                Units
 Negative        LT 20
 Weak to Mod Pos 20-30
 Positive        GT 30
 This test is performed using a deamidated gliadin peptide (DGP) assay.
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
Billing 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 PAML Special Immunology, PAML 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
Billing 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 PAML Special Immunology, PAML 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; Gliadin Antibody, IgA, Units; Gliadin Antibody, IgG, Units.
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
Gliadin Ab, IgA                Units
 Negative         LT 20
 Weak to Mod Pos  20-30
 Positive         GT 30
 This test was performed using a deamidated gliadin peptide (DGP) assay.
Gliadin Ab, IgG                Units
 Negative         LT 20
 Weak to Mod Pos  20-30
 Positive         GT 30
 This test was performed using a deamidated gliadin peptide (DGP) assay.
 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
Billing 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 PSHMC 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
Billing 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 PSHMC 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, IGG
Billing 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 PAML Special Immunology
CPT codes 83516
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex
Test includes
Centromere B Autoantibody, IgG, AI.
Reference ranges
  
Centromere B Auto-    Negative       LT 1.0       AI
 antibody, IgG        Positive       1.0 or more

[478]


CEPHALEXIN LEVEL, BA
Billing Code CEPBA Test Code CEPBA
Synonyms Keflex
Specimen Required
       Container type Red top tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Collection procedure Specimens collected just before or within 15 minutes of the next dose represent the TROUGH levels. Specimens obtained within 15-30 minutes after the end of IV infusion or 45-60 minutes after an IM injection or 90 minutes after oral intake represent the PEAK level.
Specimen processing Separate serum from the cells and put in separate plastic tube and freeze. Store and transport frozen.
Stability-   Room temp Unacceptable   Refrigerated Unacceptable   Frozen (-20°C) 30 days   Frozen (-70°C)
Unacceptable conditions Room temperature or refrigerated samples, SST tubes and all other fluids.
CPT codes 80299
Test schedule Mon-Fri
Turnaround time 5-6 days
Method Bioassay
Test includes
Cephalexin Level, ug/mL.
Reference ranges
  
Cephalexin Level         ug/mL
 Peak serum     250 mg    9 ug/mL 
                500 mg    18 ug/mL 
                1 gram    32 ug/mL 
                Any undisclosed antibiotics might affect the results.
                Peak concentrations average, oral, hour post dosing.

[7049]


CERULOPLASMIN
Billing 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 PAML 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
Billing 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 PAML Special 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
Billing Code CHEMRA Test Code CHEMRA
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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 PAML 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
Billing 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
Billing 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
Billing 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
Billing 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
Billing 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 DFA
Billing 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 slidea as directed by the kit. Indicate source. Store and transport at room temperature or refrigerated.
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 (TMA)
Billing Code APTCT Test Code APTCT
This code may be used for conjunctival specimens. Aptima collection kits required. This test is not recommended for use with genital or urine specimens in prepubescent children or medicolegal cases.
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 & urethral swabs not collected in the Aptima Swab and specimens collected and submitted with the white cleaning swab, which is for preparatory cleaning. GENPROBE PACE 2 collection tubes are 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 PAML Virology
CPT codes 87491
Test schedule Daily
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 by Gen-Probe APTIMA
Test includes
Source; Chlamydia trachomatis by Amplified RNA.
Reference ranges
  
Source
Chlamydia trachomatis by Amplified RNA        Not detected

[491]


CHLAMYDIA TRACHOMATIS CULTURE
Billing 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 PAML 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
Billing 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 (TMA)
Billing Code APTCG Test Code APTCG
This test is not recommended for use in prepubescent children or medicolegal cases. Aptima collection kits required. For conjunctival specimens, order APTCT only (not approved for gonorrhea testing).
Synonyms Molecular; Chlamydia trachomatis/GC by Amplified Detection (TMA)
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 PAML Virology
CPT codes 87491, 87591
Test schedule Daily
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 by Gen-Probe APTIMA
Test includes
Source; Chlamydia trachomatis by Amplified RNA; Neisseria gonorrhoeae by Amplified by RNA.
Reference ranges
  
Source
Chlamydia trachomatis by Amplified RNA    Not detected
Neisseria gonorrhoeae by Amplified RNA    Not detected

[493]


CHLAMYDIA TRACHOMATIS/NEISSERIA GONORRHOEAE BY SDA, PAP VIAL
Billing Code VIPCG Test Code VIPCG
Specimens collected in BD SurePath Preservative Fluid or PreservCyt Solution are tested using an aliquot that is removed prior to processing for either the BD SurePath or ThinPrep PAP test. No add-on requests to specimens already processed for PAP will be accepted.
Synonyms Molecular; Chlamydia trachomatis/GC by Amplified Detection; PCR; Chlamydia; Gonorrhoeae
Specimen Required
       Container type BD SurePath or ThinPrep(PreservCyt) vial.  Specimen type Endocervical specimen.
Collection procedure BD SurePath or ThinPrep (PreservCyt) specimens must be collected using either an endocervical broom or a brush/spatula combination. Aliquot for this test must be removed prior to PAP testing processing. Specimens collected in BD SurePath Preservative Fluid or ThinPrep (PreservCyt) solution are tested using an aliquot that is removed prior to processing for either the BD SurePath or ThinPrep PAP test. No add-on requests to specimens already processed for PAP will be accepted.
Specimen processing Store and transport at room temperature.
Stability-   Room temp 1 month   Refrigerated 1 month   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Requests for add-on testing after PAP processing.
Department PAML Virology
CPT codes 87491, 87591
Test schedule Varies
Turnaround time 2-4 days
Method SDA
Test includes
C. trachomatis DNA, SDA; N. gonorrhoeae DNA, SDA.
Reference ranges
  
C. trachomatis DNA, SDA     Not Detected
N. gonorrhoeae DNA, SDA     Not Detected
Notes
Additional testing is recommended in any circumstance when false positive or false negative results could lead to adverse medical, social, or psychological consequences.

[7178]


CHLAMYDOPHILA PNEUMONIAE DNA QUAL RT-PCR
Billing Code CPDNAF Test Code CPDNAF
Synonyms chlamydia
Specimen Required
       Container type Leakproof plastic container  Specimen type Bronchial wash/lavage or sputum.  Preferred volume 1 mL  Minimum volume 0.3 mL
Specimen processing Store and transport refrigerated.
Required patient info Source
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 3-4 days
Method Real-Time PCR
Test includes
Source; Chlamydophila pneumoniae PCR
Reference ranges
  
Source
Chlamydophila pneumoniae      Not detected

[7393]


CHLORALHYDRATE
Billing 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
Billing 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
Billing 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 0.5 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 or plasma from cells within 2 hours of collection and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 2 days   Refrigerated 3 weeks   Frozen (-20°C) 3 weeks   Frozen (-70°C)
Unacceptable conditions Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Alternate specimens Lavender (K2 or K3EDTA) or pink (K2EDTA).
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
Billing 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 PAML 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
Billing 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 PSHMC 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
Billing 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 PSHMC 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 (RANDOM)
Billing 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 PAML 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]


CHLORIDE, URINE 24HR
Billing 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.
Required patient info Collection period and total volume.
Stability-   Room temp   Refrigerated 7 days   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens Frozen specimens.
Department PAML 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]


CHLORPROMAZINE
Billing Code THOR Test Code CHLORP
Synonyms Thorazine
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 1 mL
Collection procedure Draw 8-12 hours post dose.
Specimen processing Separate serum or plasma from cells within 2 hours 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)
Unacceptable conditions Whole blood. Light blue (citrate) or yellow (SPS or ACD solution).
Alternate specimens SST or PST: Separate serum or plasma from gel within 6 hours and hold at room temperature or separate within 2 hours and store refrigerated. Lavender (K2 or K3EDTA) or pink (K2EDTA).
Limitations Avoid the use of serum separator tubes and gels. Protect from light.
CPT codes 84022
Test schedule Sun, Tue, Thu
Turnaround time 3-7 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
Billing 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 PAML 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
Billing 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 AUTOANTIBODY, IGG
Billing 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 PAML Special Immunology
CPT codes 86235
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex
Test includes
Chromatin Autoantibody,IgG, AI.
Reference ranges
  
Chromatin Auto-       Negative       LT 1.0       AI
 antibody, IgG        Positive       1.0 or more

[505]


CHROMIUM
Billing 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 24HR [ARUP]
Billing 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. 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 7 days   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
Billing 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 1 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) or any tubes containing heparin based anticoagulants.
CPT codes 82495
Test schedule Mon-Fri
Turnaround time 1-3 days
Method ICP/MS
Test includes
Chromium, Blood, mcg/L.
Reference ranges
  
Chromium, Blood  LT 1.0  Normal blood values  mcg/L

[508]


CHROMOGRANIN A
Billing 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.
Stability-   Room temp 48 hours   Refrigerated 2 weeks   Frozen (-20°C) 6 weeks   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 Cisbio Chromoa EIA
Test includes
Chromogranin A, ng/mL.
Reference ranges
  
Chromogranin A      0-95       ng/mL
 This assay is performed using Cisbio
 Chromoa EIA. 
 Results obtained with different assay
 methods or kits cannot be used
 interchangeably.

[509]


CHROMOSOME MICROARRAY TESTING
Billing Code SNPMA Test Code SNPMA
Synonyms aCGH; CGH; SNP; Array; Affymetrix; LOH; CNV; SNP6.0; copy number; deletion; duplication
Specimen Required
       Container type EDTA and Sodium heparin (lavender and green top tubes).  Specimen type EDTA and sodium heparin whole blood  Preferred volume 5 mL  Minimum volume 1 mL or full EDTA microtainer
Specimen processing Store and transport at room temperature. If delayed more than 72 hours, store and transport refrigerated. Do not freeze.
Required patient info A completed pre-authorization form is required with specimen submission.
Stability-   Room temp 72 hours   Refrigerated 5 days   Frozen (-20°C) Unstable   Frozen (-70°C) Unstable
Unacceptable conditions Serum, frozen whole blood, severely hemolyzed specimens, specimens in leaky containers or over 5 days old. Also specimens not received in the original collection tube and frozen specimens.
Alternate specimens ACD whole blood (yellow top tube) or sodium citrate whole blood (blue top tube).
Limitations This assay does not detect balanced rearrangements or low-level mosaicism.
Department PAML Cytogenetics
CPT codes 83891, 83892 x 4, 83898, 88386 x 6
Test schedule Weekly
Turnaround time 2-4 weeks
Method Microarray
Test includes
SNP Microarray.
Reference ranges
  
SNP Microarray

[7477]


CHRONIC URTICARIA INDEX [IBT]
Billing 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]


CHRONIC URTICARIA PANEL
Billing Code CURTP Test Code CURTP
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 4.4 mL  Minimum volume 2.2 mL
Patient Prep Patients taking calcineurin inhibitors should stop their medication for 72 hours prior to draw.
Specimen processing Separate serum from cells and put in separate plastic tube.
Stability-   Room temp 4 days   Refrigerated 7 days   Frozen (-20°C) 28 days   Frozen (-70°C)
Unacceptable conditions Gross hemolysis, Lipemia, Icteric specimen, sample other than serum, serum separator tube (SST)
CPT codes 84443, 86343, 86376, 86800
Test schedule Histamine Release: Tue, Thurs - 3-8 days, Thyrpoid Peroxidase Ab: Mon-Fri - 4-7 days, Thyroglobulin Ab: Tue-Sat - 3-6 days, TSH, 3rd Generation: Mon-Fri - 4-7 days
Method Immunochemiluminometric Assay by ADVIA Centaur, Cell Culture, Immunoassay
Test includes
Histamine Release (Chronic Urticaria); Thyroid Peroxidase Antibody (Anti-TPO); Thyroglobulin Antibody; TSH, 3rd Generation
Reference ranges
  
Histamine Release                               LT 16              %
Thyroid Peroxidase Antibody                     LT 35              IU/mL
Thyroglobulin Antibody                          LT 20              IU/mL
  If the sample contains anit-thyroglobuin 
  antibodies of greater thatn 19 IU/mL, the
  presence of these antibodies may cause 
  falsely low thyroglobulin values.      
      
TSH, 3rd Generation                                                mIU/L
      
 Premature Infants, 28-36 weeks      
   1st week of life                             0.20-27.90         mIU/L
 Term infants, (GT 37 weeks)      
 Serum or Cord Blood                            1.00-39.00         mIU/L
   LT or = 4 days                               3.20-35.00         mIU/L
   5-6 days                                     Not Established   
   1-4 weeks                                    1.70-9.10          mIU/L
   1-11 months                                  0.80-8.20          mIU/L
   1-19 years                                   0.50-4.30          mIU/L
   GT or = 20 years                             0.40-4.50          mIU/L
  Pregnancy Ranges      
   First Trimester                              0.26-2.66   
   Second Trimester                             0.55-2.73   
   Third Trimester                              0.43-2.91   
      
TSH levels decline rapidly during the      
first week of life in most children, but may      
remain transiently elevated in a few      
individuals despite normal free T4 levels.      
For confirmatory testing following a positive      
newborn thyroid screen, a free (or total) T4      
level is usually required for proper      
interpretation of TSH levels in this group.

[7588]


CHYLOMICRON SCREEN, BODY FLUID
Billing Code CHYSBF Test Code CHYSBF
Specimen Required
       Container type Leakproof plastic tube.  Specimen type Body fluid.  Preferred volume 1 mL  Minimum volume 0.2 mL
Specimen processing Store and transport refrigerated.
Required patient info Type of body fluid.
Stability-   Room temp Unacceptable   Refrigerated 1 week   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Plasma, serum, or whole blood. Frozen specimens.
CPT codes 82664
Test schedule Thu
Turnaround time 2-9 days
Method Electrophoresis
Test includes
Source; Chylomicron Screen.
Reference ranges
  
Source
Chylomicron Screen     Absent

[7038]


CIMETIDINE
Billing 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.
Billing 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 PAML 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.

[7312]


CITALOPRAM
Billing Code CELEX Test Code CELEX
Synonyms Celexa; Celexa/Lexapro
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 at refrigerated.
Stability-   Room temp 30 days   Refrigerated 30 days   Frozen (-20°C) 30 days   Frozen (-70°C)
Unacceptable conditions Do not use SST or PST gel type tubes.
Alternate specimens EDTA OR K2 EDTA plasma (lavender or pink top tube).
CPT codes 83789
Test schedule varies
Turnaround time varies
Method LC-MS/MS
Test includes
Citalopram, ng/mL.
Reference ranges
  
Citalopram                   ng/mL
 Steady-state serum or plasmalevels from
 patients on a daily regimen of
 30-60 mg citalopram:  9-200.

[511]


CITALOPRAM (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Billing 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 PAML 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.

[7313]


CITRIC ACID, URINE 24HR [ARUP]
Billing 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.
Required patient info Record total volume and collection time interval on the transport tube and request form.
Stability-   Room temp 8 hours   Refrigerated 7 days   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
Billing 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 PSHMC 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
Billing 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
       
Department PSHMC Hematology
CPT codes 80500
Test includes
Reviewed material; Interpretation; Reviewed by; Comment.
Reference ranges
  
Reviewed material
Interpretation
Reviewed by
Comment

[514]


CLOMIPRAMINE & METABOLITE
Billing Code CLOMIP Test Code CLOMIP
Synonyms Anafranil
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 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 5 days   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Alternate specimens Lavender (K2 or K3EDTA) or pink (K2EDTA).
Limitations Avoid the use of serum separator tubes and gels. See notes in unacceptable conditions.
CPT codes 80299
Test schedule Sun-Sat
Turnaround time 3-4 days
Method LC-MS
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
Billing Code CLON Test Code CLON
Synonyms Klonopin
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 within 2 hours of collection 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)
Unacceptable conditions Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Alternate specimens Lavender (K2 or K3EDTA) or pink (K2EDTA).
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
Billing Code CLONIDINE Test Code CLONID
Synonyms Catapres
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 ASAP and place in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 30 days   Refrigerated 30 days   Frozen (-20°C) 30 days   Frozen (-70°C)
Unacceptable conditions SST or PST tubes.
Alternate specimens EDTA or K2EDTA plasma (lavender or pink top 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
Billing Code TRAN Test Code CLORAZ
Synonyms Tranxene
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 within 2 hours of collection 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)
Unacceptable conditions Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Alternate specimens Lavender (K2 or K3EDTA) or pink (K2EDTA).
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
Billing 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) Specimens can still be tested after one freeze and thaw cycle.   Frozen (-70°C) Specimens can still be tested after one freeze and thaw cycle.
Unacceptable conditions Formed or hard stool, urine, toilet paper, water or soap contamination of specimen.
Department PSHMC 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
Billing Code CDIFAB Test Code CDIFAB
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 Unacceptable   Refrigerated 2 weeks   Frozen (-20°C) 30 days   Frozen (-70°C)
Unacceptable conditions Stool, other sterile body fluids, specimens received at room temperature.
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
 1:2 or less
 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
Billing 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 PAML 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
Billing Code CLOZ Test Code CLOZ
Synonyms Clozaril; Fazacoi; Froidir; Leponex
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.
Stability-   Room temp 7 days   Refrigerated 1 month   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.
Department PAML Bioanalytics
CPT codes 80299
Test schedule Tue, Thu
Turnaround time 1-4 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.
Notes
Diazepam may interfere with this assay and produce unreliable results.

[7392]


CO2
Billing 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 PAML 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 PROFILE
Billing 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 PSHMC 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      No longer reported 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]


COBALT, BLOOD
Billing Code COBABA Test Code COBABA
Synonyms Co, Blood; COB
Specimen Required
       Container type K2EDTA or Na2EDTA (royal blue top tube)  Specimen type Whole blood  Preferred volume 7 mL  Minimum volume 0.5 mL
Patient Prep Patients should be encouraged not to take nutritional supplements, vitamins, minerals, & nonessential over-the-counter medications (upon advice of their physician).
Specimen processing Store and transport in original collection tube at room temperature.
Stability-   Room temp If the specimen 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 anticoagulants.
CPT codes 83018
Test schedule Tue & Fri
Turnaround time 2-6 days
Method ICP/MS
Test includes
Cobalt, Blood ug/L.
Reference ranges
  
Cobalt, Blood       0.5-3.9     ug/L

[7229]


COBALT, SERUM OR PLASMA
Billing Code COBASA Test Code COBASA
Synonyms COS
Specimen Required
       Container type Plain royal blue top tube  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Patient Prep Patients should be encouraged not to take nutritional supplements, vitamins, minerals, & nonessential over-the-counter medications (upon advice of their physician).
Specimen processing Separate serum from the cells ASAP and put into a ARUP Trace Element-Free Transport Tube. Store and transport at room temperature.
Stability-   Room temp If the specimen 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 SST & specimens not separated form the red cells or clot within 6 hours.
Alternate specimens EDTA plasma (royal blue top tube EDTA).
CPT codes 83018
Test schedule Tue & Fri
Turnaround time 2-6 days
Method ICP/MS
Test includes
Cobalt, ug/L.
Reference ranges
  
Cobalt       1.0 or less     ug/L

[7155]


COBALT, URINE 24HR [ARUP]
Billing Code COBAUA Test Code COBAUA
Synonyms Co, Urine; COU
Specimen Required
       Container type Leakproof plastic urine container  Specimen type Random or 24-hour urine collection.  Preferred volume 10 mL  Minimum volume 5 mL
Patient Prep Patients should be encouraged not to take nutritional supplements, vitamins, minerals, & nonessential over-the-counter medications (upon advice of their physician).
Collection procedure Collect a random or 24-hour urine collection in a leakproof plastic urine container. Refrigerate during collection.
Specimen processing Submit 10 mL aliquot from a well-mixed urine collection inot two trace element-free transport tubes.
Required patient info Record total volume and collection time on tube & request form.
Stability-   Room temp 7 days   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 contrast media (may occur with MRI studies). Acid preserved urine.
CPT codes 83018
Test schedule Wed, Sat
Turnaround time 2-6 days
Method ICP/MS
Test includes
Hrs Collected, hrs; Total Volume, mL; Creatinine, Ur, mg/dL; Creatinine, Ur, mg/d; Cobalt, Urine,ug/L; Cobalt, Urine, ug/d; Cobalt, Urine, ug/gCRT.
Reference ranges
  
Hours Collected                     hr
Total Volume                        mLs
Creatinine, Ur                      mg/dL
Creatinine, Ur  
 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
Cobalt, Ur        0.1-2.0           ug/L
Cobalt, Ur        0.1-2.0           ug/d
Cobalt, Ur        No reference      ug/gCRT
                  interval         
Notes
Diet, medication, and nutritional supplements may introduce interfering substances.

[7230]


COCAINE & METABOLITES
Billing 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.
Stability-   Room temp 1 day   Refrigerated 10 days   Frozen (-20°C) 2 weeks   Frozen (-70°C)
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.
Billing 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 PAML 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.

[7363]


COCAINE CONFIRMATION BY GC/MS
Billing 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 PAML 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

[7265]


COCAINE CONFIRMATION BY TLC. TEST IS ALSO INCLUDED IN DRUG-SUR.
Billing 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.

[7264]


COCAINE SCREEN
Billing 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 PAML Toxicology
CPT codes 80101
Test schedule Mon - Fri
Turnaround time 24 -48 hours
Method EMIT
Notes
Positive results will automatically be confirmed by TLC

[7263]


COCCIDIOIDES ANTIBODIES, IGG & IGM BY ELISA
Billing 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
Billing 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 BY ID
Billing Code COCID Test Code COCID
Synonyms Coccidioidomycosis IgG/IgM (Coccidioides Antibody by ID); San Joaquin Fever Antibody (Coccidioides Antibody by ID); Valley Fever (Coccidioides Antibody by ID)
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 0.5 mL  Minimum volume 0.15 mL.
Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 48 hours   Refrigerated 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Bloody or grossly hemolyzed specimens. Avoid repeated freeze/ thaw cycles.
Alternate specimens CSF.
CPT codes 86635
Test schedule Sun-Fri
Turnaround time 4-6 days
Method Qualitative Immunodiffusion
Test includes
Coccidioides Antibody by ID.
Reference ranges
  
Coccidioides Antibody by ID     None Detected
Notes
This test uses culture filtrates of Coccidioides immitis and includes IDCF and IDTP antigens.

[7510]


COCCIDIOIDES ANTIBODY PANEL, CSF
Billing 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
Billing 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 DNA
Billing 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 CONFIRMATION BY LC/MS
Billing 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

[7366]


COENZYME Q10A, TOTAL
Billing 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 0.3 mL
Patient Prep Patient should fast overight. May have water.
Specimen processing Separate serum from cells and and place in separate, amber plastic tube and freeze. Store and transport frozen. Protect from light within 1 hour of collection and during storage and transport.
Stability-   Room temp unacceptable   Refrigerated 3 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Samples other than heparinized plasma or serum, hemolyzed or not protected from light.
Alternate specimens SST or PST tubes, sodium or lithium heparin plasma.
Limitations Avoid repeated freeze-thaw cycles.
CPT codes 82491
Test schedule Sun, 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
Billing 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 PAML 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]


COLLAGEN TYPE II ANTIBODY
Billing Code CT2ABI Test Code CT2ABI
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 put in separate plastic tube. Store and transport frozen.
Stability-   Room temp 2 days   Refrigerated 5 days   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Grossly hemolyzed, lipemic or icteric samples. Avoid repeated freeze/thaw cycles.
CPT codes 83520
Test schedule Varies
Turnaround time 8-10 days
Method ELISA
Test includes
Collagen Type II Antibodies, EU/mL;
Reference ranges
  
Collagen Type II Antibodies			LT 20 Negative	EU/mL
				Negative	LT 20	
				Borderline	20-25	
				Equivocal		
				Positive	GT 25	
						Anti-collagen II Abs occur in 22%
						of patients with idiopatic SNHL,
						30% of patients with sudden
						deafness and 20% of patients with
						Meniere's disease. Anti-collagen
						II antibodies also occur in
						patients with relapsing poly-
						chondritis and in rheumatoid
						arthritis.
						This test was developed and its
						performance characteristics
						determined by IMMCO. It has no
						been cleared or approved by the
						U.S. Food and Drug Administration.

[7544]


COLONY COUNT DIALYSATE
Billing 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 PSHMC 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
Billing 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 PSHMC 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
Billing 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 C1Q
Billing Code CC1QSM Test Code CC1QSM
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.5 mL
Patient Prep Patient should be fasting.
Specimen processing Separate serum from the cells and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 21 days   Refrigerated 21 days   Frozen (-20°C) 21 days   Frozen (-70°C)
Unacceptable conditions Grossly lipemic samples.
CPT codes 86160
Test schedule Mon-Sat
Turnaround time 4-5 days
Method Nephelometry
Test includes
Complement C1q, mg/dL.
Reference ranges
  
Complement C1q    12-22 mg/dL

[7228]


COMPLEMENT COMPONENT 1, FUNCTIONAL
Billing 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
Billing 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
Billing 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
Billing 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
Billing 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 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 month   Frozen (-70°C)
Unacceptable conditions Ambient sample, gross hemolysis, and lipemia.
Alternate specimens EDTA or potassium EDTA PPT plasma (lavender or white top tube).
CPT codes 86160
Test schedule 2 days a week
Turnaround time 5-10 days
Method RID
Test includes
C9, mg/dL.
Reference ranges
  
C9   6-29    mg/dL
 Low levels of C9 indicate either catabolism or decreased synthesis.

[3108]


COMPLEMENT SPLIT PRODUCT C3AL
Billing Code C3AL Test Code C3AL
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 Daily
Turnaround time 21 days
Method RIA
Test includes
Complement Split Product C3AL, ng/mL.
Reference ranges
  
Complement Split Product C3AL  0-940 ng/mL

[539]


COMPLEX DRUG ANALYSIS
Billing Code CDA Test Code CDA
Specimen Required
       
Department PAML 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.

[7295]


COMPLIANCE METHADONE TESTING
Billing 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 PAML 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.

[7298]


COMPLIANCE MORPHINE TESTING
Billing 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 PAML 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.

[7297]


COMPLIANCE OPIATE (ALTERNATE) CONFIRMATION BY GC/MS. INCLUDES OXYCODONE, HYDROCODONE, HYDROMORPHONE.
Billing 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 PAML 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.

[7371]


COMPLIANCE OXYCODONE TESTING
Billing 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 PAML 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.

[7296]


COMPREHENSIVE DRUG SURVEY
Billing 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 PAML Toxicology
CPT codes 80100, 80101 x 11
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.

[7290]


COMPREHENSIVE DRUG SURVEY/GASTRIC
Billing 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 PAML 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.

[7291]


COMPREHENSIVE METABOLIC PANEL
Billing 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. Add-ons are acceptable without a CO2 within 14 days of collection, when refrigerated.   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 PAML 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]


COMPREHENSIVE METABOLIC PANEL WITH GFR
Billing Code CMPD Test Code CMPD
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. Add-ons are acceptable without a CO2 within 14 days of collection, when refrigerated and protected from light..   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(green top tube).
Limitations Avoid hemolysis.
Department PAML Chemistry
CPT codes 80053
Test schedule Mon-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; Estimated Glomerular Filtration Rate, mL/min/1.73m2.
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
Estimated Glomerular                               mL/min/1.73m2
 Filtration Rate     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
Hemolysis will cause elevated potassium values and minimal volumes will concentrate. Plasma is not recommended since fibrinogen will add to the protein being measured.

[7427]


CONNECTIVE TISSUE DISEASE (REFLEXIVE)
Billing Code CTD Test Code CTD
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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 PAML Special Immunology, PAML Immunology
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
Billing 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. An additional fee will be added if the reflex test is necessary.
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.
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 PSHMC Molecular Diagnostics
CPT codes 83891, 83898, 83904 x 3, 83912, 83909 x 3
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 CONN30) deletion testing when only a single mutation has been identified in the coding region of the GJB2 gene.

[5769]


CONSULT/REVIEW, FLUID
Billing 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 PSHMC 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
Billing 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 PAML 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
Billing 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 PAML 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)
Billing Code ABS Test Code MABS
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Synonyms Indirect Coombs (ICM); Antibody Screen; Indirect Antiglobulin, Screen
Specimen Required
       Container type Red top tube (plain) will only be needed if the Antibody Screen is positive 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.
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 PAML 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)
Billing 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 PAML 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
Billing 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 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 PSHMC Chemistry, PSHMC 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, LIVER
Billing Code CULIA Test Code CULIA
Synonyms Cu, Liver; Hepatic Copper Concentration; Quantitative Copper; Tissue, Wilson's Disease
Specimen Required
       Container type Metal-Free container (Royal blue top tube)  Specimen type Frozen liver tissue. Tissue can be fresh, paraffin-embedded, formalin-fixed or dried.  Preferred volume 1 cm tissue  Minimum volume Must be at least 1 cm long
Collection procedure Obtain with an 18 gauge needle.
Specimen processing Samples (except paraffin blocks) should be stored & transported in a metal-free container such as a royal blue top tube. Store and transport frozen.
Stability-   Room temp Fresh tissue-unacceptable; Paraffin block, preserved (formalin or dried)-indefinitely   Refrigerated Fresh tissue-1 week; Paraffin block, preserved (formalin or dried)-indefinetly   Frozen (-20°C) Fresh tissue-indefinetly   Frozen (-70°C)
Unacceptable conditions Samples less than 0.25 mg (dry weight) & paraffin blocks that have been processed with Hollande's or other copper-containing stain.
Alternate specimens Formalin is acceptable but not preferred.
CPT codes 82525
Test schedule Mon, Wed, Fri
Turnaround time 4-8 days
Method ICP/MS
Test includes
Cu Weight, mg; Hepatic Copper Concentration, ug/g.
Reference ranges
  
CU Weight                     mg
Hepatic Copper    15.0-55.0   ug/g
Concentration

[7077]


COPPER, URINE 24HR [ARUP]
Billing 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 8 mL  Minimum volume 1 mL
Patient Prep Diet, medications and supplements may interfere. Patients should be encouraged to discontinue non-essential items prior to collection. High concentrations of iodine may interfere. Discontinue 1 month prior to collection.
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 8 mL of a well-mixed 24-hour urine collection or random urine collection into a leakproof plastic urine container. 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 trasnport tube and request form.
Stability-   Room temp 7 days   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 AND III, URINE 24HR [MAYO]
Billing 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.
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
Billing Code UMB12 Test Code UMB12
Synonyms Umbilical
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.
CPT codes 80101 x 12
Method ELISA
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 5.0     ng/g
Metamphetamine       LT 5.0     ng/g
MDA                  LT 5.0     ng/g
MDMA                 LT 5.0     ng/g
MDEA                 LT 5.0     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
Notes
Positive results will automatically be confirmed by GC/MS or LC/MS-MS.

[5373]


CORDSTAT 12 SM DRUG SCREEN + PETH
Billing Code UMB12P Test Code UMB12P
Synonyms Umbilical
Specimen Required
       Container type Umbilical cord container  Preferred volume 6-8 inches
Collection procedure Drain cord and discard any cord blood. Rinse exterior with normal saline and place in the umbilical cord container and sign the completed requisition form. Important: Avoid any contact of ethanol liquid or vapor with the umbilical cord.
Stability-   Room temp 7 days   Refrigerated 3 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Limitations Avoid any contact of ethanol liquid or vapor with the umbilical cord.
CPT codes 80101 x 13
Test schedule Varies
Turnaround time 3-6 days
Method ELISA/LC/MS-MS
Test includes
Amphetamines, Barbiturates, Benzodiazephines, Cocaines, Methadones, Meperidine, Opiates, PCP, Oxycodone, Propoxyphene, Cannabinoids, Tramadol, Phosphatidyl Ethanol.
Reference ranges
  
Cordstat 12 Result     Negative   
Amphetamines           Negative      ng/g
  Amphetmaine            LT 5.0      ng/g
  Methamphetamine        LT 5.0      ng/g
  MDA                    LT 5.0      ng/g
  MDMA                   LT 5.0      ng/g
  MDEA                   LT 5.0      ng/g
Barbiturates           Negative      ng/g
  Butalbital             LT 1.0      ng/g
  Amobarbital            LT 1.0      ng/g
  Pentobarbital          LT 1.0      ng/g
  Secobarbital           LT 1.0      ng/g
  Pheobarbital           LT 1.0      ng/g
Benzodiazepines        Negative      ng/g
  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
Cocaines               Negative      ng/g
  Benzoylecgonine        LT 1.0      ng/g
Methadones             Negative      ng/g
  Methadones             LT 2.0      ng/g
  EDDP                   LT 2.0      ng/g
Meperidine             Negative      ng/g
  Meperidine             LT 2.0      ng/g
  Normeperidine          LT 2.0      ng/g
Opiates                Negative      ng/g
  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      ng/g
  Phencyclidine          LT 1.0      ng/g
Oxycodone              Negative      ng/g
  Oxycodone              LT 2.0      ng/g
  Oxymorphone            LT 2.0      ng/g
Propoxyphene           Negative      ng/g
  Propoxyphene           LT 2.0      ng/g
  Norpropoxyphene        LT 2.0      ng/g
Cannabinoids           Negative      pg/g
  Carboxy-THC            LT 50       pg/g
Tramadol               Negative      ng/g
  Tramadol               LT 2.0      ng/g
Phosphatidyl Ethanol   Negative      ng/g
  Phosphatidyl Ethanol   LT 10.0     ng/g
Certification
Notes
Positive results will automatically be confirmed by GC/MS or LC/MS-MS.

[7563]


CORDSTAT 13 DRUG SCREEN
Billing Code UMB13 Test Code UMB13
Synonyms Umbilical
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 sruface with normal saline and place in the umbilical cord container & sign the completed requisition form.
Stability-   Room temp 7 days   Refrigerated 3 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
CPT codes 80101 x 13
Test schedule Varies
Turnaround time 3-6 days
Method ELISA
Test includes
CordStat 13 Result; Amphetamines, ng/g; Amphetamines, ng/g; Methamphetamine, ng/g; MDA, ng/g; MDMA, ng/g; MDEA, ng/g; Barbituates, ng/g; Butalbital, ng/g; Amobarbital, ng/g; Pentobarbital, ng/g; Secobarbital, ng/g; Phenobarbital, ng/g; Buprenorphine ng/g; Buprenorphine, ng/g; Norbuprenorphine, ng/g; Benzodiazepine, ng/g; Midazolam, ng/g; Oxazepam, ng/g; Alprazolam, ng/g; Temezepam, ng/g; Nordiazepam, ng/g; Diazepam, ng/g; Cocaine, ng/g; Benzoylecgonine, ng/g; Methadones, ng/g; Methadone, ng/g; EDDP, ng/g; Meperidine, ng/g; Meperidine, ng/g; Normeperidine, ng/g; Opiates ng/g; Codeine, ng/g; Morphine, ng/g; Hydrocodone, ng/g; Hydromorphone, ng/g; 6-MAM, ng/g; PCP, ng/g; Phencyclidine, ng/g; Oxycodone, ng/g; Oxycodone, ng/g; Oxymorphone, ng/g; Propoxyphene, ng/g; Propoxyphene, ng/g; Norpropoxphene, ng/g; Cannabinoids, pg/g; Carboxy-THC, pg/g; Tramadol, ng/g; Tramadol, ng/g; Certification.
Reference ranges
  
CordStat 13 Results  Negative   
Amphetamines         Negative    
Amphetamines         LT 5.0   ng/g
Metamphetamine       LT 5.0   ng/g
MDA                  LT 5.0   ng/g
MDMA                 LT 5.0   ng/g
MDEA                 LT 5.0   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
Buprenorphine        Negative    
Buprenorphine        LT 1.0   ng/g
Benzodiazepine       Negative    
Midazolam            LT 2.0   ng/g
Oxazepma             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      
Notes
Supplies are available from the PAML Supply Department. Positive results will automatically be confirmed by GC/MS or LC/MS-MS.

[7540]


CORDSTAT 5 DRUG SCREEN
Billing Code UMB5 Test Code UMB5
Synonyms Umbilical
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.
CPT codes 80101 x 5
Method ELISA
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 5.0     ng/g
Metamphetamine       LT 5.0     ng/g
MDA                  LT 5.0     ng/g
MDMA                 LT 5.0     ng/g
MDEA                 LT 5.0     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
Notes
Positive results will automatically be confirmed by GC/MS or LC/MS-MS.

[5374]


CORDSTAT 7 DRUG SCREEN
Billing Code UMB7 Test Code UMB7
Synonyms Umbilical
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.
CPT codes 80101 x 7
Method ELISA
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 5.0     ng/g
Metamphetamine       LT 5.0     ng/g
MDA                  LT 5.0     ng/g
MDMA                 LT 5.0     ng/g
MDEA                 LT 5.0     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
Notes
Positive results will automatically be confirmed by GC/MS or LC/MS-MS.

[5375]


CORDSTAT 9 DRUG SCREEN
Billing Code UMB9 Test Code UMB9
Synonyms Umbilical
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.
CPT codes 80101 x 9
Method ELISA
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 5.0     ng/g
Metamphetamine       LT 5.0     ng/g
MDA                  LT 5.0     ng/g
MDMA                 LT 5.0     ng/g
MDEA                 LT 5.0     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
Notes
Positive results will automatically be confirmed by GC/MS or LC/MS-MS.

[5376]


CORTISOL (ACTH STIMULATION 30 MINUTE & 60 MINUTE)
Billing 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 PAML 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 peak serum cortisol is GT 20 ug/dL,
 30 to 60 minutes after 25 units cosyntropin IV. 
Time Drawn

[554]


CORTISOL (ACTH STIMULATION)
Billing 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 PAML 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 peak serum cortisol is GT 20 ug/dL,
 30 to 60 minutes after 25 units cosyntropin IV. 
Time Drawn

[553]


CORTISOL (PAIRED SPECIMENS)
Billing 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 (7:00 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 PAML 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 CALCULATED FREE, URINE 24HR
Billing 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.
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 PSHMC 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 24HR LC-MS/MS [ARUP]
Billing Code CUFAR Test Code CUFAR
Specimen Required
       Container type 24-hour leak-proof plastic urine container  Specimen type 24-hour urine collection  Preferred volume 4 mL  Minimum volume 1 mL
Collection procedure Collect a 24-hour urine in a 24-hour leak-proof plastic urine container. Refrigerate during collection.
Specimen processing Aliquot 4 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume.
Required patient info Collection period and total volume on transport tube and request form.
Stability-   Room temp Unacceptable   Refrigerated 2 weeks   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Samples with preservatives or acidified and RT samples.
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

Ratios to creatinine may be useful for
evaluation when the urine collection is
random, other than 24 hours, or the urine
volume is les than 400 mL/24hr. Low urinary
cortisol concentrations may be consistent with
adrenal insufficiency.

[5369]


CORTISOL, AM
Billing 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 Ideally specimen be drawn at or before 7:00 AM. Must draw between 4:00 am and 8:59 am. If sample is drawn after 8:59 am, please order a Random Cortisol test code (CORRAN).
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)
Unacceptable conditions Do not freeze in glass tubes.
Department PAML 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 (RANDOM)
Billing 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 PSHMC 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, RANDOM
Billing Code CORRAN Test Code CORRAN
Synonyms Cortisol, random
Specimen Required
       Container type SST tube  Specimen type Frozen serum  Preferred volume 1 mL  Minimum volume 0.2 mL
Collection procedure Draw specimen after 8:59 am and before 4:00 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 PAML Immunochemistry
CPT codes 82533
Test schedule Sun-Fri nights & STAT
Turnaround time 24-48 hours
Method ICMA
Test includes
Cortisol, Random, ug/dL.
Reference ranges
  
Cortisol, Random   3.0-22.4    ug/dL
 The reference ranges for Cortisol are 
 dependent on the time of draw.
 Cortisol AM   4.3-22.4  ug/dL
 Cortisol PM   3.0-16.0  ug/dL

[7073]


CORTISOL, SALIVA
Billing 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 or using salivette. Store and transport room temperature or frozen.
Stability-   Room temp 4 days   Refrigerated 6 days   Frozen (-20°C) 4 months   Frozen (-70°C)
CPT codes 82533
Test schedule Mon, Wed, Fri
Turnaround time 5-8 days
Method HPLC/Tandem MS
Test includes
Cortisol, Saliva, ug/dL.F
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
Billing 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 within 2 hours of collection 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, heparinized or samples collected in plasma separator tubes containing heparin.
Alternate specimens EDTA or K2EDTA (lavender or pink top tubes).
CPT codes 82530
Test schedule Tue, Sat
Turnaround time 3-7 days
Method Equilibrium Dialysis/ Electrochemiluminescent Immunoassay
Test includes
Cortisol, Serum Free, ug/dL.
Reference ranges
  
Cortisol, Serum Free        ug/dL
 8-10 AM     0.31-1.19
 4-6 PM      0.15-0.94  

[5590]


CORTISOL/CORTISONE FREE, URINE 24HR [ARUP]
Billing Code CORUFA Test Code CORUFA
Specimen Required
       Container type Urien, 24-hour plastic urine container  Specimen type 24-hr urine collection  Preferred volume 4 mL  Minimum volume 1 mL
Collection procedure Collect a 24-hour urine specimen. Refrigerate during collection.
Specimen processing Aliquot 4 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record total volume and collection time interval.
Required patient info Record total volume and collection time interval
Stability-   Room temp Unacceptable   Refrigerated 7 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions RT samples, preservatives or acidified samples
Alternate specimens Random urine specimen
CPT codes 82530, 83789
Test schedule Sun-Sat
Turnaround time 2-3 days
Method Quantitative HPLC-TMS
Test includes
Hours Collected, hr; Total Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Cortisol, Urine, Free, ug/gCR; Cortisol Urine, Free, ug/L; Cortisol Urine, Free, ug/d; Cortisone, Urine Free, ug/gCR; Cortisone, Urine, Free, ug/L; Cortisone, Urine, Free ug/d; Cortisol/Cortisone Ratio, Ratio.
Reference ranges
  
Hours Collected                   hr
Total Volume                      mL
Creatinine, Urine                 mg/dL
Creatinine, Urine                 mg/d
 M 3-8 years    140-700
   9-12 years   300-1300
   13-17 years  500-2300
   18-50 years  1000-2500
   51-80 years  800-2100
   81 yrs +     600-2000
 F 3-8 years    140-700
   9-12 years   300-1300
   13-17 years  400-1600
   18-50 years  700-1600
   51-80 years  500-1400
   81 yrs +     400-1300
Cortisol, Urine, Free             ug/gCR
 F Prepubertal  LT 25
   18 yrs +     LT 45
   Pregnancy    LT 59
 M Prepubertal  LT 25
   18 yrs +     LT 32
Cortisol Urine, Free              ug/L
Cortisol Urine, Free              ug/d
 M 3-8 year     LT 18
   9-12 years   LT 37
   13-17 years  LT 56
   18 yrs +     LT 60
 F 3-8 years    LT 18
   9-12 years   LT 37
   13-17 years  LT 56
   18 yrs +     LT 45
Cortisone, Urine Free             ug/gCR
Cortisone, Urine Free             ug/L
Cortisone, Urine Free             ug/d
Cortisol/Cortisone Ratio          Ratio
 M 0-17 years   To be determined
   18 yrs       0.15-0.50
 F 0-17 years   To be determined
   18 yrs +     0.15-0.5

Ratios to creatinine may be useful for evaluation when the urine collection is random, other than 24 hours, or the urine volume is less than 400 mL/24 hours. The ratio concentrations of cortisol to cortisone will not be evaluated if the cortisol concentration is less than 5 ug/L.
   

[7167]


COTININE
Billing 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 PAML 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]


COXIELLA BURNETII ANTIBODY, IGG PHASE 1 & 2
Billing 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
Billing 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
Billing 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(1-6) ANTIBODIES
Billing Code COXBAB Test Code COXBAB
Specimen Required
       Container type Serum separator tube (Gold, Brick, SST, or Corvac)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube.
Stability-   Room temp 7 days   Refrigerated 30 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Hemolysis
CPT codes 86658 x 6
Test schedule Mon-Fri
Turnaround time 3-6 days
Method Complement Fixation
Reference ranges
  
Coxsackie B (1-6) Antibodies, Serum

  Coxsackie B1 Antibody       LT 1:8
  Coxsackie B2 Antibody       LT 1:8
  Coxsackie B3 Antibody       LT 1:8
  Coxsackie B4 Antibody       LT 1:8
  Coxsackie B5 Antibody       LT 1:8
  Coxsackie B6 Antibody       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
crossreactivity among enteroviruses: however, the
highest titer is usually associated with the
infecting serotype.

[7562]


CREATINE KINASE
Billing 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 Lithium heparin plasma (green top tube).
Department PAML 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
Billing Code ISOCKA Test Code ISOCKA
Synonyms CK Isoenzymes; CK, Macro; Creatine Kinase, Macro; Isoenzymes, CK; Macro CK
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 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. This test will detect CK macroenzymes. Specimens should be frozen 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
CK-MM, %; CK-MB, %; CK-BB, %; CK Total, U/L; CK Macro Type 1, %; CK Macro Type 2, %.
Reference ranges
  
CK-MM                         0-4           % 
CK-MB                         0             %            
CK-BB                         0             %  
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-Macro Type 1               0              % 
CK-Macro Type 2               0              %
              

[7089]


CREATINE KINASE-MB
Billing 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 PSHMC 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
Billing 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 24HR [QUEST]
Billing 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.
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
Billing 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
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 PAML 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
Billing 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.
Required patient info Height, weight, collection period and total volume
Stability-   Room temp   Refrigerated 2 weeks   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 PAML 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
Billing 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 PAML 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
Billing 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 PAML 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 WITH GFR
Billing Code CREGFR Test Code CREGFR
Specimen Required
       Container type SST tube or Red top tube (plain)  Specimen type Serum  Preferred volume 2 mL  Minimum volume 0.2 mL
Specimen processing Allow specimen to clot completely. Separate serum or plasma from cells ASAP and transport refrigerated. 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 specimens.
Alternate specimens If plasma must be used, use lithium heparin (green top tube).
Department PAML Chemistry
CPT codes 82565
Test schedule Sun-Fri nights and 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 Glomerular                               mL/min/1.73m2
 Filtration Rate     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 automatically be provided on all orders & panels which include a serum creatinine result. There is no charge for the calculation. The calculation is valid only for individuals age 20 years or older.

[7430]


CREATININE, AMNIOTIC FLUID
Billing 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 PSHMC 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
Billing 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 PSHMC 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 (RANDOM)
Billing 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.
Stability-   Room temp   Refrigerated 2 weeks   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 PAML 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]


CREATININE, URINE 24HR
Billing 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.
Required patient info Collection period and volume
Stability-   Room temp   Refrigerated 2 weeks   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 PAML 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]


CRP
Billing 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.
Stability-   Room temp 8 hours   Refrigerated 2 weeks   Frozen (-20°C) 3 months   Frozen (-70°C)
Department PAML 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, it will be done at PSHMC in Immunology Department.

[580]


CRYOFIBRINOGEN
Billing 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 PAML 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
Billing 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. Immediately place tube in 37C incubator, water bath or heat block and allow to clot 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.
Stability-   Room temp 1 week   Refrigerated unacceptable   Frozen (-20°C) unacceptable   Frozen (-70°C) unacceptable
Unacceptable conditions Refrigerated or frozen specimens. Separator tubes. Lipemic or grossly hemolyzed specimens.
Department PAML 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
Billing 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 PAML 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
Billing Code CRYOGF Test Code CRYOGF
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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 Unacceptable   Refrigerated Acceptable   Frozen (-20°C) Acceptable   Frozen (-70°C)
Unacceptable conditions Serum or plasma separator tubes & gels and specimens received at room temperature.
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
Billing 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
Billing 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
Billing Code CRPAG Test Code CRPAG
Specimen Required
       Container type Red top tube, SST or CSF in sterile plastic tube.  Specimen type Serum or CSF  Preferred volume 1 mL  Minimum volume 0.25 mL
Collection procedure Collect CSF in sterile plastic tube.
Specimen processing Allow blood time to clot, centrifuge and separate serum from cells. Store and transport refrigerated or frozen.
Required patient info Specimen source.
Stability-   Room temp 1 hour   Refrigerated 3 days   Frozen (-20°C) Stable   Frozen (-70°C)
Unacceptable conditions Specimens submitted in anticoagulant.
Department PSHMC Microbiology
CPT codes 86403
Test schedule Sun-Sat
Turnaround time 1-2 days
Method LA
Test includes
Cryptococcus Antigen, Result; Cryptococcus Antigen, Status.
Reference ranges
  
Cryptococcus Ag, Result       Negative
Cryptococcus Ag, Status
Notes
All positive specimens will be titered.

[7394]


CRYPTOSPORIDIUM ANTIGEN
Billing 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 Samples in Ecofix, Protofix, Unifix, Total Fix, PVA, MIF & any preservatice containing alcohol.
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
Billing 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 PSHMC 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
Billing Code CRSSYN Test Code CRSSYN
Specimen Required
       Container type 1 or 2 Green top tubes (sodium heparin).  Specimen type Synovial fluid  Preferred volume 6 mL  Minimum volume 1 mL in each tube.
Specimen processing Place 6 mL synovial fluid in one or two sodium heparin tubes (green top tubes). Transport ASAP. Store and transport refrigerated.
Unacceptable conditions Samples collected in any SST type tubes.
Department PSHMC 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 (REFLEXIVE)
Billing Code CSF Test Code SFEXM
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Synonyms Spinal Fluid Profile; CSF; Ceberal Spinal Fluid Profile
Specimen Required
       Container type CSF sterile plastic tube  Specimen type CSF  Preferred volume 3 mL  Minimum volume 1.5 mL
Limitations Fluids delayed more than 2 hours should be refrigerated to a maximum of 72 hours
Department PSHMC Hematology, PSHMC Chemistry, PSHMC 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                   0-30   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
Billing 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 PSHMC 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
Billing Code CULIF Test Code CULIF
This workpar is to allow clients to order the 'Culture If Indicated' Urinalysis.
Specimen Required
       
Department PSHMC Hematology

[595]


CULTURE, AFB (NO SMEAR) (REFLEXIVE)
Billing Code CAFBNS Test Code CAFBNS
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
Required patient info Specimen source
Unacceptable conditions Clotted blood specimens
Alternate specimens Heparinized whole blood (green top tubes). SPS tubes are preferred.
Department PSHMC 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 6 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)
Billing Code AFB Test Code CAFB
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
Required patient info Specimen source
Unacceptable conditions 24-hour urine or 24-hour sputum specimens.
Alternate specimens Blood/Bone Marrow see CAFBNS.
Department PSHMC Microbiology
CPT codes 87116, 87206, 87015
Test schedule Sun-Sat
Turnaround time Smear within 24 hours of receipt in the lab. Positive culture as soon as detected. Negative culture preliminary at 2 weeks. Final negative at 6 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)
Billing Code CBSAS Test Code CBSAS
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Synonyms Beta Strep A Screen Culture; Throat 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.
Unacceptable conditions Dry swab
Department PSHMC 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)
Billing Code CBSBS Test Code CBSBS
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
Department PSHMC 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)
Billing Code BLOOD2 Test Code CBLD2
Synonyms Blood Culture (2nd specimen/same day)
Specimen Required
       
Department PSHMC Microbiology
CPT codes 87040

[1862]


CULTURE, BLOOD (REFLEXIVE)
Billing Code BLOOD Test Code CBLD
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Synonyms Blood Culture; 2nd Spec/same day
Specimen Required
       Container type Blood culture vials  Specimen type Whole blood  Minimum volume See notes
Collection procedure A set of blood culture bottles consists of 1 BacT/ALERT SA aerobic (blue) bottle & 1 BacT/ALERT SN anaerobic (purple) bottle. Remove plastic flip-top from each bottle & disinfect the rubber septum with an alcohol pad. Disinfect venipuncture site on patient. Aseptically draw 20 mL of blood into a syringe. Inoculate each bottle with 10 mL using the same needle. A 2nd set of blood cultures SHOULD be drawn in a 24 hour period to provide the optimal volume of blood to recover pathogens & aid in the interpretation of positive culture significance. In addition to patient information, bottles must be labeled with date, time and site of collection. Ship ASAP at room temperature.
Required patient info Specimen source
Stability-   Room temp 24 hours   Refrigerated Unacceptable   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Department PSHMC 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 BacT/ALERT 3D
Test includes
Source; Culture, Blood; Culture, Blood, Status.
Reference ranges
  
Source
Culture, Blood         Negative
Culture, Blood, Status
Notes
If LT 20 mL of blood is obtained, 10 mL should be used to inoculate the aerobic (blue) bottle and the remainder into the anaerobic (purple) bottle. If 10 mL or less is obtained, place the full volume into the aerobic (blue) bottle.

[600]


CULTURE, BLOOD DIPHASIC FUNGUS (REFLEXIVE)
Billing Code CBF Test Code CBF
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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 PSHMC 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)
Billing Code CULT.FLD Test Code CFL
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Synonyms Amniotic; ascites; ascitic; abdominal; aspirate; bile; CSF; cerebral spinal; culdocentesis; elbow; knee; joint; peritoneal; paracentesis; pelvic; pericardial; pleural; prostate; subdural; synovial; thoracentesis; ventricular; vitreus.
Specimen Required
       Container type Sterile-capped syringe (needle removed), sterile tube or container  Specimen type Fluid  Preferred volume GT 10 mL  Minimum volume 1 mL
Collection procedure Aspirate fluid with a sterile syringe. If submitting fluid, needle must be removed and replaced with a sterile cap. Otherwise, fluid may be transferred to a sterile tube or container. Submit as much fluid as possible. If anticoagulant is necessary, use SPS.
Specimen processing CSF should be transported immediately at room temperature.
Required patient info Specimen source
Stability-   Room temp 24 hours   Refrigerated Unacceptable   Frozen (-20°C) Unacceptable   Frozen (-70°C) Unacceptable
Unacceptable conditions Nonsterile or leaking containers. Specimens submitted in anticoagulant other than SPS. Syringes with needle attached.
Alternate specimens Peritoneal fluid, synovial fluid, etc. If an anticoagulant is necessary, SPS is the optimal choice.
Department PSHMC 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)
Billing Code CBPERT Test Code CBPERT
Synonyms Nasopharyngeal; NP Culture
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.
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 PSHMC 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
Billing 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.
Unacceptable conditions Refrigerated specimen.
Department PSHMC 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, EAR (REFLEXIVE)
Billing Code CULT.EAR Test Code CEAR
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
Department PSHMC 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
Billing 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 PSHMC 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)
Billing Code CULT.EYE Test Code CEYE
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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
Required patient info Specimen source
Department PSHMC 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)
Billing Code FUNG Test Code CFC
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
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 PSHMC 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)
Billing 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 will be added if the reflex test is necessary.
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.
Required patient info Specimen source and pertinent clinical information. Please comment if a fungus stain is not needed.
Department PSHMC Microbiology
CPT codes 87101, 87220
Test schedule Daily
Turnaround time Positive culture reported as soon as detected. Negative culture 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)
Billing Code GEN Test Code CGEN
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
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 PSHMC 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)
Billing Code LEGION Test Code CLEG
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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
Required patient info Specimen source
Department PSHMC 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, METHICILLIN RESISTANT STAPH AUREUS SCREEN (REFLEXIVE)
Billing 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 will be added if the reflex test is necessary.
Synonyms MRSA; Nasal; Nares; Nose; Surveillance; Colonization
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.
Required patient info Specimen source
Department PSHMC 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)
Billing Code CGC Test Code CGC
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Synonyms GC Culture
Specimen Required
       Container type Swab in bacterial transport medium  Specimen type Urethra, cervix, throat or rectum swab
Required patient info Specimen source
Stability-   Room temp 24 hours   Refrigerated 24 hours   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Dry swabs, frozen specimens, or specimens older than 24 hours from time of collection.
Department PSHMC 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

[619]


CULTURE, RESPIRATORY (REFLEXIVE)
Billing Code CRESP Test Code CRESP
For upper respiratory cultures see remarks field.
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Synonyms Lower Respiratory Culture; Bronchial Washing Culture; BAL Culture; Sputum Culture
Specimen Required
       Container type Sterile leakproof container  Specimen type Sputum  Preferred volume 1-5 mL
Collection procedure Instruct pateint to expectorate into sterile conainer while avoiding introducing saliva or postnasal discharge into the sample.
Specimen processing Store and transport refrigerated if transport time will exceed 2 hours. Ensure that the lid on the container is secured prior to transport.
Required patient info Specimen source
Unacceptable conditions Nonsterile or leaking containers, frozen samples. More than one specimen submitted within a 24 hour period.
Alternate specimens Bronchial wash, tracheal aspirate or BAL specimens.
Department PSHMC Microbiology
CPT codes 87070, 87205
Test schedule Daily
Turnaround time 2-5 days
Method Culture
Test includes
Source; Culture, Respiratory Report; Culture, Respiratory, Status.
Reference ranges
  
Source
Culture, Respiratory    Negative
Culture, Respiratory, Status
Notes
If pathogenic organisms are definitively identified, an additional bill will be added for up to 3 organisms (87007). If antimicrobial susceptibility testing is appropriate, an additional charge (87184-Disk Diffusion or 87186-MIC) will be added for up to 3 organisms.

[7157]


CULTURE, RESPIRATORY CYSTIC FIBROSIS (REFLEXIVE)
Billing Code CRCF Test Code CRCF
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
Required patient info Source
Unacceptable conditions Spit or saliva
Department PSHMC 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)
Billing Code CSTLYS Test Code CSTLYS
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
Stability-   Room temp Fresh-2 hours; Cary-Blair-1 day   Refrigerated Fresh-1 day; Cary-Blair-3 days   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 PSHMC 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 E COLI 0157 WITH SHIGA TOXIN TEST (REFLEXIVE)
Billing Code CECST Test Code CECST
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Synonyms E. coli 0157 Shiga Toxin; Stool Culture, 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).
Stability-   Room temp Fresh-2 hours; Cary-Blair -1 day   Refrigerated Fresh-1 day; Cary-Blair -3 days   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 PSHMC 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, STOOL, WITH SHIGA TOXIN TEST (REFLEXIVE)
Billing Code CSTLST Test Code CSTLST
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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).
Required patient info Specimen source
Stability-   Room temp Fresh-2 hours; Cary Blair-1 day   Refrigerated Fresh-1 day; Cary-Blair-3 days   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 PSHMC 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)
Billing Code CULT.TISSUE Test Code CTIS
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
Required patient info Indicate source
Department PSHMC 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
Billing 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 PSHMC 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, UREAPLASMA AND MYCOPLASMA
Billing 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 or M6 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 or M6 transport media. All M4 and M6 samples must be transported refrigerated. M6 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 PSHMC Microbiology
CPT codes 87109
Test schedule Daily
Turnaround time Preliminary-3 days, Final-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)
Billing Code CURNNS Test Code CURNNS
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
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 PSHMC 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)
Billing Code CVRE Test Code CVRE
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
Required patient info Specimen source
Department PSHMC 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)
Billing Code WOUND Test Code CWND
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
Required patient info Specimen source; note if wound is superficial or deep
Department PSHMC 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)
Billing Code CWNDD Test Code CWNDD
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
Required patient info Indicate source
Department PSHMC 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)
Billing Code YST-SCR Test Code CYEST
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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
Required patient info Specimen source
Department PSHMC 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)
Billing 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 will be added if the reflex test is necessary.
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.
Unacceptable conditions Refrigerated specimens
Department PSHMC 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]


CUTANEOUS DIRECT IMMUNOFLUORESCENCE, BIOPSY
Billing Code CDIBA Test Code CDIBA
Synonyms Bullous Disease; Chronic Bullous Disease/ Cutaneous herpetiformis; Dermatitis Herpetiformis; Lichen & Lichenoid; Linear IgA bullous; Tissue, Lupus Erythematous; Tissue, Pemphigoid; Tissue, Pemphigus; Porphyria & Pseudoporphyria; Tissue, Skin Immunofluorescence; Uticaria
Specimen Required
       Container type Michel's or Zeus Medium  Specimen type Tissue, skin or mucous membrane. Can be either epidermis/epithelium and dermis tissue(optimal 4-5 mm).  Preferred volume 3 mm piece of tissue
Specimen processing 3 mm piece of tissue, skin or mucous membrane in Michel's or Zeus medium at room temperature. Store and transport at room temperature. Can be either epidermis/epithelium and dermis tissue.
Stability-   Room temp 10 days   Refrigerated 10 days   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Formalin-fixed tissue.
CPT codes 88346 x 5
Test schedule Varies
Turnaround time Within 9 days
Method Direct IFA
Test includes
Immunodermatology Report.
Reference ranges
  
Immunodermatology Report.

[7072]


CYANIDE
Billing Code CYANIDE Test Code CYANID
Specimen Required
       Container type Green top tube (sodium or lithium heparin)  Specimen type Whole blood  Preferred volume 4 mL  Minimum volume 3 mL
Specimen processing Do not freeze. Transport in original collection tube. Store and transport at room temperature.
Stability-   Room temp 3 days if tightly capped   Refrigerated unacceptable   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Serum or plasma. Frozen or refrigerated specimens, clotted or hemolyzed specimens.
Alternate specimens EDTA, K2EDTA, K3EDTA whole blood (lavender or pink top tube).
CPT codes 82600
Test schedule Sun-Sat
Turnaround time 2-4 days
Method Quantitative Colorimetric
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.
Notes
No laboratory test is available to assess cyanide toxicity in patients on nitroprusside therapy. However, thiocyanate toxicity may occur with long-term nitroprusside use (longer than 7-14 days with normal renal function and 3-6 days with renal impairment at greater than 2 µg/kg/min infusion rates). Thiocyanate levels may be monitored on an every other day basis to assess potential thiocyanate toxicity and to indicate possible adjustments in dosage using the workpar THIO.

[632]


CYCLIC CITRULLINATED PEPTIDE ANTIBODY IGG
Billing 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 PAML Special Immunology
CPT codes 86200
Test schedule Mon-Fri
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.
Billing 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 PAML 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.

[7314]


CYCLOSPORA DETECTION
Billing Code CYCDET Test Code CYCDET
Specimen Required
       Container type Leakproof plastic container  Specimen type Stool  Preferred volume 0.5 grams or 1 mL
Collection procedure Collect a stool specimen.
Specimen processing Submit a stool specimen in 10% formalin in a leakproof plastic container. Store and transport at room temperature.
Stability-   Room temp 1 year   Refrigerated 1 month   Frozen (-20°C) unacceptable   Frozen (-70°C)
Unacceptable conditions Specimens not received in 10% formalin.
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
Billing 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 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 PAML Bioanalytics
CPT codes 80158
Test schedule Mon-Sat
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. 
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)
Billing 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 refrigerated.
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 PSHMC 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
Billing 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
Billing 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 will be added if the reflex test is necessary.
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 cheek 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 PSHMC 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)
Billing Code GENCFP Test Code GENCFP
Synonyms CF Expand Mutation Panel (Genzyme)
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 7-14 days
Test includes
Cystic Fibrosis Expanded Mutation Analysis Result.
Reference ranges
  
Cystic Fibrosis Expanded Mutation Analysis Result

[5210]


CYSTICERCOSIS ANTIBODY, CSF
Billing 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
Billing 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
Billing 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 24HR [ARUP]
Billing 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 8 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 8 mL of a random or 24 hour urine collection into a leakproof plastic urine container and freeze immediately.
Required patient info Patient history form is recommended for interpretation.. Biochemical Genetics Patient History form is available at www.aruplab.com. 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 Wed
Turnaround time 4-8 days
Method LC-MS/MS
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 2C9 2 MUTATIONS
Billing Code CP450A Test Code CP450A
Specimen Required
       Container type Lavender top tube  Specimen type EDTA 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)
Alternate specimens K2EDTA or ACD Solution A or B whole blood (pink or yellow top tube).
CPT codes 83891, 83898 x 2, 83896 x 2, 83912
Test schedule Mon, Thu
Turnaround time 7-9 days
Test includes
CYP 2CP Specimen; CYP2C9 Allele 1; CYP2CP Allele 2; CYP2CP Gene Mutation Interpretation.
Reference ranges
  
CYP 2C9 Specimen
CYP2CP Allele 1
CYP2CP Allele 2
CYP2CP Gene Mutation Interp

[7074]


CYTOCHROME P450 CYP2D6 14 MUTATIONS & GENE DUPLICATION
Billing Code CYP2D6 Test Code CYP2D6
Specimen Required
       Container type EDTA (lavender top tube)  Specimen type Whole blood  Preferred volume 3 mL  Minimum volume 1 mL or a full EDTA microtainer.
Specimen processing Submit in the original and unopened collection tube. Store and transport at room temperature. If delayed more than 72 hours, store and transport refrigerated. Do not freeze.
Stability-   Room temp 72 hours   Refrigerated 5 days   Frozen (-20°C) Unacceptable   Frozen (-70°C)
Unacceptable conditions Serum, heparinized whole blood, severely hemolyzed samples, specimens in leaky container or over 5 days old. Also specimens not received in the original collection tube. Do not freeze.
Alternate specimens ACD A or B whole blood or sodium citrated whole blood (yellow or blue top tube).
Department PSHMC Molecular Diagnostics
CPT codes 83891, 83900, 83901 x 6, 83914 x 17, 83912, 83892.
Test schedule Wed
Turnaround time 1-2 weeks
Method PCR & ASPE
Test includes
CYP2D6 Result.
Reference ranges
  
CYP2D6 Result

[7104]


CYTOGENETICS FISH
Billing Code CGFISH Test Code CGFISH
This workpar will be used to track orders and hold results for a Copath test (GF Fish Study). Test code transmitted from Copath will be CYTOG GF. Internal use only.
Specimen Required
       

[7526]


CYTOGENETICS, AMNIOTIC FLUID
Billing Code CGAF Test Code CGAF
This order code is to be used by the clients when ordering the order code AFCYTO or AFTC.
Specimen Required
       
CPT codes 88235, 88267, 88280 x 2, 88291

[7524]


CYTOGENETICS, BONE MARROW
Billing Code CGBM Test Code CGBM
This order code is to be used when the clients want to order the code BMCYTO.
Specimen Required
       
CPT codes 88237, 88280 x 6, 88264, 88201

[7525]


CYTOGENETICS, CHROMOSOME ANALYSIS, AMNIOTIC FLUID (REFLEXIVE)
Billing Code AFCYTO Test Code
This test must be ordered on a paper requisition that accompanies the specimen. This IS an orderable test in the PAML computer system as CGAF.
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Synonyms Cytogenetics, amniotic fluid; karyotype
Specimen Required
        Specimen type Amniotic fluid  Preferred volume 15 -20 mL  Minimum volume 5 mL
Specimen processing 15-20 mL amniotic fluid, unspun in sterile 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.
Required patient info Date of birth, clinical information, gestational age by LMP or US
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 PAML Cytogenetics
CPT codes 88235, 88267, 88280 x 2, 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 (REFLEXIVE)
Billing Code BMCYTO Test Code
This test must be ordered on a paper requisition that accompanies the specimen. This IS an orderable test in the PAML computer system as CGBM.
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Synonyms Cytogenetics, Bone Marrow, Bone Core
Specimen Required
       Container type Bone marrow transport tube or sodium heparin (green top tube)  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 transport media. If specimen is a core, use sterile technique to transfer it to a transport media tube as soon as possible.
Stability-   Room temp 3 days   Refrigerated 3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen specimens in ACD, EDTA, LiHep tubes, in fixative, spun or clotted.
Alternate specimens Bone morrow in RPMI media
Department PAML Cytogenetics
CPT codes 88237, 88280 x 6, 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, HIGH RESOLUTION, PERIPHERAL BLOOD (REFLEXIVE)
Billing 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 will be added if the reflex test is necessary.
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
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 PAML 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 (REFLEXIVE)
Billing Code LBCYTO Test Code
This test must be ordered on a paper requisition that accompanies the specimen. This IS an orderable test in the PAML computer system as CGLB.
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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
Stability-   Room temp 2 days   Refrigerated 3 days   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen,spun,clotted,or in ACD, EDTA, LiHep
Alternate specimens Whole blood in tissue culture media containing sodium heparin.
Department PAML Cytogenetics
CPT codes 88237, 88280 x 6, 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 (REFLEXIVE)
Billing 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 will be added if the reflex test is necessary.
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
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 PAML Cytogenetics
CPT codes 88230, 88261, 88263, 88291, 88285, 88280
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 (REFLEXIVE)
Billing 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 additional fee will be added if the reflex test is necessary.
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.
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 PAML Cytogenetics
CPT codes 88233, 88263, 88261, 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
Billing 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 will be added if the reflex test is necessary.
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.
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 PAML 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 (REFLEXIVE)
Billing Code PBCYTO Test Code
This test must be ordered on a paper requisition that accompanies the specimen. This IS an orderable test in the PAML computer system as CGPB.
This test may reflex to addtional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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 mL (newborns only)
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 PAML 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 studies. 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 (REFLEXIVE)
Billing Code STICYT Test Code
This test must be ordered on a paper requisition that accompanies the specimen. This IS an orderable test in the PAML computer system as CGSTI.
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
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 PAML 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 (REFLEXIVE)
Billing Code STUCYT Test Code
This test must be ordered on a paper requisition that accompanies the specimen. This IS an orderable test in the PAML computer system as CGSTU.
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Synonyms Cytogenetics, Solid Tumor; Karyotype
Specimen Required
        Specimen type Solid tumor tissue 5mm3 in sterile transport tube with tissue transport media  Preferred volume 5mm3  Minimum volume 5mm3
Specimen processing Solid tumor tissue 5mm3 in sterile transport tube with tissue transport media. Keep as sterile as possible, place tissue in transport media as soon as possible.
Stability-   Room temp 2 days   Refrigerated   Frozen (-20°C)   Frozen (-70°C)
Unacceptable conditions Frozen, placed in fixative of any kind or saline.
Alternate specimens 5mm3 tumor tissue in RPMI media or sterile saline.
Department PAML Cytogenetics
CPT codes 88239, 88280 x 6, 88264, 88291
Test schedule Daily
Turnaround time 5-14 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
Billing 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 will be added if the reflex test is necessary.
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 PAML 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, LEUKEMIC BLOOD
Billing Code CGLB Test Code CGLB
This order code is to be used when the client wants to order code LBCYTO.
Specimen Required
       
CPT codes 88237, 88280 x 6, 88264, 88291

[7527]


CYTOGENETICS, MISC SPECIMEN
Billing Code CGMS Test Code CGMS
This code will be used to track orders and hold results for a Copath test (GM Miscelleaneous Specimens). Test code transmitted from Copath will be CYTOG GM.
Specimen Required
       

[7528]


CYTOGENETICS, PERIPHERAL BLOOD
Billing Code CGPB Test Code CGPB
This order code is to be used when the client wants to order codes PBCYTO, HRPBCY, MOPBCY.
Specimen Required
       
CPT codes 88230, 88262, 88280, 88291

[7529]


CYTOGENETICS, SENDOUT TEST
Billing Code CGSO Test Code CGSO
This order code will be used to track orders and hold results for a Copath test (GO Cytogenetics Sendouts). Test code transmitted from Copath wiill be CYTOG GO
Specimen Required
       

[7530]


CYTOGENETICS, SOLID TISSUE
Billing Code CGSTI Test Code CGSTI
This order code is to be used to order when the client wants to order code STITC, MOSTI, or STICYT.
Specimen Required
       
CPT codes 88233, 88262, 88280, 88291

[7531]


CYTOGENETICS, SOLID TUMOR
Billing Code CGSTU Test Code CGSTU
This order code is to be used when the client wants to order the code STUCYT.
Specimen Required
       
CPT codes 88239, 88264, 88280 x 6, 88291

[7532]


CYTOGENETICS, TISSUE CULTURE, AMNIOTIC FLUID (REFLEXIVE)
Billing 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 will be added if the reflex test is necessary.
Synonyms Amniotic Fluid Tissue Culture Only
Specimen Required
        Specimen type Amniotic fluid  Preferred volume 15-20 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.
Required patient info Date of birth, clinical indication, gestational age by LMP or US
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 PAML 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 (REFLEXIVE)
Billing 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 will be added if the reflex test is necessary.
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 5mm3  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.
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 PAML 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]
Billing 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
Billing 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 PSHMC Cytology
CPT codes 88164, 88141, 88148, G0148, P3000, P3001
Test schedule Sun-Fri
Turnaround time 5-7 days

[4029]


CYTOLOGY, SURE PATH PAP
Billing 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 PSHMC Cytology
CPT codes 88175, G0145, 88141, 88142, G0123, G0124
Test schedule Sun-Fri
Turnaround time 5-7 days

[4028]


CYTOLOGY, THIN PREP PAP
Billing 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 PSHMC Cytology
CPT codes 88142, 88141, G0123, G0124
Test schedule Sun-Fri
Turnaround time 5-7 days

[4030]


CYTOMEGALOVIRUS ANTIBODY, IGG
Billing 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 PAML Special Immunology
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
Billing 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 PAML Special Immunology
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
Billing 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 PAML Special Immunology
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
Billing Code CMVRT Test Code CMVRT
Dedicated Specimen Only. This test cannot be ordered as an add-on test on samples previously tested. Separate specimens must be submitted when multiple tests are ordered. A dedicated sample is required for molecular testing.
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 Spin blood samples, remove plasma immediately and put 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. Avoid multiple freeze/thaw cycles.
Alternate specimens CSF, neonatal urine frozen in sterile containers. Ocular fluid, biopsy tissue, or swab (flocked preferred, polyester or rayon acceptable) frozen in viral transport media, (Remel M4, M4RT, M5, M6, or BD Universal Transport Media may be used). Bronchial/BAL specimens submitted in an equal volume ratio of viral transport media.
Department PAML Virology
CPT codes 87496
Test schedule Mon-Sat days
Turnaround time 1-3 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
Billing Code CMVRTQ Test Code CMVRTQ
Dedicated Specimen Only. This test cannot be ordered as an add-on test on samples previously tested. Separate specimens must be submitted when multiple tests are ordered. A dedicated sample is required for molecular testing.
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.
Required patient info Source
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 PAML Virology
CPT codes 87497
Test schedule Mon- Sat days
Turnaround time 1-3 days
Method Real-time PCR
Test includes
CMV Source; Cytomegalovirus DNA, Quantitation PCR, copies/mL.
Reference ranges
  
CMV Source
Cytomegalovirus DNA, Quantitation PCR  LT  326 copies/mL
 Reportable Range 326 to 67,500,000 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. This test is performed pursuant with
 an agreement with Roche Molecular Systems, Inc.

[3024]


CYTOMEGALOVIRUS PCR, AMNIOTIC FLUID
Billing Code CMPCRA Test Code CMPCRA
Synonyms CMV PCR, Amnotic Fluid
Specimen Required
       Container type Sterile leakpoof plastic container  Specimen type Frozen amniotic fluid  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Store and transport frozen.
Stability-   Room temp 8 hours   Refrigerated 3 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Nonsterile or leaking containers.
CPT codes 87496
Test schedule Sun-Sat
Turnaround time 3-5 days
Method Qualitative PCR
Test includes
CMV Source; CMV Detection, PCR.
Reference ranges
  
CMV Source
CMV Detection, PCR    Not Detected             

[7509]


D-DIMER, QUANTITATIVE
Billing 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 PSHMC 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
Billing 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
Billing 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
Billing 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
Billing 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 PSHMC 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.
Billing 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 PAML 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).

[7370]


DEXAMETHASONE (SUPPRESSION-2)
Billing 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 PAML 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)
Billing 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 PAML 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)
Billing 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 PAML 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)
Billing 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 PAML Immunochemistry
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.
Billing 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 PAML 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.

[7315]


DHEA
Billing 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     
     0-1 day           LT 11            
     2-6 days          LT 8.7
     7 days-1 mo       LT 5.8
     1-5 mo            LT 2.9
     2-24 mo           LT 1.99
     2-3 yrs           LT 0.85
     4-5 yrs           LT 1.03
     6-7 yrs           LT 1.79
     8-9 yrs           0.14-2.35
     10-11 yrs         0.43-3.78
     12-13 yrs         0.89-6.21
     14-15 yrs         1.22-7.01
     16-17 yrs         1.42-9.00
     18-39 yrs         1.33-7.78
     40 yrs+           0.63-4.70
     Postmenopausal    0.60-5.73
     Tanner Stage I    0.14-2.76
     Tanner Stage II   0.83-4.87
     Tanner Stage III  1.08-7.56
     Tanner Stage IV-V 1.24-7.88
 M   Premature         LT 40
     0-1 day           LT 11
     2-6 days          LT 8.7
     7 days-1 mo       LT 5.8
     1-5 mo            LT 2.9
     6-24 mo           LT 2.5
     2-3 yr            LT 0.63
     4-5 yr            LT 0.95
     6-7 yr            0.06-1.93
     8-9 yrs           0.10-2.08
     10-11 yrs         0.32-3.08
     12-13 yrs         0.57-4.10
     14-15 yrs         0.93-6.04
     16-17 yrs         1.17-6.52
     18-39 yrs         1.33-7.78
     40 yrs+           0.63-4.70
     Tanner Stage I    0.11-2.37
     Tanner Stage II   0.37-3.66
     Tanner Stage III  0.75-5.24
     Tanner Stage IV-V 1.22-6.73


     

[5054]


DHEA-SO4
Billing 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 PSHMC 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 AND NORDIAZEPAM
Billing 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 within 2 hours of collection and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 7 days   Refrigerated 7 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Alternate specimens Lavender (K2 or K3EDTA) or pink (K2EDTA).
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
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
Billing Code DICB Test Code DIC
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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 PSHMC 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; 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               no longer reported        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
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
Billing 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.
Department PSHMC Hematology
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
Billing 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 PSHMC 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
Billing 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 0.5 mL
Specimen processing Separate serum from cells within 2 hours of collection. Store and transport refrigerated.
Required patient info Indicate name of drug.
Stability-   Room temp 5 days   Refrigerated 5 days   Frozen (-20°C) 2 months   Frozen (-70°C)
Unacceptable conditions Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Alternate specimens Lavender (K2 or K3EDTA) or pink (K2EDTA).
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
Includes: Digifortis, Digiglusin, Digitora, Digitaline Nativelle, Gitaligin, Myodigin, Crystodigin & Pil-Digis.

[678]


DIGOXIN
Billing 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 PAML 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]


DILTIAZEM (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Billing 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 PAML 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.

[7379]


DILUTE RUSSELL VIPER VENOM (REFLEXIVE)
Billing 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 will be added if the reflex test is necessary.
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 PSHMC 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.
Billing 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 PAML 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.

[7316]


DIPHTHERIA/TETANUS ANTIBODY
Billing 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
Billing 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.
Required patient info Indicate source
Department PSHMC Microbiology
CPT codes This test is considered a shell order code. The appropriate CPT code will be added when the test is performed.
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 PSHMC use the workpar MISCDE. If testing for occult blood and sending to PSHMC use the workpar MISCDE also.

[683]


DIRECT PLATELET ANTIBODIES, IGG & IGM
Billing 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 PSHMC 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
Billing 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
Billing 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 within 2 hours of collection 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)
Unacceptable conditions Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Alternate specimens Lavender (K2 or K3EDTA) or pink (K2EDTA).
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
Billing Code DNAMIS Test Code DNAMIS
Specimen Required
       Container type See collection information  Specimen type See collection information
Collection procedure Collect: Tumor tissue, body fluid, peripheral blood in green (sodium or lithium), bone marrow in green (sodium or lithium), OR urine/bladder washings. Specimen Preparation: Tissue: Paraffin embed tissue block enriched with tumor OR Body Fluid: Transport: 100 mL body fluid. (Min: 10 mL) OR Peripheral Blood: Transport 5 mL whole blood. OR Bone Marrow: Transport 2 mL bone marrow (specimens with low mononuclear cell counts may require more volume). OR Urine/Bladder Washings: Centrifuge and remove supernatant. The cell pellet should then be re-suspended in a cell culture media such as Hank's Balanced Salt Solution or RPMI. Storage/Transport Temperature: Tissue (paraffin embedded), Peripheral Blood, or Bone Marrow: room temperature. Body Fluid or Urine/Bladder Washings: Refrigerated. Stability (collection to initiation of testing): Tissue (paraffin embedded): Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable. Body Fluid or Urine/Bladder Washings: Ambient: Unacceptable; Refrigerated: 24 hours; Frozen: Unacceptable. Peripheral Blood or Bone Marrow: Ambient: 48 hours; Frozen: Unacceptable Required Patient Info Source and clinical information
Required patient info Source and clinical information
Stability-   Room temp See collection information   Refrigerated See collection information   Frozen (-20°C) See collection information   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
Billing 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 3 days   Frozen (-20°C) 6 months   Frozen (-70°C)
Unacceptable conditions Repeat freeze/thaw cycles.
Department PAML Special Immunology
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
Billing 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
Billing 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 PSHMC 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.
Billing 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 PAML 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.

[7317]


DOXYLAMINE
Billing 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.
Billing 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 PAML 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.

[7318]


DRUG FACILITATED SEXUAL ASSAULT PANEL
Billing 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 PAML 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 OF ABUSE SCREEN (9 PANEL), SERUM/PLASMA (REFLEXIVE)
Billing Code DRUSER Test Code DRUSER
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Specimen Required
       Container type Red top tube (plain)  Specimen type Serum  Preferred volume 8 mL  Minimum volume 3.5 mL
Specimen processing Separate serum from cells and put in separate plastic tube.
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 tubes or 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 9 PANEL & ALCOHOL SCREEN, SERUM /PLASMA (REFLEXIVE)
Billing Code DRASER Test Code DRASER
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
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 80101 x 9, 82055
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]


DRUGS OF ABUSE CONFIRMATION, QUANTITATIVE, OPIATES
Billing 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
Billing 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 PAML Toxicology
CPT codes 80101 x 10
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

[7287]


DRUGS OF ABUSE SCREEN 10 PLUS ALCOHOL
Billing 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 PAML Toxicology
CPT codes 80101 x 11
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

[7277]


DRUGS OF ABUSE SCREEN 2
Billing 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 PAML Toxicology
CPT codes 80101 x 2
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

[7267]


DRUGS OF ABUSE SCREEN 2 PLUS ALCOHOL
Billing 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 PAML Toxicology
CPT codes 80101 x 3
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

[7284]


DRUGS OF ABUSE SCREEN 5
Billing 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 PAML Toxicology
CPT codes 80101 x 5
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

[7285]


DRUGS OF ABUSE SCREEN 5 PLUS ALCOHOL
Billing 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 PAML Toxicology
CPT codes 80101 x 6
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

[7288]


DRUGS OF ABUSE SCREEN 6
Billing 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 PAML Toxicology
CPT codes 80101 x 6
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

[7299]


DRUGS OF ABUSE SCREEN 7
Billing 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 PAML Toxicology
CPT codes 80101 x 7
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

[7286]


DRUGS OF ABUSE SCREEN 7 PLUS ALCOHOL
Billing 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 PAML Toxicology
CPT codes 80101 x 8
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

[7289]


DSDNA AUTOANTIBODY, IGG
Billing 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 PAML Special Immunology
CPT codes 86225
Test schedule Sun-Fri
Turnaround time 1-2 days
Method Multiplex luminex
Test includes
DSDNA Autoantibody,IgG IU/mL
Reference ranges
  
DSDNA Auto-           Negative       LT 5         IU/mL
 antibody, IgG        Indeterminate  5-9
                      Positive       10 or more

[695]


DULOXETINE
Billing 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 year   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
Billing 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
Billing Code ECHINO Test Code ECHINO
Acute and convalescent samples advised.
Specimen Required
       Container type SST tube  Specimen type Serum  Preferred volume 1 mL  Minimum volume 0.15 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 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, OD.
Reference ranges
  
Echinococcus Ab      OD
 0.235 or less   Negative   No significant level
                     of Echinococcus IgG Ab
                     detected.
 0.236-0.299     Equivocal  Questionable presence of
                     Echinococcus IgG Ab 
                     detected.
                     Repeat testing in 10-14
                     days may be helpful.
 0.300 or more   Positive   Presence of IgG Ab
                     to Echinococcus detected,
                     suggestive of current or
                     past infection.

[697]


ECHOVIRUS ANTIBODY
Billing 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
Billing 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 PAML 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
Billing 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
Billing Code FCELOS Test Code FCELOS
Specimen Required
       Container type Clean unpreserved leakproof plastic container  Specimen type Frozen liquid stool  Preferred volume 10 grams  Minimum volume 5 grams
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 Formed or visous stool. Do not add water or saline to liquefy sample.
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
Billing 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 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 put in separate plastic tube and cap immediately. Store and transport refrigerated.
Stability-   Room temp   Refrigerated 1 day. Add-ons are acceptable without a CO2 within 14 days of collection, when refrigerated.   Frozen (-20°C)   Frozen (-70°C)
Alternate specimens 2 mL serum (red top tube). Separate serum from the cells ASAP and handle anaerobically at all times to minimize exposure to air during collection, transfer & storage. Put in separate plastic tube & cap immediately. If plasma, must be used use lithium heparin (green top tube).
Limitations Hemolysis will cause elevated potassium and minimal volume will concentrate.
Department PAML 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)
Billing Code LYTST Test Code LYTST
Specimen Required
        Specimen type Liquid stool, random or timed.  Preferred volume 5 grams  Minimum volume 1 gram
Collection procedure Collect in a clean, unpreserved leakproof plastic container.
Specimen processing Store and transport refrigerated.
Required patient info If timed indicate hours of collection.
Stability-   Room temp unacceptable   Refrigerated 1 week   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Formed or viscous stool.
Limitations Do not add saline or water to liquefy sample.
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 SCAN, URINE 24HR
Billing 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.
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 PSHMC 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, CITRATE GEL
Billing 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 PSHMC Hematology
CPT codes 82664
Test schedule Sun-Fri, as needed
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
Billing 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 PSHMC 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
Billing 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 PSHMC 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)
Billing 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 if the reflex test is necessary.
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.
Stability-   Room temp   Refrigerated 5 days   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Plasma specimens
Limitations Plasma specimens
Department PSHMC 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
Billing 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)
Billing 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 if the reflex test is necessary.
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.
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 PSHMC 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)
Billing 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 if the reflex test is necessary.
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.
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 PSHMC 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 (RANDOM)
Billing 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 PSHMC 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 (RANDOM)
Billing 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 PSHMC 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.
Billing 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

[7319]


ENCEPHALITIS, EASTERN EQUINE ANTIBODY PANEL, IGG & IGM, CSF
Billing 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
Billing 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
Billing 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
Billing 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
Billing 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
Billing 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
Billing 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
Billing 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
Billing 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
Billing 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
Billing 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
Billing 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
Billing 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
Billing 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
Billing 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 86255
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)
Billing Code EMARX Test Code EMARX
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
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 PAML Special 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]


ENDOTOXIN, CONVENTIONAL DIALYSATE
Billing Code ENDODC Test Code ENDODC
Specimen Required
       Container type Non-pyrogenic plastic container  Specimen type Frozen conventional dialysate  Preferred volume 5 mL  Minimum volume 1 mL
Specimen processing Collect 5 mL conventional dialysate in a non-pyrogenic plastic container. Collect sample using sterile technique. Store and transport frozen.
Stability-   Room temp unstable   Refrigerated 24 hours   Frozen (-20°C)   Frozen (-70°C)
Limitations Avoid repeated freeze/thaw cycles.
Department PAML Chemistry
CPT codes 87176
Test schedule 2nd Wed of the month
Turnaround time 2-30 days
Method Kinetic turbidity
Test includes
Endotoxin, Conventional Dialysate, EU/mL.
Reference ranges
  
Endotoxin, Conventional Dialysate    0.00-0.99   EU/mL
                                     Reference ANSI/AAMI
                                               RD52:2004

[7021]


ENDOTOXIN, CONVENTIONAL DIALYSATE FOR INFUSION
Billing Code ENDODI Test Code ENDODI
Specimen Required
       Container type Non-pyrogenic plastic container  Specimen type Frozen dialysate for infusion  Preferred volume 5 mL  Minimum volume 1 mL
Specimen processing Collect 5 mL dialysate for infusion in a non-pyrogenic plastic container. Collect sample using sterile technique. Store and transport frozen.
Stability-   Room temp unstable   Refrigerated 24 hours   Frozen (-20°C)   Frozen (-70°C)
Limitations Avoid repeated freeze/thaw cycles.
Department PAML Chemistry
CPT codes 87176
Test schedule 2nd Wed of the month
Turnaround time 2-30 days
Method Kinetic turbidity
Test includes
Endotoxin, Dialysate for infusion, EU/mL.
Reference ranges
  
Endotoxin, Dialysate for Infusion    0.00-0.02   EU/mL
                                     Reference ANSI/AAMI
                                               RD52:2004

[7022]


ENDOTOXIN, DIALYSATE H20
Billing Code ENDO Test Code ENDO
Specimen Required
       Container type Non-pyrogenic plastic container  Specimen type Frozen dialysis water  Preferred volume 5 mL  Minimum volume 1 mL
Specimen processing Collect 5 mL dialysis water in a non-pyrogenic plastic container. Collect sample using sterile technique. Store and transport frozen.
Stability-   Room temp unstable   Refrigerated 24 hours   Frozen (-20°C)   Frozen (-70°C)
Limitations Avoid repeated freeze/thaw cycles.
Department PAML Chemistry
CPT codes 87176
Test schedule 2nd Wed of the month
Turnaround time 2-30 days
Method Kinetic turbidity
Test includes
Endotoxin, Dialysis H2O, EU/mL.
Reference ranges
  
Endotoxin, Dialysis H2O       0.00-0.99   EU/mL
 Product water used to prepare dialysate or concentrates from
 powder at a dialysis facility, or to reprocess dialyzers for
 multiple use, should contain a total viable microbial count of
 less than 200 CFU/mL and an endotoxin concentration of less than
 2 EU/mL. The action level for the total viable mircrobial count in
 the product water shall be 50 CFU/mL and the action level for the
 endotoxin concentration shall be 1 EU/mL. If these action levels are
 observed in the product water, corrective measures such as disinfection
 and retesting shall be taken promptly to reduce the levels into an
 acceptable range.
                                    
                                               

[7024]


ENDOTOXIN, ULTRAPURE DIALYSATE
Billing Code ENDODU Test Code ENDODU
Specimen Required
       Container type Non-pyrogenic plastic container  Specimen type Frozen ultrapure dialysate  Preferred volume 5 mL  Minimum volume 1 mL
Specimen processing Collect 5 mL ultrapure dialysate in a non-pyrogenic plastic container. Collect sample using sterile technique. Store and transport frozen.
Stability-   Room temp unstable   Refrigerated 24 hours   Frozen (-20°C)   Frozen (-70°C)
Limitations Avoid repeated freeze/thaw cycles.
Department PAML Chemistry
CPT codes 87176
Test schedule 2nd Wed of the month
Turnaround time 2-30 days
Method Kinetic turbidity
Test includes
Endotoxin, Ultrapure Dialysate, EU/mL.
Reference ranges
  
Endotoxin, Ultrapure Dialysate       0.00-0.02   EU/mL
                                     Reference ANSI/AAMI
                                               RD52:2004

[7023]


ENDOTOXIN, ULTRAPURE WATER
Billing Code ENDOWU Test Code ENDOWU
Specimen Required
       Container type Non-pyrogenic plastic container  Specimen type Frozen ultrapure water  Preferred volume 5 mL  Minimum volume 1 mL
Specimen processing Collect 5 mL ultrapure water in a non-pyrogenic plastic container. Collect sample using sterile technique. Store and transport frozen.
Stability-   Room temp unstable   Refrigerated 24 hours   Frozen (-20°C)   Frozen (-70°C)
Limitations Avoid repeated freeze/thaw cycles.
Department PAML Chemistry
CPT codes 87176
Test schedule 2nd Wed of the month
Turnaround time 2-30 days
Method Kinetic turbidity
Test includes
Endotoxin, Ultrapure Water, EU/mL.
Reference ranges
  
Endotoxin, Ultrapure Water           0.00-0.02   EU/mL
                                     Reference ANSI/AAMI
                                               RD62:2001

[7025]


ENTAMOEBA HISTOLYTICA ANTIBODY, IGG
Billing 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 0.1 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 2 weeks   Frozen (-20°C) 1 year   Frozen (-70°C)
Unacceptable conditions Severely lipemic, contaminated, heat-inactivated, or hemolyzed samples. Avoid repeat freeze/thaw cycles.
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 EIA
Billing 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.
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
Billing Code EVPCR Test Code EVPCR
Dedicated Specimen Only. This test cannot be ordered as an add-on test on samples previously tested. Separate specimens must be submitted when multiple tests are ordered. A dedicated sample is required for molecular testing.
Synonyms Enterovirus by Real Time PCR; Enterovirus; Molecular
Specimen Required
       Container type CSF, Stool (sterile container), EDTA plasma (Lavender top tube).  Specimen type Frozen CSF, see below.  Preferred volume 1 mL  Minimum volume 0.3 mL
Collection procedure CSF, Stool (sterile container), EDTA plasma (Lavender top tube). NP swabs and NP/throat swabs or rectal swab( flocked preferred, polyester or rayon acceptable) in viral transport media (M4, M4RT, M5, M6, or BD Universal Transport Media).
Specimen processing Put CSF in plastic tube and freeze. If sending plasma, separate plasma from the cells, place in separate sterile plastic tube and freeze. Store and transport frozen. Indicate source.
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 NP and NP/throat swabs or Rectal swab in viral transport media (M4, M4RT, M5, M6 or BD Universal Transport Media). Nylon flocked swabs preferred, polyester or rayon acceptable.
Department PAML Virology
CPT codes 87498
Test schedule Mon-Sat days
Turnaround time 1-3 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
Billing 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 PSHMC 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
Billing 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 PSHMC 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
Billing 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
Billing 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, contain particulate matter or are contaminated. Avoid freeze/thaw cycles.
Department PAML Special Immunology
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
Billing 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 PAML Special Immunology
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
Billing 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 PAML Special Immunology
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
Billing 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 PAML Special Immunology
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
Billing 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 PAML Special Immunology
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
Billing 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 PAML Special Immunology
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 PCR
Billing Code EBVPC Test Code EBVPC
Dedicated Specimen Only. This test cannot be ordered as an add-on test on samples previously tested. Separate specimens must be submitted when multiple tests are ordered. A dedicated sample is required for molecular testing.
Synonyms EBV; EBV by Real Time PCR; Epstein Barr Virus; Molecular
Specimen Required
       Container type Lavender top tube  Specimen type Frozen EDTA plasma  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. Store and transport frozen.
Required patient info Source
Stability-   Room temp 8 hours   Refrigerated 3 days   Frozen (-20°C) 3 months   Frozen (-70°C)
Unacceptable conditions Nonsterile or leaking containers, heparinized plasma, samples in viral transport media, urine.
Alternate specimens Serum or CSF. If sending CSF, place in a separate sterile plastic tube. Store and transport frozen.
Department PAML Virology
CPT codes 87798
Test schedule Mon, Wed, Fri
Turnaround time 2-4 days
Method PCR
Test includes
Source; Epstein Barr Virus by PCR Result; EBV PCR Comment.
Reference ranges
  
Source
EBV Result by PCR        Not Detected
EBV PCR Comment          A result of Not Detected does not rule out the
 presence of PCR inhibitors in the patient specimen or EBV concentrations
 below the level of detection of this assay.
 This test is performed pursuant to the agreement with Roche Molecular 
 Systems.
Notes
This test is performed pursuant to the agreement with Roche Molecular Systems.

[7415]


EPSTEIN BARR VIRUS, QUANTITATIVE PCR
Billing Code EBVQRT Test Code EBVQRT
Dedicated Specimen Only. This test cannot be ordered as an add-on test on samples previously tested. Separate specimens must be submitted when multiple tests are ordered. A dedicated sample is required for molecular testing.
Synonyms EBV, Quant by PCR; EBV by Real Time PCR; Epstein Barr Virus; Molecular
Specimen Required
       Container type Lavender top tube  Specimen type Frozen EDTA plasma  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Separate serum or plasma from the cells and place 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) 3 months   Frozen (-70°C)
Unacceptable conditions Nonsterile or leaking containers, heparinized plasma, samples in viral transport media or urine.
Alternate specimens Serum, CSF.
Department PAML Virology
CPT codes 87799
Test schedule Mon-Fri
Turnaround time 2-4 days
Method PCR
Test includes
Source; EBV DNA QuantLog, log copies/mL; EBV DNA Quant Result by PCR, copies/mL.
Reference ranges
  
EBV Source
EBV DNA Quant log copies/mL    3.0 to 6.0         log copies/mL
EBV DNA Quant Result by PCR    1000 to 1,000,000  copies/mL
                               A result of Not Detected does not rule out the
 presence of PCR inhibitors in the patient specimen or EBV concentrations below
 the level of detection of the assay.
Notes
This test is performed pursuant to the agreement with Roche Molecular Systems.

[7416]


EPSTEIN BARR VIRUS, QUANTITATIVE PCR, WHOLE BLOOD
Billing 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.
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 Real Time-Polymerase Chain Reaction
Test includes
EBV Quant, Source; EBV QuantLog, log copies/mL; EBV DNA, Quant Interpretation; EBV Quant DNA, copies/mL.
Reference ranges
  
EBV Quant Source
EBV QuantLOG        LT 2.6       log copies/mL
                    LT 390       copies/mL
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]


ERYTHROCYTE PORPHYRIN (EP), WHOLE BLOOD
Billing Code EPWBA Test Code EPWBA
Synonyms FEP; Porphyrins, Whole Blood (FEP); Protoporphyrin, Free Erythrocyte (FEP)
Specimen Required
       Container type Royal blue top tube  Specimen type EDTA whole blood  Preferred volume 1 mL  Minimum volume 0.5 mL
Specimen processing Submit specimen in an amber transport tube. CRITICAL-PROTECT FROM LIGHT. Protect from light within 1 hour of collection, storage and shipment. Store and transport refrigerated.
Stability-   Room temp Unacceptable   Refrigerated 2 weeks   Frozen (-20°C) 1 month   Frozen (-70°C)
Unacceptable conditions Specimens not collected in EDTA or clotted specimens.
Alternate specimens K2EDTA whole blood or EDTA whole blood (pink or lavender top tube).
Limitations Specimens not protected from light will be reported with a disclaimer.
CPT codes 84202
Test schedule Mon, Wed, Sat
Turnaround time 2-5 days
Method Extraction/Fluorometry
Test includes
Erythrocyte Porphyrin (EP), ug/dL.
Reference ranges
  
Erythrocyte Porphyrin (EP)    0-35    ug/dL

[7169]


ERYTHROMYCIN (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR.
Billing 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 PAML 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.

[7320]


ERYTHROPOIETIN
Billing 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 PSHMC 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
Billing Code ESCI Test Code ESCI
Synonyms Lexapro
Specimen Required
       Container type Red top tube  Specimen type Serum  Preferred volume 1 mL
Specimen processing Separate serum from cells immediately and put in separate plastic tube. Store and transport refrigerated.
Stability-   Room temp 30 days   Refrigerated 30 days   Frozen (-20°C) 30 days   Frozen (-70°C)
Unacceptable conditions SST or PST (gel separator tubes).
Alternate specimens EDTA OR K2EDTA plasma (lavender or pink top tube).
CPT codes 83789
Test schedule Tue, Thu
Turnaround time 5-7 days
Method LC-MS/MS
Test includes
Escitalopram, ng/mL.
Reference ranges
  
Escitalopram/     Steady state peak plasma levels for          ng/mL
 Citalopram       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
Billing Code SS.NSE Test Code CSAE
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
Required patient info Source
Limitations Protect from light
Department PSHMC 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
Billing Code SS.CE Test Code CSCE
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
Required patient info Source
Alternate specimens EDTA and heparin slides
Limitations Protect from light
Department PSHMC 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
Billing Code SS.SE Test Code CSCAE
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
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.
Required patient info Source
Limitations Protect from light
Department PSHMC 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
Billing 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 PSHMC 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
Billing 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
Billing 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