Antibody Identification

CERNER / EPIC MNEMONIC:

PANEL.

CPT CODE: 86870
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: 2-4 hours depending on complexity of antibody (sometimes longer)
SPECIAL INSTRUCTIONS: Test is automatically performed on all positive antibody screens.
CONTAINER TYPE: Pink top tube
COLLECTION:

Special Labeling Requirements: The content of each sample label must include the patient's full name and medical record number, the phlebotomist's initials, the date and time the sample was collected and, for non-LLT draws, the initials of a second medical professional who has confirmed that the sample came from the patient whose name is on the label; the computer label must have this same information plus an accession number and the tests ordered. NOTE:  LLT phlebotomists should write 'LLT' for the second set of initials.

SPECIMEN REQUIREMENTS: Blood (red cells and plasma)
MINIMUM VOLUME: 10 mL
REFERENCE RANGE: Interpretation of result
TEST SYNONYM(S):Atypical Red Blood Cell Antibody Identification; Irregular Red Blood Cell Antibody Identification; Red Blood Cell Antibody Identification Panel

Antibody Screening

CERNER / EPIC MNEMONIC: T/S
POE DESCRIPTION: TYPE AND SCREEN; CLOT; T/S
CPT CODE: 86850, 86900, 86901
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: 2 hours
CONTAINER TYPE: Pink top tube
COLLECTION:

Special Labeling Requirements: The content of each sample label must include the patient's full name and medical record number, the phlebotomist's initials, the date and time the sample was collected and, for non-LLT draws, the initials of a second medical professional who has confirmed that the sample came from the patient whose name is on the label; the computer label must have this same information plus an accession number and the tests ordered. NOTE:  LLT phlebotomists should write 'LLT' for the second set of initials.

SPECIMEN REQUIREMENTS: Blood (red cells and plasma)
MINIMUM VOLUME: 7 mL
REFERENCE RANGE: Negative
ADDITIONAL INFORMATION: Antibody identification will automatically be performed if test is positive.
TEST SYNONYM(S):IAT; Indirect Antiglobulin Test; Indirect Coombs`; Screen for Atypical RBC Antibodies; Screen for Irregular RBC Antibodies

AntibodyTiter

CERNER / EPIC MNEMONIC: TITER
CPT CODE: 86886
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: 2 hours
CONTAINER TYPE: Pink top tube
COLLECTION: Special Labeling Requirements: The initials of the person who collected the specimen and the date and time of collection MUST be noted on the specimen label.
SPECIMEN REQUIREMENTS: Blood (plasma)
MINIMUM VOLUME: 7 mL
HANDLING INSTRUCTIONS: Remaining plasma will be frozen in case subsequent parallel titers are required.
REFERENCE RANGE: An increase > 2 dilutions or a score change > 10 in parallel titers is significant
ADDITIONAL INFORMATION: Test will automatically be performed on patients identified as pregnant.
TEST SYNONYM(S):Atypical Antibody Titer; Irregular Antibody Titer; Red Cell Antibody Titer; Rh Titer

Antithrombin III, Human

CERNER / EPIC MNEMONIC: (not orderable on LIS)
CPT CODE: J7197
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: 20 minutes
SPECIAL INSTRUCTIONS: Each bottle of antithrombin III (human) is labeled with the number of antithrombin III international units it contains.
REFERENCE RANGE: The quantity of antithrombin III in 1 mL of normal pooled human plasma is conventionally taken as one unit. The potency assignment has been determined with a standanrd calibrated against a World Health Organization (WHO) Antithrombin III Reference Preparation.
TEST SYNONYM(S):Thrombate.; ATnativ.

Autologous Blood, Transfusion

CERNER / EPIC MNEMONIC: AUTO XM
CPT CODE: 86920
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Three working days past donation till available for transfusion. Available for transfusion 1 hour after receipt of transfusion request or approximately 2 hours if frozen.
SPECIAL INSTRUCTIONS:

Indicate on requisition 'Autologous.'

CONTAINER TYPE: Pink top tube
COLLECTION:

Special Labeling Requirements: The content of each sample label must include the patient's full name and medical record number, the phlebotomist's initials, the date and time the sample was collected and, for non-LLT draws, the initials of a second medical professional who has confirmed that the sample came from the patient whose name is on the label; the computer label must have this same information plus an accession number and the tests ordered. NOTE:  LLT phlebotomists should write 'LLT' for the second set of initials.

SPECIMEN REQUIREMENTS: Blood
MINIMUM VOLUME: 7 mL
TEST SYNONYM(S):Autotransfusion; Transfusion, Autologous

Autologous Bone Marrow Processing and Freezing

CERNER / EPIC MNEMONIC: BM PHER; BM TUMOR; BM CRYO
CPT CODE: 36520; 86999; 86999
DAYS PERFORMED: Mon-Fri
TURNAROUND TIME: 10-14 hours
SPECIAL INSTRUCTIONS: Must be arranged in advance
CONTAINER TYPE: Transfer packs
SPECIMEN REQUIREMENTS: Raw bone marrow
MINIMUM VOLUME: 1000-4000 mL; varies depending upon CBC
HANDLING INSTRUCTIONS: Maintain specimen at room temperature.
TEST SYNONYM(S):Autologous Bone Marrow Concentration; Bone Marrow Processing and Freezing, Autologous

Abnormal Quick Profile

CERNER / EPIC MNEMONIC: AQP
POE DESCRIPTION: ABNORMAL QUICK PROFILE; AQP
CPT CODE: 85210; 85220; 85230; 85260; 85384; 85610; 85730; 85670
TEST INFORMATION: Includes PT, APTT, Fibrinogen, Thrombin Time, Factors II, V, VII and X
DAYS PERFORMED: Mon-Sun, 0800-2300;
TURNAROUND TIME: 4 hours for PT, APTT, Fibrinogen and Thrombin Time

Factors II, V, VII and X are performed only 1600-2300.

SPECIAL INSTRUCTIONS: Transport the specimen to Specimen Receiving as soon as possible. Blood should arrive in the Coagulation Laboratory within 4 hours of drawing.
CONTAINER TYPE: Two blue top (sodium citrate) tubes
COLLECTION: See Section - "Specimen Collection Guidelines" - Coagulation Specimens
SPECIMEN REQUIREMENTS: Blood
REJECTION CRITERIA: Specimen hemolyzed; Hct >65%; underfilled tube (QNS)
MINIMUM VOLUME: 3 mL blood, 1.5 mL plasma (per tube)
HANDLING INSTRUCTIONS: Keep refrigerated. Separate plasma and freeze at -70°C if test is not performed promptly. Transport the specimen to the laboratory as soon as possible. Specimen MUST be received within 4 hours after collection.
REFERENCE RANGE: See individual tests.
CRITICAL VALUES: PT >36 seconds

APTT >76 seconds

Fib <100 mg/dL

Plt <50 (1st time) <20 (every time)

TEST SYNONYM(S):AQP

Acetaminophen, Serum

CERNER / EPIC MNEMONIC: ACETAMIN
POE DESCRIPTION: ACETOMINOPHEN; TYLENOL; ACETAMIN
CPT CODE: 82003
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Routine: 8 hours; stat: 1 hour
CONTAINER TYPE: Red top tube
SPECIMEN REQUIREMENTS: Blood (serum)
MINIMUM VOLUME: 0.4 mL blood (0.2 mL serum)
REFERENCE RANGE: Therapeutic: 10-30 µg/mL
CRITICAL VALUES: >50 µg/mL
TEST SYNONYM(S):Datril., Paracetamol; Tylenol.

Activated Partial Thromboplastin Time

CERNER / EPIC MNEMONIC: APTT
POE DESCRIPTION: ACTIVATED PTT; PTT
CPT CODE: 85730
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Routine: 4 hours. Stat: 1 hour
SPECIAL INSTRUCTIONS: Transport the specimen to Specimen Receiving as soon as possible. Blood should arrive in the Coagulation Laboratory within 4 hours of drawing. This test cannot be added onto an existing sample more than 4 hours old.
CONTAINER TYPE:

Blue citrate tube

COLLECTION:

See Section - Specimen Collection Guidelines - Coagulation Specimens

SPECIMEN REQUIREMENTS:

Blood; 4.5 mL tube or pediatric 1.8 mL or 2.7 mL tube

REJECTION CRITERIA: Specimen hemolyzed; Hct >55%; underfilled tube (QNS)
MINIMUM VOLUME: 3.5 mL blood (1.0 mL plasma); pediatric tubes must be fully drawn.
HANDLING INSTRUCTIONS: Transport the specimen to the laboratory as soon as possible. Specimen MUST be received within 4 hours after collection.
REFERENCE RANGE: 23-33 seconds
CRITICAL VALUES: >100 sec
TEST SYNONYM(S):APTT; Partial Thromboplastin Time; PTT

Activated Partial Thromboplastin Time Inhibitor

CERNER / EPIC MNEMONIC: APTT INH
POE DESCRIPTION: APTT INHIBITOR; APTT INH
CPT CODE: 85732 x3, 85703, 85670
TEST INFORMATION:

Includes Thrombin Time to rule out heparin interference.

DAYS PERFORMED:

Daily, second shift

TURNAROUND TIME: 24-72 hours
SPECIAL INSTRUCTIONS: Transport the specimen to Specimen Receiving as soon as possible. Blood should arrive in the Coagulation Laboratory within 4 hours of drawing.This test cannot be added onto an existing sample more than 4 hours old. 
CONTAINER TYPE:

Two Blue citrate tubes

COLLECTION: See Section - ''Specimen Collection Guidelines'' - Coagulation Specimens
SPECIMEN REQUIREMENTS:

Two 2.7 mL draw light blue top tubes

REJECTION CRITERIA: Specimen hemolyzed; Hct >55%
MINIMUM VOLUME:

Two 2.7 mL draw blue tops

HANDLING INSTRUCTIONS: Transport the specimen to the laboratory as soon as possible. Specimen MUST be received within 4 hours after collection.
REFERENCE RANGE: No circulating anticoagulant identified.
LAST UPDATED:

2-27-2014

TEST SYNONYM(S):Activated Partial Thromboplastin Time Mixing Studies; APTT Inhibitor; APTT Mixing Studies; Inhibitor Screen, APTT; Mixing Studies - APTT

Albumin, Fluid

CERNER / EPIC MNEMONIC: F/ALB
POE DESCRIPTION: FLUID ALBUMIN
CPT CODE: 82042
DAYS PERFORMED: Specimen accepted daily, 24 hours
TURNAROUND TIME: 1 hour
SPECIAL INSTRUCTIONS: Must specify fluid type on the requisition
CONTAINER TYPE:

Red top tube - 10 mLRed top tube - 4 mLSterile 80 mL specimen container

SPECIMEN REQUIREMENTS: Body fluid
MINIMUM VOLUME: 0.2 mL
REFERENCE RANGE: None established
TEST SYNONYM(S):Fluid Albumin

Albumin, Serum

CERNER / EPIC MNEMONIC: ALB
POE DESCRIPTION: ALBUMIN
CPT CODE: 82040
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Routine: 8 hours; stat: 1 hour
CONTAINER TYPE:

SSTTM tube

SPECIMEN REQUIREMENTS: Blood (serum)
MINIMUM VOLUME: 0.4 mL blood (0.2 mL serum)
REFERENCE RANGE: 0-3 years: 2.9-5.5 g/dL, 3 years to adult: 3.5-5.0 g/dL

Albumin/Globulin Ratio

CERNER / EPIC MNEMONIC: A/G
POE DESCRIPTION: ALBUMIN GLOBULIN RATIO; A/G RATIO
CPT CODE: 84165
TEST INFORMATION: Test includes total protein, albumin, calculated globulin and calculated A/G ratio.
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Routine: 8 hours
CONTAINER TYPE:

SSTTM tube

SPECIMEN REQUIREMENTS: Blood (serum)
MINIMUM VOLUME: 0.4 mL blood (0.2 mL serum)
REFERENCE RANGE: 1.2-1.8; high ratio is usually clinically insignificant.
TEST SYNONYM(S):A/G Ratio

Alkaline Phosphatase, Serum

CERNER / EPIC MNEMONIC: AP
POE DESCRIPTION: ALKALINE PHOSPHATASE; ALK PHOS; AP(ALK PHOS)
CPT CODE: 84075
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Routine: 8 hours; stat: 1 hour
CONTAINER TYPE:

SSTTM tube

SPECIMEN REQUIREMENTS: Blood (serum)
MINIMUM VOLUME: 0.4 mL blood (0.2 mL serum)
REFERENCE RANGE: 0-15 years: 80-250 units/L; 15 years and older: 30-125 units/L
TEST SYNONYM(S):AlkP; Alk Phos; Phosphatase, Alkaline

Alpha1-Antitrypsin

CERNER / EPIC MNEMONIC: A1AT
POE DESCRIPTION: ALPHA1 ANTITRYPSIN; A1AT
CPT CODE:

82103-90

DAYS PERFORMED:

Daily, 24 hours

TURNAROUND TIME:

5-7 working days

SPECIAL INSTRUCTIONS:

 

CONTAINER TYPE:

Red top tube - 4 ml and SST tube

SPECIMEN REQUIREMENTS:

2 mL blood (1.0 mL serum)

REJECTION CRITERIA:

Gross hemolysis, Grossly lipemic

MINIMUM VOLUME: 1.0 mL blood (0.5 mL serum)
REFERENCE RANGE:

See Specialty Labs - Search Test Code 1513

METHODOLOGY:

Immunoturbidimetric

LAST UPDATED:

7-9-2014

TEST SYNONYM(S):A1AT, serum; AAT; Acute Phase Protein

Amikacin (Pre, Post & Random)

CERNER / EPIC MNEMONIC: AMIK PRE; AMIK POST; AMIK RND
POE DESCRIPTION: AMIKACIN POST DOSE; AMIK POST

AMIKACIN PRE DOSE; AMIK PRE

AMIKACIN RANDOM LEVEL; AMIK RND

CPT CODE: 80150
TEST INFORMATION:

Draw Pre just prior to next dose; Draw Post - at end of 60 min IV infusion or 30 minutes after the end of 30 minutes IV infusion or 60 minutes after IM dose.

DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME:

Routine:  5-7 working days

Stat:        4-6 hours

SPECIAL INSTRUCTIONS: Requisition must be marked random, pre- or postdose; include date and time specimen drawn. Indicate specimen type if not blood.
CONTAINER TYPE: Red top tube
SPECIMEN REQUIREMENTS: Blood (serum)
REJECTION CRITERIA:

Specimen collection time not recorded on requisition; no SST tubes

MINIMUM VOLUME: 0.4 mL blood (0.2 mL serum)
REFERENCE RANGE:

PRE: See Quest Diagnostics - Search Test Code 8583

POST: See Quest Diagnostics - Search Test Code 8584

RANDOM: See Quest Diagnostics - Search Test Code 236

CRITICAL VALUES: >35 µg/mL
LAST UPDATED:

6-2-2014

TEST SYNONYM(S):Amikin.; Amikacin, Post; Amikacin, Pre; Amikacin, Random

Ammonia, Plasma

CERNER / EPIC MNEMONIC: NH3
CPT CODE: 82140
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: 1 hour
SPECIAL INSTRUCTIONS: Caution: Blood ammonia increases rapidly at room temperature. When specimens are collected at a remote site, results may be elevated due to delay in testing.  This test cannot be added onto an existing sample.
CONTAINER TYPE: Green top (heparin) tube or lavender top (EDTA) tube
SPECIMEN REQUIREMENTS: Blood (plasma)
REJECTION CRITERIA: Specimen not delivered on ice immediately after collection.
MINIMUM VOLUME: 0.4 mL blood (0.2 mL plasma)
HANDLING INSTRUCTIONS: Specimen must be placed on ice and transported to the laboratory immediately after collection.
REFERENCE RANGE: Male: 65-107 µg/dL; female: 58-94 µg/dL
TEST SYNONYM(S):Blood Ammonia, Blood NH3; NH3; NH4

Amphetamine/Methamphetamine, Qualitative

CERNER / EPIC MNEMONIC: U/DS
POE DESCRIPTION: URINE DRUG SCREEN; U/DS
CPT CODE: 82145
TEST INFORMATION: This test is part of urine drug screen, and is not available as a separate test. The urine drug screen for the amphetamine group is subject to occasional false positive results from non-prescription sympathomimetric amines (e.g., pseudoephedrine, phenylpropanolamine). If this laboratory obtains a positive amphetamine result, the requesting physician will be asked to decide if the specimen should be sent out for confirmation by gas chromatography-mass spectrometry.
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Routine 4 hours; stat: 1 hour
SPECIAL INSTRUCTIONS: Do not use results for medicolegal purposes. For medicolegal purposes, specimens should be collected using chain-of-custody precautions and screening results should be confirmed using gas chromatography/mass spectrometry. Chain-of-custody and confirmation are not part of the urine drug screen and are not provided by this laboratory.
CONTAINER TYPE: Sterile 80 mL specimen container
SPECIMEN REQUIREMENTS: 1.0 mL random urine
MINIMUM VOLUME:

0.5 mL random urine

REFERENCE RANGE: None detected
METHODOLOGY:

FPIA (Fluorescence Polarization Immunoassay)

Amylase, Fluid

CERNER / EPIC MNEMONIC: F/AMY
POE DESCRIPTION:

FLUID AMYLASE

CPT CODE: 82150
DAYS PERFORMED: Specimen accepted daily, 24 hours
TURNAROUND TIME: 1 hour
SPECIAL INSTRUCTIONS: Must specify fluid type on the requisition.
CONTAINER TYPE:

Red top tube - 10 mLRed top tube - 4 mLSterile 80 mL specimen container

SPECIMEN REQUIREMENTS: Body fluid
MINIMUM VOLUME: 0.2 mL
REFERENCE RANGE: None established
TEST SYNONYM(S):Fluid Amylase

Amylase, Quantitative Urine

CERNER / EPIC MNEMONIC: RU/AMY (random urine); U/AMY (24-hour urine)
POE DESCRIPTION:

Urine Amylase Random; Urine Amylase Timed

CPT CODE: Random = 82150; Timed = 82150, 81050
DAYS PERFORMED:

Specimen accepted daily, 24 hours

TURNAROUND TIME: 8 hours
SPECIAL INSTRUCTIONS: For timed urine collection, instruct patient to void at the beginning of collection period and discard the specimen. Collect all urine including final specimen voided at the end of collection period. Containers must be labeled with the patient's full name, room number, date and time collection started, and date and time collection finished.
CONTAINER TYPE:

Random Sterile 80 mL specimen container, Timed 24 hour urine container (Bottle #1) with no preservative

SPECIMEN REQUIREMENTS:

Random or 24-hour urine

MINIMUM VOLUME:

Random urine: 1 mL

Timed urine:  Submit entire collection to the laboratory.

HANDLING INSTRUCTIONS: Keep urine refrigerated during collection.
REFERENCE RANGE:

Random urine:  None established

Timed urine: 35-560 IU/24 hours

TEST SYNONYM(S):Urine Amylase

Amylase, Serum

CERNER / EPIC MNEMONIC: AMY
POE DESCRIPTION: AMYLASE; AMY
CPT CODE: 82150
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Routine: 8 hours; stat: 1 hour
CONTAINER TYPE: SSTTM tube
SPECIMEN REQUIREMENTS: Blood (serum)
MINIMUM VOLUME: 0.4 mL blood (0.2 mL serum)
REFERENCE RANGE: 25-100 units/L

Amylase/Creatinine Clearance Ratio

CERNER / EPIC MNEMONIC: U/AM/CRCLR
POE DESCRIPTION: AMY CREAT RATIO; URT AMYLASE CREATINE CLEAR RAT; U/AM/CRCLR
CPT CODE: 82150; 82150; 82565; 82570
TEST INFORMATION: Test includes: serum amylase, urine amylase, serum creatinine, urine creatinine, amylase/creatinine clearance ratio
DAYS PERFORMED: Daily on first shift
TURNAROUND TIME: 24-48 hours
SPECIAL INSTRUCTIONS: Blood amylase and creatinine should be ordered and sent to the laboratory during urine collection. Failure to send blood amylase and creatinine is cause for rejection. For timed urine collection, instruct patient to void at the beginning of collection period and discard the specimen. Collect all urine including final specimen voided at the end of the collection period.
CONTAINER TYPE: SSTTM tube; plastic 24-hour urine container, no preservative (Chemistry bottle #1) or random urine container
SPECIMEN REQUIREMENTS: Blood (serum) and timed or random urine
MINIMUM VOLUME: 4 mL blood (2 mL serum); submit entire urine collection to the laboratory.
HANDLING INSTRUCTIONS: Keep urine refrigerated during collection.
REFERENCE RANGE: 0.7-3.5
TEST SYNONYM(S):Amylase/Creatinine Clearance

Amylase/Creatinine Ratio, Urine

CERNER / EPIC MNEMONIC: U/AM/CR/RA
POE DESCRIPTION: URT AMYLASE CREATINE RATIO; U/AM/CR/RA
CPT CODE: 82150; 82570
TEST INFORMATION: Test includes urine creatinine, urine amylase, amylase/creatinine ratio.
DAYS PERFORMED: Daily on first shift
TURNAROUND TIME: 24-48 hours
SPECIAL INSTRUCTIONS: For a timed urine collection, instruct patient to void at the beginning of collection period and discard the specimen. Collect all urine including final specimen voided at the end of the collection period.
CONTAINER TYPE:

Plastic random urine container; plastic 24-hour urine container, no preservative (Chemistry bottle #1)

SPECIMEN REQUIREMENTS: 24-hour or random urine.
MINIMUM VOLUME: Submit entire urine collection to the laboratory.
HANDLING INSTRUCTIONS: Keep urine refrigerated during collection.
REFERENCE RANGE: 70-700 units of amylase/g creatinine
TEST SYNONYM(S):A/C Ratio; Urine Amylase/Creatinine Ratio

Antistreptolysin O Titer, Serum

CERNER / EPIC MNEMONIC: ASO
POE DESCRIPTION: ANTISTREPTOLYSIN O TITER; ASO
CPT CODE: 86060-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

SSTTM tube

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME: 1.0 mL blood (0.5 mL serum)
REFERENCE RANGE:

See Specialty Labs - Search Test Code 2376

TEST SYNONYM(S):ASLO; ASO; ASO Titer

Antithrombin III Activity

CERNER / EPIC MNEMONIC: AT3 ACT
POE DESCRIPTION: ANTITHROMBIN III FUNCTIONAL; AT3 ACT
CPT CODE: 85300
DAYS PERFORMED:

Daily on second shift

SPECIAL INSTRUCTIONS:

Transport the specimen to Specimen Receiving as soon as possible. Blood should arrive in the Core Laboratory within 4 hours of drawing.This test cannot be added onto an existing sample more than 4 hours old.

CONTAINER TYPE:

Blue citrate tube

COLLECTION:

See Section - " Specimen Collection Guidelines" - Coagulation Specimens

SPECIMEN REQUIREMENTS: Blood, 4.5 mL tube
REJECTION CRITERIA: Specimen hemolyzed; Hct >55%
MINIMUM VOLUME:

1 mL plasma from properly filled tube

HANDLING INSTRUCTIONS: Transport the specimen to the laboratory as soon as possible. Specimen MUST be received within 4 hours after collection.
REFERENCE RANGE: 78 - 122%
LAST UPDATED:

10/12/2011

TEST SYNONYM(S):Antithrombin III Assay; Antithrombin III Functional; Functional Antithrombin III; Heparin Cofactor Activity; Serine Protease Inhibitor; Antithrombin

Abscess Culture, Anaerobic

CERNER / EPIC MNEMONIC: C ANAEROBE
POE DESCRIPTION: C ANAEROBE; CU ANAEROBIC
CPT CODE: 87075
TEST INFORMATION: Test includes culture for anaerobic organisms. Other isolated organisms (i.e. aerobes, yeast, etc.) may be referred for identification and/or susceptibility testing if medically indicated AND a separate culture procedure has NOT yielded the same organism(s).
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Cultures are examined every 48 hours. Preliminary reports are available after 48 hours. Culture reports of no growth will be issued after 5 days. Completion of culture reports may take 7-10 days after receipt of the specimen, depending upon the nature of the microorganisms isolated.
SPECIAL INSTRUCTIONS: Avoid exposure to atmospheric oxygen. Specimens should be transported as soon as possible. When transportation is delayed, leave at room temperature. Do NOT refrigerate. The specific anatomic site of the abscess MUST be specified on the requisition with surface and/or deep or surgical abscesses delineated.
CONTAINER TYPE:

BBLTM Port-A-Cul Transport System  Fluids/tissues may be submitted in a sterile container if transported to the laboratory immediately.

COLLECTION: The specimen of choice is an aspirate or tissue, NOT a swab. Specimens are to be collected from a site prepared utilizing aseptic technique. Overlying and adjacent areas must be carefully prepared to eliminate surface (normal flora) anaerobes. Ideally, material is obtained by needle aspiration through an intact surface, which has been cleaned with antiseptic, then placed directly into the BBLTMPort-A-Cul Transport System. Sampling of open lesions is enhanced by deep aspiration using a sterile plastic catheter. Curetting of the base of an open lesion is optimal. If irrigation is necessary, nonbacteriostatic sterile saline may be used. When a syringe is used to obtain the specimen, ALL air should be expelled after which the specimen should be injected into a BBLTM Port-A-Cul Transport System. Swabs should be used as a last resort due to the small volume of specimen obtainable by this method. If a swab must be used, sample the advancing margin of the lesion and abscess walls firmly. Do NOT sample pus or exudate ONLY. Insert the swab containing the sample about 1 cm from the bottom of the transport tube. Break off the swab shaft and secure the lid tightly. Contamination with normal flora from skin or other body sources MUST be avoided since colonizing bacteria not involved in the infectious process may be introduced into the sample.
SPECIMEN REQUIREMENTS: Aspirate, tissue, or other material appropriately obtained for anaerobic culture
REJECTION CRITERIA: Inappropriate specimen container, insufficient specimen volume, refrigerated specimen. Specimens from sites which have anaerobic bacteria as normal flora will routinely be rejected (i.e. vaginal, pharyngeal, etc.).
MINIMUM VOLUME: 0.5 mL aspirate, small piece of tissue, or one swab
HANDLING INSTRUCTIONS: Avoid exposure to atmospheric oxygen. Specimen should be transported as soon as possible. When transportation is delayed, leave at room temperature. Do NOT refrigerate.
REFERENCE RANGE: No growth of anaerobic bacteria
LIMITATIONS OF TEST:

A specimen received in anaerobic transport devices is not suitable for routine fungal or mycobacterial cultures. If more than three anaerobic isolates are present, the Bacteroides fragilis group and Clostridium perfringens will be the only isolates identified. Anaerobic susceptibility testing is NOT performed routinely. Should susceptibility testing be required, call the laboratory at (312) 942-5452.

METHODOLOGY: Conventional culture utilizing media specifically formulated for anaerobic isolation.
LAST UPDATED:

5-13-2014

TEST SYNONYM(S):Anaerobic Culture, Abscess

Acid-Fast Stain, Modified for Nocardia

CERNER / EPIC MNEMONIC:

SM AFB

POE DESCRIPTION:

SM AFB

CPT CODE: 87026
TEST INFORMATION: Use to determine the presence or absence of organisms resembling Nocardia species which are generally acid-fast when stained by the modified acid-fast stain. Actinomyces species and Streptomyces species which may be microscopically similar to Nocardia species on Gram stain are not acid-fast with the modified acid-fast stain.
DAYS PERFORMED:

Daily, 0700-1430

TURNAROUND TIME: Same day if received before 1430
SPECIAL INSTRUCTIONS: Order or requisition MUST state smear for Nocardia. The specific anatomic site of the specimen MUST be specified on the order or requisition.
CONTAINER TYPE: Sealed, sterile container
COLLECTION: The specimen of choice is an aspirate, tissue, or lower respiratory specimen. Specimens are to be collected from a site prepared utilizing aseptic technique. Swabs should be used as a last resort.
SPECIMEN REQUIREMENTS: Pus or other purulent fluid material appropriately obtained from a wound; lower respiratory specimen.
REJECTION CRITERIA: Inappropriate specimen container; insufficient specimen volume.
MINIMUM VOLUME:

1 mL

HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. When transportation is delayed, refrigerate.
REFERENCE RANGE: No acid-fast organisms resembling Nocardia species observed.
LIMITATIONS OF TEST: Nocardia species occasionally do NOT stain acid-fast with the Modified Acid-Fast stain.
METHODOLOGY:

Modified Kinyoun stain

ADDITIONAL INFORMATION: Specimens from lesions suspected of containing Nocardia species should also be examined for fungi, mycobacteria, and Actinomyces species. Separate specimens should be submitted for Fungus Culture, Mycobacterium Culture, and Actinomycosis Special Anaerobic Culture.
LAST UPDATED:

5-13-2014

TEST SYNONYM(S):Nocardia, Acid-Fast Stain; Modified Acid-Fast Stain, Nocardia

Actinomycosis Special Anaerobic Culture

CERNER / EPIC MNEMONIC: C ANAEROBE
POE DESCRIPTION: C ANAEROBE; CU ANAEROBIC
CPT CODE: 87075
TEST INFORMATION: Test includes culture for anaerobic organisms and in particular Actinomyces species, as well as, macroscopic and microscopic examination for sulfur granules. Other isolated organisms (i.e. aerobes, yeast, etc.) may be referred for identification and/or susceptibility testing if medically indicated AND a separate culture procedure has NOT yielded the same organism(s).
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME:

Cultures are examined every 48 hours. Preliminary reports available after 48 hours. Culture reports of no growth will be issued after 10 days. Completion of culture reports may take 10-12 days after receipt of the specimen, depending upon the nature of the microorganisms isolated.

SPECIAL INSTRUCTIONS: Order or requisition MUST state that the culture is being performed to rule out the presence of Actinomyces species. It is recommended that the Clinical Microbiology Laboratory be notified at (312)942-5452 prior to specimen submission. Avoid exposure to atmospheric oxygen. Specimens should be transported as soon as possible. When transportation is delayed, leave at room temperature. Do NOT refrigerate. The specific anatomic site of the culture MUST be specified on the order or the requisition. Distinguish between surface and deep or surgical specimens.
CONTAINER TYPE: BBLTM Port-A-Cul Transport System; sealed sterile container , no preservative.
COLLECTION: The specimen of choice is an aspirate or tissue, NOT a swab. Specimens are to be collected from a site prepared utilizing aseptic technique. Overlying and adjacent areas must be carefully prepared to eliminate surface (normal flora) anaerobes. Ideally, material is obtained by needle aspiration through an intact surface, which has been cleaned with antiseptic, then placed directly into the BBLTM Port-A-Cul Transport System. Sampling of open lesions is enhanced by deep aspiration using a sterile plastic catheter. Curetting of the base of an open lesion is optimal. If irrigation is necessary, nonbacteriostatic sterile saline may be used. When a syringe is used to obtain the specimen, ALL air should be expelled after which the specimen should be injected into a BBLTM Port-A-Cul Transport System. Swabs should be used as a last resort due to the small volume of specimen obtainable by this method. If a swab must be used, sample the advancing margin of the lesion and abscess walls firmly. Do NOT sample pus or exudate ONLY. Insert the swab containing the sample about 1 cm from the bottom of the transport tube. Break off the swab shaft and secure the lid tightly. Contamination with normal flora from skin or other body sources MUST be avoided since colonizing bacteria not involved in the infectious process may be introduced into the sample.
SPECIMEN REQUIREMENTS: Aspirate, tissue, body fluid, draining sinus tract, or other material appropriately obtained for anaerobic culture.
REJECTION CRITERIA: Inappropriate specimen container, insufficient specimen volume, refrigerated specimen. Specimens from sites which have anaerobic bacteria as normal flora will routinely be rejected.
MINIMUM VOLUME: Varies depending upon the body site. One swab in BBLTM Port-A-Cul Transport System; 0.5-5 ml pus from aspirated site, small piece of tissue, 0.5-10 ml fluid, sterile gauze which has been collecting wound drainage
HANDLING INSTRUCTIONS: Avoid exposure to atmospheric oxygen. Specimen should be transported as soon as possible. When transportation is delayed, leave at room temperature. Do NOT refrigerate.
REFERENCE RANGE: No growth of Actinomyces species or anaerobic bacteria
LIMITATIONS OF TEST:

A specimen received in anaerobic transport devices is not suitable for routine fungal or mycobacterial cultures. If more than three anaerobic isolates are present, the Bacteroides fragilis group, Clostridium perfringens, and Actinomyces species will be the only isolates identified. Anaerobic susceptibility testing is NOT performed routinely. Should susceptibility testing be required, call the Clinical Microbiology laboratory at (312)942-5452.

METHODOLOGY: Conventional culture utilizing media specifically formulated for anaerobic isolation.
LAST UPDATED:

5-13-2014

TEST SYNONYM(S):Actinomycosis; Anaerobic Culture, Actinomycosis

Acute Viral Hepatitis Panel

CERNER / EPIC MNEMONIC: AHP
CPT CODE: 80074; 87341 (HBS AG positives only)
TEST INFORMATION: The panel includes the following tests: Hepatitis A virus IgM antibody (HAVAB IGM). Hepatitis B core IgM antibody (HBC IGM), Hepatitis B virus surface antigen (HBS AG), and Hepatitis C virus antibody (HCV AB).
DAYS PERFORMED:

Samples accepted daily

TURNAROUND TIME:

8 hours

CONTAINER TYPE:

Red top Vacutainer® tube or SST TM tube

SPECIMEN REQUIREMENTS: Blood (serum)
REJECTION CRITERIA: Excessive hemolysis, gross contamination of specimen, chylous serum, improper storage of specimen, inappropriate specimen container, insufficient specimen volume.
MINIMUM VOLUME: 5 mL blood (1 mL serum)
HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. When transportation is delayed, refrigerate.
REFERENCE RANGE: No Hepatitis A IgM antigen detected; no Hepatitis B core IgM antibody detected; no Hepatitis B surface antibody detected; no Hepatitits C antibody detected.
METHODOLOGY: Enzyme immunoassay (EIA); enzyme-linked immunosorbent assay (ELISA).
ADDITIONAL INFORMATION: Use to screen for HBS AG; detect carrier state. Screen for HBS AB; determine previous Hepatitis B infection and acquired immunity to Hepatitis B virus. Screen for acute Hepatitis B infection, recovery from Hepatitis B infection, or chronic Hepatitis B virus hepatitis. Differentiate diagnosis of acute hepatitis. Click here for more information about viral hepatitis.
LAST UPDATED:

9-8-2014

TEST SYNONYM(S):Hepatitis Panel, Viral; AHP

Anti-ENA (Sm and RNP)

CERNER / EPIC MNEMONIC: ENA
POE DESCRIPTION: ANTI ENA; ENA; SM; SM+RNP
CPT CODE: 86235 x2
TEST INFORMATION:

The RNP/SM test detects both Anti-RNP and Anti-Smith antibodies.  To determine the presence or absence of anti-RNP specific antibodies, compare this result to the SM test results.

DAYS PERFORMED: Wednesday
TURNAROUND TIME: 1-7 days
CONTAINER TYPE:

Red top Vacutainer® tube or SST TM tube

SPECIMEN REQUIREMENTS:

4 mL blood (2 mL serum)

REJECTION CRITERIA: Hemolysis, gross contamination, icteric, lipemic
MINIMUM VOLUME:

0.5 mL serum

REFERENCE RANGE:

RNP/SM  0.00-0.89 Index Value

SM  0.00-0.89 Index Value

METHODOLOGY: Enzyme Immunoassay (EIA)
TEST SYNONYM(S):Antiextractable Nuclear Antigen; ENA; Extractable Nuclear Antigen; Anti-RNP; Anti-SM; RNP Antibodies; Ribonuclearprotein Antibodies; SMITH AB

Anti-ds-DNA

CERNER / EPIC MNEMONIC: DNA
POE DESCRIPTION: ANTI DNA; ANTI DS DNA; DNA (DNA DS DNA); DS DNA AB
CPT CODE:

86225

DAYS PERFORMED:

Wednesday

TURNAROUND TIME: 1-7 days
CONTAINER TYPE:

SST Tube or Red top tube - 10 mL

SPECIMEN REQUIREMENTS:

4.0 mL blood (2.0 mL serum)

REJECTION CRITERIA: Hemolysis, icteric, lipemic, grossly contaminated
MINIMUM VOLUME: 2.0 mL blood (1.0 mL serum)
REFERENCE RANGE:

0-26 IU/mL

METHODOLOGY:

Enzyme Immunoassay (EIA)

TEST SYNONYM(S):DS-DNA; DNA Antibodies; Double-Stranded DNA (Native) Antibody

Antibiotic Susceptibility

CERNER / EPIC MNEMONIC: Not orderable in LIS
POE DESCRIPTION: Not orderable in POE
CPT CODE: 87186 or 87174 or 87181 (each drug)
TEST INFORMATION: The test includes routine testing of a variety of antibiotics against an isolated organism. The types of antibiotics tested depends on the body site, as well as, the organism identification.
DAYS PERFORMED: Daily, 0700-1500
TURNAROUND TIME: 24-72 hours after isolation of bacterium to be tested
SPECIAL INSTRUCTIONS: A specified battery of antibiotics are routinely tested. If additional antibiotics are requested, consult the Clinical Microbiology Laboratory at (312)942-5452 within 7 days of submission of specimen for culture.
SPECIMEN REQUIREMENTS: Organism isolated from patient`s specimen (pure culture isolate)
REJECTION CRITERIA: Organism discarded prior to physician request for special antimicrobial testing, antibiotic requested not available, nonviable organism.
REFERENCE RANGE: Variable, depending upon the organism and the antibiotic.
LIMITATIONS OF TEST: Nonviable microorganisms.
METHODOLOGY:

Kirby-Bauer; E-test; automated minimum inhibitory concentrations.

ADDITIONAL INFORMATION: Antibiotics not yet FDA approved may be tested on a research only basis. Results are interpreted as susceptible (S), intermediate (I), or resistant (R). MIC`s (minimum inhibitory concentrations) may also be reported depending upon the isolate and/or the method used for testing.
LAST UPDATED:

5-27-2014

TEST SYNONYM(S):E Test Susceptibility Testing, Kirby-Bauer

Anticytoplasmic Autoantibodies (ANCA)

CERNER / EPIC MNEMONIC: ANCA
POE DESCRIPTION: ANTINEUTROPHIL CYTOPLASMIC AB; ANCA
CPT CODE:

86021 x3, 86039-90

TEST INFORMATION: Use to diagnose Wegener`s granulomatosis, microscopic polyarteritis, idiopathic glomerulonephritis, and pulmonary capillaritis; assess disease activity.
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

Red top Vacutainer® tube or SST TM tube

SPECIMEN REQUIREMENTS:

7 mL blood (3 mL serum)

REJECTION CRITERIA: Excessive hemolysis, gross contamination of specimen, chylous serum, improper storage of specimen, inappropriate specimen container, insufficient specimen volume.
MINIMUM VOLUME: 4 mL blood (2 mL serum)
REFERENCE RANGE:

See Specialty Labs  - Search Test Code 1866

TEST SYNONYM(S):ANCA; P-ANCA; C-ANCA; ACPA

Autoimmune Disease Profile

CERNER / EPIC MNEMONIC: AIP
POE DESCRIPTION: AUTOIMMUNE PROFILE; AIP
TEST INFORMATION: Profile includes C3, C4, RF, CRP, ANA SCRN. Tests available individually.
DAYS PERFORMED:

C3, C4, RF, CRP - Daily, 24 hours

ANA SCRN - Monday, Tuesday, Thursday, Friday, First shift

TURNAROUND TIME:

1-3 days

CONTAINER TYPE:

Red top tube - 10 mL or SST Tube

SPECIMEN REQUIREMENTS:

10 mL blood (5 mL serum)

REJECTION CRITERIA: Hemolysis
MINIMUM VOLUME: 5 mL blood (2.5 mL serum)
REFERENCE RANGE: See Table
METHODOLOGY:

Immunoturbidimetric; EIA; IFA

ADDITIONAL INFORMATION:

Positive ANA Screens by EIA are reflexed to ANA titer, DNA, ENA, SSA/B.

TEST SYNONYM(S):AIP; Autoimmune Profile; Collagen Profile

Acute Leukemia Profile

CERNER / EPIC MNEMONIC: ACUTE LEUK
POE DESCRIPTION: ACUTE LEUKEMIA PROFILE
CPT CODE: 88180 (x17)
TEST INFORMATION: METHOD - Immunophenotyping

REFLEX TESTING - Depending upon results, further cell surface markers may need to be analyzed. This could include up to 6 additional markers. Cases of B-cell leukemia found by immunophenotyping may be followed up by JH PCR or light chain PCR. Cases of T-cell leukemia may be followed up by T-cell PCR.

DAYS PERFORMED: Mon-Fri, 0800-1600; weekends and holidays 0800-1630 pm by on-call basis. 85-5329.
TURNAROUND TIME: 1-3 days
SPECIAL INSTRUCTIONS: Do not refrigerate specimen. Tests require viable lymphocytes. Sample must be in laboratory within 24 hours of collection. Specimen should be submitted with a completed Patient Information Form. Contact the Flow Cytometry Laboratory at 312-942-8393 to obtain a form.
CONTAINER TYPE: Yellow top (ACD) tubes
SPECIMEN REQUIREMENTS: Blood, bone marrow
MINIMUM VOLUME: 10 mL ACD blood, at least 1 mL ACD bone marrow, hypocellular patients may require extra sample.
REFERENCE RANGE: Written interpretation is included with report
TEST SYNONYM(S):Immunophenotyping; Flow cytometry

Alpha1-Fetoprotein, Amniotic Fluid

CERNER / EPIC MNEMONIC: AFP-AM FLD
POE DESCRIPTION: ALPHA FETOPROTEIN AMNIOTIC or AFP-AM FLD
CPT CODE: 82106-90
TURNAROUND TIME:

5-7 working days

SPECIAL INSTRUCTIONS: Provide patient's date of birth, completed weeks of gestation, and number of fetuses. Optimal screening gestational age is 16-18 weeks. Ranges exist for gestational ages between 14 and 21 weeks. AFP test request forms contain important patient information needed to calculate test results. A legible request form must accompany the specimen to the laboratory. Note: Maternal serum specimens must be drawn prior to amniocentesis.
CONTAINER TYPE:

Sterile tube for amniotic fluid

SPECIMEN REQUIREMENTS: 3.0 mL amniotic fluid
MINIMUM VOLUME: 1.5 mL amniotic fluid
HANDLING INSTRUCTIONS:

DO NOT FREEZE.

REFERENCE RANGE:

See Specialty Labs - Search Test Code 3111

TEST SYNONYM(S):AFP-AM FLD; Amniotic Fluid AFP

Amino Acid, Quantitative, Blood

CERNER / EPIC MNEMONIC: AA QT
POE DESCRIPTION: AMINO ACID QUANTITATIVE BL; AA QT
CPT CODE: 82139
DAYS PERFORMED: Mon-Fri
TURNAROUND TIME: 5 days
SPECIAL INSTRUCTIONS: Include age of patient.
CONTAINER TYPE: Green top (heparin) tube
SPECIMEN REQUIREMENTS: Blood
MINIMUM VOLUME: 0.5 mL
HANDLING INSTRUCTIONS: Refrigerate
REFERENCE RANGE: Provided with patient report. Age dependent
TEST SYNONYM(S):Blood Amino Acid, Quantitative; Plasma Amino Acids; Quantitative Amino Acids, Plasma

Amino Acid, Quantitative, Urine

CERNER / EPIC MNEMONIC: U/AA QT
CPT CODE: 82139
DAYS PERFORMED: Mon-Fri
TURNAROUND TIME: 5 days
SPECIAL INSTRUCTIONS: Include age of patient.
CONTAINER TYPE: Chemically clean urine collection bottle
SPECIMEN REQUIREMENTS: 24-hour or random urine
MINIMUM VOLUME: 10 mL, indicate total volume (mL)/24 hours
HANDLING INSTRUCTIONS: Refrigerate or freeze.
REFERENCE RANGE: Provided with patient report. Age dependent.
TEST SYNONYM(S):Quantitative Amino Acids, Urine; Urine Amino Acids

Arylsulfatase A

CERNER / EPIC MNEMONIC: ARYLSULF A
POE DESCRIPTION: ARYLSULFATASE A
CPT CODE: 82657
TEST INFORMATION: http://www.mayomedicallaboratories.com/
DAYS PERFORMED:

M-Th; arrange with laboratory

TURNAROUND TIME:

5-7 business days

CONTAINER TYPE: Yellow ACD tube
SPECIMEN REQUIREMENTS:

7 mL ACD whole blood

MINIMUM VOLUME: 5 mL ACD whole blood
HANDLING INSTRUCTIONS: Maintain at 4°C (wet ice) for transport to the laboratory. Sample must reach laboratory within 1 hour after draw.
REFERENCE RANGE:

See Mayo Clinic - Search Test Code 8779

TEST SYNONYM(S):Metachromatic Leukodystrophy

Acetylcholine Binding Antibody

CERNER / EPIC MNEMONIC: ACHR BIND
POE DESCRIPTION: ACHR BINDING ANTIBODIES; ACHR BIND; ACHR
CPT CODE:

83519-90

TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

SST(TM) tube or red top tube

SPECIMEN REQUIREMENTS: 2 mL blood (1.0 mL serum)
REJECTION CRITERIA: Test will not be performed if patient had recent radioactive scan.
MINIMUM VOLUME: 0.5 mL blood (0.2 mL serum)
REFERENCE RANGE:

See Specialty Labs - Search Test Code 1410

TEST SYNONYM(S):AChR Antibodies; Myasthenia Gravis Evaluation

Acetylcholine Blocking Antibody

CERNER / EPIC MNEMONIC: ACHR Block
POE DESCRIPTION: ACHR BLOCKING ANTIBODY; ACHR BLOCK
CPT CODE: 83519-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

SSTTM tube or red top tube

SPECIMEN REQUIREMENTS: 2.0 mL blood (1.0 mL serum)
REJECTION CRITERIA: Test will not be performed if patient had recent radioactive scan.
MINIMUM VOLUME: 0.5 mL blood (0.2 mL serum)
REFERENCE RANGE:

See Specialty Labs - Search Test Code 1412

TEST SYNONYM(S):Myasthenia Gravis Evaluation

Acetylcholine Modulating Antibody

CERNER / EPIC MNEMONIC: ACHR MODUL
POE DESCRIPTION: ACHR MODULATING ANTIBODY; ACHR MODUL
CPT CODE:

83519-90

DAYS PERFORMED: 5-7 working days
CONTAINER TYPE:

SSTTM tube or red top tube

SPECIMEN REQUIREMENTS: 4.0 mL blood (2.0 mL serum)
REJECTION CRITERIA: If patient had recent radioactive scan prior to collection of specimen.
MINIMUM VOLUME: 1.5 mL blood (0.8 mL serum)
REFERENCE RANGE:

See Specialty Labs - Search Test Code 1413

TEST SYNONYM(S):Myasthenia Gravis Evaluation

Acid Phosphatase, Prostatic

CERNER / EPIC MNEMONIC: PAP
POE DESCRIPTION: ACID PHOSPHATASE PROSTATIC; PAP(PROSTATIC ACID PHOSPHAT)
CPT CODE: 84066-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE: SSTTM tube or red top tube
SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME:

1.0 mL blood (0.5 mL serum)

HANDLING INSTRUCTIONS: Avoid hemolysis. Due to the extremely unstable nature of the enzyme, the sample must be delivered to the laboratory immediately after collection.
REFERENCE RANGE: See Specialty Labs - Search Test Code 3100
LAST UPDATED:

9-17-2012

TEST SYNONYM(S):Acid Phos; AcP; Phosphatase, Acid; Prostatic Acid Phosphatase; PAP

Activated Protein C Resistance Assay

CERNER / EPIC MNEMONIC: APC RESIST
POE DESCRIPTION: APC RESIST
CPT CODE: 85307-90
CDM NUMBER:

3181008

TURNAROUND TIME: 5-7 working days
SPECIAL INSTRUCTIONS:

This test cannot be added onto an existing sample.

CONTAINER TYPE: Blue citrate tube
COLLECTION:

See section - Specimen Collection Guidelines - Coagulation Specimens

SPECIMEN REQUIREMENTS: 4.0 mL blood (2.0 citrated platelet poor plasma)
REJECTION CRITERIA:

Specimen hemolyzed

Hct >55%

MINIMUM VOLUME: 3.5 mL blood (0.5 mL citrated platelet poor plasma)
REFERENCE RANGE:

 See Specialty Labs - Search Test Code: 5900

LAST UPDATED:

04/30/12

TEST SYNONYM(S):RAPC; APC; APC Resistance

Adrenocorticotropic Hormone

CERNER / EPIC MNEMONIC: ACTH
POE DESCRIPTION: ADRENOCORTICOTROPIC HORMONE; ACTH
CPT CODE: 82024-90
TURNAROUND TIME: 5-7 working days
SPECIAL INSTRUCTIONS:

This test cannot be added onto an existing sample.

CONTAINER TYPE: Lavender top (EDTA) tube on ice
SPECIMEN REQUIREMENTS: 2.0 mL blood (1.0 mL EDTA plasma)
MINIMUM VOLUME: 1.0 mL blood (0.5 mL EDTA plasma)
REFERENCE RANGE: See Specialty Labs - Search Test Code 3102
TEST SYNONYM(S):ACTH; Adrenal Corticotropin; Corticotropin

Aldolase

CERNER / EPIC MNEMONIC: ALDOLASE
POE DESCRIPTION: ALDOLASE
CPT CODE: 82085-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

 SSTTM tube or red top

SPECIMEN REQUIREMENTS: 4.0 mL blood (2.0 mL serum)
MINIMUM VOLUME: 2.0 mL blood (1.0 mL serum)
REFERENCE RANGE: See Specialty Labs - Search Test Code 1392

Aldosterone, Blood

CERNER / EPIC MNEMONIC: ALDOST
POE DESCRIPTION: ALDOSTERONE; ALDOST
CPT CODE: 82088-90
TEST INFORMATION:

All ages

TURNAROUND TIME:

 5-7 working days

CONTAINER TYPE:

 Red top tube only

SPECIMEN REQUIREMENTS:

2.0 mL blood (0.5 mL serum)

MINIMUM VOLUME:

1.0 mL blood (0.3 mL serum)

REFERENCE RANGE:

 See Specialty Labs - Search Test Code 17181

LAST UPDATED:

6-2-2013

Aldosterone, Urine

CERNER / EPIC MNEMONIC: U/ALDO
POE DESCRIPTION: URT ALDOSTERONE; U/ALDO
CPT CODE: 82088-90 
TURNAROUND TIME: 5-7 working days
SPECIAL INSTRUCTIONS: Requires a 24-hour urine collection
CONTAINER TYPE:

 

24-hour urine bottle Chemistry bottle #3 (containing 10 gm boric acid)

SPECIMEN REQUIREMENTS: 24-hour urine
MINIMUM VOLUME: Entire collection
HANDLING INSTRUCTIONS: Keep refrigerated during collection.
REFERENCE RANGE: See Specialty Labs - Search Test Code 3104U
TEST SYNONYM(S):Urine Aldosterone

Alkaline Phosphatase Isoenzymes

CERNER / EPIC MNEMONIC: AP ISO
POE DESCRIPTION: ALKALINE PHOSPHATASE ISOENZYME
CPT CODE: 84080-90, 84075-90 
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

Red top tube or SSTTM tube

SPECIMEN REQUIREMENTS: 4.0 mL blood (2.0 mL serum)
MINIMUM VOLUME:

2.0 mL blood (1.0 mL serum)

REFERENCE RANGE: See Specialty Labs - Search Test Code 3996
TEST SYNONYM(S):Alk Phos Isoenzymes; Fractionated Alk Phos

Allergic Bronchopulmonary Aspergillosis

CERNER / EPIC MNEMONIC: ABPA
POE DESCRIPTION: ABPA
CPT CODE: 86606(x2), 82785, 86331
TEST INFORMATION: Refer to: ABPA Profile
TURNAROUND TIME: 2-3 weeks
SPECIAL INSTRUCTIONS: Patient's information form must accompany specimen. Contact Core Laboratory to obtain form.
CONTAINER TYPE: Red top tube
SPECIMEN REQUIREMENTS: 10 mL blood (5.0 mL serum)
MINIMUM VOLUME: 8 mL blood (4.0 mL serum)
REFERENCE RANGE: Interpretation included with test results
TEST SYNONYM(S):ABPA Profile

Alpha1-Antitrypsin Phenotyping

CERNER / EPIC MNEMONIC: A1AT PHENO
POE DESCRIPTION: ALPHA1 ANTITRYPSIN PHENO; A1AT PHENO
CPT CODE: 82104-90
TEST INFORMATION:

 

TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

SSTTM tube or red top tube

SPECIMEN REQUIREMENTS: 2.0 mL blood (1.0 mL serum)
MINIMUM VOLUME: 1.0 mL blood (0.5 mL serum)
REFERENCE RANGE: See Specialty Labs - Search Test Code 1514
TEST SYNONYM(S):Pi Phenotype; Pi Typing; A1AT Phenotype

Alpha2-Macroglobulin

CERNER / EPIC MNEMONIC: A2 MACRO
POE DESCRIPTION: ALPHA2 MACROGLOBULIN; ALPHA2 MACRO
CPT CODE:

83883-90

TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

Red top tube or SSTTM tube

SPECIMEN REQUIREMENTS: 2.0 mL blood (1.0 mL serum)
REJECTION CRITERIA: Specimen hemolyzed; Hct >65%
MINIMUM VOLUME: 1.0 mL blood (0.5 mL serum)
REFERENCE RANGE: See Specialty Labs - Search Test Code S51641
TEST SYNONYM(S):A2M; Acute Phase Protein

Aluminum, blood

CERNER / EPIC MNEMONIC: ALUM
POE DESCRIPTION: ALUMINUM; ALUM
CPT CODE: 82108-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

 Navy blue (EDTA) tube - 7 ml

SPECIMEN REQUIREMENTS:

2 mL EDTA whole blood

MINIMUM VOLUME:

1.0 mL EDTA whole blood

REFERENCE RANGE: See Specialty Labs - Search Test Code 4862W
TEST SYNONYM(S):Al, Blood

Amiodarone

CERNER / EPIC MNEMONIC: AMIOD
POE DESCRIPTION: AMIODARONE; AMIOD
CPT CODE: 82492-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE: Red top tube only
SPECIMEN REQUIREMENTS: 4.0 mL blood (2.0 mL serum)
REJECTION CRITERIA:

SST tubes not acceptable.

MINIMUM VOLUME: 2.0 mL blood (1.0 mL serum)
REFERENCE RANGE: See Specialty Labs - Search Test Code 4147
TEST SYNONYM(S):Cordarone

Amitriptyline

CERNER / EPIC MNEMONIC: AMITRIP
POE DESCRIPTION: AMITRIPTYLINE
CPT CODE: 80152-90
TEST INFORMATION: Includes nortriptyline
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE: Red top tube only
SPECIMEN REQUIREMENTS:

4.0 mL blood (2.0 mL serum)

REJECTION CRITERIA:

SST tubes not acceptable

MINIMUM VOLUME: 3.0 mL blood (1.0 mL serum)
REFERENCE RANGE: See Specialty Labs - Search Test Code 4914
LAST UPDATED:

1-24-2012

TEST SYNONYM(S):Elavil.; Endep.; Etrafon.; Triavil.

Androstenedione

CERNER / EPIC MNEMONIC: ANDROSTENE
POE DESCRIPTION: ANDROSTENEDIONE; ANDROSTENE
CPT CODE: 82157-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

Red top tube or SSTTM tube

SPECIMEN REQUIREMENTS: 2.0 mL blood (1.0 mL serum)
MINIMUM VOLUME: 1.0 mL blood (0.4 mL serum)
REFERENCE RANGE: See Specialty Labs - Search Test Code 3112

Angiotensin-1-Converting Enzyme (ACE), Blood

CERNER / EPIC MNEMONIC:

ACE

POE DESCRIPTION: ANGIOTENSIN CONVERTING ENZYME; ACE
CPT CODE: 82164-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

SSTTM tube or red top

SPECIMEN REQUIREMENTS:

2 mL of blood (1 mL of serum)

MINIMUM VOLUME:

1 mL of blood (0.5 mL serm)

REFERENCE RANGE:

 

See Specialty Labs - Search Test Code 3114

TEST SYNONYM(S):ACE

Anti-ss DNA

CERNER / EPIC MNEMONIC: SS-DNA
POE DESCRIPTION: SS-DNA
CPT CODE: 86226-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

Red top tube or SSTTM  tube

SPECIMEN REQUIREMENTS: 2 mL blood (1.0 mL serum)
MINIMUM VOLUME:

1.0 mL blood (0.5 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 1290

TEST SYNONYM(S):Single-Stranded DNA Antibodies; SS-DNA; DNA-Single Stranded Antibodies

Antideoxyribonuclease-B Titer

CERNER / EPIC MNEMONIC: ADB
POE DESCRIPTION: ADB
CPT CODE: 86215-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

Red top tube or SST(TM) tube

SPECIMEN REQUIREMENTS: 2.0 mL blood (1.0 mL serum)
MINIMUM VOLUME: 1.0 mL blood (0.4 mL serum)
REFERENCE RANGE:

See Specialty Labs - Search Test Code 2351

TEST SYNONYM(S):ADB; ADNase-B; Anti-DNase-B Titer; Antistreptococcal DNase-B Titer; Streptodornase

Antidiuretic Hormone

CERNER / EPIC MNEMONIC: ADH
POE DESCRIPTION: ADH
CPT CODE: 84588-90
TURNAROUND TIME: 5-7 working days
SPECIAL INSTRUCTIONS:

This test cannot be added onto an existing sample.

CONTAINER TYPE: Lavender top (EDTA) tube on ice
SPECIMEN REQUIREMENTS: 6.0 mL EDTA whole blood (3.0 mL EDTA plasma)
MINIMUM VOLUME: 2.0 mL EDTA whole blood (1.0 mL EDTA plasma)
HANDLING INSTRUCTIONS: Deliver to Core Laboratory immediately.
REFERENCE RANGE: See Specialty Labs - Search Test Code 3116
TEST SYNONYM(S):ADH; Arginine Vasopressin; AVP; Vasopressin

Antihyaluronidase Titer

CERNER / EPIC MNEMONIC: ADB
POE DESCRIPTION: ADB
CPT CODE: 86215-90
TEST INFORMATION: Refer to Dnase B Antibody
TURNAROUND TIME: 5-7 days
TEST SYNONYM(S):Antistreptococcal Hyaluronidase Titer - no longer available

Antineutrophil Antibodies, Neutrophil (Granulocyte) Antibody

CERNER / EPIC MNEMONIC: GRANULO AB
CPT CODE:

86021-90

TEST INFORMATION: Refer to Granulocyte (Neutrophil) Antibody
TURNAROUND TIME: 7-10 days
CONTAINER TYPE:

Red top tube - 10 mL or Red top tube - 4 mL

SPECIMEN REQUIREMENTS:

2 mL blood (1.0 mL serum)

MINIMUM VOLUME:

1 mL blood (0.1 m serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code S51304

Antiphospholipid Syndromes Evaluation

CERNER / EPIC MNEMONIC: ANTIPHOS
CPT CODE:

85613-90, 86146-90 (x3), 86147-90 (x3), 86148-90 (x3)

TEST INFORMATION: Test includes: dRVVT, Cardiolipin IgG, IgM, IgA, and Phosphatidylserine IgG, IgM, IgA, Beta-2 Glycoprotein I IgG, IgM, IgA
TURNAROUND TIME: 5-7 working days
SPECIAL INSTRUCTIONS: Heparinized plasma is a cause for rejection.
CONTAINER TYPE:

 blue top sodium citrate

SPECIMEN REQUIREMENTS:

7 tubes - 2.7 mL blue top

MINIMUM VOLUME:

7.0 mL citrated plasma

HANDLING INSTRUCTIONS: Specimen must be delivered to the laboratory immediately.
REFERENCE RANGE:

See Specialty Labs - Search Test Code 9759

LAST UPDATED:

2-27-2014

Antithrombin III Antigen

CERNER / EPIC MNEMONIC: ATIII ANT
POE DESCRIPTION: ANTITHROMBIN III ANTIGEN; ATIII ANT
CPT CODE: 85301-90
CDM NUMBER:

3181338

TURNAROUND TIME: 5-7 working days
CONTAINER TYPE: Blue citrate tube
COLLECTION: See Section - "Specimen Collection Guidelines" - Coagulation Specimens
SPECIMEN REQUIREMENTS:

4 mL blood (2.0 mL citrated platelet poor plasma)

REJECTION CRITERIA: Specimen hemolyzed; Hct >65%
MINIMUM VOLUME: 3.5 mL blood (1.0 mL citrated platelet poor plasma); pediatric tubes must be fully drawn.
REFERENCE RANGE:

See Specialty Labs  - Search Test Code 3253

TEST SYNONYM(S):Heparin Cofactor Antigen

Apolipoprotein E Genotyping

CERNER / EPIC MNEMONIC: APO E
POE DESCRIPTION: APOLIPOPROTEIN E GENOTYPE; APO E
CPT CODE:

83890, 83892, 83894, 83898, 83912

TEST INFORMATION:

http://www.mayomedicallaboratories.com/

TURNAROUND TIME: 7-10 days
SPECIAL INSTRUCTIONS: Draw Sunday through Thursday only. Contact lab for history form.
CONTAINER TYPE: 7.0 mL Lavender top (EDTA) tube
SPECIMEN REQUIREMENTS: 3.0 mL EDTA whole blood at room temperature
MINIMUM VOLUME: 0.5 mL EDTA whole blood at room temperature
REFERENCE RANGE:

See Mayo Clinic - Search Test Code 80905

TEST SYNONYM(S):APO E Genotyping

Arsenic, Blood

CERNER / EPIC MNEMONIC: AS
POE DESCRIPTION: ARSENIC; AS
CPT CODE: 82175-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE: Navy blue EDTA tube
SPECIMEN REQUIREMENTS: 7.0 mL Navy Blue EDTA whole blood
MINIMUM VOLUME: 2.0 mL Navy Blue EDTA whole blood
REFERENCE RANGE: See Specialty Labs - Search Test Code 4867W
TEST SYNONYM(S):AS

Arsenic, Urine

CERNER / EPIC MNEMONIC: U/AS
POE DESCRIPTION: URT AS; U/AS
CPT CODE: 82175-90
TEST INFORMATION: Includes w/creatinine
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE: 24 Hour Urine - Bottle-5HeavyMetals.jpg
SPECIMEN REQUIREMENTS: 24-hour urine
REJECTION CRITERIA:

Do not use hydrochloric acid (HCl) preservative.

MINIMUM VOLUME: Entire collection
HANDLING INSTRUCTIONS: Keep refrigerated during collection.
REFERENCE RANGE: See Specialty Labs - Search Test Code 4867U
TEST SYNONYM(S):Urine Arsenic

Amplified Nucleic Acid CT/GC

CERNER / EPIC MNEMONIC: PRB CHL/GC
POE DESCRIPTION:

Amplified Probe Chlm and GC

CPT CODE:

87491, 87591

CDM NUMBER:

3421089

TEST INFORMATION:

The Aptima Combo 2 Assay is a target amplification nucleic acid probe test for the detection of rRNA from Chlamydia trachomatis and/or Neisseria gonorrhoeae.

DAYS PERFORMED:

Monday-Friday

TURNAROUND TIME: 24-72 hours
SPECIAL INSTRUCTIONS:

The specific anatomic site of the specimen MUST be specified on the order or requisition.

Additional Collection Information:
Urine: Collection for male and female  Patient should not have urinated for 1 hour prior to specimen collection. Direct patient to provide approximately 20 - 30 ml of initial stream into a urine collection cup free of any preservatives. Collection of larger volumes of urine may result in specimen dilution that may reduce test sensitivity. Female patients should NOT cleanse labial area prior to providing specimen. Remove cap from Aptima urine transport tube and transfer 2 ml of urine into urine specimen transport tube using disposable pipette provided. The correct volume of urine has been added when fluid level is between black fill lines on urine specimen transport tube label. Re-cap urine specimen transport tube tightly.   Alternatively, urine specimens still in the primary collection container may be submitted to the laboratory within 24 hours of collection.

CONTAINER TYPE:

1 unisex swab (for endocervical or urethral) in Gen-Probe Aptima  transport medium; preservative free urine in  cup or 2ml of urine added to Aptima  urine transport medium

COLLECTION:

Endocervical: Remove excess mucus from the cervical os and surrounding mucosa using cleaning swab (white shaft swab).  Discard the swab. Insert the specimen collection (blue shaft) swab into the endocervical canal. Rotate the swab for 10 -30 seconds to ensure adequate sampling. Withdraw the swab carefully to avoid any contact with the vaginal mucosa. Insert the swab into the Aptima transport medium. Break off the swab shaft to fit the tube, then cap the tube, tightly.

Urethra: Patients should not have urinated for 1 hour prior to sample collection. Collect the urethral exudate or insert the swab from the collection kit 2- 4 cm into the urethra. Rotate the swab gently using sufficient pressure to ensure the swab comes in to contact with all urethral surfaces. Allow the swab to remain inserted for 2-3 seconds. Withdraw swab and insert into Aptima transport medium. Break off the swab shaft to fit the tube, then cap the tube.

See SPECIAL INSTRUCTIONS and ADDITIONAL INFORMATION for urine.

SPECIMEN REQUIREMENTS:

Endocervical, or urethral swab; urine

REJECTION CRITERIA: Improper collection and/or transport of specimen (ie. Gen-Probe Aptima collection kit and/or transport medium not used); more than one swab submitted in transport container; specimens from sites other than endocervix, urethra, or urine; insufficent quantity of specimen;  Gen-Probe Aptima urine tube over or underfilled.
MINIMUM VOLUME:

One (blue) swab in Aptima Gen-Probe transport medium
20 -30 mL urine in sterile urine cup
2 ml urine added to Aptima urine transport tube

HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. When transportation is delayed, leave at room temperature.
REFERENCE RANGE:

No Neisseria gonorrhoeae or Chlamydia trachomatis detected.

LIMITATIONS OF TEST:  A  negative urine result for Neisseria gonorrhoeae from a female patient  has a lower sensitivity than does an endocervical or vaginal swab result (91.3 % for urine, versus 99.3 % for endocervical swabs) (Gaydos CA et al. Journal  Clinical Microbiology, 2003; 41:304-9).       Results obtained by nucleic acid amplification probe testing should not be used for medicolegal purposes.  Neisseria gonorrhoeae or Chlamydia trachomatis cultures must be performed in such cases.
METHODOLOGY: Transcription Mediated  Amplification and non isotopic nucleic acid probe testing
ADDITIONAL INFORMATION:

Patients in whom Neisseria gonorrhoeae or Chlamydia trachomatis is detected  are reported to the City of Chicago Board of Health.  This is mandated by law.

LAST UPDATED:

7-3-2013

TEST SYNONYM(S):PCR, TMA or Amplification for Chlamydia trachomatis or Neisseria gonorrhoeae; Gen-Probe for Neisseria gonorrhoeae or Chlamydia trachomatis; DNA Probe for Neisseria gonorrhoeae or Chlamydia trachomatis; Gonorrhoeae by DNA Probe; Chlamydia by DNA Probe

Acetylcholinesterase, Amniotic Fluid

CERNER / EPIC MNEMONIC: ACHE
POE DESCRIPTION: ACETYLCHOLINESTERASE; ACHE
CPT CODE:

82664-90

TURNAROUND TIME:

5-7 working days

SPECIAL INSTRUCTIONS: Include gestational age
CONTAINER TYPE:

Sterile capped plastic tube

SPECIMEN REQUIREMENTS: 3 mL amniotic fluid collected from 14-21 weeks gestation
MINIMUM VOLUME: 0.5 mL
HANDLING INSTRUCTIONS: If delayed delivery to the laboratory, refrigerate specimen.
REFERENCE RANGE:

See Specialty Labs - Search Test Code S42485

TEST SYNONYM(S):AChE, Amniotic Fluid; Amniotic Fluid Acetylcholinesterase; Gel AChE Test; Amniotic Fluid AChE

Angiotensin-1-converting Enzyme (ACE), Fluid

CERNER / EPIC MNEMONIC: F/ACE
POE DESCRIPTION: ACE-Fluid
CPT CODE: 82164-90
CDM NUMBER: 3181375
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE: Red top tube or CSF collection tube
SPECIMEN REQUIREMENTS: 1 mL of body fluid
MINIMUM VOLUME: 0.5 mL of body fluid
REFERENCE RANGE:

See Specialty Labs - Search Test Code S52055

METHODOLOGY: Enzymatic
REFERRAL LABORATORY:

 

TEST SYNONYM(S):F/ACE; ACE, fluid

Alpha-1-Antitrypsin, Stool

CERNER / EPIC MNEMONIC:

Q/A1AT

POE DESCRIPTION:

Alpha-1-Antitrypsin, Stool

CPT CODE:

82103-90

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

Sterile cup

SPECIMEN REQUIREMENTS:

Random stool; 5 grams

MINIMUM VOLUME:

5 grams of stool

REFERENCE RANGE:

See Mayo Clinic - Search Test Code: A1AF

LAST UPDATED:

1-21-2014

TEST SYNONYM(S):A1AT, Stool

Alpha1-Fetoprotein, Blood

CERNER / EPIC MNEMONIC:

AFP TUMOR

POE DESCRIPTION:

ALPHA FETOPROTEIN TUMOR or AFP TUMOR

CPT CODE:

82105

DAYS PERFORMED:

Daily, 24 hours

TURNAROUND TIME:

8 hours

CONTAINER TYPE:

SSTTM  tube

SPECIMEN REQUIREMENTS:

Blood (serum)

MINIMUM VOLUME:

2 mL blood (0.5 mL serum)

REFERENCE RANGE:

Adult: ≤10 ng/mL

METHODOLOGY:

CMIA (Chemiluminescent Microparticle Immunoassay)

LAST UPDATED:

4-25-13

TEST SYNONYM(S):AFP Tumor Marker

Almond (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

ALMOND

POE DESCRIPTION:

Almond allergen

CPT CODE:

86003-90

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SSTTM  tube or  red top

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME:

1.0 mL blood (0.3 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code F20

Alternaria tenius (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

A TENIUS

POE DESCRIPTION:

Alternaria tenius Allergen

CPT CODE:

86003-90

TEST INFORMATION:

Mold Allergen.  Included in the Rast Inhalant Panel.

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SSTTM tube or red top

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME:

1.0 mL blood (0.3 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code M6

Anchovy (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

ANCHOVY

POE DESCRIPTION:

Anchovy Allergen

CPT CODE:

86003-90

TEST INFORMATION:

www.specialtylabs.com

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SSTTM tube or red top

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME:

1.0 mL blood (0.3 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code RF313

Aspergillus fumagatis (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

A. FUM

POE DESCRIPTION:

Aspergillus fumigatus allergen

CPT CODE:

86003-90

TEST INFORMATION:

Mold allergen.  Included in the Rast Inhalant Panel.

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SSTTM tube or red top

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME:

1.0 mL blood (0.3 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code M3

ADAMTS13 EVALUATION with Reflex

CERNER / EPIC MNEMONIC:

ADMS13 EVL

CPT CODE:

85397-90, 85335-90, 83520-90

CDM NUMBER:

3181572

TEST INFORMATION:

Includes Reflex testing if needed (inhibitor, antibody)

TURNAROUND TIME:

5-7 working days

SPECIAL INSTRUCTIONS:

This test cannot be added onto an existing sample.

CONTAINER TYPE:

Blue citrate tube

COLLECTION:

See Section Specimen Collection Guidelines - Coagulation Specimens

SPECIMEN REQUIREMENTS:

Two blue top (2.7 mL draw) (2.0 mL citrated platelet)

REJECTION CRITERIA:

Specimen hemolyzed; Hct >55%; underfilled tube (QNS)

MINIMUM VOLUME:

One 2.7 mL blue top (0.9 mL plasma)

REFERENCE RANGE:

See Blood Center of Wisconsin - Search Test Code 1295 (ADAMTS13 EVAL)

LAST UPDATED:

2-27-2014

TEST SYNONYM(S):Von Willebrand Cleaving Protease Activity; VW CLEAV; VWF Cleaving Protease Activity; ADAMTS13 EVALUATION

Apolipoprotein A-1

CERNER / EPIC MNEMONIC:

APO A1

POE DESCRIPTION:

APOLIPOPROTEIN A1

CPT CODE:

82172-90

TURNAROUND TIME:

5-7 working days

SPECIAL INSTRUCTIONS:

Patient should fast for 12 hours prior to blood draw.

CONTAINER TYPE:

SSTTMtube

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

REJECTION CRITERIA:

lipemic, icteric, and hemolyzed samples are not acceptable.

MINIMUM VOLUME:

1.0 mL blood (0.5 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 1901

TEST SYNONYM(S):APO A-1; APO A1

Apolipoprotein B

CERNER / EPIC MNEMONIC:

APO B

POE DESCRIPTION:

APOLIPOPROTEIN B

CPT CODE:

82172-90

TURNAROUND TIME:

5-7 working days

SPECIAL INSTRUCTIONS:

Patient should fast for 12 hours prior to blood draw.

CONTAINER TYPE:

SSTTMtube

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

REJECTION CRITERIA:

moderately lipemic, icteric, or hemolyzed specimens are not acceptable.

MINIMUM VOLUME:

1.0 mL blood (0.5 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 1903

Acylcarnitine Profile, Dried Blood Spots

CERNER / EPIC MNEMONIC:

ACYLCARNOB

POE DESCRIPTION:

Acylcarnitine Profile, dried blood spots

CPT CODE:

82017

TEST INFORMATION:

See OMIM information, Specialty Website test code S49210

TURNAROUND TIME:

one week

CONTAINER TYPE:

PKU card

SPECIMEN REQUIREMENTS:

PKU card

MINIMUM VOLUME:

Fill at least three spots.  Blood can be collected in a green top (heparin) tube and spotted on a PKU card.

Acylcarnitine Profile

CERNER / EPIC MNEMONIC:

ACYLCARN

POE DESCRIPTION:

Acylcarnitine Profile

CPT CODE:

82017-90

TURNAROUND TIME:

one week

CONTAINER TYPE:

green top tube (heparin)

SPECIMEN REQUIREMENTS:

2 mL whole blood (1 mL plasma from green top)

MINIMUM VOLUME:

1.0 mL whole blood (0.2 mL plasma from green top)

REFERENCE RANGE:

See Specialty Labs - Search Test Code S51287

LAST UPDATED:

08/11/2011

ANA Screen

CERNER / EPIC MNEMONIC:

ANA SCRN

CPT CODE:

86063

TEST INFORMATION:

All positive ANA SCRN specimens will be reflexed (REFLEX ANA) to the following tests:  ANA IFA, DNA, ENA, SSA/B

DAYS PERFORMED:

Tuesday, Thursday, Friday

TURNAROUND TIME:

1-4 days

CONTAINER TYPE:

SST Tube - 9.5 mL or Red top tube - 10 mL

SPECIMEN REQUIREMENTS:

10 mL blood (5 mL serum)

REJECTION CRITERIA:

Hemolysis, gross contamination, icteric, lipemic

MINIMUM VOLUME:

8 mL blood (4 mL serum)

REFERENCE RANGE:

0.00 to 0.99 Index Value

METHODOLOGY:

Enzyme immunoassay (EIA)

LAST UPDATED:

4-10-2013

TEST SYNONYM(S):ANA EIA; Antinuclear Antibody by Enzyme Immunoassay

Androstenedione, Pediatrics

CERNER / EPIC MNEMONIC:

MISC CHEM

CPT CODE:

82157-90

TEST INFORMATION:

www.esoterix.com

DAYS PERFORMED:

M. Tu, Th

TURNAROUND TIME:

5-7 business days

CONTAINER TYPE: Red top tube - 4 ml
SPECIMEN REQUIREMENTS:

1.0 mL blood (0.5 mL serum)

REJECTION CRITERIA:

SST tubes not acceptable.

MINIMUM VOLUME:

0.5 mL blood (0.2 mL serum)

HANDLING INSTRUCTIONS:

Must send to lab within one hour of collection.

REFERENCE RANGE:

See Esoterix Lab - Search Test Code 500030

Adrenal Total Autoantibodies

CERNER / EPIC MNEMONIC:

ADRENAL AB

CPT CODE:

86255-90

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SST or Red Top

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME:

1.0 mL blood (0.5 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 1130

LAST UPDATED:

4-16-2013

TEST SYNONYM(S):Adrenal Total Autoantibodies

Alpha-Galactosidase, Leukocytes

CERNER / EPIC MNEMONIC:

ALPHA GALC

CPT CODE:

82657-90

TURNAROUND TIME:

5-7 working

CONTAINER TYPE:

Yellow top ACD A or B

COLLECTION:

Draw Monday through Thursday only.  Sample must arrive at Mayo Labs within 72 hours of draw.

SPECIMEN REQUIREMENTS:

7.0 mL whole blood

REJECTION CRITERIA:

Gross hemolysis

MINIMUM VOLUME:

6.0 mL whole blood

REFERENCE RANGE:

See Mayo Labs - Search Test Code 8785

LAST UPDATED:

7-10-2013

TEST SYNONYM(S):Anderson Fabry Disease; AGA; Alpha-Galactosidase A; Ceramide Trihexosidase; GLA Deficiency

Assisted Reproductive Technique

CERNER / EPIC MNEMONIC:

ART

POE DESCRIPTION:

ASSISTED REPRODUCTIVE TECHNIQUE (Semen Analysis with Morphology + 24 Motility & Viability Assessment)

CPT CODE:

89240

DAYS PERFORMED:

Monday-Thursday, 0700 am - 0900 am with appointment

TURNAROUND TIME:

3-5 business days

SPECIAL INSTRUCTIONS:

Call office to schedule appointments.  Appointment should be scheduled at least 3 days in advance.  You must receive a Medical Record Number in Room 104 Pro Bldg I prior to producing semen specimen.  Semen specimens are produced in the Andrololgy Lab, Suite 119 Pro Bldg I.  Please allow 2-3 days of sexual abstinence prior to specimen collection.

CONTAINER TYPE:

Sterile specimen container (provided by lab)

SPECIMEN REQUIREMENTS:

Semen

REJECTION CRITERIA:

Improper collection, incomplete requisition information

MINIMUM VOLUME:

1.0

HANDLING INSTRUCTIONS:

Specimen should ideally be produced in lab.

REFERENCE RANGE:

On form

LAST UPDATED:

9-5-2013

Anti-Mullerian Hormone

CERNER / EPIC MNEMONIC:

ANTI-MUL H

CPT CODE:

83520-90

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SST or Red top

SPECIMEN REQUIREMENTS:

1.0 mL blood (0.5 mL serum)

MINIMUM VOLUME:

1.0 mL blood (0.5 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 3138

LAST UPDATED:

6-20-2014

TEST SYNONYM(S):Mullerian Inhibiting Substance