Direct Antiglobulin Test

CERNER / EPIC MNEMONIC: DAT; CLOT
POE DESCRIPTION: DIRECT ANTIGLOBULIN TEST; DIRECT COOMBS; DAT
CPT CODE: 86880
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: 30 minutes
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: Anticoagulated Red Blood Cells
MINIMUM VOLUME:

6 mL (pink top)

REFERENCE RANGE: Negative
LAST UPDATED:

03-31-2014

TEST SYNONYM(S):Anti-Human Globulin Test; Broad Spectrum Direct Coombs`; DAT; Direct Coombs`; Coombs` Test

Direct Antiglobulin Test, Complement

CERNER / EPIC MNEMONIC: DAT3; CLOT
POE DESCRIPTION: WORK UP DAT
CPT CODE: 86880
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: 30 minutes
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: Anticoagulated Red Blood Cells
MINIMUM VOLUME: 7 mL (lavender)
REFERENCE RANGE: Negative
TEST SYNONYM(S):Anti-C3d; C3d; Direct Coombs`, Complement

Direct Antiglobulin Test, IgG

CERNER / EPIC MNEMONIC: DAT3; CLOT
POE DESCRIPTION: WORK UP DAT
CPT CODE: 86880
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: 30 minutes
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: Anticoagulated Red Blood Cells
MINIMUM VOLUME: 7 mL (lavender)
REFERENCE RANGE: Negative
TEST SYNONYM(S):Anti-IgG Coombs` Test; Direct Coombs`, IgG; Incomplete Antibody

Drug Antibody Identification

CERNER / EPIC MNEMONIC: DRUG WORK
POE DESCRIPTION: DRUG ANTIBODY WORKUP
CPT CODE: 86850, 86900, 86901, 86880
DAYS PERFORMED: Weekdays, 0700-1900
TURNAROUND TIME: 8 hours
CONTAINER TYPE: One pink top  tube, one 10 mL red top tube (clot)
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
MINIMUM VOLUME: 10 mL (red), 7 mL (lavender)

Donath-Landsteiner Test

CERNER / EPIC MNEMONIC: [hyperlink](not orderable on LIS)
CPT CODE: 86008
DAYS PERFORMED: Monday-Friday, 0700-1900
TURNAROUND TIME: 4 hours
CONTAINER TYPE: One pink top tube and one red top tube
SPECIMEN REQUIREMENTS: Blood
MINIMUM VOLUME: 14 mL
HANDLING INSTRUCTIONS: During collection and during transport to the laboratory, it is essential to maintain both specimens at 37°C.
TEST SYNONYM(S):D-L Test, test for PCH

D-Dimer Test for Fibrin Derivatives

CERNER / EPIC MNEMONIC: D-DIMER
POE DESCRIPTION: D-DIMER FIBRIN DERIVATIVES; D-DIMER
CPT CODE: 85378
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Routine: 4 hours. Stat: 1 hour
SPECIAL INSTRUCTIONS: Pediatric tubes must be fully drawn. Do not freeze.¿ If specimens cannot be sent to the lab within four hours, separate and refrigerate the plasma. This test cannot be added onto an existing sample more than 24 hours old.
CONTAINER TYPE:

Blue top sodium citrate tube

COLLECTION:

See Section - " Specimen Collection Guidelines" - Coagulation Specimens. Pediatric tubes must be completely filled.

SPECIMEN REQUIREMENTS:

Blood, 4.5 mL tube or pediatric 1.8 mL or 2.6 mL tube

REJECTION CRITERIA: Specimen hemolyzed; Hct >55%; Lipemic specimen
MINIMUM VOLUME: 3.5 mL blood (1.0 mL plasma)
HANDLING INSTRUCTIONS: Transport the specimen to the laboratory as soon as possible. Specimen MUST be received and spun down within 4 hours after collection.
REFERENCE RANGE: Normal: <0.6 ug/mL
TEST SYNONYM(S):Cross-Linked Fibrin Derivatives; Fibrin Derivatives, Cross Linked

DIC Panel

CERNER / EPIC MNEMONIC: DIC PANEL
POE DESCRIPTION: DIC PANEL
CPT CODE: 85730, 85384, 85220, 85379, 85610, 85595
TEST INFORMATION: Includes PT, APTT, fibrinogen, D-dimer, platelet count, factor V
DAYS PERFORMED: 24 hours (FV Mon-Sun 0730-2300)
TURNAROUND TIME: 1 hour for PT, PTT, fibrinogen, D-dimer and platelet count. Factor V performed only 1600-2300.
SPECIAL INSTRUCTIONS: Pediatric tubes must be fully drawn
CONTAINER TYPE:

One 4.5 mL blue or 2 Pediatric 1.8 mL or 2.7 mL tubes; one lavender (for platelet count)

COLLECTION:

See Section - " Specimen Collection Guidelines" - Coagulation Specimens

SPECIMEN REQUIREMENTS: Blood, 4.5 mL tube
REJECTION CRITERIA: Specimen hemolyzed; Hct >65%; specimen lipemic (for D-dimer); underfilled tube (QNS)
MINIMUM VOLUME:

3.5 mL blood (2 mL plasma), lavender 1.5 mL

HANDLING INSTRUCTIONS: 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 INR >7.0 sec

APTT >100 seconds

Plt <20,0000 </body/>
TEST SYNONYM(S):Disseminated Intravenous Coagulation Panel

Diphenylhydantoin, Serum

CERNER / EPIC MNEMONIC: DIL
POE DESCRIPTION: DILANTIN, TOTAL; DILANTIN
CPT CODE: 80185
TEST INFORMATION: Optimal sampling time is at trough, just before the next dose.
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Routine: 4 hours; stat: 1 hour
CONTAINER TYPE: Red top tube - 4 mL
SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME: 1.0 mL blood (0.2 mL serum)
REFERENCE RANGE: Therapeutic: 10-20 µg/mL
METHODOLOGY:

Enzyme Immunoassay

CRITICAL VALUES: >30 µg/mL
TEST SYNONYM(S):Dilantin.; Phenytoin

Drug Screen, Urine

CERNER / EPIC MNEMONIC: U/DS
POE DESCRIPTION: URINE DRUG SCREEN; U/DS
CPT CODE: 80101 (x7)
TEST INFORMATION: Test includes amphetamine, barbiturates, benzodiazepines, cannabinoids, cocaine, opiates and phencyclidine. This test provides only qualitative detection of the seven drugs/drug classes listed above. Quantitation of drug levels is not included and is not recommended because urine levels are time and clearance dependent and are not directly related to toxic symptoms seen clinically. For specific quantitative drug blood levels, see the listing by specific generic drug name for drug desired. When a serum drug screen and a urine drug screen are ordered simultaneously, only results of the urine drug screen will be reported. When a serum specimen is sent instead of urine, a urine specimen will be requested. Specify the drug or drugs suspected on the requisition.
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Routine: 4 hours; stat: 1 hour
SPECIAL INSTRUCTIONS: Do not use results of the urine drug screen 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 available in this laboratory.
CONTAINER TYPE: Sterile 80 mL specimen container
SPECIMEN REQUIREMENTS: 1.0 mL random urine; serum (blood) is not required for a drug screen unless the patient cannot (or will not) produce urine.
MINIMUM VOLUME: 0.5 mL random urine
REFERENCE RANGE: None detected
METHODOLOGY:

Enzyme Immunoassay (EIA)

TEST SYNONYM(S):Drugs of Abuse Screen, Urine; Urine Drug Screen

Definitive Organism Identification

CERNER / EPIC MNEMONIC: C AER REF; C ANAEROBE; C ANA REF; C FUN REF; C AFB REF; GS
CPT CODE: 87070; 87075; 87076; 87106; 87118; 87205
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Anaerobe: 3-4 days after receipt; aerobic: 48-72 hours after receipt; fungal 48 hours to 2 weeks after receipt; mycobacteria: 1-2 weeks after receipt. The stated turnaround time assumes a fresh, viable, pure culture.
SPECIMEN REQUIREMENTS: Clinical isolates (pure culture)
TEST SYNONYM(S):Isolate for Identification; Organism Identification, Definitive

DNA Analysis for Cystic Fibrosis

CERNER / EPIC MNEMONIC: CY FIB MU; ordered by CPT codes in Genetics
CPT CODE: 83891, 83894, 83896 x2, 83901 x2, 83893 x2, 83912
DAYS PERFORMED: Mon-Thur, 0800-1400, referred to reference lab
TURNAROUND TIME: 3 weeks
SPECIAL INSTRUCTIONS: Include reason for performing test and ethnic origin on requisition.
CONTAINER TYPE: Yellow ACD Solution A
SPECIMEN REQUIREMENTS: Blood
MINIMUM VOLUME: 10 mL

DNA Analysis of Cells, Fresh or Frozen

CPT CODE: 88182
TEST INFORMATION: METHOD - Flow Cytometry
DAYS PERFORMED: Mon-Fri, 0800-1600
TURNAROUND TIME: 1 week
SPECIAL INSTRUCTIONS: All specimens should be delivered to Surgical Pathology
CONTAINER TYPE: 50 mL centrifuge tube for bladder barbotage, 15 mL centrifuge tube with 50% ethanol for cell scrapings.
SPECIMEN REQUIREMENTS: Bladder barbotage in normal saline solution or cells scraped from tumors with a scalpel
REJECTION CRITERIA: Inadequate amount of cells collected or absence of tumor cells in sample
MINIMUM VOLUME: 10,000 cells
HANDLING INSTRUCTIONS: Refrigerate
REFERENCE RANGE: Diploid (negative). If nondiploid (positive), a written interpretation will be included. S-phase for breast cancer given in relation to means at Rush.
METHODOLOGY: Propidium iodide staining by a modification of the Vindelov procesure and analysis by flow cytometry
TEST SYNONYM(S):DNA Content of Cells, Fresh or Frozen; Cell Cycle Analysis; Aneuploidy of Cells, Fresh or Frozen; DNA Aneuploidy of Cells, Fresh or Frozen; DNA Ploidy & S Phase of Cells, fresh or Frozen

DNA Analysis of Paraffin-Embedded Tissue

CPT CODE: 88182
TEST INFORMATION: METHOD - Flow Cytometry
DAYS PERFORMED: Mon-Fri, 0800-1600
TURNAROUND TIME:

1 week

SPECIAL INSTRUCTIONS: Deliver all specimens to Surgical Pathology (5 Jelke)
SPECIMEN REQUIREMENTS: A block of formalin fixed, paraffin-embedded tissue with >0.2 cm tissue; tumor nuclei should comprise >30% of total nuclei present
REJECTION CRITERIA: Suitability of the sample for the test will be judged on basis of adjacent histologic section.
REFERENCE RANGE: Diploid (negative). If nondiploid (positive) a written interpretation will be included.
METHODOLOGY: Propidium iodide staining by a modified Vindelov method and analysis by flow cytometry
TEST SYNONYM(S):Aneuploidy of Paraffin-Embedded Tissue; DNA Content of Paraffin-Embedded Tissue; DNA Aneuploidy of Paraffin-Embedded Tissue; DNA Ploidy & S Phase of Parrifin-Embedded Tissue

Dehydroepiandrosterone Sulfate

CERNER / EPIC MNEMONIC: DHEA-S
POE DESCRIPTION: DHEA SULFATE; DHEA-S
CPT CODE: 82627-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

Red top tube or SSTTM tube

SPECIMEN REQUIREMENTS: 4 mL blood (2.0 mL serum)
MINIMUM VOLUME:

1 mL blood (0.4 mL serum)

REFERENCE RANGE: See Specialty Labs - Search Test Code 3150

TEST SYNONYM(S):DHEA-S; DHEA-Sulfate

Dehydroepiandrosterone, unconjugated

CERNER / EPIC MNEMONIC: DHEA
POE DESCRIPTION: DEHYDROEPIANDROSTERONE; DHEA
CPT CODE: 82626-90
TEST INFORMATION: Unconjugated DHEA
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 (0.5 mL serum)

REFERENCE RANGE: See Specialty Labs - Search Test Code 3146

TEST SYNONYM(S):DHEA, unconjugated; DHEA

Delta Aminolevulinic Acid, Urine

CERNER / EPIC MNEMONIC: U/DALA
POE DESCRIPTION: URT DALA; U/DALA
CPT CODE: 82135-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

24-hour urine bottle,Chemistry bottle #1

SPECIMEN REQUIREMENTS: 24-hour urine
MINIMUM VOLUME: Submit entire urine collection to the laboratory.
HANDLING INSTRUCTIONS: Refrigerate during collection. Protect specimen from light.
REFERENCE RANGE: See Specialty Labs - Search Test Code S51659
TEST SYNONYM(S):ALA; Aminolevulinic Acid; DALA; Delta-ALA; Urine Delta ALA

Desipramine

CERNER / EPIC MNEMONIC: DESIP
POE DESCRIPTION: DESIPRAMINE
CPT CODE: 80160-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE: Red top tube only
SPECIMEN REQUIREMENTS:

6 mL blood (3 mL serum)

REJECTION CRITERIA:

SST tubes not acceptable

MINIMUM VOLUME:

3.0 mL blood (1.5 mL serum)

REFERENCE RANGE: See Specialty Labs - Search Test Code 4922

LAST UPDATED:

9-17-2012

TEST SYNONYM(S):Norpramin.; Pertofrane.

Diazepam, Quantitative, Serum

CERNER / EPIC MNEMONIC:

NORDIAZ

POE DESCRIPTION: DIAZEPAM
CPT CODE: 80154-90
TEST INFORMATION: Includes Nordiazepam
TURNAROUND TIME: 7-10 days
SPECIAL INSTRUCTIONS:

Collect immediately before the next dose (trough).

CONTAINER TYPE: Red top tube only
SPECIMEN REQUIREMENTS:

4 mL blood (2.0 mL serum)

MINIMUM VOLUME:

2.0 mL blood (1.0 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 4928 

LAST UPDATED:

1-19-2012

TEST SYNONYM(S):Valium.

Dihydrotestosterone, 5-Alpha

CERNER / EPIC MNEMONIC: DIHYDROTES
POE DESCRIPTION: DIHYDROTES
CPT CODE: 82651-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

Red top tube or SSTTM tube

SPECIMEN REQUIREMENTS:

10.0 mL blood (4.0 mL serum)

MINIMUM VOLUME:

3.0 mL blood (1.1 mL serum)

REFERENCE RANGE:

 

See Specialty Labs - Search Test Code S51491

TEST SYNONYM(S):DHT; Dihydrotestosterone, 5-Alpha

Dilantin (Phenytoin), Free

CERNER / EPIC MNEMONIC:

DIL-FREE

POE DESCRIPTION:

PHENYTOIN, FREE

CPT CODE:

80186

TEST INFORMATION:

Phenytoin, free

TURNAROUND TIME:

1 to 5 days

CONTAINER TYPE:

Red top tube - 10 mLRed top tube - 4 mLMicrotainer (Red), (Red top only)

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

REJECTION CRITERIA:

Serum separator tube (SST)

MINIMUM VOLUME:

1.0 mL blood (0.5 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 4143

LAST UPDATED:

10-10-2011

TEST SYNONYM(S):Free Phenytoin, Free Dilantin

Diphenylhydramine HCL (Benadryl)

CERNER / EPIC MNEMONIC: DIPHENHY
POE DESCRIPTION: DIPHENHY
CPT CODE:

82491

TURNAROUND TIME: 5-7 working days
CONTAINER TYPE: Red top tube
SPECIMEN REQUIREMENTS: 4.0 mL blood (2.0 mL serum)
MINIMUM VOLUME: 1.0 mL blood (0.5 mL serum)
REFERENCE RANGE: See Specialty Labs - Search Test Code S50822

LAST UPDATED:

2-19-2013

TEST SYNONYM(S):Benadryl, Diphenylhydramine

Dnase B Antibody

CERNER / EPIC MNEMONIC: ADB
POE DESCRIPTION: ABD
CPT CODE: 86215-90
TEST INFORMATION: Refer to Antideoxyribonuclease-B titer
TURNAROUND TIME: 7-10 days
REFERENCE RANGE:

See Specialty Labs - Search Test Code 2351

Dermatophagoides farinae (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

D. FARINA

POE DESCRIPTION:

Dermatophagoides Farina Allergen

CPT CODE:

86003-90

TEST INFORMATION:

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 D2

TEST SYNONYM(S):Dust mites allergen

Dog Dander (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

DOG DANDER

POE DESCRIPTION:

Dog Dander Allergen

CPT CODE:

86003-90

TEST INFORMATION:

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 E5

Digoxin

CERNER / EPIC MNEMONIC:

DIG

CPT CODE:

80162

TURNAROUND TIME:

Routine: 4 hr, Stat: 1 hr

CONTAINER TYPE:

Red top tube or SST tube

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME:

1.0 mL blood (0.1 mL serum)

LAST UPDATED:

6-3-2013

Deoxycorticosterone PEDS

CERNER / EPIC MNEMONIC:

DOC-PED

CPT CODE:

82633-90

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

Red top tube only or red microtainer

SPECIMEN REQUIREMENTS:

1.0 mL blood (0.5 mL serum)

MINIMUM VOLUME:

0.5 mL blood (0.25 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 90973

LAST UPDATED:

1-24-2014