Hemoglobin A1C

CERNER / EPIC MNEMONIC: HGB A1C
CPT CODE: 83036
DAYS PERFORMED: Specimen accepted daily
TURNAROUND TIME: 24 hours
CONTAINER TYPE: Lavender top (EDTA) tube. If a Complete Blood Count (CBC) or other hematology tests are requested, a separate lavender top (EDTA) tube must be drawn for Hgb A1C.
SPECIMEN REQUIREMENTS: Blood
MINIMUM VOLUME: 0.5 mL whole blood
REFERENCE RANGE: Normal: 3.9% to 6.2%
TEST SYNONYM(S):Glycated Hemoglobin, Blood; Glucohemoglobin

Haptoglobin, Serum

CERNER / EPIC MNEMONIC: HAPTO
POE DESCRIPTION: HAPTOGLOBIN
DAYS PERFORMED:

Daily, 24 hours

TURNAROUND TIME:

8 hours

CONTAINER TYPE:

Red top tube - 4 mL  or SST tube

SPECIMEN REQUIREMENTS:

4 mL blood (2.0 mL serum)

REJECTION CRITERIA:

Any degree of Hemolysis; Grossly lipemic

MINIMUM VOLUME: 1 mL blood (0.5 mL serum)
REFERENCE RANGE: 31-167 mg/dL
METHODOLOGY:

Immunoturbidimetric

Heinz Body Stain

CERNER / EPIC MNEMONIC: HEINZ BODY
CPT CODE:

85441-90, 85445-90

TEST INFORMATION:

http://www.aruplab.com/Testing-Information/lab-test-directory.jsp

DAYS PERFORMED: As scheduled by laboratory
TURNAROUND TIME: 24 hours
SPECIAL INSTRUCTIONS:

Procedure must be scheduled in advance with the laboratory at 942-5002. Deliver immediately after collection. Specimen must be in laboratory before 1100 hours.

CONTAINER TYPE: Lavender top (EDTA) tube
SPECIMEN REQUIREMENTS:

4 mL EDTA whole blood

REJECTION CRITERIA: Not scheduled ahead with the laboratory, non-fresh sample
MINIMUM VOLUME:

2 mL EDTA whole blood

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

See ARUP Laboratories - Search Test Code 0049090

LAST UPDATED:

4-25-2014

TEST SYNONYM(S):Crystal Violet Stain for Heinz Bodies

Hematology Panel

CERNER / EPIC MNEMONIC:

CBC

POE DESCRIPTION:

COMPLETE BLOOD COUNT

CPT CODE: 85027; 85029
TEST INFORMATION: Test includes: RBC, HGB, HCT, RBC Indicies, WBC, Platelet Count
DAYS PERFORMED: Daily, 24 hours; available stat
TURNAROUND TIME: 8 hours; stat: 1 hour
CONTAINER TYPE: Lavender top (K2 EDTA) tube
SPECIMEN REQUIREMENTS: Blood
REJECTION CRITERIA: Clotted specimen, >24 hours old
MINIMUM VOLUME: 1.5 mL venous, 250 µL capillary whole blood
HANDLING INSTRUCTIONS: Specimen should be sent to the laboratory as soon as possible, not more than 2 hours after collection.
REFERENCE RANGE: See Table
TEST SYNONYM(S):Hemogram; Hematology Panel

Hemoglobin Electrophoresis

CERNER / EPIC MNEMONIC: HGB ELECT
POE DESCRIPTION: HEMOGLOBIN ELECTROPHORESIS; HGB ELECTROPHORESIS; HGB ELECT
CPT CODE: 83020
DAYS PERFORMED: Monday and Thursday, first shift
TURNAROUND TIME: 3-5 days
CONTAINER TYPE: Lavender top (K2 EDTA) tube - 3 mL
SPECIMEN REQUIREMENTS:

3 mL whole blood (3 mL EDTA whole blood)

REJECTION CRITERIA:

Clotted Specimen

MINIMUM VOLUME:

2 mL whole blood (2 mL K2 EDTA whole blood)

REFERENCE RANGE: (Adults) Hemoglobin A: 94.5-98%; hemoglobin A2: 2.0-3.5%; hemoglobin F: 0.0% to 2.0%; hemoglobin C: absent; hemoglobin S: absent; no abnormal hemoglobin present
METHODOLOGY:

Capillary Electrophoresis

TEST SYNONYM(S):Electrophoresis, Hemoglobin

Hemoglobin F Slide Elution (Kleihauer-Betke)

CERNER / EPIC MNEMONIC: K-B
POE DESCRIPTION: HEMOGLOBIN F SLIDE ELUTION; KLEIHAUER BETKE; K-B
CPT CODE: 85460
DAYS PERFORMED: Mon-Fri, 0800-1300
TURNAROUND TIME: 24 hours
SPECIAL INSTRUCTIONS: Procedure must be scheduled in advance with laboratory at 942-5002. Deliver immediately after collection. Specimen must be in laboratory before 1100 hours if test is to be done same day.
CONTAINER TYPE: Lavender top (EDTA) tube
SPECIMEN REQUIREMENTS: Blood
REJECTION CRITERIA: Not scheduled with the laboratory ahead of time. Not drawn in EDTA
MINIMUM VOLUME: 1.5 mL whole blood
HANDLING INSTRUCTIONS: Blood must be less than 6 hours old. Smears must be fixed within 1 hour after preparation. Refrigerate specimen if it cannot be processed immediately.
REFERENCE RANGE: Heterogeneous distribution; <1 fetal cell/1000 adult cells
TEST SYNONYM(S):Acid Elution for Fetal Hemoglobin; Fetal Hemoglobin Stain; Fetal-Maternal Hemorrhage Test; Hb F Slide Elution; Kleihauer-Betke

Hemosiderin, Urine

CERNER / EPIC MNEMONIC: RU/HEMOSID
POE DESCRIPTION: URT HEMOSIDERIN; U/HEMOSID
CPT CODE: 83070
TURNAROUND TIME:

5-7 days

SPECIAL INSTRUCTIONS:

First morning sample is preferred.

CONTAINER TYPE: Sterile urine container
SPECIMEN REQUIREMENTS:

30 mL random urine

MINIMUM VOLUME: 20 mL random urine
REFERENCE RANGE:

See Specialty Labs - Search Test Code S49268

TEST SYNONYM(S):Iron Stain, Urine; Prussian Blue, Urine; Urine Hemosiderin

Hepatic Function Panel

CERNER / EPIC MNEMONIC: HFP
POE DESCRIPTION: HEPATIC FUNCTION PANEL; HFP
CPT CODE: 80076
TEST INFORMATION: Test includes albumin, total bilirubin, direct bilirubin, alkaline phosphatase, SGOT (AST), protein and SGPT (ALT).
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Routine: 8 hours: stat: 1 hour
CONTAINER TYPE:

SSTTM tube or green top (heparin) microtainer for neonates

SPECIMEN REQUIREMENTS: Blood (serum)
MINIMUM VOLUME: 4 mL blood (2 mL serum)
REFERENCE RANGE:

See Table

CRITICAL VALUES:

Total bilirubin: 0-7 days, > 18 mg/dL, 7 days to adult > 25 mg/dL

TEST SYNONYM(S):HFP

High Density Lipoprotein Cholesterol, Plasma

CERNER / EPIC MNEMONIC: HDL
POE DESCRIPTION: HIGH DENSITY LIPOPROTEIN; HDL CHOLESTEROL
CPT CODE: 83718
TEST INFORMATION: This test is also part of Lipid Panel.
DAYS PERFORMED: Daily
TURNAROUND TIME: 1 day
SPECIAL INSTRUCTIONS: Patient should fast for 12-14 hours prior to collection of specimen.
CONTAINER TYPE:

Red top tube - 10 mL or SST tube

SPECIMEN REQUIREMENTS: Blood (serum)
MINIMUM VOLUME: 2 mL blood (1 mL serum)
REFERENCE RANGE: Male: 40-59 mg/dL, female: 40-59 mg/dL
TEST SYNONYM(S):Alpha-Lipoprotein Cholesterol; HDL; HDL Cholesterol

Homocysteine

CERNER / EPIC MNEMONIC: HMCYS
POE DESCRIPTION: HOMOCYSTEINE; PBH; PROTEIN BOUND HOMOCYSTEINE
CPT CODE: 83090
DAYS PERFORMED:

Daily, 24 hours

TURNAROUND TIME:

8 hours

SPECIAL INSTRUCTIONS:

Please deliver immediately to the lab on ice. Homocysteine results may be falsely elevated if whole blood remains at room temperature for more than one hour after collection. If specimens cannot be sent to the lab immediately, they should be placed on ice or immediately centrifuged and plasma aliquoted. This test cannot be added onto an existing sample more than 6 hours old.

CONTAINER TYPE: Lavender topp (K2 EDTA) tube - 3 mL (on ice)
SPECIMEN REQUIREMENTS:

3.0 mL whole blood (1.5 mL EDTA plasma)

REJECTION CRITERIA:

Hemolyzed Sample

MINIMUM VOLUME: 1.0 ml whole blood, 0.3 mL EDTA plasma
HANDLING INSTRUCTIONS:

 

REFERENCE RANGE:

Males: 5.46 - 16.20

Females: 4.44 - 13.56

The total homocystine concentration in plasma or serum of healthy individuals will vary with age, gender, geographical area, and genetic factors.  Values are typically lower for women than for men, however, postmenopausal women may show increased values for total homocystine.  A majority of scientific literature agree upon a range of normal values between 5 and 15 µmol/L (adult male and female).  Values will normally increase with age with accepted expected reference value among elderly (>60 years) from 5 - 20 µmol/L.

METHODOLOGY:

Chemiluminiscent

LAST UPDATED:

3-28-2013

Human Chorionic Gonadotropin, Quantitative

CERNER / EPIC MNEMONIC: HCG QT
POE DESCRIPTION: HCG QT- FOR PREGNANCY TEST
CPT CODE: 84702
DAYS PERFORMED:

Daily, 24 hours

TURNAROUND TIME: Routine 1day; stat: 1 hour
CONTAINER TYPE:

SSTTM tube or Red top tube

SPECIMEN REQUIREMENTS: Blood (serum)
MINIMUM VOLUME: 1 mL blood (0.5 mL serum)
REFERENCE RANGE:

See Table

TEST SYNONYM(S):HCG, Quantitative (Pregnancy); HCG, Quantitative

Herpes Cytology

CPT CODE: 88104
DAYS PERFORMED: Mon-Fri, 0730-1700
TURNAROUND TIME: Immediate evaluation available; 24 hours for routine evaluation
SPECIAL INSTRUCTIONS: Immediate evaluation available if active herpes suspected at time of labor prior to vaginal delivery.
CONTAINER TYPE: 95% ethyl alcohol fixative container available from Pharmacy or Cytology Laboratory
SPECIMEN REQUIREMENTS: Direct scrape of lesion
HANDLING INSTRUCTIONS: Hand transport immediate evaluation specimens to Rm 470 Jelke after collection.
TEST SYNONYM(S):Herpetic Inclusion Bodies Cytology; Tzanck Cell Preparation; Viral Study, Herpes Cytology

Hemoccult

CERNER / EPIC MNEMONIC:

Q/HEMOCC

CPT CODE: 82270
CDM NUMBER: 3451039
DAYS PERFORMED:

Daily, 24 hours

TURNAROUND TIME:

1 day

CONTAINER TYPE: Sealed, plastic stool container.
COLLECTION: The specimen should be collected directly into the plastic feces specimen container (no preservative) or into a bedpan, avoiding contamination with urine or water. Transfer the feces from the bedpan into the plastic feces container or a sealer container.
SPECIMEN REQUIREMENTS: Fresh stool
REJECTION CRITERIA:

Inappropriate specimen container, insufficient specimen volume, specimen contaminated with urine and/or water, specimen containing interfering substances (i.e. castor oil, bismuth, Metamucil, barium), more than one specimen submitted to the laboratory per day. Diapers and specimens on tissue paper are NOT acceptable.  Gastric specimen.

MINIMUM VOLUME: 1-2 grams
HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. When transportation is delayed, refrigerate.
REFERENCE RANGE: Guiac: negative or trace of blood.
LIMITATIONS OF TEST: The patient should have a diet free of high bulk, red meat, and fish, with restriction of peroxidase-rich vegetables, for 72 hours prior to specimen submission, and during testing, to decrease the incidence of false positive results. Alcohol, aspirin, and other gastric irritants should be avoided.
METHODOLOGY: Guiac (chemical method); direct observation.
ADDITIONAL INFORMATION: A positive Guiac test has more significance than does a negative test.
LAST UPDATED:

5-22-2014

TEST SYNONYM(S):Feces, Standard Exam; Blood, Occult, Stool; Guaiac, Stool; Stool for Blood; Occult blood, stool

HIV Antigen/Antibody (HIV-1/HIV-2)

CERNER / EPIC MNEMONIC:

HIV AG/AB

CPT CODE:

87389

CDM NUMBER: 3481001
DAYS PERFORMED:

 Daily

TURNAROUND TIME:

8 hours

CONTAINER TYPE:

Red top Vacutainer® tube or SSTTM 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: 7 mL blood (4 mL serum)
HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. When transportation is delayed, refrigerate.
REFERENCE RANGE:

No HIV p24 antigen, HIV-1 or HIV-2 antibody detected

LIMITATIONS OF TEST:

This test is not diagnostic for AIDS, but, when confirmed, does indicate infection with the HIV-1, HIV-2 or p24 antigen. A negative result may be seen in a patient very early (before seroconversion) or very late in the natural history of HIV infection.

METHODOLOGY:

Chemiluminescent Microparticle Immunoassay (CMIA)

ADDITIONAL INFORMATION:

All specimens determined positive will be confirmed by Multi Spot analysis.

LAST UPDATED:

8-20-2013

TEST SYNONYM(S):AIDS Screening Test; HIV-1 Antibody; Human Immunodeficiency Virus Antibody (HIV-1/HIV-2); Human Immunodeficiency Virus (HIV-1) Antibody; Human T-Lymphotropic Virus Antibody

HIV RNA Quantitation

CERNER / EPIC MNEMONIC:

HIVRNAQNT

POE DESCRIPTION:

HIVRNAQNT

CPT CODE: 87536
CDM NUMBER:

3481077

DAYS PERFORMED:

Thursdays

TURNAROUND TIME: 1-7 days
SPECIAL INSTRUCTIONS:

Specimens received later than 0600 on the day the test is performed will be held for the next run.

CONTAINER TYPE:

Lavender top Vacutainer (EDTA) tube

SPECIMEN REQUIREMENTS: Blood (plasma)
REJECTION CRITERIA:

Inappropriate specimen container, clotted specimen, insufficient specimen volume, gross contamination of the specimen, plasma not separated within 6 hours of collection, missing or wrong patient identifers on the specimen.

MINIMUM VOLUME:

5 ml of whole blood (2 ml of plasma)

HANDLING INSTRUCTIONS:

Specimen must be transported to the lab as soon as possible.  The plasma MUST be removed from the cells within 6 hours of collection, missing or wrong patient identifiers on the specimen.

REFERENCE RANGE:

<40 copies/ml of HIV-1 RNA detected. 

LIMITATIONS OF TEST:

The assay is limited to the quantitation of HIV-1 RNA in human plasma.  Reliable results are dependent on appropriate specimen collection, transport, storage, and processing procedures.  This assay is not intended to be used as a screening test for HIV-1 or as a diagnostic test to confirm HIV-1 infection.

METHODOLOGY:

Real time polymerase chain reaction

ADDITIONAL INFORMATION:

Linearity of the assay 40 to 100,000,000 copies/ml

LAST UPDATED:

12-9-2011

TEST SYNONYM(S):HIV RNA Viral Load; HIV Quantitative

Helicobacter pylori IgG Antibody Level

CERNER / EPIC MNEMONIC: HELICO AB
POE DESCRIPTION:

HELICOBACTER PYLORI IGG, QUAL

CPT CODE:

86677

TURNAROUND TIME: 1 to 5 days
CONTAINER TYPE:

Red top tube - 4 mL or SST tube

SPECIMEN REQUIREMENTS: 4.0 mL blood (1.0 mL serum)
REJECTION CRITERIA:

Gross hemolysis, gross lipemia

MINIMUM VOLUME:

2.0 mL blood (0.5 mL serum)

REFERENCE RANGE:

See Quest Diagnostic - Search Test Code 29407

LAST UPDATED:

6-4-2013

TEST SYNONYM(S):Helicobacter Antibody IgG; H. pylori Antibody

Hepatitis A Virus IgM Antibody

CERNER / EPIC MNEMONIC: HAVAB IGM
POE DESCRIPTION: HEPATITIS A IGM ANTIBODY; HEP A IGM AB; HAVAB IGM
TEST INFORMATION:

Also available in AHP (Acute Hepatitis Panel)

DAYS PERFORMED:

Daily, 24 hours

TURNAROUND TIME:

8 hours

CONTAINER TYPE:

Red top tube - 4 mL or SST tube

SPECIMEN REQUIREMENTS:

4 mL blood (2.0 mL serum)

REJECTION CRITERIA: Excessive hemolysis, gross contamination of specimen, chylous serum,  inappropriate specimen container, insufficient specimen volume.
MINIMUM VOLUME: 2 mL blood (1 mL serum)
REFERENCE RANGE: No Hepatitis A IgM detected
METHODOLOGY:

Chemiluminescent

ADDITIONAL INFORMATION: The test is IgM specific anti-HAV. The detection of IgM specific antibodies to Hepatitis A virus indicates a current or recent infection with Hepatitis A virus. IgM antibodies usually remain 1-3 months after the onset of acute infection. Click here for more information about Hepatitis A
LAST UPDATED:

3-28-2013

TEST SYNONYM(S):IgM Antibody to Hepatitis A; HAVAB IGM; Anti-HAV IgM

Hepatitis A Virus Total Antibody

CERNER / EPIC MNEMONIC:

HAVAB IgG

POE DESCRIPTION:

HEPATITIS A IgG ANTIBODY; HEP A IgM AB; HAVAB IgG

CPT CODE:

 

TEST INFORMATION:

The test includes detection of IgG antibody to Hepatitis A antigen.

DAYS PERFORMED:

Daily, 24 hours

TURNAROUND TIME:

8 hours

CONTAINER TYPE:

Red top tube - 4 mL or SST tube

SPECIMEN REQUIREMENTS:

4 mL blood (2 mL serum)

REJECTION CRITERIA: Excessive hemolysis, gross contamination of specimen, chylous serum, inappropriate specimen container, insufficient specimen volume.
MINIMUM VOLUME: 2 mL blood (1 mL serum)
REFERENCE RANGE: No Hepatitis A antibody detected.
METHODOLOGY:

Chemiluminescent

ADDITIONAL INFORMATION: The presence of Hepatitis A antibody is indicative of acute or past infection. Click here for more information about Hepatitis A.
LAST UPDATED:

3-28-2013

TEST SYNONYM(S):Anti-HAV; HAVAB IgG

Hepatitis B Surface Antibody Quantitative

CERNER / EPIC MNEMONIC:

 

CPT CODE: 86706
DAYS PERFORMED: Monday
TURNAROUND TIME: 1-7 days
SPECIAL INSTRUCTIONS: Specimen must be received by the laboratory no later than 0800 on the day the test is to be performed.
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 (0.5 mL serum)
HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. When transportation is delayed, refrigerate.
REFERENCE RANGE: Immune
LIMITATIONS OF TEST: This test is a monitor for Gastroenterology study patient immune status ONLY.
METHODOLOGY: Enzyme Immunoassay (EIA)
LAST UPDATED:

9-20-2013

Hepatitis B Virus Core Antibody (Total)

CERNER / EPIC MNEMONIC: HBC AB
POE DESCRIPTION: HEPATITIS B CORE ANTIBODY; HEP B CORE AB; HBC AB
CPT CODE: 86704
TEST INFORMATION: The test includes detection of total antibody to Hepatitis B core antigen; it does not differentiate between IgG and IgM antibody.
DAYS PERFORMED:

Daily, 24 hours

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 B core antibody detected
METHODOLOGY:

Chemiluminescent

ADDITIONAL INFORMATION: The presence of Hepatitis B core antibody may indicate acute Hepatitis B virus infection, recovery from Hepatitis B virus infection, chronic HBV hepatitis, or an HBV carrier state. Measurement of other hepatitis B antigens or antibodies (e.g., hepatitis B surface antigen or antibody; hepatitis B core IgM antibody) may help differentiate acute from chronic infection.
LAST UPDATED:

3-28-2013

TEST SYNONYM(S):HBV Core Antibody; Anti-HBc

Hepatitis B Virus Core IgM Antibody

CERNER / EPIC MNEMONIC: HBC IGM
POE DESCRIPTION: HEPATITIS B CORE IGM ANTIBODY; HEP B COR IGM AB; HBC IGM
CPT CODE: 86705
TEST INFORMATION: The test includes detection of IgM antibody to Hepatitis B virus core antigen.
DAYS PERFORMED:

Daily, 24 hours

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 tranported as soon as possible. When transportation is delayed, refrigerate.
REFERENCE RANGE: No Hepatitis B core IgM detected
LIMITATIONS OF TEST: This test should NOT be performed for patients known to have chronic Hepatitis B infection.
METHODOLOGY:

Chemiluminescence

ADDITIONAL INFORMATION: Anti-HBc IgM can be detected in 100% of patients within the first month of illness. The antibody will persist for a variable time period but 96% of patients will become negative by 6 months and 98% negative by 9-12 months. Therefore, this test can only be used for the diagnosis of acute Hepatitis B and NOT to determine the immune status of a patient. Anti-HBc IgM may also be present in acute Hepatitis B in the absence of HBsAg.
LAST UPDATED:

3-28-2013

TEST SYNONYM(S):Anti-HBc IgM; IgM Core Antibody

Hepatitis B Virus Surface Antibody

CERNER / EPIC MNEMONIC: HBS AB
POE DESCRIPTION: HEPATITIS B SURFACE AG AB; HBS AG AB; HBS AB
CPT CODE: 86706
TEST INFORMATION: The test includes detection of antibody to Hepatitis B virus antigen.
DAYS PERFORMED:

Sunday - Friday

TURNAROUND TIME: 1-2 days
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 B surface antibody detected
LIMITATIONS OF TEST: In those individuals who have been vaccinated with any of the available HBV vaccines, this test could be useful to show response. However, a positive result in this test cannot guarantee adequate protection from HBV infection.
METHODOLOGY: Enzyme immunoassay (EIA)
ADDITIONAL INFORMATION: The presence of HBsAg antibody indicates previous Hepatitis B infection and acquired immunity to HBV. This test can also be used to evaluate possible immunity in individuals who are at increased risks to further exposure to the Hepatitis B virus (i.e. hemodialysis unit personnel, venipuncturists, etc.). Anti-HBs can usually be detected several weeks to several months after HBsAg is no longer found, and usually persists for many years to a lifetime after acute infection has resolved. In an acquired HBV infection, the presence of the antibody without the presence of the HBsAg may indicate immunity from reinfection.
TEST SYNONYM(S):Antibody to Hepatitis B Surface Antigen; Anti-HBs; Hepatitis B Antibody

Hepatitis B Virus Surface Antigen

CERNER / EPIC MNEMONIC: HBS AG
POE DESCRIPTION: HEPATITIS B SURFACE ANTIGEN; HBS AG
CPT CODE: 87340
CDM NUMBER: 3481025
TEST INFORMATION: The test includes detection of Hepatitis B virus antigen.
DAYS PERFORMED: Monday-Saturday
TURNAROUND TIME: 1-3 days
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 B surface antigen detected
LIMITATIONS OF TEST: Patients who are negative for HBsAg may still have HBV hepatitis. In the convalescent stage, both HBsAg and anti-HBsAg may be negative. This is the "window" period when the only evidence of HBV infection may be anti-HB core.
METHODOLOGY: Enzyme immunoassay (EIA)
ADDITIONAL INFORMATION: The test is used to screen for HBsAg; detect the carrier state. The presence of HBsAg is the earliest indication of acute infection and can also be an indication of chronic infection. A patient with acute Hepatitis B virus infection can be HBsAg negative.
TEST SYNONYM(S):HBsAg; Hepatitis B Antigen

Hepatitis B Virus e Antibody

CERNER / EPIC MNEMONIC: HBE AB
POE DESCRIPTION: HEPATITIS B E ANTIBODY; HEP B E AB; HBE AB
CPT CODE: 86707-90
TEST INFORMATION:

http://questdiagnostics.com/hcp/qtim/testMenuSearch.do

TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

SST TM tube or Red top Vacutainer® tube

SPECIMEN REQUIREMENTS:

2 mL blood (1 mL serum)

REJECTION CRITERIA: Gross hemolysis, hyperlipemia
MINIMUM VOLUME:

1.0 mL blood (0.2 mL serum)

REFERENCE RANGE: See Quest Diagnostics - Search Test Code - 556
TEST SYNONYM(S):Anti-HBe

Hepatitis B Virus e Antigen

CERNER / EPIC MNEMONIC: HBE AG
POE DESCRIPTION: HEPATITIS B E ANTIGEN; HEP B E AG; HBE AG
CPT CODE: 87350-90
CDM NUMBER: 3481027
TEST INFORMATION:

http://questdiagnostics.com/hcp/qtim/testMenuSearch.do

TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

SST TM tube or Red top Vacutainer® tube

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

REJECTION CRITERIA: Gross hemolysis, hyperlipemia
MINIMUM VOLUME: 1 mL blood (0.3 mL serum)
REFERENCE RANGE: See Quest Diagnostic - Search Test Code 555
TEST SYNONYM(S):HBeAg

Hepatitis C Virus (HCV) Antibody, Second Generation

CERNER / EPIC MNEMONIC: HCV AB
POE DESCRIPTION: HEPATITIS C ANTIBODY; HEP C AB; HCV AB
CPT CODE: 86803
DAYS PERFORMED: Monday-Saturday
TURNAROUND TIME: 1-2 days
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 C antibody detected
METHODOLOGY:

Chemiluminescent

Hepatitis C Virus Genotyping

CERNER / EPIC MNEMONIC: HCV TYPE
CPT CODE:

87902

TEST INFORMATION: The test is used to determine the genotype, with subtype, of Hepatitis C Virus RNA.
DAYS PERFORMED:

Every 2 weeks

TURNAROUND TIME:

7-14 days

SPECIAL INSTRUCTIONS: The specimen MUST be frozen within 6 hours of specimen collection.
CONTAINER TYPE:

Red top Vacutainer® tube or SSTTM tube

SPECIMEN REQUIREMENTS: Blood (serum)
REJECTION CRITERIA: Excessive hemolysis, gross contamination of specimen, chylous serum, improper storage of specimen, specimen not frozen within 6 hours of collection, inappropriate specimen container, insufficient specimen volume.
MINIMUM VOLUME:

2 mL blood (1 mL serum)

HANDLING INSTRUCTIONS:

Serum MUST be separated and frozen at minus 20°C within 6 hours of specimen collection.

REFERENCE RANGE: The assay will identify the six major HCV genotypes and their subtypes.
LIMITATIONS OF TEST: The assay utilizes amplified HCV RNA. Specimens with insuffucient RNA levels CANNOT be genotyped. New genotypes and subtypes are continually being discovered. Specimens containing a genotype NOT identified by the assay will be referred for additional testing. An additional charge will be generated.
METHODOLOGY:

Polymerase Chain Reaction (PCR)

LAST UPDATED:

5-27-2014

TEST SYNONYM(S):HCV Type

Hepatitis C Virus RNA Qualitative

CERNER / EPIC MNEMONIC: HCVRNA QL
POE DESCRIPTION: HEPATITIS C RNA QUAL; HCVRNAQL
CPT CODE: 87521
TEST INFORMATION: The test is used to qualitatively determine the presence of Hepatitis C Virus RNA.
DAYS PERFORMED: Wednesday
TURNAROUND TIME: 1-7 days
SPECIAL INSTRUCTIONS: Specimen must be received by the laboratory no later than 0700 on the day the test is to be performed.
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, specimen not frozen within 6 hours of collection, inappropriate specimen container, insufficient specimen volume.
MINIMUM VOLUME: 5 mL blood (1 mL serum)
HANDLING INSTRUCTIONS: Serum must be separated from clot and frozen at minus 70°C within 6 hours of specimen collection.
REFERENCE RANGE: 50 copies/mL Hepatitis C Virus RNA detected
LIMITATIONS OF TEST: A negative result does not rule out infection with Hepatitis C virus.
METHODOLOGY: Polymerase Chain Reaction (PCR).
TEST SYNONYM(S):HCV RNA

Hepatitis C Virus RNA Quantitation

CERNER / EPIC MNEMONIC: HCVRNA QT
POE DESCRIPTION:

HCVRNA QT

CPT CODE: 87522
CDM NUMBER: 3511006
TEST INFORMATION: The test includes quantitative detection of Hepatitis C virus RNA.
DAYS PERFORMED: Tuesday
TURNAROUND TIME: 1-7 days
SPECIAL INSTRUCTIONS:

Specimen must be received by the Microbiology laboratory no later than 0700 on the day the test is to be performed. This test cannot be added onto an existing molecular test.

CONTAINER TYPE:

 Red top Vacutainer® tube,  SST TM tube

SPECIMEN REQUIREMENTS:

Blood (serum)

REJECTION CRITERIA:

Excessive hemolysis, gross contamination of specimen, chylous serum, improper storage of specimen, specimen not frozen within 6 hours of collection, inappropriate specimen container, insufficient specimen volume, specimen not appropriately labeled.

MINIMUM VOLUME:

2 mL blood (1 mL serum)

HANDLING INSTRUCTIONS:

Store at 2 - 30C until received by the laboratory.  Serum must be separated from the clot  and frozen at -20C within 6 hours of specimen collection.

REFERENCE RANGE:

<12 IU/ml

LIMITATIONS OF TEST:

A specimen with a result of "<12 IU/ml" cannot be presumed to be negative for HCV RNA

METHODOLOGY:

Real Time polymerase chain reaction (RT-PCR)

ADDITIONAL INFORMATION:

Linearity of the assay is between 12 and 100,000,000 IU/ml

LAST UPDATED:

12-1-2011

TEST SYNONYM(S):Quantitative HCV RNA; HCV Quantitative; Hep C Viral Load

Herpes simplex Virus Antiviral Susceptibility Testing

CERNER / EPIC MNEMONIC:

MICRO REF

POE DESCRIPTION: HSV SENSITIVITY SCREEN, MICROBIOLOGY REFERRAL
CPT CODE:

87253

TEST INFORMATION:

The test includes inoculation of a tissue culture followed by determination of susceptibility to acyclovir and/or foscarnet.

DAYS PERFORMED:

Batched Weekly

TURNAROUND TIME:

7-14 days

SPECIAL INSTRUCTIONS: The Clinical Microbiology Laboratory MUST be notified verbally by the physician of the request.
CONTAINER TYPE:

Sealed sterile container, no preservative, swab in viral transport media

SPECIMEN REQUIREMENTS:

Submitted specimen (genital, CSF, sputum, and/or brain biopsy tissue)

REJECTION CRITERIA: Virus non-viable; virus not isolated
MINIMUM VOLUME: 2 mL fluid, 1 gram tissue
HANDLING INSTRUCTIONS: Call the Clinical Microbiology Laboratory for transportation information.
METHODOLOGY:

Inoculation of cell culture with isolate. Dye uptake

LAST UPDATED:

6-3-2014

TEST SYNONYM(S):Acyclovir Susceptibility; Antiviral Susceptibility Testing; Foscarnet Susceptibility

Herpes simplex Virus Type 1 and Type 2 IgG Antibody Level

CERNER / EPIC MNEMONIC: HSV IGG
POE DESCRIPTION: HERPES SIMPLEX IGG AB TITER; HSV IGG
CPT CODE: 86695, 86696
TEST INFORMATION:

This test is intended for the qualitative detection of type-specific IgG class antibodies to Herpes simplex viruses type 1 and type 2.   

DAYS PERFORMED:

Tuesday

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:

Hemolyzed, grossly contamination, icteric, lipemic

MINIMUM VOLUME: 2 mL blood (1 mL serum)
REFERENCE RANGE:

Negative: < 0.9 Index Value

LIMITATIONS OF TEST:

The performance of this assay has been established for sexually active adults and for pregnant women, but it has  not been established for the general adult population, for children, or for  immunocompromised persons.  The performance of this assay has not been established for matrices other than serum, or for monitoring HSV therapy.

METHODOLOGY: Enzyme immunoassay (EIA)
ADDITIONAL INFORMATION: A single positive IgG antibody value is rarely diagnostic of a recent or current infection. It can be used to evaluate exposure or previous infection.
TEST SYNONYM(S):Herpes simplex Virus Titer; Herpes Titer

Histoplasma Antigen Immunoassay

CERNER / EPIC MNEMONIC: HISTO AG
CPT CODE: 87385; 87999
CDM NUMBER: 3511033; 3511023
DAYS PERFORMED:

Test performed Monday-Thursday only.

TURNAROUND TIME: 2-7 days
CONTAINER TYPE: Sealed sterile urine container (no preservative); red top Vacutainer tube or SST tube; sealed sterile cerebrospinal fluid collection tube; sealed sterile sputum or Leuken`s container
SPECIMEN REQUIREMENTS: Urine, blood (serum), CSF, bronchial
REJECTION CRITERIA: Excessive hemolysis, gross contamination of specimen, chylous serum, improper storage of specimen, inappropriate specimen container, insufficient specimen volume.
MINIMUM VOLUME: 3 mL urine, 5 mL blood (2 mL serum), 1 mL CSF, 5 mL bronchial
HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. When transportation is delayed, refrigerate.
REFERENCE RANGE: Negative (i.e. <1.0)EIA Units Initial testing interpretations:- equivocal: result inconclusive after repeated testing- <1.0: negative- 1.0-2.0: weak positive, suggest repeat testing-/>2.0: positive, repeat if inconsistent with clinical findings. Follow-up testing interpretations:- no change, decrease, increase- <2.0: stable- 2.1-4.0: mild increase, possible failure, suggest repeat -/>4.0: moderate to marked increase, probable failure
METHODOLOGY: Enzyme immunoassay (EIA)
REFERRAL LABORATORY: Commercial Laboratory
ADDITIONAL INFORMATION: The sensitivity of antigen detection is greater using urine rather than serum specimens (i.e. 92% versus 82% respectively) in disseminated disease. Antigen is detected less frequently in patients with self limited diseases (39%) and chronic pulmonary histoplasmosis (21%). In cases of acute pulmonary infection, the sensitivity is greater than 75% for more severe cases presenting with diffuse pulmonary infiltrates and respiratory insufficiency. Antigen may be detected in the cerebrospinal fluid of 40-67% of patients with Histoplasma meningitis and in bronchoalveolar lavage fluid of 70% of patients with AIDS who have extensive pulmonary histoplasmosis.Specificity is at least 98% with significant cross reactivity with Paracoccidioides brasiliensis, Blastomyces dermatiditis, and Penicillium marneffei.
LAST UPDATED:

5-27-2014

Hypersensitivity Pneumonitis Antibody Profile

CERNER / EPIC MNEMONIC: MICRO REF
CPT CODE: 86609 (x9)
TEST INFORMATION: The test includes testing for precipitating antibodies against an antigen panel which includes the following: - Thermoactinomyces vulgaris, Thermoactinomyces candidus, Micropolyspora faeni, Saccharomonospora viridis, Aureobasidium pullulans, Avian serum antigen, Aspergillus fumigatus, Aspergillus flavus, Aspergillus niger.
DAYS PERFORMED: Monday-Friday
TURNAROUND TIME: 5-7 days
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:

2 mL serum

HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. When transportation is delayed, refrigerate.
REFERENCE RANGE: Negative
LIMITATIONS OF TEST: This test does NOT account for all predisposing causes of chronic lung disease; it detects only precipitating antibodies. A positive test does NOT establish the diagnosis of hypersensitivity pneumonitis since precipitins may develop in the absence of the disease. The absence of precipitins does NOT eliminate the diagnosis since precipitins may be reduced or absent when the disease is not in an acute or active phase.
METHODOLOGY:

(DD) double diffusion

REFERRAL LABORATORY: Commercial Laboratory
LAST UPDATED:

5-27-2014

TEST SYNONYM(S):Fungal Precipitins

Hexosaminidase

CERNER / EPIC MNEMONIC: TAY SACHS
POE DESCRIPTION: HEXOSAMINIDASE; TAY SACHS
CPT CODE: 83080
TEST INFORMATION: See OMIM information
DAYS PERFORMED: Arrange with laboratory in advance, referred to reference lab.
TURNAROUND TIME: 3 weeks
SPECIAL INSTRUCTIONS: White blood cell assay is required if patient is pregnant, medicated, or on birth control pills.
CONTAINER TYPE:

Red top tube for serum assay or yellow (ACD)  tube for white blood cell assay

SPECIMEN REQUIREMENTS:

6 mL blood or 7 mL ACD whole blood

MINIMUM VOLUME:

3 mL serum or 5 mL white blood cell assay

HANDLING INSTRUCTIONS: Whole blood should be kept at 4°C. Serum should be frozen.
REFERENCE RANGE:

See Specialty Labs - Search Test Code S50585 (serum) or Test Code S49273 for (blood)

LAST UPDATED:

1-24-2012

TEST SYNONYM(S):Hexosaminiase A and B, Serum; Tay-Sachs Screen of hexosaminidase A and hexosaminidase B

Huntington Disease DNA Analysis

CERNER / EPIC MNEMONIC: HUNT DNA
POE DESCRIPTION: HUNTINGTON GENE-PCR ANALYSIS; HUNT DNA
CPT CODE: 83891; 83894; 83898; 83912
TEST INFORMATION: See OMIM information
DAYS PERFORMED: Mon-Fri, 0800-1500; see Special Instructions
TURNAROUND TIME: 2 weeks
SPECIAL INSTRUCTIONS: Requires completed Molecular Diagnostics Form (312-942-6298) and documentation that the patient is symptomatic or on a Huntington Disease protocol.
CONTAINER TYPE: Lavender top (EDTA) tube
SPECIMEN REQUIREMENTS: Blood or other tissue
MINIMUM VOLUME: 3 mL
HANDLING INSTRUCTIONS: Leave specimen at room temperature and deliver to the laboratory as soon as possible.

HLA Antibody Screen

CERNER / EPIC MNEMONIC: HLA AB SCR
POE DESCRIPTION: HLA ANTIBODY SCREEN
CPT CODE: 86807
DAYS PERFORMED: Routine; stat; Mon-Fri, 0800-1700
TURNAROUND TIME: Routine: &lt;30 days

Stat: 2-3 days

CONTAINER TYPE: Red top tube
COLLECTION: Special Labeling Requirements: Patient name, the initials of the phlebotomist and the date/time of collection MUST be noted clearly on the specimen label.
SPECIMEN REQUIREMENTS: Clotted blood
MINIMUM VOLUME: 7 mL
HANDLING INSTRUCTIONS: Deliver to lab ASAP or store in refrigerator.
REFERENCE RANGE: Reported as Negative (0% PRA) or Positive (# % PRA) and specificity if detectable.
TEST SYNONYM(S):PRA (% Panel Reactive Antibodies); Lymphocyte Antibodies; White Cell Antibody Screen

HLA Typing; B27 Locus

CERNER / EPIC MNEMONIC: HLA B27
POE DESCRIPTION: HLA TYPING B27 LOCUS; HLA B27
CPT CODE: 86812
DAYS PERFORMED: Mon-Fri, 0800-1700; specimens not accepted after 1200 on Fri.
TURNAROUND TIME: 24 hours verbal

5-7 days written

CONTAINER TYPE: Green top (sodium) tube
COLLECTION: Special Labeling Requirements: Patient name, the initials of the phlebotomist and the date/time of collection MUST be noted clearly on the specimen label.
SPECIMEN REQUIREMENTS: Blood
MINIMUM VOLUME: 10 mL whole blood
HANDLING INSTRUCTIONS: Do not refrigerate
REFERENCE RANGE: Reported as positive or negative for HLA-B27 antigen
TEST SYNONYM(S):HLA-B27; B27; Histocompatibility Typing - B27

HLA Typing; DR Locus and DQ Locus

CERNER / EPIC MNEMONIC: HLA DR
POE DESCRIPTION: HLA DR
CPT CODE: 88180
DAYS PERFORMED: Mon-Fri, 0800-1700; specimens not accepted after 1200 on Fri
TURNAROUND TIME: 48 hours verbal

5-7 days written

CONTAINER TYPE: Green top (heparin) tube, lavender top (EDTA) tube
COLLECTION: Specimen labeling requirements: Patient name, the initials of the phlebotomist and the date/time of collection MUST be noted clearly on the specimen label.
SPECIMEN REQUIREMENTS: Blood, lymph node, spleen
MINIMUM VOLUME: 20 mL whole blood
HANDLING INSTRUCTIONS: Deliver specimens to the laboratory immediately after collection. Do not refrigerate.
REFERENCE RANGE: Antigens detected are reported as a phenotype or a genotype if a family studies are performed
TEST SYNONYM(S):HLA Class II Tissue Typing; Histocompatibility Typing - DR & DQ

HLA, A, B, and C Typing, HLA Class I

CERNER / EPIC MNEMONIC: HLA ABC
POE DESCRIPTION: HLA COMPLETE; HLA TYPING; HLA A B C
CPT CODE: 86813
DAYS PERFORMED: Mon-Fri, 0800-1700; specimens not accepted after 1200 on Fri.
TURNAROUND TIME: 24 hours verbal

5-7 days written

CONTAINER TYPE: Green top (sodium heparin) tube
COLLECTION: Special Labeling Requirements: Patient name, the initials of the phlebotomist and the date/time of collection MUST be noted clearly on the specimen label.
SPECIMEN REQUIREMENTS: Blood, lymph node, spleen
MINIMUM VOLUME: 10 mL, patients with extremely low white counts may require additional specimen.
HANDLING INSTRUCTIONS: Store at room temperature.
REFERENCE RANGE: Antigens detected are reported as a phenotype or a genotype if family studies are performed.
TEST SYNONYM(S):HLA Typing - A, B, and C; Class I Antigen Tissue Typing; Histocompatibility Typing - A, B, & C

High Resolution DNA HLA DR Typing

CERNER / EPIC MNEMONIC: HIRESDNA
POE DESCRIPTION: DNA- HIGH RESOLUTION; HIGH RESOLUTION DNA; HIRESDNA
CPT CODE: 83912
DAYS PERFORMED: Mon-Wed, 0800-1700
TURNAROUND TIME: 2 weeks
SPECIAL INSTRUCTIONS: Must be scheduled with the laboratory
CONTAINER TYPE: Two green top (heparin) tubes and/or two lavender top top (EDTA) tubes
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: 20 mL heparin and/or 10 mL EDTA
HANDLING INSTRUCTIONS: Deliver to the laboratory immediately.
REFERENCE RANGE: Class II alleles are reported as a phenotype.
REFERRAL LABORATORY: Commercial Laboratory
TEST SYNONYM(S):Molecular Class II Typing

Histopathology

CPT CODE: 88300; 88302; 88304; 88305; 88307; 88309
TEST INFORMATION: Test includes gross examination and description, microscopic examination, and/or diagnosis.
DAYS PERFORMED: Mon-Fri, 0730-1700
TURNAROUND TIME: 24 hours for diagnostic biopsies; 48 hours for routine surgical specimens. Specimens requiring decalcification or special studies may have a longer turnaround time.
SPECIAL INSTRUCTIONS: All specimens must be appropriately labeled and transported in designated specimen transport bags. Specific specimen site, clinical diagnosis, and pertinent clinical history must be indicated. Surgeon must make prior arrangements, including cost center assignment, with Biomedical Photography if specimen photographs are required.
CONTAINER TYPE: Biopsy specimens should be placed in a 10% buffered formalin specimen container. Resection specimens should be transported immediately after removal in a sterile manner to the Laboratory Receiving Station, Rm 508 Jelke, and handed to a technician.
SPECIMEN REQUIREMENTS: Biopsy or resection specimens
REJECTION CRITERIA: Improper or discrepant labeling, O.R. specimens with invalid "barcode" ID label
MINIMUM VOLUME: All tissue removed must be submitted for examination, documentation and/or histologic evaluation per hospital.
HANDLING INSTRUCTIONS: Mon-Fri, 0730-1700 O.R. "barcoded" specimens should be transported to the Laboratory Receiving Station. All other specimens and O.R. specimens after 1700 should be transported to Rush Medical Laboratories Specimen Desk, Rm 470 Jelke.
LIMITATIONS OF TEST: Tissue fixed in formalin cannot be used or are less than optimal for bacteriological culture, electron microscopy, certain types of immunohistochemistry, hormone receptor assay, certain types of histochemistry, or frozen sections.
ADDITIONAL INFORMATION: Cultures of tissue are best taken in the O.R. where a sterile field exists. A tissue should be placed in an anaerobic tube with requests for smear, culture, anaerobic culture, AFB, and fungus. Bullets and shotgun pellets must be submitted in a sterile specimen container and hand carried to the laboratory for documentation purposes.
TEST SYNONYM(S):Biopsy; Pathologic Examination

Heavy Metals, Urine

CERNER / EPIC MNEMONIC: U/HM
POE DESCRIPTION: URR HEAVY METALS; U/HM
CPT CODE: 82175-90; 83655-90; 83825-90
TEST INFORMATION: Includes arsenic, lead, mercury
TURNAROUND TIME: 5-7 working days
SPECIAL INSTRUCTIONS:

Patient should avoid seafood consumption for one week prior to sample collection.

CONTAINER TYPE:

 

24-hour urine bottle,  (Bottle #5) - Heavy Metals (Acid-washed)

SPECIMEN REQUIREMENTS: 24-hour urine
MINIMUM VOLUME: Submit entire urine collection to the laboratory
HANDLING INSTRUCTIONS: Refrigerate during collection
REFERENCE RANGE: See Specialty Labs - Search Test Code 4080U
TEST SYNONYM(S):Urine Heavy Metals

Hemoglobin, Plasma

CERNER / EPIC MNEMONIC:

HGB/PLASMA

POE DESCRIPTION: HEMOGLOBIN PLASMA; PLASMA HEMOGLOBIN; HGB/P
CPT CODE: 83051-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE: Green top (heparin) tube
SPECIMEN REQUIREMENTS:

1.0 mL whole blood (0.5 mL heparinized plasma)

REJECTION CRITERIA:

Hemolyzed sample not acceptable

MINIMUM VOLUME:

1.0 mL whole blood (0.2 mL heparinized plasma)

REFERENCE RANGE:

See Specialty Labs  - Search Test Code 514

 

LAST UPDATED:

4-10-2013

TEST SYNONYM(S):Free Hemoglobin; Plasma Hemoglobin

Histamine,Blood

CERNER / EPIC MNEMONIC: HISTAMINE
POE DESCRIPTION: HISTAMINE
CPT CODE: 83088-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE: Lavender top (K2 EDTA) tube - 3 ml
SPECIMEN REQUIREMENTS:

2 mL blood (1 mL EDTA plasma)

MINIMUM VOLUME:

1 mL blood (0.5 mL EDTA plasma)

REFERENCE RANGE:

See Specialty Labs - Search Test Code S51637 

 

Histamine, Urine

CERNER / EPIC MNEMONIC: U/HISTAMIN
POE DESCRIPTION: URT HISTAMINE; URT HISTAMIN; U/HISTAMIN
CPT CODE:

83088-90

TURNAROUND TIME: 5-7 working days
SPECIAL INSTRUCTIONS:

Patient should refrain from taking allergy causing drugs, antihistamines, oral corticosteroids and substances which block H2 receptors at least 24 hours prior to collection.

CONTAINER TYPE:

24-hour urine bottle Chemistry bottle #4 (containing 10 mL 6N HCl)

SPECIMEN REQUIREMENTS: 24-hour urine
MINIMUM VOLUME: Submit entire collection to the laboratory
HANDLING INSTRUCTIONS:

Keep refrigerated during collection.  Protect from light.

REFERENCE RANGE:

 

See Specialty Labs - Search Test Code S51638

TEST SYNONYM(S):Urine Histamine

Histone Antibodies

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

83516-90

TURNAROUND TIME: 5-7 working days
SPECIAL INSTRUCTIONS:

Overnight fasting is required.

CONTAINER TYPE:

Red top tube or SSTTM tube

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

1.0 mL blood (0.3 mL serum)

REFERENCE RANGE:

 

See Specialty Labs - Search Test Code S52096

TEST SYNONYM(S):Antihistone Antibody; H2A-H2B

Homovanillic Acid, Quantitative, Urine

CERNER / EPIC MNEMONIC: U/HVA
POE DESCRIPTION: URT HVA; U/HVA
CPT CODE:

83150-90

TURNAROUND TIME: 5-7 working days
SPECIAL INSTRUCTIONS:

Abstain from medication three days prior to collection.

CONTAINER TYPE:

24-hour urine bottle

Chemistry bottle #1 (no preservative)

SPECIMEN REQUIREMENTS: 24-hour urine
MINIMUM VOLUME: Submit entire urine collection to the laboratory.
HANDLING INSTRUCTIONS: Keep refrigerated during collection.
REFERENCE RANGE: See Specialty Labs - Search Test Code 3946U

TEST SYNONYM(S):HVA; Urine Homovanillic Acid

Human Papillomavirus Typing DNA Test

CERNER / EPIC MNEMONIC: HPV TYPE
POE DESCRIPTION: HUMAN PAPILLOMA; HPV; HPV TYPING
CPT CODE: 87621-90 (x2)
TURNAROUND TIME: 7-10 days
SPECIAL INSTRUCTIONS: Only specimens from the human uterine cervix will be accepted.
CONTAINER TYPE: Diagen specimen collection kit only
SPECIMEN REQUIREMENTS: Uterine cervical swab
REJECTION CRITERIA: Swabs from all other anatomic sites will be rejected. All specimens from males will be rejected. Specimens submitted in transport media other than digene will be rejected.
REFERENCE RANGE: See separate laboratory report.

TEST SYNONYM(S):Human Papillomavirus (HPV) Type

Humoral Immunity Panel

CERNER / EPIC MNEMONIC: HUM PANEL
POE DESCRIPTION: HUMORAL IMMUNITY PANEL; HUM PANEL
TEST INFORMATION:

Each of the three tests must be ordered individually:  Strep Pneumo 23 Valent Panel, Tetanus/Diphtheria Toxoid IgG Antibodies, Haemophilus Influenza B IgG Antibodies

LAST UPDATED:

3-11-2014

Hypercoagulability Genetic Panel

CERNER / EPIC MNEMONIC: HYPCOAG PR
CPT CODE: 83891, 83896 x 6, 83903 x 6, 83912 x 3, 83892
TEST INFORMATION: includes Factor V Leiden Gene Mutation, Prothrombin Gene Mutation and Methylenetetrahydrofolate Reductase (MTHFR)
TURNAROUND TIME: 7-10 days
SPECIAL INSTRUCTIONS: Sample must be less than 7 days old when received by Commercial Laboratory
CONTAINER TYPE: Lavender top (EDTA) tube
SPECIMEN REQUIREMENTS:

7 mL whole blood at room temperature

MINIMUM VOLUME:

3.0 mL whole blood at room temperature

HANDLING INSTRUCTIONS: Sample should remain at room temperature.
REFERENCE RANGE: written interpretation with results

HLA Ab Screen Class II Beads

CERNER / EPIC MNEMONIC: HLA II SCR
CPT CODE: 86808 (If screen is positive, additional 86808)
CDM NUMBER: 3331024 (If positive, 3331025; will also bill screening for Class II Antibodies)
DAYS PERFORMED: Routine; STAT Mon-Fri, 0800-1700
TURNAROUND TIME: Routine: Up to 30 days, STAT: 2-3 days
CONTAINER TYPE: Red top tube
COLLECTION: Patient name, date and time of collection must be on label.
SPECIMEN REQUIREMENTS: Clotted blood (serum); draw prior to transfusions or dialysis
REJECTION CRITERIA: Gross hemolysis, specimen unlabeled
MINIMUM VOLUME: 7 mL
HANDLING INSTRUCTIONS: Deliver to lab or refrigerate
REFERENCE RANGE: Reported as Negative (0% PRA) or Positive (#% PRA) with specificity if detectable
LIMITATIONS OF TEST: May not detect all class II ab present
METHODOLOGY: Flow cytometry
ADDITIONAL INFORMATION: Call lab at 2-8393 with questions

Hepatitis B DNA Quantitation

CERNER / EPIC MNEMONIC: HBVDNAQNT
POE DESCRIPTION:

HBVDNAQNT

CPT CODE: 87517
DAYS PERFORMED:

Every other Thursday

TURNAROUND TIME:

1 - 14 days

CONTAINER TYPE:

Red top tube or SSTTM tube

SPECIMEN REQUIREMENTS: Blood (serum)
REJECTION CRITERIA:

Excessive hemolysis, gross contamination of specimen, chylous serum, improper storage of specimen, inappropriate specimen contaimer, insufficient specimen volume, improperly labeled specimen.

MINIMUM VOLUME: 5 mL blood (2 mL serum)
HANDLING INSTRUCTIONS:

Specimens should be transported as soon as possible to the Microbiology Laboratory.  Specimens must be processed within 6 hours of collection.

REFERENCE RANGE:

<10 IU/ml

LIMITATIONS OF TEST:

This assay is NOT intended for use in the screening of blood, plasma or tissue donors for HBV, or to be used as a diagnostic test to confirm the presence of HBV infection. 

METHODOLOGY:

Real time polymerase chain reaction

ADDITIONAL INFORMATION:

The linearity of the assay is 10 to 1,000,000,000 IU/ml.  The information used in conjunction with serologic tests.  DNA can be detected in the serum of patients with chronic Hepatitis B infection.

LAST UPDATED:

5-27-2014

TEST SYNONYM(S):Hepatitis B Viral Load; HBV DNA; Hepatitis B Viral DNA Assay

Hazelnut (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

HAZELNUT

POE DESCRIPTION:

Hazelnut 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 - F17

TEST SYNONYM(S):Filbert allergen

Helicobacter pylori Antigen

CERNER / EPIC MNEMONIC: HELICO AG
CPT CODE: 87338
CDM NUMBER:

3421138

DAYS PERFORMED:

Daily on 1st and 2nd shift

TURNAROUND TIME:

2-4 days

CONTAINER TYPE:

Screw top clean container or white screw top vial included in stool ParaPak collection kit.  No preservative or transport media.

COLLECTION:

The specimen should be collected directly into the clean container (no preservative) or into a bedpan, avoiding contamination with urine or water. Transfer the feces from the bedpan into the clean container.

SPECIMEN REQUIREMENTS: Fresh stool
REJECTION CRITERIA:

Specimen on outside of container, insufficient quantity of specimen, rectal swab, specimen submitted in a preservative or in transport media, specimen contaminated with water and/or urine. Only one specimen will be accepted per day.

MINIMUM VOLUME: 1 gram
HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. Specimen MUST be refrigerated when processing is delayed.
REFERENCE RANGE:

Negative for Helicobacter pylori antigen.

LIMITATIONS OF TEST:

A negative result indicates an absence of Helicobacter pylori antigen, or that the level of antigen is below that which can be detected by the assay.

METHODOLOGY:

Lateral Flow immunoassay

CRITICAL VALUES:

Antimicrobials, proton pump inhibitors and bismuth preparations are known to suppress H. pylori and may cause false negative results if ingested within two weeks prior to testing.  A positive result would be considered accurate.

LAST UPDATED:

5-27-2014

Hematocrit

CERNER / EPIC MNEMONIC:

HCT

POE DESCRIPTION:

HCT

DAYS PERFORMED:

Daily, 24 hours, available STAT

TURNAROUND TIME:

4 hours; STAT, 1 hour

CONTAINER TYPE:

Lavender top EDTA tube

SPECIMEN REQUIREMENTS:

Whole Blood

REJECTION CRITERIA:

Clotted specimen

MINIMUM VOLUME:

1.5 mL venous, 250 uL capillary whole blood

HANDLING INSTRUCTIONS:

On collection, invert tube to mix well.

REFERENCE RANGE: See table.
CRITICAL VALUES:

0-6 months:  < 20%

TEST SYNONYM(S):Crit

Hemoglobin

CERNER / EPIC MNEMONIC:

HGB

POE DESCRIPTION:

HGB

DAYS PERFORMED:

Daily, 24 hours, available STAT

TURNAROUND TIME:

4 hours; STAT, 1 hour

CONTAINER TYPE:

Lavender top (EDTA)  tube

SPECIMEN REQUIREMENTS:

Whole Blood

REJECTION CRITERIA:

Clotted specimen

MINIMUM VOLUME:

1.5 mL venous, 250 uL capillary whole blood

HANDLING INSTRUCTIONS:

On collection, invert tube to mix well.

REFERENCE RANGE: See table.
CRITICAL VALUES: < 6.0 gm/dL
TEST SYNONYM(S):Hem, H+H, H&H

HSV- 1 and HSV - 2 by Real Time PCR

CERNER / EPIC MNEMONIC:

HSVPCRRT

CPT CODE:

87529 x 2

TEST INFORMATION:

This test includes detection of HSV-1 and HSV-2.  Herpes simplex virus detected in CSF.  Herpes simplex identified in a child < 1 year old.  Detects HSV-1 and HSV-2 in skin and genital specimens.

DAYS PERFORMED:

Monday, Wednesday, and Friday

TURNAROUND TIME:

Maximum of 72 hours

SPECIAL INSTRUCTIONS:

Specimen should be received by the laboratory as soon as possible.

CONTAINER TYPE:

CSF collection tube ; M4 transport media for swabs

COLLECTION:

Specimens should be collected in the acute stage of the disease, preferably within 3 days and no longer than 7 days after onset of illness.  Specimens should be collected on a sterile swab and placed into M4 transport medium immediately after collection.
Endocervical:  Clean the cervical area of mucus with a sterile swab and discard the cleaning swab.   Place a second sterile swab into the cervical os and rotate to collect epithelial cells.  Place the swab into M4 transport medium immediately after collection.
Vesicular lesions:  Wash the surface of vesicles with sterile saline.  Carefully open several vesicles and soak up the vesicular fluid with a swab.  If vesicles are absent, vigorously swab the BASE of the lesion.  The specimen should be collected during the first 3 days of eruption.  Place the swab into M4 transport medium immediately after collection.
CSF:  Cerebrospinal fluid should be collected by a physician using standard sterile technique.

SPECIMEN REQUIREMENTS:

Specimen depends upon the type of infection:
Viral Encephalitis or Meningitis: 1 ml of CSF in a sterile tube from the lumbar puncture kit.
Genital (vesicle fluid, lesion, endocervical), skin (vesicle fluid, lesion), oropharynx (vesicle, lesion)

REJECTION CRITERIA:

Specimen not received in a sterile sealed container; specimen not closed properly and leaked into transport container; excessive delay in transport; inappropriate specimen container; specimen unlabeled or mislabled.

MINIMUM VOLUME:

1 mL of CSF or one swab in M4 transport media

HANDLING INSTRUCTIONS:

The specimen should be transported to the laboratory as soon as possible.  When transportation is delayed, refrigerate.

REFERENCE RANGE:

No HSV-1 or  HSV-2 detected

LIMITATIONS OF TEST:

Reliable results are dependent on appropriate specimen collection, transport, storage, and processing procedures.  No detection limits have been established for other specimen types or transport media.

METHODOLOGY:

Isolation of target DNA, real-time PCR with detection by target specific probes for HSV-1 and HSV-2.

ADDITIONAL INFORMATION:

In house studies have shown the analytical sensitivity of this assay is 10 copies/PCR reaction and 250 copies/patient specimen.  The genes that are amplified and detected in this assay are surface glycopeptide gG (HSV-1) and gD (HSV-2).
The detection of Herpes simplex virus type 1 (HSV-1) and Herpes simplex virus type 2 (HSV-2) DNA is based upon the real-time amplification and detection of specific HSV genomic DNA sequences by PCR from total DNA extracted from the specimen.  Probes specific for HSV-1 and HSV-2 are used to identify and differentiate the products of the PCR amplification.
The diagnosis of HSV-1 and HSV-2 infection should not rely solely upon the result of a PCR assay.  A positive PCR result should be considered in conjunction with clinical presentation and additional established diagnostic tests prior to establishing a diagnosis.  A negative PCR result indicates the absence of HSV-1 or HSV-2 DNA in a sample tested and does not exclude the diagnosis of disease.  
This test or one or more of its components was developed and its performance characteristics determined by RML Laboratories, Division of Clinical Microbiology.  It has not been cleared or approved by the U.S. Food and Drug Administration (FDA).  The FDA has determined that such clearance or approval is not necessary.  This test is performed pursuant to a license agreement with Roche Molecular Systems. Inc.

LAST UPDATED:

5-27-2014

TEST SYNONYM(S):HSV 1 & 2 detection by real time PCR; Herpes simplex virus by real time PCR; Herpes simplex

Heat Shock Protein 70

CERNER / EPIC MNEMONIC:

HSP-70

POE DESCRIPTION:

Heat Shock Protein 70 Ab

CPT CODE:

84181-90

CDM NUMBER:

3181473

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

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

SPECIMEN REQUIREMENTS:

2 mL blood (1 mL serum)

REJECTION CRITERIA:

lipemic, hemolyzed specimens

MINIMUM VOLUME:

1 mL blood (0.5 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code S51633

METHODOLOGY:

EIA

TEST SYNONYM(S):HSP-70

HE4 Ovarian Tumor Marker

CERNER / EPIC MNEMONIC:

HE4

POE DESCRIPTION:

HE4

CPT CODE:

86305-90

CDM NUMBER:

3181490

TEST INFORMATION:

The HE4 EIA assay is an enzyme immunoassay for the quantitative determination of HE4 antigen in serum. HE4 is a biomarker for ovarian cancer.

TURNAROUND TIME:

7 days

CONTAINER TYPE: Red top tube
SPECIMEN REQUIREMENTS:

0.5 mL of serum

REJECTION CRITERIA:

Hemololysis, Lipemia, Specimens with heavy particulate matter.

MINIMUM VOLUME:

1 mL of blood  (0.5 mL serum)

REFERENCE RANGE:

See Quest Diagnostics - Search Test Code - 16500

METHODOLOGY:

EIA

REFERRAL LABORATORY:

Quest Diagnostics Nichols Institute

Heparin Induced Thrombocytopenia Platelet Antibody

CERNER / EPIC MNEMONIC:

HIT AB

CPT CODE:

86022 (X2)

DAYS PERFORMED:

M - F Second shift (3:00 to 11:00)

TURNAROUND TIME:

Same day if received before 17:00 or next business day

CONTAINER TYPE:

Preferred- plain red top or SST

SPECIMEN REQUIREMENTS:

2 ml blood

REJECTION CRITERIA:

Heparinized blood, Hemolyzed, Lipemic, or Icteric sample

MINIMUM VOLUME:

1 ml blood

HANDLING INSTRUCTIONS:

If sample can not be delivered to the lab within 4 hours, centrifuge and separate serum or plasma from the cells. Store 2-8°C for up to 48 hours.

REFERENCE RANGE:

> 0.400 OD is positive when confirmed by heparin inhibition of > 50%.
< 50% inhibition is considered equivocal.

LIMITATIONS OF TEST:

This assay will only detect the clinically significant IgG HIT antibody. It will not detect IgA or IgM HIT antibodies

CRITICAL VALUES:

None

LAST UPDATED:

8-30-2012

TEST SYNONYM(S):Heparin Dependent Anti-platelet Antibody; Heparin Platelet Antibody, HIT

Hemochromatosis

CERNER / EPIC MNEMONIC:

HEMOCHROM

CPT CODE:

81256-90

CONTAINER TYPE: Lavender top (EDTA) tube
SPECIMEN REQUIREMENTS:

5 mL EDTA whole blood

MINIMUM VOLUME:

3 mL EDTA whole blood

HANDLING INSTRUCTIONS:

Do not freeze

REFERENCE RANGE:

See Specialty Labs - Search Test Code - 35079

LAST UPDATED:

1-27-2014

TEST SYNONYM(S):HFE; Hemochromatosis DNA Mutation Analysis, Hereditary

Hemoglobin AIC, Reflex Test

CERNER / EPIC MNEMONIC:

MISC CHEM

CPT CODE:

83036-90

CONTAINER TYPE:

Lavender top tube (EDTA)

SPECIMEN REQUIREMENTS:

2 mL whole blood

MINIMUM VOLUME:

0.3 mL whole blood

REFERENCE RANGE:

See Specialty Labs - Search Test Code 4972

METHODOLOGY:

Turbidimetry

Histoplasma AB Immunodiffusion

CERNER / EPIC MNEMONIC:

HISTOAB IM

CPT CODE:

86698

CDM NUMBER:

3181443

TURNAROUND TIME:

4 - 7 days

CONTAINER TYPE:

red top Vacutainer tube or SST tube

SPECIMEN REQUIREMENTS:

Serum

REJECTION CRITERIA:

Improper storage of specimen, 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:

Negative

METHODOLOGY:

Immunodiffusion

REFERRAL LABORATORY:

Commercial Laboratory

ADDITIONAL INFORMATION:

Immunodiffusion assesses the presence of proteins antigens M and H that often occur independently.  Approximately 70% of patients with histoplasmosis have detectable antibodies by immunodiffusion.

Histoplasma Ab Complement Fixation

CERNER / EPIC MNEMONIC:

HISTOAB CF

CPT CODE:

86698 X 2

CDM NUMBER:

3181443

TEST INFORMATION:

Includes antibody to Yeast Antigen and to Mycelial Antigen

TURNAROUND TIME:

3-7 days

CONTAINER TYPE:

red top Vacutainer tube or SST tube

SPECIMEN REQUIREMENTS:

Serum

REJECTION CRITERIA:

Improper storage of specimen, 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:

Yeast Antigen; <8 - Mycelial Antigen; <8

METHODOLOGY:

Complement Fixation (CF)

REFERRAL LABORATORY:

Commercial Laboratory

ADDITIONAL INFORMATION:

Approximately 90 - 95% of patients with histoplasmosis have detectable antibodies.  CF titers>=1:8 are generally considered evidence indicative of histoplasmosis.  Positive titers are also seen with fungal infections other than histoplasmosis, and confirmation of antibody specificity with immunodiffusion procedures is recommended.

Human T-Lymphotropic Virus I/II Antibody (HTLV I/II)

CERNER / EPIC MNEMONIC:

HTLV I/II

CPT CODE:

86790, if positive confirmatory test = 86689

TEST INFORMATION:

The test includes detection of antibody to HTLV I/II.

DAYS PERFORMED:

Monday - Sunday

TURNAROUND TIME:

2 - 5 days

CONTAINER TYPE:

Red top vacutainer  tube or SST tube

SPECIMEN REQUIREMENTS:

Blood

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. Ship refrigerated.

REFERENCE RANGE:

Nonreactive   See Quest Test Code 36175

LIMITATIONS OF TEST:

A negative result does not preclude the possibility of infection with HTLV-I/II.

METHODOLOGY:

Chemiluminescence,  Immunoassay

REFERRAL LABORATORY:

Quest Diagnostics

ADDITIONAL INFORMATION:

HTLV-I causes adult T cell leukemia (ATL) or HTLV-associated myelopathy (HAM) in approximately 10% of infected individuals. HTLV-II is closely related to HTLV-I, but disease associations are less clear. Positive or equivocal HTLV-I/II screening test results will be tested further by HTLV CONFIRMATORY ASSAY at an additional charge which usually differentiates HTLV-I from HTLV-II infection.

LAST UPDATED:

9-11-2013

TEST SYNONYM(S):HTLV-I Antibody Detection; Human T-Lymphotropic Virus Type 1 Antibody

Hepatitis E IgG Antibody

CERNER / EPIC MNEMONIC:

HEP E IgG

CPT CODE:

86790-90

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SST or Red top

SPECIMEN REQUIREMENTS:

0.5 mL blood (0.3 mL serum)

MINIMUM VOLUME:

0.5 mL blood (0.3 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code S51511

LAST UPDATED:

1-28-2014

Hepatitis E IgM Antibody

CERNER / EPIC MNEMONIC:

HEP E IgM

CPT CODE:

86790-90

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SST or Red top

SPECIMEN REQUIREMENTS:

0.5 mL blood (0.3 mL serum)

MINIMUM VOLUME:

0.5 mL blood (0.3 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code S51512

LAST UPDATED:

1-28-2014

Haemophilus Influenzae B IgG Antibodies

CERNER / EPIC MNEMONIC:

H INFB IGG

CPT CODE:

86684-90

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SST or Red Top tube

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 9861

LAST UPDATED:

2-18-2014