Isoagglutinin Titer, Anti-A and/or Anti-B

CERNER / EPIC MNEMONIC: ISO TITER
CPT CODE: 86940
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. MR# if available, if not SS# or DOB for additional patient ID purposes.
SPECIMEN REQUIREMENTS: Blood (plasma)
MINIMUM VOLUME: 7 mL
REFERENCE RANGE: Depends on clinical setting
TEST SYNONYM(S):ABO Titer; Anti-A Titer; Anti-B Titer; Isohemagglutinins; Quantitation of A and B Blood Group Antibody Titer

IgG/Albumin Ratio, Cerebrospinal Fluid

CERNER / EPIC MNEMONIC: C/IGG/ALB
POE DESCRIPTION: IGG ALBUMIN RATIO; IGG/ALB
CPT CODE:

82784, 82042-90

TURNAROUND TIME: 1-3 days
CONTAINER TYPE: CSF collection tubes
SPECIMEN REQUIREMENTS: 1 mL cerebrospinal fluid
MINIMUM VOLUME:

0.8 mL

HANDLING INSTRUCTIONS: Freeze
REFERENCE RANGE:

See Specialty Labs - Rush Custom Panel # P6126K

TEST SYNONYM(S):CSF IgG; IgG, CSF; Spinal Fluid IgG; CSF Albumin; Albumin, CSF

Immunofixation, Serum

CERNER / EPIC MNEMONIC: IEP
CPT CODE:

84155, 84165, 86334

TEST INFORMATION: Test includes typing of monoclonal proteins for light and heavy chain specificity; serum protein electrophoresis, total protein, free light chains
DAYS PERFORMED: Monday-Friday, first shift
TURNAROUND TIME: 2-6 days
CONTAINER TYPE:

SST Tube or Red top tube - 10 mL

SPECIMEN REQUIREMENTS:

10 mL blood (5 mL serum)

MINIMUM VOLUME: 5 mL blood (2.5 mL serum)
REFERENCE RANGE: No monoclonal proteins detected. Interpretation provided with results.
METHODOLOGY:

Capillary electrophoresis

TEST SYNONYM(S):Electrophoresis, Serum

Immunofixation, Urine

CERNER / EPIC MNEMONIC: U/IEP
POE DESCRIPTION: URINE IMMUNOFIXATION; IMMUNOFIX-URINE; U/IEP
CPT CODE:

84156, 84166, 86335, 81050

TEST INFORMATION: Test includes typing of monoclonal proteins for light and heavy chain specificity, semiquantitation of free monoclonal light chains, urine protein electrophoresis
DAYS PERFORMED: Monday-Friday, first shift
TURNAROUND TIME: 2-6 days
SPECIAL INSTRUCTIONS: For timed urine collection, instruct the patient to void at the beginning of the collection period and discard the specimen. Then collect all urine including the final specimen voided at the end of the collection period. Containers must be labeled with patient`s full name, date and time collection started, and date and time collection finished.
CONTAINER TYPE:

 

24 hour urine container (Bottle #1) with no preservative or Sterile 80 mL specimen container (random urine)

SPECIMEN REQUIREMENTS: Entire 24-hour collection of voided urine
MINIMUM VOLUME: 25 mL aliquot from the 24-hour urine collection.
HANDLING INSTRUCTIONS: Refrigerate during collection.
REFERENCE RANGE: No monoclonal free light chains detected. Interpretation provided with results.
LIMITATIONS OF TEST:

Urine stored more than seven days before being assayed may give unreliable results.

METHODOLOGY:

Immunofixation

LAST UPDATED:

10-03-2011

TEST SYNONYM(S):Electrophoresis, Urine

Immunoglobulin A

CERNER / EPIC MNEMONIC: IGA
POE DESCRIPTION: IMMUNOGLOBULIN A; IGA
DAYS PERFORMED:

Daily, 24 hours

TURNAROUND TIME:

8 hours

CONTAINER TYPE:

Red top tube - 4 mL  and SST tube

SPECIMEN REQUIREMENTS:

4 mL blood (2.0 mL serum)

REJECTION CRITERIA:

Gross Hemolysis, Grossly lipemic

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

 

See Table

METHODOLOGY:

Immunoturbidimetric

TEST SYNONYM(S):IgA; Quantitative IgA

Immunoglobulin G

CERNER / EPIC MNEMONIC: IGG
POE DESCRIPTION: IMMUNOGLOBULIN G; IGG
DAYS PERFORMED: Monday & Thursday, first shift
TURNAROUND TIME: 1-4 days
CONTAINER TYPE:

Red top tube - 4 mL and SST tube

SPECIMEN REQUIREMENTS:

4 mL blood (2.0 mL serum)

REJECTION CRITERIA:

Gross Hemolysis, Grossly lipemic

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

See Table

METHODOLOGY:

Immunoturbidimetric

TEST SYNONYM(S):IgG; Quantitative IgG

Immunoglobulin M

CERNER / EPIC MNEMONIC: IGM
POE DESCRIPTION: IMMUNOGLOBIN M; IGM
DAYS PERFORMED:

Everyday

TURNAROUND TIME: 1-4 days
CONTAINER TYPE:

Red top tube - 4 mL and SST tube

SPECIMEN REQUIREMENTS:

4 mL blood (2.0 mL serum)

REJECTION CRITERIA:

Gross Hemolysis, Grossly lipemic

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

See table

METHODOLOGY:

Immunoturbidimetric

TEST SYNONYM(S):IgM; Quantitative IgM

Iron and Total Iron Binding Capacity

CERNER / EPIC MNEMONIC: FE/TIBC
POE DESCRIPTION: IRON & TOTAL IRON BINDING CAP; FE/TIBC
CPT CODE: 83540; 83550
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: 8 hours
CONTAINER TYPE:

SST tube

SPECIMEN REQUIREMENTS: Blood (serum)
REJECTION CRITERIA: Any degree of hemolysis
MINIMUM VOLUME: 2 mL blood (1 mL serum)
REFERENCE RANGE: Iron: male: 35-170 µg/dL, female: 25-170 µg/dL; TIBC: 196-364 µg/dL
TEST SYNONYM(S):Fe and TIBC; Iron Indices; Iron Profile; TIBC; TIBC and Iron; Total Iron Binding Capacity

Immunoglobulin E

CERNER / EPIC MNEMONIC: IGE
POE DESCRIPTION:

TOTAL IMMUNOGLOBULIN E; TOTAL IGE

CPT CODE:

82785-90

TEST INFORMATION:

Immunoglobulin E will NOT be determined when Quantitative Immunoglobulins are requested. It MUST be requested individually.

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SST tube

SPECIMEN REQUIREMENTS:

2 mL blood (1.0 mL serum)

MINIMUM VOLUME:

1 mL blood (0.5 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 1245

LAST UPDATED:

3-21-2013

TEST SYNONYM(S):IgE; Total IgE

Isospora Diagnostic Procedure, Stool

CERNER / EPIC MNEMONIC: SM OOCYST
POE DESCRIPTION: SM CRYPTOSPORIDIUM
CPT CODE: 87207; 87015
TEST INFORMATION: Test includes examination of the stool for the presence of Cryptosporidium, Isospora, and Cyclospora by a modified acid-fast stain.
DAYS PERFORMED: Monday-Saturday, 0700-1400
TURNAROUND TIME: 1-2 days
CONTAINER TYPE: Plastic feces specimen container, no preservative; sealed container or nonsterile clean 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 sealed container.
SPECIMEN REQUIREMENTS: Fresh stool
REJECTION CRITERIA: Specimen on outside of container, insufficient quantity of specimen, rectal swab, inappropriate specimen, specimen submitted in a preservative, specimen contaminated with water and/or urine.
MINIMUM VOLUME: 1 mL or 1 gram
HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. When transportation is delayed, refrigerate.
REFERENCE RANGE: No Isospora, Cryptosporidium, or Cyclospora detected
LIMITATIONS OF TEST: Organisms are most readily demonstrated in diarrheal stools.
METHODOLOGY: Modified acid-fast stain of a concentrated specimen on air-dried methanol fixed smears (decolorization with 1% sulfuric acid).
ADDITIONAL INFORMATION: If this test procedure is requested on a specimen other than stool, a consultation with the Director or a Supervisor is recommended. Click here for more information about Cryptosporidiasis, Isosporasis, and Cyclosporiasis

Immunodeficiency Profile I

CERNER / EPIC MNEMONIC: IMM DEF 1
POE DESCRIPTION: IMMUNODEFICIENCY PROFILE I; T&B CELLS FOR LYMPH SUB POP.; IMM DEF 1
CPT CODE: 88180 (x5)
TEST INFORMATION: METHOD - Immunophenotyping
DAYS PERFORMED: Mon-Thur, 0800-1600; Fri, 0800-1400; days preceding holidays, 0800-1400; no holidays
TURNAROUND TIME: 2 days
SPECIAL INSTRUCTIONS: Do not refrigerate specimen. Blood must be in laboratory within 24 hours of collection.
CONTAINER TYPE: Lavender top (EDTA) tubes
SPECIMEN REQUIREMENTS: Blood
MINIMUM VOLUME: Two tubes (2.5 mL) whole blood
REFERENCE RANGE: Normal ranges are included with the report.
TEST SYNONYM(S):T- and B-Lymphocytes; T and B-Cell Subsets

Immunohistochemical Analysis

CPT CODE: 88342
TEST INFORMATION: Test includes antigen localization in cell preparations, frozen sections, and paraffin sections
DAYS PERFORMED: Mon-Fri, 0730-1630
TURNAROUND TIME: 1-2 days
SPECIAL INSTRUCTIONS: Immunohistochemistry is perfomed at the discretion of the pathologist reporting the case. Pertinent clinical history will aid in the selection of the appropriate stains to process. Paraffin blocks from outside institutions can be submitted for study. Tissue for routine light microscopy must be processed prior to processing immunohistochemistry stains.
SPECIMEN REQUIREMENTS: Paraffin sections, frozen sections, fine needle aspirations, body fluids
LIMITATIONS OF TEST: Availability of specific antisera
TEST SYNONYM(S):Immunocytochemistry; Immunohistochemistry

IgG Subclasses

CERNER / EPIC MNEMONIC: IGG1-4
POE DESCRIPTION: IGG1-4
CPT CODE: 82784-90, 82787(4)-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

Red top tube or SST tube

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME:

1.0 mL blood (0.5 mL serum)

REFERENCE RANGE:

 

See Mayo Clinic - Search Test Code 9259

TEST SYNONYM(S):IgG 1,2,3,4

Imipramine

CERNER / EPIC MNEMONIC: IMIP
POE DESCRIPTION: IMIPRAMINE
CPT CODE:

80174-90

TEST INFORMATION: Includes desipramine
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE: Red top tube only
SPECIMEN REQUIREMENTS: 6.0 mL blood (3.0 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 4932

TEST SYNONYM(S):Tofranil.

Immune Complex Profile

CERNER / EPIC MNEMONIC: IMM COMP
POE DESCRIPTION: IMMUNE COMPLEX PROFILE
CPT CODE: 86332-90 (x2)
TEST INFORMATION: Includes Clq binding and Raji Cell Assay
TURNAROUND TIME: 7-10 days
SPECIAL INSTRUCTIONS:

This test cannot be added onto an existing sample.

CONTAINER TYPE:

Red top tube or SST tube

SPECIMEN REQUIREMENTS: 4.0 mL blood (2.0 mL serum)
MINIMUM VOLUME: 0.5 mL blood (0.2 serum)
REFERENCE RANGE: See separate laboratory report.
TEST SYNONYM(S):Immune Complex Assay

Immunoglobulin D

CERNER / EPIC MNEMONIC: IGD
POE DESCRIPTION: IMMUNOGLOBULIN D; IGD
CPT CODE: 82784-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

Red top tube or SST tube

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME:

1 mL blood (0.5 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code S51584

TEST SYNONYM(S):IgD; Quantitative IgD

Inhibin

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

86336-90

TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

Red top tube only or SST 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 3984

TEST SYNONYM(S):Inhibin A

Insulin

CERNER / EPIC MNEMONIC: INSULIN
POE DESCRIPTION: INSULIN
CPT CODE: 83525-90
TURNAROUND TIME: 5-7 working days
SPECIAL INSTRUCTIONS: Fasting specimen required
CONTAINER TYPE:

Red top tube or SST tube

SPECIMEN REQUIREMENTS: 2.0 mL blood (1.0 mL serum)
MINIMUM VOLUME: 1.0 mL blood (0.5 mL serum)
REFERENCE RANGE: See Specialty Labs - Search Test Code 3192

TEST SYNONYM(S):Immunoreactive Insulin

Insulin Antibodies

CERNER / EPIC MNEMONIC: INSULIN AB
POE DESCRIPTION: INSULIN ANTIBODIES; INSULIN AB
CPT CODE: 86337-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE: 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 3876

Insulin Stimulation Test

CERNER / EPIC MNEMONIC: INSULIN
POE DESCRIPTION: INSULIN
CPT CODE: 83525-90
TURNAROUND TIME: 7-10 days
SPECIAL INSTRUCTIONS: Requisition must specify if baseline or timed specimen. Must specify time of the draw.
CONTAINER TYPE:

Red top tube or SST tube

SPECIMEN REQUIREMENTS: 2.0 mL blood (1.0 mL serum)
MINIMUM VOLUME: 1.0 mL blood (0.5 mL serum)
REFERENCE RANGE:

See Specialty Labs - Search Test Code 3192

LAST UPDATED:

1-24-2012

TEST SYNONYM(S):Glucagon Stimulation Test; Tolbutamide Stimulation Test

Insulin-like Growth Factor-1

CERNER / EPIC MNEMONIC: IGF-1
POE DESCRIPTION: INSULIN LIKE GROWTH FACTOR; SOMATOMEDIN C; SOMATO-C; IGF-1
CPT CODE: 84305-90
TURNAROUND TIME: 5-7  working days
CONTAINER TYPE:

Red top tube or SST tube

SPECIMEN REQUIREMENTS:

1.5 mL blood (0.5 mL serum)

MINIMUM VOLUME:

1.0 mL blood (0.3 mL serum)

REFERENCE RANGE:

See Quest Diagnostics - Search Test Code - 16293

LAST UPDATED:

04/30/12

TEST SYNONYM(S):Somatomedin-C, Sulfation Factor; IGF-I

Intrinsic Factor Antibody

CERNER / EPIC MNEMONIC: INT FAC AB
POE DESCRIPTION: INTRINSIC FACTOR ANTIBODY; INT FAC AB
CPT CODE: 86340-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

Red top tube or SST tube

SPECIMEN REQUIREMENTS: 2.0 mL blood (1.0 mL serum)
MINIMUM VOLUME: 0.5 mL blood (0.2 mL serum)
REFERENCE RANGE: See Specialty Labs  - Search Test Code 3196

Isopropanol, Blood

CERNER / EPIC MNEMONIC: VOL
CPT CODE: 83540
TURNAROUND TIME: 6-8 hours
CONTAINER TYPE: Gray top (sodium fluoride) tube
SPECIMEN REQUIREMENTS: 5 mL oxalated whole blood
REFERENCE RANGE: None detected
TEST SYNONYM(S):Isopropyl Alcohol; 2-Propanol

Insulin-like Growth Factor Binding Protein-3

CERNER / EPIC MNEMONIC:

IGF-BP3

POE DESCRIPTION:

Insulin-like Growth Factor BP3

CPT CODE:

82397-90

CDM NUMBER:

3181388

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SST tube or Red top

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME:

0.5 mL blood (0.2 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 3959

TEST SYNONYM(S):IGF-BP3

Islet Cell Antibodies

CERNER / EPIC MNEMONIC:

ISLET AB

POE DESCRIPTION:

Islet Cell Antibodies

CPT CODE:

86341-90 (x2)

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SST tube

SPECIMEN REQUIREMENTS:

4 mL blood (2 mL serum)

MINIMUM VOLUME:

2 mL blood (0.8 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 3069

ADDITIONAL INFORMATION:

Multiple antibodies are detected in the Islet cell IgG antibodies including GAD autoantibodies

LAST UPDATED:

4-5-2013

Interferon-Beta IgG Antibodies

CERNER / EPIC MNEMONIC:

INTBIGG AB

POE DESCRIPTION:

Interferon Beta IgG Antibodies

CPT CODE:

83520

TURNAROUND TIME:

5-7 working days

SPECIAL INSTRUCTIONS:

Provide name of Interferon-Beta used for treatment.

CONTAINER TYPE:

SST tube or Red top tube - 4 mL

COLLECTION:

Collected at least eight hours after interferon injection

SPECIMEN REQUIREMENTS:

4 mL blood (1.5 mL serum)

MINIMUM VOLUME:

1 mL blood (0.5 mL serum)

REFERENCE RANGE: See Focus Diagnostics - Search Test Code 20358
METHODOLOGY:

ELISA

ADDITIONAL INFORMATION:

Some multiple sclerosis patients receiving recombinant interferon-beta (IFNb) develop IFNb-specific antibodies that may block the therapeutic effect of the treatment.  This assay screens for IgG antibodies capable of binding to IFNb; all samples with detectable IFNb binding antibodies are then tested for IFNb neutralizing antibodies using a bioassay.  Approximately two weeks are required to perform the neutralization bioassay; those results will be reported separately when available.

TEST SYNONYM(S):Beta Interferon IgG Antibodies

Immature Platelet Fraction

CERNER / EPIC MNEMONIC:

IPF

CPT CODE:

85595

DAYS PERFORMED:

Daily, 24 hours

TURNAROUND TIME:

4.0 hours

CONTAINER TYPE: Lavender-top (K2 EDTA) tube - 3 ml
COLLECTION:

Peripheral blood

SPECIMEN REQUIREMENTS:

Whole blood

REJECTION CRITERIA:

Clotted specimen

MINIMUM VOLUME:

1.5 ml venous, 250 uL capillary whole blood

REFERENCE RANGE:

1.0 - 10.0 %

METHODOLOGY:

Fluorescent flow cytometry

TEST SYNONYM(S):Reticulated platelet fraction

Immune Cell Function (Immuknow)

CERNER / EPIC MNEMONIC:

IM CELL FN

CPT CODE:

86352-90

DAYS PERFORMED:

Monday through Thursday

SPECIAL INSTRUCTIONS:

Test available by prior arrangement only; please call the Core Laboratory at ext. 25002

CONTAINER TYPE:

Green top (sodium heparin) - 4 ml or Green top (sodium heparin) - 10 ml

SPECIMEN REQUIREMENTS:

1.0 mL whole blood

REJECTION CRITERIA:

Hemolysis, lipemia, or samples received >30 hrs after collection.

MINIMUM VOLUME:

0.5 mL whole blood

REFERENCE RANGE:

See Quest Diagnostics - Search Test Code 15435

TEST SYNONYM(S):Immuknow; Cylex Immuknow; Lymphocyte Stimulation

IL28B Genotype

CERNER / EPIC MNEMONIC:

IL28B

CPT CODE:

81479 +A1

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

EDTA (Lavender Top)

SPECIMEN REQUIREMENTS:

5.0 mL whole blood

MINIMUM VOLUME:

5.0 mL whole blood

REFERENCE RANGE:

See Specialty Labs - Search Test Code S52417

LAST UPDATED:

8-6-2013

Insulin GF Binding Protein 3 PEDS

CERNER / EPIC MNEMONIC:

IGFBP3-PED

CPT CODE:

83519-90

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SST tube or red top tube, microtainer

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME:

0.3 mL blood (0.1 mL serum)

REFERENCE RANGE:

See Esoterix Labs - Search Test Code 500281

LAST UPDATED:

1-24-2014

Insulin Growth Factor 1 PEDS

CERNER / EPIC MNEMONIC:

IGF1-PED

CPT CODE:

84305-90

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SST tube, red top tube, microtainer

SPECIMEN REQUIREMENTS:

1.0 mL blood (0.5 mL serum)

MINIMUM VOLUME:

0.3 mL blood (0.1 mL serum)

REFERENCE RANGE:

See Esoterix Labs - Search Test Code 803660

LAST UPDATED:

1-24-2014