Opiates, Qualitative, Urine

CERNER / EPIC MNEMONIC: U/DS
POE DESCRIPTION: URINE DRUG SCREEN; U/DS
CPT CODE: 80100 (x7)
TEST INFORMATION: Test includes: Codeine, Demerol®, heroin, hydromorphone (dilaudid®), morphine and morphine glucuronide.

Not orderable as separate test. Order Drug Screen, Urine. Refer to: Drug Screen Urine.

DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Routine: 8 hours; stat: 1 hour
SPECIAL INSTRUCTIONS: Not orderable as separate test. Order Drug Screen, Urine. Do not use for medicolegal purposes. For medicolegal purposes, specimens should be collected using chain-of-custody precautions and screening results should be confirmed using gas chromatography/mass spectrometry. Chain-of-custody and confirmation are not part of the urine drug screen and are not provided by this laboratory.
CONTAINER TYPE: Random urine container
SPECIMEN REQUIREMENTS: Random urine
MINIMUM VOLUME: 0.5 mL
REFERENCE RANGE: None detected
TEST SYNONYM(S):Heroin Metabolite, Urine

Osmolality, Serum

CERNER / EPIC MNEMONIC: OSMO
POE DESCRIPTION: OSMOLALITY
CPT CODE: 83930
DAYS PERFORMED: Specimen accepted daily, 24 hours
TURNAROUND TIME: Routine: 8 hours; stat: 1 hour
CONTAINER TYPE:

SST tube

SPECIMEN REQUIREMENTS: Blood (serum)
MINIMUM VOLUME: 0.2 mL blood (0.1 mL serum)
REFERENCE RANGE: 278-305 mOsm/kg

Osmolality, Urine

CERNER / EPIC MNEMONIC: RU/OSMO
POE DESCRIPTION:

Urine Osmolality Random

CPT CODE: 83935
DAYS PERFORMED: Specimen accepted daily, 24 hours
TURNAROUND TIME: Routine: 8 hours; stat: 1 hour
CONTAINER TYPE: Sterile 80 ml specimen container
SPECIMEN REQUIREMENTS: Random urine
MINIMUM VOLUME:

1 mL

REFERENCE RANGE: 50-1200 mOsm/kg for random specimens
TEST SYNONYM(S):Urine Osmolality

Osmotic Fragility

CERNER / EPIC MNEMONIC:

OSMO FRAG

POE DESCRIPTION: OSMOTIC FRAGILITY
CPT CODE:

85557-90

CDM NUMBER:

3181475

DAYS PERFORMED:

Blood must be drawn Monday through Thursday only.

TURNAROUND TIME:

5-7 working days

SPECIAL INSTRUCTIONS: Procedure must be scheduled in advance with the laboratory at 942-5002. Deliver immediately after collection. Laboratory must include a control specimen drawn at the same time from a normal, unrelated individual.
CONTAINER TYPE:

Lavender top (K2 EDTA) tube - 4 ml

SPECIMEN REQUIREMENTS:

4 mL EDTA whole blood

REJECTION CRITERIA: Not scheduled ahead with the laboratory.
MINIMUM VOLUME:

 2 mL EDTA whole blood

HANDLING INSTRUCTIONS:

Specimen must be fresh. Specimen must be delivered immediately to the laboratory after collection and shipped within 72 hours of draw.

REFERENCE RANGE:

See Mayo Clinic - Search Test Code FRAGO

LAST UPDATED:

4-24-2014

TEST SYNONYM(S):Fragility, Osmotic; Red Cell Fragility; RBC Fragility

Oxygen Saturation, Blood (Measured)

CERNER / EPIC MNEMONIC: MO2/SAT
POE DESCRIPTION: MEASURED O2 SATURATION
CPT CODE: 82810
DAYS PERFORMED: Specimen accepted daily, 24 hours
TURNAROUND TIME: 15 minutes
SPECIAL INSTRUCTIONS: Specimen must be delivered immediately to the laboratory. Keep on ice. Indicate source on requisition (ie, arterial).
CONTAINER TYPE:

Heparinized syringe or green top tube (heparin)

SPECIMEN REQUIREMENTS: Blood, arterial or venous
REJECTION CRITERIA: Clotted syringe, needle attached to the syringe, and air bubbles in the sample.
MINIMUM VOLUME: 0.3 mL
HANDLING INSTRUCTIONS: Keep specimen on ice.
REFERENCE RANGE: Arterial: 95% to 99%; venous: 60% to 85%
TEST SYNONYM(S):O2SAT; SO2

Ova and Parasites, Aspirated Specimen

CERNER / EPIC MNEMONIC: OP
POE DESCRIPTION: OVA AND PARASITES EXAM; O & P; OP
CPT CODE: 87177; 88313
TEST INFORMATION:

The test includes wet preparation (saline and iodine), concentration procedure, and Trichrome stain.

DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Variable - depending upon procedure required, usually within 3 days
SPECIAL INSTRUCTIONS: The requisition or order MUST specify if the specimen is to be examined for Cryptosporidium, Isospora, and/or Cyclospora. The specific anatomic site of the specimen MUST be specified on the order or the requisition.
CONTAINER TYPE: Sealed sterile container
SPECIMEN REQUIREMENTS: Sputum, aspirate, biopsy, body fluid, duodenal fluid
REJECTION CRITERIA: Inappropriate specimen container, insufficient specimen volume, swab specimen submitted, specimen consisting entirely of saliva, specimen contaminated with urine and/or water, specimen containing interfering substances (i.e. castor oil, bismuth, Metamucil®, barium), specimen contaminating outside of transport container, specimen in a preservative. Only one specimen will be accepted per day.
MINIMUM VOLUME: 3-4 mL
HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. When transportation is delayed, refrigerate.
REFERENCE RANGE: No parasites
METHODOLOGY:

Wet preparation (saline and iodine), concentration, Trichrome stain.

REFERRAL LABORATORY:

Commercial

LAST UPDATED:

5-22-2014

TEST SYNONYM(S):Aspirate for Ova and Parasites; Parasitology Examination, Aspirate

Ova and Parasites, Stool

CERNER / EPIC MNEMONIC: OP
POE DESCRIPTION: OVA AND PARASITES EXAM; O & P; OP
CPT CODE: 87177; 87207
TEST INFORMATION:

The test includes a wet preparation (saline and iodine), concentration procedure, and Trichrome stain.

DAYS PERFORMED:

Monday - Friday

TURNAROUND TIME:

Complete reports may require 2-4 days after receipt of the specimen based upon the findings.

SPECIAL INSTRUCTIONS: The requisition or order MUST specify if the specimen is to be examined for Cryptosporidium, Isospora, and/or Cyclospora.
CONTAINER TYPE: Sealed plastic feces container, no preservative; sealed sterile or nonsterile clean container; clients: Para-Pak vial (Ecofix)
COLLECTION: Specimens obtained with a warm saline enema or Fleet® Phospho®-Soda are acceptable. Specimens obtained with mineral oil, bismuth, iron, or magnesium compounds are unsatisfactory. Wait 10 days to 2 weeks after barium procedures or barium laxatives before collecting stools for examination. 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, inappropriate specimen, specimen submitted in a preservative, specimen contaminated with water and/or urine, inappropriate specimen container, specimen submitted on a diaper or tissue paper, insufficient specimen volume, specimen containing interfering substances (i.e. castor oil, bismuth, Metamucil®, barium), rectal swab. Only one specimen will be accepted per day unless purged samples are required to be submitted.
MINIMUM VOLUME:

1 mL or 1 gram, or up to the fill-line for Ecofix

HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. When transportation is delayed, refrigerate, unless submitted in Para-Pak vials which should be left at room temperature.
REFERENCE RANGE: No parasites found
METHODOLOGY:

Wet preparation (saline and iodine) on concentration, Trichrome stain.

ADDITIONAL INFORMATION:

The recommended screening procedure is three random stool specimens over a 5-7 day period. Amebas and certain other parasites cannot be observed in stools containing barium. Formed stools are more suitable for amebic cyst and helminth egg recovery. Soft or liquid stools (either normally passed or obtained by purgation) are more suitable for protozoan trophozoites. Specimens that do NOT arrive within 1 hour should be preserved so as to maintain the integrity of the parasites. Warning: Any stool collected by or from the patient may harbor pathogens which are IMMEDIATELY infective. Use extreme caution when Entamoeba histolytica, Hymenolepis nana, Strongyloides species, and Taenia species are suspected/reported.

LAST UPDATED:

5-22-2014

TEST SYNONYM(S):O and P; Ova and Parasites; Parasites, Stool; Parasitology Examination; Stool for Ova and Parasites

Orotic Acid, Urine

CERNER / EPIC MNEMONIC:

MISC CHEM

POE DESCRIPTION: UR OROTIC ACID; U/OROTIC
CPT CODE:

83921-90

DAYS PERFORMED: Arrange with laboratory in advance, referred to reference lab.
TURNAROUND TIME: 3 weeks
SPECIAL INSTRUCTIONS: Contact Genetics Lab before collecting specimen (312) 942-6298.
CONTAINER TYPE: Plastic urine collection container, chemically clean
SPECIMEN REQUIREMENTS:

10 mL (Random early morning urine)

MINIMUM VOLUME:

3 mL

HANDLING INSTRUCTIONS: Deliver to Genetics Laboratory as soon as possible.
REFERENCE RANGE:

Will be stated on report

See Specialty Labs - Search Test Code S40515

LAST UPDATED:

9-17-2012

TEST SYNONYM(S):Orotic Acid, Quantitative, Urine; Urine Orotic Acid

Oncotech

TEST INFORMATION: Test includes chemosensitivity assay of tumor cells against known chemotherapeutic agents
DAYS PERFORMED: Mon-Fri, 0830-1700
TURNAROUND TIME: As per Oncotech
SPECIAL INSTRUCTIONS: Specimen must be kept sterile and delivered fresh immediately after removal to Laboratory Receiving Station, Rm 508 Jelke.
COLLECTION: Specimen obtained must include sufficient tissue for routine light microscopy as well as tissue requirements outlined in Oncotech protocol.
SPECIMEN REQUIREMENTS: Fresh unfixed tissue
REJECTION CRITERIA: Formalin fixed tissue, insufficient tissue or viable tumor cells, tissue not sterile
REFERENCE RANGE: Results to be interpreted by Oncotech
LIMITATIONS OF TEST: Sampling error
ADDITIONAL INFORMATION: This report will be issued separately by Oncotech.
TEST SYNONYM(S):Chemotherapeutic Assay

Obstetric (Prenatal) Panel

CERNER / EPIC MNEMONIC: PRENATAL
POE DESCRIPTION: OBSTETRIC (PRENATAL) PANEL
CPT CODE: 80055
TEST INFORMATION:

Test includes RPR, Rubella IgG, CBC Type/Screen, Hepatitis B Surface Antigen.

DAYS PERFORMED: Varies by test.
TURNAROUND TIME: Varies by test.
CONTAINER TYPE:

Red top tube or SST AND 2 Lavender top tubes.

Special Labeling Requirements: For blood bank specimen, 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 (serum and plasma)
MINIMUM VOLUME:

1.0 mL serum, 1.5 mL whole blood for CBC

1.5 mL whole blood for T/S

TEST SYNONYM(S):Prenatal profile; Obstetric profile

Oxalate, Quantitative, Urine

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

83945-90 

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

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

 Caution: 6N HC1 is caustic.

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 4332U
TEST SYNONYM(S):Urine Oxalate

Osteocalcin

CERNER / EPIC MNEMONIC: OSTEOCAL
POE DESCRIPTION:

Osteocalcin

CPT CODE: 83937-90
TURNAROUND TIME: 5-7 working days
SPECIAL INSTRUCTIONS:

Patients should fast 12 hours prior to collection.

CONTAINER TYPE:

Red top tube ONLY

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 16322

METHODOLOGY: Immunoradiometric Assay
LAST UPDATED:

8-15-2014

TEST SYNONYM(S):BGP; Bone Gla Protein

Oxcarbazepine (Trileptal)

CERNER / EPIC MNEMONIC:

Oxcarb

POE DESCRIPTION:

Oxcarbazepine and Trileptal

CPT CODE:

80183-90

CDM NUMBER:

3181370

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE: Red top vacutainer
SPECIMEN REQUIREMENTS:

4.0 mL blood (2.0 mL serum)

MINIMUM VOLUME:

3.0mL blood(1.0 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 4937

METHODOLOGY:

HPLC

LAST UPDATED:

11-11-2013

TEST SYNONYM(S):Trileptal

Oak tree (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

OAK

POE DESCRIPTION:

Oak Allergen

CPT CODE:

86003-90

TEST INFORMATION:

Included in the Rast Inhalant Panel.

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:

1.0 mL blood (0.3 mL serum)

REFERENCE RANGE:

See Specialty Labs  - Search Test Code T7

Orange (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

ORANGE

POE DESCRIPTION:

Orange allergen

CPT CODE:

86003-90

TEST INFORMATION:

Included in the Rast Food Panel.

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:

1.0 mL blood (0.3 mL serum)

REFERENCE RANGE:

See Specialty Labs  - Search Test Code F33

Oyster (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

OYSTER

POE DESCRIPTION:

Oyster allergen

CPT CODE:

86003-90

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:

1.0 mL blood (0.3 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code F290