Platelet Concentrate, Transfusion

CERNER / EPIC MNEMONIC: (not orderable on LIS)
POE DESCRIPTION:

PLTS (Pooled Plts/1 pool = 4 donors)

or

PLTS ( Random/Peds/1 donor40-60 mL)

DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Availability is subject to supply
SPECIAL INSTRUCTIONS: Platelet concentrates are released as pooled packs of four individually donated units. Shelf-life of pooled platelets is 4 hours. Storage is at room temperature (do not refrigerate platelet units.) May release individually donated unit for pediatric patients (see Neonatal Transfusion).
CONTAINER TYPE:

Pink top tube

COLLECTION: Special Labeling Requirements: The content of each sample label must include the patient's full name and medical record number, the phlebotomist's initials, the date and time the sample was collected and, for non-LLT draws, the initials of a second medical professional who has confirmed that the sample came from the patient whose name is on the label; the computer label must have this same information plus an accession number and the tests ordered. NOTE:  LLT phlebotomists should write 'LLT' for the second set of initials.
SPECIMEN REQUIREMENTS: Blood
MINIMUM VOLUME: 7 mL
HANDLING INSTRUCTIONS: Store platelet units at room temperature. Do not refrigerate.
REFERENCE RANGE: Each pooled platelet pack (one pool equals four donors) contains at least 20 x 1010 platelets.
TEST SYNONYM(S):Platelet Infusion; Platelet Packs; Platelet Rich Plasma; Platelets; Platelet Transfusion; Pooled Platelet (one pool equals four donors)

Progenitor Cell Collection

CERNER / EPIC MNEMONIC: LEUK PROC; BM CRYO
CPT CODE: 36520; 86999
DAYS PERFORMED: Mon-Fri
TURNAROUND TIME: 5-7 hours
SPECIAL INSTRUCTIONS: Must be arranged in advance
CONTAINER TYPE: 300 mL transfer pack
SPECIMEN REQUIREMENTS: Peripheral progenitor cells
MINIMUM VOLUME: 60 mL
HANDLING INSTRUCTIONS: Maintain specimen at room temperature
TEST SYNONYM(S):Progenitor Blood Stem Cell; Stem Cell Collection; Stem Cell Freezing

Phlebotomy, Therapeutic

CERNER / EPIC MNEMONIC: PHLEB PROC
CPT CODE: 99195
DAYS PERFORMED: This service is available from 0800-1900, Monday through Friday (by advance appointment with the Blood Center)
TURNAROUND TIME: 1 hour
SPECIAL INSTRUCTIONS: Special written instructions, including signature of the physician and amount of blood to be drawn, must be indicated on form #5710.

Pyruvate Kinase Assay, Red Blood Cell

CERNER / EPIC MNEMONIC: PK ASSAY
POE DESCRIPTION: RBC PYRUVATE KINASE ASSAY; PK ASSAY
CPT CODE: 84220-90
TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

Yellow top (ACD) tube (Sol. B)

SPECIMEN REQUIREMENTS:

5.0 mL ACD whole blood

MINIMUM VOLUME:

1.0 mL ACD whole blood

REFERENCE RANGE:

See Specialty Labs - Search Test Code S43035

TEST SYNONYM(S):PK, Blood

PO2, Arterial Blood or Venous Blood

CERNER / EPIC MNEMONIC: PO2/A; PO2/V
CPT CODE: 86256; 86256
DAYS PERFORMED: Specimen accepted daily, 24 hours
TURNAROUND TIME: 15 minutes
SPECIAL INSTRUCTIONS: Keep on ice. Requisition must indicate source (ie, arterial) and whether the patient is breathing room air or receiving oxygen.
CONTAINER TYPE:

Heparinized syringe, heparinized capillary tube

SPECIMEN REQUIREMENTS: Whole 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. Specimen must be delivered immediately to the laboratory. Keep on ice.
REFERENCE RANGE: Arterial: 1 day to 1 month: none established; 1 month to adult: 83-108 mm Hg; venous: 1 day to 1 month: none established, 1 month to adult: 25-29 mm Hg

Parathyroid Hormone, Intact

CERNER / EPIC MNEMONIC: INTACT PTH
POE DESCRIPTION: INTACT PARATHYROID HORMONE; INTACT PTH
CPT CODE: 83970, 82310
TEST INFORMATION: Test includes: Ca and Intact Parathyroid Hormone
DAYS PERFORMED:

Daily

TURNAROUND TIME:

8 hours

SPECIAL INSTRUCTIONS:

This test cannot be added onto a serum separator tube (SST)

CONTAINER TYPE:

Red top tube - 4 mL (red top) only

SPECIMEN REQUIREMENTS:

4.0 mL blood (2.0 mL serum)

REJECTION CRITERIA:

Hemolysis, bilirubin, chylous serum, serum from an SST collection tube

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

Intact PTH: 8.5-72.5 pg/mL

Calcium:   Newborn to 1 month: 7.3-11.9 mg/dL

               1 month to adult: 8.7-10.7 mg/dL

METHODOLOGY:

Chemiluminescent

CRITICAL VALUES:

Calcium:  <5.0 mg/dL and <13.0 mg/dL

LAST UPDATED:

3-19-12

TEST SYNONYM(S):Intact PTH; PTH-Intact

Phencyclidine, Qualitative, Urine

CERNER / EPIC MNEMONIC: U/DS
POE DESCRIPTION: URINE DRUG SCREEN; U/DS
CPT CODE: 80100 (x7)
TEST INFORMATION: Not orderable as separate test. Order Drug Screen, Urine
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Routine: 4 hours; stat: 1 hour
SPECIAL INSTRUCTIONS: Do not use results for medicolegal purposes. For medicolegal purposes, specimens should be collected using chain-of-custody precautions and screening results should be confirmed using gas chromatography/mass spectrometry. Chain-of-custody and confirmation are not part of the urine drug screen and are not provided by this laboratory.
CONTAINER TYPE: Sterile 80 mL specimen container
SPECIMEN REQUIREMENTS: 1.0 mL random urine
MINIMUM VOLUME: 0.5 mL random urine
REFERENCE RANGE: None detected
METHODOLOGY:

FPIA (Fluorescence Polarization Immuoassay)

TEST SYNONYM(S):PCP

Phenobarbital, Serum

CERNER / EPIC MNEMONIC: PHEN
POE DESCRIPTION: PHENOBARBITAL; PHENOBARB
CPT CODE: 80184
TEST INFORMATION: Optimal sampling time is at trough, just before the next dose. Use with primidone levels to monitor therapeutic drug levels of primidone.
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Routine: 4 hours; stat: 1 hour
SPECIAL INSTRUCTIONS: Level may increase when phenytoin is given.
CONTAINER TYPE: Red top tube - 4 mL
SPECIMEN REQUIREMENTS:

4.0 mL blood (2.0 mL serum)

MINIMUM VOLUME: 1.0 mL blood (0.2 mL serum)
REFERENCE RANGE: Therapeutic: 15-40 µg/mL
METHODOLOGY:

Enzyme Immunoassay

CRITICAL VALUES: >50 µg/mL
TEST SYNONYM(S):Luminal.; Phenobarb; Phenobarbital Level, Blood

Phosphorus, Fluid

CERNER / EPIC MNEMONIC: F/PO4
POE DESCRIPTION: FLUID PHOSPHOROUS
CPT CODE: 84100
DAYS PERFORMED: Specimen accepted daily, 24 hours
TURNAROUND TIME: 1 hour
SPECIAL INSTRUCTIONS: Must specify fluid type on the requisition.
CONTAINER TYPE:

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

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

Phosphorus, Quantitative, Urine

CERNER / EPIC MNEMONIC: RU/PO4 (random urine); U/PO4 (24-hour urine)
POE DESCRIPTION:

Urine Phosphorus Random; Urine Phosphorus Timed

CPT CODE: Random = 84105; Timed = 84105, 81050
TEST INFORMATION: Results are reported as mg of phosphorus per total volume of urine submitted. Normal range is based on 24-hour collection.
DAYS PERFORMED: Specimen accepted daily
TURNAROUND TIME: 8 hours
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, room number, date and time collection started, and date and time collection finished.
CONTAINER TYPE:

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

SPECIMEN REQUIREMENTS:

Random or 24-hour urine

MINIMUM VOLUME: Random urine: 1 mL; Timed urine: Submit entire urine collection to the laboratory.
HANDLING INSTRUCTIONS: Refrigerate during collection.
REFERENCE RANGE: Random urine: None established; Timed urine: 400-1300 mg/24 hours
TEST SYNONYM(S):Urine Phosphorus; Urine PO4

Phosphorus, Serum

CERNER / EPIC MNEMONIC: PO4
POE DESCRIPTION: PHOSPHOROUS; PO4
CPT CODE: 84100; 84100
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: 0.4 mL blood (0.2 mL serum)
REFERENCE RANGE: 0-1 month: 4.0-7.0 mg/dL; 1 month to 15 years: 4.5-6.5 mg/dL; 15 years to adult: 2.5-4.6 mg/dL
TEST SYNONYM(S):Inorganic Phosphate, Serum; Phos

Platelet Count

CERNER / EPIC MNEMONIC: PLT ONLY
POE DESCRIPTION: PLATELET COUNT ONLY; PLT ONLY
CPT CODE: 85595
DAYS PERFORMED: Daily, 24 hours; available stat
TURNAROUND TIME: Routine: 8 hours; stat: 1 hour
CONTAINER TYPE: Lavender top (EDTA) tube
SPECIMEN REQUIREMENTS: Blood
REJECTION CRITERIA: Specimen clotted
MINIMUM VOLUME: 1.5 mL venous, 250 µL capillary whole blood
HANDLING INSTRUCTIONS: Specimen should be sent to the laboratory as soon as possible.
REFERENCE RANGE:

150,000 - 399,000/µL

TEST SYNONYM(S):Platelets; Thrombocyte Count

Platelet Count on Citrate Specimen

CERNER / EPIC MNEMONIC: PLT CIT
DAYS PERFORMED: 24 hours
TURNAROUND TIME: 4 hours
SPECIAL INSTRUCTIONS:

Collect 1-Blue top tube and 1-Lavender top tube for testing.

CONTAINER TYPE: Blue top (sodium citrate) tube and Lavender top (K2 EDTA) tube - 3 ml or Lavender top (K2 EDTA) tube - 6 ml
SPECIMEN REQUIREMENTS: Blood
REJECTION CRITERIA: Specimen clotted, tube not filled
MINIMUM VOLUME: 4.5 mL whole blood
HANDLING INSTRUCTIONS: Specimen should be sent to the laboratory as soon as possible.
REFERENCE RANGE: Normal: 150-399 x 10³/mm³
TEST SYNONYM(S):Citrate Platelet Count

Potassium, Blood

CERNER / EPIC MNEMONIC: BG/K; K
POE DESCRIPTION: POTASSIUM; K
CPT CODE: 84132; 84132; 84132
DAYS PERFORMED: Specimen accepted daily, 24 hours
TURNAROUND TIME: Routine: 8 hours; Blood Gas Laboratory: 15 minutes; stat: 1 hour
SPECIAL INSTRUCTIONS: Must be kept on ice if ABG is ordered. Results will be affected by hemolysis.
CONTAINER TYPE:

SST tube, heparinized syringe (Blood Gas Laboratory)

SPECIMEN REQUIREMENTS: Blood (serum, plasma)
REJECTION CRITERIA: Clotted syringe, needle attached to the syringe, and air bubbles in the sample.
MINIMUM VOLUME: 0.4 mL blood (0.2 mL serum, 0.3 mL whole blood)
REFERENCE RANGE: Younger than 1 month: 4.0-6.0 mmol/L, 1 month to adult: 3.4-5.3 mmol/L
CRITICAL VALUES:

< 2.5; > 6.5

TEST SYNONYM(S):K+, Blood; Serum Potassium

Potassium, Fluid

CERNER / EPIC MNEMONIC: F/K
POE DESCRIPTION: FLUID POTASSIUM
CPT CODE: 84132
DAYS PERFORMED: Specimen accepted daily, 24 hours
TURNAROUND TIME: 1 hour
SPECIAL INSTRUCTIONS: Must specify fluid type on the requisition.
CONTAINER TYPE:

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

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

Potassium, Quantitative, Urine

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

Urine Potassium Random; Urine Potassium Timed

CPT CODE: Random = 84133; Timed = 84133; 81050
TEST INFORMATION: Results are reported as mmol of potassium per total volume of urine submitted. Normal range is based on 24-hour collection.
DAYS PERFORMED: Specimen accepted daily, 24 hours
TURNAROUND TIME: Stat: 1 hour (random urine only); Routine: 8 hours
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, room number, date and time collection started, and date and time collection finished.
CONTAINER TYPE:

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

SPECIMEN REQUIREMENTS:

Random or 24 hour urine

MINIMUM VOLUME: Random urine: 1 mL; Timed urine: Submit entire urine collection to the laboratory.
HANDLING INSTRUCTIONS: Refrigerate during collection.
REFERENCE RANGE: Random urine: None established; Timed urine: 25-120 mmol/24 hours (varies with diet)
TEST SYNONYM(S):K, Urine; Urine K; Urine Potassium

Prealbumin

CERNER / EPIC MNEMONIC: PREALB
POE DESCRIPTION: PREALBUMIN; PREALB
DAYS PERFORMED:

Specimen accepted 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: 18-45 mg/dL
METHODOLOGY:

Immunoturbidimetric

Pregnancy, Qualitative, Urine

CERNER / EPIC MNEMONIC: U/PREG
POE DESCRIPTION: URR PREGNANCY TEST; U/PREG
CPT CODE: 83518
DAYS PERFORMED: Specimen accepted daily
TURNAROUND TIME: 4 hours
CONTAINER TYPE: Random urine container
SPECIMEN REQUIREMENTS: First morning urine
MINIMUM VOLUME: 0.1 mL
REFERENCE RANGE: A positive result indicates hCG level >50 mIU/mL.
TEST SYNONYM(S):hCG, Urine; Human Chorionic Gonadotropin, Urine; Qualitative Pregnancy Test, Urine; Urine Pregnancy

Primidone, Serum

CERNER / EPIC MNEMONIC: PRIM
POE DESCRIPTION: PRIMIDONE
CPT CODE:

80188-90, 80184-90

TEST INFORMATION: Test includes: Primidone and Phenobarbital
DAYS PERFORMED: Specimen accepted daily, 24 hours
TURNAROUND TIME: Routine: 1-3 working days; stat: 4 hours
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:

Therapeutic:

Primidone: 5.0-12.0 mg/L

Phenobarbital: 15.0-40.0 mg/L

TEST SYNONYM(S):Mysoline.

Procainamide, Serum

CERNER / EPIC MNEMONIC: PROC
POE DESCRIPTION: PROCAINAMIDE
CPT CODE: 80192-90
TEST INFORMATION:

Test includes: procainamide, N-acetyl procainamide (metabolite) and combined totals.

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

Red top tube only

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME:

0.4 mL blood (0.2 mL serum)

REFERENCE RANGE:

See Quest Diagnostics - Search Test Code 743

LAST UPDATED:

1-15-2014

TEST SYNONYM(S):Pronestyl.

Progesterone, Serum

CERNER / EPIC MNEMONIC: PROG
POE DESCRIPTION: PROGESTERONE
CPT CODE: 84144
DAYS PERFORMED:

24 hours

TURNAROUND TIME:

1 day

SPECIAL INSTRUCTIONS: Discontinue estrogen and progesterone therapy. Requisition must be completed with patient`s sex, LMP, and trimester of pregnancy.
CONTAINER TYPE:

SST tube or Red top tube

SPECIMEN REQUIREMENTS: Blood (serum)
MINIMUM VOLUME: 1 mL blood (0.5 mL serum)
TEST SYNONYM(S):Cyclic Pergonal. Monitoring

Prolactin Stimulation Test, Thorazine.

CERNER / EPIC MNEMONIC: PROLACTIN
POE DESCRIPTION: PROLACTIN
CPT CODE: 84146
DAYS PERFORMED:

24 hours

TURNAROUND TIME: 1 day
SPECIAL INSTRUCTIONS: Specify on requisition baseline or 90-minute specimen..
CONTAINER TYPE:

SST tube

SPECIMEN REQUIREMENTS: Blood (serum)
MINIMUM VOLUME: 1 mL blood (0.5 mL serum)
REFERENCE RANGE: Baseline: male: <15 ng/mL; female: <20 ng/mL. Results interpreted by the physician.
TEST SYNONYM(S):Thorazine? Stimulation Test.

Prolactin Suppression Test, Levodopa

CERNER / EPIC MNEMONIC: PROLACTIN
POE DESCRIPTION: PROLACTIN
CPT CODE: 84146
DAYS PERFORMED:

24 hours

TURNAROUND TIME: 1 day
SPECIAL INSTRUCTIONS: Specify on requisition baseline, 1- or 2-hour specimen.
CONTAINER TYPE:

SST tube

SPECIMEN REQUIREMENTS: Blood (serum)
MINIMUM VOLUME: 1 mL blood (0.5 mL serum)
REFERENCE RANGE: Baseline: male: <15 ng/mL; female: <20 ng/mL. Results interpreted by the physician.
TEST SYNONYM(S):Dopa Suppression Test; Levodopa Suppression Test

Prolactin, Serum

CERNER / EPIC MNEMONIC: PROLACTIN
POE DESCRIPTION: PROLACTIN
CPT CODE: 84146
DAYS PERFORMED:

24 hours

TURNAROUND TIME: 1 day
CONTAINER TYPE:

SST tube or Red top tube

SPECIMEN REQUIREMENTS: Blood (serum)
MINIMUM VOLUME: 1 mL blood (0.5 mL serum)
REFERENCE RANGE: Adults: male:3-16 ng/mL; female:3-21 ng/mL

Prostate-Specific Antigen, Diagnostic

CERNER / EPIC MNEMONIC: PSA
POE DESCRIPTION:

PSA, Diagnostic

CPT CODE: 84153
TEST INFORMATION:

Also see PSA SCR (screening procedure)

DAYS PERFORMED:

Specimen accepted daily, 24 hours

TURNAROUND TIME:

8 hours

CONTAINER TYPE:

SST Tube

SPECIMEN REQUIREMENTS:

4.0 mL blood (2.0 mL serum)

REJECTION CRITERIA:

Excesssive hemolysis, chylous serum

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

4.0 ng/mL

METHODOLOGY:

Chemiluminescent Microparticle Immunoassay (CMIA)

TEST SYNONYM(S):PSA; PSA Diagnostic; total PSA; PSA, total

Protein C Activity

CERNER / EPIC MNEMONIC: PRO C ACT
POE DESCRIPTION: PROTEIN C ACTIVITY; PRO CACT
CPT CODE: 85303
DAYS PERFORMED:

Daily 2nd shift

TURNAROUND TIME:

1 day

SPECIAL INSTRUCTIONS:

This test cannot be added onto an existing sample more than 4 hours old.

CONTAINER TYPE: Blue citrate tube
COLLECTION: See Section - 'Specimen Collection Guidelines' - Coagulation Specimens
SPECIMEN REQUIREMENTS: Blood, 4.5 mL tube
REJECTION CRITERIA:

 Specimen hemolyzed; Hct >55%

MINIMUM VOLUME:

1 mL plasma from properly filled tube

HANDLING INSTRUCTIONS: Transport the specimen to the laboratory as soon as possible. Specimen MUST be received within 4 hours after collection.
REFERENCE RANGE: 72-140%
LAST UPDATED:

10/12/2011

TEST SYNONYM(S):Protein C Functional

Protein Electrophoresis, Cerebrospinal Fluid

CERNER / EPIC MNEMONIC:

C/OLIGO

POE DESCRIPTION:

CSF/SERUM OLIGOCLONAL BANDS

CPT CODE:

 83916-90

TEST INFORMATION:

Both CSF and serum required for testing, but results are reported for CSF only.

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

 CSF collection tubes and SST tube

SPECIMEN REQUIREMENTS:

 1.0 mL cerebrospinal fluid and 1.0 mL serum

MINIMUM VOLUME:

0.5 mL cerebrospinal fluid and 0.5 mL serum

REFERENCE RANGE:

See Specialty Labs - Search Test Code - 1557

LAST UPDATED:

2-12-2014

TEST SYNONYM(S):Oligoclonal Banding; CSF

Protein Electrophoresis, Serum

CERNER / EPIC MNEMONIC: SPE
POE DESCRIPTION: PROTEIN ELECTROPHORESIS SERUM; SERUM PROTEIN ELECTROPHORESIS; SPE
CPT CODE:

84155, 84165, 83883 x2

TEST INFORMATION: Test includes albumin, alpha1, alpha2, beta and gamma globulins by SPE (serum protein electrophoresis), Total Protein measurement and 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: 2.0 mL blood (1.0 mL serum)
REFERENCE RANGE: Adults: albumin: 3.5-5.0 g/dL; alpha 1: 0.1-0.4 g/dL; alpha 2: 0.5-1.0 g/dL; beta: 0.5-1.2 g/dL; gamma: 0.5-1.5 g/dL; total protein: 6.0-8.2 g/dL; free Kappa: 0.33-1.94 mg/dL; free Lambda: 0.57-2.63 mg/dL; Kappa/Lambda ratio: 0.26-1.65. Interpretation provided with results.
METHODOLOGY:

Capillary electrophoresis; Nephelometry

TEST SYNONYM(S):Electrophoresis, Serum Protein; Serum Protein Electrophoresis

Protein Electrophoresis, Urine

CERNER / EPIC MNEMONIC: UPE
POE DESCRIPTION: URINE PROTEIN ELECTROPHORESIS
CPT CODE:

84156, 84166

TEST INFORMATION: Test includes albumin, alpha1 and alpha2, beta gamma globulin percentages by urine protein electrophoresis (UPE), and total protein
DAYS PERFORMED: Monday-Friday, first shift
TURNAROUND TIME: 2-6 days
CONTAINER TYPE:

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

SPECIMEN REQUIREMENTS: Urine
MINIMUM VOLUME: 25 mL
HANDLING INSTRUCTIONS: Refrigerate during collection.
REFERENCE RANGE:

Interpretation provided with results.

LIMITATIONS OF TEST:

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

METHODOLOGY:

Immunofixation

TEST SYNONYM(S):Urine Protein Electrophoresis; Electrophoresis, Urine Protein

Protein S Activity

CERNER / EPIC MNEMONIC: PRO S ACT
POE DESCRIPTION: PROTEIN S ACTIVITY; PRO S ACT
CPT CODE:

85306

DAYS PERFORMED:

Once a week on Thursday

SPECIAL INSTRUCTIONS:

This test cannot be added onto an existing sample more than 4 hrs old.

CONTAINER TYPE:

Blue citrate tube

COLLECTION:

See Section - " Specimen Collection Guidelines" - Coagulation Specimens

SPECIMEN REQUIREMENTS: Blood, 4.5 mL draw
REJECTION CRITERIA: Specimen hemolyzed; Hct >55%; underfilled tube (QNS)
MINIMUM VOLUME:

1 mL plasma from properly filled tube

HANDLING INSTRUCTIONS: Transport the specimen to the laboratory as soon as possible. Specimen MUST be received within 4 hours after collection. Separate plasma immediately if delay in delivery of specimen is anticipated. Centrifuge specimen for 20 minutes to obtain platelet-poor plasma. Transfer at least 1 mL plasma to a plastic tube(s) and freeze at -60°C.
REFERENCE RANGE: 55-145%
LAST UPDATED:

10/12/2011

TEST SYNONYM(S):Protein S Functional

Protein, Cerebrospinal Fluid

CERNER / EPIC MNEMONIC: C/PROTEIN
POE DESCRIPTION: CSF PROTEIN
CPT CODE: 84157
DAYS PERFORMED: Specimen accepted daily, 24 hours
TURNAROUND TIME: 1 hour
CONTAINER TYPE:

CSF collection tubesRed top tube - 10 mLRed top tube - 4 mL

SPECIMEN REQUIREMENTS: Cerebrospinal fluid
MINIMUM VOLUME: 0.2 mL
TEST SYNONYM(S):Cerebrospinal Fluid Protein; CSF Prot; CSF Protein; Protein, CSF

Protein, Fluid

CERNER / EPIC MNEMONIC: F/PRO
POE DESCRIPTION: FLUID PROTEIN
CPT CODE: 84157
DAYS PERFORMED: Specimen accepted daily, 24 hours
TURNAROUND TIME: 1 hour
SPECIAL INSTRUCTIONS: Must specify fluid type on the requisition.
CONTAINER TYPE:

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

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

Protein, Quantitative, Urine

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

Urine Protein Random; Urine Protein Timed

CPT CODE:

Random = 84156; Timed = 84156, 81050

TEST INFORMATION: Results are reported as mg of protein in total volume of urine submitted. Normal range is based on 24-hour collection.
DAYS PERFORMED: Specimen accepted daily, 24 hours
TURNAROUND TIME: Stat: 1 hour (random urine only) Routine: 8 hours
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, room number, date and time collection started, and date and time collection finished.
CONTAINER TYPE:

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

SPECIMEN REQUIREMENTS: Random or 24-hour urine 
MINIMUM VOLUME: Random urine: 1 mL; Timed urine: Submit entire urine collection to the laboratory.
HANDLING INSTRUCTIONS: Refrigerate during collection.
REFERENCE RANGE: Random urine: None established; Timed urine: 0-185 mg/24 hours
TEST SYNONYM(S):Albumin, Quantitative, Urine; Quantitative Urine Protein; Total Protein, Urine; Urine Protein

Protein, Total, Serum

CERNER / EPIC MNEMONIC: PROT
POE DESCRIPTION: PROTEIN TOTAL
CPT CODE: 84155
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: 0.4 mL blood (0.2 mL serum)
REFERENCE RANGE: Protein: 0-1 months: 5.3-8.9 g/dL; 1 month to 8 years: 5.6-8.5 g/dL; older than 8 years: 6.0-8.2 g/dL
TEST SYNONYM(S):Total Protein, Blood; TP; T Prot; T Protein

Prothrombin Time

CERNER / EPIC MNEMONIC: PT
POE DESCRIPTION: PROTHROMBIN TIME; PROX; PT
CPT CODE: 85610
TEST INFORMATION: Test includes: patient`s seconds and INR
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Routine: 4 hours. Stat: 1 hour
SPECIAL INSTRUCTIONS:

This test cannot be added onto an existing sample more than 12 hours old.

CONTAINER TYPE:

Blue citrate tube

COLLECTION:

See Section - Specimen Collection Guide - Coagulation Specimens

SPECIMEN REQUIREMENTS:

Blood, 4.5 mL tube or pediatric 1.8 mL or 2.7 mL tubes

REJECTION CRITERIA:

Specimen hemolyzed; Hct >55%

MINIMUM VOLUME: 3.5 mL blood (1.0 mL plasma); pediatric tubes must be fully drawn.
HANDLING INSTRUCTIONS: Transport the specimen to the laboratory as soon as possible. Specimen MUST be received within 4 hours after collection.
REFERENCE RANGE: 9.5-13.2 seconds
CRITICAL VALUES:

INR >7.0

TEST SYNONYM(S):Protime; PT; Quick One-Stage Prothrombin Time

Pap Smear

CERNER / EPIC MNEMONIC: PAP SMEAR
CPT CODE: 88164
DAYS PERFORMED: Mon-Fri, 0730-1700
TURNAROUND TIME: 3-7 days
SPECIAL INSTRUCTIONS: Slides must be labeled with the patient`s last name. Last menstrual period (LMP), previous Pap smear date, and previous Pap smear diagnosis are required information. Pertinent clinical information including exogenous hormone therapy, chemotherapy, radiation, prior gynecologic surgery, and pregnancy should also be indicated.
CONTAINER TYPE: Pap smear collection kit
COLLECTION: VCE (vaginal, cervical, endocervical Pap smear):

Scrape the midlateral wall of the vagina very lightly with a spatula and keep the sample on the spatula.

Scrape lightly the entire ectocervix with another spatula and keep this sample on the spatula.

Introduce cytobrush device into the endocervix and rotate. Smear the endocervical specimen on the section of the slide farthest from the frosted end, and in quick succession spread the cervical sample in the middle section of the slide and the vaginal specimen on the section closest to the frosted end.

Fix the smear immediately after spreading all three sections by spraying with fixative held 8-12 inches from slide.

SPECIMEN REQUIREMENTS: Vaginal, cervical, endocervical scraping
REJECTION CRITERIA: No patient name on slide, discrepancy between specimen labeling and requisition.
ADDITIONAL INFORMATION: The Bethesda System is used for reporting cervical Pap smear specimens. The reporting system includes a statement of Adequacy in one of the following categories; Satisfactory, Satisfactory but limited by, Unsatisfactory or Unacceptable. Each Satisfactory or Satisfactory but limited by sample is classified by one of the following general categories: Negative for Intraepithelial malignancy, Epithelial abnormality or Malignancy other. Each general category is then characterized by a standardized set of descriptors.

Unsatisfactory specimens are identified as to the reason for being unsatisfactory. Examples include Scant specimens or specimens obscurred by blood or inflammation.

Unacceptable specimens are characterized by the reason for being unacceptable and are returned to the submitting office. Examples include no patient name on slide or a discrepant patient name on slide from the requisition submitted.

Pinworm Preparation

CERNER / EPIC MNEMONIC: PINWORM
POE DESCRIPTION: PINWORM PREPARATION
CPT CODE: 87208
TEST INFORMATION: The test is performed for pinworm examination ONLY.
DAYS PERFORMED:

Monday-Friday, 0700-1400

TURNAROUND TIME: 1-2 days
CONTAINER TYPE:

Scotch® Tape slide MUST be submitted in a sealed, covered container or a SWUBE® tube.

COLLECTION:

The specimen is best obtained a few hours after the patient has retired (i.e. 2200 or 2300), or the first thing in the morning before a bowel movement or bath. The collection procedure is essential if valid results are expected. Clear Scotch® Tape MUST be used. The non-transparent type is unsatisfactory. Specimen of choice is a SWUBE® tube.

SPECIMEN REQUIREMENTS:

Scotch® Tape slide preparation of perianal region, SWUBE®  tube

REJECTION CRITERIA: Use of non-transparent Scotch® Tape, Scotch® Tape on BOTH sides of the microscope slide, use of a frosted microscope slide, Scotch® Tape submitted sticky side up. Stool specimens are NOT satisfactory for pinworm examination.
MINIMUM VOLUME: One slide
HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. When transportation is delayed, leave at room temperature. NOTE: Pinworm eggs are very infectious.
REFERENCE RANGE: No pinworm (Enterobius vermicularis) eggs identified.
LIMITATIONS OF TEST: A single negative result does not rule out the possibility of parasitic infection.
METHODOLOGY: Microscopic examination of preparation.
ADDITIONAL INFORMATION: The most satisfactory means of diagnosing pinworm infection is by the recovery of eggs or female worms from the perianal region, as only 5-10% of infected persons have demonstrable eggs in the stool. Click here for more information about Enterobiasis.
LAST UPDATED:

5-22-2014

TEST SYNONYM(S):Scotch. Tape Test; Enterobius vermicularis Preparation; Ova and Parasite, Pinworm Preparation

Pneumocystis jiroveci (carinii) Direct Immunofluorescent Stain

CERNER / EPIC MNEMONIC: SM PCP
POE DESCRIPTION: P. CARINII CONCENTRATION
CPT CODE: 87299, 88108
TEST INFORMATION: The test is used to establish the presence of Pneumocystis carinii infection.
DAYS PERFORMED: Daily
TURNAROUND TIME: 1 day
SPECIAL INSTRUCTIONS: The specific anatomic site of the specimen MUST be specified on the order or requisition.
CONTAINER TYPE: Sterile sputum container; sterile Leuken`s tube; sealed sterile container, no preservative.
COLLECTION: Nonbacteriostatic saline should be used when irrigation is utilized.
SPECIMEN REQUIREMENTS: Bronchial washing or lavage
REJECTION CRITERIA: Inappropriate specimen container, insufficient specimen volume, inppropriate specimen (i.e. sputum, Leuken`s), specimen received in a preservative.
MINIMUM VOLUME: 0.5 mL
HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. When transportation is delayed, refrigerate.
REFERENCE RANGE: No Pneumocystis jiroveci (carinii) seen
LIMITATIONS OF TEST: A report of no Pneumocystis jiroveci (carinii) seen does not exclude the possibility of infection. The quality of the specimen directly affects the test results.
METHODOLOGY: Direct immunofluorescent stain
TEST SYNONYM(S):PCP Stain; PCP DFA; PCP

Prophase Chromosome

CERNER / EPIC MNEMONIC: CHROM-PRO
POE DESCRIPTION: CHROMOSOME PROPHASE; CHROM-PRO
CPT CODE: 88230, 88262, 88289, 88291
DAYS PERFORMED: Mon and Fri, 0800-1530
TURNAROUND TIME: 12-14 days
SPECIAL INSTRUCTIONS: Completed patient history form MUST be submitted with specimen. Contact the Genetics Laboratory (312-942-6298) for required form and additional information.
CONTAINER TYPE: Sterile greeen top (heparin) tube
SPECIMEN REQUIREMENTS: Sterile blood
MINIMUM VOLUME: 3 mL
HANDLING INSTRUCTIONS: If not sent to the laboratory immediately, refrigerate specimen (4°C) and deliver to Genetics Laboratory as soon as possible.
TEST SYNONYM(S):Chromosome, Lymphocytes, High Resolution

Pyruvate Carboxylase

CERNER / EPIC MNEMONIC: MISC GEN
CPT CODE: 84999
TEST INFORMATION: See OMIM information
DAYS PERFORMED: Arrange with laboratory in advance, referred to reference lab.
TURNAROUND TIME: Results reported when received.
CONTAINER TYPE: Sterile container with sterile saline or media; obtain from the laboratory.
SPECIMEN REQUIREMENTS: Skin biopsy
MINIMUM VOLUME: 2 mm
HANDLING INSTRUCTIONS: Do not freeze. Deliver to the laboratory as soon as possible.

Pyruvate Decarboxylase

CERNER / EPIC MNEMONIC: MISC GEN
CPT CODE: 84999
TEST INFORMATION: See OMIM information
DAYS PERFORMED: Arrange with laboratory in advance, referred to reference lab.
TURNAROUND TIME: Results reported when received.
CONTAINER TYPE: Sterile container with sterile saline or media; obtain from the laboratory.
SPECIMEN REQUIREMENTS: Skin biopsy
MINIMUM VOLUME: 2 mm
HANDLING INSTRUCTIONS: Do not freeze. Deliver to the laboratory as soon as possible.
TEST SYNONYM(S):Pyruvate Dehydrogenase (E1 in PDH Complex)

Pyruvate Dehydrogenase Complex

CERNER / EPIC MNEMONIC: MISC GEN
CPT CODE: 84999
TEST INFORMATION: See OMIM information
DAYS PERFORMED: Arrange with laboratory in advance, referred to reference lab.
TURNAROUND TIME: Results reported when received.
CONTAINER TYPE: Sterile container with sterile saline or media; obtain from the laboratory.
SPECIMEN REQUIREMENTS: Skin biopsy
MINIMUM VOLUME: 2 mm
HANDLING INSTRUCTIONS: Do not freeze. Deliver to the laboratory as soon as possible.

P53 Gene Mutation Analysis

CERNER / EPIC MNEMONIC: P53PCR
POE DESCRIPTION: P53 GENE MUTATION ANALYSIS; P53PCR
CPT CODE: 83890; 83894 (x2); 83898; 83912
DAYS PERFORMED: Mon-Thur, 0900-1600
TURNAROUND TIME: 10-14 days
SPECIAL INSTRUCTIONS: Cellular material must be >/= 40% tumor.
SPECIMEN REQUIREMENTS: Frozen tissue, cells in medium, fixed tissue
REFERENCE RANGE: Normal gene sequence
TEST SYNONYM(S):Gene Mutation Analysis

Pap Smear Thin Prep Pap Test

CERNER / EPIC MNEMONIC: PAP SMEAR
CPT CODE: 88150
DAYS PERFORMED: Mon-Fri, 0730-1700
TURNAROUND TIME: 3-7 days
SPECIAL INSTRUCTIONS: Slides must be labeled with the patient`s last name. Last menstrual period (LMP), previous Pap smear date, and previous Pap smear diagnosis are required information. Pertinent clinical information including exogenous hormone therapy, chemotherapy, radiation, prior gynecologic surgery, and pregnancy should also be indicated.
CONTAINER TYPE: Pap smear collection kit
COLLECTION: VCE (vaginal, cervical, endocervical Pap smear):

Scrape the midlateral wall of the vagina very lightly with a spatula and keep the sample on the spatula.

Scrape lightly the entire ectocervix with another spatula and keep this sample on the spatula.

Sample the endocervix with an endocervical brush.

Rinse the spatulas in the PreservCyt Solution for Thin Prep Pap Test by swirling the spatulas 10 times in the vial. Discard the spatula.

Rinse the brush in the Presevacyt Solution by rotating the device in the solution 10 times while pushing against the Preservacyt vial wall. Swirl the brush vigorously to release further material. Discard the brush.

Tighten the cap so the torque line on the cap passes the torque line on the vial.

Record the patient's name and ID number on the vial. Submit the vial along with an appropriate cytology requisition with the patients clinical information to the laboratory.

SPECIMEN REQUIREMENTS: Vaginal, cervical, endocervical scraping
REJECTION CRITERIA: No patient name on slide, discrepancy between specimen labeling and requisition.
ADDITIONAL INFORMATION: The Bethesda System is used for reporting cervical Pap smear specimens. The reporting system includes a statement of Adequacy in one of the following categories; Satisfactory, Satisfactory but limited by, Unsatisfactory or Unacceptable. Each Satisfactory or Satisfactory but limited by sample is classified by one of the following general categories. Negative for Intraepithelial malignancy, Epithelial abnormality or Malignancy other. Each general category is then characterized by a standardized set of descriptors.

Unsatisfactory specimens are identified as to the reason for being unsatisfactory. Examples include Scant specimens or specimens obscurred by blood or inflammation.

Unacceptable specimens are characterized by the reason for being unacceptable and are returned to the submitting office. Examples include no patient name on slide or a discrepant patient name on slide from the requisition submitted.

PNH FLAER

CERNER / EPIC MNEMONIC:

PNH FLAER

POE DESCRIPTION:

Paroxysmal Nocturnal Hemoglobinurea with FLAER

CPT CODE:

88184-90, 88185 x8-90, 88188-90

TURNAROUND TIME:

5-7 working days

SPECIAL INSTRUCTIONS:

Draw Monday through Thursday only.

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

5 mL whole blood

MINIMUM VOLUME:

3 mL whole blood

HANDLING INSTRUCTIONS:

Draw Monday through Thursday ONLY.  Specimen must be received at the reference lab within 72 hours.

REFERENCE RANGE:

See Specialty Labs - Search Test Code S52351

LAST UPDATED:

4-10-2013

TEST SYNONYM(S):Pi-Linked Antigen; Paroxysmal nocturnal hemoglobinuria (PNH); CD55/59

Pre-BMT Profile (51)

CERNER / EPIC MNEMONIC: Order individually
POE DESCRIPTION: PRE-BONE MARROW TRANSPLANT PROFILE (51)
CPT CODE:

85730; 85025; 82465; 80053; 82977; 84702; 86694; 83615; 83735; 84100; 85610; 82784 (x3); 84478; 82575; 81051; 84550; 86787; 86787

TEST INFORMATION: Test includes APTT, CBC, CHOL, CMP, GGT, HCG QT (Females only), HSV IGG, LDH, MG, PO4, PT, QT IGS, TRIG, U/CRCL, URIC, VZ IGG, and VZ IGM.
DAYS PERFORMED: Varies by test.
TURNAROUND TIME: Varies by test.
CONTAINER TYPE:

2 Red top tubes or SST tubes AND Blue top (sodium citrate), AND Lavender top , AND Plastic 24-hour urine container with no preservative (Chemistry bottle #1).

SPECIMEN REQUIREMENTS: Blood (serum and plasma), urine
MINIMUM VOLUME: 6 mL serum, 1.5 mL plasma
TEST SYNONYM(S):Pre-BMT Panel

PM-SCL Antibody

CERNER / EPIC MNEMONIC: PM-SCL
POE DESCRIPTION: POLYMYOSITIS ANTIBODY; PM1
CPT CODE:

86235-90

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 S50110

TEST SYNONYM(S):Polymyositis Associated Antibody; PM1

Pancreatic Polypeptide

CERNER / EPIC MNEMONIC: PANC-POLY
POE DESCRIPTION: PANCREATIC POLYPEPTIDE; PANC-POLY
CPT CODE:

83519-90

TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

 Lavender top (K2 EDTA) tube - 6 mL

SPECIMEN REQUIREMENTS:

4.0 mL blood (2.0 mL plasma)

MINIMUM VOLUME:

2.0 mL blood (0.6 mL plasma)

REFERENCE RANGE: See Specialty Labs - Search Test Code S51632

Parietal Cell Antibodies

CERNER / EPIC MNEMONIC: APCA
POE DESCRIPTION: PARIETAL CELL AB; APCA
CPT CODE: 86255-90 if negative, 86256-90 if positive
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

SST tube

SPECIMEN REQUIREMENTS: 2.0 mL blood (1 mL serum)
MINIMUM VOLUME: 1.0 mL blood (0.5 mL serum)
REFERENCE RANGE: See Specialty Labs - Search Test Code 1104

TEST SYNONYM(S):Antiparietal Cell Antibody; APCA

Pentobarbital

CERNER / EPIC MNEMONIC: PENTO
POE DESCRIPTION: PENTOBARB; PENTO
CPT CODE: 82205-90
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 S51464

LAST UPDATED:

9-17-2012

TEST SYNONYM(S):Nembutal.

Plasminogen Activity

CERNER / EPIC MNEMONIC: PLASMIN
POE DESCRIPTION: PLASMINOGEN
CPT CODE: 85420-90
CDM NUMBER:

3181293

TURNAROUND TIME: 5-7 working days
SPECIAL INSTRUCTIONS:

This test cannot be added onto an existing sample.

CONTAINER TYPE:

Blue top (citrate) tube

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

4.0 mL whole blood (2.0 mL citrated platelet poor plasma)

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

3.5 mL blood (1.0 mL citrated platelet poor plasma).  Fill pediatric tube (1.8 mL) fully.

REFERENCE RANGE:

See Specialty Labs - Search Test Code 4458

LAST UPDATED:

9-17-2012

TEST SYNONYM(S):Plasminogen, Functional; Quantitative Plasminogen

Platelet Function Profile

CERNER / EPIC MNEMONIC: PLT FUNC
POE DESCRIPTION: PLATELET FUNCTION PROFILE; PLT FUNC
CPT CODE: 85002; 85595; 85730; 85576 (x5); 85575
TEST INFORMATION: Includes APTT, Platelet count, Bleeding time, Spontaneous Aggregation and Aggregation with ADP, arachadonic acid, Epinepherine, Ristocetin and Collagen.
DAYS PERFORMED: Limited basis; Mon, 0830-1100
TURNAROUND TIME: 1-2 days
SPECIAL INSTRUCTIONS: Test must be scheduled in advance with the laboratory at 942-5002.
CONTAINER TYPE: Special tubes prepared/provided by laboratory
COLLECTION:

See Section - Specimen Collection Guidelines - Coagulation Specimens.

SPECIMEN REQUIREMENTS:

50 mL citrated whole blood

REJECTION CRITERIA: Specimen hemolyzed

Hct > 65%

HANDLING INSTRUCTIONS: Transport the specimen to tha laboratory as soon as possible. Specimen MUST be received within 4 hours after collection.
REFERENCE RANGE: Written interpretation by professional staff
TEST SYNONYM(S):PFS; Platelet Aggregation Study; Platelet Function Studies

Porcine Factor VIII Inhibitor, Bethesda Unit Titer

CERNER / EPIC MNEMONIC: PVIII BETH
POE DESCRIPTION: PROCINE FVIII INHIBITOR
CPT CODE: 85335
DAYS PERFORMED: Mon-Fri, 0730-1600
TURNAROUND TIME: 7-10 working days
CONTAINER TYPE: Blue top (sodium citrate) tube
COLLECTION: See Section - Specimen Collection Guidelines - Coagulation Specimens.
SPECIMEN REQUIREMENTS: Blood, 4.5 mL tube or 2 pediatric 1.6 mL or 2.7 mL tubes
REJECTION CRITERIA: Specimen hemolyzed

>65% Hct

MINIMUM VOLUME: 3.5 mL blood (1.5 mL plasma); pediatric tubes must be fully drawn.
HANDLING INSTRUCTIONS: Transport the specimen to the laboratory as soon as possible. Specimen MUST be received within 4 hours after collection.

Porphobilinogen, Quantitative, Urine

CERNER / EPIC MNEMONIC: U/PORPHOB
POE DESCRIPTION:

URINE PORPHOBILINOGEN

CPT CODE:

84110-90

TURNAROUND TIME: 5-7 working days
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: Refrigerate during collection. Protect specimen from light.
REFERENCE RANGE:

See Specialty Labs - Search Test Code S51657

LAST UPDATED:

12-17-2013

TEST SYNONYM(S):Urine Porphobilinogen, Quantitative; Quantitative Porphobilinogen, Urine

Porphyrins, Quantitative, Urine

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

84120-90

TEST INFORMATION:

Test includes uroporphyrin I and III, heptacarboxyporphyrin, hexacarboxyporphyrin, pentacarboxyporphyrin, coproporphyrin I and III and porphobilinogen.

TURNAROUND TIME: 5-7 working days 
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: Refrigerate during collection. Protect specimen from light.
REFERENCE RANGE:

See Specialty Labs - Search Test Code 17198

LAST UPDATED:

12-17-2013

TEST SYNONYM(S):Coproporphyrins (Tetracarboxyporphyrin), Quantitative, Urine; Protoporphyrins, Quantitative Urine; Heptaporphyrins, Quantitative Urine; Hexaporphyrins, Quantitative Urine; Pentaporphyrins, Quantitative Urine; Urine Porphyrins, Quantitative

Potassium, Feces 24, 48 OR 72 hrs.

CERNER / EPIC MNEMONIC: Q/K
POE DESCRIPTION: FEC K; FEC POTASSIUM; FEC POTASSIUM (RANDOM SPECIMEN); K; Q/K
CPT CODE:

84311-90

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE: One or more stool containers available from the Core Laboratory
SPECIMEN REQUIREMENTS:

24-, 48-, or 72-hour stool collection.  Submit entire collection to the laboratory.  Specimen must be liquid.

MINIMUM VOLUME:

Entire collection

HANDLING INSTRUCTIONS: Refrigerate during collection.
REFERENCE RANGE:

See Quest Diagnostic Lab - Search Test Code - 8832 

LAST UPDATED:

1-21-2014

TEST SYNONYM(S):Fecal Potassium; Potassium, Stool

Proinsulin

CERNER / EPIC MNEMONIC: PROINSULIN
POE DESCRIPTION: PROINSULIN
CPT CODE: 84206-90
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:

1.5 mL blood (0.8 mL serum)

REFERENCE RANGE:

 

See Specialty Labs - Search Test Code S51596

 

 

Propoxyphene

CERNER / EPIC MNEMONIC:

MISC CHEM

CPT CODE:

83925-90, 82003-90

TEST INFORMATION: Includes norpropoxyphene
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE: Red top tube only
SPECIMEN REQUIREMENTS: 8.0 mL blood (4.0 mL serum)
MINIMUM VOLUME:

6.0 mL blood (2.0 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code S48661

TEST SYNONYM(S):Darvocet; Darvon

Protein C Antigen

CERNER / EPIC MNEMONIC: PRO C ANT
POE DESCRIPTION: PROTEIN C ANTIGEN
CPT CODE: 85302-90
CDM NUMBER:

3181298

TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

Blue citrate tube

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

4.0 mL blood (1.0 mL citrated platelet poor plasma)

REJECTION CRITERIA: Specimen hemolyzed

Hct > 65%

MINIMUM VOLUME:

3.5 mL blood (0.5 mL citrated platelet poor plasma).  Fill pediatric tube (1.8 mL) fully.

REFERENCE RANGE:

See Specialty Labs - Search Test Code 5932

Protein S Antigen, Total and Free

CERNER / EPIC MNEMONIC: PRO S ANT
POE DESCRIPTION: PROTEIN S ANTIGEN; PROTEIN S AG; PRO S AG
CPT CODE: 85305-90; 85306-90
TURNAROUND TIME: 5-7 working days
SPECIAL INSTRUCTIONS:

This test cannot be added onto an existing sample more than 12 hours old.

CONTAINER TYPE: Blue top (sodium citrate) tube
COLLECTION: See Section - Specimen Collection Guidelines - Coagulation Specimens
SPECIMEN REQUIREMENTS:

4.0 mL blood (2.0 mL citrated platelet poor plasma)

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

3.5 mL blood (1.0 mL citrated platelet poor plasma)

REFERENCE RANGE:

See Specialty Labs - Rush Custom Panel #P6126I

See separate laboratory report.

Prothrombin Gene Mutation

CERNER / EPIC MNEMONIC: PROGENE MU
POE DESCRIPTION: PROTHROMBIN GENE MUTATION
CPT CODE: 83891, 83892, 83896 (x2), 83912, 83903 (x2)
TEST INFORMATION: Special coagulation test
TURNAROUND TIME: 7-10 days
CONTAINER TYPE:

Lavender top (EDTA) tube

SPECIMEN REQUIREMENTS: 2.0 mL whole blood
MINIMUM VOLUME: 1.0 mL whole blood
HANDLING INSTRUCTIONS: Sample should remain at room temperature.
REFERENCE RANGE: Normal (no mutations)
ADDITIONAL INFORMATION: Included as part of a Hypercoagulability Genetic Panel

Pseudocholinesterase, Blood

CERNER / EPIC MNEMONIC: PSEUDO
POE DESCRIPTION: PSEUDOCHOLINESTERASE; PSEUDOCHOL; PSEUDO
CPT CODE: 82480-90 and 82638-90
TEST INFORMATION: Includes dibucaine number.
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 Specialty Labs - Search Test Code S43130

TEST SYNONYM(S):Serum Cholinesterase; Dibucaine number

Purkinje Cell Cytoplasmic IgG Antibodies Type I (YO)

CERNER / EPIC MNEMONIC: YO ABS
POE DESCRIPTION: PURKINJE CELL (YO) ABS
CPT CODE:

84181-90

TURNAROUND TIME: 7-10 days
CONTAINER TYPE:

Red top tube or SST tube

SPECIMEN REQUIREMENTS:

4 mL blood (2.0 mL serum)

MINIMUM VOLUME:

2 mL blood (1.0 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 1187

LAST UPDATED:

1-19-2012

TEST SYNONYM(S):YO (Purkinje) Antibodies

Pyruvate, Blood

CERNER / EPIC MNEMONIC: PYR
POE DESCRIPTION: PYRUVATE
CPT CODE: 84210-90
TURNAROUND TIME: 7-10 days
SPECIAL INSTRUCTIONS:

Call Core Lab (25002)

CONTAINER TYPE:

Special collection kit available from the Core Lab (extension 25002).

SPECIMEN REQUIREMENTS:

Call Core Lab (25002)

HANDLING INSTRUCTIONS: Specimen must be delivered to the laboratory immediately.
TEST SYNONYM(S):Pyruvic Acid, Blood

PTH Ratio

CERNER / EPIC MNEMONIC: PTH RATIO
CPT CODE: 83970-90 (x2)
TEST INFORMATION: Test includes PTH-Total, PTH-CAP, CIP value, CAP/CIP Ratio
TURNAROUND TIME: 7-10 days
CONTAINER TYPE:

Lavender top tube

COLLECTION:

Fasting. For dialysis patients, before dialysis preferred.

SPECIMEN REQUIREMENTS: 4.0 mL EDTA whole blood (2.0 mL EDTA plasma)
REFERENCE RANGE:

PTH, Total: 14.0-66.0 pg/ml

PTH, CAP: 5.0-39.0 pg/ml

CIP Value: 2.5-29.0 pg/ml

CAP/CIP Ratio: 1.1-6.9

METHODOLOGY: Immunoradiometric assay (IRMA)
REFERRAL LABORATORY: Scantibodies Clinical Laboratory
ADDITIONAL INFORMATION: Total Intact PTH is the sum of CAP PTH and N-truncated PTH fragment (likely 7-84). CAP PTH is a true biologically active PTH (1-84). Whole PTH is cyclase activating PTH. CIP is the N-truncated PTH fragment, likely PTH (7-84). The CIP value is obtained by calculation only.

Protein 14-3-3

CERNER / EPIC MNEMONIC: C/PRO143-3
POE DESCRIPTION: 14-3-3 Protein on CSF
CPT CODE: 83520-90
CDM NUMBER: 3181376
TURNAROUND TIME: 7-10 days
CONTAINER TYPE: CSF collection tube
SPECIMEN REQUIREMENTS: 1.0 mL CSF
REFERENCE RANGE: 0-2.0 ng/mL (Normal), 2.0-3.9 ng/mL (Indeterminate), > or = 4.0 ng/mL (Elevated)
METHODOLOGY: Immunochemiluminometric Assay (ICHA)
REFERRAL LABORATORY: Mayo Medical Laboratories
TEST SYNONYM(S):Jakob-Creutzfeldt disease; Prian disease

Parathyroid Related Protein

CERNER / EPIC MNEMONIC:

PTH-RP

POE DESCRIPTION:

PTH Related Protein

CPT CODE:

83519-90

CDM NUMBER:

3181389

TURNAROUND TIME:

5-7 working days

SPECIAL INSTRUCTIONS:

This test cannot be added onto an existing sample.

CONTAINER TYPE:

Green top (sodium heparin) - 4 ml tube

COLLECTION:

Collect in sodium heparin tube only.  Centrifuge to separate plasma as soon as possible.

SPECIMEN REQUIREMENTS:

1.0 mL plasma

MINIMUM VOLUME:

0.3 mL plasma

REFERENCE RANGE:

See Specialty Labs - Search Test Code S51608

LAST UPDATED:

8/03/2011

TEST SYNONYM(S):PTH-RP

Plasminogen Activator Inhibitor (PAI-1) Antigen

CERNER / EPIC MNEMONIC:

PAI ACT

POE DESCRIPTION:

PAI (Plasminogen Activator In)

CPT CODE:

85415-90

TURNAROUND TIME:

5-7 working days

SPECIAL INSTRUCTIONS:

This test cannot be added onto an existing sample.

CONTAINER TYPE:

Blue citrate tube

COLLECTION:

See Section - Specimen Collection Guidelines - Coagulation Specimens

SPECIMEN REQUIREMENTS:

4.5 mL blood (1.0 mL citrated platelet poor plasma)

REJECTION CRITERIA:

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

MINIMUM VOLUME:

3.5 mL blood (0.5 mL citrated platelet poor plasma)

REFERENCE RANGE:

See Specialty Labs - Search Test Code (S52559)

LAST UPDATED:

9-17-2012

TEST SYNONYM(S):PAI Activity

Pecan Nut (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

PECAN

POE DESCRIPTION:

Pecan 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

Penicillium notatum (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

P. NOTATUM

POE DESCRIPTION:

Penicillium notatum allergen

CPT CODE:

86003-90

TEST INFORMATION:

Mold Allergen.  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 M1

Perch (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

PERCH

POE DESCRIPTION:

Perch allergen

CPT CODE:

86003-90

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SST tube or red top

SPECIMEN REQUIREMENTS:

4.0 mL blood (2.0 mL serum)

MINIMUM VOLUME:

1.0 mL blood (0.5 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code S51298

Perennial rye grass (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

PERENNIAL

POE DESCRIPTION:

Perennial rye grass 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 - G5

Peanut (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

PEANUT

POE DESCRIPTION:

Peanut 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 serum (0.3 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code F13

Platelet Antibodies - Direct

CERNER / EPIC MNEMONIC:

PLTAB DIR

POE DESCRIPTION:

Platelet Antibodies Direct

CPT CODE:

86023 (x3)

CDM NUMBER:

3181159

TEST INFORMATION:

Antibodies to Glycoprotein IIB/IIIA, IB/IX and Ia/IIa

TURNAROUND TIME:

5-7 working days

SPECIAL INSTRUCTIONS:

Sample must remain at room temperature.  Draw Monday through Friday morning only.

CONTAINER TYPE: 4  Lavender tops
SPECIMEN REQUIREMENTS:

Actual specimen volume required depends on platelet count:

<20,000 =40 mL</p/>

21,000 - 50,000 = 30 mL

51,000 - 150,000 = 20mL

>150,000 = 10 mL

Ship by overnight courier to arrive at Specialty within 24 hrs of collection.

REJECTION CRITERIA:

Any sample received at referral lab >48 hours old.

REFERENCE RANGE:

See Specialty Labs - Search Test Code 6104

METHODOLOGY:

EIA

TEST SYNONYM(S):Direct Platelet Antibodies

Prostate-Specific Antigen, Screening

CERNER / EPIC MNEMONIC:

PSA SCR

POE DESCRIPTION:

PSA Screening

CPT CODE:

G0103

CDM NUMBER:

3061307

TEST INFORMATION:

For annual screening.  Also see PSA (which is intended for patients tested more frequently than annually).

DAYS PERFORMED:

Specimen accepted daily, 24 hours

TURNAROUND TIME:

8 hours

CONTAINER TYPE:

SST Tube

SPECIMEN REQUIREMENTS:

4.0 mL blood (2.0 mL serum)

REJECTION CRITERIA:

Excessive hemolysis, chylous serum

MINIMUM VOLUME:

1.0 mL blood, 0.5 mL serum

REFERENCE RANGE:

<4.0 ng/mL

METHODOLOGY:

Chemiluminescent Microparticle Immunoassay (CMIA)

ADDITIONAL INFORMATION:

Test intended for annual screening.  Should be ordered for Medicare patients only if all of the following apply:  (1) the test is for screening purposes only, (2) the patient has attained age 50, and (3) the patient has not had a PSA Screening test in the last 11 months.  Can be orderd for non-Medicare patients without consideration of age or previous testing.

TEST SYNONYM(S):PSA screen

Peripheral nerve biopsy

CERNER / EPIC MNEMONIC:

88307

TEST INFORMATION:

Test includes routine morphologic diagnosis.  Special tests as requested by physician.

DAYS PERFORMED:

Mon-Fri 0800-1400

TURNAROUND TIME:

48 hours to 7 days

SPECIAL INSTRUCTIONS:

All biopsies must be scheduled 24 hours in advance with specialty pathologist.  Pertinent clinical history and laboratory data must accompany specimens, as well as specific muscle site biopsied.  Outside institutions should contact Client Service Representative (312-942-7958) for submission and transport protocol.

CONTAINER TYPE:

Sterile specimen container

COLLECTION:

Routine histology and electron microscopy (including teased nerve fiber preparation):  Submit specimen fresh in saline-moistened gauze.  Deliver to Laboratory Receiving Station, Rm 508 Jelke, immediately after tissue is removed.

ADDITIONAL INFORMATION:

Routine microscopic evaluation is usually sufficient to diagnose or rule out inflammatory processes.  Electron microscopy is necessary for evaluation for most neuropathic processes.  Teased nerve fiber examination is necessary to identify primary demyelinating diseases.

Platelet Antibodies - Indirect

CERNER / EPIC MNEMONIC:

PLTAB IND

CPT CODE:

86022 x90

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SST tube or red top tube

SPECIMEN REQUIREMENTS:

4 mL blood (1.5 mL serum)

MINIMUM VOLUME:

2 mL blood (0.8 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 5341

LAST UPDATED:

3-5-2014

TEST SYNONYM(S):Indirect Platelet Antibodies; IGG

Pancreatic Elastase

CERNER / EPIC MNEMONIC:

Q/PANC ELA

CPT CODE:

82656-90

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

Clean, leak proof plastic container

SPECIMEN REQUIREMENTS:

1 gram of stool

MINIMUM VOLUME:

0.3 grams of stool

REFERENCE RANGE:

See Specialty Labs - Search Test Code 14693

LAST UPDATED:

1-21-2014

TEST SYNONYM(S):Fecal Elastase; Fecal Pancreatic Elastase-1

Parathyroid Hormone (PTH) - Intraoperative

CERNER / EPIC MNEMONIC:

IOPTH

POE DESCRIPTION:

Intraoperative Parathyroid Hormone

CPT CODE:

83970

TEST INFORMATION:

Plasma intact PTH determinations are performed immediately prior to the neck incision (baseline), following neck exploration (manipulation) and at 5, 10 and 20 minutes after beginning parathyroid resection.  Frozen sections are performed on tissue per surgeon''''''''''''''''s request based on clinical indication.  The generally accepted guideline that a 50% or greater decrease from baseline PTH value is considered indication of successful removal of the hyperfunctioning parathyroid tissue.  When used intraoperatively to verify a decline in PTH production after resection, it is recommended that two or more samples be collected at least 5-10 minutes apart.

DAYS PERFORMED:

Daily

TURNAROUND TIME:

30 minutes

CONTAINER TYPE:

Lavender top (K2 EDTA) tube - 4.0 ml

SPECIMEN REQUIREMENTS:

4.0 mL whole blood (2.0 mL EDTA plasma)

REJECTION CRITERIA:

Grossly hemolyzed, grossly lipemic, grossly icteric

MINIMUM VOLUME:

2.0 mL whole blood (1.0 mL EDTA plasma)

REFERENCE RANGE:

A 50% or greater decrease from baseline is considered indication of successful removal of the hyperfunctioning parathyroid tissue.

METHODOLOGY:

Chemiluminescent

LAST UPDATED:

3-24-14

TEST SYNONYM(S):PTH - Intraoperative; Parathyroid Hormone, Intraoperative; IOPTH; Intraoperative PTH

Pneumococcal Antibody Panel

CERNER / EPIC MNEMONIC:

PNEUM PROF

CPT CODE:

86317 x14

DAYS PERFORMED:

Monday, Thursday

CONTAINER TYPE:

SST tube

SPECIMEN REQUIREMENTS:

4 mL blood (2.0 mL serum)

MINIMUM VOLUME:

2 mL blood (1.0 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code - 2386

Porphyrins, Total (Plasma/Serum)

CERNER / EPIC MNEMONIC:

MISC CHEM

CPT CODE:

82491-90

DAYS PERFORMED:

Tuesday, Thursday

SPECIAL INSTRUCTIONS:

Protect from light

CONTAINER TYPE:

Green top (heparin); Lavender top (EDTA); SST - Foil Wrap

SPECIMEN REQUIREMENTS:

4 mL blood (2 mL plasma/serum)

MINIMUM VOLUME:

2 mL blood (0.4 mL plasma/serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code - S51406

Peach (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

PEACH/PEACH 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 (0.5 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code F95

LAST UPDATED:

4-16-2013

Porphobilinogen Deaminase, Whole Blood

CERNER / EPIC MNEMONIC:

PBG DEAM

CPT CODE:

82657-90

TURNAROUND TIME:

5-7 working days

SPECIAL INSTRUCTIONS:

Patient should abstain from alcohol for 24 hours

CONTAINER TYPE:

Sodium Heparin (green top tube)

SPECIMEN REQUIREMENTS:

6.0 mL whole blood

MINIMUM VOLUME:

3.0 mL whole blood

REFERENCE RANGE:

See Quest Labs - Search Test Code 19940

LAST UPDATED:

7-10-2013

Post Vasectomy Evaluation

CERNER / EPIC MNEMONIC:

POST VASEC

POE DESCRIPTION:

POST VASECTOMY EVALUATION

CPT CODE:

89321

DAYS PERFORMED:

Monday-Friday, 0700 am - 1100 am with appointment

TURNAROUND TIME:

12 hours

SPECIAL INSTRUCTIONS:

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

CONTAINER TYPE:

Sterile specimen container (provided by lab)

SPECIMEN REQUIREMENTS:

Semen

REJECTION CRITERIA:

Improper collection, incomplete requisition information

MINIMUM VOLUME:

1.0

HANDLING INSTRUCTIONS:

Specimen should ideally be produced in lab.

REFERENCE RANGE:

On form

LAST UPDATED:

9-5-2013

Parvovirus B19 Antibody

CERNER / EPIC MNEMONIC:

Parvo B19

CPT CODE:

86747X2

TEST INFORMATION:

This test includes testing for IgG and IgM antibodies to Parvovirus B19

DAYS PERFORMED:

Monday - Friday

TURNAROUND TIME:

3 - 7 days

SPECIAL INSTRUCTIONS:

It is the responsibility of the requesting physician to see that both acute and convalescent specimens are obtained. The physician should arrange for the collection of the convalescent serum 14- 28 days after the acute is collected. Paired testing of acute and convalescent phase sera is recommended, if clinically indicated.

CONTAINER TYPE:

Red top Vacutainer tube or SST 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 (1mL serum)

HANDLING INSTRUCTIONS:

Specimen should be transported as soon as possible. When transportation is delayed, refrigerate.

REFERENCE RANGE:

Parvovirus B19 AB IgG = <0.9,  Parvovirus B19 AB IgM = <0.9  Refer to Quest Test Code 8946.

METHODOLOGY:

Enzyme Immunoassay  (EIA)

REFERRAL LABORATORY:

Quest Diagnostics

ADDITIONAL INFORMATION:

This test determines the presence of Parvovirus B19 infection which can cause Fifth disease in children, aplastic anemia in immunocompromised individuals, aplastic crisis in chronic hemolytic anemia patients, and "Lyme-like" arthritis in the absence of serological evidence of B. burgdorferi infection. Specific IgG antibodies are usually detected in 2-3 weeks after exposure, reach peak concentrations, and then decline, but remain detectable for years. Specific IgM antibodies are detected 1-2 weeks after exposure, reach peak concentrations and then decline to undetectable concentrations within 2-3 months after exposure.

LAST UPDATED:

9-11-2013

TEST SYNONYM(S):Human Parvovirus Antibody; Fifth's Disease; Human Parvovirus B19 IgG

Parvovirus B19 PCR

CERNER / EPIC MNEMONIC:

PARVO DNA

CPT CODE:

87798

TEST INFORMATION:

DNA testing in conjunction with B19 specific serology provides the most reliable evidence of a recent infection.

DAYS PERFORMED:

Monday - Sunday

TURNAROUND TIME:

2-4 days

CONTAINER TYPE:

Collect plasma in sterile tube containing EDTA or ACD as anticoagulant. Whole Blood or bone marrow in sterile tubes containing EDTA or ACD as anticoagulant. Collect amniotic fluid and  tissue in sterile container. Collect serum in SST

SPECIMEN REQUIREMENTS:

1 mL plasma, sera, amniotic fluid, whole blood or bone marrow

REJECTION CRITERIA:

CSF or Synovial fluid

MINIMUM VOLUME:

0.5 mL

HANDLING INSTRUCTIONS:

Plasma, sera, whole blood, bone marrow, and amniotic fluid store and transport refrigerated.  Store and ship tissue frozen.

REFERENCE RANGE:

Not detected

METHODOLOGY:

Real-Time Polymerase Chain Reaction (RT-PCR)

REFERRAL LABORATORY:

Quest, Focus Diagnostics

ADDITIONAL INFORMATION:

Parvovirus B19 infection causes "Fifth Disease," a rash illness of childhood characterized by a bright red "slapped cheek"  rash and a lacy rash on the trunk and limbs. Joint pain and swelling is more common in adults. Individuals with chronic hemolytic anemia such as sickle cell anemia may develop transient aplastic crisis with severe anemia.  Immunocompromised individuals  may develop chronic or recurrent bone marrow suppression. Infection during pregnancy can lead to fetal hydrops and spontaneous abortion.

LAST UPDATED:

9-11-2013

Paraneoplastic Autoab Serum

CERNER / EPIC MNEMONIC:

PAVAL

TEST INFORMATION:

Restricted test for Neurology only

TURNAROUND TIME:

5-7 days

CONTAINER TYPE:

Red or SST tube

SPECIMEN REQUIREMENTS:

6.0 mL blood (4.0 mL serum)

MINIMUM VOLUME:

4.0 mL blood (2.0 mL serum)

REFERENCE RANGE:

See Mayo Labs - Search Test Code PAVAL

LAST UPDATED:

11-21-2013

TEST SYNONYM(S):Paraneoplastic Neurological Autoimmunity; Paraneoplastic Autoantibody Evaluation