Therapeutic Cytapheresis

CERNER / EPIC MNEMONIC: (not orderable on LIS)
CPT CODE: 36520
DAYS PERFORMED: Weekdays, 0830-1500; nights and weekends for emergencies only
TURNAROUND TIME: 2-4 hours
SPECIAL INSTRUCTIONS: Requires consultation from Apheresis Unit Director.
TEST SYNONYM(S):Therapeutic Leukapheresis; Therapeutic Plateletpheresis

Therapeutic Plasmapheresis

CERNER / EPIC MNEMONIC: (not orderable on LIS)
CPT CODE: 36520
DAYS PERFORMED: Weekdays, 0830-1500; nights and weekends for emergencies only
TURNAROUND TIME: 2-4 hours
SPECIAL INSTRUCTIONS: Requires consultation from Apheresis Unit Director.
TEST SYNONYM(S):Plasma Exchange

Therapeutic Red Cell Exchange

CERNER / EPIC MNEMONIC: (not orderable on LIS)
CPT CODE: 36520
DAYS PERFORMED: Weekdays, 0830-1500; nights and weekends for emergencies only
TURNAROUND TIME: 2-4 hours
SPECIAL INSTRUCTIONS: Requires consultation from Aphereis Unit Director

Transfusion Reaction Work-up

CERNER / EPIC MNEMONIC: (not orderable on LIS)
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: 1-4 hours depending on complexity of work-up
SPECIAL INSTRUCTIONS: Stop transfusion, physician must order investigation. Notify Blood Center immediately. Post-transfusion blood and urine samples, the transfusion administrative set and unused unit of blood must be sent to the Blood Center. Lower half of transfusion tag (#5715) must be filled out by physician and returned promptly to the Blood Center (blue copy). Label post-transfusion specimens with patient`s name, hospital number, date, and time.
CONTAINER TYPE: Pink top  tube, plastic urine container
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, urine, residual blood bag, all attached I.V. tubing and solutions, sample of first post-transfusion urine voided by patient and second urine 5-7 hours post-transfusion
MINIMUM VOLUME: 7 mL blood
TEST SYNONYM(S):Hemolytic Transfusion Reaction Work-up

T3

CERNER / EPIC MNEMONIC: TOTAL T3
POE DESCRIPTION: TOTAL T3; T3
CPT CODE: 84480
DAYS PERFORMED: Daily
TURNAROUND TIME:

8 hours

CONTAINER TYPE:

SST tube or Red top tube

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

0.6-1.6 ng/mL

TEST SYNONYM(S):Total T3; Tri-iodothyronine

T4

CERNER / EPIC MNEMONIC: T4
POE DESCRIPTION: T4
CPT CODE: 84436
DAYS PERFORMED: Daily
TURNAROUND TIME:

8 hours

CONTAINER TYPE:

SST tube or Red top tube

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

4.9-11.7 µg/dL

TEST SYNONYM(S):Tetraiodothyronine; Thyroxine

T4 Free, Serum

CERNER / EPIC MNEMONIC: FREE T4
POE DESCRIPTION: FREE THYROXINE; THYROXINE (FREE), T4; FREE T4
CPT CODE: 84439
DAYS PERFORMED: Daily
TURNAROUND TIME:

8 hours

CONTAINER TYPE:

SST tube or Red top tube

SPECIMEN REQUIREMENTS: Blood (serum)
MINIMUM VOLUME: 1 mL blood (0.5 mL serum)
REFERENCE RANGE: 0.7-1.5 ng/dL
TEST SYNONYM(S):Free Thyroxine; Unbound T4

TRH-TSH Stimulation Test

CERNER / EPIC MNEMONIC: TSH
CPT CODE: 84443
DAYS PERFORMED: Specimens accepted daily
TURNAROUND TIME:

8 hours

SPECIAL INSTRUCTIONS: Note baseline or poststimulation and time of drawing on requisition.
CONTAINER TYPE: Red top tube
SPECIMEN REQUIREMENTS: Blood (serum)
MINIMUM VOLUME: 1.0 mL blood (0.5 mL serum)
REFERENCE RANGE: Adults: baseline; 0.350-4.940 IU/mL; 30 minutes postinjection interpreted by physician
TEST SYNONYM(S):Thyroid Releasing Hormone - Thyroid Stimulating Hormone Stimulation Test; TSH Stimulation Test

Tacrolimus (FK506)

CERNER / EPIC MNEMONIC: FK506
POE DESCRIPTION: FK506 (TACROLIMUS), PROGRAF (FK506), TACROLIMUS (FK506)
CPT CODE: 80197
DAYS PERFORMED: Test is performed Monday-Sunday.
TURNAROUND TIME:

Up to 18 hours.

SPECIAL INSTRUCTIONS: Draw time must be indicated on requisition.
CONTAINER TYPE:

Lavender top (K2 EDTA) tube - 3 mLLavender top (K2 EDTA) tube - 6 mLMicrotainer (K2 EDTA)Pink top (K2 EDTA) tube - 6 mL

SPECIMEN REQUIREMENTS:

1.0 mL EDTA whole blood

MINIMUM VOLUME: 0.5 mL EDTA whole blood
REFERENCE RANGE:

The effective therapeutic range for Tacrolimus is based upon clinical evaluation of the individual patient, because optimal levels depend upon multiple factors, including patient variation, type of transplant, time post-transplant, co-administration of other immunosuppressants, and method used.

TEST SYNONYM(S):Prograf; FK506

Testosterone, Total

CERNER / EPIC MNEMONIC: TESTOSTER
POE DESCRIPTION: TESTOSTERONE
CPT CODE: 84403
DAYS PERFORMED:

Daily, 24 hours

TURNAROUND TIME:

8 hours

CONTAINER TYPE:

Red top tube or SST tube

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

Males

21-49 yrs         220-890 ng/dL

50-150 yrs       205-730 ng/dL

Females

21-49 yrs         18-54 ng/dL

50-150 yrs        12-36 ng/dL

 

LAST UPDATED:

3-28-2013

Theophylline, Serum

CERNER / EPIC MNEMONIC: THEO
POE DESCRIPTION: THEOPHYLLINE
CPT CODE:

80198-90

TURNAROUND TIME:

STAT 4-6 hours, routine 5-6 working days

CONTAINER TYPE:

Red top tube - 4 mL ONLY

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME: 1.0 mL blood (0.2 mL serum)
REFERENCE RANGE:

See Quest Diagnostics - Search Test Code 878

LAST UPDATED:

2-4-2014

TEST SYNONYM(S):Aminophylline

Thrombin Time

CERNER / EPIC MNEMONIC: TT
POE DESCRIPTION: THROMBIN TIME; TT
CPT CODE: 85670
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 top (sodium citrate) tube
COLLECTION: See Section - " Specimen Collection Guidelines" - Coagulation Specimens
SPECIMEN REQUIREMENTS: Blood, 4.5 mL tube or pediatric 1.6 mL or 2.7 mL tube
REJECTION CRITERIA:

Specimen hemolyzed; Hct >55%

MINIMUM VOLUME: 3.5 mL blood (1 mL plasma)
HANDLING INSTRUCTIONS: Transport the specimen to the laboratory as soon as possible. Specimen MUST be received within 4 hours after collection.
REFERENCE RANGE: 14.9-19.8 sec
TEST SYNONYM(S):Fibrin Time

Thyroid Stimulating Hormone

CERNER / EPIC MNEMONIC: TSH
POE DESCRIPTION: THYROID STIMULATING HORMONE; TSH
CPT CODE: 84443
DAYS PERFORMED: Daily
TURNAROUND TIME:

8 hours

CONTAINER TYPE:

SST tube or Red top tube

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

0.35-4.940 uIU/mL

TEST SYNONYM(S):Thyrotropin Hormone; Thyrotropin Stimulating Hormone; TSH

Tobramycin (Pre, Post, Random)

CERNER / EPIC MNEMONIC: TOBRA PRE; TOBRA POST; TOBRA RND
POE DESCRIPTION:

TOBRAMYCIN PRE DOSE; TOBRA PRE

TOBRAMYCIN POST DOSE; TOBRA POST

TOBRAMYCIN RANDOM LEVEL; TOBRA RND

CPT CODE: 80200
TEST INFORMATION: Draw peak: 30 minutes after 30-minute infusion; trough: <30 minutes before next dose.
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME:

Routine 8 hours; Stat 4-6 hours

SPECIAL INSTRUCTIONS: Requisition must be marked random, pre-, or post dose; include date and time specimen drawn.
CONTAINER TYPE: Red top tube - 4 mL
SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME: 1.0 mL blood (0.2 mL serum)
REFERENCE RANGE:

Therapeutic: Trough (pre): 0-2 µg/mL; Peak (post): 5-12 µg/mL

METHODOLOGY:

Enzyme Immunoassay

CRITICAL VALUES:

Pre: >2 µg/mL; Post/Rnd: >12 µg/mL

LAST UPDATED:

6-11-2014

TEST SYNONYM(S):Nebcin.; Tobramycin, Post; Tobramycin, Pre; Tobramycin, Random

Transferrin

CERNER / EPIC MNEMONIC: TRANSFER
POE DESCRIPTION: TRANSFERRIN; TRANSFER
CPT CODE:

 

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:

Any degree of Hemolysis, Grossly lipemic

MINIMUM VOLUME: 1 mL blood (0.5 mL serum)
REFERENCE RANGE: 200-375 mg/dL
METHODOLOGY:

Immunoturbidimetric

Triglycerides, blood

CERNER / EPIC MNEMONIC: TRIG
POE DESCRIPTION: TRIGLYCERIDES
CPT CODE: 84478
DAYS PERFORMED: Specimen accepted daily
TURNAROUND TIME: Routine: 8 hours; stat: 1 hour
SPECIAL INSTRUCTIONS: Patient should fast for 12-14 hours before specimen collection.
CONTAINER TYPE:

Red top tube - 10 mL or SST tube

SPECIMEN REQUIREMENTS: Blood (serum)
MINIMUM VOLUME: 0.4 mL blood (0.2 mL serum)
REFERENCE RANGE: Adults: 30-149
TEST SYNONYM(S):TGs; Trig

Troponin I

CERNER / EPIC MNEMONIC: TROP
POE DESCRIPTION: TROPONIN I
CPT CODE: 84484
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: 1 hour
CONTAINER TYPE: Heparin (Green top tube)
SPECIMEN REQUIREMENTS: Blood (heparinized plasma)
MINIMUM VOLUME: 1 mL blood (0.5 mL plasma)
REFERENCE RANGE:

A Troponin I (TnI) result > 0.1 ng/mL is consistent with myocardial injury.  A single negative result must be interpreted with caution when accompanied by symptoms of acute coronary syndrome.

CRITICAL VALUES:

> 0.1 ng/mL

Tubular Reabsorption of Phosphate

CERNER / EPIC MNEMONIC: TRP
POE DESCRIPTION: UR/TUBULAR REABSORBED PO4
CPT CODE: 82565; 82570; 84100; 84105
TEST INFORMATION: Test includes serum phosphorus, serum creatinine, urine phosphorus, urine creatinine.
DAYS PERFORMED: Specimen accepted daily
TURNAROUND TIME: 24-48 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:

SST tube for blood, 24-hour urine collection container, no preservative (Chemistry bottle #1)

SPECIMEN REQUIREMENTS: Blood (serum) and timed urine collection (24-hour collection preferred)
MINIMUM VOLUME: 4 mL blood (2 mL serum); submit entire urine collection to the laboratory
HANDLING INSTRUCTIONS: Refrigerate during collection.
REFERENCE RANGE: 85% to 95%
TEST SYNONYM(S):Phosphorus, Tubular Reabsorption; TRP

TORCH Immune Profile

CERNER / EPIC MNEMONIC: TORCH IGG
POE DESCRIPTION: TORCH IGG; TORCH IMMUNE PROFILE; TORCH TITER
CPT CODE: 80090
TEST INFORMATION: The test includes testing for Toxoplasma gondii IgG, Rubella IgG, Cytomegalovirus IgG, Herpes simplex type 1 IgG, and Herpes simplex virus type 2 virus IgG.
DAYS PERFORMED: Tuesday, Friday: Toxoplasma gondii, Herpes simplex Monday-Friday: Rubella
TURNAROUND TIME: 1-4 days
SPECIAL INSTRUCTIONS: Specimen must be received by the laboratory no later than 0800 on the day the test is to be performed.
CONTAINER TYPE: Red top Vacutainer® tube or SSTTM tube
SPECIMEN REQUIREMENTS: Blood (serum)
REJECTION CRITERIA: Excessive hemolysis, gross contamination of specimen, chylous serum, improper storage of specimen, inappropriate specimen container, insufficient specimen volume.
MINIMUM VOLUME: 5 mL blood (1 mL serum)
HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. When transportation is delayed, refrigerate.
REFERENCE RANGE: Negative: Rubella, nonimmune; Toxoplasma gondii: not detected; CMV: not detected; Herpes simplex 1: not detected; Herpes simplex 2: not detected
METHODOLOGY: Microparticle enzyme immunoassay (MEIA) and enzyme immunoassay (EIA)
ADDITIONAL INFORMATION: The test is used to screen for IgG antibodies to Toxoplasma gondii, Rubella, Cytomegalovirus, and Herpes simplex viruses. The test is important in newborn infants, and is used to evaluate possible congenital infection. Repeat positive test in 10-14 days and monthly as indicated. If TORCH syndrome is suspected in newborns, individual IgM antibody tests for each of the above antigens should be evaluated and serial specimens tested for changing IgG titers. Toxoplasmosis is reported as IU/mL (International Units); Cytomegalovirus is reported as AU/mL (Antibody Units); Herpes 1 and 2 are reported as REV (Relative EIA values). The cut-off values for positive assays are as follows: Toxoplasma gondii IgG: >6 IU/mL; Cytomegalovirus IgG: >15 AU/mL; Herpes simplex 1: >1 REV; Herpes simplex 2: >1 REV
TEST SYNONYM(S):TORCH Battery; TORCH Screen; TORCH Titer

Throat Culture, Complete

CERNER / EPIC MNEMONIC: C THROAT
POE DESCRIPTION: CU THROAT; C THROAT
CPT CODE: 87070; 86588
TEST INFORMATION: The test includes culture for the following isolates only: Groups A, C, and G streptococci, Arcanobacterium haemolyticum, and Pseudomonas aeruginosa (children and young adults <18 years of age ONLY). The presence and quantity of normal flora will be reported.
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Group A Streptococcal antigen screen STAT: 30 minutes after receipt of the specimen in the laboratory. Preliminary culture reports are available after 24 hours. Cultures with no growth or normal flora only will be issued after 48 hours. Completion of culture reports may take 3-4 days after receipt of the specimen when multiple isolates are found.
SPECIAL INSTRUCTIONS: If N. gonorrhoeae is suspected, a separate request for culture for N. gonorrhoeae only should be ordered.
CONTAINER TYPE:

Copan® II swab

COLLECTION: The tongue should be depressed while both tonsillar pillars and the oropharynx are swabbed. Exudates should be swabbed while avoiding the tongue and uvula.
SPECIMEN REQUIREMENTS: Throat swabs
REJECTION CRITERIA: Inappropriate specimen container, insufficient specimen volume.
MINIMUM VOLUME: One swab
HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. When transportation is delayed, leave at room temperature.
REFERENCE RANGE: Negative for Group A Streptococcus by direct antigen screening; no Groups A, C, or G streptococci, Arcanobacterium haemolyticum, or Pseudomonas aeruginosa isolated.
METHODOLOGY: Direct antigen screen: immunochromatographic assay. Culture: conventional culture on routine and selective media.
ADDITIONAL INFORMATION: Susceptibility testing will be performed routinely for P. aeruginosa ONLY. If only isolation of Neisseria gonorrhoeae is required, request Culture for N. gonorrhoeae Only. If only isolation of Group A Streptococcus is required, request Throat Culture for Group A Streptococcus Only. A positive Group A Streptococcal antigen screen result can be relied upon as a rational basis to begin therapy. Group A Streptococcus, S. pyogenes, is universally susceptible to penicillin and its derivatives, therefore, susceptibility testing is NOT performed.
TEST SYNONYM(S):Routine Throat Culture

Thyroid Antibodies

CERNER / EPIC MNEMONIC: THYR AB
POE DESCRIPTION: THYROID ANTIBODIES; THYROID ABS
TEST INFORMATION: The test includes thyroglobulin antibody and thyroid peroxidase (microsomal) antibody.
DAYS PERFORMED:

Daily, 24 hours

TURNAROUND TIME:

8 hours

CONTAINER TYPE:

Red top tube - 4 mL or SST tube

SPECIMEN REQUIREMENTS:

4 mL blood (2 mL serum)

REJECTION CRITERIA:

Excessive hemolysis

MINIMUM VOLUME: 2 mL blood (1.0 mL serum)
REFERENCE RANGE:

Thyroglobulin antibody - 0.0 - 4.1 IU/mL

Thyroid peroxidase antibody - 0.0 - 5.6 IU/mL

LIMITATIONS OF TEST: Five to 10% of the normal population may exhibit low levels of thyroid antibodies with no symptoms of disease. The incidence is higher in women and increases with age. Other autoimmune disorders such as Sjogren`s syndrome, SLE, RA, and autoimmune hemolytic anemia may be positive for thyroid antibodies. Patients with myxederma, granulomatous thyroiditis, nontoxic nodular goiter, and thyroid carcinoma may occasionally produce thyroid antibodies.
METHODOLOGY:

Chemiluminescent

ADDITIONAL INFORMATION: The frequency of elevated results is higher with the thyroid peroxidase antibody. However, an elevated antithyroglobulin can be obtained while the thyroid peroxidase antibody results are normal. The presence of thyroid antibody may also be indicative of previous autoimmune disorders. Patients with slightly elevated thyroid antibody should be tested periodically, as the presence of the antibody may be an early sign of autoimmune disease. In active cases of thyroid autoimmune disease, and in some cases of thyrotoxicosis, moderate¿to high¿thyroid peroxidase¿antibody levels may be observed. The detection of very high levels in an individual with a firm, hard, fast-growing symmetrical goiter strongly suggests Hashimoto`s goiter. Serum demonstrating¿an elevated¿result should be interpreted in accordance with clinical findings. Diagnosis of thyroid autoimmune disease should not be made on the basis of the Thyroid Antibodies Test alone, but in conjunction with other immunological tests, thyroid function tests, physical examination, familial studies, and if necessary, biopsy.
LAST UPDATED:

3-28-2013

TEST SYNONYM(S):Antithyroid Microsomal and Antithyroglobulin Antibody; Microsomal and Thyroglobulin Antibody; Thyroid Autoantibodies; Thyroid Peroxidase Antibodies; Anti-TPO; TPO Antibodies

Toxoplasma gondii Antibody, IgG

CERNER / EPIC MNEMONIC: TOXO IGG
POE DESCRIPTION: TOXOPLASMA GONDII IGG; TOXO IGG
CPT CODE: 86777-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

Red top Vacutainer® 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 9426

ADDITIONAL INFORMATION:

Individuals with T. gondii specific IgG values <5 IU/mL are presumed uninfected with <em/>T. gondii and susceptible to primary infection.  T. gondii specific IgG values >6 IU/mL indicates past or current infection.  Click here for more information about Toxoplasmosis

TEST SYNONYM(S):T. gondii Antibody; Toxoplasmosis Antibody, IgG

Toxoplasma gondii Antibody, IgM

CERNER / EPIC MNEMONIC: TOXO IGM
POE DESCRIPTION: TOXOPLASMA GONDII AB IGM; TOXO IGM
CPT CODE: 86778-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

Red top Vacutainer® 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 7675

LIMITATIONS OF TEST: Negative results do NOT preclude recent primary T. gondii infection. If known exposure to T. gondii, the diagnosis should NOT be based solely on this test result, but should be confirmed by another method.
ADDITIONAL INFORMATION: The presence of IgM antibodies to T. gondii indicates a primary, reactivation, or reinfection with T. gondii. It does not differentiate active from resolving or resolved infection.  To differentiate these stages of infection, additional testing, including IgG avidity testing, antigen detection, or PCR needs to be done.  Contact a Microbiology laboratory director or supervisor for guidance. Click here for more information on Toxoplasmosis
TEST SYNONYM(S):T. gondii Antibody, Acute Infection; Toxoplasmosis Antibody, IgM

Trichomonas Antigen

CERNER / EPIC MNEMONIC:

TRICH AG

CPT CODE: 87450
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: 1 hour after receipt of the specimen in the laboratory.
CONTAINER TYPE:

A sterile rayon swab placed in a dry container or a BBLTM Culture Swab.

SPECIMEN REQUIREMENTS: Vaginal, cervical, urethral swabs, prostatic fluid
REJECTION CRITERIA: Inappropriate specimen container, specimen received in a preservative, insufficient specimen volume.
MINIMUM VOLUME: One swab
HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. When transportation is delayed, specimen may be held at room temp for no longer than 24 hours or it may be stored at 4°C or -20°C for up to 36 hours.
REFERENCE RANGE:

No Trichonomonas vaginalis Ag observed.

LIMITATIONS OF TEST: The specimen will be examined for Trichomonas vaginalis ONLY. One negative result does not rule out the possibility of Trichomonas vaginalis infection. The direct examination is negative in up to 30% of women with trichomoniasis. Samples contaminated with preparations containing iodine or by the immediate prior use of vaginal lubricants are not recommended.
METHODOLOGY:

Trichomonas vaginalis antigen detection.

ADDITIONAL INFORMATION: The absence of the classical yellow, frothy vaginal discharge does NOT exclude the presence of Trichomonas.
LAST UPDATED:

6-3-2014

TEST SYNONYM(S):Trichomonas vaginalis Wet Preparation; Trich Prep

Transplant Crossmatches

CERNER / EPIC MNEMONIC: T CELL AHG; T CELL AMOS; B CELL AHG; B CELL AMOS; FLOW XM
CPT CODE: 86805
DAYS PERFORMED: Mon - Fri, 0800 -1700; specimens not accepted after 1200 on Fri
TURNAROUND TIME: 8 hours verbal

5-7 days written

SPECIAL INSTRUCTIONS: Direct communication with HLA laboratory necessary to arrange testing.
CONTAINER TYPE: Two green top (heparin) tubes, red top tube - recipient

Two green top (heparin) tubes - donor

COLLECTION: Special Labeling Requirements: Patient name, the initials of the phlebotomist and the date/time of collection MUST be noted clearly on the specimen label,
SPECIMEN REQUIREMENTS: Blood, lymph node, spleen from donor; blood from recipient for kidney, liver or heart transplantation, potential platelet and white cell recipient
MINIMUM VOLUME: 20 ml, patients with extremely low white counts may require additional specimen.
HANDLING INSTRUCTIONS: Deliver to lab ASAP or store at room temperature.
REFERENCE RANGE: Crossmatch results are reported as positive or negative.
TEST SYNONYM(S):Histocompatibility Testing; Lymphocyte Crossmatch; Organ Donor Tissue Typing; Tissue Typing, Donor; White Cell Crossmatch; Cadaver Crossmatch; Crossmatch

T3, Free by Tracer Dialysis

CERNER / EPIC MNEMONIC: FT3/EQDIAL
POE DESCRIPTION: FT3/EQDIAL, FREE T3 BY EQULIB. DIALYSIS (includes a total T3)
CPT CODE:

84481-90

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE: Red top tube only
SPECIMEN REQUIREMENTS: 2.0 mL whole blood (1.0 mL serum)
MINIMUM VOLUME: 1.0 mL whole blood (0.5 mL serum)
REFERENCE RANGE:

See Specialty Labs  - Search Test Code 3225

REFERRAL LABORATORY: See separate laboratory report
TEST SYNONYM(S):Free T3 by Tracer Dialysis

Topiramate

CERNER / EPIC MNEMONIC:

TOPIRAMATE

POE DESCRIPTION:

Topiramate

CPT CODE: 80201-90
CDM NUMBER:

3181322

DAYS PERFORMED:

Monday - Saturday

TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

 red top tube only

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

REJECTION CRITERIA:

Drawn in SST tubes

MINIMUM VOLUME:

1.0 mL blood (0.5 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 4925

METHODOLOGY:

Immunoassay

ADDITIONAL INFORMATION: Monitoring plasma Topiramate concentrations is useful for assessing patient compliance, poor seizure control, toxicity, and changes in metabolism or excretion of Topiramate due to the addition of other anticonvulsants to the therapeutic regimen.¿ In clinical trials, Topiramate concentrations have generally ranged from 2-25 mcg/ml.¿ Dose adjustment should be guided by clinical outcome.¿Circulating Topiramate levels have not been correlated to toxicity, adverse effects or clinical efficacy.¿ Results must be interpreted by the clinician with consideration of coadministered drugs and all other confounding factors.
LAST UPDATED:

1-24-2011

TEST SYNONYM(S):Topamax

Thyroid/TSH Profile

CERNER / EPIC MNEMONIC:

THYR PRO

POE DESCRIPTION: Thyroid Profile
CPT CODE: 80092
TEST INFORMATION: Test includes TSH, Free T4
DAYS PERFORMED: Daily
TURNAROUND TIME:

8 hours

CONTAINER TYPE:

Red top tube or SST tube

SPECIMEN REQUIREMENTS: Blood (serum)
MINIMUM VOLUME: 1.0 mL serum

Type and Screen

CERNER / EPIC MNEMONIC:

AT/S

POE DESCRIPTION: TYPE AND SCREEN
CPT CODE: 86900; 86901; 86850
TEST INFORMATION: Test includes ABO Typing, Rh typing, Antibody Screen.
DAYS PERFORMED: Daily, 24 hours.
TURNAROUND TIME: 1 hour
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: Red blood cells and plasma
MINIMUM VOLUME: 7.0 mL whole blood
TEST SYNONYM(S):Blood type and screen

T3, Free

CERNER / EPIC MNEMONIC: FREE T3
POE DESCRIPTION: FREE T3
CPT CODE: 84481-90
TURNAROUND TIME:

8 hours

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:

1.7-3.7 pg/mL

TEST SYNONYM(S):Free Tri-iodothyronine; Unbound T3; Free T3

T4, Free by Direct Dialysis

CERNER / EPIC MNEMONIC: FT4/EQDIAL
POE DESCRIPTION: FREE T4/EQUILIBRIUM DIALYSIS
CPT CODE: 84439-90
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 blood)
REFERENCE RANGE: See Specialty Labs - Search Test Code 3954

TEST SYNONYM(S):Free T4 by Direct Dialysis

Testosterone, Free and Total

CERNER / EPIC MNEMONIC: FREE TEST
POE DESCRIPTION: FREE TESTOSTERONE ANALYSIS; FREE TEST
CPT CODE:

84403-90

TEST INFORMATION:

Includes total testosterone.

TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

Red top tube

SPECIMEN REQUIREMENTS:

2.0 mL serum (0.9 mL serum)

REJECTION CRITERIA:

SST (gel) tubes are not acceptable.

MINIMUM VOLUME:

1.0 mL serum (0.5 mL serum)

REFERENCE RANGE:

See Specialty Labs  - Search Test Code 3922

METHODOLOGY:

Chemiluminescence and RIA

LAST UPDATED:

7/25/2011

TEST SYNONYM(S):Free Testosterone; Total Testosterone

Tetanus Toxoid Antibody

CERNER / EPIC MNEMONIC: TET TOX AB
POE DESCRIPTION: TETANUS TOXOID ANTIBODIES; TET TOX AB
CPT CODE: 86774-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

Red top tube or SST tube

SPECIMEN REQUIREMENTS: 4.0 mL blood (2.0 mL serum)
MINIMUM VOLUME: 2.0 mL blood (1.0 mL serum)
REFERENCE RANGE: See Specialty Labs - Search Test Code 1334

Thiocyanate, Serum

CERNER / EPIC MNEMONIC: THIO
POE DESCRIPTION: THIOCYANATE
CPT CODE: 84430-90
CONTAINER TYPE: Red top tube only
SPECIMEN REQUIREMENTS: 6.0 mL blood (3.0 mL serum)
MINIMUM VOLUME: 2.0 mL blood (1.0 mL serum)
REFERENCE RANGE:

See Quest Diagnostics - Search Test Code 879

Reference Ranges:

 

Non-Smokers: <5 mg/L

 

Smokers: 4-15 mg/L

 

Potentially Toxic:  >20 mg/L

TEST SYNONYM(S):KCN, Blood

Thrombosis B1 Panel

CERNER / EPIC MNEMONIC: THROM B1
POE DESCRIPTION: THROMBOSIS B1 PANEL
CPT CODE: 85302-90; 85306-90; 85305-90; 83898-90; 85260-90; 85420-90; 85307-90; 85300-90; 83891-90; 83894-90; 83912-90
TEST INFORMATION: Includes Protein C antigen (total), Protein S antigen (free and total), Factor X antigen, Antithrombin Activity, Plasminogen Activity, APC Resistance Assay
TURNAROUND TIME: 5-7 working days
SPECIAL INSTRUCTIONS: Patient should be on a stable dose of Coumadin therapy for at least two weeks before sample is drawn and off heparin.
CONTAINER TYPE:

Blue top (sodium citrate) tubes (2.7 mL draw)

COLLECTION: See Section - Specimen Collection Guidelines - Coagulation Specimens
SPECIMEN REQUIREMENTS: 12 mL whole blood (6.0 mL citrated platelet poor plasma)
REJECTION CRITERIA:

Specimen hemolyzed

Hct > 55%

MINIMUM VOLUME: 8 mL whole blood (4.0 mL citrated platelet poor plasma)
HANDLING INSTRUCTIONS:

REFERENCE RANGE: Interpretative report accompanies results
LAST UPDATED:

2-27-2014

Thyroglobulin

CERNER / EPIC MNEMONIC: THYR
POE DESCRIPTION: THYROGLOBULIN
CPT CODE: 84432-90, 86800-90
TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SST tube or Red top tube

SPECIMEN REQUIREMENTS:

2 mL blood (0.4 mL serum)

MINIMUM VOLUME:

2.0 mL blood (0.4 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 3251

LAST UPDATED:

1-28-2014

Thyroid Stimulating Immunoglobulin

CERNER / EPIC MNEMONIC: TSIG
POE DESCRIPTION: THYROID STIM IMMUNOGLOBULIN; TSIG
CPT CODE: 84445-90
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 (0.2 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 30551

LAST UPDATED:

4-26-2013

TEST SYNONYM(S):Long-Acting Thyroid Stimulating Hormone (LATS); TSI; TSIG

Thyroxine Binding Globulin

CERNER / EPIC MNEMONIC: TBG
POE DESCRIPTION: THYROXINE BINDING GLOBULIN; TBG
CPT CODE: 84442-90
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 Specialty Labs - Search Test Code 3238

LAST UPDATED:

1-24-2012

TEST SYNONYM(S):TBG

Tryptase

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

83520-90

TURNAROUND TIME: 5-7 working days
SPECIAL INSTRUCTIONS: Sanples should be obtained between 15 minutes and 3 hours after the event suspected of causing mast cell activation.

CONTAINER TYPE:

Red top 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 3460

Terminal Deoxynucleotidyl Transferase

CERNER / EPIC MNEMONIC: TDT QL
CPT CODE: 88346
DAYS PERFORMED: Mon-Thur, 0800-1600
TURNAROUND TIME: 2 weeks
CONTAINER TYPE: Green top (sodium heparin) tube, heparinized bone marrow specimen
SPECIMEN REQUIREMENTS: Blood or bone marrow
MINIMUM VOLUME: 10 mL blood, 1 mL bone marrow
HANDLING INSTRUCTIONS: Do not refrigerate samples. Samples must be received in laboratory within 3 hours of drawing. Specimen should be submitted with a completed Patient Information Form. Contact the Cellular Laboratory at 312-942-2723 to obtain a form.
REFERENCE RANGE: Negative
REFERRAL LABORATORY: Commercial Laboratory
TEST SYNONYM(S):TdT

Trypsin

CERNER / EPIC MNEMONIC: TRYPSIN
POE DESCRIPTION: TRYPSIN
CPT CODE: 83519-90
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 Specialty Labs - Search Test Code S51306
TEST SYNONYM(S):Trypsinogen; IRT; Immunoreactive trypsin

Transglutaminase IGA Autoantibody

CERNER / EPIC MNEMONIC: TRNSGLU-AB
POE DESCRIPTION: TRANSGLUTAMINASE IGA AB
CPT CODE:

83516-90

TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

SST tube or 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 1029

Timothy grass (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

TIM GRASS

POE DESCRIPTION:

Timothy 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 G6

Tomato (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

TOMATO

POE DESCRIPTION:

Tomato 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 F25

Tuna (IgE) Rast Allergen

CERNER / EPIC MNEMONIC:

TUNA

POE DESCRIPTION:

Tuna 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 F40

Tissue Plasminogen Activator Antigen

CERNER / EPIC MNEMONIC:

TPA AG

POE DESCRIPTION:

TPA Ag

CPT CODE:

85415-90

CDM NUMBER:

3181185

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

Blue (citrate) top

COLLECTION:

See Section Specimen Collection Guidelines - Coagulation Specimens

SPECIMEN REQUIREMENTS:

4.5 mL blood (1 mL citrated platelet poor plasma)

REJECTION CRITERIA:

Specimen hemolyzed

HCT >55%

MINIMUM VOLUME:

3.5 mL blood (0.3 mL citrated platelet poor plasma).  Completely fill up pediatric tube.

REFERENCE RANGE:

See Specialty Labs - Search Test Code S51388

METHODOLOGY:

EIA

TEST SYNONYM(S):TPA Antigen

Triglycerides, fluid

CERNER / EPIC MNEMONIC:

F/TRIG

POE DESCRIPTION:

FLUID TRIGLYCERIDES

CPT CODE:

84478

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 Triglycerides

Trypanasoma cruzi AB, TOTAL

CERNER / EPIC MNEMONIC:

TRYP CRUZI

CPT CODE:

86753

TEST INFORMATION:

Antibodies are found in most patients with acute or chronic American Trypanosomiasis

DAYS PERFORMED:

Monday, Thursday

TURNAROUND TIME:

1 - 5 Days

CONTAINER TYPE:

RED TOP VACUTAINER, NO GEL

SPECIMEN REQUIREMENTS:

0.5 mL serum

REJECTION CRITERIA:

Quantity insufficent; collection in the wrong vacutainer  tube

MINIMUM VOLUME:

0.2  mL serum

HANDLING INSTRUCTIONS:

Room temperature: 7 Days, Refrigerated 14 Days: Frozen 30 Days

REFERENCE RANGE:

Nonreactive,  See Quest test code 90827

METHODOLOGY:

EIA

REFERRAL LABORATORY:

Quest

LAST UPDATED:

4-20-2013

TEST SYNONYM(S):Trypanasoma serology

Trichomonas Vaginalis, Culture

CERNER / EPIC MNEMONIC:

TRICH CUL

CPT CODE:

87081

TEST INFORMATION:

Trichomonas vaginalis is not part of the normal flora of the genital tract and is considered a pathogen when detected.  Its identification is important for the control and treatment of trichomoniasis.

DAYS PERFORMED:

Mon - Sat.

TURNAROUND TIME:

3 - 5 days

CONTAINER TYPE:

urine collection cup

SPECIMEN REQUIREMENTS:

15 mL of urine

REJECTION CRITERIA:

Specimens received from females, leaking specimens, refrigerated specimens, specimens received greater than 48 hours from collection.

MINIMUM VOLUME:

15 mL

HANDLING INSTRUCTIONS:

Transport immediately to the laboratory at room temperature.

REFERENCE RANGE:

Not Isolated

METHODOLOGY:

Culture, using Trichomonas Inpouch method and Microscopic Exam.

REFERRAL LABORATORY:

Quest Diagnostics

ADDITIONAL INFORMATION:

Refer to Trichomonas  Antigen test for female specimen protocol.

LAST UPDATED:

9-11-2013

TEST SYNONYM(S):Trichomonas

Tetanus & Diphtheria Toxoid IgG Antibodies

CERNER / EPIC MNEMONIC:

TET/DIPH

CPT CODE:

86648-90, 86774-90

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SST or Red Top tube

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME:

2.0 mL blood (1.0 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 1331

LAST UPDATED:

2-18-2014

Tysabri Antibodies

CERNER / EPIC MNEMONIC:

TYSABRI AB

CPT CODE:

83516-90

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

SST top or red top tube

SPECIMEN REQUIREMENTS:

1 mL blood (0.5 mL serum)

MINIMUM VOLUME:

1 mL blood (0.5 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code S51258

LAST UPDATED:

6-20-2014